Families’ experience caring for mentally ill patients with re-pasung

Katuuk, None Helly M.; Daulima, Novy Helena Catharina; Wardani, Ice Yulia

doi:10.1016/j.enfcli.2019.04.032

Cited by 8 publications

(16 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…That is, responses to the instrument are consistent and are reliable measures of the level of intention of the mentally ill patient's family to use pasung 8 Dewi et al (2019) [32] The study demonstrated that family burden was significantly lower among those who received the combination of the two therapies (family psychoeducation and care decisions without pasung) compared to only family psychoeducation (p < .05). Those therapies decreased the family burden into the low category 9 Eka and Daulima (2019) [33] Ten studies were found. There were 3 main factors related to pasung: 1.…”

Section: Case Control Studiesmentioning

confidence: 99%

“…of individuals subjected to pasung had past experience of being restrained one or more times [2,7,9,47]. Most pasung use with people with a history of mental illness was believed to be because they had failed to continue their medication [3].…”

Section: Narrative Synthesis Using the Socio-ecological Model Individmentioning

confidence: 99%

“…Treatment drop-out was also reported by Minas and Diatri [3] who found that 9 out of 15 people in pasung had previous treatment with mental health services. Medication non-adherence was also seen to be related to the inability of the family to provide regular medication to their family member due to factors including cost and the lack of availability of family members to assist PWMD to go to mental health services [9]. Another factor identified as a root cause of medication discontinuation was refusal by the PWMD, with Asher et al [7] reporting the PWMD was usually restrained (tied up) in the journey to the health facilities as they often refused to be medicated.…”

Section: Narrative Synthesis Using the Socio-ecological Model Individmentioning

confidence: 99%

“…This was done out of fear that the person would wander and create further burden for the family. As a replacement for pasung, the family sometimes released the person and used close monitoring and observation to prevent wandering [9,40].…”

Section: Interpersonal Relationshipsmentioning

confidence: 99%

“…Mechanical restraint in pasung usually involves the use of chain shackles, rope, or wooden stocks. Isolation is typically comprised of locking people in confined cages and hidden spaces located at a distance from the community or in a separate hut [7][8][9]. Both of these processes can be experienced concurrently; that is, the person can be chained and confined at the same time.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

The use of pasung for people with mental illness: a systematic review and narrative synthesis

Hidayat

Lawn

Muir‐Cochrane

et al. 2020

Int J Ment Health Syst

View full text Add to dashboard Cite

Background Pasung is the term used in Indonesia and a number of other countries for seclusion and restraint of people with mental illness in the community, usually at home by their family. While pasung has been banned because it is contrary to human rights, its practice continues to exist within the community, particularly where community mental health services are limited, and in the absence of adequate social support, and pervasive negatives beliefs about mental illness. It is essential to understand the reasons for the ongoing use of pasung and to examine potential solutions. Methods A systematic review and narrative synthesis of peer-reviewed international literature was conducted to identify the socio-cultural contexts for pasung use, and interventions to address it. The analysis draws on the socio-ecological framework, which focused on relationships between the individual and their environment. Result Fifty published articles were included in the review; all studies were conducted in Asia and Africa, with 32 undertaken in Indonesia. Most studies were qualitative (n = 21). Others included one case–control study, one cross-sectional study, and seven surveys; only four studies examined the application of an intervention, and each used a pre and post methodology. Of these, two studies tested psychoeducational interventions which aimed to overcome family burden due to pasung, and each suggested a community mental health approach. The remaining two studies evaluated the intervention of ‘unlocking’; one study used a community-based culturally sensitive approach, and the other used a community-based rehabilitation program. Reasons for pasung given by family appear to be as a last resort and in the absence of other supports to help them care for the person with severe mental illness. Conclusion The findings highlight that a mixture of individual, interpersonal, community and policy interventions are needed to reduce the use of pasung. While consumer and carer involvement as part of a socio-ecological approach is understood to be effective in reducing pasung, an understanding of how to elaborate this in the management of pasung remains elusive. Review Registration CRD42020157543: CRD

show abstract