PENGALAMAN PETUGAS KESEHATAN JIWA DALAM MENANGANI ORANG DENGAN GANGGUAN JIWA (ODGJ) DI PUSKESMAS KABUPATEN LAMONGAN

Pendahuluan: Pengalaman petugas kesehatan jiwa dapat mempengaruhi kualitas pelayanan kesehatan jiwa. Petugas kesehatan jiwa memiliki berbagai hambatan dalam menangani pasien gangguan kesehatan jiwa. Tujuan dari penelitian ini adalah untuk menggali pengalaman petugas kesehatan jiwa dalam menangani ODGJ di Puskesmas Kabupaten Lamongan.Metode: Penelitian ini menggunakan desain penelitian kualitatif fenomenologi. Pengambilan sampel dilakukan dengan purposive sampling dengan jumlah sampel 15 partisipan. Data dikumpulkan dengan menggunakan observasi dan wawancara mendalam semi terstruktur. Analisis tematik dilakukan menggunakan langkah-langkah Colaizzi.Hasil: Pengalaman petugas kesehatan jiwa meliputi hambatan, motivasi dan cara mengatasi hambatan dalam menangani pasien gangguan jiwa. Hambatan yang dihadapi petugas kesehatan jiwa berasal dari ODGJ yang tidak mau minum obat dan melakukan kekerasan secara fisik maupun verbal terhadap petugas kesehatan jiwa, selain itu kurangnya dukungan keluarga dan SDM yang kurang sehingga petugas kesehatan mengalami kesulitan dalam merawat ODGJ, namun dapat diatasi dengan motivasi yang tinggi dari petugas kesehatan jiwa dalam merawat pasien gangguan jiwa, kerjasama dengan lintas sektor, meningkatkan kualitas SDM dengan pelatihan CMHN, sosialisasi di masyarakat dan pendekatan kepada keluarga.Kesimpulan: Pengalaman dapat mempengaruhi tingkat pengetahuan dan kemampuan petugas kesehatan jiwa dalam menangani ODGJ. Hasil penelitian ini diharapkan dapat digunakan sebagai data penunjang maupun acuan dalam meningkatkan kualitas pelayanan kesehatan jiwa khususnya di wilayah kerja puskesmas ABSTRACTIntroduction: The experience of a mental health practitioners can affect the quality of mental health services. Mental health practitioners have various obstacles in the treatment of mental disordered patients. The aim of this research is to know the experience mental health on treating mental disordered patients in health center.Method: This study uses qualitative research with a phenomenological approach. Sampling was conducted by purposive sampling with a sample size of 15 participants. Data were collected using with observation and semistructured in-depth interview. Thematic analysis was performed using Colaizzi steps.Results: The experience of mental health practitioners includes obstacles, motivation, and ways to overcome obstacles in dealing with mental patients. Obstacles faced by mental health practitioners come from mental disorders patients who do not want to take medicine and do physical or verbal violence against mental health workers, besides the lack of family support and lack of human resources so that health practitioners have difficulty in caring for mental disorders patients, but can be overcome with motivation education of mental health practitioners in treating mental patients, collaboration with cross-sectoral, improving the quality of human resources with CMHN training, socialization in the community and approach to the family.Conclusion: Experience can affect the level of knowledge and ability of mental health practitioners in handling mental disordered patients. The result of this research is expected to be used as both supporting data and references in increasing the quality of mental health service especially in health center work area.

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Analysing Semi-Structured Interviews With Mental Health Practitioners: Using a Hermeneutic Phenomenological Approach to Explore Resilience

10.4135/9781526495778 ◽

2019 ◽

Author(s):

Simon Wharne

Keyword(s):

Mental Health ◽

Phenomenological Approach ◽

Mental Health Practitioners ◽

Structured Interviews ◽

Hermeneutic Phenomenological ◽

Health Practitioners

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Documentation and Record Keeping Are Burdens to Be Completed as Quickly as Possible

If You Build It They Will Come ◽

10.1093/med-psych/9780190900762.003.0021 ◽

2019 ◽

pp. 117-122

Author(s):

Jeffrey E. Barnett ◽

Jeffrey Zimmerman

Keyword(s):

Mental Health ◽

Quality Care ◽

Mental Health Practitioners ◽

Record Keeping ◽

Legal Obligations ◽

Health Practitioners ◽

Care Information ◽

Clinical Records

Documentation and record keeping are not known as the most enjoyable aspects of being a mental health clinician. Yet, as this chapter explains, they play a vital and important role in meeting one’s ethical and legal obligations. Further, it is explained how timely, thorough, effective documentation can help mental health practitioners to fulfill their obligation to provide the highest possible quality of care. Information is also provided on how clinical records may be needed in the future, and the risks associated with minimal or absent documentation. The role of documentation as a risk management strategy, to meet legal requirements, and to assist in providing high-quality care are each addressed. Specific guidance is provided on the needed components of effective documentation.

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Compulsion under the Mental Health Act 1983: audit of the quality of medical recommendations

The Psychiatrist ◽

10.1192/pb.bp.111.034819 ◽

2012 ◽

Vol 36 (1) ◽

pp. 11-15 ◽

Cited By ~ 8

Author(s):

Julian Mason ◽

Hannah Roberts ◽

Rebecca Northridge ◽

Garyfallia Fountoulaki ◽

Emma Andrews ◽

...

Keyword(s):

Mental Health ◽

Gold Standard ◽

Community Treatment ◽

Mental Health Practitioners ◽

Mental Health Act ◽

Health Practitioners ◽

Medical Recommendations ◽

Medical Recommendation ◽

Relevant Education

Aims and methodTo audit the quality of medical recommendations for detention under the Mental Health Act 1983, Section 2 and 3. The recommendations were tested against a gold standard based on the statutory criteria. Two cycles were completed, the first containing 214 recommendations, the second 202. Relevant education took place after the first cycle.ResultsThe percentage of medical recommendations containing clear statements of why each of the statutory criteria was met increased in the second cycle. It reached 87% for mental disorder; 87% for nature and/or degree; 75% for why community treatment was not possible; 64% for why detention was in the interests of health; 60% for safety; 55% for protection of others; and 70% why informal admission was not possible.Clinical implicationsDoctors, scrutineers and approved mental health practitioners welcomed clear guidance about what is expected in a medical recommendation for detention and endorsed the gold standard described. Armed with a better understanding of what is expected and a template to follow, there was an improvement in the reasons given for detention.

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Deprescribing in Psychiatry

10.1093/med/9780190654818.001.0001 ◽

2019 ◽

Author(s):

Swapnil Gupta ◽

John Cahill ◽

Rebecca Miller

Keyword(s):

Mental Health ◽

Learning Objectives ◽

Mental Health Practitioners ◽

Rational Approach ◽

Shared Decision ◽

Self Assessment ◽

Case Examples ◽

Health Practitioners ◽

Social Environmental

With the growth of polypharmacy across medicine, the concept of deprescribing—reducing or eliminating the use of medication—is gaining traction among prescribers in a range of specialties. Applying this concept to psychiatry is more complex than in other fields of medicine and requires expanding the intervention to include consideration of psychological, social, environmental, and cultural factors. Taking a recovery-oriented and strengths-based approach, this book outlines the need for deprescribing in psychiatry and expands on the intervention to look at barriers and strategies for addressing them, as well as specific considerations for classes of psychotropic medications. The book is explicitly not against the use of medications but instead promotes a rational approach to considering the reduction of medications when indicated and when agreed upon by both prescriber and patient by promoting the use of shared decision-making and working to minimize risk while maximizing quality of life. The book includes learning objectives, self-assessment quizzes, and case examples to support the reader and provide concrete illustrations of implementation. It is geared toward all prescribers of psychiatric medications and is useful as well for patients, family members, and other mental health practitioners interested in learning more about approaches to making the best, most judicious use of psychiatric medications in mental health.

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