scholarly journals BALAI KESEHATAN JIWA DENGAN PENDEKATAN HEALING ENVIRONMENT DI SURAKARTA

Arsitektura ◽  
2017 ◽  
Vol 15 (1) ◽  
pp. 149
Author(s):  
Deva Bagus Zhafran ◽  
Hardiyati Hardiyati ◽  
Leny Pramesti

<pre><strong><em>Abstract: </em></strong><em>Mental health is projected to be one of issues that would be a problem among people's live in the future. This issue is caused by a lack of knowledge and insight into the mental health community, as well as the negative stigma attached to people's perceptions of mental illness and the sufferers. The negative stigma hamper government and community efforts in creating mental health in the community. Stigma obstruct the recovery process of mental disorders that can happen to any human being and for the sufferers will be difficult to live in the midst of the general public. “balai kesehatan jiwa” that is designed aiming at providing a forum for people with mental disorders transition before returning to the life of society, as well as to create containers mental health services closer to the people so that the people who sought mental health can be achieved more efficiently.the concept of environment’s design </em><em> is applied using a basic principle as the basis of healing environmental considerations whole aspects both component architecture and components forming other neighborhoods that are conducive and supportive user’s mental health. This building is planned by the location, building appearance, structure, landscaping and utilities on the building considering the stimulants wich is  received by the users from the building components.</em></pre><p><em> </em></p><strong><em>Keywords: </em></strong><em>Negative Stigma, Mental Health Centre, Containers Transition, Healing Environment</em>

2020 ◽  
Author(s):  
Novrial Ahmad Hanif

Mental health is projected to be one of issues that would be a problem among people's live in the future. This issue is caused by a lack of knowledge and insight into the mental health community, as well as the negative stigma attached to people's perceptions of mental illness and the sufferers. The negative stigma hamper government and community efforts in creating mental health in the community. Stigma obstruct the recovery process of mental disorders that can happen to any human being and for the sufferers will be difficult to live in the midst of the general public.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
D Stimac Grbic ◽  
I Pavic Simetin ◽  
A Istvanovic

Abstract Issue Care for people with severe mental disorders requires approach that is focused on a person's strengths, not his weaknesses, and is a shift from a deficit model that is often associated with mental illness. Care users and their family members play an important role in this approach. Description of the Problem Mental disorders are the leading group of diseases in Croatia, according to the number of days of hospital treatment. The number of hospitalizations is high, and the rate of hospitalization for depression has tripled in the last twenty years. Such indicators highlight the need for reorientation of mental health care, from hospital-based to community-based, by organizing mobile community intervention teams. Results In Croatia, psychosocial peer teams were established by the NGO Ludruga, financed by local government, to provide peer support to persons with mental disorders. The main activities are: development of a personal recovery plan, home visits and providing psychological support to persons with mental disorders, organizing support groups and education of peer workers. The teams consist of a peer worker, social worker, psychologist, and operate under the supervision of a psychiatrist. The teams have been operating for five years, have had over a hundred users so far and are a significant help to the healthcare system in preventing rehospitalizations. Lessons The goal of therapeutic interventions in mental health care should be recovery. Recovery involves empowering a person to take responsibility for themselves and their health. Peer workers play an important role in the recovery process, providing hope for recovery. Their role must also be recognized by the health system. Key messages People with mental disorders and their families should be co-creators of care and recovery-oriented interventions. Only by comprehensive interventions, tackling all determinants of health, therapeutic goal can be achieved.


Author(s):  
Aghnia Lovita ◽  
Andi Surya Kurnia

Millenials are this generation’s young adults who are very vulnerable to an anxiety and depression, which if this disorder no immediately treated, it would impact to psychiatric disorders (schizophrenia and even suicide). However, many mild – depressed people doesn’t want to seek treatment immediately because lack of knowledge about depression so there’s negative stigma. There are many assumptions where depression is considered “crazy” so which then that patients don’t seek any help, close themselves, and deny. In fact, a few mental hospital in Indonesia doesn’t even meet the proper standards to be called a recovery center. But, seeing from the side of psychology, environment factor has a huge role in recovery process. Therefore, there is a need for a vessel of support for those people who need help on mental health and realizing a comfortable environment for those who are recovering. And improving the perspective of people on the negative stigma about mental disorder and supporting the realization of a strong, comfortable social relation between people and depression sufferers. By using healing environment method, Sanctuary for Depression aims to respond toward all problems which patients acquire a various of health facilities which are needed accordingly and a broader knowledge about  depression, so that the negative stigma which has been planted for a long time could be corrected. Abstrak Milenial merupakan generasi yang sangat rentan terkena gangguan kecemasan dan depresi dimana bila tidak segera ditangani akan berdampak serius (skizofrenia hingga bunuh diri). Tetapi, banyak penderita depresi ringan atau sedang yang tidak mau langsung berobat dikarenakan kurangnya pemahaman terhadap depresi sehingga munculnya stigma negatif. Banyaknya asumsi dimana depresi dianggap “gila” sehingga penderita tidak mencari pertolongan, menutup diri, dan menyangkal. Bersamaan dengan itu juga, kurangnya fasilitas dan perhatian serius terhadap masalah  kesehatan mental (depresi) yang ada di Indonesia. Beberapa rumah sakit jiwa di Indonesia bahkan tidak layak untuk digunakan sebagai tempat pemulihan. Sedangkan dilihat dari sisi psikologis, faktor lingkungan memiliki peran besar dalam proses penyembuhan. Maka dari itu, dibutuhkannya wadah yang memberikan support kepada masyarakat akan kesehatan mentalnya dan mewujudkan lingkungan yang nyaman untuk penderita gangguan mental dalam berobat. Serta meningkatkan kesadaran masyarakat dan memperbaiki stigma terhadap gangguan mental sehingga mendukung terjadinya ikatan sosial yang kuat dan nyaman antara masyarakat dan penderita depresi. Dengan menggunakan metode healing environment, maka Pusat Rehabilitasi Kaum Depresi bertujuan untuk menyikapi semua masalah tersebut dimana pasien mendapatkan berbagai fasilitas kesehatan yang sesuai dibutuhkan dan pengenalan lebih luas mengenai depresi kepada masyarakat sehingga memperbaiki stigma yang sudah tertanam sejak lama.


CNS Spectrums ◽  
2020 ◽  
Vol 25 (5) ◽  
pp. 638-650 ◽  
Author(s):  
Joel A. Dvoskin ◽  
James L. Knoll ◽  
Mollie Silva

This article traces the history of the way in which mental disorders were viewed and treated, from before the birth of Christ to the present day. Special attention is paid to the process of deinstitutionalization in the United States and the failure to create an adequately robust community mental health system to care for the people who, in a previous era, might have experienced lifelong hospitalization. As a result, far too many people with serious mental illnesses are living in jails and prisons that are ill-suited and unprepared to meet their needs.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Patricia Penas ◽  
Jose-Juan Uriarte ◽  
Susana Gorbeña ◽  
Mike Slade ◽  
María-Concepción Moreno-Calvete ◽  
...  

Abstract Background Personal recovery has become an increasingly important approach in the care of people with severe mental disorders and consequently in the orientation of mental health services. The objective of this study was to assess the personal recovery process in people using mental health services, and to clarify the role of variables such as symptomatology, self-stigma, sociodemographic and treatment. Methods Standardised measures of personal recovery process, clinical recovery, and internalized stigma were completed by a sample of 312 participants in a Severe Mental Disorder program. Results Users valued most the recovery elements of: improving general health and wellness; having professionals who care; hope; and sense of meaning in life. Significant discrepancies between perceived experience and relative importance assigned to each of the components of the REE were observed. Regression modeling (χ2 = 6.72, p = .394; GFI = .99, SRMR = .03) identified how positive discrepancies were associated with a higher presence of recovery markers (β = .12, p = .05), which in turn were negatively related to the derived symptomatology index (β = −.33, p < .001). Furthermore, the relationship between clinical and personal recovery was mediated by internalized stigma. Conclusions An improvement in psychiatric services should be focused on recovery aspects that have the greatest discrepancy between importance and experience, in particular social roles, basic needs and hope. Personal and clinical recovery are correlated, but the relationship between them is mediated by internalized stigma, indicating the need for clinical interventions to target self-stigma.


2021 ◽  
Vol 36 (6) ◽  
pp. 67-88
Author(s):  
Maryla Malewicz-Sawicka ◽  
Anna Więcek-Durańska

The article presents issues related to the importance of relationships in the process of helping people suffering from schizophrenia. Schizophrenia is one of the most severe mental-health disorder, in its course it often leads to mental disability. Therefore, the mental disability and initiating the recovery process of people with schizophrenia are the most important and central concepts of the text. Working with a patient suffering from schizophrenia aims at preventing disability and minimizing its consequences, and the success of these actions should be measured by the degree to which a disabled person is able to work independently, fulfil daily family and home duties and manage their free time. Creating a good or sufficiently good therapeutic relationship with a person suffering from schizophrenia is a complex configuration of many factors: from purely behavioural and information-sharing to those related to a sense of genuine closeness. The list of factors influencing creation of a therapeutic relationship can be elaborated based on various assumptions, some may emphasize the factor of patients' disability, others – cognitive deficits, and still others may be created based on existential assumptions. In this article, particular emphasis is placed on the area of psychosocial rehabilitation with its specific goals and the role of empathy and therapeutic relationship in the process of recovery of people with mental disorders.


2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1
Author(s):  
E. Perrone ◽  
C. Banzato ◽  
D. Sasazawa ◽  
S. Kimura

Objectives:To evaluate aspects related to the psychiatric attendance in Campinas and population knowledge about mental disorders.Methods:Participants of a public event were invited to answer a questionnaire about sociodemographyc aspects and knowledge about mental health.Results:The 88 questionnaires showed that there was uniform distribution between sexes and that 50 % of subjects were between 41 and 65 years. The most people have concluded the primary and secondary school. About religion, 55,7 % were Catholics and 26,1% protestants. The study showed that 23% of the subjects have looked for a psychiatrist in last year, the most at primary care health, but only 4,35% said there was no psychiatrist for them. Beyond the psychiatrist, psychologists and spiritualists are looking to solve mental disorders. People consider suicide idea as a disorder that must be treated by psychiatrist more than the eating disorders. “Listen voices that do not exist” was considered as reason to look for psychiatrist, being an opinion more prevalent between Catholics than protestants (O.R = 1.67). The people with first or second grade think that spiritual works produce mental disorders more than those who are graduated. (OR=3.97). When the information about mental illness is TV the people have more chance to believe that spiritual works can produce mental disorders (OR=1.67).Conclusion:Psychiatric attendance is accessible for most people at primary health care in Campinas. The looking for psychiatrist comes with other professionals. The concept about mental disorders is influenced by level and source of information, sex and religion.


1995 ◽  
Vol 10 (1) ◽  
pp. 11-16 ◽  
Author(s):  
V Lehtinen ◽  
M Joukamaa ◽  
H Karlsson ◽  
E Rouhe

SummaryPrimary health care is in the central position in the general sphere of mental health services. This article deals with, as a part of a joint Nordic project, the occurrence of mental disorders of patients in primary health care as based on the material (n = 1,000) collected in the health centre of Turku. The relation of the occurrence of mental disorders as diagnosed by means of a standardized psychiatric interview method (PSE) to the disorders, recognized by general practitioners (GPs) working in the health centre is also observed. It was found that one fourth of the patients had a clear mental disorder that required treatment, while studies in the general population, using the same method, reveal only 10% as having some kind of mental disorder. Three quarters of the evident mental disorders recognized by GPs were diagnosed as such also by the PSE, but the GPs were capable of recognizing only 43% of the cases identified by the PSE. On the basis of these results, the importance of the mental health issue in the basic and postgraduate training of the general practitioners must be emphasized.


Author(s):  
Abha Tewari ◽  
Sudha Kallakuri ◽  
Siddhardha Devarapalli ◽  
David Peiris ◽  
Anushka Patel ◽  
...  

Abstract Background Globally, mental health problems are a growing public health concern. Resources and services for mental disorders are disproportionately low compared to disease burden. In order to bridge treatment gaps, The Systematic Medical Appraisal, Referral and Treatment (SMART) Mental Health Project was implemented across 12 villages in West Godavari district of the southern Indian state of Andhra Pradesh. This paper reports findings from a process evaluation of feasibility and acceptability of the intervention that focused on a mental health services delivery model to screen, diagnose and manage common mental disorders (CMDs). Methods A mixed methods evaluation was undertaken using quantitative service usage analytics, and qualitative data from in-depth interviews and focus group discussions were conducted with stakeholders including primary care physicians, community health workers, field staff and community members. Barriers to and facilitators of intervention implementation were identified. Andersen’s Behavioral Model for Health Services Use was the conceptual framework used to guide the process evaluation and interpretation of data. Results In all, 41 Accredited Social Health Activists (ASHAs) and 6 primary health centre (PHC) doctors were trained in mental health symptoms and its management. ASHAs followed up 98.7% of screen positive cases, and 81.2% of these were clinically diagnosed and treated by the PHC doctors. The key facilitators of implementation were adequate training and supervision of field staff, ASHAs and doctors, use of electronic decision support, incorporation of a door-to-door campaign and use of culturally tailored dramas/videos to raise awareness about CMDs, and organising health camps at the village level facilitating delivery of intervention activities. Barriers to implementation included travel distance to receive care, limited knowledge about mental health, high level of stigma related to mental health issues, and poor mobile network signals and connectivity in the villages. Lack of familiarity with and access to mobile phones, especially among women, to accessing health related messages as part of the intervention. Conclusions The evaluation not only provides a context to the interventions delivered, but also allowed an understanding of possible factors that need to be addressed to make the programme scalable and of benefit to policy makers.


Arsitektura ◽  
2017 ◽  
Vol 15 (1) ◽  
pp. 174
Author(s):  
Karina Putri Pratiwi ◽  
MDE Purnomo ◽  
Mohamad Muqoffa

<p><strong><em>Abstract:</em></strong><em> Design of Special Hospital Stroke in Sukoharjo effected by the increase in cases of stroke from time to time, the main cause of death almost all hospitals are there in Indonesia, as well as yet of the existence of special handling psychologically for stroke patients particularly in Central Java, one area of Shorkot ever several times had the highest stroke cases. Design issues include: how to realize the design of container recovery process of health stroke patients by creating the quantity and quality of space or that can help cure using the application Healing Environment. The purpose of this design is as a container that hosts the health service in the territory of the People devoted to the sufferers of stroke that is designed using the method of healing by structuring the physical environment health facilities that can speed up the recovery time of the patient's health both physically and psychologically. The method used is the method of programming Architecture Palmer. The result is the design of hospitals that can accelerate the recovery process of health stroke patients both physically and psychologically with the application of the concept of the Healing Environment in outer space or space in hospitals, particularly in the treatment rooms.</em></p><p><em> </em></p><p><strong><em>Keywords:</em></strong><em> Healing Environment, Psychological, Special Hospital, Stroke</em>.</p>


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