Psychiatry Nursing Journal (Jurnal Keperawatan Jiwa)
Psychiatry Nursing Journal (Jurnal Keperawatan Jiwa)
Original Research
COMMUNITY PERCEPTION AROUND HALFWAY HOUSE ABOUT CARE OF
MENTAL DISORDERS
CORRESPONDING AUTHOR Method: This study used a qualitative research design with a phenomenological
Farah Aulia Nughraini approach with ten participants. The technique of selecting participants was purposive
farah.aulia.nughraini- sampling with the criteria of men and women aged > 17 years, living around halfway
[email protected] house and who had interacted with mental patients at halfway house. Retrieval of data
Faculty of Nursing, Universitas on ten participants with in-depth interviews and field notes were then analyzed using the
Airlangga, Surabaya, East Java, Colaizzi method.
Indonesia
Results: In this study, 8 themes were identified, namely 5 themes (community
understanding of mental disorders, community stigma, community response, community
expectations and community experiences with mental patients) for the first specific
purpose and 3 themes (treatment, form of care and caregiver factors nurse) for the
second special purpose.
Conclusion: Community perception is influenced by several factors including the factor
of maintaining distance from mental patients, tolerance and support factors, social
limitation factors and factors of prejudice and misunderstanding. Future research can
explore in depth people's perceptions about the treatment of mental disorders patients,
more specifically, for example, the care of mental patients in hospitals and at home.
Keywords
mental disorders, community, perception, halfway house
Cite this as: Nughraini, F.A., Yusuf, A., Armini, N.K.A. (2021). Community Perception Around Halfway
House About Care of Mental Disorders. Psych. Nurs. J., 3(1). 10-14. doi.org/
10.20473/pnj.v3i1.25984
According to Riskesdas 2018, cases of mental participants sign the informed consent, the work
disorders in Indonesia have increased and it is phase in which the researcher starts conducting in-
estimated that the number of severe ODGJ in depth interviews with the participants and also the
Indonesia is 450,000 people (Indrayani & Wahyudi, termination phase which is the final phase after the
2018). Based on a source from the Institute for Health participants answer all the questions and the
Metrics and Evaluation (IHME) in 2017, Mental researcher makes the next contract for data
Disorder causes Disability Adjusted Life Year (DALYs)
validation. Data were analyzed using the Colaizzi
in Indonesia, Schizophrenia type mental disorder
analysis technique. The research proposal has passed
ranks third after depression and anxiety where there
has been an increase from 1990 to 2017 the ethical test by the Health Research Ethics
(Ghebreyesus & Murray, J.L., 2017). In line with Committee of the Faculty of Nursing Universitas
Riskesdas 2018 data on mental health data, it shows Airlangga (Health Research Ethics Committee Faculty
that the prevalence of schizophrenia or psychosis of Nursing Universitas Airlangga) on October 30,
mental disorders in Indonesia has increased to 7% 2020 with certificate number 2120-KEPK.
and specifically in East Java has increased from 2013
to 6.4% in 2018 (Kemenkes RI, 2018). 3. RESULTS
The high stigma against mental patients in This research produced 8 themes with a distribution
society is caused by several factors such as cultural of 5 themes for the first special purpose and 3 themes
factors. Cultural factors shape perceptions, for the second special purpose. These themes include
expressions and search for alternative treatments so public understanding of mental disorders,
that culture has its own way of explaining mental community stigma against mental disorders,
disorders based on a series of practices in community response to mental disorders, community
determining causes, treatment-seeking behavior and expectations of mental disorders, community
cultural norms that affect individuals in the treatment experiences with people with mental disorders, care
and care of mental disorders patients (Naibili, 2019). for mental disorders, forms of care for mental
In addition, the poor acceptance by families and disorders patients and nursing factors.
communities of people with mental disorders has an
impact on patterns of care or care such as shackling Theme 1 : Community understanding of mental
that contains elements of coercion from family disorders
members, being treated harshly, not given good Theme 1 in the study is that participants
support and worse if the family is reluctant to bring express their understanding of mental disorders,
the sufferer home. Mental illness for treatment namely the definition of mental disorders, triggers of
(Herdiyanto, 2016). mental disorders, factors that cause relapse and
During the intial review, researchers symptoms of mental disorders. Following is the
discovered an unusual phenomenon. The participant's statement :
phenomenon is the location of a halfway house in the “…kind of mentally disturbed.” (P1)
middle of the community and patients with mental “… it could be beause the husband left or work
disorder can carry out activities such as shopping to problems” (P3)
interacting with the surrounding community. This “his wish was not fulfilled” (P8)
makes researchers interested in conducting research “digressively speaking, speaking carelessly”
on the perceptions of the community around the (P7)
halfway house. The purpose of this study is to “sometimes like that, talk to himself. Like a
understand deeply the perceptions of the community hallucinating person” (P8)
around the halfway house about mental disorders
and the treatment of mental disorders patients. Theme 2 : Community stigma against mental
2. METHODS disorders
This research is a qualitative type of research with a Theme 2 in this study is the participant's
phenomenological study approach. The sample in this statement about their opinion about mental disorders
and is still a stigma for mental disorders patients,
study were people who live around Rumah Singgah
namely the physical appearance of mental disorders
Al-Hidayah Mojokerto. The criteria for selecting the
patients expressed by participants as follows :
sample in this study were men and women aged > 17 “..like that fierce..” (P4)
years, living around halfway house and who had “…to bring a knife, so scary” (P6)
interacted with mental patients at halfway house. The “Yes so. When praying sometimes it is also
sample size in this study was determined using disturbed” (P1)
purposive sampling and obtained 10 participants. “like what, I was so worried” (P10)
The data collection process is divided into three “I must be afraid so I prefer to avoid” (P6)
stages, namely the preparation stage, the work stage
and the final stage or termination. In the work stage,
it is further divided into an orientation phase, namely
the initial phase which is carried out after the
http://e-journal.unair.ac.id/JPNJ | 11
F. A. Nughraini, ET. AL.
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F. A. Nughraini, ET. AL.
cared for properly and being accepted by their Jurnal Ilmu Keperawatan (Journal of Nursing
families and communities. The recommendation in Science), 7(2), 176–186.
this study is deemed necessary to implement a CMHN https://doi.org/10.21776/ub.jik.2019.007.02.7
(Community Mental Health Nursing) program in the Pangestuti, D. R., Purwono, & Heri, A. (2015). Lentera
Al Hidayah Halfway House in empowering the Jiwa Media Komunikasi RSJS : Body Dysmorphic
community, especially mental and family patients. Disorder. In Rumah Sakit Soerojo.
The CMHN program that can be provided is health Purnama, G., Yani, D. I., & Sutini, T. (2016). Gambaran
education and promotion related to the care of mental Stigma Masyarakat Terhadap Klien Gangguan
patients in order to reduce the stigma in society Jiwa Di Rw 09 Desa Cileles Sumedang. Jurnal
towards mental disorders. For further research, we Pendidikan Keperawatan Indonesia, 2(1), 29–37.
can explore in depth people's perceptions about the Rahman, A., Marchira, C. R., & Rahmat, I. (2016). Peran
treatment of patients with mental disorders, more dan Motivasi Perawat Kesehatan Jiwa Dalam
specifically, such as care at the hospital or at home. Program Bebas Pasung : Studi Kasus di Mataram.
BKM Journal Of Community Medicine and Public
6. REFERENCES Health, 32(8), 287–294.
Rahmawati, D. (2018). Rehabilitasi Sosial Orang
Faiqoh, E., & Falah, F. (2017). Hubungan Antara Sikap
Dengan Gangguan Jiwa (Studi Kasus Pasien
Terhadap Pasien Penyakit Jiwa Dengan Perilaku
Skizofrenia Di Rumah Sakit Grhasia Yogyakarta).
Agresif Perawat Pasien Penyakit Jiwa. Fakultas
Skripsi Fakultas Dakwah Dan Komunikasi
Psikologi Universitas Islam Sultan Agung, 6(1),
Universitas Islam Negeri Sunan Kalijaga
89–99.
Yogyakarta.
Faradhila, F. (2017). Pengalaman Perawat Dalam
Rahmawati, R. (2019). Stigma Keluarga pada
Penanganan Pasien Amuk Dengan Restrain
Penderita Gangguan Jiwa (Family ’ s Stigma on
Extremitas Di Rumah Sakit Jiwa Arif Zainudin
People with Mental Disorders). Stigma Keluarga
Surakarta. Fakultas Ilmu Kesehatan Universitas
Pada Penderita Gangguan Jiwa Family ’ s Stigma
Muhammadiyah Surakarta.
on People with Mental Disorders, 5(1), 28–37.
Farina, F., Yusuf, A., & Wahyuni, S. D. (2020).
Reong, A. R., & Astuti, R. P. (2019). Stigma in Family
Gambaran Self Efficacy Anggota Keluarga Yang
Patients Who Have a Psychiatric Disorder: A
Mengalami Stigma Selama Merawat Penderita
Systematic Review. Jurnal Ners, 14(3), 81.
Odgj Di Kecamatan Buduran, Sidoarjo –
https://doi.org/10.20473/jn.v14i3.16992
Penelitian Kualitatif. Jurnal Keperawatan Jiwa,
Surahmiyati, S., Yoga, B. H., & Hasanbasri, M. (2017).
2(2).
Dukungan Sosial Untuk Orang Dengan Gangguan
Fitryasari, R., Nursalam, N., Yusuf, A., Hargono, R., &
Jiwa Di Daerah Miskin : Studi Di Sebuah Wilayah
Chan, C.-M. (2018). Predictors of Family Stress in
Puskesmas Di Gunungkidul. Berita Kedokteran
Taking Care of Patients with Schizophrenia.
Masyarakat, 33(8), 403–410.
Jurnal Ners, 13(1), 72.
Usraleli, Fitriana, D., Magdalena, Melly, & Idayanti.
https://doi.org/10.20473/jn.v13i1.7762
(2020). Hubungan Stigma Gangguan Jiwa
Ghebreyesus, T. A., & Murray, J.L., C. (2017). Findings
dengan Perilaku Masyarakat Pada Orang dengan
From The : Global Burden Of Disease Study 2017.
Gangguan Jiwa di Wilayah Kerja Puskesmas
In Institute for Health Metrics and Evaluation
Karya Wanita Pekanbaru. Jurnal Ilmiah
(IHME).
Universitas Batanghari, 20(2), 353–358.
Indrayani, Y. A., & Wahyudi, T. (2018). InfoDATIN
https://doi.org/10.33087/jiubj.v20i2.940
Pusat Data dan Informasi Kementrian Kesehatan
Yusuf, A., Nihayati, H. E., Fitriyasari, R. P., & Tristiana,
RI : Situasi Kesehatan Jiwa di Indonesia. Pusat
R. D. (2019). Kesehatan Jiwa : Pendekatan
Data dan Informasi Kementrian Kesehatan RI.
Holistik dalam Asuhan Keperawatan. Penerbit
Kemenkes RI. (2018). Hasil Utama Riskesdas Tahun
Mitra Wacana Medika.
2018. Badan Penelitian dan Pengembangan
Yusuf, A., Nihayati, H. E., Iswari, M. F., & Okviasanti, F.
Kesehatan.
(2017). Kebutuhan Spiritual; Konsep dan
Lestari, W. A. E., Yusuf, A., & Tristiana, R. D. (2020).
Aplikasi dalam Asuhan Keperawatan (Issue
Pengalaman Petugas Kesehatan Jiwa Dalam
May). Penerbit Mitra Wacana Medika.
Menangani Orang Dengan Gangguan Jiwa (Odgj)
https://www.researchgate.net/publication/31
Di Puskesmas Kabupaten Lamongan. Jurnal
7040171
Keperawatan Jiwa, 2(1), 5–15.
Yusuf, A., PK, R. F., & Nihayati, H. E. (2015). Buku Ajar
Naibili, M. J. E. (2019). The Role Of Culture On
Keperawatan Kesehatan Jiwa (F. Ganiajri (ed.)).
Community Perception About Mental Disorder.
Penerbit Salemba Medika.