Gambaran Upaya Pelayanan Kesehatan Jiwa Berbasis Komunitas di Kota Bogor

Abstract

Abstract Mental health care services need to be integrated, starting from the central level to the basic level (Puskesmas) so it can develop community mental health care services. This study was conducted to find out more details about mental health care services in the city of Bogor. This study is part of the study of Mental Health in several parts of Indonesia which is carried out by cross sectional design through a qualitative approach. The informants are the mental health programmer in West Java Provincial Health Office, Bogor City Health Office, Health Centers in Bogor city, and a psychiatrist at the Marzoeki Mahdi Hospital (RSMM). The variables excavated include promotive, preventive, curative and rehabilitative efforts in mental health program. Data were analyzed thematically according to interview results. The results of the study show that mental health promotion efforts are carried out through socialization of mental health in the community and also in schools, while for preventive efforts, including mentoring the patient's family, searching mental health patients who are shackled, early detection of mental disorders, screening for people with mental disorder (ODGJ) in the community, formation of a mental alert village and 2 minutes screening method at the Puskesmas. Curative efforts were carried out through referral policies of mental health patients (health facilities level 1) can be directly to RSMM (health facilities level 3) and allowed Puskesmas to provide mental medication, while rehabilitative efforts were carried out by striving for a law that supports ODGJ to be able to work across sectors, psychosocial rehabilitation conducted in RSMM and the self-help group program in the Puskesmas. Keywords : mental health; community; services; Abstrak Upaya pelayanan kesehatan jiwa perlu dilakukan secara terintegrasi mulai dari tingkat pusat hingga Pelayanan kesehatan tingkat dasar (Puskesmas) sehingga terbentuk layanan kesehatan jiwa komunitas. Studi ini dilakukan untuk mengetahui lebih rinci mengenai pelayanan kesehatan jiwa di Kota Bogor. Studi ini merupakan bagian dari studi Kesehatan Jiwa di beberapa wilayah Indonesia yang dilakukan dengan disain potong lintang melalui pendekatan kualitatif.  Informan ialah pemegang program jiwa di Dinas Kesehatan Provinsi Jawa Barat, Dinas Kesehatan Kota Bogor, Puskesmas di Kota Bogor, serta psikiater di Rumah Sakit Marzoeki Mahdi (RSMM). Variabel yang digali meliputi upaya promotif, preventif, kuratif dan rehabilitatif dalam program kesehatan jiwa. Data dianalisis secara tematik sesuai dengan hasil wawancara. Hasil studi menunjukkan upaya promosi kesehatan jiwa dilakukan dengan sosialisasi kesehatan jiwa di masyarakat dan juga di sekolah, untuk usaha preventif antara lain pendampingan keluarga pasien, pencarian pasien pasung, deteksi dini gangguan jiwa, penjaringan ODGJ di masyarakat, pembentukan kelurahan siaga jiwa serta metode skrining 2 menit di Puskesmas. Upaya kuratif yang dilakukan ialah kebijakan rujukan pasien jiwa dari Puskesmas (faskes tingkat 1) dapat langsung ke RSMM (Faskes tingkat 3) dan diperbolehkannya Puskesmas memberikan obat jiwa, sedangkan upaya rehabilitatif dilakukan dengan mengupayakan Perda yang mendukung ODGJ untuk dapat bekerja pada lintas sektor, rehabilitasi psikososial yang dilakukan di RSMM serta program self-help groupdi Puskesmas. Kata Kunci : kesehatan jiwa; komunitas; pelayanan Abstract Mental health care services need to be integrated, starting from the central level to the basic level (Puskesmas) so it can develop community mental health care services. This study was conducted to find out more details about mental health care services in the city of Bogor. This study is part of the study of Mental Health in several parts of Indonesia which is carried out by cross sectional design through a qualitative approach. The informants are the mental health programmer in West Java Provincial Health Office, Bogor City Health Office, Health Centers in Bogor city, and a psychiatrist at the Marzoeki Mahdi Hospital (RSMM). The variables excavated include promotive, preventive, curative and rehabilitative efforts in mental health program. Data were analyzed thematically according to interview results. The results of the study show that mental health promotion efforts are carried out through socialization of mental health in the community and also in schools, while for preventive efforts, including mentoring the patient's family, searching mental health patients who are shackled, early detection of mental disorders, screening for people with mental disorder (ODGJ) in the community, formation of a mental alert village and 2 minutes screening method at the Puskesmas. Curative efforts were carried out through referral policies of mental health patients (health facilities level 1) can be directly to RSMM (health facilities level 3) and allowed Puskesmas to provide mental medication, while rehabilitative efforts were carried out by striving for a law that supports ODGJ to be able to work across sectors, psychosocial rehabilitation conducted in RSMM and the self-help group program in the Puskesmas. Keywords : mental health; community; services; Abstrak Upaya pelayanan kesehatan jiwa perlu dilakukan secara terintegrasi mulai dari tingkat pusat hingga Pelayanan kesehatan tingkat dasar (Puskesmas) sehingga terbentuk layanan kesehatan jiwa komunitas. Studi ini dilakukan untuk mengetahui lebih rinci mengenai pelayanan kesehatan jiwa di Kota Bogor. Studi ini merupakan bagian dari studi Kesehatan Jiwa di beberapa wilayah Indonesia yang dilakukan dengan disain potong lintang melalui pendekatan kualitatif.  Informan ialah pemegang program jiwa di Dinas Kesehatan Provinsi Jawa Barat, Dinas Kesehatan Kota Bogor, Puskesmas di Kota Bogor, serta psikiater di Rumah Sakit Marzoeki Mahdi (RSMM). Variabel yang digali meliputi upaya promotif, preventif, kuratif dan rehabilitatif dalam program kesehatan jiwa. Data dianalisis secara tematik sesuai dengan hasil wawancara. Hasil studi menunjukkan upaya promosi kesehatan jiwa dilakukan dengan sosialisasi kesehatan jiwa di masyarakat dan juga di sekolah, untuk usaha preventif antara lain pendampingan keluarga pasien, pencarian pasien pasung, deteksi dini gangguan jiwa, penjaringan ODGJ di masyarakat, pembentukan kelurahan siaga jiwa serta metode skrining 2 menit di Puskesmas. Upaya kuratif yang dilakukan ialah kebijakan rujukan pasien jiwa dari Puskesmas (faskes tingkat 1) dapat langsung ke RSMM (Faskes tingkat 3) dan diperbolehkannya Puskesmas memberikan obat jiwa, sedangkan upaya rehabilitatif dilakukan dengan mengupayakan Perda yang mendukung ODGJ untuk dapat bekerja pada lintas sektor, rehabilitasi psikososial yang dilakukan di RSMM serta program self-help groupdi Puskesmas. Kata Kunci : kesehatan jiwa; komunitas; pelayanan