Tristiana Rr Dian, Yusuf Ah, Fitryasari Rizki, Wahyuni Sylvia Dwi, Nihayati Hanik Endang
Nursing Faculty Universitas Airlangga, Surabaya, Indonesia.
Int J Nurs Sci. 2017 Dec 15;5(1):63-67. doi: 10.1016/j.ijnss.2017.12.003. eCollection 2018 Jan 10.
Various efforts have been made by the Indonesian government to improve mental health services. In 2014, the government established Law no 18, which is about mental health and the treatment of people with mental illness covered by the universal health coverage. However, many people still experience difficulty in accessing mental health services. In Indonesia, family plays the role of a caregiver to people with mental illness.
This study aims to identify the perceived barriers on mental health services by families whose members suffers from mental illness.
This study is a qualitative research study with a phenomenological approach. Sampling was conducted by purposive sampling with a sample size of 12 participants. Data were collected using semistructured in-depth interviews. Thematic analysis was performed using Colaizzi steps.
The obtained results presented three themes. Theme 1, mental health service affordability; theme 2, mental health service availability; and theme 3, negative attitudes (stigma).
Families whose members suffered from mental illness still experienced barriers in relation to mental health services even with universal health coverage. Improved mental health services are related to the health insurance coverage, affordability, availability of mental health services and stigma reduction in the health professionals and wide community.
印度尼西亚政府为改善心理健康服务做出了各种努力。2014年，政府颁布了第18号法律，该法律涉及心理健康以及全民健康覆盖范围内精神疾病患者的治疗。然而，许多人在获得心理健康服务方面仍然遇到困难。在印度尼西亚，家庭承担着照顾精神疾病患者的角色。
本研究旨在确定家庭成员患有精神疾病的家庭在心理健康服务方面所感知到的障碍。
本研究是一项采用现象学方法的定性研究。通过目的抽样进行抽样，样本量为12名参与者。使用半结构化深度访谈收集数据。采用科莱齐步骤进行主题分析。
获得的结果呈现出三个主题。主题1，心理健康服务的可承受性；主题2，心理健康服务的可及性；主题3，负面态度（污名化）。
即使有全民健康覆盖，家庭成员患有精神疾病的家庭在心理健康服务方面仍然面临障碍。改善心理健康服务与医疗保险覆盖范围、可承受性、心理健康服务的可及性以及减少卫生专业人员和广大社区中的污名化有关。
