Australian National University.
YAKKUM Rehabilitasi.
Transcult Psychiatry. 2023 Jun;60(3):552-565. doi: 10.1177/13634615211009626. Epub 2021 May 9.
Forcible restraint and confinement of persons suffering from mental illness occurs throughout the world, including in Indonesia. Since 2010, when (GBP) or the () movement was launched, national policy has been published to eradicate in Indonesia by improving the mental healthcare system. This article analyses this policy, specifically the National Mental Health Legislation (2014) and the Ministry of Health Regulation (2017), and evaluates their current state of implementation through a local, in-depth case study. Using mental health institution mapping, two sets of semi-structured qualitative interviews with government officials and healthcare workers, and participant observation in a facility practicing , we identify the extent to which the 2017 regulation has been implemented in Winong village and discuss current efforts and persistent obstacles to eradicating . We suggest that despite reforms and the new treatment facility in our case study, the continuing use of is due to a combination of access to care issues and a widely held explanatory model of mental illness characterized by strong curative beliefs that, when disappointed, lead to a sense of threat and hopelessness.
在全世界范围内，包括印度尼西亚在内，都存在对精神疾病患者进行强制约束和监禁的情况。自 2010 年发起（GBP）或（）运动以来，印度尼西亚通过改善精神卫生保健系统，发布了国家政策以消除这种做法。本文分析了这项政策，特别是 2014 年的《国家精神卫生法》和 2017 年的《卫生部条例》，并通过当地深入的案例研究评估了其当前的实施情况。我们采用精神卫生机构绘图、对政府官员和医疗保健工作者进行两轮半结构化定性访谈，以及在实行约束性治疗的机构中进行参与式观察，确定了 2017 年的条例在温农村的实施程度，并讨论了消除这种做法的当前努力和持续障碍。我们认为，尽管在我们的案例研究中有改革和新的治疗设施，但持续使用约束性治疗的原因是多方面的，包括获得治疗的机会问题以及一种广泛存在的精神疾病解释模型，这种模型的特点是强烈的治疗信念，当这种信念受挫时，会导致威胁感和绝望感。
