Cross-sectoral collaboration in mental health services: Identifying the role of mental health care teams in the community

https://doi.org/10.22146/jcoemph.61574

Osi Kusuma Sari(1*), Subandi Subandi(2), Carla Raymondalexas Marchira(3)

(1) Directorate of Prevention and Control of Mental Health and Drugs Problems, Ministry of Health, Jakarta, Indonesia
(2) Faculty of Psychology, Universitas Gadjah Mada, Yogyakarta, Indonesia
(3) Department of Psychiatry, Faculty of Medicine, Public Health, and Nursing, Gadjah Mada University, Yogyakarta, Indonesia
(*) Corresponding Author

Abstract


Strengthening integrated and community-based mental health services is essentially needed to address the treatment gap and provide effective services that can be accessed by all groups. To realize this goal, the cross-sectoral involvement that is part of the Tim Pembina, Pengarah, dan Pelaksana Kesehatan Jiwa Masyarakat (TPKJM) is at the forefront because it has direct access to mental disorders cases in their region. This article aims to identify the role of each member of TPKJM in pursuing mental health services. Participants involved in each stage of data collection were members of TPKJM at the sub-district and village levels. The data were collected using three methods: surveys, focus group discussions, and interviews. The collected data were analyzed using an inductive thematic analysis approach to obtain a description of the role of each member of TPKJM within the case handling flow model. Five role themes were identified, including: (a) setting regulations and planning; (b) community clinical services; (c) psychoeducation; (d) safeguarding emergency cases; and (e) administrative advocacy. Regulations regarding the clarity of roles and handling flow are recommended.

Keywords


community mental health; cross-sectoral involvement; mental health service; mental health care teams

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References

  1. Brooks H, James K, Irmansyah I, Keliat BA, Utomo B, Rose D, et al. Exploring the potential of civic engagement to strengthen mental health systems in Indonesia (IGNITE): a study protocol. Int J Ment Health Syst. 2018;12:49.
  2. WHO. Comprehensive mental health action plan 2013-2020 [Internet]. Eastern Mediterranean Health Journal. Geneva: World Health Organization; 2013. Available from: http://apps.who.int/gb/ebwha/pdf_files/WHA66/A66_R8-en.pdf.
  3. Bouras N, Ikkos G, Craig T. From community to meta-community mental health care. Int J Environ Res Public Health. 2018;15(4):806.
  4. World Health Organization. Global Health Observatory (GHO): Mental health workers Data by country [Internet]. GHO. 2018 [cited 2019 Sep 9]. Available from: https://apps.who.int/gho/data/view.main.HWF11v
  5. Patel V, Maj M, Flisher AJ, De Silva MJ, Koschorke M, Prince M; WPA Zonal and Member Society Representatives. Reducing the treatment gap for mental disorders: a WPA survey. World Psychiatry. 2010 Oct;9(3):169-76.
  6. Depkes RI. Kepmenkes No. 220/MENKES/SK/III/2002 Tentang Pedoman Umum Tim Pembina, Tim Pengarah, Tim Pelaksana Kesehatan Jiwa Masyarakat ( TP KJM ). Jakarta: Depkes RI; 2002.
  7. Kemenkes RI. KMK No. 1529/Menkes/SK/X/2010 tentang Pedoman Umum Pengembangan Desa Dan Kelurahan Siaga Aktif. Jakarta: Kemenkes RI; 2010.
  8. Depkes RI. Kepmenkes No. 406/Menkes/SK/VI/2009 Tentang Pedoman Pelayanan Kesehatan JIwa Komunitas. Jakarta: Depkes RI; 2009.
  9. Esem O. Perlindungan Hak Atas Pelayanan Kesehatan Bagi Orang Dengan Gangguan Jiwa Di Daerah Istimewa Yogyakarta Berdasarkan Undang Undang Nomor 18 Tahun 2014 Tentang Kesehatan Jiwa. Chmk Heal J. 2019;3.
  10. Sunarno I. Model Pemberdayaan Masyarakat Dalam Pembebasan Pasung Menurut Perspektif Budaya Jawa. J Keperawatan Terap. 2018;4, NO. 1,(Maret 2018):27–43.
  11. Tyas TH, Faturochman TH, Tyas W, M Minza. Pasung sebagai isu kesehatan jiwa di Indonesia dalam Psikologi untuk kesejahteraan masyarakat. Yogyakarta: Pustaka Pelajar; 2012. 186–211 p.
  12. Wahyudi A, Fibriana A. Faktor resiko terjadinya shizofrenia (studi kasus di wilayah kerja Puskesmas Pati II). Public Heal Perspect J. 2016;1.
  13. Yanasari P. Implementassi Peraturan Gubernur DIY No. 81 tahun 2014 Tentang Pembebasan Pasung Bagi ODGJ. Yogyakarta: Thesis : Tidak dipublikasikan; 2017.
  14. Kemenkes RI. Pedoman umum program indonesia sehat dengan pendekatan Keluarga. Jakarta: Kemenkes RI; 2016.
  15. Brett J, Staniszewska S, Mockford C, Herron-Marx S, Hughes J, Tysall C, et al. Mapping the impact of patient and public involvement on health and social care research: A systematic review. Heal Expect. 2014;17(5):637–50.
  16. Luszczynska A, Benight CC, Cieslak R. Self-efficacy and health-related outcomes of collective trauma: A systematic review. European Psychologist. 2009; 14(1):51–62.
  17. Kohrt BA, Asher L, Bhardwaj A, Fazel M, Jordans MJD, Mutamba BB, Nadkarni A, Pedersen GA, Singla DR, Patel V. The role of communities in mental health care in low- and middle-income countries: A meta-review of components and competencies. Int J Environ Res Public Health. 2018; 16;15(6):1279.
  18. Singla DR, Kohrt BA, Murray LK, Anand A, Chorpita BF, Patel V. Psychological treatments for the world: Lessons from low- and middle-income countries. Annu Rev Clin Psychol. 2017;13(1):149–81.
  19. Mutamba BB, Van Ginneken N, Smith Paintain L, Wandiembe S, Schellenberg D. Roles and effectiveness of lay community health workers in the prevention of mental, neurological and substance use disorders in low and middle income countries: A systematic review. BMC Health Serv Res. 2013;13(1).
  20. Patel V. The future of psychiatry in low-and middle-income countries. Psychological Medicine. 2009.
  21. Marastuti A, Subandi MA, Retnowati S, Marchira CR, Yuen CM, Good BJ, et al. Development and Evaluation of a Mental Health Training Program for Community Health Workers in Indonesia. Community Ment Health J. 2020;(0123456789).
  22. Mendenhall E, De Silva MJ, Hanlon C, Petersen I, Shidhaye R, Jordans M, et al. Acceptability and feasibility of using non-specialist health workers to deliver mental health care: Stakeholder perceptions from the PRIME district sites in Ethiopia, India, Nepal, South Africa, and Uganda. Soc Sci Med. 2014;118(C):33–42.
  23. Carpenter J, Schneider J, Brandon T, Wooff D. Working in multidisciplinary community mental health teams: The impact on social workers and health professionals of integrated mental health care. Br J Soc Work. 2003;33(8):1081–103.
  24. Patel V, Weiss HA, Chowdhary N, Naik S, Pednekar S, Chatterjee S, et al. Lay health worker led intervention for depressive and anxiety disorders in India: Impact on clinical and disability outcomes over 12 months. Br J Psychiatry. 2011;199(6):459–66.
  25. Allen CG, Sugarman MA, Wennerstrom A. Community health workers: a resource to support antipsychotic medication adherence. J Behav Heal Serv Res. 2017;44(2):341–6. Available from: http://dx.doi.org/10.1007/s11414-016-9515-x
  26. Susanti H, James K, Utomo B, Keliat BA, Lovell K, Irmansyah I, et al. Exploring the potential use of patient and public involvement to strengthen Indonesian mental health care for people with psychosis: A qualitative exploration of the views of service users and carers. Heal Expect. 2020;23(2):377–87.
  27. Irmansyah I, Susanti H, James K, Lovell K, Idaiani S, Imah S, et al. Civic engagement and mental health system strengthening in Indonesia: A qualitative examination of the views of health professionals and national key stakeholders. BMC Psychiatry. 2020;20(1):1–15.
  28. Kleintjes S, Lund C, Swartz L. Barriers to the participation of people with psychosocial disability in mental health policy development in South Africa: A qualitative study of perspectives of policy makers, professionals, religious leaders, and academics. BMC Int Health Hum Rights. 2013;13(1):7–11.
  29. Pugh T, Hatzenbuehler M, Link BG. Structural stigma and mental illness. Stud Heal Technol Inf. 2015;192(October):1–71.
  30. Lempp H, Abayneh S, Gurung D, Kola L, Abdulmalik J, Evans-Lacko S, et al. Service user and caregiver involvement in mental health system strengthening in low- and middle-income countries: A cross-country qualitative study. Epidemiol Psychiatr Sci. 2018;27(1):29–39.



DOI: https://doi.org/10.22146/jcoemph.61574

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