1. Ah. Yusuf Faculty of Nursing, Airlangga University, Surabaya, Indonesia.

2. Mental Disorder Problem with Behavior; Kognitive, afective, psychomotor Global Burden Desease Family Coping Objective & Subjective Burden Family Therapy Spiritual Health Belief Interaction Support Mental Health STIGMA

3. Mental Disorder Problem with Behavior: Kognitive, afective, psychomotor Global Burden Desease Family Coping Objective Subjective Burden Family Therapy Spiritual Health Belief Interaction Support Mental Health STIGMA Modality Therapy

4. Mental Health Disorder in Indonesia Basic Research in Health, 2013 Website: www.litbang.depkes.go.id

6.  East Java Population : 38.000.000.  Adult :  70% X 38 mil = 26.600.000.  ESTIMATE the Psycho-social Problem (East Java 6,4)  6,4 % x26.600.000 = 1.702.400 people  Disturbed: Quality of Live, Quality Work of Live, and Productivity

7.  East Java Population: 38 Mil  Adult 70 %:  70% X 38 Mil = 26.600.000. person  ESTIMATE of PSYCHOSIS (East Java: 0,22 %)  0.22 % X 26,6 Mil = 58.520 People

8.  ESTIMATE LOSS of ECONOMIC:  PATIENT X Regional Salary  58.520 client x 2.200.000 IDR = 128.744.000.000 IDR  CARE GIVER 1 = 128.744.000.000 IDR  TOTAL: 257.488.000.000,- IDR/Month  Global Burden Desease

9.  Dr. Wediodiningrat Lawang : 600 bed  Menur Mental Hospital : 300 bed  Psychiatric Unit General H : 100 bed  TOTAL : 1.000 bed 57.520 client in Hospital with out Wall (Homeless Psychiatric)

10. Big Problem Government, Community, and Family Mal-Adaptive Coping & Mis Choise of Treatment

11. Serious Mental Ilness with Stocks, 2013 20.0 18.2 16.0 14.3 12.0 8.0 4.0 0.0 10.7 CityVillageIndonesia Website: www.litbang.depkes.go.id

12. ◦ Restrain ◦ Seclusion ◦ Restrain + Seclusion ◦ The End of Choice of Treatment Indonesian People for Client with Cronic Schizophrenia

18.  It’s Wrong  Discrimination  Neglected & Violent of Human Right  It’s Stigma in a part of Indonesian Population

22. Indonesia Concern Solve: Mental Health Problem No Neglected & Save Human Right

25.  WHO Mental Health Action Plan 2013-2020  ASEAN Mental Health Taskforce  Sustainable Development Goals 2015-2030  Police Statement: ◦ National Development Plan 2014-2019: Change of people structure, Epidemiologycal transition to increase of Healthy Elderly and prevent of Mental Ilness.  Target: increase public health status: decreasing un-infectious desease (heart attack, diabetes, stroke, hypertention, & mental health)

27.  New Spirit for: ◦ POLICE REFORMATION ◦ SOCIAL INCLUTION ◦ COMPLETELY REMOVE OF STIGMA ◦ REDUCTION OF DISCRIMINATION ◦ PREVENTION OF VIOLATION OF HUMAN RIGHT

28. MENTAL HOSPITAL (ACT) PRIMARY HEALTH CENTER (CMHN) PATIENT/ FAMILY (SHG) Reveral & Communication System

29.  Mental Hospital –  Public Health Care Center –  Family & Community: ◦ Stressfull ◦ Objective & Subjective Burden ◦ Stigma ◦ Mis Knowledge & Choise of Treatment Community Based Approach Family Treatment

30. PELATIHAN KADER KESWA DI PUSKESMAS TUMPANG COMMUNITY BASED APPROACH

31.  Psychodynamic & Bowenian Family Therapies  Experiental Family Therapy  Behavioral & Cognitive – Behavioral Family Thrapies  Structural Family Theraphy  Strategic & Systemic Family Therapies  Solution – Focused & Narrative Family Therapies

32. MODEL MAJOR THEORIEST TREATMENT TECHNIQUE Psychodynamic and Bowenian FT Nathan Ackerman  Transference  Dream and Dayream Analysis  Confrontation  Focusing on Strengths  complementary Bowen  Genograms  Going Home Again  Detriangulation  Person to Person Relationship  Differentiation of Self  Asking Questions

33. MODEL MAJOR THEORIEST TREATMENT TECHNIQUE Experiential FTVirginia Satir Carl Whitaker  Modelling of Effective Communication Using “I” Messaging  Sculpting  Choreography  Play Therapy  Filial Therapy  Humor  Touch  Props  Family Reconstruction  Family Drawings  Puppet Interviews

34. MODELMAJOR THEORIEST TREATMENT TECHNIQUE Behavior and Coqnitive Behavior FT Gerald Patterson Neil Jacobson  Behavioral Parents Training  Marriage / Couple Therapies Education  Functional Family TherapBehavioral Parents Training  Marriage / Couple Therapies Education  Treatment of Sexual Dysfunctioning  Functional Family Therapy  Education  Communication and Problem Solving Strategies  Operant Conditioning  Contracting  Classical Conditioning  Coaching  Contigency Constracting  Extinction  Positive Reinforcement  Quid pro Quo  Reciprocity  Shaping  Systematic Desenitization  Time Out  Chatting  Premack Principle  Disrupting Irrational Thoughts  Thought Stopping  Self Instructional Training  Modelling and Role Playing

35. MODEL MAJOR THEORIEST TREATMENT TECHNIQUE Strucutural FTSalvador Minuchin  Joining  Disequilbrium Techniques  Enactment  Working with Spontaneus Interaction  Boundary Making  Intensity  Restructuring  Shaping Competence  Diagnosing  Adding Cohnitive Constructions

36. MODEL MAJOR THEORIEST TREATMENT TECHNIQUE Strategic and Systemic FT Jay Haley (Strategic)  Reframing  Directive  Paradox  Ordeals  Pretend  Positioning Mara Selvini Palazzoli (Systemic)  Hypothesizing  Positive Conotation  Circular Cuestioning  Invariant/Variant Prescriptions  Rituals

37. MODEL MAJOR THEORIEST TREATMENT TECHNIQUE Solution- Focused and Narrative FT Steve deShazer Bill O’Halon (Solution Focused) Michael White (Narrative)  Externalization of the Problem  Influence (Effect) of the Problem on the Person  Influence (Effect) of the Problem on the Problem  Raising Dillemas  Predicting Serbacks  Using Questions  Letters  Celebrations and Certificates

38. Spiritual Approach

39.  Someone with severe stress will seek comfort and strength from God  The core of all the values ​​of human spirituality is prayer  Prayer contains the component of direction, obedience, and acceptance (DOA)

40.  Direction, Obedience & Acceptance: Mental Ilness is can be Solve  Patient with Mental Ilness: ◦ 33 % total recovery ◦ 33 % social recovery ◦ 33 % permanent in mentally ilness

43.  That all of considers of this is the will of God. This is a good thing, just not a helplessness and despair families BE PATIENCE

44. Patience is not weakness, it is the power of patience Patience is not apathy but a zest for life Patience is not sentimentality but perseverance Patience is not pessimistic but optimistic Patient is not silent but patience is unyielding struggle BE POSITIVE ALWAYS

53.  If your society is unfair to you, how about her?

54. TRUST Allah will give You

55. Cactus & Caterpillarr Phylosophy

56. Once there was a man who asked to Allah for a flower & a butterfly Once there was a man who asked to Allah for a flower & a butterfly But instead Allah gave him a Cactus....

57. Caterpillar.....and a Caterpillar.

58. The man was sad, he didn’t understand why his request was mistaken. Then he thought: Oh well, Allah has too many people to care for... Then he thought: Oh well, Allah has too many people to care for... And decided not to question. After some time, the man went to check up on his request that he had left forgotten.

59. To his surprise, from the thorny & ugly cactus a beautiful flower had grown. And the unsightly carterpillar had been transformed into the most beautiful butterfly.

60. Allah always does things right! His way is always the best way, even if to us it seems all wrong. His way is always the best way, even if to us it seems all wrong. If you asked Allah for one thing & received another, TRUST. You can be sure that He will always give you what you need at the appropriate time.

61. What you want.......is not always what you need! ALLAH never fails to grant our petitions, so keep on going for Him without doubting or murmuring. Today’s THORN... Is tomorrow’s FLOWER! Thank You Is tomorrow’s FLOWER! Thank You