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"Kriminalitas merupakan hal yang banyak terjadi di Jakarta. Sehingga sangat banyak orang yang dihukum dalam sebuah rumah tahanan sebagai konsekuensi dari tindak kejahatannya. Banyak faktor yang diprediksi memiliki keterkaitan dengan gangguan jiwa. Sehingga, penelitian ini bertujuan untuk menemukan hubungan usia, status kesehatan fisik, dan aksesibilitas pelayanan kesehatan dengan gangguan jiwa. Penelitian ini menggunakan desain potong lintang dengan menggunakan instrumen berupa kuesioner demografi dan kuesioner MINI ICD-10. Penelitian dilakukan dari bulan Agustus – Oktober 2015 di Rumah Tahanan Kelas IIA Jakarta Timur.Hasil penelitian menjelaskan dari 61 responden penelitian yang mengalami gangguan jiwa, didapatkan sebanyak 47 orang berusia 18-40 tahun (77 %), sejumlah 38 orang mengeluhkan sedang mengalami sakit fisik saat wawancara (62,2 %), dan terdapat 57 orang yang pernah menggunakan fasilitas pelayanan kesehatan (93,4 %). Berdasarkan uji hipotesis denganuji Chi-Square, didapatkan nilai p yang menggambarkan hubungan usia, status kesehatan fisik, dan aksesibilitas pelayanan kesehatan dengan gangguan jiwa berturut-turut 0,971; 0,008, dan 0,933. Sehingga dapat disimpulkan bahwa status kesehatan fisik memiliki hubungan secara statistik dengan gangguan jiwa, namun hubungan faktor usia dan aksesibilitas pelayanan kesehatan dengan gangguan jiwa tidak bermakna secara statistik.

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Criminality is a common event in Jakarta. So, there are many people who have been convicted with criminal charges and are arrested as a consequence. There are many factors that can predict the occurence of mental disorder. This research is aimed to find the correlation between factors such as age, physical health status, and accessibility of health services with mental disorder. This design of this study is cross-sectional; demographic questionnaires and MINI ICD-10 were used as instruments for this research. This study was conducted from August until October 2015 in Rumah Tahanan Kelas IIA Jakarta Timur. Result from this study showed from 61 respondents who had mental disorders, 47 respondents were between the ages of 18-40 (77 %), 38 respondents complained of physical illnes during the interview (62,2 %), and 57 respondents had used health care services before (93,4 %). The p-values, obtained using Chi-Square hypothesis test, for age, physical health status, and accessibility of health care services were 0,971; 0,008; and 0,933, respectively. Therefore, statistically, we can conclude that physical health status is the only factor that has a correlation with the occurence of mental disorder; however, age and accessibility of health care services have no correlation with the occurence of mental disorder."

"Latar Belakang: Skizofrenia merupakan gangguan jiwa yang berpotensi berlangsung dalam jangka waktu yang panjang dengan prognosis yang tidak terlalu baik, sehingga diperlukan tata laksana yang tepat guna memperbaiki keluaran pada pasien-pasien dengan Skizofrenia. Penelitian ini berupaya untuk mencermati pola peresepan dan alasan perubahan terapi pasien-pasien dengan Skizofrenia di Indonesia khususnya di Poli Jiwa Dewasa RSCM dengan merujuk pada Konsensus Penatalaksanaan Gangguan Skizofrenia 2011. Metodologi: Penelitian ini merupakan penelitian deskriptif dengan desain kohort retrospektif yang dilakukan dengan cara mengumpulkan data mengenai pola peresepan sejak awal pasien tersebut mendapatkan terapi farmakologi hingga waktu kunjungan yang ditentukan serta alasan perubahan terapi farmakologi bila terjadi perubahan terapi. Penelitian ini menggunakan data rekam medik pasienpasien dengan Skizofrenia di Poli Jiwa Dewasa RSCM yang melakukan kunjungan pada bulan Juli 2013 hingga jumlah sampel terpenuhi. Hasil: Pada 53 (65,4%) rekam medik digunakan antipsikotik monoterapi pada awal terapi. Untuk pengobatan awal, 79 (97,5%) pasien mendapatkan jenis obat yang rasional dan 75 (92,6%) pasien mendapatkan dosis obat yang rasional. Pada pasien yang awalnya mendapatkan monoterapi, sebanyak 14 (43,8%) pasien kemudian mengalami switching ke antipsikotik lain dan sebanyak 18 (56,3%) pasien kemudian mendapatkan antipsikotik kombinasi. Pada pasien yang awalnya mendapatkan terapi antipsikotik kombinasi, sebanyak 7 (26,9%) pasien kemudian mengalami switching, 4 (15,4%) pasien mendapatkan penambahan jenis obat, 1 (3,8%) pasien mengalami pengurangan jenis obat dan 14 (53,8%) pasien mendapatkan antipsikotik monoterapi. Alasan perubahan terapi terbanyak sulit dianalisis karena sebanyak 441 dari 780 (56.5%) perubahan terapi tidak tercantum alasannya. Simpulan: Penggunaan kombinasi antipsikotik pada awal pengobatan pasien dengan Skizofrenia masih didapatkan di Poli Jiwa Dewasa walaupun tidak direkomendasikan oleh panduan tata laksana yang ada. Ketidaklengkapan pencatatan rekam medik menjadikan analisis rasionalitas terapi dan alasan perubahan terapi sulit dilakukan.

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Background: Schizophrenia is a mental disorder that could potentially progress to a long term disorder with a not very good prognosis, so it requires an adequate treatment in order to improve the outcome. This study aims to examine the prescribing pattern and the reason of therapy changing of patients with Schizophrenia in Indonesia especially in Poli Jiwa Dewasa RSCM regarding the Konsensus Penatalaksanaan Gangguan Skizofrenia 2011.

Methodology: This study is a descriptive study with retrospective cohort design that conducted by collecting data on prescribing pattern since the beginning of patients pharmacological treatment until the determined time of visit and the reason of therapy changing. This study uses the medical record data of patients with Schizophrenia in Poli Jiwa Dewasa RSCM who visited in July 2013 until the number of samples provided.

Result: In the beginning of Schizophrenia treatment, monotherapy was used in 53 (65,4%) medical records. For the initial treatment, 79 (97,5%) patients received the rational drug and 75 (92,6%) patients received the rational drug dosage. In patients who received monotherapy as initial treatment, 14 (43,8%) patients underwent switching to another antipsychotic and 18 (56,3%) patients received antipsychotic combination. In patients who received antipsychotic combination as initial treatment, 7 (26,9%) patients underwent switching to another antipsychotic, 4 (15,4%) patients received added number of antipsychotic,1 (3,8%) patient received reduced number of antipsychotic and 14 (53,8%) patients received monotherapy. The analysis of reason of therapy changing was difficult to conduct since there was no reason of therapy changing written in 441 of 780 (56.5%) antipsychotic treatment changing.

Conclusion: Antipsychotic combination as initial treatment in patient with Schizophrenia is still found in Poli Jiwa Dewasa eventhough the use of antipsychotic combination is not recommended by the available guidelines. Incomplete documentation in medical record makes the treatment rationality analysis difficult."

"Latar Belakang: Yayasan Galuh merupakan sebuah panti rehabilitasi mental di Bekasi yang menangani orang dengan gangguan jiwa menggunakan metode pengobatan tradisional. Latar belakang petugasnya berasal dari non medis. Mereka mengenali gejala gangguan jiwa berdasarkan perilaku abnormal dan kekerasan. Orang-orang dengan gangguan jiwa sering disertai dengan gangguan dalam perawatan diri dan aktivitas sehari-hari. Belum ada penelitian tentang profil gangguan jiwa dan tingkat kemandirian penghuni Yayasan Galuh. Tujuan: Untuk mendapatkan profil gangguan jiwa serta tingkat kemandirian penghuni Yayasan Galuh selama periode Desember 2012 sampai Januari 2014. Metode: Dengan metode wawancara klinis berdasarkan PPDGJ III untuk mendapatkan diagnosis gangguan jiwa serta instrumen indeks Barthel untuk mendapatkan tingkat kemandirian dalam perawatan diri dan aktivitas sehari-hari-hari. Penelitian dilakukan selama periode waktu bulan Desember 2012 sampai Januari 2013. Hasil: Dari 210 responden didapatkan gangguan psikotik atau skizofrenia (F2) sebanyak 82,8%, gangguan afektif (F3) sebanyak 6,2%, retardasi mental (F7) sebanyak 1,4% dan ganggguan mental organik (F0) sebanyak 1%, sementara yang tidak ada psikopatologi sebanyak 8,6%. Untuk tingkat kemandirian sebagian besar penghuni termasuk mandiri yaitu sebanyak 157 orang (74,8%), 51 penghuni (24,3%) mempunyai ketergantungan ringan dan hanya 1 penghuni (0,5%) yang masing-masing memiliki ketergantungan sedang dan berat. Simpulan: Dengan diketahuinya profil gangguan jiwa dan tingkat kemandirian penghuni Yayasan Galuh ini diperlukan perbaikan mutu layanan baik untuk kesehatan umum maupun kesehatan jiwa penghuni Yayasan Galuh dengan melakukan kerjasama dengan pihak pemerintah untuk kebijakannya dan pendidikan untuk memberikan pelatihan kepada petugas-petugasnya dan bidang ilmiah untuk penelitian lebih lanjut.

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Background: Galuh Foundation is a traditional mental rehabilitation shelter in Bekasi. The workers were not having medical background. They diagnosed the residents as having mental disorder from abnormal behaviour and hostility. People with mental disorder is usually having impairment in self care and daily activities. There haven‟t been any study about mental disorder profiles and independency level of residents in Galuh Foundation.

Objective: The purpose of this study was to describe the profiles of mental disorder and independence level of residents in Galuh Foundation Bekasi from December 2012 until January 2013.

Methods: Clinical interview according to PPDGJ III (based on ICD 10) to get the profiles of mental disorder and by using the Barthel index to get the independency level of self care and daily activities of residents in Galuh Foundation, from December 2012 until January 2013.

Results: Of 210 residents who had psychotic disorder (F2) were 82.8%, affective disorder (F3) were 6.2%, mental retardation (F7) were 1.4%, organic mental disorder (F0) were 1%, and no psychopatology were 8.6%. From the 210 residents who were independence were 74.8%, mild dependence were 24.3%, and only 0,5% each for mediate and totally dependence.

Conclusion: There will be need improvement for mental health of residents in Galuh Foundation and their utilities by engaging with the government and with the institution to do more studies for better improvement."

"[ABSTRAKPendahuluan: Gangguan cemas dan depresi merupakan global burden of disease.Prevalensi gangguan cemas dan depresi untuk penduduk Indonesia sebesar 11,6%,di DKI Jakarta sebesar 14,1% dengan angka tertinggi ada di Jakarta Pusat sebesar23,0%. Meskipun angkanya besar, namun banyak orang dengan gangguan cemasdan depresi mengalami kesenjangan pengobatan (treatment gap) yang disebabkanoleh berbagai faktor. Penelitian ini bertujuan untuk mendapatkan gambaranmendalam tentang ungkapan stres (idiom of distress) untuk gejala cemas dandepresi juga tentang perilaku mencari pertolongan terkait dengan ungkapan strestersebut pada pasien yang datang berobat ke layanan kesehatan primer.Metode: Penelitian ini merupakan studi kualitatif dengan wawancara mendalampada responden yang telah diketahui mengalami gejala cemas dan depresi melaluipenapisan dengan menggunakan instrumen Self-Reporting Questionnaire (SRQ).Penelitian dilakukan di Puskesmas Gambir dan waktu pelaksanaan pada bulanSeptember 2013 sampai Juli 2014.Hasil: Data penelitian diperoleh dari tiga orang responden yang ketiganyatergolong dalam initial somatizer dengan keluhan somatik multipel. Ungkapanyang diberikan berupa bahasa daerah, bahasa Indonesia, peribahasa, bahasa asing(Belanda, Inggris). Ketiganya juga diketahui memiliki stresor biologis, psikologis,sosial-ekonomi, dan agama/ budaya. Seluruh responden memilih untuk memintapertolongan ke fasilitas kesehatan, namun tidak pernah mengungkapkan keluhanterkait perasaannya dan tenaga kesehatan tidak pernah menanyakan.Pembahasan: Keluhan somatik multipel mungkin merupakan suatu bentukungkapan stres terkait gejala cemas dan depresi yang lebih dapat diterima secarasosial. Ungkapan stres ini juga dipengaruhi oleh bahasa atau kebudayaanseseorang. Pola perilaku mencari dipengaruhi keluhan fisiknya sehingga mencaripertolongan medis dan tidak pernah mengakses ke layanan kesehatan jiwa.

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ABSTRACTIntroduction: Anxiety and depression disorders are the global burden of disease.The prevalence of anxiety and depression disorders of Indonesia's population is11.6%. In Jakarta it is 14.1% and the highest rate in Central Jakarta is amounted to23.0%. Although it is high prevalence, many people with anxiety and depressiondisorders have treatment gap caused by various factors. This study aims to gain adeeper understanding of the idiom of distress for anxiety and depression?ssymptom, also for help-seeking behavior related to the idiom of distress onpatients who come for a treatment to primary health care.Method: This study is a qualitative with in-depth interviews in respondents whohave been known to have symptoms of anxiety and depression through ascreening using the instruments of Self-Reporting Questionnaire (SRQ). Thestudy was conducted at the Gambir Primary Health Care from September 2013until July 2014.Result: The data was obtained from three respondents who were classified in theinitial somatizer with multiple somatic complaints. The phrase is given in theform of the local language, Indonesian, proverbs, and foreign languages (Dutch,English). All three respondents are known to have biological stressors,psychological, socio-economic, and religious/ cultural. All respondents chose toask for help at a health facility, but never revealed their feelings and healthpersonnel never asked about their feelings.Discussion: Multiple somatic complaints may constitute the idiom of distressrelated to the symptoms of anxiety and depression that is socially moreacceptable. The idiom of distress is also influenced by the personal language orthe culture. The help-seeking behavior is influenced by the physical complaints toseek medical help and not to have an access to the mental health services., Introduction: Anxiety and depression disorders are the global burden of disease.The prevalence of anxiety and depression disorders of Indonesia's population is11.6%. In Jakarta it is 14.1% and the highest rate in Central Jakarta is amounted to23.0%. Although it is high prevalence, many people with anxiety and depressiondisorders have treatment gap caused by various factors. This study aims to gain adeeper understanding of the idiom of distress for anxiety and depression’ssymptom, also for help-seeking behavior related to the idiom of distress onpatients who come for a treatment to primary health care.Method: This study is a qualitative with in-depth interviews in respondents whohave been known to have symptoms of anxiety and depression through ascreening using the instruments of Self-Reporting Questionnaire (SRQ). Thestudy was conducted at the Gambir Primary Health Care from September 2013until July 2014.Result: The data was obtained from three respondents who were classified in theinitial somatizer with multiple somatic complaints. The phrase is given in theform of the local language, Indonesian, proverbs, and foreign languages (Dutch,English). All three respondents are known to have biological stressors,psychological, socio-economic, and religious/ cultural. All respondents chose toask for help at a health facility, but never revealed their feelings and healthpersonnel never asked about their feelings.Discussion: Multiple somatic complaints may constitute the idiom of distressrelated to the symptoms of anxiety and depression that is socially moreacceptable. The idiom of distress is also influenced by the personal language orthe culture. The help-seeking behavior is influenced by the physical complaints toseek medical help and not to have an access to the mental health services.]"

"Narapidana wanita merupakan kelompok berisiko mengalami gangguan jiwa. Kunjungan keluarga diduga berpengaruh positif mencegah gangguan jiwa pada narapidana wanita. Belum ada penelitian khusus mengenai hal ini di Indonesia. Tujuan penelitian adalah menemukan hubungan antara kunjungan keluarga dengan gangguan jiwa. Penelitian menggunakan desain potong lintang dengan instrumen kuesioner demografi dan MINI ICD X untuk diagnosis kejiwaan. Penelitian dilakukan bulan Agustus-Oktober 2015 di Rumah Tahanan Negara Kelas IIA Jakarta Timur. Hasil penelitian menunjukkan bahwa sebanyak 58,65% responden terdiagnosis gangguan jiwa. Kunjungan keluarga dialami oleh 86,5% responden, dengan frekuensi mayoritas kurang dari 4x/bulan (81,7%). Analisis menggunakan uji Chi Square menyatakan hubungan ada tidaknya kunjungan keluarga maupun frekuensi kunjungan keluarga dengan gangguan jiwa tidak bermakna secara statistik (p=0,297 dan 0,659). Walaupun didapatkan hubungan yang tidak bermakna antara kunjungan keluarga dengan gangguan jiwa, data prevalensi gangguan jiwa yang tinggi pada populasi ini perlu mendapat perhatian khusus dari pemerintah untuk penatalaksanaan yang komprehensif.

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Women prisoners are a group at risk for mental disorders. Family visits suspected to have positive effect on preventing mental disorders in women prisoners. There has been no specific research on this topic in Indonesia. The research objective is to find the relationship between family visits with mental disorder. We used cross sectional design with a demographic questionnaire and MINI ICD X for psychiatric diagnosis. The study was conducted in August-October 2015 in State Prison Class IIA East Jakarta. The results showed that 58.65% of respondents diagnosed with a mental disorder. Family visits experienced by 86.5% of respondents, and majority with frequency less than 4x / month (81.7%). Analysis using Chi Square test whether there is a relationship between family visits and its frequency with mental disorder was not statistically significant (p = 0.297 and 0.659, respectively). Although there is no significant relationship between family visits with mental disorder, the high prevalence of mental disorders in this population needs special attention from the government for a comprehensive management."

"Masalah kriminal masih menjadi masalah yang utama di Indonesia. Pelaku kriminalitas akan ditahan di lembaga pemasyarakatan (lapas) sebagai konsekuensi atas perbuatannya. Kondisi narapidana dan lapas dapat memicu timbulnya gangguan jiwa pada narapidana. Penelitian ini dilaksanakan atas dasar masih sedikitnya penelitian yang melihat gangguan jiwa pada narapidana wanita. Tujuan penelitian ini adalah mengetahui hubungan fasilitas sosialisasi rumah tahanan dengan timbulnya gangguan jiwa pada narapidana wanita di Rumah Tahanan Pondok Bambu tahun 2015.Metode yang digunakan adalah wawancara menggunakan kuesioner demografi dan MINI-ICD 10 untuk melihat gangguan jiwa yang dialami narapidana. Hasil yang didapatkan adalah sebanyak 58.6% responden mengalami gangguan jiwa. Dari aspek penggunaan fasilitas sosialisasi, 50% responden pernah menggunakan fasilitas sosialisasi dan mengalami gangguan jiwa sedangkan dari aspek kondisi fasilitas sosialisasi, 47% responden mengatakan kondisi fasilitas sudah baik dan mengalami gangguan jiwa.Setelah dianalisis menggunakan SPSS versi 23 dengan uji Chi Square, tidak ditemukan hubungan yang bermakna baik dari faktor penggunaan maupun kondisi fasilitas sosialisasi terhadap timbulnya gangguan jiwa pada narapidana wanita. Hal ini dapat disebabkan karena sudah baiknya fasilitas yang ada di Rumah Tahanan Pondok Bambu dan mungkin ada faktor lain yang lebih berperan dalam timbulnya gangguan jiwa pada narapidana wanita sepertu kesehatan fisik yang cenderung memiliki hubungan yang bermakna, sedangkan fasilitas sosialisasi hanya berperan sebagai faktor protektif agar narapidana tidak mengalami gangguan jiwa.

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Criminal problem is still being the main problem in Indonesia. The criminal will be held at prison as consequency for what they have done. Prisoner and prison condition can trigger mental health disorder among the prisoner. This research was done on the basis of the lack of research on mental health disorder among women prisoner. The aim of this research was to find relation between socialization facilities with mental health disorder among women prisoner at Pondok Bambu Prison year 2015.

This research used interview as the method using demography and MINI-ICD 10 questionaire to find mental health disorder among the prisoner. The result showed that 58.6% respondents have mental health disorder. From the use of socialization facilities aspect, 50% respondents had use the socialization facilities and have mental health disorder while from condition of socialization facilities aspect, 47% respondents said the condition of the facilities were good and have mental health disorder.

After we analyed the datawith SPSS version 23 using Chi Square test, there was no significant relation between the use or condition of socialization facilities with mental health disorder among women prisoner. This result could be caused by the condition of facilities at Pondok Bambu Prison which is already good and maybe there is another main factor that caused mental health disorder among women prisoner like health condition of women prisoner. Socialization was just a protective factor for the prisoners so they will not have mental health disorder."

"[Kriminalitas adalah perbuatan yang melanggar peraturan. Saat ini terdapat banyak kasus kriminalitas di Jakarta. Pelaku tindak kriminal akan diadili dan dibina di lembaga pemasyarakatan (Lapas). Namun, kenyataanya, narapidana di lapas lebih rentan terkena gangguan jiwa, khususnya wanita yang memiliki sisa vonis yang masih banyak. Oleh sebab belum adanya data mengenai hubungan lama masa menjalani hukuman dengan gangguan jiwa, maka diadakan penelitian potong lintang dengan menggunakan instrumen MINI ICD 10 dan kuisioner umum pada 104 narapidana wanita yang memiliki vonis minimal 3 tahun di Rutan Kelas IIa Jakarta Timur dari bulan Agustus hingga September 2015. Data diolah dengan menggunakan software SPSS ver.23.0 for windows. Didapatkan 96 responden yang memenuhi kriteria inklusi dan ekslusi dengan prevalensi gangguan jiwa 57,29% dan jenis terbanyak ialah gangguan psikotik. Setelah diuji dengan chi squre, tidak ditemukan hubungan bermakna antara lama masa menjalani hukuman dengan gangguan jiwa (p=0,420). Akan tetapi, ditemukan kecenderungan responden dengan sisa vonis lebih sedikit lebih banyak memiliki gangguan jiwa yang bertolak belakang dengan hasil penelitian di Amerika. Nilai p di penelitian ini lebih kecil dibandingkan studi systematic review Fazel S dan Seewald K tahun 2012. Disarankan untuk melanjutkan penelitian ini di rutan-rutan yang berbeda karena belum ada penelitian yang serupa di Indonesia.

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Crime is an act against rules. Currently, there are many criminality cases in Jakarta. Criminals will be prosecuted and supervised in prisons. However, in fact, inmates are susceptible to mental disorders, especially women who have long residual sentence. Because of lack of data on relation between length of serving time and mental disorders, held a cross sectional study using MINI ICD 10 and demographic questionnaires to 104 women inmates who have sentence at least 3 years at Class IIa of East Jakarta Jail from August to September 2015. Data were processed using SPSS ver.230 for windows. From 96 respondents who meet inclusion and exclusion criteria, prevalence of mental disorders was 57.29% with psychotic disorders that highest than others. After using chi-square test, found no significant association between length of serving time and mental disorder (p=0.420). However, there was a tendency that respondents with few residual sentence have a risk to mental disorder that different from research in USA. P value in this research were lower than systematic review study by Fazel S and Seewald K in 2012. Since there have not been any similar research in Indonesia, it was needed to conduct another research about length of serving time and mental disorder in women prisoner in different jails.;Crime is an act against rules. Currently, there are many criminality cases in Jakarta. Criminals will be prosecuted and supervised in prisons. However, in fact, inmates are susceptible to mental disorders, especially women who have long residual sentence. Because of lack of data on relation between length of serving time and mental disorders, held a cross sectional study using MINI ICD 10 and demographic questionnaires to 104 women inmates who have sentence at least 3 years at Class IIa of East Jakarta Jail from August to September 2015. Data were processed using SPSS ver.230 for windows. From 96 respondents who meet inclusion and exclusion criteria, prevalence of mental disorders was 57.29% with psychotic disorders that highest than others. After using chi-square test, found no significant association between length of serving time and mental disorder (p=0.420). However, there was a tendency that respondents with few residual sentence have a risk to mental disorder that different from research in USA. P value in this research were lower than systematic review study by Fazel S and Seewald K in 2012. Since there have not been any similar research in Indonesia, it was needed to conduct another research about length of serving time and mental disorder in women prisoner in different jails.;Crime is an act against rules. Currently, there are many criminality cases in Jakarta. Criminals will be prosecuted and supervised in prisons. However, in fact, inmates are susceptible to mental disorders, especially women who have long residual sentence. Because of lack of data on relation between length of serving time and mental disorders, held a cross sectional study using MINI ICD 10 and demographic questionnaires to 104 women inmates who have sentence at least 3 years at Class IIa of East Jakarta Jail from August to September 2015. Data were processed using SPSS ver.230 for windows. From 96 respondents who meet inclusion and exclusion criteria, prevalence of mental disorders was 57.29% with psychotic disorders that highest than others. After using chi-square test, found no significant association between length of serving time and mental disorder (p=0.420). However, there was a tendency that respondents with few residual sentence have a risk to mental disorder that different from research in USA. P value in this research were lower than systematic review study by Fazel S and Seewald K in 2012. Since there have not been any similar research in Indonesia, it was needed to conduct another research about length of serving time and mental disorder in women prisoner in different jails., Crime is an act against rules. Currently, there are many criminality cases in Jakarta. Criminals will be prosecuted and supervised in prisons. However, in fact, inmates are susceptible to mental disorders, especially women who have long residual sentence. Because of lack of data on relation between length of serving time and mental disorders, held a cross sectional study using MINI ICD 10 and demographic questionnaires to 104 women inmates who have sentence at least 3 years at Class IIa of East Jakarta Jail from August to September 2015. Data were processed using SPSS ver.230 for windows. From 96 respondents who meet inclusion and exclusion criteria, prevalence of mental disorders was 57.29% with psychotic disorders that highest than others. After using chi-square test, found no significant association between length of serving time and mental disorder (p=0.420). However, there was a tendency that respondents with few residual sentence have a risk to mental disorder that different from research in USA. P value in this research were lower than systematic review study by Fazel S and Seewald K in 2012. Since there have not been any similar research in Indonesia, it was needed to conduct another research about length of serving time and mental disorder in women prisoner in different jails.]"

"Kriminalitas merupakan masalah sosial yang jumlahnya meningkat setiap tahunnya di Indonesia. Konsekuensi akibat melakukan tindak pidana adalah dimasukkan ke dalam lembaga pemasyarakatan. Lingkungan lembaga pemasyarakatan berpotensi menimbulkan gangguan kejiwaan dan berpengaruh terhadap kualitas hidup narapidana, terutama narapidana wanita. Penelitian ini bertujuan untuk mengetahui gangguan jiwa pada narapidana wanita dan hubungannya dengan masing-masing domain kualitas hidup. Penelitian ini menggunakan desain cross-sectional dengan memanfaatkan kuesioner MINI ICD-10 untuk mendiagnosis gangguan jiwa serta kuesioner WHOQOL-BREF untuk skoring kualitas hidup. Dilakukan dari Agustus-Oktober 2015 di Rumah Tahanan Wanita Kelas IIA Jakarta Timur. Data dianalisis dengan menggunakan Pearson Chi-square. Dari 104 responden, 61 diantaranya memiliki gangguan jiwa dengan gangguan jiwa terbanyak adalah episode psikotik berulang. Dari 61 responden dengan gangguan jiwa, 39 orang memiliki kualitas hidup buruk pada domain kesehatan fisik (p=0,90). Pada domain psikologis, 30 dari 61 responden memiliki kualitas hidup buruk(p=0,50). Pada domain hubungan sosial, 43 dari 61 responden memiliki kualitas hidup buruk serta pada domain lingkungan(p=0,47), 43 dari 61 responden memiliki kualitas hidup buruk (p=0,56). Berdasarkan uji hipotesis tidak ditemukan hubungan yang bermakna antara gangguan jiwa dengan kualitas hidup pada narapidana wanita. Ketiadaan makna tersebut dapat disebabkan oleh adanya ketidaksadaran responden terhadap gangguan jiwa yang diderita, ketersediaan fasilitas, dan perbedaan respon adaptasi. Walaupun demikian, sebagian besar narapidana wanita memiliki kualitas hidup yang buruk.

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Criminality is a social problem, which keep increasing after years in Indonesia. The consequence for committing a criminal action is imprisoned. Being held in prison can be a burden for offenders especially the female offenders, thus it led to mental illness. Mental illness can affect many aspects in life, in other words, individual's quality of life. Based on those facts, this research aim to get the relationship between mental illness and four domains of quality of life. This research has cross-sectional design which all the data was collected using two main questionnaires, MINI ICD-10 to diagnose the mental illness and WHOQOL-BREF for quality of life scoring. This study was conducted from August 2015-October 2015 in Rumah Tahanan Wanita Kelas IIA East Jakarta. Data were analyzed using Pearson Chi-square. The result showed that from 61 from 104 respondents have mental illnesses. In related with quality of life, 39 from 61 respondents with mental illnesses have poor quality of life in physical domain (p=0,90); 30 from 61 respondents with mental illnesses have poor quality of life in psychological domain (p=0,50); 43 from 61 respondents with mental illnesses have poor quality of life (p=0,47) in social relationship domain; 43 from 61 respondents with mental illnesses have poor quality of life (p=0,56) in environment domain. Based on hypothetical testing, it is found that there?s no association between mental illness and quality of life among women prisoners. This result could be affected by awareness about their mental illness, jail's facility, and adaptation response. Despite of that, most of respondents have poor quality of life."

"Kejahatan marak terjadi di Indonesia. Hingga tahun 2015, jumlah narapidana di DKI Jakarta mencapai 9.347 narapidana. Gangguan jiwa terjadi karena ketidakseimbangan sistem pada manusia, baik karena ketidakseimbangan sistem pada tubuh manusia tersebut sendiri maupun interaksi dari sistem lain. Gangguan jiwa dapat terjadi karena bermacam-macam faktor. Faktor demografi merupakan salah satu faktor yang dapat memengaruhi terjadinya gangguan jiwa. Sampai saat ini belum terdapat data berisi gangguan jiwa yang terjadi di Jakarta. Penelitian ini bertujuan untuk mencari hubungan tingkat pendidikan, status pekerjaan, dan tingkat pendapatan dengan gangguan jiwa pada narapidana wanita. Penelitian ini dilaksanakan dengan menggunakan desain potong lintang dengan instrument pelaksanaan penelitian berupa kuesioner demografi dan kuesioner MINI ICD-10 yang mencakup 14 gangguan jiwa sebagai alat diagnosis. Penelitian dilakukan dari bulan Agustus ? Oktober tahun 2015 di Rumah Tahanan Negara Kelas IIA Pondok Bambu Jakarta Timur. Data yang didapatkan dianalisis dengan uji Chi-Square.Hasil penelitian menunjukkan bahwa sebanyak 61 dari 104 responden (58,7%) mengalami gangguan jiwa dengan hasil terbanyak gangguan Psikotik sebanyak 29 orang (47,54%). Kemudian hasil tingkat pendidikan menunjukkan bahwa terdapat 39 orang (60,0%) dengan pendidikan menengah keatas yang mengalami gangguan jiwa, 40 orang (57,1%) narapidana yang bekerja mengalami gangguan jiwa, serta 53 orang (61,6%) narapidana dengan pendapatan dibawah pendapatan perkapita yang mengalami gangguan jiwa. Hasil penelitian menunjukkan bahwa tidak terdapat hubungan statistik yang bermakna antara tingkat pendidikan dengan gangguan jiwa, status pekerjaan dengan gangguan jiwa, maupun tingkat pendapatan dengan gangguan jiwa, namun terlihat kecenderungan bahwa narapidana dengan pendidikan tinggi, narapidana dengan tingkat pendapatan rendah, serta narapidana dengan status pekerjaan bekerja cenderung mengalami gangguan jiwa.

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Indonesia is a country with a high level of crime rates. Until 2015, the number of prisoner in DKI Jakarta reaches 9.437 prisoners. Mental disorder occurs due to imbalance of systems within human. Mental disorder can occur because of various factors. One of the contributing factor is demographic factor. This research aims to understand the relationship between education level, working status, and income level with mental disorder in women prisoner. This research was conducted by cross sectional method, with using instruments such as demographic questionnaire and MINI-ICD 10 as diagnostic tool, which consist of 14 classification of mental disorder. The research is is done in August-October 2015 in Rumah Tahanan Negara Kelas IIA Pondok bambu Jakarta Timur. The collected Data is then analyzed using Chi Square method.

The result shows that there are 61 people out of 104 respondents (58,7%) who are diagnosed with mental disorder. The mental disorder with the highest prevalence is psychotic disorder with 29 people (47,54%). Then the data analysis shows that there are 39 people (60,0%) with education level middle-to-high that are diagnosed with mental disorders. There are also 40 people (57,1%) working prisoner that are diagnosed with mental disorders, and 53 people (61,6%) prisoner with incomes below GDP that are diagnosed with mental disorders The conclusion of the research is that there are no significant difference between education level, working status, and income level with mental disorders. However, there are tendency of prisoner with high level of education, lower income level, and ?working? working status with mental disorder."

"Pendahuluan: Tenaga kesehatan mental di Indonesia perlu mendapat bekal tambahan untuk dapat menangani anak dan remaja di daerah bencana. Untuk itu, Departemen Psikiatri Fakultas Kedokteran Universitas Indonesia-Rumah Sakit Cipto Mangunkusumo Hospital, Divisi Psikiatri Anak dan Remaja, bekerja sama dengan Institute for Mental Health Singapura, telah menyusun modul pelatihan berjudul ?Peningkatan Kapasitas Kesehatan Mental Anak dan Remaja di Daerah Bencana? (Child and Adolescent Mental Health in Disaster areas - CAMHD).Tujuan: Untuk mengetahui manfaat pelatihan dengan modul tersebut dalam meningkatkan pengetahuan tenaga kesehatan mental (psikiater, dokter, psikolog, pekerja sosial, dan perawat) serta pandangan peserta tentang modul dan pelatihan.Metode: Penelitian tindakan (action research) dilakukan dengan metode campuran kuantitatif dan kualitatif. Data dikumpulkan dari peserta penelitian dalam bentuk tes sebelum dengan sesudah pelatihan (one group pre and post-test), kuesioner data demografi, kuesioner evaluasi pelatihan, serta diskusi kelompok terarah (Focus group Discussion - FGD).Hasil: Semua subjek (n=16) mengalami peningkatan pengetahuan, dengan perbedaan rata-rata (mean) skor pretest dan posttest yang bermakna secara statistik (p=0,001). Hal-hal penting yang diperoleh dari pelatihan mencakup antara lain pemahaman dasar, identifikasi kebutuhan, identifikasi sumber daya dan persiapan, serta alur berpikir kesehatan mental anak dan remaja di daerah bencana, deteksi dini terutama menggunakan Strength and Difficulties Questionnaire (SDQ), formulasi kasus, dan penanganan secara komprehensif, termasuk Psychological First Aid (PFA) serta intervensi krisis. Subjek penelitian terutama menghargai pembelajaran aktif seperti studi kasus, bermain peran, diskusi, serta bertukar pengalaman antar peserta pelatihan. Pada kuesioner umpan balik, seluruh subjek penelitian menyatakan kualitas pelatihan sangat baik atau cukup. Masukan dari subjek penelitian antara lain mencakup kebutuhan untuk penyederhanaan bahasa modul, konsistensi fasilitasi, penyempurnaan bahan tayangan pelatihan, perlunya pegangan praktis untuk digunakan di lapangan, bentuk modul berjenjang menurut profesi, contoh-contoh kasus nyata, serta pelatihan yang berkelanjutan.Simpulan: Pelatihan menggunakan modul ?Peningkatan Kapasitas Kesehatan Mental Anak dan Remaja di Daerah Bencana? dapat meningkatkan pengetahuan tenaga kesehatan mental. Terkumpul masukan untuk perbaikan dan pengembangan modul dan pelatihan selanjutnya.

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Introduction: Mental health workers need to be better equipped with more knowledge to deal with children and adolescents in disaster areas. For this reason, the Department of Psychiatry of Cipto Mangunkusumo Hospital, Division of Child and Adolescent Psychiatry, in collaboration with the Institute for Mental Health Singapore, developed the module ?Capacity Building for Child and Adolescent Mental Health in Disaster areas (CAMHD).

Objectives: To ascertain the benefits of training using the module in increasing the knowledge of mental health workers (psychiatrists, doctors, psychologists, social workers, and nurses) and the participants? views on the module and training. Methods: Action research was conducted using mixed (quantitative and qualitative) methods. Data was collected from the training participants in the form of one group pre and post tests, and questionnaires demographic data, training evaluation forms, and focus group discussions.

Results: All subjects (n=16) increased in knowledge, with a statistically significant mean difference of pretest and posttest scores (p=0.001). Important points gained through the training include basic understanding, needs assessment, resource identification and preparation, as well as thinking process in dealing with children and adolescents in disaster areas, early detection especially using Strength and Difficulties Questionnaires (SDQ), case formulation, and comprehensive management, including Psychological First Aid (PFA) and crisis intervention. In terms of training process, research subjects especially appreciated active learning processes such as case studies, role plays, discussions, and sharing of experiences among training participants. On the feedback forms, all research subjects stated the quality of training was excellent or satisfactory. Input from research subjects included the need for simplification of the language of the module, consistency of facilitation, enhancement of training presentation materials, the need for practical guides to use in the field, profession-based stepped modules, examples from actual cases, and further training.

Conclusion: Training using this ?Capacity Building for Child and Adolescent Mental Health in Disaster areas? module can increase the knowledge of mental health workers. Input was collectedto enhance and develop further modules and training."