TY - JOUR
T1 - The Role of Informal Leaders in Restraint and Confining People with Mental Health Issues in Manggarai, Indonesia
AU - Eka, Angelina Roida
AU - Daulima, Novy Helena Catharina
AU - Susanti, Herni
N1 - Funding Information:
Thanks are due to Universitas Indonesia for funding this research.
Publisher Copyright:
© 2022 Semmelweis University Institute of Mental Health. All rights reserved.
PY - 2022
Y1 - 2022
N2 - Introduction: A person experiencing mental health issues may be physically confined at the suggestion of an informal leader who sees that individual's violent behavior as a threat to the community. Aims: The aim of the study is to explore the perceptions of the tu'a golo, a man who serves as informal village leader, regarding his role in confining a person with mental health issues in Manggarai, on the island of Flores, in Indonesia. Methods: The study uses an ethno-semantic approach. Data collection and analysis were carried out using Spradley's Developmental Research Sequence; the researchers interviewed one tu'a golo from each of fifteen villages in Manggarai. They then analyzed the data via using domain, taxonomy, componential, and cultural themes. Results: The researchers found that the tu'a golo has three important roles in confining a person with mental health issues: (1) before physical restraint and confinement, as an adviser to the family and to the person exhibiting mental health issues; (2) before physical restraint and confinement, as a mediator between the family of the individual with mental health issues and the community; (3) during physical restraint and confinement, as a protector of the person with mental health issues, the family, and the community. Conclusions: In areas with limited mental health services, informal leaders take on important roles in the physical restraint and confinement of the mentally ill. Therefore, healthcare professionals must include informal leaders in programs to improve mental health services and reduce the use of physical restraint and confinement.
AB - Introduction: A person experiencing mental health issues may be physically confined at the suggestion of an informal leader who sees that individual's violent behavior as a threat to the community. Aims: The aim of the study is to explore the perceptions of the tu'a golo, a man who serves as informal village leader, regarding his role in confining a person with mental health issues in Manggarai, on the island of Flores, in Indonesia. Methods: The study uses an ethno-semantic approach. Data collection and analysis were carried out using Spradley's Developmental Research Sequence; the researchers interviewed one tu'a golo from each of fifteen villages in Manggarai. They then analyzed the data via using domain, taxonomy, componential, and cultural themes. Results: The researchers found that the tu'a golo has three important roles in confining a person with mental health issues: (1) before physical restraint and confinement, as an adviser to the family and to the person exhibiting mental health issues; (2) before physical restraint and confinement, as a mediator between the family of the individual with mental health issues and the community; (3) during physical restraint and confinement, as a protector of the person with mental health issues, the family, and the community. Conclusions: In areas with limited mental health services, informal leaders take on important roles in the physical restraint and confinement of the mentally ill. Therefore, healthcare professionals must include informal leaders in programs to improve mental health services and reduce the use of physical restraint and confinement.
KW - community mental health
KW - culture issue in mental illness
KW - informal leader
KW - pasung
KW - physical restraint and confinement
UR - http://www.scopus.com/inward/record.url?scp=85133844460&partnerID=8YFLogxK
U2 - 10.5708/EJMH/17.2022.1.3
DO - 10.5708/EJMH/17.2022.1.3
M3 - Article
AN - SCOPUS:85133844460
SN - 1788-4934
VL - 17
SP - 25
EP - 36
JO - European Journal of Mental Health
JF - European Journal of Mental Health
IS - 1
ER -