| Summary: | Background: Community-based mental health services is a solution to bridging
the limited access of the society to the healthcare facilities. Calculation of
utilization of mental health healthcare at primary health care, secondary
healthcare, and tertiary healthcare levels revealed a disparity of 90%. It means that
only 10% of the mental health patients had been covered by the healthcare
facilities. Accordingly, primary healthcare facilities have become the mainstay in
the implementation of mental healthcare since they can easily be accessed by the
society due to geographical proximity, decrease stigma, and reduce the required
cost. DSSJ program was an implementation of primary healthcare with the
concept of community mental health nursing.
Objective: The objective of the research is to describe implementation of DSSJ
program in the working area of Puskesmas Galur II, Kulon Progo Regency.
Method: This was a qualitative research using case study design. Informants of
were those individuals related to the DSSJ program from the planning to the
implementation phase. The data were collected through in-depth interviews and
observation. The research was conducted from November 2012 to January 2013.
Results: Planning of the program was limited to the technical implementation
phase and did not plan any annual monitoring and evaluation program. In general,
no program had been implemented to improve human resource capacity at the
level of both Health Center and Mental Hospital. The program was faced with
some obstacles, including limited human resource, limitation on communication,
fund, regionalism, and policy. The study found that the program could run
consistently and continuously when some university students had community
internship at the Health Centers.
Conclusion: The planning phase did not identify local human resource potentials
and implementation was not optimum. Participation of educational institutions
should be planned more thoroughly in line with DSSJ program for sustainability
of the program.
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