The Indonesian Mental Health Act: psychiatrists’ views on the act and its implementation
Abstract In 2014, the Indonesian government passed the Mental Health Act (MHA) to address the country’s complex mental health situation. The implementation of the MHA has been slow, and little is known about how the MHA is perceived by mental healthcare providers within local settings. This study ai...
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| Veröffentlicht in: | Health policy and planning 2021-03, Vol.36 (2), p.196-204 |
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| creator | Bikker, Annemieke P Lesmana, Cokorda Bagus Jaya Tiliopoulos, Niko |
| description | Abstract
In 2014, the Indonesian government passed the Mental Health Act (MHA) to address the country’s complex mental health situation. The implementation of the MHA has been slow, and little is known about how the MHA is perceived by mental healthcare providers within local settings. This study aimed to obtain insight into psychiatrists’ views on the MHA, including on how it affected their clinical practice and on challenges of translating the MHA into practice. The study was conducted in Bali, and 27 psychiatrists (15 men and 12 women) participated in a semi-structured interview. Thematic analysis indicated four overarching themes: raising the profile of mental health, developing a shared understanding of mental illness, integrating psychiatric practice with other services and views on implementation of the MHA into practice. Overall, the psychiatrists viewed the MHA as a step in the right direction to improve mental health services and to create awareness at local and national levels. However, there was consensus that the meaning of the MHA’s concepts of mental problems and disorders were not compatible with psychiatric everyday practice or their patients’ understandings. As a result, many assumed that the MHA was targeted at government and policy officials. Furthermore, there was a perceived lack of clarity on issues relating to collaborating with other services and unequal access to resources among regencies that impacted on their clinical practice in a negative way. Moreover, a few psychiatrists raised concerns that local beliefs and practices were not acknowledged in the MHA. According to the participants, mental health remained a highly political issue and without national support, mental health would remain a low priority. In conclusion, insights into providers’ perspectives contribute to developing an evidence-base that can inform the implementation process of the MHA in Indonesia, and possibly elsewhere, into local level guidelines and regulations. |
| doi_str_mv | 10.1093/heapol/czaa139 |
| format | Article |
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In 2014, the Indonesian government passed the Mental Health Act (MHA) to address the country’s complex mental health situation. The implementation of the MHA has been slow, and little is known about how the MHA is perceived by mental healthcare providers within local settings. This study aimed to obtain insight into psychiatrists’ views on the MHA, including on how it affected their clinical practice and on challenges of translating the MHA into practice. The study was conducted in Bali, and 27 psychiatrists (15 men and 12 women) participated in a semi-structured interview. Thematic analysis indicated four overarching themes: raising the profile of mental health, developing a shared understanding of mental illness, integrating psychiatric practice with other services and views on implementation of the MHA into practice. Overall, the psychiatrists viewed the MHA as a step in the right direction to improve mental health services and to create awareness at local and national levels. However, there was consensus that the meaning of the MHA’s concepts of mental problems and disorders were not compatible with psychiatric everyday practice or their patients’ understandings. As a result, many assumed that the MHA was targeted at government and policy officials. Furthermore, there was a perceived lack of clarity on issues relating to collaborating with other services and unequal access to resources among regencies that impacted on their clinical practice in a negative way. Moreover, a few psychiatrists raised concerns that local beliefs and practices were not acknowledged in the MHA. According to the participants, mental health remained a highly political issue and without national support, mental health would remain a low priority. In conclusion, insights into providers’ perspectives contribute to developing an evidence-base that can inform the implementation process of the MHA in Indonesia, and possibly elsewhere, into local level guidelines and regulations.</description><identifier>ISSN: 0268-1080</identifier><identifier>EISSN: 1460-2237</identifier><identifier>DOI: 10.1093/heapol/czaa139</identifier><identifier>PMID: 33227140</identifier><language>eng</language><publisher>England: Oxford University Press</publisher><subject>Clinical medicine ; Government ; Health administration ; Health care industry ; Health services ; Implementation ; Mental disorders ; Mental health ; Mental health services ; Psychiatric services ; Psychiatrists ; Public officials ; Regulation</subject><ispartof>Health policy and planning, 2021-03, Vol.36 (2), p.196-204</ispartof><rights>The Author(s) 2020. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com 2020</rights><rights>The Author(s) 2020. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.</rights><rights>The Author(s) 2020. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c430t-6e44cf5fa737d15347dd2e2efcb5823392933fb3c0d7b9cebed9277faf0db5e53</citedby><cites>FETCH-LOGICAL-c430t-6e44cf5fa737d15347dd2e2efcb5823392933fb3c0d7b9cebed9277faf0db5e53</cites><orcidid>0000-0002-5188-055X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,1598,27845,27903,27904,30978,33753</link.rule.ids><linktorsrc>$$Uhttps://dx.doi.org/10.1093/heapol/czaa139$$EView_record_in_Oxford_University_Press$$FView_record_in_$$GOxford_University_Press</linktorsrc><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33227140$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bikker, Annemieke P</creatorcontrib><creatorcontrib>Lesmana, Cokorda Bagus Jaya</creatorcontrib><creatorcontrib>Tiliopoulos, Niko</creatorcontrib><title>The Indonesian Mental Health Act: psychiatrists’ views on the act and its implementation</title><title>Health policy and planning</title><addtitle>Health Policy Plan</addtitle><description>Abstract
In 2014, the Indonesian government passed the Mental Health Act (MHA) to address the country’s complex mental health situation. The implementation of the MHA has been slow, and little is known about how the MHA is perceived by mental healthcare providers within local settings. This study aimed to obtain insight into psychiatrists’ views on the MHA, including on how it affected their clinical practice and on challenges of translating the MHA into practice. The study was conducted in Bali, and 27 psychiatrists (15 men and 12 women) participated in a semi-structured interview. Thematic analysis indicated four overarching themes: raising the profile of mental health, developing a shared understanding of mental illness, integrating psychiatric practice with other services and views on implementation of the MHA into practice. Overall, the psychiatrists viewed the MHA as a step in the right direction to improve mental health services and to create awareness at local and national levels. However, there was consensus that the meaning of the MHA’s concepts of mental problems and disorders were not compatible with psychiatric everyday practice or their patients’ understandings. As a result, many assumed that the MHA was targeted at government and policy officials. Furthermore, there was a perceived lack of clarity on issues relating to collaborating with other services and unequal access to resources among regencies that impacted on their clinical practice in a negative way. Moreover, a few psychiatrists raised concerns that local beliefs and practices were not acknowledged in the MHA. According to the participants, mental health remained a highly political issue and without national support, mental health would remain a low priority. In conclusion, insights into providers’ perspectives contribute to developing an evidence-base that can inform the implementation process of the MHA in Indonesia, and possibly elsewhere, into local level guidelines and regulations.</description><subject>Clinical medicine</subject><subject>Government</subject><subject>Health administration</subject><subject>Health care industry</subject><subject>Health services</subject><subject>Implementation</subject><subject>Mental disorders</subject><subject>Mental health</subject><subject>Mental health services</subject><subject>Psychiatric services</subject><subject>Psychiatrists</subject><subject>Public officials</subject><subject>Regulation</subject><issn>0268-1080</issn><issn>1460-2237</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><sourceid>7TQ</sourceid><sourceid>BHHNA</sourceid><recordid>eNqFkL1OwzAURi0EglJYGZElFhhC_ZekYUOIn0pFLGVhiRz7RjFK7BA7IJh4DV6PJyEohYGF6S7nO7o6CB1QckpJxmcVyNbVM_UmJeXZBppQkZCIMZ5uoglhyTyiZE520K73j4RQIUS8jXY4ZyylgkzQw6oCvLDaWfBGWnwLNsga34CsQ4XPVTjDrX9VlZGhMz74z_cP_GzgxWNncRi2UgUsrcYmeGyatobm2xCMs3toq5S1h_31naL7q8vVxU20vLteXJwvIyU4CVECQqgyLmXKU01jLlKtGTAoVRHPGecZyzgvC66ITotMQQE6Y2laypLoIoaYT9Hx6G0799SDD3ljvIK6lhZc73MmEkEFp4Nnio7-oI-u7-zwXc6yOBkKEsoH6nSkVOe876DM2840snvNKcm_q-dj9XxdfRgcrrV90YD-xX8yD8DJCLi-_U_2Bb4Rjz8</recordid><startdate>20210301</startdate><enddate>20210301</enddate><creator>Bikker, Annemieke P</creator><creator>Lesmana, Cokorda Bagus Jaya</creator><creator>Tiliopoulos, Niko</creator><general>Oxford University Press</general><general>Oxford Publishing Limited (England)</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7T2</scope><scope>7TQ</scope><scope>7U3</scope><scope>8BJ</scope><scope>BHHNA</scope><scope>C1K</scope><scope>DHY</scope><scope>DON</scope><scope>FQK</scope><scope>JBE</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-5188-055X</orcidid></search><sort><creationdate>20210301</creationdate><title>The Indonesian Mental Health Act: psychiatrists’ views on the act and its implementation</title><author>Bikker, Annemieke P ; Lesmana, Cokorda Bagus Jaya ; Tiliopoulos, Niko</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c430t-6e44cf5fa737d15347dd2e2efcb5823392933fb3c0d7b9cebed9277faf0db5e53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Clinical medicine</topic><topic>Government</topic><topic>Health administration</topic><topic>Health care industry</topic><topic>Health services</topic><topic>Implementation</topic><topic>Mental disorders</topic><topic>Mental health</topic><topic>Mental health services</topic><topic>Psychiatric services</topic><topic>Psychiatrists</topic><topic>Public officials</topic><topic>Regulation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bikker, Annemieke P</creatorcontrib><creatorcontrib>Lesmana, Cokorda Bagus Jaya</creatorcontrib><creatorcontrib>Tiliopoulos, Niko</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>PAIS Index</collection><collection>Social Services Abstracts</collection><collection>International Bibliography of the Social Sciences (IBSS)</collection><collection>Sociological Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>PAIS International</collection><collection>PAIS International (Ovid)</collection><collection>International Bibliography of the Social Sciences</collection><collection>International Bibliography of the Social Sciences</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Health policy and planning</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext_linktorsrc</fulltext></delivery><addata><au>Bikker, Annemieke P</au><au>Lesmana, Cokorda Bagus Jaya</au><au>Tiliopoulos, Niko</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Indonesian Mental Health Act: psychiatrists’ views on the act and its implementation</atitle><jtitle>Health policy and planning</jtitle><addtitle>Health Policy Plan</addtitle><date>2021-03-01</date><risdate>2021</risdate><volume>36</volume><issue>2</issue><spage>196</spage><epage>204</epage><pages>196-204</pages><issn>0268-1080</issn><eissn>1460-2237</eissn><abstract>Abstract
In 2014, the Indonesian government passed the Mental Health Act (MHA) to address the country’s complex mental health situation. The implementation of the MHA has been slow, and little is known about how the MHA is perceived by mental healthcare providers within local settings. This study aimed to obtain insight into psychiatrists’ views on the MHA, including on how it affected their clinical practice and on challenges of translating the MHA into practice. The study was conducted in Bali, and 27 psychiatrists (15 men and 12 women) participated in a semi-structured interview. Thematic analysis indicated four overarching themes: raising the profile of mental health, developing a shared understanding of mental illness, integrating psychiatric practice with other services and views on implementation of the MHA into practice. Overall, the psychiatrists viewed the MHA as a step in the right direction to improve mental health services and to create awareness at local and national levels. However, there was consensus that the meaning of the MHA’s concepts of mental problems and disorders were not compatible with psychiatric everyday practice or their patients’ understandings. As a result, many assumed that the MHA was targeted at government and policy officials. Furthermore, there was a perceived lack of clarity on issues relating to collaborating with other services and unequal access to resources among regencies that impacted on their clinical practice in a negative way. Moreover, a few psychiatrists raised concerns that local beliefs and practices were not acknowledged in the MHA. According to the participants, mental health remained a highly political issue and without national support, mental health would remain a low priority. In conclusion, insights into providers’ perspectives contribute to developing an evidence-base that can inform the implementation process of the MHA in Indonesia, and possibly elsewhere, into local level guidelines and regulations.</abstract><cop>England</cop><pub>Oxford University Press</pub><pmid>33227140</pmid><doi>10.1093/heapol/czaa139</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-5188-055X</orcidid><oa>free_for_read</oa></addata></record> |
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| source | Oxford Journals Open Access Collection |
| subjects | Clinical medicine Government Health administration Health care industry Health services Implementation Mental disorders Mental health Mental health services Psychiatric services Psychiatrists Public officials Regulation |
| title | The Indonesian Mental Health Act: psychiatrists’ views on the act and its implementation |
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