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The Role of Informal Leaders in Restraint and Confining People
with Mental Health Issues in Manggarai, Indonesia
Angelina Roida EKA, Novy Helena Catharina DAULIMAContact / Kontakt / Kapcsolat, & Herni SUSANTI
EJMH Vol 17 Issue 1 (2022) 25-36; https://doi.org/10.5708/EJMH/17.2022.1.3
Received: 10 March 2021; accepted: 5 February 2022; online date: 14 June 2022
Section: Research Papers
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Abstract

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.

Keywords

physical restraint and confinement, culture issue in mental illness, community mental health, informal leader, pasung

Corresponding author

Novy Helena Catharina DAULIMA

Mental Health Nursing Department, Faculty of Nursing, Universitas Indonesia, Depok, Indonesia

novi_hc@ui.ac.id

https://orcid.org/0000-0002-8146-0767

Co-authors

Angelina Roida EKA: Nursing Department, Faculty of Health, Universitas Katolik Indonesia Santu Paulus Ruteng, Ruteng, Indonesia

https://orcid.org/0000-0003-2375-3040

Herni SUSANTI: Mental Health Nursing Department, Faculty of Nursing, Universitas Indonesia, Depok, Indonesia

https://orcid.org/0000-0002-6033-741X

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This work is licensed under a Creative Commons Attribution 4.0 International License.