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TERAPI MODALITAS

DALAM KEPERAWATAN
JIWA
Dr. Ah. Yusuf, S.Kp., M.Kes.
TERAPI MODALITAS
DALAM KEPERAWATAN JIWA

Berbagai alternative terapi yang dapat diberikan


pada pasien gangguan jiwa
Terapi Aktivitas Kelompok
PELAYANAN REHABILITASI
PELAYANAN REHABILITASI
COMMUNITY BASED APPROACH

PELATIHAN KADER KESWA


DI PUSKESMAS TUMPANG
Terapi “Tempeleng”
KURUNGAN PASIEN
PASIEN DALAM
KURUNGAN
SETELAH DIRAWAT
PASIEN DIPASUNG 10 TAHUN
LOKASI PEMASUNGAN
SETELAH DIRAWAT
PASIEN DIPASUNG
TERAPI MODALITAS

MANUSIA
MANUSIA

BADAN JIWA LINGKUNGAN

Somato Tx: Psikoterapi: Manipulasi lingkungan


Farmako terapi Supportif & Sosio terapi
ECT Genetic dinamik
Pembedahan
TERAPI MODALITAS
Somato Tx: Psikoterapi: Manipulasi
Farmako terapi Supportif lingkungan &
ECT Genetic dinamik Sosio terapi
Pembedahan

Psychopharmacology; Preventing & Managing Family Interventions;


 Role of the nurse Aggressive Behavior;  Family functions
 Pharmacokinetics  Theories on aggression  Non clinical interventions
 Antianxiety  Nursing interventions  Clinical interventions
 Antidepresant  Crisis manag. techniques  Family systems therapy
 Mood-stabilizing drugs Cognitive Behavioral Tx;  Structural family therapy
 Antipsychotic  Classical conditioning  Strategic family therapy
 Operant conditioning Milieu therapies ??
Somatic Terapies;  Treatment strategies Occupation & Rehabilitation ??
 ECT  Role of the nurse
 Phothoterapy Therapeutic Groups;
 Sleep deprivation therapy  Component of small group
 Group development
 Nurse as group leaders
TREATMENT SETTINGS
Hospital-Based Psychiatric Nursing Care;
The psychiatric hospital in transition;
 inpatient programs
 partial hospital programs
managing the therapeutic milieu
implementing care-giving activities
integrating care delivery
evaluating out-come
TREATMENT SETTINGS
Community Psychiatric Nursing Care;
Public health model
Biological-medical model
System model
Patient-centered model
Nursing role
Home Psychiatric Nursing Care
Rendah
Level Perawatan & Tindakan
Tinggi

MPKP
1
Rumah sakit
jiwal
Frekuensi PICU Biaya
kebutuhan
2 Keswa di RSU CLMHN

3 Tim Kesehatan Jiwa di AC CMHN


(Kabupaten/Kota)
IC CMHN
4 Pelayanan Keswa di Puskesmas
BC CMHN
DSSJ 5 Formal dan Informal di Komunitan diluar sektor
KKJ Kesehatan

SHG
6
Perawatan diri Individu dan Keluarga
UKSJ
Tinggi
Rendah
Kualitas Pelayanan yang dibutuhkan
(Keliat, 1997; Maramis A, 2005; adapted from van Ommeren, 2005)
Terima Kasih

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