Saturday, November 7, 2015

Let's build a mentally healthy generation (7/11)

[7 NOV 2015] SEMINAR SOSIALIASI KESEHATAN JIWA “MENYIAPKAN GENERASI SEHAT JIWA SEJAK DINI” @ RSJ GRHASIA DIY

Observation
  • lack of appreciation shown via a lack of clapping at seminars
  • leaving things behind for others to clear
  • need to have an official opening
  • Only 12 out of 80 in attendance are males
  • It is interesting to see what psychologist Dr. Adiyanti classify as problems and strengths of youths
  • Spirituality is a major component of mental health in Indonesia
  • Definition of “what does it mean to have a mentally healthy generation?”
    • Creating a generation that is not free from all problems but one that can solve their own problems
  • Dr. Ida: Attribution of causes to B.P.S., when do we need to bring the kid to the professional?

#aib = #stigma 
#attributionofcauses 
#discipliningofunreasonbyreason

Dr. Maria Adiyanti What will you prioritise as the issues to resolve for children and youths?
Dr. Astriana Praharani, Sp.A, Child Specialist

Dr. Ida Rochmawati M.Sc. Sp. KJ (K) RSUD Wonosari Gunung Kidul
What do people in the community usually attribute as the causes of mental illnesses?

Aib (stigma / dishonor / disgrace)



KESWAMAS
  • focus on promotion and prevention

Mbak Tyas’s speech:
  • over social media, we have seen cases of cyber-bullying
  • this world we are living in, has many influences 
  • challenges for raising and educating kids

Audience
  • Dinas Kesehatan Kabupaten — healthcare policymakers
  • TK (kindergarten) teachers
  • Healthcare Professionals

Head, RSJ Grhasia
  • “We need to go close to the community, the mental health hospital cannot just stay in the institution. We need to have efforts that focus on promotion and prevention. That’s why KESWAMAS was started.” 

dr. Astriana Praharani, Sp.A, Child Specialist
  • growth stages of children

MENCIPTAKAN GENERASI SEHAT JIWA (CREATING A MENTALLY HEALTHY GENERATION)
Dr. MG. Adiyanti

Just like cooking “nasi goreng,” the taste cooked by different people always come out different. Even though, the ingredients added and climate might be similar. Nurturing kids and youths are not that much different. 

Some problems
  • hooked on to phones
  • depression by loneliness / neglect / bullying
  • child abuse
  • cyber bullying
  • bullying in school
  • lack of aspirations
  • free sex
  • pre-martial sex and closeness
  • heavy smoking
  • glue sniffing (even for kids) and drugs
  • abortions

Some strengths
  • people dedicated to the promotion and participation of arts and culture
  • participation in competititons, bringing glory
  • participation in KKN
  • working to provide for family
  • participation in discussions for academic improvements

The double-lives of youths
  • religiousity — pray 5 times a day
  • but take drugs 5 times a day too
  • and say as long as he don’t get caught, he will continue

What does it mean to have a mentally health generation?
  • A generation that is not only physically healthy, but also psychologically and spiritually 
    • sebagai generasi yang sehat baik fisik, psikis maupun rohani
  • Generation
    • not a generation that is free from all problems
    • but a generation that can solve their own problems by their own means
      • people who can be accepted by their neighbourhood
      • people who do not causes harm to others
      • people who do not hurt themselves

Contribution
  • organic
  • supervision
    • by teachers and parents
  • interpersonal
  • intrapersonal 
  • socioeconomic status

The conditions are different
  • technologically savvy
  • connected generation
  • information-bombarded generation

“It takes a village to raise a child.” — African Proverb, popularised by Hillary Clinton
The village in Yogyakarta, Indonesia consists of:
  • Playgroup (TK)
  • Sessions for kids to read the koran
  • Plays for learn-n-play
  • Scouts
  • Pendidikan Anak Usia Dini - early childhood education programmes
  • Summer camp adventure club

Strategies
  • give kids money to shop but give rules — learn skills of financial planning, budgeting

Kid get bullied but dare not say out of threats.
  • How will parents / teachers resolve this problem?
  • Kids solved their own problem:
    • teacher ask what can you all do?
    • the kids thought and said we can accompany each other
    • safety in company 
Thinking out of the box


Mengenal dan Mengelola Kesehtan Jiwa pada anak dan remaja
Dr. Ida Rochmawati M.Sc. Sp. KJ (K) RSUD Wonosari Gunung Kidul

Problems
  • what does it mean to be “naughty” for kids?
    • could it be attention-deficit disorder? or ADHD instead?
  • Social training — whose role is it? — a prevalent perception of females below males?

Why is it important for us to talk about mental health in Yogyakarta?
  • Berdasarkan hasil Riset Kesehatan Dasar (RISKEDAS) 2007 prosentase gangguan mental emosional mencapai, 11.6% dari sekitar 19 juta penduduk yang berusia 15 tahun ke atas
    • Based on the results of Basic Health Research in 2007 the percentage of mental disorders emotional reach, 11.6% of the approximately 19 million people aged 15 years and over

What are the common mental health conditions?
  • Cemas pada anak (anxiety)
    • usually expressed through physical reactions (inability to relax, always falling sick, headache)
  • affective disturbance — depression
  • gangguan perilaku (disturbed behaviour)
  • eating disorders
    • PICA
    • Anorexia
    • Bulimia
  • elimination disorders
    • Enueresis
  • psychosis

  • Autism
  • Mental retardation

Insomnia (types)
  • broken insomnia — usually depression
  • insomnia alone — usually anxiety
  • insomnia — can sleep but wake up early and can’t return to sleep

Apa penyebab dari gangguan jiwa? (What causes mental disorders?)
  • Biological
  • Psychological
  • Social

Stigma

  • erroneous perceptions from the community
  • it delays help-seeking behaviour
  • because of erroneous attribution of problems — not to BPS

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