Home Health Nursing (HHN) as The Alternative Method to Reduce Pasung Cases in Indonesia: A Literature Review

Ratna Suryani Gandana, Auliana Shani Ahsha, Marisa Diah Lestari


Background: Pasung intervention is done by binding the feet of the client onto wood or with chain, constricting them from moving freely. They are jailed in a dark room afterwards and will remain in that room for the remainder of their life. This intervention is not good because it is against human rights and not based on psychiatric diagnoses; in other words, the client might not have mental illness but they are jailed regardless. Objective: To determine a good method to educate the society, prevent this action from recurring in the future, care for and rehabilitate the ones who really have mental illness, and advocate them to the government in order to reduce Pasung cases. Method: We searched for literatures about pasung, hospitalization, HHN, and its implementation on giving the intervention for mental illness clients and their family. After that, we analysed more than 20 literatures to assessed the result. Results: From the literature review, we found that both hospitalization and HHN have strengths and weaknesses for mental illness client treatment. Conclusion: HHN is better than hospitalization to treat mental illness client. By implementing HHN, we can deliver a holistic care approach: promotive, preventive, curative, and rehabilitative for mental illness clients, families, and the society in general. Moreover, HHN enable nurses to advocate client‘s needs to the government in order to reduce pasung cases in Indonesia. 

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