Increasing ATENSI, "Budhi Dharma" Elderly Center Discusses Mental Health Services with Marzuki Mahdi Hospital Bogor

Budhi Dharma as the Technical Implementation Unit (UPT) of the Ministry of Social Affairs which has a coverage area of ​​16 Provinces in Sumatra and Java and Marzuki Mahdi Hospital as the UPT of the Ministry of Health which has Referral Services throughout Indonesia, both of which have direct services to the elderly. Marzuki Mahdi Hospital specifically serves the elderly with mental health problems, which may be encountered in the social rehabilitation process at Budhi Dharma.

Budhi Dharma has a Social Rehabilitation Assistance Program (ATENSI) which is residential-based, family-based, and community-based. Residential-based elderly come from reports and references from the community and institutions related to various elderly conditions that require urgent and temporary treatment in the center.

"This follows the rules of Law No. 13 of 1998 on the Welfare of the Elderly, that the requirements for the elderly that we serve are 60 years and over, as well as the procedures and service files we prepare with a Handover Report (BAST), and / or with a reference letter from the relevant institution," Massy explained, the Social Worker-Sub Coordinator represented the Head of Budhi Dharma.

“In the process of treating elderly with mental health problems, we really need to collaborate with mental health experts to carry out screening at the beginning of the treatment of elderly as a stage of our social work assessment. So that we can get an overview of the condition of the elderly who can be treated at the center, or have to be in a hospital, so that we are not wrong in carrying out the social rehabilitation stage for the elderly" added Massy.

Iyep Yodiana, Health Extension at Marzuki Mahdi Hospital, said that his party opens services in the hospital for geriatric-specific poly both outpatient and inpatient, while out-of-hospital services are in the form of outreach to the community, so that they are very open to receiving referrals from the Elderly Center if in the initial process and continued to find elderly indicated to have mental health problems.

“After we stay in touch with the Ministry of Social Affairs Office in Sukabumi and Bogor, now we are visiting Budhi Dharma, and along with the ATENSI program at MoSA, one of which is family-based, we also provide services to the community as well as preparing the patient's family after home treatment so that family can receive patients who have recovered again," said I Ketut Sudiatmika, Head of the PKRS and Keswamas Hospital Marzuki Mahdi Hospital.

"We provide services to families with patient family therapy in a group called Self Help Group. This Group able to condition the patient's families as a group, so they support and help each other to reduce their stress in caring for patients after hospital services,'' added Mika.

In the discussion, it was also discussed about the health insurance used by Budhi Dharma and Marzuki Mahdi Hospital in providing health services for the elderly.

Umi Mahampang, a psychologist at Budhi Dharma Bekasi said that the Center has conducted screening with psychological test kits, followed by psychosocial therapy for the elderly, gradually and according to the elderly's condition.

“Our psychological therapy is in the form of the Beck Depression Inventory (BDI), the Elderly Mental Function Test (TFMLU), the Weschler Behavioral Intelligence Scale (WBIS), and the Thematic Apperception Test (TAT), however, we still need further treatment for the elderly in a more serious mental health disorder'' added Umi.

"We want to further improve our knowledge and skills as a health team, we need to increase our capacity in dealing specifically with elderly people with mental health disorders so that we need a more appropriate screening tool and further provision for the Center health teams in handling elderly mental health,” hope Elsa and Iis, Nurse at Budhi Dharma Bekasi Center.

"Dissemination and counseling on mental health management for the elderly can also be synergized in promoting this mental health service program to LKS (Social Welfare Institutions) and elderly families that we provide this service," said Triyatni, Social Instructor of Budhi Dharma Bekasi.