Stakeholder Evacuation Communication Model to Increase the Success of Families in Handling Pasung towards Zero Pasung

Abstract

The phenomenon of shackling individuals with mental disorders (ODGJ) is an issue that have remained prevalent on Madura Island, particularly in Kokop District of Bangkalan Regency and Omben District of Sampang Regency. The focus of these interventions is strictly on persuading families to release mentally disordered relatives from physical restraints. Therefore, this study aimed to examine, analyze, and explore shackle evacuation communication model in Kokop and Omben Districts. In order to achieve the stated objectives, this investigation was carried out using a constructivist paradigm and adopted the use of a qualitative multiple case-study approach, including the participation of 32 subjects. The data collection approaches adopted were in-depth interviews, observation, documentation, and audio-visual materials. Accordingly, the data analysis process included various phases such as data reduction, categorization based on field results, and conclusion drawing. It is also essential to state that data validity was ensured through triangulation and member checks. This study found that in evacuating ODGJ shackle at Kokop and Omben, there must be strong intervention from community leaders, religious leaders, mental cadres, village midwives, and local health centers, by inviting stakeholders together to release the pasung. The method is to provide education family on the impact of shackling and a good communication approach to release ODGJ shackle. The incorporated insights are also expected to serve as an educational resource for communities addressing shackling cases and offer valuable guidance for stakeholders, public health center (puskesmas), community leaders, religious leaders, village heads, and mental health cadres across various regions.