Peran Komunikasi Terapeutik Sebagai Upaya Rehabilitasi Kesehatan Mental Berbasis Komunitas

Palupi Nutia; Sri Wahyuningsih

Authors

Palupi Nutia Universitas Trunojoyo Madura
Sri Wahyuningsih Universitas Trunojoyo Madura

Keywords:

Community Nursing., Therapeutic Communication, Mental Health, Rehabilitation, Community Based, ODGJ

Abstract

Background: Mental health remains an important yet often overlooked issue, especially in regions with strong cultural beliefs and stigma such as Sumenep Regency. Many people with mental disorders (ODGJ) have not received proper treatment and are still subjected to physical restraint. To address this issue, the Sumenep Community for People with Mental Disorders (KOPDAS) was established as a community-based initiative that focuses on therapeutic communication and social support in mental health rehabilitation.

Objective: This study aims to identify and analyze the application of therapeutic communication in the rehabilitation process for people with mental disorders carried out by KOPDAS in Sumenep Regency.

Methods: This qualitative research uses a case study approach to explore how therapeutic communication is implemented within KOPDAS activities. Data were collected through in-depth interviews, field observations, and documentation with purposive sampling selected informants consisting of KOPDAS founders, administrators, and active members. Data were analyzed interactively following Miles and Huberman’s model and validated through source and method triangulation.

Results: The findings reveal that KOPDAS applies therapeutic communication through four stages based on Hildegard E. Peplau’s theory: pre-interaction, orientation, working, and termination. Each stage emphasizes empathy, active listening, and building trust between volunteers, patients, and families. This approach has effectively reduced social stigma, encouraged family participation, and accelerated patient recovery. Several patients previously restrained have successfully reintegrated into society and regained their social functions.

Conclusion: Therapeutic communication serves as a key element in community-based mental health rehabilitation. By promoting empathy, collaboration, and sustained engagement between KOPDAS, community health centers, and local authorities, this model demonstrates an effective approach for improving mental health care in resource-limited and culturally sensitive settings.

References

Aisah, S. (2009). Komunikasi antar pribadi pada hubungan antara tenaga medis dan pasien. Jurnal Komunikasi, 6(2), 196–205. https://komunikologi.esaunggul.ac.id/index.php/KM/article/view/90

Astutik, A. R. (2018). Komunikasi Terapeutik Dengan Tingkat Kepuasan Pasien. Skripsi, 1–103.

Collins, S. P., Storrow, A., Liu, D., Jenkins, C. A., Miller, K. F., Kampe, C., & Butler, J. (2021). dikta. 167–186.

Fasya, H., & Supratman, L. P. (2018). Therapeutic Communication of Nurses to Mental Disorder Patient. Jurnal Penelitian Komunikasi, 21(1), 15–28. https://doi.org/10.20422/jpk.v21i1.485

JASMINE, K. (2014). Buku Ajar Komuikasi Terapeutik. In Penambahan Natrium Benzoat Dan Kalium Sorbat (Antiinversi) Dan Kecepatan Pengadukan Sebagai Upaya Penghambatan Reaksi Inversi Pada Nira Tebu.

Peplau, H. E. (1952). Interpersonal Relations in Nursing: A Conceptual Frame of Reference for Psychodynamic Nursing. G. P. Putnam’s Sons. https://archive.org/details/interpersonalrel0000pepl

Sri Kusdiyanty, I., Wisnusakti, K., Jenderal Achmad Yani Cimahi, U., Kunci, K., jiwa, G., & mental, K. (2022). Humantech Jurnal Ilmiah Multi Disiplin Indonesia Tinjauan Literatur Tentang Analisis Pemulihan Kesehatan Mental Pada Masyarakat Di Indonesia. 1(9), 1296–1305.

Subu, M. A., Waluyo, I., Nurdin, A. E., Priscilla, V., & Aprina, T. (2018). Stigma, Stigmatisasi, Perilaku Kekerasan dan Ketakutan diantara Orang dengan Gangguan Jiwa (ODGJ) di Indonesia: Penelitian Constructivist Grounded theory. Jurnal Kedokteran Brawijaya, 30(1), 53–60. https://doi.org/10.21776/ub.jkb.2018.030.01.10

Wahyuningsih, S., Dinda, S., Suminar, J. R., & Setianti, Y. (2019). Komunikasi Terapeutik Tenaga Kesehatan Terhadap Orang Dengan Gangguan Jiwa Pasca Pasung(Studi Kasus Komunikasi Terapeutik Odgj Pasca Pasung). Jurnal Keperawatan Jiwa, 7(1), 47. https://doi.org/10.26714/jkj.7.1.2019.47-60

Wijaya, L. N., Syarah, M. M., & Santoso, A. B. (2023). Proses Komunikasi Terapeutik Dalam Upaya Penyembuhan PasienGangguanJiwa di Yayasan Al Fajar Berseri. Jurnal Ilmu Komunikasi, 2(3), 299–307.