Improving Community Mental Health through Early Detection and Psychological First Aid (PFA) Training for Prospective Mental Health Cadres at Dlingo II Health Center

Authors

DOI:

https://doi.org/10.22373/fjpa.v4i1.895

Keywords:

Mental Health, Community Psychology, Early Detection, Psychological First Aid, Cadre Training

Abstract

Mental health is a crucial component of overall well-being, yet it remains an overlooked aspect of community health in Indonesia. This study aimed to improve community mental health by providing training on early detection of mental disorders and Psychological First Aid (PFA) for prospective mental health cadres at the Dlingo II Community Health Center, Bantul Regency, Yogyakarta. Using a quasi-experimental design with a pretest-posttest approach, the intervention involved psychoeducation, practical workshops, and role-play sessions on mental health literacy, early detection using the Self-Reporting Questionnaire (SRQ-20) and SIJIWA application, and basic psychological first aid skills. Data was collected from 29 participants and analyzed using paired sample t-tests. Results showed a significant increase in cadres’ knowledge and skills after the intervention (p < 0.05). Qualitative feedback indicated improved confidence and readiness to support community members experiencing psychological distress. The study concludes that early detection and PFA training can effectively empower community health cadres to play an active role in mental health promotion and prevention. Further integration of structured cadre programs within primary care systems is recommended to enhance sustainability.

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References

Amiyati Hasan, L., Pratiwi, A., & Sari, R. P. (2020). Pengaruh Pelatihan Kader Kesehatan Jiwa dalam Peningkatan Pengetahuan, Keterampilan, Sikap, Persepsi dan Self Efficacy Kader Kesehatan Jiwa dalam Merawat Orang dengan Gangguan Jiwa. Jurnal Health Sains, 1(6), 377–384. https://doi.org/10.46799/jhs.v1i6.67

Ardika, N. A., & Prasetyo, R. (2025). Pelatihan Deteksi Dini Gangguan Jiwa Pada Kader Kesehatan Jiwa di Kelurahan Joyontakan[Early Detection Training for Mental Disorders for Mental Health Cadres in Joyontakan Village]. Indonesia Berdaya, 6(4).

Badan Penelitian dan Pengembangan Kesehatan. (2018). Riset Kesehatan Dasar (Riskesdas). Kementerian Kesehatan RI.

Bahril Hidayat, & Arief, Y. (2025). Integrasi Psychological First Aid (PFA) dalam Pendidikan Indonesia untuk Kesehatan Mental Siswa sebagai Remaja. Journal of Islamic Psychology and Behavioral Sciences, 3(3), 134–148. https://doi.org/10.61994/jipbs.v3i3.1125

Bandura, A. (1997). Self-efficacy: The Exercise of Control. Freeman and Company.

Basrowi, R. W., Wiguna, T., Samah, K., Djuwita F Moeloek, N., Soetrisno, M., Purwanto, S. A., Ekowati, M., Elisabeth, A., Rahadian, A., Ruru, B., & Pelangi, B. (2024). Exploring Mental Health Issues and Priorities in Indonesia Through Qualitative Expert Consensus. Clinical Practice & Epidemiology in Mental Health, 20(1). https://doi.org/10.2174/0117450179331951241022175443

Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(1), 77–101.

Braun, V., & Clarke, V. (2021). Thematic analysis: A practical guide. SAGE.

Corrigan, P. W., & Bink, A. B. (2021). The stigma of mental illness: End of the story? Oxford University Press.

Creswell, J. W., & Creswell, J. D. (2018). Research Design: Qualitative, Quantitative, and Mixed Methods Approaches. Sage.

Darusman, Mhd. R., Hidayati, D. S., & Maharani, F. D. (2025). Group Self-Control Therapy as a Social Rehabilitation Model to Reduce Online Gaming Duration among Adolescents. Fathana, 3(2), 66–75. https://doi.org/10.22373/fjpa.v3i2.868

Dewi, K. S. (2022). Mengenali Perbedaan Masalah Kejiwaan & Gangguan Kejiwaan. Hermina Hospital. https://herminahospitals.com/id/articles/mengenali-perbedaan-masalah-kejiwaan-gangguan-kejiwaan

Docrat, S., Besada, D., Cleary, S., Daviaud, E., & Lund, C. (2019). Mental health system costs, resources and constraints in South Africa: a national survey. Health Policy and Planning, 34(9), 706–719. https://doi.org/10.1093/heapol/czz085

Etikan, I. (2016). Comparison of Convenience Sampling and Purposive Sampling. American Journal of Theoretical and Applied Statistics, 5(1), 1. https://doi.org/10.11648/j.ajtas.20160501.11

Field, A. (2018). Discovering statistics using IBM SPSS statistics (5th ed.). SAGE.

Freire, P. (1970). Pedagogy of the oppressed. Herder and Herder.

Gautam, S., Jain, A., Chaudhary, J., Gautam, M., Gaur, M., & Grover, S. (2024). Concept of mental health and mental well-being, it’s determinants and coping strategies. Indian Journal of Psychiatry, 66(Suppl 2), S231–S244. https://doi.org/10.4103/indianjpsychiatry.indianjpsychiatry_707_23

Government of Indonesia. (2014). Law No. 18 of 2014 concerning Mental Health (Undang-Undang Nomor 18 Tahun 2014 tentang Kesehatan Jiwa). State Secretariat of the Republic of Indonesia. https://peraturan.bpk.go.id/Details/38646/uu-no-18-tahun-2014

Hasan, L. A., Pratiwi, A., & Sari, R. P. (2020). The effect of mental health cadre training on knowledge and skills in managing mental disorders. Jurnal Health Sains, 1(6).

Henderson, C., Evans-Lacko, S., & Thornicroft, G. (2013). Mental Illness Stigma, Help Seeking, and Public Health Programs. American Journal of Public Health, 103(5), 777–780. https://doi.org/10.2105/AJPH.2012.301056

Hidayat, M. T., Oster, C., Muir-Cochrane, E., & Lawn, S. (2023). Indonesia free from pasung: a policy analysis. International Journal of Mental Health Systems, 17(1), 12. https://doi.org/10.1186/s13033-023-00579-6

Idrus, N. I., Rakhmat, H., & Prasetyo, A. (2021). Culture, stigma, and help-seeking for mental illness in Indonesia: A qualitative review. Indonesian Journal of Psychiatry, 32(2).

Indrawati, P. A., Sulistiowati, N. M. D., & Nurhestim P. O. Y. (2019). he effect of mental health training on cadre perceptions in caring for people with mental disorders. Jurnal Keperawatan Jiwa, 6(2).

Kaligis, Y. A., & Wardaningsih, S. (2023). Increasing Care for Patients with Mental Disorders Thought Community Empowerment: A Literature Review. Jurnal Aisyah : Jurnal Ilmu Kesehatan, 8(2). https://doi.org/10.30604/jika.v8i2.1831

Keliat, B. A., & Hamid, A. Y. S. (2019). Asuhan Keperawatan Jiwa. EGC. https://scholar.ui.ac.id/en/publications/asuhan-keperawatan-jiwa

Keliat, B. A., Hamid, A. Y. S., & Wardani, I. Y. (2019). Community mental health nursing: Strengthening mental health promotion and prevention. EGC.

Keliat, B. A., Hamid, A. Y. S., & Wardani, I. Y. (2022). Penguatan peran kader kesehatan jiwa dalam pelayanan kesehatan jiwa masyarakat. EGC.

Khalid, A. F., George, M. A., Eggen, C., Sritharan, A., Wali, F., & Viens, A. M. (2023). Using Simulation-Based Experiential Learning to Increase Students’ Ability to Analyze Increasingly Complex Global Health Challenges: A Mixed Methods Study. In ResearchGate. https://doi.org/10.1101/2023.12.19.23300262

Knowles, M. S., Holton, E. F., & Swanson, R. A. (2015). The adult learner: The definitive classic in adult education and human resource development (8th ed.). Routledge.

Koenig, H. G. (n.d.). Religion and mental health: Research and clinical applications. Academic Press.

Koentjaraningrat. (1985). Javanese culture. Oxford University Press.

Kolb, D. A. (1984). xperiential learning: Experience as the source of learning and development. Prentice-Hall.

Laverack, G. (2019). Public health: Power, empowerment and professional practice ((3rd ed.)). Palgrave Macmillan.

Ministry of Health Republic of Indonesia. (2021). Pedoman penggunaan aplikasi SIJIWA untuk deteksi dini gangguan jiwa di masyarakat. Kemenkes RI.

Ministry of Health Republic of Indonesia. (2023). Indonesia health profile 2023. Kementerian Kesehatan RI.

Muhammad, N. (2024). Yogyakarta Has the Highest Rate of Schizophrenia Nationally. Katadata Media Network.

https://databoks.katadata.co.id/en/consumer-services/statistics/6697988258513/yogyakarta-has-the-highest-rate-of-schizophrenia-nationally

Muluk, H., & Sumaryono, F. (2020). Community harmony and social relations in Javanese culture: Implications for psychosocial intervention. Culture and Psychology, 26(3).

Munira, L., Liamputtong, P., & Viwattanakulvanid, P. (2023). Barriers and facilitators to access mental health services among people with mental disorders in Indonesia: A qualitative study. Belitung Nursing Journal, 9(2), 110–117. https://doi.org/10.33546/bnj.2521

Nagel, D. A., Penner, J. L., Halas, G., Philip, M. T., & Cooke, C. A. (2024). Exploring experiential learning within interprofessional practice education initiatives for pre-licensure healthcare students: a scoping review. BMC Medical Education, 24(1), 139. https://doi.org/10.1186/s12909-024-05114-w

Nasir, M. A., & Cerver, M. C. (2022). Spirituality and holistic well-being in Muslim mental health: Integrating cultural and biomedical paradigms. Journal of Muslim Mental Health, 16(1).

Nevid, J. S., Rathus, S. A., & Greene, B. S. (2014). Abnormal Psychology in a Changing World (9th ed.). Pearson Education, Inc.

News Desk. (2024). Ministry aims to expand mental health services in Puskesmas. The Jakarta Post. https://www.thejakartapost.com/indonesia/2024/12/15/ministry-aims-to-expand-mental-health-services-in-puskesmas.html

Patel, V., Saxena, S., Lund, C., Thornicroft, G., Baingana, F., Bolton, P., Chisholm, D., Collins, P. Y., Cooper, J. L., Eaton, J., Herrman, H., Herzallah, M. M., Huang, Y., Jordans, M. J. D., Kleinman, A., Medina-Mora, M. E., Morgan, E., Niaz, U., Omigbodun, O., … UnÜtzer, Jü. (2018). The Lancet Commission on global mental health and sustainable development. The Lancet, 392(10157), 1553–1598. https://doi.org/10.1016/S0140-6736(18)31612-X

Prasetio, C. E., Triwahyuni, A., & Prathama, A. G. (2022). Psychometric Properties of Self-Report Questionnaire-20 (SRQ-20) Indonesian Version. Jurnal Psikologi, 49(1), 69. https://doi.org/10.22146/jpsi.69782

Rahman, A., Hamdani, S. U., Awan, N. R., Bryant, R. A., Dawson, K. S., Khan, M. F., Azeemi, M. M.-H., Akhtar, P., Nazir, H., Chiumento, A., Sijbrandij, M., Wang, D., Farooq, S., & van Ommeren, M. (2016). Effect of a Multicomponent Behavioral Intervention in Adults Impaired by Psychological Distress in a Conflict-Affected Area of Pakistan. JAMA, 316(24), 2609. https://doi.org/10.1001/jama.2016.17165

Sibbald, G. G., Ananta, A., Dartanto, T., & Widyawati, D. (2025). Mental health and social exclusion in Indonesia: A public health perspective. Journal of Public Health Research, 14(4). https://doi.org/10.1177/22799036251380782

Subandi, M. A. (2011). Religious approaches to mental health and healing in Indonesia. Mental Health, Religion & Culture, 14(8).

Susanti, H., Brooks, H., Yulia, I., Windarwati, H. D., Yuliastuti, E., Hasniah, H., & Keliat, B. A. (2024). An exploration of the Indonesian lay mental health workers’ (cadres) experiences in performing their roles in community mental health services: a qualitative study. International Journal of Mental Health Systems, 18(1), 3. https://doi.org/10.1186/s13033-024-00622-0

Susmiatin, E. (2021). Peningkatan literasi kesehatan jiwa kader kesehatan di Kabupaten Sumbawa. Jurnal Pengabdian Masyarakat Indonesia, 3(1).

Syahputra, A., Saragih, L., & Pardede, D. W. (2022). Hubungan Mutu Pelayanan Dengan Minat Kunjungan Ulang Pasien Rawat Jalan Poli Penyakit Dalam Di Rumah Sakit Grandmed Lubuk Pakam. Jurnal Kesmas Dan Gizi, 4(1).

The jamovi project. (2023). Jamovi (Version 2.3) [Computer software]. https://www.jamovi.org

Tumbelaka, P., Limato, R., Nasir, S., Syafruddin, D., Ormel, H., & Ahmed, R. (2018). Analysis of Indonesia’s community health volunteers (kader) as maternal health promoters in the community integrated health service (Posyandu) following health promotion training. International Journal Of Community Medicine And Public Health, 5(3), 856. https://doi.org/10.18203/2394-6040.ijcmph20180462

Vaishnav, M., Javed, A., Gupta, S., Kumar, V., Vaishnav, P., Kumar, A., Salih, H., levounis, P., NG, B., Alkhoori, S., Luguercho, C., Soghoyan, A., Moore, E., Lakra, V., Aigner, M., Wancata, J., Ismayilova, J., Islam, Md. A., Da Silva, A. G., … Ashurov, Z. (2023). Stigma towards mental illness in Asian nations and low-and-middle-income countries, and comparison with high-income countries: A literature review and practice implications. Indian Journal of Psychiatry, 65(10), 995–1011. https://doi.org/10.4103/indianjpsychiatry.indianjpsychiatry_667_23

Widiasih, R., Rahmawati, I., & Sutini, T. (2020). Adaptation and validation of the Self-Reporting Questionnaire (SRQ-20) for screening common mental disorders in Indonesian primary health care. Indonesian Nursing Journal of Education and Clinic, 5(2), 90–99.

World Health Organization. (1994). User’s guide to the Self-Reporting Questionnaire. WHO.

World Health Organization. (2020). International Statistical Classification of Diseases and Related Health Problems (11th ed).

World Health Organization. (2021). Mental Health Gap Action Programme (mhGAP): Operations manual for the mhGAP intervention guide (version 2.0). WHO.

World Health Organization. (2022). WHO Guidance on Research Methods for Health Emergency and Disaster Risk Management (Health EDRM). World Health Organization.

World Health Organization, War Trauma Foundation, & World Vision International. (2011). Psychological first aid: Guide for field workers. WHO Press.

Yang, B. X., Stone, T. E., & Davis, S. A. (2018). The effect of a community mental health training program for multidisciplinary staff. Archives of Psychiatric Nursing, 32(3), 413–417. https://doi.org/10.1016/j.apnu.2017.12.007

Zaini, M., Komaruddin, & Abdurrahman, G. (2023). Digital Based Early Detection of Mental Health in Mental Health Alert Village. Indonesian Journal of Global Health Research, 5(4).

Zimmerman, M. A. (2000). Empowerment Theory. In Handbook of Community Psychology (pp. 43–63). Springer US. https://doi.org/10.1007/978-1-4615-4193-6_2

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Published

2026-01-30

How to Cite

Ariska, I. G., & Hariyanto, S. V. (2026). Improving Community Mental Health through Early Detection and Psychological First Aid (PFA) Training for Prospective Mental Health Cadres at Dlingo II Health Center. Fathana, 4(1), 1-14. https://doi.org/10.22373/fjpa.v4i1.895