GARUDA JIWA (Gerakan Advokasi dan Rehabilitasi Usaha Pemberdayaan ODGJ): Pementasan Seni Budaya untuk Menurunkan Stigma Publik pada ODGJ di Komunitas
DOI:
https://doi.org/10.37287/jpm.v8i1.1092Keywords:
orang dengan gangguan jiwa, skizofrenia, stigma, terapi musikAbstract
Stigma publik terhadap orang dengan gangguan jiwa (ODGJ), khususnya skizofrenia dan gangguan mental berat, menjadi hambatan utama dalam pemulihan berbasis komunitas karena tingginya diskriminasi, dan rendahnya dukungan sosial. Program GARUDA JIWA (Gerakan Advokasi dan Rehabilitasi Usaha Pemberdayaan ODGJ) bertujuan untuk memberdayakan ODGJ melalui intervensi komunitas adaptif berbasis budaya guna menurunkan stigma dan meningkatkan keterlibatan sosial ODGJ. Program ini dilaksanakan di wilayah kerja Dinas Kesehatan Kabupaten Bondowoso dengan pendekatan community-based empowerment dan multilevel stigma intervention. Program melibatkan 12 ODGJ sebagai peserta pelatihan dan masyarakat/stakeholder sebagai audiens pementasan. Intervensi dilaksanakan melalui empat tahapan: persiapan meliputi koordinasi dengan Dinas Kesehatan Kabupaten Bondowoso dan mitra, pelatihan gamelan (12 kali pertemuan), pementasan publik dan sosialisasi (2 kali pertemuan). Evaluasi melalui kuisioner stigma kepada keluarga ODGJ, stakeholder dan masyarakat umum. Luaran program dideskripsikan berdasarkan (1) respon ODGJ terkait pengalaman tampil, kenyamanan, dukungan sosial, dan peningkatan rasa percaya diri; serta (2) stigma publik audiens yang diukur menggunakan Attribution Questionnaire-9 (AQ-9). Jumlah audiens yang berpartisipasi dalam evaluasi mencapai 65 orang dengan rerata usia 24,46±9,22 tahun dan mayoritas perempuan (86,15%). Skor stigma publik AQ-9 menunjukkan rerata 42,80±6,60 (rentang 29–59), dengan pola domain yang menonjol pada respons afektif (kemarahan/ketakutan) dan kecenderungan tindakan koersif, sementara dukungan segregasi relatif rendah.
References
Adil, M., Atiq, I., & Ellahi, A. (2022). Stigmatization of schizophrenic individuals and its correlation to the fear of violent offence. Should we be concerned? Annals of Medicine & Surgery, 82. https://doi.org/10.1016/j.amsu.2022.104666
Amsalem, D., Markowitz, J. C., Jankowski, S. E., Yang, L. H., Valeri, L., Lieff, S. A., Neria, Y., & Dixon, L. B. (2021). Sustained Effect of a Brief Video in Reducing Public Stigma Toward Individuals With Psychosis: A Randomized Controlled Trial of Young Adults. American Journal of Psychiatry, 178(7), 635–642. https://doi.org/10.1176/appi.ajp.2020.20091293
Amsalem, D., Valeri, L., Jankowski, S. E., Yang, L. H., Bello, I., Nossel, I., Malinovsky, I., Smith, S., Ngo, H., Lieff, S. A., Pagdon, S., Lipp, A., Markowitz, J. C., Neria, Y., & Dixon, L. B. (2022). Reducing public stigma toward individuals with psychosis across race and gender: A randomized controlled trial of young adults. Schizophrenia Research, 243, 195–202. https://doi.org/10.1016/j.schres.2022.03.011
Aragonés‐Calleja, M., & Sánchez‐Martínez, V. (2024). Evidence synthesis on coercion in mental health: An umbrella review. International Journal of Mental Health Nursing, 33(2), 259–280. https://doi.org/10.1111/inm.13248
Bachtiar, A., Windarwati, H. D., Keliat, B. A., Ismail, R. I., Ati, N. A. L., Sulaksono, A. D., & Ilmy, S. K. (2020). The fight against stigma: Multilevel stigma interventions in schizophrenipatients. Journal of Public Health Research, 9(4), 417–422. https://doi.org/10.4081/jphr.2020.1883
Corrigan, P. (2008). TOOLKIT for Evaluating Programs Meant to Erase the Stigma of Mental Illness.
Corrigan, P. W., Powell, K. J., & Michaels, P. J. (2014). Brief battery for measurement of stigmatizing versus affirming attitudes about mental illness. Psychiatry Research, 215(2), 466–470. https://doi.org/10.1016/j.psychres.2013.12.006
Crockett, M. A., Núñez, D., Martínez, P., Borghero, F., Campos, S., Langer, Á. I., Carrasco, J., & Martínez, V. (2025). Interventions to Reduce Mental Health Stigma in Young People. JAMA Network Open, 8(1), e2454730. https://doi.org/10.1001/jamanetworkopen.2024.54730
Gaiha, S. M., Salisbury, T. T., Usmani, S., Koschorke, M., Raman, U., & Petticrew, M. (2021). Effectiveness of arts interventions to reduce mental-health-related stigma among youth: a systematic review and meta-analysis. BMC Psychiatry, 21(1), 364. https://doi.org/10.1186/s12888-021-03350-8
Geretsegger, M., Ka, M., Bieleninik, Ł., Xj, C., To, H., Gold, C., Geretsegger, M., Ka, M., Bieleninik, Ł., Xj, C., To, H., & Gold, C. (2017). Music therapy for people with schizophrenia and schizophrenia-like disorders (Review). Cochrane Database of Systematic Reviews, 5. https://doi.org/10.1002/14651858.CD004025.pub4.www.cochranelibrary.com
Iswanti, D. I., Nursalam, N., Hons, M., Fitryasari, R., Sar, R., Moh, I. M., & Saifudin, Y. (2024). Effectiveness of an Integrative Empowerment Intervention for Families on Caring and Prevention of Relapse in Schizophrenia Patients. SAGE Open Nursing, 10(46), 1–13. https://doi.org/10.1177/23779608241231000
Kågström, A., Guerrero, Z., Aliev, A. A., Tomášková, H., Rüsch, N., Ouali, U., Thornicroft, G., Sartorius, N., & Winkler, P. (2025). Mental health stigma and its consequences: a systematic scoping review of pathways to discrimination and adverse outcomes. EClinicalMedicine, 89, 103588. https://doi.org/10.1016/j.eclinm.2025.103588
Kemenkes RI. (2023). Survei Kesehatan Indonesia (SKI) Tahun 2023. In Badan Kebijakan Pembangunan Kesehatan.
Laursen, T. M., Nordentoft, M., & Mortensen, P. B. (2014). Excess early mortality in schizophrenia. Annual Review of Clinical Psychology, 10, 425–448. https://doi.org/10.1146/annurev-clinpsy-032813-153657
Makhmud, A., Thornicroft, G., & Gronholm, P. C. (2022). Indirect social contact interventions to reduce mental health-related stigma in low- and middle-income countries: systematic review. Epidemiology and Psychiatric Sciences, 31, e79. https://doi.org/10.1017/S2045796022000622
Michalak, E. E., Livingston, J. D., Maxwell, V., Hole, R., Hawke, L. D., & Parikh, S. V. (2014). Using theatre to address mental illness stigma: a knowledge translation study in bipolar disorder. International Journal of Bipolar Disorders, 2(1), 1. https://doi.org/10.1186/2194-7511-2-1
Morgan, A. J., Reavley, N. J., Ross, A., Too, L. S., & Jorm, A. F. (2018). Interventions to reduce stigma towards people with severe mental illness: Systematic review and meta-analysis. Journal of Psychiatric Research, 103, 120–133. https://doi.org/10.1016/j.jpsychires.2018.05.017
Subu, M. A., Wati, D. F., Netrida, N., Priscilla, V., Dias, J. M., Abraham, M. S., Slewa-Younan, S., & Al-Yateem, N. (2021). Types of stigma experienced by patients with mental illness and mental health nurses in Indonesia: a qualitative content analysis. International Journal of Mental Health Systems, 15(1), 77. https://doi.org/10.1186/s13033-021-00502-x
Waqas, A., Malik, S., Fida, A., Abbas, N., Mian, N., Miryala, S., Amray, A. N., Shah, Z., & Naveed, S. (2020). Interventions to Reduce Stigma Related to Mental Illnesses in Educational Institutes: a Systematic Review. Psychiatric Quarterly, 91(3), 887–903. https://doi.org/10.1007/s11126-020-09751-4
WHO. (2025). Schizophrenia. Fact and Sheets.
Windarwati, H. D., Susanti, H., Brooks, H., Wardani, I. Y., Hasniah, Raya, M., Ati, N. A. L., & Sari, H. (2023). Lay community mental health workers (cadres) in Indonesian health services: A qualitative exploration of the views of people with mental health problems and their families. PLOS ONE, 18(11), e0289943. https://doi.org/10.1371/journal.pone.0289943
Yang, Y.-Y., Wang, C., Cai, J., Mu, Y.-F., Zhou, L., Wang, Y.-Z., Zhang, T.-M., Zhao, X.-Y., Li, M., Luo, W., Luo, J.-J., IreneWong, Y.-L., Yang, L. H., Ng, S.-M., & Ran, M.-S. (2025). Mental illness-related stigma and its associated factors among primary health care professionals in rural China. Frontiers in Psychiatry, 16. https://doi.org/10.3389/fpsyt.2025.1519527
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Copyright (c) 2026 Niken Asih Laras Ati, Rany Agustin Wulandari, Igam Arya Wada, Ananda Salma Laudza Suwignyo, Tegar Raffi Putra Jumantoro, Zidan Maulya Dinata, Heni Dwi Windarwati, Nining Werdiyani
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