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All Journal INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS)
Amar Akbar
Universitas Bina Sehat PPNI Mojokerto
Health Professions Nursing Public Health Other

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MULTIDIMENSIONAL FAMILY THERAPY FOR YOUNG ADOLESCENT SUBSTANCE ABUSE IN INDONESIAN PRISONERS Amar Akbar; Deni Wahyuningsih
International Journal of Nursing and Midwifery Science (IJNMS) Vol. 9 No. 3 (2025): VOLUME 9 ISSUE 3 DECEMBER 2025
Publisher : Departement Research and Community Engagement Bina Sehat PPNI Institute of Health Science, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29082/IJNMS/2025/Vol9/Iss3/769

Abstract

Research has established the dangers of early onset substance use for young adolescents and its links to a host of developmental problems. Because critical developmental detours can begin or be exacerbated during early adolescence, specialized interventions that target known risk and protective factors in this period are needed. This controlled trial (n=50) provided an experimental test comparing multidimensional  family  therapy  (MDFT)  and  a peer  group  intervention  with  young  teens.  Participants  were clinically referred, were of low income, and were mostly ethnic minority adolescents (average age  13.73 years). Treatments were manual guided, lasted 4 months, and were delivered by community agency therapists in clinical prisioners. Adolescents and parents were assessed at intake, at 6-weeks post-intake, at discharge, and at 3 and 6 months following treatment intake. Latent growth curve modeling analyses demonstrated the superior effectiveness of MDFT over the 6-month follow-up in reducing substance use (effect size: substance use frequency, d=      0.77; substance use problems, d      =0.74), delinquency (d =     0.31), and internalized distress (d =    0.54), and in reducing risk in family, peer, and school domains (d =    0.27, 0.67, and 0.35, respectively) among young adolescents.
ANALYSIS OF THE UTILIZATION OF POSYANDU JIWA IN THE BLOTO PUBLIC HEALTH CENTER AREA IN 2025 Imam Zainuri; Lilik Ma’rifatul Azizah; Amar Akbar; Siti Khotijah
International Journal of Nursing and Midwifery Science (IJNMS) Vol. 9 No. 3 (2025): VOLUME 9 ISSUE 3 DECEMBER 2025
Publisher : Departement Research and Community Engagement Bina Sehat PPNI Institute of Health Science, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29082/IJNMS/2025/Vol9/Iss3/792

Abstract

Mental health is part of the health status that must be achieved at the optimal level. Indicators that can be used include a decrease in psychosocial problems and the incidence of people with mental disorders (ODGJ). A service that plays a fundamental role and directly impacts the community is Posyandu Jiwa. This service is provided by the community, from the community, and for the community. The main service providers at Posyandu are mental health cadres under the guidance and support of health workers at the local Community Health Center. Posyandu Jiwa provides services for people with mental disorders (ODGJ). Services provided include regular health screenings, skills or vocational development, spiritual guidance, Group Activity Therapy (TAK), and family therapy. The purpose of this study was to analyze the utilization of Posyandu Jiwa in the working area of Bloto Health Center in 2025. This type of research is quantitative with a Cross Sectional approach. The sampling technique is total sampling. The research data were obtained from questionnaires on ODGJ knowledge, cadre behavior, family support, and ODGJ motivation. Data analysis using Chi square. There is a relationship between knowledge and the utilization of Posyandu Jiwa in Bloto Health Center in 2025 with a p-value = 0.000 (p <0.05). There is a relationship between cadre behavior and the utilization of Posyandu Jiwa in Bloto Health Center in 2025 with a p-value = 0.001 (p <0.05). There is a relationship between family support and the utilization of Posyandu Jiwa in Bloto Health Center in 2025 with a p-value = 0.001 (p <0.05). There was a correlation between patient motivation and utilization of the Posyandu Jiwa (Mental Health Post) at the Bloto Community Health Center in 2025, with a p-value of 0.002 (p < 0.05). The factor most closely related to Posyandu Jiwa utilization was knowledge, with a p-value of 0.001 (p < 0.05). One effort that needs to be improved to further optimize Posyandu Jiwa utilization is to improve knowledge among cadres, families, and cooperative individuals with mental disorders.
Co-Authors Deni wahyuningsih Imam Zainuri Lilik Ma'rifatul Azizah Siti Khotijah