Reimagining mental health care: The role of community support for persons with mental disorders in Indonesia

Abstract

This study examines the role of community-based support for Persons with Mental Disorders (PWMDs) in Bandung Regency and West Bandung Regency, Indonesia. Through a qualitative approach, the research explores the experiences of six community-based caregivers, highlighting their strategies for fulfilling PWMDs’ basic needs and the challenges they encounter. Data were collected through in-depth interviews, field observations, and documentation, with thematic analysis revealing critical themes such as caregiving burdens, communication barriers, and societal stigma. Findings indicate that caregivers experience emotional and physical exhaustion due to the complex nature of their responsibilities. Many struggle with PWMDs’ dependency on daily tasks and encounter significant challenges in ensuring medication adherence, hygiene maintenance, and social reintegration. The study also uncovers the profound impact of stigma, which not only isolates PWMDs but also discourages caregivers from seeking external support. Despite these challenges, caregivers remain dedicated, often driven by personal commitment and moral obligation. This research emphasizes the need for structured interventions to support caregivers, improve mental health policies, and foster inclusive community environments. Recommendations include increased government investment in mental health resources, caregiver training programs, and public awareness campaigns to reduce stigma. The study highlights the importance of integrating mental health services into primary healthcare systems to ensure accessible and sustainable care. Overall, this study contributes to the growing discourse on community-based mental health support, offering insights that can inform policy development and social initiatives to enhance the well-being of PWMDs in Indonesia.