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Investigating the experiences of family caregivers who shackle people with mental disorders
The mental health literacy gap has resulted in the shackling of people with
mental illness by family caregivers. Although shackling violates human rights and
impacts physical and psychological health, it still occurs in some countries, such
as Indonesia. An in-depth study using the family function approach is needed to
distinguish the components behind the application of shackling by families to find
solutions to prevent shackling. Thus, this study aims to identify family functions in
people with mental disorder (PWMD) care and to create a family care model for
PWMD in accordance with the family function approach and recommendations
for preventing shackling. This qualitative research used a phenomenological
approach, involving eight participants who are family caregivers and live with
their patients. Triangulation was conducted by applying interviews with four
health cadres to confirm previous information. The process of in-depth interviews
and observational data collection methods was carried out until reaching data
saturation. The data analysis process used Collaizi’s pattern to formulate three
main themes, namely confinement as the final solution for the family, the specifics
of confinement, and the family’s purpose for confinement. The conclusion is
that shackling occurs due to a lack of understanding of the impact of shackling
and the various limitations experienced, so shackling becomes the last resort
when dealing with patients. Peer support is very important for families to prevent
the confinement of mentally ill family members. Technological advances are
an inherent need in everyday life and must support family caregivers with
mental disorders
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