caa a22 4500 445344261 CHVBK 20180317142824.0 cr unu---uuuuu 170323e20111101xx s 000 0 eng 10.1007/s00406-011-0238-y doi (NATIONALLICENCE)springer-10.1007/s00406-011-0238-y Treating the untreated: applying a community-based, culturally sensitive psychiatric intervention to confined and physically restrained mentally ill individuals in Bali, Indonesia [Elektronische Daten] [Luh Suryani, Cokorda Lesmana, Niko Tiliopoulos] This study identified, mapped and treated the clinical features of mentally ill people, who had been isolated and restrained by family and community members as a result of a functional failure of the traditional medical, hospital-based mental health model currently practiced in Indonesia. A 10-month epidemiological population survey was carried out in Karangasem regency of Bali, Indonesia. A total of 404,591 individuals were clinically interviewed, of which 895 individuals with mental health problems were identified, with 23 satisfying criteria of physical restraint and confinement. Of the latter, twenty were males; age range was 19-69years, all diagnosed by the researchers with schizophrenia-spectrum disorder (ICD-10 diagnostic criteria). Duration of restraint ranged from 3months to 30years (mean=8.1years, SD=8.3years). Through the application of a holistic intervention model, all patients exhibited a remarkable recovery within 19months of treatment. We conclude that the development of a community-based, culturally sensitive and respectful mental health model can serve as an optimum promoter of positive mental health outcomes. Springer-Verlag, 2011 Community-based psychiatry nationallicence Cultural psychiatry nationallicence Biopsycho-spirit-sociocultural approach nationallicence Schizophrenia nationallicence Suryani Luh Suryani Institute for Mental Health, Denpasar, Indonesia aut Lesmana Cokorda Faculty of Medicine, Udayana University, Denpasar, Indonesia aut Tiliopoulos Niko School of Psychology, The University of Sydney, Brennan MacCallum Building (A18), 2006, Sydney, NSW, Australia aut European Archives of Psychiatry and Clinical Neuroscience Springer-Verlag 261(2011-11-01), 140-144 0940-1334 261<140 2011 261 406 https://doi.org/10.1007/s00406-011-0238-y text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00406-011-0238-y text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Suryani Luh Suryani Institute for Mental Health, Denpasar, Indonesia aut NATIONALLICENCE 700 1- Lesmana Cokorda Faculty of Medicine, Udayana University, Denpasar, Indonesia aut NATIONALLICENCE 700 1- Tiliopoulos Niko School of Psychology, The University of Sydney, Brennan MacCallum Building (A18), 2006, Sydney, NSW, Australia aut NATIONALLICENCE 773 0- European Archives of Psychiatry and Clinical Neuroscience Springer-Verlag 261(2011-11-01), 140-144 0940-1334 261<140 2011 261 406 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer