Exploring the potential use of patient and public involvement to strengthen Indonesian mental health care for people with psychosis: a qualitative exploration of the views of service users and carers

Article


Susanti, H., James, K., Utomo, B., Keliat, B., Lovell, K., Irmansyah, I., Rose, D., Colucci, E. and Brooks, H. 2020. Exploring the potential use of patient and public involvement to strengthen Indonesian mental health care for people with psychosis: a qualitative exploration of the views of service users and carers. Health Expectations. 23 (2), pp. 377-387. https://doi.org/10.1111/hex.13007
TypeArticle
TitleExploring the potential use of patient and public involvement to strengthen Indonesian mental health care for people with psychosis: a qualitative exploration of the views of service users and carers
AuthorsSusanti, H., James, K., Utomo, B., Keliat, B., Lovell, K., Irmansyah, I., Rose, D., Colucci, E. and Brooks, H.
Abstract

Background
Patient and public involvement (PPI) has the potential to strengthen mental health systems in Indonesia and improve care for people living with psychosis. Current evidence from other parts of the world demonstrates the need to understand the contexts in which PPI is to be enacted to ensure optimal implementation.
Objective
To understand service users’ and carers’ views on the current use and potential applicability of PPI within Indonesian mental health services.
Design
Qualitative study incorporating focus groups analysed using thematic analysis.
Setting and participants
Participants included 22 service users and 21 carers recruited from two study sites in Indonesia (Jakarta and Bogor). All participants had experience of psychosis either as a service user or carer.
Results
Despite the value attributed to PPI in relation to improving services and promoting recovery, current use of such activities in Indonesian mental health services was limited. Participants expressed a desire for greater levels of involvement and more holistic care but felt community organizations were best placed to deliver this because PPI was considered more congruent with the ethos of third‐sector organizations. Additional barriers to PPI included stigma and low levels of mental health literacy in both health services and communities.
Discussion and conclusion
Participants felt that there was potential value in the use of PPI within Indonesian mental health services with careful consideration of individual contexts. Future aspirations of involvement enactment should ensure a central design and delivery role for third‐sector organizations. Facilitators to global collaborative research in the context of the current study are also discussed.

Keywordshealth services; Indonesia; mental health; patient and public involvement; qualitative research; shared decision making; United Kingdom
LanguageEnglish
PublisherWiley
JournalHealth Expectations
ISSN1369-6513
Electronic1369-7625
Publication dates
Online28 Nov 2019
Print30 Mar 2020
Publication process dates
Deposited09 Dec 2019
Accepted12 Nov 2019
Output statusPublished
Publisher's version
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Copyright Statement

© 2019 The Authors Health Expectations published by John Wiley & Sons Ltd
This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

Digital Object Identifier (DOI)https://doi.org/10.1111/hex.13007
Web of Science identifierWOS:000499136600001
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