Healthcare in Low-resource Settings (Feb 2023)

A societal adaptation model as a novel approach toward the recovery of people with schizophrenia

  • Retno Lestari,
  • Ah Yusuf,
  • Febri Endra Budi Setyawan,
  • Ahsan Ahsan,
  • Rachmat Hargono

DOI
https://doi.org/10.4081/hls.2023.11208
Journal volume & issue
Vol. 11, no. s1

Abstract

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Introduction: People with severe mental disorders strain those involved, including families, societies, entire communities, and the government, due to decreased productivity. Understanding the roles to be played in caring for such people necessitates a societal adaptation process. Good adaptations boost societal resilience by caring for severe mental disorder sufferers. Therefore, this study aimed to create a societal adaptation model that would increase societal resilience in the care of people with schizophrenia. Design and Methods: An observational analytic approach was applied with 205 society members living in the working area of the Community Integrated Health Center in Malang, East Java, Indonesia. Furthermore, several questionnaires were employed and analyzed using Partial Least Squares–Structural Equation Modeling (PLS-SEM). Results: According to the results, social adaptation was a significant indicator of societal adaptation. It was discovered that coping strategies influenced adaptation (p=0.007), society problem appraisal influenced coping strategies (p=0.000), and social support (p=0.005), while societal adaptation influenced societal resilience (p=0.022). The novelty of this study is that the societal adaptation model increases societal resilience in caring for people with schizophrenia, leading to a more adaptive community by increasing social capital. Conclusions: In conclusion, the adaptation model improves societal resilience by increasing social capital and stigma prevention, thereby promoting participation in the sufferers’ recovery process.

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