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KATA PENGANTAR Puji syukur kami panjatkan kehadirat Tuhan Yang Maha Esa, karena atas berkat dan rahmatNYA sehingga “Modul Terapi Keperawatan Jiwa” ini bisa diselesaikan. Modul ini merupakan hasil dari pengembangan dari modul terdahulu yang telah dikembangkan dan digunakan dalam penelitian sebelumnya...

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KATA PENGANTAR

Puji syukur kami panjatkan kehadirat Tuhan Yang Maha Esa, karena atas berkat dan rahmatNYA sehingga “Modul Terapi Keperawatan Jiwa” ini bisa diselesaikan. Modul ini merupakan hasil dari pengembangan dari modul terdahulu yang telah dikembangkan dan digunakan dalam penelitian sebelumnya kemudian disusun. Modul terapi keperawatan jiwa ini berisi terapi individu, terapi kelompok dan terapi keluarga. Modul ini tidak hanya berisi strategi pelaksanaan dari terapi keperawatan jiwa tetapi juga dilengkapi dengan konsep yang mendasari dari terapi keperawatan tersebut dan juga dilengkapi dengan sumber riset yang berkaitan. Modul terapi keperawatan jiwa ini disusun dengan tata letak dan cetak yang menarik sehingga mahasiswa Keperawatan Jiwa Lanjut I & II, mahasiswa Aplikasi I dan III serta mahasiswa Residensi I s/d III mudah menggunakankannya. Harapan kami Modul ini dapat membantu mahasiswa program magister, spesialis keperawatan jiwa dalam memahami terapi keperawatan jiwa Modul ini masih akan terus dikembangkan untuk disempurnakan dalam upaya pelaksanaan terapi individu, terapi kelompok maupun terapi keluarga sehingga diharapkan masukan dan saran-saran dalam pengembangan selanjutnya. Semoga penyusunan modul ini memberikan manfaat bagi pengembangan dan pelaksanaan keperawatan jiwa di rumah sakit maupun di masyarakat utamanya. Depok,

Agustus 2015

Tim Penyusun

Workshop Keperawatan Jiwa ke-IX, Depok. 25 Agustus 2015 Program Studi Ners Spesialis I Keperawatan Jiwa Fakultas Ilmu Keperawatan Universitas Indonesia

DAFTAR ISI KATA PENGANTAR DAFTAR ISI TERAPI INDIVIDU 1. Modul Cognitive Therapy (CT) ...................................................... BAB 1 : Pendahuluan ..................................................................... BAB 2 : Pelaksanaan Terapi Kognitif ........................................... Sesi 1 .................................................................................................. Sesi 2 ................................................................................................. Sesi 3 .................................................................................................. Sesi 4 ................................................................................................. Sesi 5 ................................................................................................. BAB 3 : Penutup ..............................................................................

1 2 5 5 10 16 19 23 29

2.

Modul Behaviour Therapy (BT) : Token Ekonomi ...................... BAB 1 : Pendahuluan ...................................................................... BAB 2 : Konsep dasar BT : Token Ekonomi ................................ BAB 3 : Pelaksanaan BT : Token Ekonomi .................................. BAB 4 : Petunjuk Pelaksanaan BT : Token Ekonomi ................. Sesi 1 ................................................................................................. Sesi 2 ................................................................................................. Sesi 3 ................................................................................................. Sesi 4 .................................................................................................

33 34 36 38 40 40 41 43 44

3.

Modul Behaviour Therapy (BT) : Modelling Partisipan ............... BAB 1 : Pendahuluan ...................................................................... BAB 2 : Pelaksanaan ....................................................................... Sesi 1 ................................................................................................. Sesi 2 ................................................................................................. Sesi 3 ................................................................................................. Sesi 4 .................................................................................................

46 47 49 49 51 53 54

4.

Modul Cognitive Behavioral Therapy (CBT) ................................. BAB 1 : Pendahuluan ...................................................................... BAB 2 : Pelaksanaan CBT .............................................................. Sesi 1 ................................................................................................. Sesi 2 ................................................................................................. Sesi 3 ................................................................................................. Sesi 4 ................................................................................................. Sesi 5 ................................................................................................. BAB 3 : Penutup ..............................................................................

58 59 66 67 73 76 81 85 91

5.

Modul Rational Emotive Behaviour Therapy (REBT) .................. 96 BAB 1 : Pendahuluan ...................................................................... 97 BAB 2 : Pedoman REBT pada Klien RPK ................................... 101

Workshop Keperawatan Jiwa ke-IX, Depok. 25 Agustus 2015 Program Studi Ners Spesialis I Keperawatan Jiwa Fakultas Ilmu Keperawatan Universitas Indonesia

BAB 3 : Pedoman Pelaksanaan REBT .......................................... Sesi 1 ................................................................................................. Sesi 2 ................................................................................................. Sesi 3 ................................................................................................. Sesi 4 ................................................................................................. Sesi 5 .................................................................................................

106 106 108 111 114 119

6.

Modul Assertive Training (AT) ...................................................... BAB 1 : Pendahuluan ...................................................................... BAB 2 : Pelaksanaan AT ................................................................ Sesi 1 ................................................................................................. Sesi 2 ................................................................................................. Sesi 3 ................................................................................................. Sesi 4 ................................................................................................. Sesi 5 .................................................................................................

124 125 126 129 132 134 137 137

7.

Modul Social Skills Training (SST) ............................................... BAB 1 : Pendahuluan ...................................................................... BAB 2 : Pedoman Latihan Keterampilan Sosial .......................... BAB 3 : Pelaksanaan latihan Keterampilan Sosial ..................... Sesi 1 ................................................................................................. Sesi 2 ................................................................................................. Sesi 3 ................................................................................................. Sesi 4 ................................................................................................. BAB 4 : Penutup ..............................................................................

145 146 148 156 156 160 165 168 178

8.

Modul Cognitive Behavioral Social Skills Training (CBSST) ...... BAB 1 : Pendahuluan ...................................................................... BAB 2 : Pedoman Pelaksanaan CBSST ........................................ BAB 3 : Pelaksanaan CBSST ......................................................... Sesi 1 ................................................................................................. Sesi 2 ................................................................................................. Sesi 3 ................................................................................................. Sesi 4 ................................................................................................. Sesi 5 ................................................................................................. Sesi 6 ................................................................................................. BAB 4 : Penutup ..............................................................................

180 181 183 190 190 193 197 202 207 213 219

9.

Modul Progressive Muscle Relaxation (PMR) .............................. BAB 1 : Pendahuluan ...................................................................... BAB 2 : Pelaksanaan PMR ............................................................. Sesi 1 ................................................................................................. Sesi 2 ................................................................................................. Sesi 3 ................................................................................................. BAB 3 : Penutup ..............................................................................

222 223 227 228 230 236 240

10. Modul Thought Stopping (TS) ........................................................ 244 BAB 1 : Pendahuluan ...................................................................... 245

Workshop Keperawatan Jiwa ke-IX, Depok. 25 Agustus 2015 Program Studi Ners Spesialis I Keperawatan Jiwa Fakultas Ilmu Keperawatan Universitas Indonesia

BAB 2 : Pedoman Pelaksanaan Terapi TS .................................... BAB 3 : Panduan Terapi TS ........................................................... Sesi 1 ................................................................................................. Sesi 2 ................................................................................................. Sesi 3 .................................................................................................

247 249 249 251 252

11. Modul Acceptance and Commitment Therapy (ACT) ................... BAB 1 : Pendahuluan ...................................................................... BAB 2 : Konsep Dasar ACT ........................................................... BAB 3 : Pedoman Pelaksanaan ACT ............................................. Sesi 1 ................................................................................................. Sesi 2 ................................................................................................. Sesi 3 ................................................................................................. Sesi 4 .................................................................................................

255 256 259 264 264 267 269 272

12. Modul Relapse Prevention Therapy (RPT) .................................... BAB 1 : Pendahuluan ...................................................................... BAB 2 : Pedoman Pelaksanaan ...................................................... BAB 3 : Petunjuk Pelaksanaan RPT ............................................. Sesi 1 ................................................................................................. Sesi 2 ................................................................................................. Sesi 3 pertemuan 1 ............................................................................ Sesi 3 pertemuan 2 ............................................................................ Sesi 4 pertemuan 1 ............................................................................ Sesi 4 pertemuan 2 ............................................................................ Sesi 5 pertemuan 1 ............................................................................ Sesi 5 pertemuan 2 ............................................................................ Sesi 6 .................................................................................................

276 277 282 295 295 301 307 313 317 321 325 327 331

13. Modul Cognitive Behavioral Play Therapy (CBPT) ...................... BAB 1 : Pendahuluan ...................................................................... BAB 2 : Pedoman Pelaksanaan CBPT .......................................... BAB 3 : Pelaksanaan CBPT ........................................................... Sesi 1 ................................................................................................. Sesi 2 ................................................................................................. Sesi 3 ................................................................................................. Sesi 4 ................................................................................................. Sesi 5 ................................................................................................. BAB 4 : Penutup ..............................................................................

336 337 340 344 344 347 349 352 354 358

14. Modul Logoterapi Individu ............................................................ BAB 1 : Pendahuluan ...................................................................... BAB 2 : Pedoman Pelaksanaan Logoterapi .................................. BAB 3 : Aplikasi Logoterapi Individu ........................................... Sesi 1 ................................................................................................. Sesi 2 ................................................................................................. Sesi 3 ................................................................................................. Sesi 4 .................................................................................................

360 361 365 374 374 377 380 383

Workshop Keperawatan Jiwa ke-IX, Depok. 25 Agustus 2015 Program Studi Ners Spesialis I Keperawatan Jiwa Fakultas Ilmu Keperawatan Universitas Indonesia

15. Modul Logoterapi Kelompok : Paradoxical Intension (PI) ......... BAB 1 : Pendahuluan ...................................................................... BAB 2 : Pedoman Pelaksanaan Logoterapi PI ............................. BAB 3 : Aplikasi Logoterapi PI ..................................................... Sesi 1 ................................................................................................. Sesi 2 ................................................................................................. Sesi 3 ................................................................................................. Sesi 4 .................................................................................................

387 388 390 397 397 400 403 406

16. Logoterapi kelompok : Value Awareness Tehnique (VAT) ......... BAB 1 : Pendahuluan ...................................................................... BAB 2 : Pedoman Pelaksanaan Logoterapi VAT ......................... BAB 3 : Aplikasi Logoterapi VAT ................................................. Sesi 1 ................................................................................................. Sesi 2 ................................................................................................. Sesi 3 ................................................................................................. Sesi 4 .................................................................................................

411 412 414 421 421 424 427 431

TERAPI KELUARGA 17. Modul Family Psychoeducation Therapy (FPE) ........................... BAB 1 : Pendahuluan ...................................................................... BAB 2 : Pedoman Pelaksanaan FPE ............................................. Sesi 1 ................................................................................................. Sesi 2 ................................................................................................. Sesi 3 ................................................................................................. Sesi 4 ................................................................................................. Sesi 5 ................................................................................................. BAB 3 : Penutup ..............................................................................

436 437 439 439 442 444 447 450 454

18. Modul Triangel Therapy (TT) ........................................................ BAB 1 : Pendahuluan ...................................................................... BAB 2 : Pelaksanaan TT ................................................................. Sesi 1 ................................................................................................. Sesi 2 ................................................................................................. Sesi 3 ................................................................................................. Sesi 4 ................................................................................................. Sesi 5 ................................................................................................. Sesi 6 .................................................................................................

457 458 459 459 463 465 468 470 473

TERAPI KELOMPOK 19. Modul Terapi Reminiscence .......................................................... BAB 1 : Pendahuluan ...................................................................... BAB 2 : Pedoman Pelaksanaan Terapi Reminiscence ................. BAB 3 : Pelaksanaan Terapi Reminiscence .................................. Sesi 1 ................................................................................................. Sesi 2 ................................................................................................. Sesi 3 .................................................................................................

477 478 484 486 486 489 491

Workshop Keperawatan Jiwa ke-IX, Depok. 25 Agustus 2015 Program Studi Ners Spesialis I Keperawatan Jiwa Fakultas Ilmu Keperawatan Universitas Indonesia

Sesi 4 ................................................................................................. Sesi 5 ................................................................................................. Sesi 6 ................................................................................................. BAB 4 : Penutup ..............................................................................

494 498 501 503

20. Modul Terapi Life Review .............................................................. BAB 1 : Pendahuluan ...................................................................... BAB 2 : Pedoman Pelaksanaan Terapi iLife Review ................... BAB 3 : Prosedur Pelaksanaan terapi Life review ....................... Sesi 1 ................................................................................................. Sesi 2 ................................................................................................. Sesi 3 ................................................................................................. Sesi 4 ................................................................................................. BAB 4 : Penutup ..............................................................................

50...