Strategi Lembaga Swadaya Masyarakat dalam Mengatasi Eksklusi Sosial terhadap Orang Dengan Gangguan Jiwa (Studi Kasus Yayasan Rehabilitasi Adiksi Toba Sehat di Kabupaten Toba)

Abstract

The issue of social exclusion of people with mental disorders (ODGJ) remains a challenge Toba Regency, Sumatera Utara. ODGJ in Toba Regency face various forms of social exclusion, namely stigma and discrimination from the community who view them as a threat or disgrace, and limited access to mental health services due to the absence of government rehabilitation facilities and unsustainable financial support. This situation is exacerbated by the lack of social support from families and the community, leading to relapses or withdrawal from the environment among ODGJ who have recovered. This study aims to examine the strategies employed by the Toba Sehat Addiction Rehabilitation Foundation in addressing social exclusion against ODGJ in Toba Regency. This is a case study research with a qualitative approach. Data collection techniques include in-depth interviews, observation, and documentation. The results of the study show that the Toba Sehat Addiction Rehabilitation Foundation implements empowerment strategies based on the three dimensions of power proposed by VeneKlasen and Miller. First, to build the inner strength (power within) of ODGJ, the foundation focuses on psychological and spiritual recovery through spiritual guidance programs and group activity therapy, which aim to foster self-awareness and self-confidence. Second, to build collective solidarity (power with) for social inclusion, the foundation collaborates with nursing education institutions, receives support from the surrounding community, and works with the Toba Regency government. Third, to develop the ability to act (power to) of ODGJ, the foundation equips patients with productive skills such as farming, livestock raising, and handicrafts, which not only provide technical skills but also foster discipline and enable them to reintegrate into society. This analysis is reinforced by Anthony Giddens' structuration theory, which demonstrates how the foundation's strategies act as an agency that reflectively seeks to transform the structures of significance, dominance, and legitimacy that perpetuate social exclusion of ODGJ in Toba Regency.