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"ABSTRAKPasung merupakan suatu tindakan memasang sebuah balok kayu pada tangan dan/atau kakiseseorang, diikat atau dirantai, diasingkan pada suatu tempat tersendiri di dalam rumahataupun di hutan. Bireuen menempati urutan pertama untuk kasus pasung terbanyak diAceh. Keluarga dengan klien gangguan jiwa yang dipasung seringkali merasakan bebanyang berkaitan dengan perawatan klien. Alasan keluarga melakukan pemasungan adalahmencegah prilaku kekerasan, mencegah risiko bunuh diri, mencegah klien meninggalkanrumah dan ketidakmampuan keluarga merawat klien gangguan jiwa. Tujuan penelitian iniuntuk mengetahui pengaruh FPE terhadap beban dan kemampuan keluarga dalam merawatklien pasung dan mengetahui tingkat kemandirian klien pasung dalam perawatan dirisetelah mendapatkan asuhan keperawatan defisit perawatan diri. Desain penelitian quasieksperiment dengan pendekatan pre post test without control group. Penelitian dilakukandi 8 Puskesmas di Kabupaten Bireuen menggunakan total sampling yaitu 20 keluarga yangterdiri dari 11 keluarga dengan klien pasung dan 9 keluarga dengan klien lepas pasung.Family Psychoeducation (FPE) merupakan sebuah metode terapi keluarga yangdikembangkan oleh NAMI (National Alliance for Mentally Ill) untuk memberikandukungan kepada keluarga. FPE dilakukan melalui 5 sesi dan asuhan keperawatan defisitperawatan diri sebanyak 4 sesi. Hasil uji statistik dependen t-Test menunjukkan penurunanbeban keluarga dan peningkatan kemampuan keluarga secara bermakna setelah mendapatFPE. Aspek kemandirian klien (aktivitas harian, aktivitas sosial, cara mengatasi masalahdan pengobatan) dalam perawatan diri meningkat secara bermakna setelah mendapatintervensi defisit perawatan diri. Diharapkan penerapan FPE pada keluarga dengan pasungdapat dilakukan di pelayanan kesehatan jiwa Puskesmas sehingga pada akhirnya dapattercapai ‘Aceh Bebas Pasung’.

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ABSTRACTPasung represent an action which installing a log wood at hand or feet, bound or enchainedis then detached at one particular separate place within doors and or in the forest. Bireuenhas the most pasung cases number in Aceh. Usually a lot of problems, subjective orobjective burden related to client treatment got by family. The reasons given for pasungwere often multiple, including violence, concern about the person wandering off or runningaway and coming to harm, concern about possibility of suicide, and the unavailability of acaregiver. Family Psychoeducation is a therapy method developed by NAMI (NationalAlliance for Mentally Ill) to give fully support to the family. The aim of this research is tofind out the FPE influence towards burden and family ability in taking care of pasungclient. Also expand the research about client independence after getting deficit self caretreatment. This quasi experiment did with pre post test without control group. The sampleswas taken to 20 families (11 families of client pasung and 9 families of ex client pasung)spread in 8 Puskesmas of Bireuen District with total sampling method. FPE conduct in 5sesion and 4 sesion for deficit self care treatment. The statistic result of dependent t-Testshowed that there was a significant effect in decreasing the family burden and increasingthe family ability. The aspect of client independence (daily activity, social activity, solvedthe problems and medication) in self care also increased significantly after gettingintervention of self care deficit. After all the research result, it’s strongly recommendedespecially for Puskesmas should be a facilitating unit in implementing FamilyPsychoeducation to families which has pasung client to achieve better life “ Free AcehFrom Pasung”."

"Keluarga dengan penderita gangguan jiwa merasakan beban selama merawat penderita. Beban dan perilaku penderita menimbulkan intensi keluarga untuk mengambil keputusan pasung. Penelitian ini untuk mengetahui pengaruh terapi psikoedukasi keluarga FPE dan keputusan perawatan tanpa pasung KPTP terhadap intensi keputusan pasung dan beban keluarga.Metode penelitian ini adalah quasi eksperimental pre-post test with control group. Sebanyak 72 keluarga dengan gangguan jiwa dibagi dalam 2 kelompok menggunakan teknik purposive sampling dan metode random sampling. Kelompok intervensi diberikan FPE dan KPTP, serta kelompok kontrol tidak diberikan tindakan. Pengukuran dilakukan sebanyak 3 kali. Pengukuran menggunakan the zarit burden interview dan kuesioner keputusan pasung daulima. Analisa data menggunakan uji independent t-test, dependent t-test, korelasi Pearson, dan korelasi Gamma dan Somers rsquo;D. Intensi keputusan pasung dan beban keluarga mengalami penurunan yang signifikan p value < 0,05 setelah mendapatkan terapi FPE dan KPTP, dibandingkan dengan hanya diberikan terapi FPE. Kombinasi terapi FPE dan KPTP menurunkan beban dan intensi sampai ketgori ringan. Kombinasi terapi FPE dan KPTP merupakan terapi yang efektif untuk mengatasi beban dan intensi keputusan pasung pada keluarga dengan gangguan jiwa, serta sebagi upaya penanggulangan pasung.

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Caregiver of schizophrenia patient feel the burden during the patient caring. Caregiver's burden and behaviour of the patient schizophrenia induce the intention of the family to take the decision of the confinement. This study aimed to identify the effect of family psychoeducation FPE and care decision without confinement CDWC therapies on confinement intention and caregiver burden with schizophrenia. Quasi experimental pre test post test with control group was employed in this study. Seventy two family with schizoprenia were devided into two groups, use purposive sampling technique. The intervention group received FPE and CDWC. Data were gathered using The Zarit Burden Interview and Daulima's Pasung Decision Questionnaire. Data were analyzed using dependent t test, independent t test, Chi Square, Pearson, and Gamma Somers'D. The results showed that confinement intention and family burden was significantly lower after FPE and CDWC p 0,05 , compared with FPE. Combination FPE and CDWC therapies decreased the burden and confinement intention to the low level possible. Combination therapy of FPE and CDWC, as an effective therapy for decreasing family burden and Confinement intention in family with schizophrenia, and the effective prevention of confinement. "

"Penelitian ini bertujuan mengetahui perbedaan tingkat stres dan strategi koping pada lansia yang tinggal di rumah bersama keluarga dan di Panti Sosial Tresna Wredha Kecamatan Peusangan Kabupaten Bireuen. Jenis penelitian adalah analitik deskriptif menggunakan desain deskriptif komparatif. Sampel berjumlah 112 lansia berumur 60 tahun atau lebih. Pengambilan sampel dengan cara total sampling pada lansia di wilayah Panti dan multistage random sampling pada lansia di rumah. Analisa hasil penelitian meliputi analisa univariat dan bivariat yang mengunakan uji statistik Independent t-test dan regresi linear. Hasil penelitian membuktikan tingkat stres lansia di Panti lebih tinggi dibandingkan dengan lansia di keluarga. Strategi problem focused coping dan emotion focused coping lebih sering digunakan lansia di Panti, strategi religous coping lebih sering digunakan lansia di keluarga dan tidak ada perbedaan strategi seeking social support coping antara kedua tempat tinggal lansia. Ada hubungan strategi problem focused coping, emotion focused coping, seeking social support coping dan religous coping dengan tingkat stres pada lansia di keluarga dan di Panti. Ada perbedaan strategi religious coping menurut umur pada lansia di keluarga dan di Panti. Ada perbedaan tingkat stres dan strategi problem focused coping, strategi emotion focused coping menurut jenis kelamin pada lansia di keluarga. Ada perbedaan tingkat stres dan strategi problem focused coping menurut pendidikan pada lansia di keluarga. Ada perbedaan tingkat stres menurut pekerjaan pada lansia di keluarga dan di Panti. Ada perbedaan tingkat stres dan strategi emotion focused coping lansia menurut status pernikahan di keluarga dan di Panti. Mengingat stres dan strategi koping merupakan hal yang erat hubungan dengan lansia yang memiliki perubahan hidup secara kompleks maka perawat dan bagian terkait perlu melakukan berbagai intervensi untuk meningkatkan kesehatan dan kualitas hidup lansia.

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The purpose of this research to find the differences between levels of stress and strategies coping on the elderly living at home with the family and in Panti Social Tresna Wredha sub District Peusangan in Bireuen District. Type of research is using descriptive analytical with comparative descriptive design approach. Sample of 112 elderly aged 60 years or more. Sampling with a total sampling area on the elderly in Panti and multistage random sampling in the elderly in family. Analysis of results of research include analysis univariat and bivariat the test statistics using Independent t- test and linear regression. Results of research to prove the level of stress on the elderly in Panti higher than the elderly in the family. Problem focused coping and emotion focused coping strategies are often used more the elderly in Panti, religious coping strategy is often used more the elderly in family and no differences in seeking social support coping strategy between the elderly living. There were relationship between problem focused coping, emotion focused coping, seeking social support coping and, religious coping strategies with the level of stress on the elderly in the family and in Panti. There was difference the use of religious coping strategy according to age on the elderly in family and in Panti. There were differences levels of stress, the use of problem focused coping and emotion focused coping strategies according to gender on the elderly in family and in Panti. There were differences levels of stress and the use of problem focused coping strategy according to education on the elderly in family. There was difference levels of stress according to employment on the elderly in family and in Panti. There was differences levels of stress and the use of emotion focused coping strategy according to marriage status on the elderly in family and in Panti. In regarding of stress and strategies coping have a relationship with elderly which has complez cbange in life style, so that nurse of community and related instances require the intervention in order to improve health and quality life style of elderly."

"Penelitian ini bertujuan mengetahui perbedaan tingkat stres dan strategi koping pada lansia yang tinggal di rumah bersama keluarga dan di Panti Sosial Tresna Wredha Kecamatan Peusangan Kabupaten Bireuen. Jenis penelitian adalah analitik deskriptif menggunakan desain deskriptif komparatif. Sampel berjumlah 112 lansia berumur 60 tahun atau lebih. Pengambilan sampel dengan cara total sampling pada lansia di wilayah Panti dan multistage random sampling pada lansia di rumah. Analisa hasil penelitian meliputi analisa univariat dan bivariat yang mengunakan uji statistik Independent t-test dan regresi linear. Hasil penelitian membuktikan tingkat stres lansia di Panti lebih tinggi dibandingkan dengan lansia di keluarga. Strategi problem focused coping dan emotion focused coping lebih sering digunakan lansia di Panti, strategi religous coping lebih sering digunakan lansia di keluarga dan tidak ada perbedaan strategi seeking social support coping antara kedua tempat tinggal lansia. Ada hubungan strategi problem focused coping, emotion focused coping, seeking social support coping dan religous coping dengan tingkat stres pada lansia di keluarga dan di Panti. Ada perbedaan strategi religious coping menurut umur pada lansia di keluarga dan di Panti. Ada perbedaan tingkat stres dan strategi problem focused coping, strategi emotion focused coping menurut jenis kelamin pada lansia di keluarga. Ada perbedaan tingkat stres dan strategi problem focused coping menurut pendidikan pada lansia di keluarga. Ada perbedaan tingkat stres menurut pekerjaan pada lansia di keluarga dan di Panti. Ada perbedaan tingkat stres dan strategi emotion focused coping lansia menurut status pernikahan di keluarga dan di Panti. Mengingat stres dan strategi koping merupakan hal yang erat hubungan dengan lansia yang memiliki perubahan hidup secara kompleks maka perawat dan bagian terkait perlu melakukan berbagai intervensi untuk meningkatkan kesehatan dan kualitas hidup lansia.

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The purpose of this research to find the differences between levels of stress and strategies coping on the elderly living at home with the family and in Panti Social Tresna Wredha sub District Peusangan in Bireuen District. Type of research is using descriptive analytical with comparative descriptive design approach. Sample of 112 elderly aged 60 years or more. Sampling with a total sampling area on the elderly in Panti and multistage random sampling in the elderly in family. Analysis of results of research include analysis univariat and bivariat the test statistics using Independent t-test and linear regression. Results of research to prove the level of stress on the elderly in Panti higher than the elderly in the family. Problem focused coping and emotion focused coping strategies are often used more the elderly in Panti, religious coping strategy is often used more the elderly in family and no differences in seeking social support coping strategy between the elderly living. There were relationship between problem focused coping, emotion focused coping, seeking social support coping and, religious coping strategies with the level of stress on the elderly in the family and in Panti. There was difference the use of religious coping strategy according to age on the elderly in family and in Panti. There were differences levels of stress, the use of problem focused coping and emotion focused coping strategies according to gender on the elderly in family and in Panti. There were differences levels of stress and the use of problem focused coping strategy according to education on the elderly in family. There was difference levels of stress according to employment on the elderly in family and in Panti. There was differences levels of stress and the use of emotion focused coping strategy according to marriage status on the elderly in family and in Panti. In regarding of stress and strategies coping have a relationship with elderly which has complex change in life style, so that nurse of community and related instances require the intervention in order to improve health and quality life style of elderly. "

"Penelitian ini bertujuan mengetahui pengaruh terapi kelompok suportif terhadap kemampuan keluarga merawat anak tunagrahita di SLB-C Kabupaten Cianjur. Penelitian ini menggunakan desain quasi eksperimen dengan pendekatan pre post tes dengan grup kontrol. Responden penelitian adalah keluarga dengan anak tunagrahita, 60 keluarga anak tunagrahita, terdiri atas 30 keluarga kelompok intervensi dan 30 keluarga kelompok kontrol. Kemampuan keluarga merawat anak tunagrahita yang mendapatkan terapi kelompok suportif lebih tinggi dibandingkan dengan kelompok yang tidak mendapat terapi kelompok suportif. Kemampuan keluarga setelah di kontrol dengan faktor confounding didapatkan peningkatan mean namun tidak signifikan. Artinya peningkatan kemampuan keluarga disebabkan karena intervensi yang dilakukan bukan dari faktor confounding. Disarankan terapi kelompok suportif digunakan sebagai terapi kelompok dalam meningkatkan kemampuan keluarga dalam merawat anak tunagrahita.

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Thepurpode of their research use to identify the effects of group supportive therapy to wording the family ability to take the family in caring for children Tunagrahita in SLB-C Cianjur Regency. This research utilized quasi experimental design using pre and post test with control group.The respondents consist of family in caring for children tunagrahita,sixty families were divided inti 2 groups; 30 families as experimental group and 30 families as control group. The research result demonstrated that the the families who recewed supportive group therapy showed that higer ability as composed to families without supportive group therapy.The family ability after being controlled by counfounding factors showed the improvement of mean but not significant. This weart that the family ability was only effected by the intervention not by the counfounding factors. It was recommended the supportive group therapy would be utilited of group therapy in inproving family ability to case for the family with caring for children."

"ABSTRAKGangguan jiwa dialami oleh 81 jiwa dari 13764 jiwa penduduk dikelurahanSindangbarang Bogor, pelayanan kesehatan jiwa masyarakat melalui puskesmasbelum berjalan dan belum adanya kelompok swabantu (self help group ) klien dankeluarga. Penelitian ini berjudul pengaruh self help group terhadap kemampuankeluarga dalam merawat klien gangguan jiwa di kelurahan SindangbarangBogor.Tujuan penelitian ini adalah memperoleh pengaruh self help group terhadapkemampuan keluarga dalam merawat klien gangguan jiwa. Desain yang digunakandalam penelitian ini adalah ”Quasi experimental pre-post test without control group”dengan intervensi self help group. Cara pengambilan sampel adalah purposivesampling dengan sampel sebanyak 18 keluarga . Self help group dilakukan pada tigakelompok; kelompok I diberikan self help group dengan enam kali pertemuan(empat kali bimbingan dan dua kali mandiri), kelompok II diberikan self help groupdengan enam kali pertemuan ( dua kali bimbingan dan empat kali mandiri) dankelompok III diberikan self help group dengan tiga kali pertemuan tanpa dibimbing.Kemampuan kognitif dan psikomotor keluarga diukur dengan menggunakankuesioner dan dianalisis menggunakan statistik.Hasil penelitian menunjukkanpeningkatan kemampuan kognitif dan psikomotor keluarga dalam merawat kliengangguan jiwa secara bermakna. Kemampuan kelompok yang mendapatkan self helpgroup dan dibimbing dua kali meningkat lebih tinggi secara bermakna dibandingkandengan yang dibimbing empat kali dan tanpa bimbingan.Direkomendasikanmembentuk dan melaksanakan self help group bagi keluarga yang memiliki anggotakeluarga dengan gangguan jiwa.

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ABSTRACTMental illness experienced by 81 people among 13.764 inhabitants in District ofSindangbarang, Bogor At the same time, a serving for psychology health program byCentre of Community Health is not run well, and self help group for client and his/herfamily was not exist. The title of this research is The Influence of Self Help Group toFamily Ability in Taking Care Client with Mental illness in District of Sindangbarang,Bogor.The research was aimed to get a comprehensive picture about the influence of self helpgroup to family ability in taking care client with Mental illness. Design of the researchwas using “quasi experimental pre-post test without control group” by using self helpgroup intervention. A sample consist of 18 families was chosen by using purposivesampling. Self Help Group treatment was divided into 3 groups as follows: Group I (6times meeting consists of 4 times assisting and 2 times self helping); Group II (6 timesmeeting consists of 2 times assisting and 4 times self helping) and Group III (3 times selfhelping meeting and none assisting ).The family’s cognitive ability and psychomotor ability are valued by using cognitiveability and psychomotor ability questioner, and then the results of questioners areanalyzed by using statistic method. The research showed a significant increase infamily’s cognitive ability and psychomotor ability in taking care client with mentalillness. The abilities of the group that treated by self help group with 2 times assistingwere increase highly and significantly compare to the group with 4 times assisting andthe group without assisting. It is recommended to form and to conduct self help group tofamilies who have client with mental illness."

"ABSTRAKKlien stroke yang dirawat di rumah sakit sekitar 30-40% mengalami kondisi depresi. Depresidisebabkan karena kondisi fisik klien yang mengalami perubahan akibat penyakit stroke.Penelitian ini bertujuan untuk mengetahui pengaruh terapi kognitif dan psikoedukasi terhadapkondisi depresi, ketidakberdayaan dan kemampuan mengubah pikiran negatif pada klienstroke di Rumah sakit Cipto Mangunkusumo Jakarta. Desain penelitian ini quasiexperimental pre and post test with control group dengan jumlah sampel sebanyak 87 orangyang dipilih menggunakan teknik consecutive sampling dimana 29 orang mendapat terapikognitif dan psikoedukasi keluarga, 29 orang hanya mendapat terapi kognitif dan 29 orangtidak mendapatkan terapi. Uji analisis yang digunakan yaitu uji anova dan pair t-test. Hasilpenelitian menunjukkan penurunan kondisi depresi dan ketidakberdayaan serta peningkatankemampuan mengubah pikiran negatif pada klien stroke yang mendapat terapi kognitif danpsikoedukasi keluarga lebih besar bermakna (Pvalue < 0,05) dibanding kelompok yang hanyamendapat terapi kognitif dan yang tidak mendapatkan terapi. Faktor yang berkontribusiterhadap kondisi depresi pada klien stroke adalah usia. Terapi Kognitif dan psikoedukasikeluarga direkomendasikan pada klien stroke yang mengalami depresi dan ketidakberdayaan.

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ABSTRACT Stroke patients who were take care in the hospital 30-40% in depressioncondition. Depression was cause by physical condition patients that were changeddue to stroke illness. This research aim was to determine the effect of cognitivetherapy and psycho Education for depression, helplessness, and ability to changenegative thoughts for stroke patients at Cipto Mangunkusumo Hospital in Jakarta.This research design was quasi experimental pre and post test with control groupwith a total of sample 87 person with 29 persons are given cognitive therapy andfamily psychoeducation therapy, 29 persons are given only cognitive therapy and29 persons are not given therapy. Analysis by anova test and Pair t-test. The resultof research show a decrease in depression and helplessness condition andincrease the ability to change negative thoughts of stroke clients whom receivedcognitive therapy and family psychoeducation group larger than whom just onlyreceive cognitive therapy and the group without therapy (p value <0,05). Therewas factor that contribute depression condition of stroke client is age. Cognitivetherapy and Family Psychoeducation are recommended for stroke klien who gotdepression and helplessness."

"Masalah psikososial ansietas muncul sebagai reaksi dari stres akibat meningkatnya beban dalam merawat anak tunagrahita. Tujuan penelitian ini adalah untuk menganalisis pengaruh terapi kelompok suportif terhadap perubahan beban dan tingkat ansietas keluarga dalam merawat anak tunagrahita di SLB Kabupaten Banyumas. Desain penelitian quasi experimental, pre-post test with control group. Tempat penelitian di SLB C Yakut dan SLB Kuncup Mas Banyumas. Sampel penelitian adalah seluruh keluarga anak tunagrahita yang memenuhi kriteria inklusi. Hasil penelitian menunjukkan ada perbedaan beban dan tingkat ansietas keluarga sebelum dan setelah mendapatkan terapi kelompok suportif. Rekomendasi penelitian ini adalah perlunya dibentuk parent support group di SLB, beranggotakan keluarga yang memiliki anak tunagrahita.

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Anxiety as a psychosocial problems was emerged as stimulated by burden of taking care of mentally retardated children. The purpose of this study was to analyze the effect of supportive group therapy toward the burden and family anxiety level in the care of children at SLB Kabupaten Banyumas. The research used quasi-experimental pre-post test with control group design. The research site took place at SLB C Yakut and SLB Kuncup Mas Banyumas. The sample research was the entire family of mentally retardated children who met the inclusion criteria. Results showed that there was a significant difference in family burden and anxiety levels before and after getting a supportive group therapy on the group. Recommendations of this study is the need to establish a parent support group in special schools, family members who have mental retardated children."

"Halusinasi dan perilaku kekerasan merupakan gejala positif yang paling banyak ditemukan pada klien dengan skizofrenia. Tanda dan gejala halusinasi dan perilaku kekerasan membutuhkan penatalaksanaan yang komperehensif dan berkesinambungan baik untuk klien, keluarga, dan kelompok. Tujuan penulisan karya ilmiah akhir ini adalah untuk memberikan gambaran penerapan dari tindakan keperawatan ners, cognitive behaviour therapy, assertive training, psikoedukasi keluarga, dan terapi suportif pada klien halusinasi dan perilaku kekerasan. Metode yang digunakan adalah operational research. Pengambilan sampel menggunakan teknik purposive sampling berjumlah 40 klien yang terbagi dalam dua kelompok. Kelompok satu berjumlah 20 klien diberikan tindakan keperawatan ners, cognitive behaviour therapy, assertive training, psikoedukasi keluarga, dan terapi suportif (paket terapi satu). Kelompok dua berjumlah 20 klien diberikan tindakan keperawatan ners, cognitive behaviour therapy, dan assertive training (paket terapi dua). Pengumpulan data menggunakan instrumen tanda gejala dan kemampuan, kemudian dianalisis secara univariat dan bivariat. Analisis univariat menggunakan distribusi frekuensi dan tendensi sentral. Analisis bivariat menggunakan uji friedman, wilcoxon, mann-whitney, dan korelasi rank spearman. Hasil karya ilmiah menunjukkan penurunan tanda dan gejala serta peningkatan kemampuan klien halusinasi dan perilaku kekerasan pada kelompok yang diberikan paket terapi satu lebih besar secara bermakna dibandingkan kelompok yang mendapatkan paket terapi dua (p value < 0,05). Tindakan keperawatan yang dikombinasikan antara tindakan keperawatan ners oleh perawat generalis dan tindakan keperawatan spesialis oleh perawat spesialis jiwa direkomendasikan dilakukan di rumah sakit jiwa untuk menghasilkan penurunan tanda gejala dan peningkatan kemampuan klien halusinasi dan perilaku kekerasan lebih optimal.

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Hallucinations and violent behavior are the most common positive symptoms in clients with schizophrenia. Signs and symptoms of hallucinations and violent behavior require comprehensive and continuous management for the client, family, and group. The purpose of writing this final scientific paper is to provide an overview of the application of standart nursing intervention, cognitive behavior therapy, assertive training, family psychoeducation, and supportive therapy to clients with hallucinations and violent behavior. The method used is operational research. Sampling using purposive sampling technique amounted to 40 clients who were divided into two groups. The first group of 20 clients was given standart nursing intervention, cognitive behavior therapy, assertive training, family psychoeducation, and supportive therapy (therapy package one). The second group of 20 clients was given standart nursing intervention, cognitive behavior therapy and assertive training (therapy package two). Collecting data using signs and symptoms instruments and abilities, then analyzed by univariate and bivariate. Univariate analysis using frequency distribution and central tendency. Bivariate analysis using friedman, wilcoxon, mann-whitney and spearman rank correlation test. The results of scientific work showed the decrease in signs and symptoms as well as an increase in the client's ability to hallucinations and violent behavior in the group given therapy package one was significantly greater than the group receiving therapy package two (p_value <0.05). Nursing intervention that are combined between standart nursing and specialist nursing intervention are recommended to be carried out in mental hospitals to produce a decrease in signs of symptoms and an increase in the ability of clients to have hallucinations and violent behavior more optimally"