Pedoman Wawancara untuk Korban Penyalahgunaan NAPZA

A. Identitas Informan
1. Inisial Nama Informan :
2. Jenis Kelamin :
3. Umur :
4. Pendidikan :
5. Status Perkawinan :
6. Agama :
7. Alamat Tempat Tinggal :
8. Pekerjaan :
9. Suku :
B. Hubungan Informan dengan keluarganya
Jawab:....................................................................................................................................
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C. Kondisi Keluarga
1. Apa peran informan didalam keluarga?
Jawab:...............................................................................................................................
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2. Bagaimana hubungan keluarga dengan masyarakat sekitar?
Jawab:...............................................................................................................................
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3. Bagaimana reaksi keluarga terhadap masalah yang dialami oleh informan?
Jawab:...............................................................................................................................
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4. Bagaimana dukungan keluarga setelah mengetahui masalah yang dialami oleh
informan?
Jawab:...............................................................................................................................
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5. Apa saja kegiatan informan bersama keluarga yang sering dilakukan?
Jawab:...............................................................................................................................
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6. Siapa dalam keluarga yang sering informan ajak untuk bercerita?

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 Jawab:...............................................................................................................................
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7. Siapa dalam keluarga yang sering memberikan dukungan secara emosional?
Jawab:...............................................................................................................................
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D. Fokus Permasalahan
1. Bagaimana masalah yang dialami informan?
Jawab:...............................................................................................................................
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2. Apa saja faktor penyebab terjadinya masalah yang dialami informan?
Jawab:...............................................................................................................................
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3. Siapa pertama kali yang mengenalkan informan pada NAPZA?
Jawab:...............................................................................................................................
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4. Jenis NAPZA apa saja yang dipakai oleh informan?
Jawab:...............................................................................................................................
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5. Bagaimana caranya infroman mendapatkan NAPZA?
Jawab:...............................................................................................................................
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6. Darimana uang yang informan dapatkan untuk membeli NAPZA tersebut?
Jawab:...............................................................................................................................
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7. Bagaimana dampak yang dirasakan oleh informan setelah memakai NAPZA?
a. Dampak psikis
b. Dampak fisik,
c. Dampak Sosial
d. Dampak Spritual
E. Pelayanan yang sudah diperoleh
1. Apa saja pelayanan yang telah didapatkan oleh informan?
Jawab:...............................................................................................................................
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2. Apakah informan pernah melakukan rehabilitasi sosial?

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 Jawab:...............................................................................................................................
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3. Jika belum, kenapa belum melakukan proses rehabilitasi?
Jawab:...............................................................................................................................
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4. Bagaimana cara informan mendapatkan pelayanan?
Jawab:...............................................................................................................................
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F. Dukungan Sosial
1. Bagaimana dukungan lingkungan terhadap masalah yang dialami informan?
Jawab:...............................................................................................................................
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2. Bagaimana dukungan tokoh masyarakat terhadap masalah yang dialami infroman?
Jawab:...............................................................................................................................
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3. Bagaimana dukungan aparat kelurahan terhadap masalah yang dialami informan?
Jawab:...............................................................................................................................
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G. Hambatan yang dialami dalam mengatasi permasalahan
1. Apa saja hambatan yang dialami informan dalam mengatasi permasalahan secara
internal?
Jawab:...............................................................................................................................
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2. Apa saja hambatan yang dialami informan dalam mengatasi permasalah secara
eksternal?
Jawab:...............................................................................................................................
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H. Potensi yang dimiliki klien
1. Apa saja potensi yang dimiliki oleh klien?
a. Fisik
b. Psikologis
c. Intelektual
d. Sosial

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I. Sistem sumber yang bisa diakses
1. Formal
2. Informal
3. Kemasyarakatan
J. Pemahaman informan tentang pelayanan sosial yang belum diakses
1. Bagaimana pemahaman informan terhadap pelayanan sosial yang belum didapatkan
baik kesehatan dan rehabilitasi?
Jawab:...............................................................................................................................
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K. Harapan informan terhadap permasalahnnya
1. Bagaimana harapan informan terhadap dirinya sendiri?
Jawab:...............................................................................................................................
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2. Bagiamana harapan informan terhadap keluarga?
Jawab:...............................................................................................................................
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3. Bagaimana harapan informan terhadap lingkungan masyarakat?
Jawab:...............................................................................................................................
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4. Bagaimana harapan infroman terhadap pelayanan?
Jawab:...............................................................................................................................
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5. Bagaimana harapan informan terhadap pemerintah?
Jawab:...............................................................................................................................
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L. Upaya yang dilakukan informan untuk mencapai harapan
1. Bagaimana upaya yang akan dilakukan informan untuk mencapai harapan tersebut?
Jawab:...............................................................................................................................
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