Skrining ASSIST
Jumlah Rehab Sukarela Jumlah Rehab Jumlah Rehab
Jumlah Risiko Jumlah Risiko Pembantaran Pidana
No Nama Puskesmas Jumlah Risiko Tinggi
Rendah Sedang Rujukan Assist Non Rujukan
Lk Pr Lk Pr Lk Pr Lk Pr Lk Pr Lk Pr Lk Pr
1 Blangkejeren 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Labuhan Haji 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Peulumat 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Drien Jalo 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Meukek 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Sawang 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Samadua 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Tapaktuan 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Lhok Bengkuang 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Ladang Tuha 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Ujung Padang Rasian 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Kuala Ba'u 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Kluet Utara 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Kampung Paya 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Menggamat 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Kluet Timur 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Durian Kawan 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Kluet Selatan 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 Bakongan 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Bukit Gadeng 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Seubadeh 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Trumon 0 0 0 0 0 0 0 0 0 0 0 0 0 0
23 Ladang Rimba 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 Krueng Luas 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0
FORMAT PENCATATAN DAN PELAPORAN KABUPATEN/KOTA
LAPORAN BULANAN MASALAH KESEHATAN JIWA DAN NAPZA
No Nama Puskesmas GANGGUAN ANSIETAS F.40 GANGGUAN CAMPURAN ANSIETAS DAN DEPRESI F41.2 GANGGUAN DEPRESI F.32
DEMENSIA F00
0-14 th 15-59 th >60 th 0-14 th 15-59 th >60 th 0-14 th 15-59 th >60 th
L P L P L P L P L P L P L P L P L P L P
1 Blangkejeren 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Labuhan Haji 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Peulumat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Drien Jalo 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Meukek 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Sawang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 Samadua 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Tapaktuan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Lhok Bengkuang 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Ladang Tuha 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Ujung Padang Rasian 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Kuala Ba'u 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Kluet Utara 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Kampung Paya 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Menggamat 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Kluet Timur 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 Durian Kawan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Kluet Selatan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 Bakongan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Bukit Gadeng 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Seubadeh 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Trumon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
23 Ladang Rimba 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 Krueng Luas 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
DIAGNOSA
GANGGUAN PERKEMBANGAN PADA ANAK DAN
GANGGUAN PENYALAHGUNAAN NAPZA F10# GANGGUAN PSIKOTIK AKUT F21# SKIZOFRENIA F22 GANGGUAN SOMATOFORM F45
REMAJA F80-90#
0-14 th 15-59 th >60 th 0-14 th >15 th 0-14 th 15-59 th >60 th 0-14 th 15-59 th >60 th 0-14 th
L P L P L P L P L P L P L P L P L P L P L P L P
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
GANGGUAN SOMATOFORM F45 INSOMNIA F51.0 PERCOBAAN BUNUH DIRI REDARTASI MENTAL F.70 - F.79
15-59 th >60 th 0-14 th 15-59 th >60 th 0-14 th 15-59 th >60 th 0-14 th 15-59 th >60 th
L P L P L P L P L P L P L P L P L P L P L P
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
JUMLAH
GANGGUAN KEPRIBADIAN DAN PERILAKU F.60-F.61 KASUS
0 0 0 0 0 0 0
Rekapitulasi Kasus Pasung
Provinsi : Aceh Bulan : Januari
Kabupaten/ Kota : Aceh Selatan Tahun : 2023
Jumlah Kasus
Jumlah Temuan Jumlah Kasus Jumlah ODGJ Yang
Pasung Yang
NO KABUPATEN/KOTA Baru Kasus Pasung Yang Mengalami Jumlah Total Kasus
Jumlah Kasus Mendapatkan
Pasung Dibebaskan Pemasungan Pasung Sampai Dengan
Pasung 2022 Layanan Keswa
Sepanjang TW Sepanjang TW Kembali Sepanjang Desember 2023
Sepanjang TW
Berjalan Berjalan TW Berjalan
Berjalan
A B C D E F G Rumus = C + D - E + G
1 Blangkejeren 0 0 0 0 0 0
2 Labuhan Haji 0 0 0 0 0 0
3 Peulumat 0 0 0 0 0 0
4 Drien Jalo 0 0 0 0 0 0
5 Meukek 0 0 0 0 0 0
6 Sawang 0 0 0 0 0 0
7 Samadua 0 0 0 0 0 0
8 Tapaktuan 0 0 0 0 0 0
9 Lhok Bengkuang 0 0 0 0 0 0
10 Ladang Tuha 0 0 0 0 0 0
11 Ujung Padang Rasian 0 0 0 0 0 0
12 Kuala Ba'u 0 0 0 0 0 0
13 Kluet Utara 0 0 0 0 0 0
14 Kampung Paya 0 0 0 0 0 0
15 Menggamat 0 0 0 0 0 0
16 Kluet Timur 0 0 0 0 0 0
17 Durian Kawan 0 0 0 0 0 0
18 Kluet Selatan 0 0 0 0 0 0
19 Bakongan 0 0 0 0 0 0
20 Bukit Gadeng 0 0 0 0 0 0
21 Seubadeh 0 0 0 0 0 0
22 Trumon 0 0 0 0 0 0
23 Ladang Rimba 0 0 0 0 0 0
24 Krueng Luas 0 0 0 0 0 0
Total 0 0 0 0 0 0