Stigma and Management on People with Severe Mental Disorders with “Pasung” (Physical restraint)

background: Mental disorders remain serious mental health problems in Indonesia. In 2007 there were 0,46 percent of the total population in Indonesia had high risk of schizophrenia. There are many people with severe mental disorders who do not receive medical treatment or dropped out from medical treatment and then put in physical restraint. Methods:The analysis was based on previous study on the elimination program for physical restraints in 2011. The methods were by collecting news, research results and reviews about stigma and management on people with severe mental disorders. results showed that suspect mental disorders people who had physical restraints by their families was the last alternative of mental disorders management after all medical treatment seek by the families. But the families and communities unknowing early detection and post-treatment management at the Mental Health Hospital causes the patient did not treated properly. People with mental disorders frequently also stigmatized on their neighbourhood. The stigma attached to the patient them selves and their families. Health and socio-cultural’s consequences of stigma in people with mental disorders were as not treated optimally, dropout from the treatment, had physical restraint and incorrect understanding about people with mental disorders. conclutions:The conclusions are that it needs to socialize about early detection of mental disorders sympton to community to prevent delays on early phase treatment that could be cured. Besides empowering people is needed to improve knowledge about mental disorders and emotional disturbance at certain levels in order to avoid the stigma against people with mental disorders