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This page is an AI-assisted Turkish summary of the study presented at the 26th World Congress of Psychiatry. The study belongs to the presenting authors; please refer to the original source when citing it.

EV0643

Beyond the clinic: community-based empowerment models and legal protection for women experiencing intimate partner violence in Indonesia

BEYOND THE CLINIC: COMMUNITY-BASED EMPOWERMENT MODELS AND LEGAL PROTECTION FOR WOMEN EXPERIENCING INTIMATE PARTNER VIOLENCE IN INDONESIA

Although reproductive coercion is criminalized in Indonesia, it remains undocumented because it is not recognized within the healthcare system, leaving survivors unable to access legal protection; the poster proposes a four-stage community-based triage model.

The aim is to map the mental health effects of intimate partner violence (IPV) and reproductive coercion, assess the medico-legal gap in Indonesia, examine healthcare provider bias and barriers to screening, and propose a community-based preventive triage model. The method is a systematic narrative review covering English- and Indonesian-language sources from 2014–2025; PubMed/MEDLINE, Scopus, CINAHL, Embase, and Google Scholar were searched, alongside grey literature from WHO and Komnas Perempuan and legal texts accessed through JDIH, with thematic synthesis conducted across five domains. The findings indicate that IPV affects approximately 30% of women worldwide, with Southeast Asia having one of the highest rates at 37.7% (WHO, 2021); the 2024 meta-analysis by Lohmann et al. linked coercive control to post-traumatic stress disorder (r=0.32) and depression (r=0.27), while Sheeran et al. (2024) showed that reproductive coercion independently predicts PTSD, depression, and anxiety. Regarding the medico-legal gap, enforcement was reported to be weak despite the 2022 TPKS law criminalizing forced contraception and sterilization; there were only approximately 32 registered psychologists in Puskesmas primary healthcare centers nationwide, and many provinces had fewer than one psychiatrist per 200,000 people. Among screening tools, WAST was reported to have a specificity of 96%, while HARK had a sensitivity/specificity balance of 80%/95%; HITS was considered suitable for brief triage administered by community health workers, and IPV-ASRA for mapping community norms. In conclusion, a four-stage model comprising community screening, risk stratification, clinical diagnosis, and legal advocacy is proposed; recommendations include training all Puskesmas staff by 2027, conducting a national prevalence study (n greater than or equal to 5,000) by 2028, and establishing a formal referral network in 100 districts within two years.

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