Latar belakang :Kabupaten Aceh Besar merupakan wilayah yang sarat dengan permasalahan kesehatan dan sosial ekonomi. Semenjak era konflik sampai saat ini Kabupaten Aceh Besar memilki berbagai persoalan termasuk pada kesehatan jiwa. Jumlah kasus gangguan jiwa terus meningkat. Pelayanan kesehatan jiwa di wilayah kerja puskesmas belum optimal dan pelaksanaannya sendiri masih belum standar Tujuan Penelitian : Penelitian ini bertujuan untuk mengevaluasi pelaksanaan program kesehatan jiwa masyarakat di puskesmas dengan proses kegiatan pelaksanaan program kesehatan jiwa di puskesmas sesuai standar pelayanan. Metode Penelitian : Penelitian ini merupakan penelitian kualitatif yang mengamati kegiatan program kesehatan jiwa, manajemen puskesmas (tenaga kesehatan, kebijakan program dinas kesehatan kabupaten, peran kader kesehatan jiwa serta peranan dari keluarga) yang dilaksanakan di wilayah puskesmas Kabupaten Aceh Besar, pengumpulan data dilakukan dengan metode wawancara pada kepala puskesmas, perawat yang menanganai kesehatan jiwa, kader kesehatan jiwa dan pihak keluarga pasien jiwa. Hasil Penelitian :Pelaksanaan program pelayanan kesehatan jiwa di puskesmas belum semua menerapkan standar pelayananan kesehatan jiwa. Tenaga dokter General Praktice Plus (GP+) dan perawat Community Mental Health Nurse di puskesmas masih sangat terbatas dan juga memiliki tugas rangkap, belum semua mendapatkan pelatihan dasar penanganan psikitarik. Tidak semua puskesmas memilki perawat jiwa, sarana dan prasarana (obatobat jiwa) belum memadai. Kader kesehatan jiwa masih terbatas masih adanya persepsi masyarakat termasuk keluarga yang mencari pengobatan ke praktek dokter swasta serta pengobatan alternative (dukun)

Background: Aceh Besar district is an area that has a great problem on health and social economy. Since the conflict era until this time, Aceh Besar district had various problems including mental health. The number of mental health disorder case keeps increasing. Mental health service in the working area of Primary Health Care was not yet optimum and the implementation was not yet standardized. Objective: This research was aimed to evaluate the implementation program of communities’ mental health in Primary Health Care with the process of activity implementation of mental health program in Primary Health Care that suitable with service standard. Method: This was a qualitative research that observed the activity of mental health program, Primary Health Care management (health officer, the policy of district health office, the role of cadre Sehat Jiwa and family’s role) that was implemented in the Primary Health Care area of Aceh Besar district, and data collection was conducted with interview toward the head of Primary Health Care, nurse who handled mental health, cadre of Sehat Jiwa and family of mental health patient. Result: Not all of the entire of mental health service program in Primary Health Care implemented the standard of mental health service. The number of GP + and nurse of Community Mental Health Nurse in Primary Health Care was very limited, had double duties, and not all of them obtained basic training on psychiatric management. Not all of the Primary Health Care had mental health nurse, and insufficient facilities and infrastructure (drugs for mental health). Cadre of Sehat Jiwa was still limited to community’s perception including families who seek for treatment to private doctor practice as well as alternative treatment (traditional healer).

Kata Kunci : Program Kesehatan Jiwa Masyarakat,Evaluasi,Puskesmas, The implementation of mental health program, service quality