REPUBLIC OF INDONESIA STATE NEWS

No. 825, 2011 MINISTRY OF HEALTH. Medical rehabilitation. Misuse Of Narcotics.

REPUBLICAN HEALTH MINISTER REGULATION

NUMBER 2415 /MENKE /PER/XII/2011

ABOUT

MEDICAL REHABILITATION OF ADDICTS, MISUSE AND VICTIM OF NARCOTIC ABUSE

WITH GRACE GOD ALMIGHTY

THE HEALTH MINISTER OF THE REPUBLIC OF INDONESIA,

TIED UP: that to implement the provisions of Article 59 (1) of the Law Number 35 Year 2009 on Narcotics and Article 13 of the paragraph (6) Government Regulation No. 25 of 2011 on Compulsory Implementation Of The Drug Addicts, it needs to establish the Regulation of the Minister Health on Medical Rehabilitation Addicts, Cruciation and Victims of Drug Abuse;

Given: 1. Law No. 8 of 1981 on the Law of the Law of Penal Events (State Sheet of the Republic of Indonesia in 1981 Number 76, Additional Gazette of the Republic of Indonesia Number 3209);

2. Law No. 29 of 2004 on the Practice of Medicine (Indonesian Republic of Indonesia Year 2004 Number 116, Additional Gazette of the Republic of Indonesia No. 4431);

3. Law No. 32 Year 2004 on Regional Government (Indonesian Republic of Indonesia 2004 Number 125, Additional Gazette of the Republic of Indonesia No. 4437),

www.djpp.kemenkumham.go.id

2011, No. 825 2

as amended last by Invite-Invite Number 12 Year 2008 on the second change to the 2004 Law Number 32 Year on the Local Government (the Republic of the Republic of Indonesia 2008 Number) 59, Additional Gazette Republic of Indonesia Number 4844);

4. Law No. 35 Year 2009 on Drugs (sheet State of the Republic of Indonesia Year 2009 Number 143, Additional Gazette of the Republic of Indonesia No. 5062);

5. Law Number 36 Year 2009 on Health (State Gazette of Indonesia Year 2009 Number 144, Additional Gazette Republic of Indonesia Number 5063);

6. Law No. 44 Year 2009 on Hospital (Indonesian Republic of Indonesia Year 2009 Number 153, Additional Gazette of the Republic of Indonesia No. 5072);

7. Government Regulation No. 38 of 2007 on the Division of Government Affairs Between the Government, Provincial Government, and the Municipal Government/City (State Gazette of 2007 No. 82, Additional Gazette of the Republic of Indonesia) Indonesia Number 4737);

8. Government Regulation No. 25 Of 2011 On Implementation Of The Mandatory Reporting Of Narcotics Addicts (sheet Of State Of The Republic Of Indonesia In 2011 Number 46, Additional Gazette Of The Republic Of Indonesia Number 5211);

9. Instructions for President Number 12 of 2011 on the Implementation of the National Policy and the Prevention and Eradication Of Drugs and Drugs Of 2011-2015 Drugs;

10. Decision of Health Minister Number 494 /Menkes/SK/VII/2006 on the Redemption of the Hospital and Therapeutic Satellite of the Metadon Rumatan Therapy Program and the Metadon Rumatan Therapy Program Guidelines;

11. Health Minister Regulation Number 147 /Menkes/ Per/I/2010 about Hospital Licensing;

www.djpp.kemenkumham.go.id

2011, No. 8253

12. Ministry of Health Regulation No. 269 /Menkes/ Per/III/2008 about Ream Medical;

13. Health Minister Regulation No. 290 /Mences/ Per/III/2008 on Consent of the Act of Medicine;

14. Health Minister Regulation Number 340 /Menkes/Per/III/2010 on the Hospital Classification;

15. Decision of Health Minister Number 420 /Menkes/ SK/III/2010 on Comprehensive Rehabilitation Service Guidelines and Comprehensive Rehabilitation Of NAPZA-Based Disorders Of The Hospital;

16. Decision of Health Minister No. 421 /Menkes/ SK/III/2010 on the Standards of Therapeutic Services And Rehabilitation Of NAPZA Usage Disorders;

17. The decision of the Minister of Health No. 422 /Menkes/ SK/III/2010 on the Medic Penatalakdiscretion Guidelines for the NAPZA Use Disorder;

18. Health Minister's Law Number 2052 /Menkes/ Per/X/2011 on Practice Permit and Implementation of Medical Practice (State News Indonesia 2011 Number 671);

DECIDED:

SET: THE HEALTH MINISTER ' S REGULATION ON MEDICAL REHABILITATION OF ADDICTS, MISAPPROPRIATION AND VICTIMS OF DRUG ABUSE.

CHAPTER I OF THE GENERAL PROVISION

Article 1

In this Ministerial Ordinance referred to:

1. Medical rehabilitation is a process of concerted treatment activities to free addicts of Narcotics ' dependency.

2. Narcotics are substances or drugs that are derived from plants or not plants, both synthetic and semisintetis, which can lead to decreased or change of consciousness, loss of taste, reduced to the loss of pain, and may incur dependency, which is differentiated into group-

www.djpp.kemenkumham.go.id

2011, No. 825 4

class as attached in Law Number 35 Year 2009 on Narcotics.

3. Narcotics, Psychiatcotropic and Addictive Substances, later called NAPZA, are substances/substances that can affect a person's psychiatric/psychological condition and may lead to physical and psychological dependence.

4. Narcotics addicts are the ones who use or abuse Narcotics and are in a state of reliance on Narcotics, both physically and psychically.

5. Narcotics Abuse is a person who uses Narcotics without rights or against the law.

6. Victims of Drug Abuse are a person who accidentally uses Narcotics for being persuaded, tricked, coerced, coerced, and/or threatened to use Narcotics.

7. Narcotic dependence is a condition characterized by the impulse to use Narcotics constantly with increased savings in order to produce the same effect and if their use is reduced and/or stopped abruptly, will elicits a typical physical and psychic symptom.

8. Medical rehabilitation facilities are the places used to host rehabilitation services of abuse and Narcotics dependence, through a concerted treatment activity both physical, psychic, spiritual and social.

9. Detoxification is a medical intervention that aims to help addicts, abuse and drug abuse victims cope with the withdrawal symptoms of Narcotics from addicts, misappropriation and abuse victims. It's a physical dependency.

10. Medical formula therapy is a minimum six-month long-term therapy for opioida dependence clients using an agonist (Metadon) or partial agonist-type (Bufrenorfin) opioid class by an oral or sub-lingual manner, under supervision. The doctors are trained, by referencing the national guidelines.

11. Underage patients are addicts, abuse and abuse victims of underage narcotics who are less than or equal to 18 (eighteen) years.

12. The judicial process is a series of judicial events ranging from the oppressors to the existence of a criminal (source of action) to the birth of a court decision that has a fixed legal force.

www.djpp.kemenkumham.go.id

2011, No. 8255

13. The Director General is the structural position of the eselon I on the Ministry of Health whose duties and responsibilities in the field of health care reform.

14. The Minister is the minister who organizes government affairs in health.

BAB II

FACILITY

Article 2

(1) Medical rehabilitation is carried out at a medical rehabilitation facility organized by the government, local government, or community.

(2) The medical rehabilitation facility as referred to in paragraph (1) includes hospitals, puskesmas or certain rehabilitation institutions that host medical rehabilitation.

(3) The rehabilitation institute Certain sections of the same (2) include:

a. NAPZA rehab institute belongs to the Government or Local Government;

b. NAPZA medical rehabilitation clinics organized by the public.

Article 3

(1) The hospital and the puskesmas that organizes medical rehabilitation are set by the Minister.

(2) The Minister delegated the hospital designation and The library is referred to in verse (1) to the Director-General.

(2) The hospital or community of the hospital's redeasers and puskesmas as the organizers of the medical rehabilitation are conducted after obtaining the recommendation of the local government.

Article 4

(1) Certain rehabilitation agencies Hosting a medical rehabilitation is required to have permission in accordance with the provisions of the invite-an invitation.

(2) Certain rehabilitation institutions as referred to in paragraph (1) must obtain the Minister ' s consent to be able to organize Medical rehabilitation of addicts, misappropriation and victims of narcotics abuse.

(3) Requests for consent are submitted by attaching administrative completeness as follows:

www.djpp.kemenkumham.go.id

2011, No. 825 6

a. Copies/photocopies of the permissions that are still in effect;

b. Profile of a rehabilitation institute which includes the structure of the organization of affairs, health care, means and infrastructure, and the medical rehabilitation equipment and services to be provided; and

c. The full identity of the applicant.

Article 5

(1) The leadership of a certain rehabilitation institute applied for a written request to obtain consent to the Minister of Cq Director General.

(2) The Director General within 3 (three) months Since the application has been accepted to accept or decline the consent request or an application for renewal of consent.

(3) Requests that are not eligible are denied by the Director General by providing the reason for his refusal. written.

Section 6

(1) The consent to be able to host Medical rehabilitation of addicts, mistreatment and drug abuse victims apply for 5 (five) years and may be extended during the applicable provisions.

(2) The extension of the approval as referred to in paragraph (1) is done by applying for a 6 (six) month extension prior to the expiration of the agreement.

(3) Application of the renewal of approval as referred to in paragraph (2) is delivered to the Minister of the Cq Director General with Attach a copy of the old consents and the report medical rehabilitation which has been performed.

Article 7

(1) The medical rehabilitation facility should install a name board as a medical rehabilitation organizer.

(2) Certain medical rehabilitation agencies must list the permit number and consent number on the name board.

Article 8

The medical rehabilitation facility has an obligation:

a. hosting medical rehabilitation according to professional standards, service standards and operational procedure standards;

b. carrying out social functions;

www.djpp.kemenkumham.go.id

2011, No. 8257

c. acts as well as in the network and performs the referral function;

d. carry out a series of therapies and disease contactable prevention efforts through the use of injectable narcotics;

e. Set up the standard procedure for the rehabilitation of rehabilitation in accordance with the modalities used by referring to the standard medical care guidelines and guidelines; and

f. conducting records and reporting in the holding of medical rehabilitation.

BAB III

STAGING MEDICAL REHABILITATION

Part Kesatu

General

Article 9

(1) The medical rehabilitation process includes the asesment, Preparation of a rehabilitation plan, outpatient rehabilitation program, and post-rehabilitation program.

(2) Asesmen as referred to in paragraph (1) include interviews, observations and physical examination of addicts, mistreatment. and victims of Narcotics Abuse, by using a form example as attached.

(3) Asesmen is performed at the beginning, during and after the rehabilitation process.

(4) Asesmen during the rehabilitation process as referred to in paragraph (3) are performed at least once every 6 months.

(5) Asesmen performed by a team consisting of doctors as responsible and other health care personnel trained in the use of NAPZA's disruptive use disorder.

(6) The results of the asesment as referred to in paragraph (1) are confidential and are the basis of a medical rehabilitation plan against addicts, misappropriation and victims of Narcotics abuse concerned.

Article 10

(1) Medical rehabilitation can be carried out through outpatient and/or hospitable according to a rehabilitation plan that has been compiled by considering the outcome of the asesment.

(2) The execution of the outpatient as referred to in paragraph (1), includes:

www.djpp.kemenkumham.go.id

2011, No. 825 8

a. Medical interventions include detoxification, symptomatic therapy, and/or medical formula therapy, as well as indication of complication disease therapy as per indication; and

b. Psychosocial interventions include drug counseling, motivational interviews, behavioral and cognitive therapy (Cognitive Behavior Therapy), and prevention of relapse.

(3) The treatment of the hospitalization is intended on the subject. verse (1), covering:

a. Medical interventions include detoxification, symptomatic therapy, and infectious disease therapy as per indication;

b. Psychosocial interventions include individual, group, family, and vocational counseling;

c. The philosophical approach therapeutic community (TC) and/or method 12 (twelve) steps and other philosophical approaches that are already tested scientifically.

(4) Medical rehabilitation as referred to in paragraph (1), paragraph (2) and verse (3) are executed in accordance with the standards and guidelines set by the Minister.

Article 11

The process of recovering addicts, missuse and victims of Narcotics abuse organized by government agencies or People through a religious and traditional approach must work together with the nearest Hospital and Puskesmas which has previously been designated as the institution of the recipient to report a drug addict.

Article 12

(1) Facility Medical rehabilitation in organizing a medical rehabilitation service is mandatory for medical records.

(2) The medical recluse as referred to in paragraph (1) is exercised under the provisions of the laws.

Article 13

The medical rehabilitation service must obtain an approval (informed consent) under the provisions of the laws.

Article 14

Medical rehabilitation facilities are prohibited from using physical violence and psychological/mental violence in carrying out medical rehabilitation services.

Article 15

(1) Medical rehabilitation is carried out with pay attention to equality and gender justice.

www.djpp.kemenkumham.go.id

2011, No. 8259

(2) A hospital-based medical rehabilitation facility that provides hospitalization, must allocate a portion of its treatment space for female patients.

(3) The medical rehabilitation facility is hospitable for Female patients must provide a special room for breastfeeding and room for care together with infants, especially for patients who are single parents and do not have social support.

Article 16

(1) Rehabilitation Implementation medical and the drafting of a therapeutic plan towards underage patients should pay attention emotional mental development conditions and considering the right to obtain an education.

(2) The drafting of the therapeutic plan for underage patients should priorite the outpatient rehabilitation program, in order not to interfere with the right to undergo education.

(3) The hospitalization of minors should not be combined with an adult outpatient room.

Article 17

The Government and the Regional Government are responsible for the costs of implementation of medical rehabilitation for addicts, Misuse and victim of Narcotics abuse that can't fit the rules. It's

Second section

staging of medical rehabilitation related to court ruling

section 18

Medical rehabilitation of addicts, misappropriation and victim of drug abuse that has been broken by the court was held in a government-owned medical rehabilitation facility that was set by the Minister.

Article 19

(1) Medical rehabilitation of addicts, misappropriation and victims of drug abuse that has been severed by the court was executed through stages:

a. initial outpatient program;

b. follow-up program; and

c. post-outpatient program.

(2) The initial outpatient program as referred to in paragraph (1) letter a was executed for a minimum of 3 (three) months for the benefit

www.djpp.kemenkumham.go.id

2011, No. 825 10

Advanced asesmen, and medical support for physical and mental disorders.

(3) The advanced program as referred to in paragraph (1) letter b includes long-term outpatient program or outpatient program which is implemented in accordance with the standard procedure procedure.

(4) The implementation of the advanced program with the outpatient program as referred to in paragraph (3) can only be performed for addicts, misfits and victims of narcotics abuse that has been distraued by a court with a pattern of recreational use and type narcotics amphetamine, and marijuana, and/or aged under 18 years.

(5) The pattern of recreational use as referred to in verse (4) is the use of narcotics only to seek pleasure in certain situations and have not yet been found. {\cf1)} {\cf1 (6)} {\b (6)} {\cf1 (6)} {\cf1 (2)} {\cf1 (2)} {\cf1 (

(7) The post-outpatient program referred to in paragraph (1) of the letter c includes social rehabilitation and return program to the community under the provisions of the laws.

Article 20

The government is responsible for the implementation of medical rehabilitation for addicts, misappropriation and victims of Narcotics abuse that the court has broken up.

The Third Section

The Hosting Medical rehabilitation of addicts, misappropriation and Victims of Drug Abuse that

is undergoing a judicial process

section 21

(1) Drug addicts undergoing judicial proceedings can be placed in the institution medical rehabilitation and/or social rehabilitation.

(2) Placement in the institution Medical rehabilitation and/or social rehabilitation as referred to in paragraph (1) is the authority of the investigator, the public prosecutor, or the judge according to the examination level after obtaining the recommendation of the Doctor Team.

(3) The doctor's team As referred to in verse (2) consists of a psychiatric specialist physician, a specialist forensic physician, a physician, and a psychologist who comes from a medical rehabilitation facility, a profession organization, the Police Department and the National Narcotics Agency.

www.djpp.kemenkumham.go.id

2011, No. 82511

(4) In terms of the no doctor's psychiatric specialists and/or forensic specialist doctors, it can be appointed doctors trained in NAPZA's disruptive use disorder field to enter the doctor's team.

(5) The doctor ' s team as referred to in paragraph (3) is set by the Head of the Provincial Health Service or the County/City Health Service.

(6) The doctor team as referred to in verse (3) performs an asesment, physical examination, psychiatric examination and psychological examination.

Article 22

Medical rehabilitation of addicts, misappropriation and abuse victims Narcotics undergoing a judicial process are held at a government-owned medical rehabilitation facility that meets certain security standards as per the provisions of laws, among others on the Republican Police hospital. Indonesia and the Jakarta Drug Addiction Hospital.

Article 23

Medical rehabilitation of addicts, misappropriation and victim of drug abuse that is in the judicial process is organised according to the standards and guidelines set by the Minister.

Article 24

The addiction to addicts, The abuse and abuse victims who are in the judicial process undergoing medical rehabilitation in medical rehabilitation facilities are the responsibility of the investigator, the public prosecutor or the judge at the level of the examination of the case.

Article 25

The Government and the Local Government are responsible for the implementation of the implementation Medical rehabilitation for addicts, misfits and victims of Narcotics abuse who are unable to undergo a judicial process under the provisions of the laws

BAB IV

REPORTING

Article 26

(1) Medical rehabilitation facilities are required to conduct medical rehabilitation reporting to the Minister via the reporting system mechanism.

www.djpp.kemenkumham.go.id

2011, No. 825 12

(2) The reporting system as referred to in paragraph (1) is performed periodically, i.e. once a month, including the recapitulation of the data that includes:

a. The number of narcotics addicts handled;

b. The identities of narcotics addicts include gender, age, religion, marital status, educational background, work background;

c. The type of narcotics being abused;

d. Long usage;

e. How to use a substance;

f. Diagnostics;

g. The current type of treatment/history of care or rehabilitation

(3) The reporting system as referred to in paragraph (1) follows the national health information system.

(4) In terms of the reporting system as referred to in paragraph (4) Not yet able to be implemented on line, the reporting is performed by the following:

a. for a vertical hospital can directly report it to the Minister.

b. for an area hospital and the puskesmas report on the Provincial/County Health Service/City by busan to the Minister.

c. for certain medical rehabilitation agencies, report on the Provincial/County Health Service/City with a gust of to the Minister.

(5) Recapitulation of data that has been reported to be accessed by a side of interest in the development of policies and programs both government and community agencies.

Article 27

The Minister delivered recapitulate data reporting implementation of medical rehabilitation as intended in Article 26 to the National Narcotics Agency.

Article 28

(1) The medical rehabilitation facility reported the development of a medical rehabilitation program to law enforcement agencies requesting to do medical rehabilitation.

www.djpp.kemenkumham.go.id

2011, No. 82513

(2) The order of reporting as referred to in paragraph (1) is exercised under the provisions of the laws.

BAB V

COACHING AND SUPERVISION

Article 29

(1) To improve the capabilities of medical rehabilitation facilities, the Minister and the Head of the Health Service are conducting coaching to improve the capabilities of medical rehabilitation facilities.

(2) In conducting coaching as referred to in paragraph (1), the Minister and Head of the Health Service involved the National Narcotics Agency.

(3) To guarantee the quality of the hosting of medical rehabilitation, the Minister conducted oversight against the implementation of the medical rehabilitation program.

(4) In conducting activities coaching and supervising, the Minister can form a Team by involving elements of provincial government/kabupaten/city through head of the health service/head of the NAPZA bureau, the organization of the profession in health, BNN Province/District/City or other related correctional organizations.

(5) In order of coaching and supervision, the Minister may take administrative actions to a medical rehabilitation facility against the violation of the provisions of Article 4, Section 6, Article 7, Article 8, Section 11, Article 11, Section 12, Section 13 and Section 14 are:

a. oral reprimand;

b. written reprimand; or

c. revocation permit.

BAB VI

TRANSITIONAL provisions

Article 30

By the time this Regulation is in effect, then all medical rehabilitation facilities are organizing medical rehabilitation services for addicts, misappropriation and victims of Narcotics abuse must conform to this Regulation in the months-slow 2 (two) years.

www.djpp.kemenkumham.go.id

2011, No. 825 14

BAB VII

provisions CLOSING

Article 31

At the time the ministerial Ordinance came into effect, Health Minister's Decision Number 996 /MENKE/SK/VIII/2002 on the Guidelines for the Means of Service Rehabilitation of Abuse and Reliance On Narcotics, Psychotropic and Other Addictive Substances (NAPZA) as far as Narcotics is repealed and declared to be not applicable.

Article 32

The rules of this minister go into effect on the date Uninvited.

For everyone to know it, order the invitational. Regulation of the Minister of Health with its placement in the State News of the Republic of Indonesia.

Stipulated in Jakarta

on December 1, 2011

MINISTER OF HEALTH

REPUBLIC OF INDONESIA,

SCARF RAHAYU SEDYANINGSIH

promulgated in Jakarta

on December 14, 2011

MINISTER FOR LAW AND HUMAN RIGHTS

REPUBLIC OF INDONESIA,

AMIR SYAMSUDIN

www.djpp.kemenkumham.go.id

2011, No. 82515

www.djpp.kemenkumham.go.id

2011, No. 825 16

www.djpp.kemenkumham.go.id

2011, No. 82517

www.djpp.kemenkumham.go.id

2011, No. 825 18

www.djpp.kemenkumham.go.id