• Title, Summary, Keyword: 정신건강서비스 이용

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A Study of Factors Affecting on the Preference of the elderly's Mental Health Services Utilization in Rural Areas - Application of Andersen and Newman's Model - (Andersen과 Newman 모델에 근거한 농어촌 지역 노인의 정신건강서비스 이용의향에 관한 연구)

  • Lee, Ki-Young;Choi, Song-Sik;Park, Hyun-Suk;Lim, Hyun-Jung
    • Korean Journal of Social Welfare
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    • v.62 no.2
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    • pp.257-278
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    • 2010
  • This study examined the factors affecting the preference for the elderly's mental health services utilization in rural areas. A behavior model developed by Andersen and Newman provided an analytical framework to determine the factors affecting service utilization preferences among 335 elderly people as research subjects. The authors found that the preferences for mental health service utilization were significantly related to the level of education, living alone, presence of grandchildren, participation in social activities, and recognition about the services. Based on the findings, this study suggests that more mental health services for the elderly in rural areas be further developed and strengthened. Also, the elderly who lives alone and lives with grandchildren should have a priority in policy consideration. Multiple approaches are suggested to increase the awareness of mental health services and participation social activities for those older people.

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Moderating Effects of Public Health Service Utilization Rate between Public Health Resources and Community Mental Health (지역사회 공공보건자원과 지역사회 정신건강의 관계에서 공공보건서비스 이용률의 조절효과)

  • Kim, Jae-Hee
    • Journal of the Korean Applied Science and Technology
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    • v.37 no.2
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    • pp.268-278
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    • 2020
  • This study aimed to identify the moderating effect of public health service utilization rate between public health resources and community mental health. The subjects included 144 local communities, from the data of 6th Community Health Plan and the 2015 Community Health Survey. Public health resources were measured by public health budget, public mental health budget and public mental health personnel; and mental health was measured by rate of perceived stress, rate of depressive mood and suicide rate. The hierarchical regression analysis was used to identify the moderating effects. The results were as followed. First, the effect of public mental health budget on rate of depressive mood was moderated by public health service utilization rate. Second, the effect of public mental health personnel on rate of depressive mood was moderated by public health service utilization rate. Third, the effect of public mental health personnel on suicide rate was also moderated by public health service utilization rate. Fourth, the effect of public health resources on mental health differed between the groups with high and low public health service utilization rate. In improving community mental health, the measures to improve the public health service utilization rate should be considered to ensure that reinforcing public health resources leads to the improvement of community mental health.

Study on the Early Detection of Mental Health Problems in the Elderly and the Utilization of Related Services (노인의 정신건강 문제의 발견과 관련서비스 이용에 관한 연구)

  • Park, Kyungsoon;Park, Yeong-Ran;Son, Duksoon;Yum, Yoosik
    • The Journal of the Korea Contents Association
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    • v.19 no.9
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    • pp.308-320
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    • 2019
  • This study aims at investigating the major symptoms that help family carers detect mental illness in elderly patients. Another purpose of this study is to empirically verify the major factors determining the utilization of mental health services with a focus on family carers. The results of this study are as follows. First, the most commonly detected symptoms that caused the family carers to suspect mental illness in the elderly patients were memory decline and other forms of cognitive function decline. Second, the determinants of the elderly's utilization of mental health services included the patient's long-term care insurance level, the age of the family carer, the period of care, the level stress associated with the provision of care felt by the carer, his understanding of geriatric mental illness, and the level of perception about community mental health services. Based on these findings, this study suggests policies and practical implications for the early detection of and response to elderly mental health problems and the utilization of related services from the viewpoint of the family carers of the elderly.

Mental health literacy of local public officials and the mental health business attitude survey (일 지역사회 공무원의 정신건강지식 및 정신건강사업에 대한 태도조사)

  • Kim, Hyeun-Sil;Kang, Eun-Ok
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.2
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    • pp.275-285
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    • 2019
  • The purpose of the present study was to investigate perceptions of mental health literacy and mental health services of local public officials in Korea. The participants were 273 civil servants working in three Gangwondo provinces. Data were collected from July 1, 2018 to August 15, 2018 using structured questionnaires, and SPSS Ver. 22.0 was used for data analysis. Results showed mental health literacy of public officials was 101.45 points (range 35-160). Mental health literacy level was found to be significantly dependent on occupation and levels of mental health education, mental health treatment experience, and family mental health treatment experience. Only 39.9% of respondents stated they were aware of mental health welfare centers. The most common condition that caused respondents to seek mental health services was depression (35.9%). In addition, 44.7% of the respondents opined that mental health care was improving due to community changes. An analysis of the relationship between perceptions of mental health welfare centers and mental health literacy scores showed a positive relationship between participant prior knowledge about mental health welfare centers and investment in mental health management (p=.012), suggesting a need for further development of educational programs using mental health nurses to improve mental health literacy among community officials.

Mental Health Service Use by the North Korean Defectors (북한이탈주민의 정신건강서비스 이용 실태)

  • Kim, Da Eun;An, Ji Hyun;Lee, Kyoung Eun;Moon, Carolyn Seungyoun;Jun, Jin Yong;Chang, Hye In;Hong, Jin Pyo
    • Anxiety and mood
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    • v.14 no.1
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    • pp.28-35
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    • 2018
  • Objective : The purpose of this study was to assess the use of mental health services by North Korean defectors. The study sought to understand the determinants of use with socio-demographical characteristics and the barriers of using mental health service. Methods : Data were collected from a sample of the 300 North Korean defectors who have settled in South Korea within the last three years, aged 18 years and older. Face-to-face interviews and a survey using the North Korean version of the Composite International Diagnostic Interview were conducted. Results : 21.0% of respondents reported the use of mental health services. Among them, 16.0% reported the use of mental health specialty, 2.0% reported the use of general medical services, and 3.0% reported the use of others. Of the respondents who had one or more psychiatric disorders, 28.8% used mental health services. The highest rate of use of mental health services was by respondents who are aged over 50 years old, had less than 10 years of education, and were unemployed. Of those who suffered from a psychiatric disorder but did not seek for consultation, 74.4% said that they could handle the problem by themselves, and 74.6% asserted that they had no psychiatric disorder. Conclusion : North Korean defectors in South Korea used mental health services more than the general South Korean population. It would be crucial to provide appropriate mental health services based on the needs of North Korean.

Factors Influencing Use of Mental Health Helping Systems among College Students in Korea (한국대학생의 정신건강 원조체계 활용에 영향을 미치는 요인)

  • Lee, Sun-Hae;Chung, Sul-Ki
    • Korean Journal of Health Education and Promotion
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    • v.25 no.5
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    • pp.21-38
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    • 2008
  • Objective: This study examined the use of mental health helping systems among college students in Korea. A behavioral model of health service utilization was applied to examine factors influencing different types of helping systems. Methods: A total of 454 college students from four universities participated in the survey. A self-administered questionnaire measuring help-seeking behaviors including formal health and mental health services, informal helping system, peer group, and family support was used. Results: Respondents frequently turn to family members and peer group when in need, and age, sex, mental Health status, and attitude and knowledge on mental illness were significant factors affecting help-seeking behaviors of Korean students. While older students and those with more severe symptoms were more likely to seek help from formal resources, students with more severe symptoms were less likely to seek help from informal resources. Male students and those with negative attitude toward mental illness were less likely to ask peer groups for help. Conclusions: Study results indicate that informal resources and peer groups can be significant sources of social support for individuals in their late adolescence and young adulthood, however, their role as gateways to professional help is limited. Student counseling centers should take on a more active role in reaching out; implications for developing peer leaders as counselors and self-help groups are discussed.

Factors Associated with the Quality of Life among Persons with Severe Mental Illness Living in Supported Housing (독립주거 거주 중증 정신장애인의 삶의 질에 영향을 미치는 요인에 관한 연구)

  • Lee, Sung-eun
    • Korean Journal of Social Welfare Studies
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    • no.36
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    • pp.281-299
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    • 2008
  • The objective of this study was to examine the association between personal, housing, program, and service characteristics and quality of life among persons with severe mental illness living in supported housing. A cross sectional survey of a random sample of 237 clients residing in supported housing in Philadelphia was used to assess the association between personal and environmental characteristics, and quality of life. Data were collected from structured interviews, administrative data, the 2000 U.S. Census data file and the Philadelphia police crime database. Multiple regression analyses were used to identify personal and environment characteristics that are associated with quality of life. Clients with diagnoses of schizophrenia, those with lower levels of psychiatric symptoms, those with higher levels of physical health status, and those with higher levels of perceived supportiveness with staff had higher levels of quality of life. Findings of this study suggested that clients' clinical characteristics and consumer staff relationships can be important variables for understanding quality of life among supported housing residents. Factors associated with quality of life identified in this study may help service providers design and plan services to promote quality of life and stable independent living in the community of supported housing residents.

A Research on Value Structure on Use Behavior about Social Service of the Mentally ill elderly (노인정신장애인의 사회복지서비스 이용행위의 가치 사슬 구조 연구)

  • Kim, Sun-Joo;Kwon, Sunae;Bak, Mi-Ok
    • The Journal of the Korea Contents Association
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    • v.16 no.3
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    • pp.667-675
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    • 2016
  • The aim of this study is to predict use behavior for social welfare service of the elderly mentally ill through means-end chain theory. Means-end chain theory explains cognitive structure related to the consumer's preference to various products and services. Although the elderly mentally ill begin to emerge as new client population, social welfare services for them do not seem to be enough in the community. Based on this awareness, this study tried to analyse service use behavior of the elderly mentally ill through means-end chain theory to develop new social welfare services. The data were collected from 15 elderly mentally ill and found 5 attributes, 10 consequences, and 11 values. Hierarchical Value Map was composed of 'disease management, rehabilitation preparation, hobby leisure ${\rightarrow}$ health maintenance, energy of life ${\rightarrow}$ social reintegration, life satisfaction, harmonious family life'. To activate the social service for the elderly mentally ill, it should be developed various programs such as disease management, rehabilitation preparation, hobby leisure for the elderly mentally ill. The ultimate value of these programs will be improve life satisfaction and integrated into society.

A Study on Self-reliance and Residential Service Needs of Patients with Chronic Mental Illness (만성정신질환자의 자립 및 주거 서비스에 대한 요구도 조사)

  • Jeon, Hyun Ju;Huh, Yu Jeong;Ko, Young-Hoon;Lee, Jae-Hon
    • Korean Journal of Psychosomatic Medicine
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    • v.26 no.2
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    • pp.145-151
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    • 2018
  • Objectives : Residential services are provided to help patients with chronic mental illness, but those have some problems because of provider focused services and uniformized training. So the purpose of the study was to explore residential needs of patients with the chronic mental illness such as chronic schizophrenia. Methods : A survey was conducted on 139 mental illness patients using mental health facilities at Ansan city area in South Korea. We investigated their demographic and social characteristics, the degree of self- reliance and residential service needs. Results : More than half of them had the desire for self-reliance, and they needed job support mostly. They were positive about the use of residential facilities and needed daily living skill and social skill training. Also they preferred day rehabilitation in type of facility. And they wanted to operate in a way that they returned home at the weekend after group home. Conclusions : For facilitating the recovery of patients with chronic mental illness, it would be necessary to provide individualized residential rehabilitation services and to improve existing residential facilities and programs reflected on the patients' needs.