Journal of Digital Convergence (디지털융복합연구)

The Society of Digital Policy and Management (한국디지털정책학회)
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Examining the Factors Affecting Prisoner's Decision-Making for Medical Treatment of Mental Illness after Release from Prison

출소 후 정신질환 치료결정에 영향을 주는 요인에 관한 연구

  • Hong, Moon-Ki (The Korean Institute of Criminology and Justice) ;
  • Park, Jongsun (Department of Public Administration, Gachon University)
  • 홍문기 (한국형사.법무정책연구원) ;
  • 박종선 (가천대학교 행정학과)
  • Received : 2021.10.19
  • Accepted : 2022.01.20
  • Published : 2022.01.28
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Abstract

There is little research about medical treatment after prison. The purpose of this study is to examine factors influencing mentally-ill prisoner's decision making for medical treatment on release from prison. With the data collected from prisoners in 2019, binary logistic regression was used to analyze the effect of variables on the mentally-ill prisoner's decision making. In result, bipolar disorder, depression, anxiety disorder, and panic disorder decreased the likelihood of answering that I will have no medical treatment plan after prison, whereas lack of experience in receiving medical care increased the likelihood of answering as such. Bipolar disorder, anxiety disorder, counseling, medical treatment, and education had a positive effect on selecting mental hospital in the answer. Depression enhanced the likelihood of choosing mental health center for treatment. Policy implications and directions for future research are discussed.

정신질환 재소자의 출소 후 치료에 대한 연구가 부족한 편이다. 본 연구의 목적은 정신질환 재소자들의 출소 후 치료결정에 영향을 주는 요인에 대해 분석하는 것이다. 따라서 2019년 남성 재소자들을 대상으로 설문조사를 실시하여 출소 후 치료에 대한 재소자들의 선호도와 여러 변수들의 인과관계를 이항 로지스틱회귀분석을 적용해서 분석하였다. 출소 후 치료계획이 없다고 응답할 가능성을 낮추는 요인은 재소자의 양극성 조울증, 우울증, 불안장애, 공황장애 증세이며, 반대로 출소 후 치료계획이 없다고 응답할 가능성을 높이는 요인은 수감 중 정신치료 경험이 없는 경우였다. 재소자의 양극성 조울증, 불안장애, 교도관 상담, 의사 치료와 학력은 정신건강병원에서 치료받을 계획이 있다고 응답할 가능성을 높이는 요인이었으며, 정신건강복지센터에서 치료받을 계획이 있다고 응답할 가능성을 높이는 요인은 재소자의 우울증이었다. 이를 바탕으로 관련 규정의 명문화, 정신질환 재소자 병력 공유 등을 정책대안으로 제안하며, 후속연구에서는 여성재소자들이 포함된 보다 다양한 변수들의 영향을 분석할 예정이다.

Keywords

References

  1. E. S. Ryu. (2015). A study on the correctional treatment of mentally-disordered offenders - Focused on community treatment. Korean Journal of Public Safety and Criminal Justice, 5, 99-128.
  2. K. M. Huh. (2017). A study on the problems and the amendment direction of related laws for the treatment of mentally disabled prisoners in correctional system. The Journal of Police Science, 12(2), 71-104. https://doi.org/10.16961/polips.2017.12.2.71
  3. K. M. Huh. (2008). The study on the community corrections model for mentally ill offenders. The Correction Review, 38, 163-191.
  4. D. Glenister. (1994). Patient participation in psychiatric services: A literature review and proposal for a research strategy. Journal of Advanced Nursing, 19, 802-811. https://doi.org/10.1111/j.1365-2648.1994.tb01153.x
  5. M. J. Kim & S. J. Kim. (2012). Preferences in mental health services for persons with mental illnesses: Q-methodological approach. Journal of Korean Academy of Psychiatric Mental Health Nursing, 21(4), 333-343. https://doi.org/10.12934/jkpmhn.2012.21.4.333
  6. M. K. Hong & J. S. Park. (2021). Examining the factors affecting the correctional officer's preference toward the institute for forensic psychiatry. Journal of Digital Convergence, 19(10), 21-28. https://doi.org/10.14400/JDC.2021.19.10.021
  7. M. C. Kim, S. W. Lee, & Y. H. Lee. (2015). Implementation and review of correctional health center programs for improving the social competence and reducing re-offending of mentally-ill offenders. Correction Review, 69, 183-216. https://doi.org/10.14819/krscs.2015.69.7.183
  8. S. Y. Lee. (2011). A study mental health problems among prison inmates and improvements of mental health services for them. Correction Review, 51, 121-144.
  9. D. H. Bae & S. M. Shin. (2008). Mental health status and mental health service needs of women inmate in Korea. The Korean Journal of Woman Psychology, 13(4), 479-497 https://doi.org/10.18205/kpa.2008.13.4.005
  10. B. G. Link & A. Stueve. (1995). Evidence bearing on mental illness as a possible cause of violent behavior, Epidemiologic Reviews, 17, 172-181. https://doi.org/10.1093/oxfordjournals.epirev.a036173
  11. Supreme Prosecutors' Office Republic of Korea. (2019). Analytical Report on Crime. Seoul : Ministry of Justice.
  12. A. Tengstrom & S. Hodgins. (2002). Criminal behavior of forensic and general psychiatric patients with schizophrenia: are they different? Acta Psychiatrica Scandinavica, 116, 62-66. https://doi.org/10.1111/j.1600-0447.2006.00922.x
  13. Y. D. Kim. (2021). A Research on the Correctional Treatment of Mental Disease Inmates. Doctoral dissertation. Hanyang University, Seoul.
  14. S. S. Choi. (2003). Management and treatment for the inmates with mental health problems. Correction Review, 18, 7-43.
  15. J. I. Park, Y. J. Kim & S. J. Lee. (2013). Mental health status of prisoners in correctional institutions. Journal of Korean Neuropsychiatric Association, 52, 454-462. https://doi.org/10.4306/jknpa.2013.52.6.454
  16. S. H. An. (2011). Study on Improvement of Forensic Psychiatry. Seoul : The Korean Institute of Criminology.
  17. M. M. Daffern & K. Howells. (2002). Psychiatric inpatient aggression: A review of structural and functional assessment approaches. Aggression and Violent Behavior, 7, 477-497. https://doi.org/10.1016/S1359-1789(01)00073-8
  18. R. Muller-Isberne & S. Hodgins. (2000). Violence. Crime and Mentally Disordered Offenders: Concepts and Methods for Effective Treatment and Prevention. Chichester: Wiley.
  19. S. J. Young & R. R. Ross. (2007). R&R-2 for Youths and Adults with Mental Health Problems: A Prosocial Competence Training Program. Ottawa: Cognitive Center of Canada.
  20. C. R. Showalter. (2000). Treatment of offenders with mental disorders. The American Journal of Psychiatry, 157(5), 41-51. https://doi.org/10.1176/appi.ajp.157.5.850
  21. Ministry of Health and Welfare. Mental Health Policy. https://www.mohw.go.kr.
  22. Ministry of Justice. The Act on Medical Inspection and Custody Article 36-2. https://www.law.go.kr.
  23. A. Serafini. (2018). Correctional Officers' Perceptions and Attitudes toward Mental Health within the Prison. Master thesis. California State University, San Bernardino.
  24. H. K. Yang & B. R. Suh. (2014). A study on the social adaptation of inmates after discharge from prison. Correction Review, 63(5), 115-144. https://doi.org/10.14819/krscs.2014.63.5.115
  25. A. Shiva, S. C. Haden & J. Brooks. (2009). Psychiatric civil and forensic inpatient satisfaction with care: The impact of provider and recipient characteristics. Social Psychiatry Epidemiology, 44, 979-987. https://doi.org/10.1007/s00127-009-0019-3
  26. B. M. Veysey. (1998). Specific needs of women diagnosed with mental illness in US jails. In B. Levin, A. Blanch & A. Jennings, (Eds.), Women's Mental Health Service: A Public Health Perspective (pp. 368-389). Thousand Oaks: Sage.