• Title/Summary/Keyword: 정신보건복지

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A Study on the Concept of Mental Health in Korea (한국인의 정신건강 개념에 관한 연구)

  • Kim, Dong-Bae;Ahn, In-Kyung
    • Korean Journal of Social Welfare
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    • v.56 no.1
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    • pp.203-233
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    • 2004
  • Rapid process of industrialization and modernization in Korea has caused earning differentials between the rich and the poor, the feeling of alienation followed by excessive competitions among the members of community as well as the conflict between generations. Because of those factors, Koreans have come to undergo several mental problems such as anxiety, melancholy and suicide. However, scarce concern or effort has been given to solve those mental problems in the professional field of mental health. Social work service for mental health in Korea has been delivered on the basis of the Law of Mental Health, most of which are focused on treatment or care of mental patient himself or his family. Therefore ordinary people who have no mental disorder but have desire for mental health have no way to take service in the field of public mental health except for counselling programs given by some of the private social welfare institutions. In this context, the process of clarifying the concept of mental health is demanded before we develop the mental health program. As social welfare is the practical science that helps people seek after happiness and meaningful life, so clarifying the concept of mental health is needed not only for the field of mental health itself but also for every field of social welfare. In order to achieve this purpose, this study firstly arranged concepts of mental health in Korea using Q methodology. As the result, we found 21 dimensions including spiritual one and self-wellbeing one which newly identified in this study as well as 19 dimensions of Jahoda. We also found Koreans perceive concepts of mental health as independently as 5 types of Communalist, Rationalist, Individualist, Humanist, and Religionist. Secondly, on the basis of the result, we suggested that mental health programs in social welfare should be oriented to the positive concept of mental health. This study could furnish fundamental data that enable the concept of mental health to be spread to that of the growth for a better life not limiting on that of the prevention or the treatment of the mental disorder.

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Permanency Plan for Adults with Mental Illness : Focused on Mental Health System of New Zealand (성인정신장애인의 평생계획모형 : 뉴질랜드 정신보건서비스를 중심으로)

  • Seo, Mi-Kyung
    • Korean Journal of Social Welfare
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    • v.58 no.2
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    • pp.33-56
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    • 2006
  • Primary care takers, especially older parents, who live with and care for an adult child with mental illness struggle with the dilemma of who will provide for their child's social and emotional needs and physical care requirements when they can no longer care so. Therefore, 'Permanency plan(financial, residential, legal plan)' is very important for social integration and normalization of mental illness adults. This study aims to introduce the mental health systems in New Zealand and to investigate the permanency plan strategies(benefit, supplements, and the laws) of the government and community support services of NGOs through the interviews with team leaders of representative NGO, Te Korowai Aroha. Permanency plan strategies of New Zealand Government and NGOs are as follows. 1) Financial plans for adults with mental illness include main benefit(invalid benefit), various allowances(family allowance and disability allowance), and wage subsidies for employment. 2) The Government provide accommodation supplement and re-establishment grant for residential plan. And NGOs have supported accommodation program to provide support and accommodation that are important for social integration. 3) Adult mental illness is provided the support of welfare guardian and property manager under the Protection of Personal and Property Rights Act. According the results, this study concluded that social services for the mental illness which secure supported accommodation and benefits is strongly needed. At the same time, mental health delivery system is needed to make distinction between social services and clinical services.

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A Study on the Floor Plan Type and the Spatial Composition of Standard Mental Health Centers in Seoul (서울시 기초정신건강증진센터의 평면유형 및 소요공간구성에 관한 연구)

  • Lim, Yen Jung;Chai, Choul Gyun
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.20 no.1
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    • pp.45-55
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    • 2014
  • Purpose: The purpose of this study is to provide data on the basis for architectural planning of floor plan type and spatial composition by analysing standard mental health centers in Seoul. Methods: Data were collected through literature research, field surveys, and expert interviews to 22 standard mental health centers in Seoul. Results: The results of this study could be summarized as follows; Firstly, Mental Health Center is divided into five types according to the location. Location types of mental health center were 'Director type', 'Health center connection type', 'Public facilities connection type', 'Complex center connection type' and 'Commercial Facilities connection type'. Secondly, Depending on the type of management a mental health center is divided into two types. Types are 'Complex type' and 'Independent type'. Average area of 'Complex type' is $192.99m^2$ and 'Independent type' is $266.87m^2$. This difference affects the various spaces. Implications: It is necessary to give and architectural suggestion of mental health center in response to the proposal of the system.

Effectiveness of Self-Empowerment Program for Social Workers : Focusing on the Mental Health Social Workers' Self Concept and Clients' Evaluation of Social Workers (사회복지사 셀프-임파워먼트 프로그램의 효과 : 정신보건사회복지사의 자아개념 및 클라이언트의 평가를 중심으로)

  • Choi, Myung-Min
    • Korean Journal of Social Welfare
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    • v.50
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    • pp.3-32
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    • 2002
  • The purpose of this study was to introduce Self-Empowerment Program focusing on empowering social workers in individual level and to evaluate effectiveness of the program through practicing it. For the purpose, this study reviewed the concept of self-empowerment, theoretical background and content of the program. It examined effects of the program on mental health social workers' self concepts and clients' evaluation of the social workers, also. Through applying the program and analysing it, some significant differences were found in total positive self, self identity, self satisfaction, self behavior, moral ethical self, personal self, and family self score between intervention group and control group after the program. In evaluation of the social workers by the clients, the score of social workers in intervention group was increased after the program than control group's. These findings suggested that this program be helpful for social workers' self-empowerment and relationship with clients. It is meaningful to prove utility of the program in our social work situation with limited training or growing opportunities for social workers.

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A Study on the Regulation for Type and Design Guideline of Mental Health Service (정신보건서비스 유형 및 시설기준 수립을 위한 관련 법제도 분석 연구)

  • Moon, Ha Ni;Yun, Woo Yong;Chai, Choul Gyun
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.22 no.2
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    • pp.25-33
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    • 2016
  • Purpose : The information of mental health facilities in Korean law is so unclear that people hardly enable to understand what sort of proper mental health service is prepared for them. Futhermore, there is not enough regulation and standard to classify each type of facilities in the law. Therefore the purpose of this study is to provide data on the basis for classification and facility standards by analysing Korean law and policies. Methods : This study was conducted by a research on law and regulation of mental health facility. Results : The result of this study can be summarized into three points. The first one, current law and policy do not reflect a change in community mental health services paradigm. The second one, the classified facility should be designed to fit the community mental health services. The third one, overall, it requires more detailed guidelines to enhance the quality of mental health services. Besides, the treatment as well as the function of the prevention and rehabilitation are necessary criteria that can also be enhanced. Implications : This study looked at the classification and facility standard of mental health facility by the change in community mental health services paradigm. Forward according to these changes, there is a need for specific guidelines for mental health facility.

A Study on the Sectoral Configuration and Use Characteristics of Mental Health Center - Focused on Standard Mental Health Center in Seoul (기초정신건강증진센터의 부문구성 및 이용특성에 관한 연구 - 서울시 기초정신건강증진센터를 중심으로)

  • Lim, Yen Jung;Chai, Choul Gyun
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.19 no.4
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    • pp.37-45
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    • 2013
  • Purpose: With the rapid development of technology and individual life styles, Korea faces ever-increasing mental diseases caused by divorce, suicide, alcohol, drug addiction, and internet addiction. To reflect this, the quantitative expansion of mental health centers that make up is time. The purpose of this study is to understand the current situation of standard mental health centers by analysing Seoul's cases of mental health. First, this study presents the direction of mental health policy through specific examples about the function of public and private sectors. Second, advantages and disadvantages of the facilities will be delineated through in-depth comparisons and analyses, ultimately providing architectural quidelines for establishing future standard mental health center. Methods: Data were collected through literature research, field surveys, and expert interviews to standard mental health centers in Seoul. In the field investigation, we collected various data(architectural plan, dimension, photos) by visiting standard mental health centers. Data were analysed by content analysis. Results: The result of this study can be summarized into three points. The first one is that Mental health environment changing role of the mental health center is derived the spatial variations. The second one is that Standard Mental Health Center is divided into four sectors. Implications: It is necessary to give and architectural suggestion of mental health center in response to the proposal of the system.

생명의 소중함을 느끼게 하는 미숙아의 건강을 위하여

  • 김경아
    • 가정의 벗
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    • v.37 no.4 s.428
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    • pp.8-9
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    • 2004
  • 엄마의 자궁 내에서 충분히 성장하지 못하고 출생한 아기는 전문적인 치료와 간호가 필요하다. 최근 10여 년 동안에 의학이 현저하게 발전하여 생존율이 점점 높아지고 있지만 여전히 인지도나 보호자들이 겪게 되는 정신$\cdot$경제적 어려움이 너무나도 크다. 생명의 소중함을 느끼게 하는 미숙아가 건강하게 자랄 수 있도록 더 많은 관심이 필요하다.

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Neurobiological Factors of Suicide (자살의 신경생물학적 요인)

  • Song, Hoo Rim;Woo, Young Sup;Jun, Tae Youn
    • Mood & Emotion
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    • v.10 no.1
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    • pp.13-21
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    • 2012
  • Suicide is a complex behavior associated with various neurobiological and psychosocial factors. It is considered that genetic polymorphism combined with environmental stress such as child-adolescent trauma make differences in neurobiological systems, which cause psychiatric disorders or pessimistic personality, impulse-aggressive behaviors, lack of judgment, and finally result in suicidal behavior. Much progress in the neurobiology of suicide has been made over the several decades. There seems to be a hereditary disposition to suicide independent of psychiatric disorder. The changes in neurotransmitters, neurohormones, neurotrophic factors, cytokines, lipid metabolisms related with their genetic polymorphism can contribute to disturbance of signal transductions and neuronal circuits vulnerable to suicide. It is likely that the main factors are dysfunctions of serotonin (5-HT) and hypothalamus-pituitary-adrenal (HPA) axis. Our understanding about the neurobiology of suicide is still limited. However, clinical practice could be assisted by neurobiological findings capable of making the detection of risk populations with higher sensitivity and the development of new treatment interventions. The settlement of biological markers in suicidal behaviors and their relationships is required.

Spirituality and Stress in Mental Health Social Workers (정신보건사회복지사의 영성과 스트레스)

  • Kim, Chang-Gon
    • Journal of Hospice and Palliative Care
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    • v.16 no.4
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    • pp.253-263
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    • 2013
  • Purpose: This study was conducted to analyze the association between spirituality and stress of mental health social workers, which could be used in development of a program to help them manage stress and offer spiritual support. Methods: Participants were 154 mental health social workers in Korea. Data were collected from November 1 through November 30, 2011. The study employed the Korean version of the Spirituality Scale and Psychosocial Well-being Index-Short Form (PWI-SF). Data were analyzed using SPSS/Windows 17.0. Results: The mean score for the Spirituality Scale was 3.63 and for PWI-SF 18.78. Spirituality scores showed a significant difference among participants by age, education, religion and marital status. Psychosocial stress scores also significantly differed by marital status. Spirituality scores were negatively correlated with psychosocial stress scores (r=-0.548, P<0.001). Conclusion: In this study, a significant negative association was found between spirituality and stress in mental health social workers in Korea. A follow-up study with a larger sample of participants is needed to confirm these findings.

Fusion of the Guardianship System and Mental Health Law Based on Mental Capacity - Focusing on the Enactment and the Application of the Mental Capacity Act (Northern Ireland) 2016 - (의사능력에 기반한 후견제도와 정신건강복지법의 융합 - 북아일랜드 정신능력법[Mental Capacity Act (Northern Ireland) 2016]의 제정 과정과 그 의의를 중심으로 -)

  • Kihoon You
    • The Korean Society of Law and Medicine
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    • v.24 no.3
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    • pp.155-206
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    • 2023
  • When a person with diminished mental capacity refuses necessary medical care, normative judgments about when paternalistic intervention can be justified come into question. A typical example is involuntary hospitalization for people with mental disabilities, traditionally governed by mental health law. However, Korean civil law reform in 2011 introduced a new form of involuntary hospitalization through guardianship legislation, leading to a dualized system to involuntary hospitalization. Consequently, a conflict has arisen between the 'best interest and surrogate decision-making' paradigm of civil law and the 'social defense and preventive detention' paradigm of mental health law. Many countries have criticized this dualized system as not only inefficient but also unfair. Moreover, the requirement for the presence of 'mental illness' for involuntary hospitalization under mental health law has faced criticism for unfairly discriminating against people with mental disabilities. In response, attempts have been made to integrate guardianship legislation and mental health law based on mental capacity. This study examines the legislative process and framework of the Mental Capacity Act (Northern Ireland) 2016, which reorganized the mental health care system by fusing guardianship legislation with mental health law based on mental capacity. By analyzing the case of Northern Ireland, which has grappled with conflicts between guardianship legislation and mental health law since the 1990s and recently proposed mental capacity as a single, non-discriminatory standard, we aimed to offer insights for the Korean guardianship and mental health systems.