• Journal of Family Resource Management and Policy Review
• /
• v.26 no.2
• /
• pp.1-17
• /
• 2022

This study provides a critical analysis of the Family Center's programs for adoptive families by interviewing employees at these centers and at Adoption Agencies who have experiences with adoption programs. For this study, nine such workers from three separate Family Centers and three such workers from two separate Adoption Agencies have (voluntarily) engaged in in-depth interviews. Major findings from the interviews are that the Family Centers were initially motivated to carry out adoption family programs for three principal reasons: they located many families (in need of adoption family program); potential adoptees were interested in the program; adoption families participated in the pre-existing programs such as Self-help Group and Co-parenting Space. Workers in the study also reported that they approach to an adoption family and their contemplation on ways to provide better services to the adoption families. They don't have any official and formal manual or guidelines from the Government Ministries and offices such as Korean Institute for Healthy Family; as a result, the workers at Family Centers have endeavored to gain connection with Adoption Agencies in hopes of cooperation with them and to improve the services at Family Centers. For benefits of Family Centers as a delivery system, they mentioned nationwide infrastructure, family professional, and arrangement of integrated program for family. For improvements, they listed awareness education based on a thorough consideration of adoptee's varied characteristics, close cooperation with adoption institutions, provision of basic operational manual from Korean Institute for Healthy Family, and governmental efforts to enlarge the consideration pool for families.

• Clinical and Experimental Pediatrics
• /
• v.52 no.4
• /
• pp.410-416
• /
• 2009

In Korea, overseas adoption has been practiced for more than 50 years. Initially, overseas adoption began with the objective to provide permanent homes for Korean war orphans, including mixed-blood children. From 1953 to 2007, about 160,000 Korean children were placed worldwide through overseas adoption and approximately 70,000 children were adopted in Korea. During that period, Korea developed into one of leading industrial countries in the world and the family norms changed dramatically. Since 1989, the Korean government has made diverse efforts to increase domestic adoptions and to support adopted families through the revisions to Korea's Child Welfare Law. However, it is not enough to reduce overseas adoptions rapidly because the Korean government's economic support for adopted families is not adequate and Korean sentiments regarding adoption have not changed. Being an international adoptee is a unique experience, involving dissimilarities of race, ethnicity, and culture. Clearly, it is very important for us to focus on placing Korean children in the best possible environment. Therefore, Korea must make diverse efforts to reduce overseas adoptions and to encourage domestic adoption. First, Korean society has to try to reduce the number of children who need out-of-home care. Second, the Korean government and people should make an effort to increase domestic adoptions, including adoptions of disabled and older children. Finally, the Korean government and adoption agencies have to provide professional pre-adoption and post-adoption services for international adoptees and adoptive parents.

• Journal of Preventive Medicine and Public Health
• /
• v.43 no.1
• /
• pp.35-41
• /
• 2010

Objectives: In Korea, the top 10% of Medical Aid recipients represent nearly 60% of total payment, with the costs for those disabled for over 365 days representing approximately 30% of total payment. The purpose of this study was to compare Medical Aid use of the disabled with non-disabled recipients, and to identify contributing factors to the total payment in the top 2% of recipients identified as Medical Aid overusers. Methods: Subjects (n=2,211) selected were ${\geq}18$-years-of-age and received >1000 days of co-payment-free type I Medical Aid. Case managers (n=200) conducted interviews in December 2006, and collected data from Health Insurance Review & Assessment Service. Amounts over the 9 months from January September 2006 were analyzed descriptively and using Chi-square, ANCOVA, and robust multiple linear regression. Results: Disabled individuals (mean age 61.3 years) composed 36.6% of subjects; 44.8% of the disabled were male. On a monthly basis per capita, the disabled group averaged 10.5 outpatient days, total payment of 523,000 Korean Won(￦), inpatient payment of ￦359,000, and outpatient payment of ￦183,000. All values exceeded the monthly average for non-disabled individuals. Contributing factors were identified as male gender (￦82,000), elementary school or lower educational level (￦64,000), residence in a small city (￦82,000), lack of family support (￦61,000), kidney disability (￦673,000), intellectual disability (￦151,000), and multiple disabilities (￦119,000). Conclusions: The identification of contributing factors to Medical Aid use by those defined as disabled supports the adoption of comprehensive alternative policies such as strengthening of education and consultation services, provision of alternative facilities, and promotion of self-care.