• 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.

• Korean Journal of Social Welfare
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• v.69 no.3
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• pp.193-212
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• 2017

This study is purposed to explain the characteristics of injured workers' labor market situation and to analyze the factors influencing labor market transition of those workers. Using the Worker's Compensation Insurance Panel Data ver.1~3 which was surveyed by the Korean Workers' Compensation & Welfare Service in 2013-2015, this study analyzed 1,668 injured worker cases. The study shows that workers who have experience job retention at least once are 36.8% of all, 51.5% of them have experienced re-employment, and 36.9% have done unemployment. One result of the longitudinal analysis is that socio-demographic factors including gender, age, education years, convalescence period, ability on job performance, company size, term of service, temporary employment, daily-workers status before job accident and job training were associated with return to pre-injury job. The other result is that statistically significant factors affecting the probability to be the unemployed are gender, age, levels of disability, convalescence, ability on job performance, term of service before job accident, job rehabilitation service utilization. These findings indicate that we need to develop efficient intervention programs for supporting return-to-work and labor market transition of injured workers.

• Korean Journal of Social Welfare Studies
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• v.44 no.3
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• pp.207-236
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• 2013

This article aims to understand the process of effective leadership in the Community Care Centers for the Disabled(CCCD). Using a qualitative approach and the concept of 'Sensemaking', a term introduced by Weick (1995), I described and explored the process of leadership. Sensemaking enables leaders to have a better grasp of what is going on in their environments. Sensemaking theory offers a perspective on leadership that resolves successfully complex situations surrounding the CCCD. The CCCDs face the environmental changes such as a paradigm shift of disability and a rivalry system with private services. In this time of uncertain change, the CCCDs are in need of leadership of the executives who could reduce complexity with shared meaning. Data were collected over 5 weeks from the 6 CCCDs, through semi-structured interviews, with practitioners, middle managers and chief executives. The interview scripts were thematically analyzed through Atlas-ti programme. The findings showed three subjects, the people's perception of environment, organizational visioning and interactions among post positions. Even though the 6 CCCDs were under the same environment, the perceptions and the enactments of the practitioners were influenced by the chief executives' sensemaking. The important factors of the chief executives' sensemaking were the daily interaction as well as ongoing reflection on their experiences.

• Journal of Convergence for Information Technology
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• v.11 no.10
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• pp.194-204
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• 2021

This study was conducted to find out the status and factors of private health insurance subscriptions by life cycle and to identify differences in medical usage behavior by life cycle. Using the SPSS 26 program as the 12th-15th (2016-2019) data of the Korea Welfare Panel, the difference subscriptions was identified as Chi-square by demo social and health characteristics of 58,223 people, and the factors affecting subscription were analyzed by polynomial logistic analysis and average analysis was performed for medical use behavior. As a result of the analysis, the biggest factor in purchasing private health insurance was household income, private health insurance coverage is the highest in growth period, and multiple subscriptions were made depending on household income. In youth, household income, spouse, and no disability, and middle age, household income, economic activities, spouses, and health levels were largely influential factors. The rate of private health insurance coverage in old age was the lowest, and low-income households, poor health levels, and people with disabilities were lower. The increase in medical use by private health insurance subscribers also occurred during growth and youth. It is necessary to strengthen the national health insurance coverage, and the role of private health insurance to supplement it should be established in time for the life cycle to complement each other, eliminating blind spots of medical security and maximizing people's health and well-being.

• Journal of Digital Convergence
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• v.18 no.6
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• pp.531-540
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• 2020

The purpose of this study was to present ways and tasks for the successful settlement of community care that the korea government recently aimed to convert the care system of the vulnerable from the center of institutional care to the community-based care system. As a research method, we tried to find out the community care policies for foreign developmental disabilities and explore major issues and problems in the process. As a result of the study, de-institutionalization and maintenance and enactment of laws related to community-based care systems, the division of subjects and tasks in policy implementation, and above all, it is necessary to specify necessary financial estimation, procurement plan, and budget securing method. In addition, sincere deliberation on the form of living space for people with developmental disabilities after de-institution and clarification of the subjectivity of using the services provided Establish reliable statistics on the characteristics and degree of disability of people with developmental disabilities, worry about human rights violation factors that can occur in community residential facilities that will be provided after de-facility, and create consensus in the community was also analyzed as an important factor. I think it is a key factor to secure the success of the community care policy by carrying out the above multiple tasks simultaneously.

• Journal of the Korean Society of Physical Medicine
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• v.13 no.1
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• pp.27-38
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• 2018

PURPOSE: The purpose of this study was to find out the treatment patterns of Children with cerebral palsy, and to analyze the effect of physical function level and treatment intensity on improvement of physical function in children with cerebral palsy for six months. METHODS: Participants were 126 children (boys 83, girls 43) diagnosed cerebral palsy that the mean age was at 33months, ranged from 8 months to 77 months. We collected data related on demography and disable characteristic, treatment pattern using by questionnaire constructed ourselves for six months on caregivers. The treatment pattern includes, type, frequency, and institute of treatment. We performed the evaluation of Gross Motor Function Measurement (GMFM) and Pediatric Evaluation of Disability Inventory (PEDI) between pre and post for six months in order to find out improvement of physical function. We analyzed the effect of physical functional level measured by Gross Motor Functional Classification system, age, treatment intensity on physical function using by repeated measures ANOVA for SPSS PC ver. 22.0. RESULTS: The average of treatment frequency for physical therapy was 5.74 times per week, occupational therapy was 3.96 times, speech therapy was 2.96 times, treatment for accompanying disability was 3.12 times. Physical function level and age was significantly factors affecting improvement of physical function, there was no significant difference according to treatment intensity. CONCLUSION: We suggest that physical function and age might be important factors on improvement of physical function and professional rehabilitation team must consider the appropriate treatment type customized to each children.

• Journal of the Korea Convergence Society
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• v.9 no.10
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• pp.347-353
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• 2018

The purpose of this study is to investigate the relevance of discrimination and violence experienced by persons with disabilities to suicidal ideation of persons with disabilities. The study data used the 2014 national survey of the disabled persons and 6,332 people were included in the analysis. Suicidal ideation was defined as whether or not suicide was actually attempted in the last year. The reference group was a group without suicidal ideation and logistic regression analysis of violence discrimination and experience was performed. The study found that 18.5%(n=1.171) of people with disabilities had suicidal ideation. The risk of suicidal ideation was higher when there was language violence and mental violence because of being disabled. When adolescents experienced sexual harassment, sexual abuse, and sexual violence, the risk of suicide was 16.7(CI=4.22-66.18) times higher. The risk of suicidal ideation was 5.8(CI=2.34-14.6) times higher for those who did not know the violent offenders and 4.08(CI=2.05-8.12) times higher for coping strategies that ignored or tolerated violence. The risk of suicidal ideation was 1.60(CI=1.24-2.08) times higher in the case of discrimination experienced at the time of marriage and it was 2.73(CI=4.22-66.18) times higher when they had always felt the discrimination due to disability. The suicidal ideation that comes from experiences of violent experience and discrimination can appear as actual suicide. Therefore, it is necessary to support the suicide prevention program at the community level, along with the care and consideration of the family and society of the disabled for the well-being of the disabled.

• Journal of Digital Convergence
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• v.14 no.9
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• pp.63-72
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• 2016

Given that the number of people with developmental disabilities is continuously increasing in Korea, we need to pay attention to the lives of parents who rear the children with developmental disabilities. Accordingly, this study examined the effects of parenting stress on the quality of life in parents of children with developmental disabilities, and moderating effects of information application in the process. This study conducted a survey to 194 parents who rear such children in Chungnam and Chungbuk provinces. This study utilized PASW Statistics 18.0 for analysis, and the study results are as follows. First, it was found that parenting stress was more than average level, and information application was somewhat lower than average level. Quality of life was found to be lower than average level, and the level of relationship with neighborhood and emotional condition was relatively lower than other sub-factors. Second, influential factors of life quality were parenting stress, disability degree, information application, residential area, and disability type. Third, information application was found to have moderating effects on the relationship between parenting stress and quality of life. Based on such empirical analysis results, this study suggested concrete and comprehensive working strategies to improve quality of life in parents of children with developmental disabilities.

• Journal of Digital Convergence
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• v.18 no.10
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• pp.547-555
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• 2020

To investigate the effects of self-management programs for chronic low back pain (LBP), 63 subjects were assigned to three groups; self-exercise group (SEG), hot pack and low-frequency electrical stimulation group (HEG), and thermo-massage group (TMG). Parameters were the pain numeric rating scale (PNRS), Oswestry Disability Index (ODI), Roland Morris Disability Questionnaire (RMDQ) and Relapse frequency (RF). PNRS, ODI and RMDQ of SEG and TMG sustained effectiveness, however, PNRS, which improved after treatment in HEG, worsened in 6 month. Between the groups, all parameters were better in SEG and TMG compare to HEG. Exercise and thermo-massage can be considered as useful self-management performed at home to prevent the relapse of chronic LBP.

• 재활복지
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• v.18 no.4
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• pp.1-24
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• 2014

The purpose of this study is to analyze that change of social environment, disability perspective and rehabilitation paradigm of Korea rehabilitation for the past 60 years and to propose future direction for rehabilitation of Korea. The major results of this study are summarized as follow : First of all, there is a disparity of 30 years between persons with disabilities and persons without disabilities for the perspective of social inclusion in Korea. Second, social environment is one of the most important effective variable on rehabilitation for persons with disabilities in Korea, it has been rapidly changed from agrarian society, going through industrial society and intellectual society, to convergence society. Third, disability perspective has been changing to universalist model with change of the social environment and also paradigm of the rehabilitation has been changing from the target of treat, education and training to the member of society that can empower and support persons with disabilities. Forth, rehabilitation policies have been changing from the welfare policies to the empowerment policies in company with change of paradigm. On the basis of the results, the following suggestions can be made : First, universalist model have to be permeated in the society at large. Second, rehabilitation paradigm should change to emphasize the holistic and universalist perspective. Third, the main purpose of rehabilitation policies are equality, mean and target of the policies are to emphasize universal services.