• 제목/요약/키워드: Mental health centers

검색결과 192건 처리시간 0.023초

A Study for a Community-based Mental Health Model for House Bound Long-term Mentally Disabled - focusing on the community residents of the Taegu-Kyungpuk area -

  • Lee, Kyunghee
    • 대한간호학회지
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    • 제29권5호
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    • pp.1155-1166
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    • 1999
  • The purpose of this study was to investigate the residents' opinions about community mental health in the Taegu-Kyungpuk area for the future development of a community mental health program and model appropriate for Korea, The subjects were 152 residents in the Taegu - Kyungpuk area. In July 1999, the data was collected using a convenience sample technique. Mental health status was significantly different for the level of occupational advantage(x$^2$=15.684, p<.05) and physical health(x$^2$=39.262, p<.000). Factor structure for mental health problems with the percentage of variance was as follows. optimistic view(27.518), dark view(10.758), mastery(6.200), discomfiture(6.101) and life style(5.641). Most of the respondents(92.1%) took the mental health problems seriously. The serious aspects of the mental health problem were found to be epilepsy, mental retardation, neurosis and schizophrenia respectively. Concerning about the view of community mental health, most of the respondents answered that the a C.M.H.C. was ‘useful and urgent’ concerning the need for C.M.H,(77.6%). They answered positively on the utilization of C.M.H.C(75.7% ) and preferred the separately new community mental heath center. A psychiatrist was preferred as the key person in charge(44.1%). If community mental health centers were established in a community health center, they answered that the expected major problem would be quality control of care(44.7%). They preferred the psychiatrist's office as the recommended agency for the insane(44.7%). Opinions of the asylum system were found very negative in respect to psychiatric therapy and humanitarianism. The results of this study will help establish a relevant model for this community as the primary site for a community-based mental health model.

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지역아동센터 종사자의 아동청소년정신건강 문제 대처경험에 관한 질적 연구 (A qualitative study on the experiences of community child center workers to deal with the mental health of children and adolescents)

  • 배은경
    • 한국아동복지학
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    • 제56호
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    • pp.33-68
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    • 2016
  • 본 연구의 목적은 지역아동센터 종사자의 아동청소년정신건강 문제에 관한 대처경험을 이해하고자 하는 것이다. 이러한 목적을 달성하기 위해 지역 아동센터에 근무하는 종사자 10명을 2집단으로 나눠, 총 4회에 걸쳐 초점집단면접(focus group interview)을 통하여 자료를 수집하고 분석하였다. 분석결과, 지역아동센터 이용 아동청소년의 정신건강에 관한 종사자들의 경험은 4개의 주제, 12개의 하위주제로 구성되었다. 4개의 주제는 '아이들의 정신건강과 마주한 현실', '정신건강 문제를 인식한 종사자의 대처와 제한점', '마음으로 전해지는 노하우, 눈에 보이는 변화', '남겨진 과제, 아낌없이 줄 수 없는 종사자' 등이었다. 이러한 연구결과에 근거하여 지역아동센터를 이용하는 아동청소년의 정신건강 증진을 돕기 위한 방안을 제언하고자 하였다.

정신건강증진센터에 종사하는 정신보건사회복지사의 클라이언트 폭력경험이 이직의도에 미치는 영향 : 직무스트레스의 매개효과를 중심으로 (The Effects of Client Violences on the Turnover Intention of Mental Health Social Workers Working in Community Mental Health Centers : Focusing on the Mediating Effects of Job Stress)

  • 김자영;홍송이;한창근
    • 사회복지연구
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    • 제47권3호
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    • pp.113-138
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    • 2016
  • 본 연구는 정신건강증진센터에 종사하는 정신보건사회복지사의 클라이언트 폭력경험이 이직의도에 미치는 영향에 있어 직무스트레스의 매개효과를 살펴보는 것이다. 이를 위해 2013년 정신보건센터협회에서 실시한 전국 정신건강증진센터 실태조사 자료를 활용하여, 클라이언트 폭력경험이 이직의도에 미치는 직접적인 영향력과 직무스트레스의 매개효과를 검증하였다. 분석에 활용된 1,429명의 정신보건사회복지사 중 67.2%(961명)가 클라이언트로부터 폭력을 경험한 것으로 나타났다. 폭력경험은 이직의도에 직접적인 영향을 미치는 것으로 나타났으며, 클라이언트로부터 경험한 폭력경험은 정신보건사회복지사의 이직의도에 영향을 미치는데 있어 직무스트레스의 부분 매개효과가 검증되었다. 본 연구결과를 토대로 정신건강증진센터에 종사하는 정신보건사회복지사에게 안전한 근무환경에 제공되어야 함을 강조하며, 이들의 이직의도를 완화시키기 위해 직무스트레스를 해소할 수 있는 다양한 프로그램과 교육 내용 등을 제안하였다.

침구치료로 개선된 장애인의 정신건강 증례보고 (A Case Report on Improvement Mental Health of the Disabled by Acupuncture and Moxibustion)

  • 고원준;박상균
    • Korean Journal of Acupuncture
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    • 제39권1호
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    • pp.16-21
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    • 2022
  • The purpose of this study is to report the case mental health of people with disabilities has improved through visit treatment at public health centers. From October 26, 2021 to January 04, 2022, 6 visits were conducted and Patient Health Questionnaire-9 (PHQ-9), Beck Depression Inventory (BDI), Korean version of Center for Epidemiological Studies-Depression Scale (K-CES-D), Visual Analog Scale (VAS), Euro Qol-Visual Analogue Scale (EQ-VAS), Modified Barthel Index (MBI) were used to check changes. After Korean Medicine treatments such as acupuncture, electroacupuncture, electromoxibustion, PHQ-9 decreased from 18 to 8, BDI decreased from 22 to 15, K-CES-D decreased from 42 to 21. And VAS decreased from 85 to 50, EQ-VAS increased from 30 to 50. But There was no change in the MBI. Confirmation of improvement in mental health-related indicators of disabled patients through Korean Medicine treatments.

일 지역사회의 정신질환자와 정신건강사업에 대한 태도 연구 (Survey for Community Attitudes toward People with Mental Illness)

  • 현미열;양수;이경주
    • 대한간호학회지
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    • 제39권1호
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    • pp.84-94
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    • 2009
  • Purpose: This study was done to investigate community attitudes towards people with mental illness and to mental health services. Methods: From August to October of 2006, 474 citizens of Siheung city were asked to give demographic data and their personal attitude toward mental illness and mental health services. Results: The residents of Siheung community showed slightly negative attitudes, with a mean opinion about mental illness score of $93.38{\pm}17.29$. According to the study, health professionals and citizens showed a positive attitude to the establishment of day care centers and residential facilities (62.2% and 55.4% respectively). Civil servants showed negative attitudes (40.4%). There were significant differences in attitudes according to gender, age, education level, occupation, religion, and income. Positive attitudes were found for health professionals and negative attitudes for civil servants. Conclusion: The results of this study indicate a need to provide public information and education for civil servants, and for those who have negative attitudes, in particular, men, people in the younger age group, who have lower education levels, who are Buddhists, monthly renters, who have a monthly income below 1 million won, who have no children and no experience with people who have a mental illness.

정신질환을 가진 부모의 자녀들의 정신건강 상태 조사 연구: 고위험군 선별을 위한 예비 연구 (A Survey for Mental Health of Children Whose Parents Have Psychiatric Disorders: A Preliminary Study for Mental Health Screening of High Risk Children)

  • 서화연;박수미;김예니;양영희;이지연;이해우;정희연
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제28권4호
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    • pp.235-243
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    • 2017
  • Objectives: This study aimed to evaluate the mental health status of the children of psychiatric patients in order to plan for the resources that may be necessary to help these children achieve their full potential. Methods: Forty-eight children (age 9-18) whose parents were registered in 5 community mental health centers located in Seoul were recruited. Tests assessing 3 psychological domains were conducted: 1) cognition: Korean version of Learning Disability Evaluation Scale, Comprehensive Attention Test, 2) parent reported emotion and behavior: Korean Child Behavior Checklist, Korean attention-deficit hyperactivity disorder Rating Scale, and 3) self-reported emotion and behavior: Korean Beck's Depression Inventory-II/Children's Depression Inventory-II, Korean Youth Self Report). We defined the children as having a high risk of developing mental health problems if their test scores were over the cut-off levels in 2 or more of the 3 domains assessed. Results: Twelve (25%) children were classified as having a high risk of developing mental health issues. 20 (41.6%) children scored above the cut-off in only one of the domains. Conclusion: Our results suggest that the children of psychiatric patients might be vulnerable to mental illness and need early prevention or interven-tions for the sake of their mental health.

노인주간보호시설의 운영을 위한 기초조사 (A Basic Survey for Management of Elderly Day Care Centers)

  • 남기석;황옥남;황혜연;윤숙례
    • 재활간호학회지
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    • 제5권2호
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    • pp.180-192
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    • 2002
  • The purpose of this study was to survey basic data for management of elderly day care centers. In this study, occupation, leisure life, and food, clothing and habituation, as well as social relationship, health state and behavior, and general characteristics of subjects were examined to identify the factors affecting their cognition, need and preference of the day care centers. The subjects of this study were 392 elderly, aged 60 years or over, living in Gangnung and neighboring districts. Data were collected by educated interviewers from November 4 through November 22, 2002. The subjects were interviewed face to face, one for one after the interviewee's agreements on the survey. The collected data were analysed with logistic regression analysis by SAS (statistical analysis system). Logistic regression analysis was done to identify affecting factors for cognition, need and preference of the elderly day care centers. The major findings are as follows: 1. The factors affecting cognition for the day care centers were analysed. The subjects with an occupation and a lower satisfaction level of living environment and friendship, who were economically secure enough to manage a sudden accident, showed a higher level of cognition of the day care centers. The subjects with a higher level of mental health state and a lower level of IADL also showed a higher level of cognition. On the general characteristics younger female subjects showed a higher level of cognition. 2. The subjects with a lower level of perceived economic condition who did not own their housing and were not economically safe enough to manage a sudden accident, had showed a higher level of need for the day care centers. It showed that the subjects with a high level of mental health state, a bad eye sight and dental condition, a good perceived health condition, and a lower level of IADL, needed the centers. 3. The subjects who had an occupation, however, not capable of making their own daily expenses, and a low occupation satisfaction level, and who did not own their housing, and were economically poor not enough to manage a sudden accident, showed a higher preference for the day care centers. The subjects with higher levels of friendship satisfaction and perceived health condition, not living with their spouse, and a higher education level, showed a higher preference for the centers. In conclusion, the common factors affecting their cognition, need and preference of the day care centers were occupation, economic security enough to manage accidents, and friendship satisfaction level. Especially, the subjects who had an occupation, however, not economically secure enough to manage accidents, and who did not live in their own housing with a good perceived health condition, showed high levels of need and preference for the day care centers. These results can be used as basic data to develop the efficient elderly day care centers, thus contribute to the elderly welfare in a local community.

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GIS를 이용한 정신의료기관의 공간적 접근성 분석 - 강원도지역을 대상으로 (Analysis on the Spatial Accessibility of Mental Health Institutions Using GIS in Gangwon-Do)

  • 박주현;박영용;이광수
    • 한국병원경영학회지
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    • 제23권2호
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    • pp.28-41
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    • 2018
  • Purpose: This study purposed to analyze the spatial accessibility of mental health institutions in Ganwon-Do using Geographic Information System and to suggest policy implications. Methodology: Network analysis was applied to assess the spatial accessibility of mental health institutions in Gangwon-Do. To perform the network analysis, network data set was built using administrative district map, road network, address of mental health institutions in Gangwon-Do. After building network data set, Two network analysis methods, 1) Service area analysis, 2) Origin Destination cost matrix were applied. Service area analysis calculated accessive areas that were within specified time. And using Origin Destination cost matrix, travel time and road travel distance were calculated between centroids of Eup, Myeon, Dong and the nearest mental health institutions. Result: After the service area analysis, it is estimated that 19.63% of the total areas in Gangwon-Do takes more than 60 minutes to get to clinic institutions. For hospital institutions, 23.08% of the total areas takes more than 60 minutes to get there. And 59.96% of Gangwon-do takes more than 30 minutes to get to general hospitals. The result of Origin-Destination cost matrix showed that most Eup Myeon Dong in Gangwon-Do was connected to the institutions in Wonju-si, Chuncheon-si, Gangneung-si. And it showed that there were large regional variation in time and distance to reach the institutions. Implication: Results showed that there were regional variations of spatial accessibility to the mental health institutions in Gangwon-Do. To solve this problem, Several policy interventions could be applied such as mental health resources allocation plan, telemedicine, providing more closely coordinated services between mental health institutions and community mental health centers to enhance the accessibility.

서울시 보건소 대사증후군관리사업의 효과와 자가관리 지원수준 평가 (Evaluation of the Effectiveness and the Level of Self-Management Support on the Metabolic Syndrome Management Program at Public Health Centers in Seoul Metropolitan City)

  • 김동옥
    • 보건행정학회지
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    • 제29권1호
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    • pp.19-26
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    • 2019
  • Background: The purpose of this study was to evaluate the effectiveness and the level of self-management support on the Metabolic Syndrome Management Program at public health centers in Seoul metropolitan city. Methods: The effectiveness on the Metabolic Syndrome Management Program were analyzed using secondary data from 1,312 community residents who were receiving program. The level of self-management support on Metabolic Syndrome Management Program was evaluated using an 'Assessment of Primary Care Resources and Supports for Chronic Disease Self-Management' from four public health centers. Results: The effectiveness on the Metabolic Syndrome Management Program was showed that decreased smoking (p= 0.044) and drinking (p< 0.001), and increased healthy dietary habit (p< 0.001) in health behaviors. It was showed that decreased triglyceride (p= 0.002) and increased high-density lipoprotein cholesterol (p< 0.001) in clinical indicators. The level of self-management support on Metabolic Syndrome Management Program was 98.1 points and it meaned that implementation is done in an organized and consistent manner using a team approach. There was difference in the level of self-management support by public health centers (p= 0.003). Conclusion: The Metabolic Syndrome Management Program in public health centers was effective, and level of self-management support was done as organizational level, but patient input and mental health were insufficient.

청소년의 정신건강문제가 자살 관련 행위에 미치는 영향: 청소년 건강행태조사 자료를 이용하여 (The influences of mental health problem on suicide-related behaviors among adolescents: Based on Korean Youth Health Behavior Survey)

  • 박은옥
    • 한국간호교육학회지
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    • 제29권1호
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    • pp.31-60
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    • 2023
  • Purpose: This study explored the influencing factors on suicide-related behaviors (ideation, plans, and attempts) focusing on mental health problems (anxiety, depression, and loneliness) among Korean adolescents. Methods: A secondary analysis was conducted with data from the 16th Korean Youth Health Behavior Survey collected from in 2020 by the Korea Centers for Disease Control and Prevention. Chi-square tests and multivariate logistic regression analyses were performed. Results: After the adjustment of demographic characteristics and health risk behaviors, the influences of mental health problems on suicidal ideation, plans, and attempts showed the anxiety odds ratio (OR) for severe anxiety vs. minimal (OR 4.65, 4.67, and 3.75), depression (OR 4.27, 3.69, and 4.49), loneliness (OR 2.18, 1.96, and 1.96). Health risk behaviors (violence experience, drug use, stress, smoking, and drinking alcohol) and demographic variables (gender, school record, and socioeconomic status) were also significantly associated with suicide-related behaviors. Conclusion: Anxiety, depression, and loneliness were strong predictors of suicide-related behaviors. Early detection of suicide risks through screening for comprehensive mental health problems was recommended. Suicide prevention that considers the risk factors, including mental health problems and other risk factors, needs to be developed and implemented to reduce suicide risks among adolescents.