• Title/Summary/Keyword: Mental health service

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The Relationship between Family Burden and Mental Health Service Needs of Family for Home-based Chronic Mental Patients in Community (지역사회 재가 만성정신질환자 가족의 부담감과 정신보건서비스요구와의 관련성)

  • Kim, In-Hong
    • Journal of agricultural medicine and community health
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    • v.33 no.3
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    • pp.269-278
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    • 2008
  • = ABSTRACT = Objectives: This study was carried out to identify the relationships of family burden and mental health service needs of chronic mental patients in community. Methods: Objects of the study were 153 chronic mental patients in community of P. city in korea. Data were collected from December, 2007 to February, 2008 using structured questionnaire. Research tools of this study were family burden tool developed by Pai & Kapur (1981) and mental health service needs tool developed by Kim (2003). Results: The average grades for family burden was 1.62 points. And the biggest part of family burden was economic burden(1.74), followed by interrupt of daily life(1.67), interrupt of family relationship(1.64), interrupt of family leisure (1.57), effects of mental health(1.50), and effects of physical health(1.43). The average grades for mental health service needs was 2.72 points. And the biggest part of mental health service needs was rehabilitation service(3.09), followed by social service(2.87), and Psychiatric medical service(2.21). Positive correlation showed between all parts of family burden. And, positive correlation showed between psychiatric medical service and interrupt of daily life(r=.281, p<.01), psychiatric medical service and effects of physical health(r=.355,p<.01), social service and effects of mental health(r=.213,p<.01). Conclusion: The family burden for care giver of mental patients was related with all parts of family burden and mental health service needs of family. Thus, these results should be considered to reduce family burden for care giver of mental patients in community.

A Preliminary Study to Determine Comprehensive Research and Development Plans for Promoting Mental Health Services

  • Kim, Chul Eung;Ko, Young-Mi;Lee, Sang-Uk;Choi, SungKu;Han, Kiwan;Park, Se Jin;Jo, MinKyung;Park, Yu Kyong;Lee, Hye Young;Park, Subin
    • Osong Public Health and Research Perspectives
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    • v.9 no.6
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    • pp.314-324
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    • 2018
  • Objectives: The aim of this study was to analyze research and development projects in mental health services in Korea, using priority evaluation of mental health promotion policies to determine direction of the service. Methods: An online survey was conducted that targeted experts in the mental health service regarding promotion of mental health in Korea in 2016. The survey was based on 32 policy projects that resulted from 12 strategies according to 4 policy objectives. Results: Analysis of 32 mental health projects were assessed regarding the possibility of technology development success, magnitude of the ripple effect, and necessity of a national response. It was observed that 3 policy projects relevant to suicide, had a high relative priority. This was followed by policies for improvement of health insurance and the medical benefit cost system, and policies for reinforcement of crisis psychological support such as those for disaster victims. Conclusion: The prioritization of mental health services should place an emphasis on promotion of a healthy mental lifestyle, rehabilitation support for patients with serious mental illness, and reinforcement of social safety networks for suicide prevention.

A Study on the Service Network for Mental Health and Welfare in Japan (일본 정신보건복지 서비스네트워크에 관한 연구)

  • Lim, Yen Jung;Lee, Hae Kyung;Chai, Choul Gyun
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.19 no.2
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    • pp.41-49
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    • 2013
  • Purpose: Economic and social pressures are driving Korea to reform its mental health services. However, it is not easy for the governments to find to the proper method for the mental health service network. This study is to find the mental health service network in Japan. Methods: The survey was conducted by researches and field studies. 1) Researches for mental health service network and facilities. 2) Field study is for Mental Health and Welfare Network in Tokyo. Results: The result of this study can be summarized into three points. The first one, Reform measures are beginning to promote the concept of "normalization" in japanese society. The second one, Facilities of Mental health and welfare system designed by level that can be providing places for people with mental problems. The third one, Facilities consist of barrier-free environment for people with mental problems.

The Effects of Customer Contact Service to the Mental Health among Korean Taxi Drivers (택시운전원의 고객응대 노동이 정신건강에 미치는 영향)

  • Lee, Bokim
    • Korean Journal of Occupational Health Nursing
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    • v.25 no.2
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    • pp.108-117
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    • 2016
  • Purpose: The purpose of this study was to determine the relationship between customer contact service and mental health among Korean taxi drivers. Methods: This was a secondary analysis of data collected from the 2015 Korean Working Conditions Survey. The sample included 496 taxi drivers in South Korea. The effect of customer contact service on mental health was analyzed using logistic regression analysis. The independent variables were general characteristics, working conditions, and hazardous factors in interactive service. Results: The prevalence of poor mental health was 56.3%. Taxi drivers experienced emotional involvement (17.2%), hiding feeling (32.0%), and contact with angry clients (18.3%) in their job. During the first month of their work, 33.7% experienced verbal abuse and 12.3% threats/humiliating behaviors. In bivariate analysis, verbal abuse, threats/humiliating behaviors, and physical violence were associated with mental health of taxi drivers. Multiple logistic regression analysis revealed 'emotional involvement' and 'contact with angry clients' were significant predictors of mental health. Conclusion: The findings of this study may be useful in developing intervention programs to improve the mental health of taxi drivers in South Korea.

Development of the Expert Education Program for the Management of Mental Health Prevention (정신건강예방관리 전문직 직무교육 프로그램 개발)

  • Park, Sung-Mi;Lee, Hyo-Young;Im, Hyuk;Chae, Eun-Hee;Kim, Hye-Sook
    • The Korean Journal of Health Service Management
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    • v.6 no.2
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    • pp.219-234
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    • 2012
  • Mental health service facilities implement an effort to meet the increased mental health demands. However, no specific 'mental health expert education program' have been offered yet. This study aimed to develop of the expert education programs which are general programs(GP), and specific programs(SP) for the management of mental health prevention in 3 kinds of facilities, psychosocial rehabilitation centers, homeless facilities, and domestic violence counselling facilities. Data were gathered from the service providers by structured questionnaire, and experts related with mental health by delphi study. We surveyed the management status and present expert programs. Consequently, domains of the education programs were extracted. As results, we identified the type of provider's job & demands for education. Thus, we gained the informations for developing the expert education programs in mental health facilities. GP were composed by 3 domains and 9 programs, and SP were composed by 3 programs each facilities. This study should be helpful in expanding the government educational operations related with mental health prevention areas. Eventually, community mental health will be promoted and socio-economic burdens by mental health problems will be lessened. In addition, it will be a basic evidence for developing specialized programs in a mental health prevention system foundation.

Effects of Mental Health and Oral Health Symptoms of the Myself Generation on Orientation to Happiness (나홀로족의 정신건강과 구강건강자각증상이 행복추구경향에 미치는 영향)

  • Park, So-Young
    • The Korean Journal of Health Service Management
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    • v.13 no.2
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    • pp.93-105
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    • 2019
  • Objectives: The purpose of this study is to investigate the factors related to mental health and oral health awareness that affect the tendency to search for happiness. Methods: In this study, we conducted a self - report questionnaire survey with 197 participants belonging to the Myself Generation in Jeju Island. Results: There was a significantly greater tendency to seek overall happiness in individuals with lower age, good subjective physical health low levels of depression and stress high self-esteem good subjective mental health and good subjective health status. The most influential factors were self - esteem and mental health awareness followed by general characteristics and oral health awareness. Conclusions: This study provides useful data for mental health and oral health care, and for the development of health care service programs aimed at the satisfaction and happiness of people living alone.

Moderating Effects of Public Health Service Utilization Rate between Public Health Resources and Community Mental Health (지역사회 공공보건자원과 지역사회 정신건강의 관계에서 공공보건서비스 이용률의 조절효과)

  • Kim, Jae-Hee
    • Journal of the Korean Applied Science and Technology
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    • v.37 no.2
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    • pp.268-278
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    • 2020
  • This study aimed to identify the moderating effect of public health service utilization rate between public health resources and community mental health. The subjects included 144 local communities, from the data of 6th Community Health Plan and the 2015 Community Health Survey. Public health resources were measured by public health budget, public mental health budget and public mental health personnel; and mental health was measured by rate of perceived stress, rate of depressive mood and suicide rate. The hierarchical regression analysis was used to identify the moderating effects. The results were as followed. First, the effect of public mental health budget on rate of depressive mood was moderated by public health service utilization rate. Second, the effect of public mental health personnel on rate of depressive mood was moderated by public health service utilization rate. Third, the effect of public mental health personnel on suicide rate was also moderated by public health service utilization rate. Fourth, the effect of public health resources on mental health differed between the groups with high and low public health service utilization rate. In improving community mental health, the measures to improve the public health service utilization rate should be considered to ensure that reinforcing public health resources leads to the improvement of community mental health.

Factors Influencing Use of de Facto Mental Health Service Systems in Persons with Chronic Mental Illnesses (대리(de Facto) 정신보건 서비스체계의 이용에 영향을 미치는 요인에 관한 분석)

  • Lee, Sun-Hae
    • Korean Journal of Social Welfare
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    • v.42
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    • pp.340-371
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    • 2000
  • The paradigm of care for persons with chronic mental illnesses has recently been shifted in Korea from institutionalization to community integration. Numerous changes in the service environment tend to target clients of mental health care organizations while a considerable proportion of people with similar clinical conditions have been institutionalized in various types of organizations whose auspices are other than mental health care. Under the current circumstances in which the subgroup of people, who tend to be socio-economically disadvantaged, has no viable alternative in the community to using such de facto mental health organizations, their chances of deinstitutionalization may decrease. This study thus aims at providing an increased understanding of the characteristics of the users and their service utilization, which in turn enables us to establish differentiated strategies within the current service context. In this study, a survey is conducted on the residential history of those with chronic mental illnesses both in the community and in institutions. Major characteristics of the users of de facto services are investigated along with the extent of their use of various existing mental and non-mental health services. Included is also an examination of the subjects' clinical and individual factors that may influence their use of de facto services. The study findings demonstrate relative disadvantages in deinstitutionalization in a subgroup of the population with chronic mental illnesses under the current mental health policies, and the author suggests intervening strategies specific to this population.

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Clozapine-related Sudden Pericarditis in a Patient Taking Long Acting Aripiprazole and Valproate: A Case Report

  • De Berardis, Domenico;Fornaro, Michele;Orsolini, Laura;Olivieri, Luigi;Nappi, Francesco;Rapini, Gabriella;Vellante, Federica;Napoletano, Cosimo;Serroni, Nicola;Di Giannantonio, Massimo
    • Clinical Psychopharmacology and Neuroscience
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    • v.16 no.4
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    • pp.505-507
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    • 2018
  • Clozapine may be associated with cardiovascular adverse effects including QTc prolongation and, more rarely, with myocarditis and pericarditis. Although rare, these latter cardiovascular adverse effects may be life-threatening and must be immediately recognized and treated. Several cases of clozapine related-pericarditis have been described and often it has a subtle and insidious onset with symptoms that may be often misdiagnosed with psychiatric manifestations (e.g. anxiety, panic or somatization) leading to a delayed correct diagnosis with potential fatal consequences. In the present report we describe the case of a 27-year-old girl with schizoaffective disorder taking long acting aripiprazole and valproate who developed a sudden onset clozapine-related pericarditis during titration phase that resolved with immediate clozapine discontinuation and indomethacin administration. We underline the importance of an early diagnosis of clozapine-related pericarditis and the need to have monitoring protocols to prevent this potentially fatal adverse effect especially when polypharmacy is administered to patients taking clozapine.

Factors Influencing Mental Health Literacy - the Analysis of Mental Health Literacy Survey 2021 (정신건강 지식에 영향을 미치는 요인 분석)

  • Somi Kang;Jeong-Wook Seo;Su Hee Park;Kang Hee Lee;Yangsik Kim;Woo-Young Im;Mi Sook Lee;Jin Yong Jun
    • Korean Journal of Psychosomatic Medicine
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    • v.31 no.1
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    • pp.33-41
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    • 2023
  • Objectives : The purpose of this study was to analyze the factors that influencing mental health literacy. Methods : We obtained data on 2016 general population from the Korean Mental Health Literacy Survey (2021) conducted by Ministry of Health and Welfare. Multiple regression analysis was used to evaluate the associations between sociodemographic characteristics and the score of questionnaire items in Korean Mental Health Literacy Survey. Results : Among the factors, female (p<0.001), higher age (p=0.005), higher income level (p<0.001) were significantly correlated with higher score of questionnaire items. Awareness of mental health center & community addiction management center (p=0.002), awareness of mental health hotline service (p<0.001) were also significantly associated with higher response score. Conclusions : The factors affecting mental health literacy could be considered when providing community mental health services.