• Journal of Korean Academy of Nursing
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• v.42 no.2
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• pp.226-235
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• 2012

Purpose: The purpose of this study was to explore the subjective experiences of stigma among mentally ill persons. Methods: Phenomenological methodology was used for the study. Participants were twelve people with mental illness enrolled at the S community mental health center in GyeongGi-Do. Data were collected via in-depth interviews from August 30 to October 1, 2010 and analyzed using Colaizzi's framework. Results: Four themes and sixteen formulated meanings were identified for the stigma experiences of participants with mental illness. The four themes were 'Incapable of struggling against unfair treatment', 'Living as an outsider', 'Being constrained by oneself', 'Being in suspense over disclosure of oneself'. Conclusion: The results from this study underscore the need for an educational and awareness programs to reduce public stigma among the general population and self-stigma among people with mental illness. In addition, efforts are also needed to prioritize mental illness stigma as a major public health issue at the government and community level.

• Korean Parent-Child Health Journal
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• v.11 no.1
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• pp.73-83
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• 2008

Purpose: This study was to verify the effectiveness of group program for promoting empowerment and self-advocacy of the the mentally disabled persons' families. Methods: This program was set up for the mentally disabled persons' families to share their experiences, do consciousness raising, advocate themselves through group process. A pre-post control group design was used for this study. Results: The results of this study verified that group program was effective to promote empowerment and self advocacy of the mentally disabled persons' families. Also group program helped to express and ventilate family burden actively. Conclusion: This study suggests as follows. In the mental health social work practice we need to develop group programs for family to talk about themselves, to ventilate their emotions, to understand their circumstances and to initiative the change of mental health circumstances as well as education and coping skills about mental illness. For this, there is a need for mental health social worker to have a macroscopic viewpoint and work with family. Also there is a need for mental health social worker to promote family self-help groups and to support their construction and growth.

• Journal of Korean Academy of Nursing
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• v.37 no.4
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• pp.490-500
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• 2007

Purpose: The purpose of this study was to identify factors influencing the outcome of psychosocial rehabilitation for persons with chronic mental illness and to suggest a hypothetical model of psychosocial rehabilitation which is based on the relationship between influencing factors and then to test its fitness empirically. Method: Data was collected from persons with a chronic mental illness using a self-report questionnaire, and from their case managers using an observed rating questionnaire. A total of 220 cases were used in the final analysis, and a hypothetical model was verified through covariance structure analysis using LISREL. Result: 1) The fitness indices of the model were $X^2=133.77$ (df=48, p=.00), GFI=0.93, AGFI=0.87, RMR=2.32, NNFI=0.95 and NFI=0.95. Twelve paths among fifteen proved to be significant. 2) Psychosocial rehabilitation was influenced directly by symptoms, daily living skill and self-concept, and was influenced indirectly by the psychosocial rehabilitation program service. Psychosocial rehabilitation accounted for 32% of variance of these factors. Conclusion: This study is expected to contribute to understanding the psychosocial rehabilitation phenomena. Besides it will provide basic information for developing strategies of bio-psycho-sociological interventions and evaluations in regard to influential factors of psychosocial rehabilitation.

• Korean Journal of Social Welfare
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• v.63 no.1
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• pp.5-28
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• 2011

This study, based on the research on the history of life, aimed to recompose and analyze into what life progressive structure the life experience by the mentally ill, after the onslaught of the disease, developed in a bid to understand the risk progress in the mentally ill's life, and to determine what contributed to the current stabilized recovery and adjustment. Five mentally ill persons participated in the study, and Sch$\ddot{u}$tze's narrative interview was used to gather data. The gathered data were analyzed according to Sch$\ddot{u}$tze's process structure of life. The interviewees' life experiences were chronologically organized as understood, and significant stories were recomposed that not only brought about changes but also helped overcome their disabilities in the process of treatment and rehabilitation after the onslaught of the disease. As a result, their experiences were recomposed into the stage of onslaught of the mental illness and confusion, and into the stage of intensive treatment and rehabilitation. The former was categorized into suppression by the disease, repetition and endurance of the painful life, and separation from their family and frustration. The latter was categorized into the rediscovery of self through social role change, others who helped realize the life potential, the expansion of mental health services in the community, obstacle to the integration of communities, re-integration of family relationships, re-analysis of experience of the disease through the examination of the life prior to onslaught of the disease, and expectation for the future. Also, these themes were comparatively examined so as to examine the crisis progress in the mentally ill's life after the onslaught of the disease, as well as the life transfer process through positive rehabilitation. Lastly, on the basis of these results, important areas of mental health services for the mentally ill were discussed.

• Journal of Digital Convergence
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• v.11 no.1
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• pp.381-388
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• 2013

The study was done to identify factors influencing the health risk behavior of the chronic mental illness in the community. A cross-sectional study design was used in this study. The sample was 255 chronic mentally ill persons from D city and C province and who agreed to participate in the study. Data were collected on August-september, 2011 and analyzed using the SPSS/WIN 20. Stress event, insight and depression had significant correlations with health risk behavior. Hierarchial regression analysis showed gender (men), diagnosis (schizophrenia), stress event, insight and depression together explained 24% of variance in health risk behavior. Findings of this study allow a comprehensive understanding of health risk behavior of the chronic mentally ill persons in community. It is necessary to integrated health promotion programs designed for this population should focus on these factors for effective behavioral modification.

• Korean Journal of Social Welfare
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• v.61 no.3
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• pp.103-127
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• 2009

This study examined the relationships among the case management implementation factors, client satisfaction and quality of life among the persons with mental illness. The survey and interviews were conducted to the 18 community-based mental health service agencies which were implementing case management, and the 381 mentally ill persons who were living in the community and were receiving services from the agencies. The path analysis and the hierarchical linear modeling were used to examine the association among the independent, mediator, and dependent variables. The major finding of this study were that the caseload had the direct relationship with the quality of life. The case management team approach had the direct relationship with the client satisfaction. The suggestions were made that more focus should be on the maintenance of the appropriate caseload, the increase of the number of the case manager, and the team approach.

• The Journal of the Convergence on Culture Technology
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• v.5 no.3
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• pp.33-42
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• 2019

The purpose of this study is to investigate in depth the lived employers experiences of utilizing employment among people with mentally disabilities. Phenomenological approach was used for this study. A total of 9 employer on work of the mentally disabled people were recruited as research participants Data was collected through in-depth interviews from March, 2017 to September, 2018. Transcribed data from audio recordings on interviews were analyzed using the Braun & Clarke method. 6 clustered themes consisting of 12 sub-themes emerged through the qualitative data analysis and they include the following: 1) Getting to realize that a vague concern; 2) Being forced to withstand others' persuasion; 3) Fluctuating on boundaries of my work; 4) Moving forward from individual to team; 5) Being together work expected workers with mentally disabled; and 6) Seeking for company progress. Study findings suggest that expanding employment and improving its quality for work of the mentally disabled people are needed. Additionally, the field of mental health needs an increase in the experiences of employment with expertise in dealing with employers on work of the mentally disabled people.

• Journal of Korean Academy of Rural Health Nursing
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• v.7 no.1
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• pp.29-37
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• 2012

Purpose: The purpose of this study was to develop and evaluate a self-management program for community dwelling patients with chronic mental illness so that they could improve their daily living skills and interpersonal relationships. Methods: A nonequivalent control group pre-post test design was used. The participants with chronic mental illness were recruited from a community mental health center. Twenty-two participants were assigned to the intervention group and 19 to the control group. The self-management was provided by 8 trained nursing students, and consisted of 8 sessions including education and practice. Each session was composed of strategies to improve self-care of community dwelling patients with chronic mental illness. Baseline and post-intervention measurements were done using a daily living skill performance scale and interpersonal relationship instrument. Results: Scores for daily living skill performance were not statistically significant, but scores for interpersonal relationship were statistically significant. Conclusion: The results of this study show that the self-management program had a positive impact on patients with chronic mental disorders. Therefore, it is suggested that the program could be used as an effective nursing intervention for patients with chronic mental disorders being cared for in community mental health centers.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.4 no.1
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• pp.7-17
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• 1997

Improving quality of life can be achieved by rehabilitating one socially and restoring their sexual life. Holistic care for persons with disabilities means the rehabilitation nurse intervenes when problems of sexual function are discovered, observed, or expressed. However, most people with chronic illnesses and disabilities must confront prevalent myths about their sexual nature and abilities. These myths often have their basis in the notion, common in our society, that the only people who are sexual are those who are young and beautiful. People who are obese, old, or do not conform to current standards of sexual attractiveness are usually deemed as asexual or undesirable. These narrow sterotypes have been particularly damaging to physically or mentally disabled people. People with chronic illnesses and disabilities often have special needs regarding their sexual behavior. Most of us will confront chronic illness or disability in our own lives to some degree. In addition, illnss or disability can occur at any age. In this study, I discuss some of the special needs of people with chronic illnesses and disabilities and the methods of coping with those needs. I also discuss some of the sexual concerns that people with chronic illnesses and disabilities have in common, and the assessment of sexual function and nursing strategies through literature review.

• Research in Community and Public Health Nursing
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• v.30 no.1
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• pp.69-78
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• 2019

Purpose: This study tries to test mediating effects of hope and therapeutic relationship in the relation between general social functions and mental health recovery of community people with mental illness. Methods: This study was carried out in a cross-sectional research design. The participants included 217 people with mental illnesses who were enrolled at eight Mental Health Welfare Centers in the Gyeonggi Province. Data were collected from February to May, 2018. The collected data were analyzed using a regression analysis, and SPSS PROCESS macro was used to test the mediating effects. Results: This study analyzed the direct effects of general social functions on the hope, therapeutic relationship and mental health recovery. And general social functions had indirect effects on their mental health recovery via hope and therapeutic relationship. Both hope and therapeutic relationship had dual mediating effects in the influence of general social functions on mental health recovery. Conclusion: The role of hope and therapeutic relationship in the mental health recovery of community people with mental illness is important, and it is confirmed that hope is a powerful factor influencing mental health recovery.