• Title/Summary/Keyword: Vulnerable Community

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A Study on the Citizen Advocates' Perception of Their Role for People with Developmental Disabilities (시민옹호인의 역할인식에 관한 연구 - 발달장애인 옹호경험을 중심으로 -)

  • Jeon, Ji-Hye;Lee, Se-Hee
    • Journal of Convergence for Information Technology
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    • v.9 no.3
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    • pp.112-119
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    • 2019
  • This study examined the role of citizen advocates in advocating for people with developmental disabilities. Citizen advocacy refers to activities that advocate and represent citizens on behalf of those who are socially vulnerable. The purpose of this study is to analyze the role concept of citizen advocates by conducting focus group interviews and dividing the 13 citizen advocates with developmental disabilities into 4 groups. It is divided into four main subjects and nine sub-themes. The main theme are 'Self-transformation of the parties', 'Restoring the rights of the parties', 'Being with the parties', and 'Expanding the world of the parties'. Sub-themes are 'Recognizing and solving the problem of self', 'Granting role to speak', 'Recovering the initiative of service use', 'Restoring the rights of existing (family and neighbor), "Preventing money harm" "Speaking instead", "Encouraging and petting people", "Promoting change in the community", and "Expanding the size of the world a little bit". Based on this, we discussed the importance of citizen advocacy as a preventive advocacy system, the relationship between citizen advocacy and professional advocacy system, the difference between volunteer and personal assistants and citizen advocacy, and considerations for citizen advocacy.

Citizen Participation in the Process of Establishing the Community Health Plan: Based on the results of roundtable discussions to Resolve the Health Disparity (지역보건의료계획 수립과정에서의 시민참여: 건강 격차 해소방안을 위한 시민원탁회의 결과를 중심으로)

  • Lee, Su-Jin;Hong, Nam-Soo;Kim, Keon-Yeop;Ryu, Dong Hee;Bae, Sang Geun;Kim, Ji-Min
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.22 no.5
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    • pp.151-161
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    • 2021
  • The purpose of this study was to identify citizens' needs and what they perceive the health-related problems are so public opinion can be reflected in the Daegu Community Health Plan. A citizen participation group was organized, and two roundtable discussions were held in June and July 2018. The number of participants in the first and second round was 40 and 44, respectively. Customer itinerary guidance, DVDM (Definition, Value, Difficulty, and Method) Map, and Persona-based scenario method were used for the roundtable discussions. The measures to improve the health status proposed by the citizens included expanding access to health services, establishing health services centered on small-living areas, expanding mental health services, creating health-friendly environments, resolving environmental problems, and improving social health. In addition, enhancing communication and creating harmonized environments, improving access to healthcare, generating pleasant physical environments, and assigning socials roles for vulnerable individuals were brought up as the means to resolve health disparities. The strength of the present study lies in the fact that, unlike survey methods, the citizens' exact needs were identified by sharing their thoughts. Moreover, it was proven that practical measures would be needed to implement citizen participation in planning health-related projects.

Factors Affecting the Duration of Untreated Psychosis in Community-Dwelling Patients with Schizophrenia Spectrum Disorder (지역사회 거주 조현병 범주 장애 환자의 정신증 미치료 기간 관련 요인)

  • Kim, Mina;Kim, Jae-Kyeong;Jhon, Min;Kim, Ju-Wan;Lee, Ju-Yeon;Kim, Jae-Min;Shin, IL-Seon;Yoon, Jin-Sang;Lee, Myung-Soo;Kim, Sung-Wan
    • Korean Journal of Schizophrenia Research
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    • v.23 no.1
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    • pp.1-7
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    • 2020
  • Objectives: This study aimed to identify factors affecting the duration of untreated psychosis (DUP) in patients with schizophrenia spectrum disorder. Methods: Six-hundred patients with schizophrenia spectrum disorder were recruited from mental health welfare centers in Gwangju Metropolitan City and Gyeonggi-do. Subjects were categorized into two groups according to median DUP. Demographic and clinical characteristics were compared between the two groups. Results: The mean DUP was 80.8 weeks, and the median DUP was 15.9 weeks. Patients with Medicaid, higher age, and longer duration of the schizophrenia prodrome were more likely to have a longer DUP. The DUP was shorter in patients who were consulted by family/relatives prior to treatment. Patients visiting university hospitals were more likely to have a shorter DUP compared with those visiting psychiatric clinics or small-sized mental hospitals, i.e., with less than 100 beds. A multivariate regression analysis showed that the duration of the prodrome was a factor that significantly affected DUP. Conclusion: The vulnerable group of patients with schizophrenia with a long DUP should be monitored closely. Moreover, it is necessary to develop a strategy to identify patients who have an insidious course of psychosis to reduce the DUP.

Comparison of Integrated Health and Welfare Service Provision Projects Centered on Medical Institutions (의료기관 중심 보건의료·복지 통합 서비스 제공 사업 비교)

  • Su-Jin Lee;Jong-Yeon Kim
    • Journal of agricultural medicine and community health
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    • v.49 no.2
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    • pp.132-145
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    • 2024
  • Objectives: This study compares cases of Dalgubeol Health Care Project, 301 Network Project, and 3 for 1 Project based on program logic models to derive measures for promoting integrated healthcare and welfare services centered around medical institutions. Methods: From January to December 2021, information on the implementation systems and performance of each institution was collected. Data sources included prior academic research, project reports, operational guidelines, official press releases, media articles, and written surveys from project managers. A program logic model analysis framework was applied, structuring the information based on four elements: situation, input, activity, and output. Results: All three projects aimed to address the fragmentation of health and welfare services and medical blind spots. Despite similar multidisciplinary team compositions, differences existed in specific fields, recruitment scale, and employment types. Variations in funding sources led to differences in community collaboration, support methods, and future directions. There were discrepancies in the number of beneficiaries and medical treatments, with different results observed when comparing the actual number of people to input manpower and project cost per beneficiary. Conclusions: To design an integrated health and welfare service provision system centered on medical institutions, securing a stable funding mechanism and establishing an appropriate target population and service delivery system are crucial. Additionally, installing a dedicated department within the medical institution to link activities across various sectors, rather than outsourcing, is necessary. Ensuring appropriate recruitment and stable employment systems is needed. A comprehensive provision system offering services from mild to severe cases through public-private cooperation is suggested.

The Life Experiences of the Deaf Elderly (농아노인의 생활 경험)

  • Park, Ina;Hwang, YoungHee;Kim, Hanho
    • 한국노년학
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    • v.36 no.3
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    • pp.525-540
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    • 2016
  • The purpose of this study was to investigate what kind of experiences the deaf elderly would have in the course of life. It also aimed to promote the understanding of their living difficulties and culture among people with normal hearing and provide basic data to help them live with others as members of the community. Phenomenological qualitative research was conducted as part of the methodology. The subjects include seven deaf old people. Based on the results of in-depth interview and analysis, the life experiences of the deaf elderly were categorized into "unforgettable wounds," "life in the community," "life with the family," "marriage of the deaf elderly", and "living by adjusting to reality." First, the subcategories of "unforgettable wounds" include "receiving no treatment for fever," "damage by the Korean War," "alienation from the family," and "people's cold eyes." It turned out that the deaf elderly had led a life, suffering from the heart wounds that they could not forget. Second, the subcategories of "life in the community" include "inconvenience in life," "disadvantages in life," and "severed life." The deaf elderly were not only subjected to inconvenience and disadvantages in life, but also suffered loneliness, being cut off from the community. Third, the subcategories of "life with the family" include "not communicating with children," "being abandoned again," "being used by the family," "being lonely even with the family," and "wishing to live independently from the family." The deaf elderly were not supported by their families and were abandoned or used by them, leading a solitary life. Fourth, the subcategories of "marriage of the deaf elderly" include"send as a surrogate mother," "frequent remarriage and divorce," "lean on as a married couple." Deaf elderly form their own culture of the marriage and lean on each other. Finally, the subcategories of "living by adjusting to reality" include "getting help from neighbors," "behaving oneself right in life," "learning Hangul," "living by working," "living freely," "living by missing," and "controlling the impulse to end life," "resorting to religion." The deaf elderly made the most alienated and vulnerable group with no access to benefits due to their limitations as a linguistic and social minority, but they made efforts to form their own culture and adjust to reality for themselves. Based on those findings, the study made the following proposals: first, there is a need for practical approaches to heal the ineffaceable wounds in the hearts of deaf elderly. Second, there is a need for policies to help them experience no inconvenience and disadvantages as members of community and communicate with people with normal hearing. Third, there should be practical approaches to enable them to get recognition and support from their families and share love with them. Finally, there should be practical policy approaches to help people with normal hearing understand the culture of deaf elderly and assist the deaf elderly to receive supports from the community and live with others within the community.

A Study on the Effect Analysis for the Regeneration Project for the Zones Vulnerable to Natural Disaster using Structural Equation Model (구조방정식 모형을 이용한 자연재해위험지구 정비사업 효과 분석)

  • Lee, Kyung Su;Jung, Jae Kwang;Heo, Bo Young;Byeon, Seong Joon
    • Journal of Korea Water Resources Association
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    • v.46 no.8
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    • pp.843-855
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    • 2013
  • In the modern society with high science and technological level, many people have been tried to mitigate natural disaster. The disaster was so huge that we made special service organization which deal with 'The Natural Disaster Endangered Districts'. But the analysis of the organization's works was inadequate. In order to analyze their regeneration project, this study selected analysis area and did a spot survey. We did validity, reliability tests and statistical data analysis of this survey. We also did reliability analysis of this policy using Structural Equation Model. According to the result, there is a reasonable suitability in 'The Natural Disaster Repair work Policy'. And it also improved spiritual, substantial environment of the surrounding people. The people formed positive awareness about Government Repairing Policy. This 'Natural Disaster Repair work Policy' is essential to improve and develop local community. Therefore it will affect democratic development of society.

A Case Study on the Linkage of Lifelong Education between Social Enterprises and the Vulnerable (사회적기업과 취약계층의 평생교육 연계에 관한 탐색적 사례연구)

  • Lee, Hyo-Young;Han, Sang-Hun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.4
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    • pp.293-303
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    • 2017
  • Thus study examined the possible the link between social enterprises and lifelong education for the underprivileged. To this end, this study searched for the definition and position of social enterprises emerging from the welfare system under the influence of neoliberalism and overcoming the problems in terms of creating social jobs and providing welfare services. In addition, the lifelong education for the underprivileged was examined according to the subjects, such as the disabled, migrant women, young and adult low-income group, and senior citizens. The plan was as follows. First, the expansion of the proportion of community-affiliated social enterprises was analyzed. Second, it provides a differentiated support and protection market for social enterprise. Third, the development and dissemination of social entrepreneur training programs was examined. The results showed that the entire society should have a sense of responsibility for the support of the underprivileged. This provides implications for the linkage of lifelong education and social enterprise in the expansion possibility to improve the quality of life and expand lifelong education for the underprivileged.

Experiences of Institutions Utilization among Homeless Young Men with Mental Health Problems: Inevitable Repeated Usages between Two Facility Systems behind the Deinstitutionalization (정신장애를 가진 노숙 청년의 시설 이용 경험 : 탈시설화의 이면(裏面), 생존을 위한 두 체계의 반복 이용을 중심으로)

  • Kim, Soyoung
    • Korean Journal of Social Welfare Studies
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    • v.48 no.3
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    • pp.83-116
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    • 2017
  • The purpose of this study is to raise the issue of the existing deinstitutionalization debate, considering only the shipment process to these two spaces, and still leaving the inter-facility circulation of vulnerable mental handicapped who are still hanging around the facility. In particular, we sought to supplement the discussion of deinstitutionalization by illuminating the problems of those who have to rely on facilities, as well as the mental health facility system and the homeless facility system. In the case of homeless persons with mental disabilities who repeatedly use the mental health facility system and the homeless facility system, they confirmed the pattern of using the facilities by constantly changing the place to manage the overlapping risk of mental illness and homelessness. Also it is triggered by the voluntary nature of the parties with no resources and resources. This situation appeared to be inevitable in the absence of resources and supportive systems that would actually enable a life in the community. Nevertheless, I asserted that the life of the mentally handicapped, which is circling the facility, is extremely unstable and is not desirable from a welfare point of view.

A Study on the Improvement of Emergency Safety System as Social Protection System - Focusing on Alone Elderly and Severely Person with Disabilities - (사회적 보호체계로서의 응급안전시스템에 대한 개선방안 연구 -독거노인·중증장애인을 중심으로-)

  • Heo, Soo Kyung;Lim, Soo Jeong;Jeong, Jong Hwa
    • 재활복지
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    • v.20 no.4
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    • pp.31-54
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    • 2016
  • The purpose of this study is to explore the improvement method of the emergency safety system as a social protection scheme for the elderly living alone with severe disabilities. The study was conducted by randomly choosing three regions in the metropolitan area (Jongno-gu, Seoul), the small-medium city (Yongin-si, Gyeonggi-do) and the rural area (Geochang-gun, Gyeongsangnam-do) among 17 cities and counties nationwide. The study method is based on the interview form of the structured questionnaires with city officials, county officials, and center operators. According to the results of the interview analysis, it was recognized that there was a need for an emergency safety system for the elderly living alone with severe disabilities. In spite of this necessity, there were problems about publicity for the discovery of victims of the blind spot in welfare, about inconvenience due to frequent malfunctions of the emergency equipment, about insufficient awareness of the security of the emergency officials and about supply and demand of manpower for 24-hour monitoring service. In order to improve the effective operation of the emergency safety system, it was the most urgent issue to formulate the legislation for responding to the crisis management of the vulnerable. A suggestion of this study is to build a safety system in which one-stop service is provided for the realization of compact welfare through the establishment of a MOU for linkage with community organizations, the full inspection of emergency equipment to solve safety equipment malfunction problems and the manpower supplement for 24-hour monitoring.

Phytosociological Community Type Classification and Flora of Vascular Plants for the Forest Vegetation of Daecheongbong Area in Mt. Seorak (설악산 대청봉일대 산림식생의 식물사회학적 군락유형 및 관속 식물상 특성)

  • Kim, Ji Dong;Park, Go Eun;Lim, Jong-Hwan;Yun, Chung Weon
    • Journal of Korean Society of Forest Science
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    • v.106 no.2
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    • pp.130-149
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    • 2017
  • The subalpine zone which is vulnerable to climate change could be functioning as a habitat for northern plant species especially in the Korean peninsula. In this study, classification of phytosociological community type and investigation on flora of vascular plants of Daecheongbong area in Mt. Seorak were carried out in order to provide a basic information for an ecological restoration and management of the vegetation through community ecological approach. Vegetation data were collected from 31 of quadrates from May to October, 2016. We analyzed vegetation types with phytosociological method, importance value with Curtis & McIntosh method, CCA using PC-ORD program tool, and flora of vascular plants. As a result, the forest vegetation was classified into Abies nephrolepis community. The community was divided 3 groups such as Pinus pumila group, Rhododendron brachycarpum group and Angelica decursiva group. Therefore, the vegetation had 3 kinds of units. The differential species group, it was classified into total of 7 species group units including Thuja koraiensis and Smilacina bicolor differential species group. The mean importance percentage (MIP) in VU 1 was shown Pinus koraiensis (24.1), A. nephrolepis (23.6) and Betula ermanii (10.5), and in VU 2, it was P. koraiensis (26.2), A. nephrolepis (20.8) and B. ermanii (10.5), and in VU 3, it was P. koraiensis (22.2), A. nephrolepis (16.4), B. ermanii (13.5) in the order, respectively. As for importance values of P. koraiensis and A. nephrolepis representative competition species, were different at each layers. The former (46.7) was higher than the latter (26.1) in tree layer, but the latter was higher than the former in subtree and, shrub and herb layers of VU 1. VU 2 and VU 3 also indicated the same tendency. P. pumila group and A. decursiva group were shown to have positive correlation with altitude and present species, respectively. The designated as the endemic plant was 11 taxa and, as the rare plant 24 taxa and 62.5% of vascular plant was northern plant species. It is necessary to continue further long-term monitoring of 3 vegetation units, IV of main competition species (P. koraiensis and A. nephrolepis) with stratum and main specific species (rare plants and endemic plants) considering vegetation science and, population and community ecology approaches.