• Title/Summary/Keyword: deinstitutionalization

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An Exploration on the Applicative Potentials of the Late Modern Social Space to Deinstitutionalization of the Mental Health Field (정신보건영역의 탈시설화에 대한 사회적 공간이론의 탐색적 적용)

  • Choi, Myung Min;Kwon, Ja Young;Kim, Gi Duk
    • Korean Journal of Social Welfare
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    • v.68 no.4
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    • pp.225-246
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    • 2016
  • This study aims to explore the theoretical and practical potentials of the late modern social space theories concerning deinstitutionalization issues in the field of the Mental Health. Deinstitutionalization, the process of converting the living space mentally ill people from facilities to the community, is a meaningful event realizing the modern ideology of human rights and welfare in social work territory. Although the continuos and accumulative efforts to realize the ideas of deinstitutionalization, which have focused on the ideological validity and the conditions and administrative supports needed for materialization, however, discussing the issues without analyzing late modern societal space neglects the constraints of the generic and comprehensive 'space' in which the deinstitutionalization can actually occur. Thus, this study attempts the following by analyzing the concrete reality of social space: focusing on deinstitutionalization in a larger social context, different from previous studies that discussed it on a normative and fragmentary level; and more concretely analyzing the realistic limits and challenges facing deinstitutionalization. In order to do this, previous literature related to deinstitutionalization is laid out and theories of late modern social space are studied. Based on this, the kinds of phenomenon that occur when this sort of late modern social space meets with the deinstitutionalization of mentally ill people are analyzed. Finally, based on the results, the study suggests several implications to realize the rights and welfare of mentally in the late modern space concerning deinstitutionalization.

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A Research of Recognition for Deinstitutionalization and Independent Living of the Disabled Living in Residential Facilities for the People of Family In accordance with the Enactment Deinstitutionalization of Disabled (장애인 탈시설 지원법 제정에 따른 장애인거주시설 이용인 가족대상 탈시설과 자립생활 인식에 대한 연구)

  • Kim, Jung-Hyun
    • The Journal of the Korea Contents Association
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    • v.19 no.10
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    • pp.660-666
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    • 2019
  • This study is about the research of recognition for deinstitutionalization and independent living of the disabled living in residential facilities for the people of family. The survey was conducted in October to September 2018 and 810 cases were used in the final analysis. In this study, we confirmed that about half of the families of groups and those who perceived In accordance with the enactment deinstitutionalization were divided into half. and consent to cegislation, local government efforts, independence, consent to deinstitutionalization family perceptions of disagreement of independence were identified as having no low information provided. These results indicate that there was a lack of provision of services or information related to independent living of the disabled living in residential facilities, and it was confirmed that proper information transfer education on policies and services is needed to have accurate understanding and awareness. In addition, the agreement on legislation, local government efforts, Independence, consent to deinstitutionalization were found to have a significant effect on preparation for independent living. Therefore, it was confirmed that systematic information education support are needed to ensure proper recognition of user's family in residential facilities and to ensure healthy independence of users.

A Study on the Facility Space Improvement for the Senior Welfare Center in Daejeon City (대전시 노인복지회관 시설공간개선 연구)

  • Lee, Hae-Wook;Lee, Jeong-Soo;Song, Yong-Ho
    • Journal of the Korean housing association
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    • v.17 no.5
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    • pp.1-8
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    • 2006
  • Being rapidly increased in population of the elderly, the welfare of the elderly is no longer family's and personal problems. It is a social issue that have to be solved by the community and the government. Daejeon city government faces the same social issue and should release the solution to the community in the near future. Based on the new trend of deinstitutionalization and community care for the elderly who live in normal home rather than for those in protection systems, the solution could be released to the elderly. This paper is assessed as the first stage research of normalization of the old people's living. By the comparition analysis of the existing Senior Welfare Center in Daejeon city and Japan, the facility space improvement method was considered. And through the above investigation and comparition analysis, the method that extend and improve the welfare facility space of Senior Welfare Center is proposed.

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.

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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A Study on the behavior of the Elderly and the optimum scale of the Necessary space in Daycare Center (주간보호센터의 이용자 행동과 소요공간의 적정규모에 관한 연구)

  • Kil, Jong-Won;So, Kab-Soo
    • Korean Institute of Interior Design Journal
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    • v.17 no.6
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    • pp.152-160
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    • 2008
  • The Cases of advanced nations which have advanced welfare policy, they have headed for the deinstitutionalization and the protection of the local society. So they have expanded and improved the various policies and welfare facilities to be able to keep daily life on the base of local area. Many problems have been caused by rising the average life span of the elderly in Korea now. Under the tendency, there have been many alternative proposals to solve the problems. One of those proposals, the deinstitutionalization theory that is rated the ideal way, is the community-based care than the care in facilities for the elderly. It shows that the most ideal facility for the care is Daycare center and that it matters the system of spatial construction and standard of the facilities. Under the undetailed Korean standard of facility design, it is very important that system of spatial construction to correspond to the needs of the users and standard of the facilities are prepared from the point of view of the standard design of the domestic facilities for the elderly. The study of the book grasps the regional present situation of the domestic Daycare center and surveys the tendency of the stay and features of occupation of the user there through some case, and aims to have a thorough grip of the spatial scale by the user's behavior. It is to utilize for a proposal for preparation of the space scale, and an institution standard corresponding to user's needs in a Daycare center.

Differences on Self-determination Experiences of the Intellectually Disabled People according to Livings in the Different Types of Residential Homes (지적장애인의 거주시설 유형별 자기결정 경험 연구)

  • Kim, Yong-Deug;Park, Suk-Kyoung
    • Korean Journal of Social Welfare
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    • v.60 no.4
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    • pp.79-103
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    • 2008
  • The purpose of this study is to find out differences on self-determination experiences according to livings in the different types of residential homes: large institutions, small group homes and independent living homes. For this, this study analyzed 17 living experiences, which came from interviews on 9 research participants lived in residential homes. Some of 9 research participants had experience living in only one type of residential homes; others had experiences living in two or three types of residential homes. The result of this study revealed the different levels of self-determination experiences according to the each types of residential homes. In terms of degree of self-determination, its level in the small group homes are higher than large institutions; independent living homes are higher than the small group homes. By this finding, this paper raised the need for the policy changes on residential home for the disabled people to accelerate deinstitutionalization and make sure higher level of self-determination of disabled people. This study suggested other implications related to the research on intellectually disabled people. Firstly, evaluative researches on service provisions to intellectually disabled people should reflect subjective experiences of service users. Secondly, diverse researches focusing on subjective experiences should be tried to expand understanding on intellectually disabled people. In these studies, conversation analysis could be widely used.

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The research regarding the community residential welfare facilities for the Aged - Focused on instance of the United States - (지역사회 노인주거시설에 관한 연구 - 미국을 중심으로 -)

  • Cho, Cheol-Ho
    • Korean Institute of Interior Design Journal
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    • v.19 no.2
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    • pp.225-233
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    • 2010
  • At this point in time South Korea is rapidly metastasizing to a aging society. A major cause of aging can be summarized as increased life expectancy, decrease of nuclear family and birthrate, and South Korea's progress is faster than any other country. From the 1970s, western society has changed social welfare to deinstitutionalization and community care because of problems about economic reason and facilities protection, so the type of elderly social service has also changed from the facility welfare service which is accommodated old people in certain facility to community welfare service which provides various welfare services with living together. Public facilities for low income group which are supported by government are lower, 6.6%, than the United States or Japan, 50%. They are divided into private manage facilities and subscription elderly facilities. These subscription elderly residential facilities show poor administration because of focusing on development and market analysis for investment returns. Therefore, in order to vitalize the elderly welfare residential facilities in Korea, we need plans about systematic services facilities for welfare and phased medical treatments. Therefore, the purpose of this study is that (1) the types and functions of residents for community elderly residential facilities in elderly welfare policies of U.S., and supported policies are researched as a transcendental model, (2) data about operating system with the principles of the market is analyzed, and (3) basic data about welfare facility plan for community residential elderly people is provided.

The Factors Influencing Service Outcomes of Group Homes and Residential Care Centers : Focusing on Blinder-Oaxaca Decomposition (그룹홈과 아동양육시설의 운영성과에 영향을 미치는 요인 : Blinder-Oaxaca 분해를 중심으로)

  • Chung, Ick Joong;Woo, Seok Jin;Kang, Hyun Ah;Chun, Jong Serl;Lee, Jung Ae
    • Korean Journal of Child Studies
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    • v.33 no.4
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    • pp.107-127
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    • 2012
  • This study investigates the factors influencing service outcomes of group homes and residential care centers, as well as the factors causing any differences between the two service outcomes. 119 and 137 5-6th graders were selected from group homes and residential care centers respectively, using the cluster sampling method. Multiple regression and Blinder-Oaxaca decomposition were used in this study. The results revealed that 'stigma', 'school adjustment', and 'social support' were significant factors influencing service outcomes among children in group homes, while 'stigma', 'primary caregivers' attitude', and 'peer relations' were identified as significant factors among children in residential care centers. The study also found that the mean service outcome score for group homes was higher than that of residential care centers. The 74 percent of this difference in the mean scores was due to the difference in children' characteristics of the two out-of-home care service types. The remaining 26 percent of this difference was due to unobserved characteristics. Finally, the implications of this study in child welfare practices were also discussed.

Proposing a Direction for Smart Housing Services Supporting the Elderly in China - Focused on the Elderly' Living Conditions in Luoyang Prefecture-level City - (중국의 주거지원 서비스에 대한 실태조사 및 방향성 - 중국 낙양시 거주 노인들을 중심으로 -)

  • Tian, Mao Mao;Cho, Myung Eun;Kim, Mi Jeong
    • Korean Institute of Interior Design Journal
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    • v.25 no.6
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    • pp.98-105
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    • 2016
  • China has already entered the aging society and is predicted to become a super-aged society in 2020. The recent studies identified that the elderly has more interest in 'Aging-in-Place' which emphasizes deinstitutionalization since welfare facilities such as care homes and silver towns have separated the elderly from their local communities where they used to live in. The aim of this research is to propose a promising way for smart housing services who support the elderly's living in their homes, China. This research is to investigate the elderly's life and to identify their demands on housings for implementing such smart services. The elderly's living in apartments in Luoyang city, China, were investigated through interviews using a questionnaire survey. The results show that smart housing services should be provided to support the elderly's health, safety, leisure activities, comfortable living, and social relationships sustainably. In addition, such smart housing services should be intuitive since the elderly need to use easily smart services for their autonomous life in their homes. The smart housing services should be developed in the direction of enhancing the elderly's healthy and desirable life, and lessening their discomforts due to aging.