• Korean Journal of Social Welfare
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• v.37
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• pp.217-239
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• 1999

The main premise of this study is that a successful treatment and rehabilitation of the mentally ill depends on an active. coping of their family members, who are the primary care-takers of the patients, even if families are confronting many difficulties because of caring their patients. Accordingly, this study aims to find out which factors are related to families active coping with the mentally ill. This study is conducted the survey with 191 family members of the mentally ills in order to discover: 1) what kinds of relations do exist between sociodemographic factors of the respondents, care-burden toward the mentally ill, and social supports, and the active coping, and 2) in what extent do these related factors affect on the active coping. The major findings of the study are: 1) gender and educational background of the respondents are positively related to the active coping; 2) regarding care-burden felt by the respondents, there is statistically significant positive relationship between - the respondents' burden due to a lack of social and institutional support and their active coping; 3) considering the relationship with social support, there is highly positive relationship between decision. emotional. material supports and the active coping; 4) using a multiple regression, respondents' sociodemographic background, care-burden, social support affect significantly on the active coping by 26.2% of explanatory power; and 5) using a step-wise multiple regression, the most powerful influenced factors on active coping are emotional support, burden due to a lack of social and institutional support, and educational background of the respondents. In conclusion, this study recommends clinicians to use an educational and support model for the families. All these efforts will contribute to enhance active coping of the families with the mentally ill.

• Korean Journal of Social Welfare
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• v.36
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• pp.1-20
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• 1998

This study was conducted to find out the effects of visiting companion dog program on people with chronic mental disability. Visiting companion dog program was carried out for one hour every week for about three months between January and March of 1997 for chronic schizophrenic patients with severe negative symptoms and evaluated by the treatment team as those who are incapable of participating in any other program aside from medication. In order to measure the effects of the program PANSS: Positive and Negative Syndrome Scale was conducted by two trained evaluators. The results showed that there was a statistically significant decrease in scores of negative symtoms and general psypathological symtoms. Moreover, scaling scores reported by the nurses and occupational therapist also reveal that the patients show positive changes such as improvement in conversational interaction and facial expressions. Such results evidence that companion animals can have positive emotional and mental influence on people with chronic mental disability. Furthermore the fact that the visiting companion dog program became a program that the chronically mentally disabled who could not participate in any other program can easily participate and enjoy is a meaningful finding in and of itself.

• 재활복지
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• v.21 no.2
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• pp.113-137
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• 2017

In this study, we explore whether and how the experience of discrimination and social support affects physical health and mental health through disability identity among the disabled aged 50 and over. We also examine such relationship differs by the degree of disability. For the empirical test, we utilized the data from the Panel Survey for the Disabled conducted by our research team in 2016. According to structural equation model analysis, social support has a direct effect on disability identity. It also has a direct effect on physical health. As for the mental health, there are found direct effects of discrimination experience, social support, disability identity, and physical health, Furthermore, social support influences the mental health through disability identity. This finding suggests that social support for the disabled in old age increases disability identity and, in turn, it contributes their mental health. In the meanwhile, multiple group comparison analysis reveals the effect of discrimination experience on disability identity is found for those with lower level of disability but not for their counterparts. This seems to result from that the level of common ground which constitutes disability identity is low for the severely disabled. Thus, it requires our efforts to enhance disability identity focusing on common ground for the severe disabled.

• Journal of Korean Academic Society of Home Health Care Nursing
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• v.18 no.1
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• pp.5-12
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• 2011

Purpose: This study propose basic materials to prepare the mentally disabled for rehabilitation nursing mediating plans, by comparing the degree of self-care of the chronically mentally disabled residing in community mental health centers between those who participate in daytime rehabilitation programs and those who do not as well as the degree of perceived burden of the two groups' families. Method: The subjects of the study were 51 chronically mentally disabled men, who participated in daytime rehabilitation programs in three mental health centers in Gyeonggi-do and their families, and 53 in-house chronically mentally disabled men, who did not participate and their families. The measuring instrument for self-care consisted of ten spheres (65 questions and 5 points a standard). To quantify the feeling of burden of families, the measuring equipment developed by Montgomery et al. was used. Results: The degree of self-care of chronically mentally disabled men participating in rehabilitation programs in community mental health centers were higher than that of men not participating, and there was a significant difference between them. Families in the group not participating in rehabilitation programs had higher score than those in the group participating, but there was no significant difference. Conclusion: The participation of the chronically mentally disabled in rehabilitation programs influenced improvement of self-care and also lessened a feeling of burden of families somewhat.

• The Journal of the Convergence on Culture Technology
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• v.7 no.2
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• pp.291-296
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• 2021

The purpose of this study is to investigate the effect of gardening programs using vertical gardens on helplessness, depression, and self-esteem in patients with chronic mental disorders. This study was applied to 21 patients with chronic mental disorder who were admitted to the rehabilitation hospital of E Hospital in Seoul from June to October 2018. The group was treated as an experimental group (N = 21) 5 times a week. For 20 weeks, each session lasted 30 minutes. Patients in the experimental group programmed 4 sessions of general occupational therapy, which combined treatments to improve cognition and training, and 1 session of a horticultural program using a vertical garden. Helplessness, depression, and self-esteem were evaluated for pre and post evaluation of the horticultural program. After completing the program, the average score of helplessness in the experimental group decreased by 0.91 points from 47.38 to 46.47, and there was a statistically significant change (p=0.043). The mean score of depression in the experimental group was 9.23 before and after 9.08, which was statistically significant (p = 0.035). The average score of self-esteem in the experimental group increased by 3.14 points from 27.99 to 31.13 at a statistically significant level (p = 0.001). This result suggests that a gardening program using vertical gardens has an effect on helplessness, depression, and self-esteem in patients with chronic mental disorders. And this means that long-term plans and effective programs for recovery from chronic mental disorders to the community are needed. With a horticultural work program using a vertical garden, the helplessness of the mentally impaired in a closed treatment space is restored, and such treatment space needs to be increased.

• 재활복지
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• v.17 no.4
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• pp.151-176
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• 2013

The objective of this study is to find out what factors affect the persons with disabilities who want to seek jobs again and to propose the policy for the re-employment support for the persons with disabilities based on the results of analysis. The disabled employment panel data were analyzed for this study. This study used a logistic regression analysis. This study tells that factors which affects the re-employment of the persons with disabilities are gender, education, chronic disease status, and the help of others in daily life status, employment discrimination experience, and the type of employment. From the gender perspective, whereas men are in favor of re-employment in the clerical work, women are in favor of re-employment if they don't have a spouse or receive employment services. Through these analysis, it is proposed that policies for the specific female employment support and for the promotion of the entry into decent jobs, measures for the elimination of job discrimination and linkages with the employment of the persons with disabilities and medical/health sector.

• Korean Journal of Social Welfare
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• v.51
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• pp.63-91
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• 2002

This article investigates 170 mental health social workers in order to find out the current status and influencing factors on linking services. The social workers of this study work at different kinds of mental health organizations(mental hospitals, mental health centers, mental rehabilitation facilities, mental residential facilities). The result from the research were 1) the degree of linking services is low, and the primary type of coordination is sharing of information and client referrals. The fund-raising and joint project cases are very poor. 2) based on personal and organizational characteristics, there arc significant differences between respondents' sex, education level, job-related status, experience in mental health field, mental health licence(personal factors), location, type of organization, and type of primary client(organizational factors). 3) the factors affecting service coordination among mental health social workers are experience in mental health field, current job-related experience(personal factors), education, location of organization, type of organization, and history of organization(organizational factors). Finally, the research recommends that establishment of cooperation system, service delivery system, and information network is needed in order to enhancing the function of service coordination among mental health social workers. Also, mental health professional associations and agencies should provide opportunity of discussion and training for mental health social workers, and develop the institutional devices to expand the content and type of service coordination.

• Health Policy and Management
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• v.34 no.2
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• pp.185-195
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• 2024

Background: Disabled people have particularly restricted access to health care. In response to this, the pilot project for the general physician (GP) system for disabled people was implemented in 2018, based on the rights of people with disability to the Health Act in South Korea. However, its participants were 0.2% among the total of those with severe disabilities in 2021. Therefore, this study examined the factors related to registering with a GP and the access level to its services to suggest implications for activating the participation of disabled people. Methods: We analyzed factors affecting the registration with a GP and the number of using the services among the participants of the GP system during May 2018 and December 2021 by conducting hierarchical logistic regression and hierarchical regression. The data were linked with the national health insurance data to examine various predictors, including disability types, socioeconomic status, health status, and GP registration. Results: As a result of analyzing the factors affecting whether or not to register for the pilot project, those with disabilities (physical disabilities, brain lesions, visual, intellectual, mental, and autistic disability) eligible for disability care (odds ratio [OR], 4.157) than other disability, and those living in metropolitan (OR, 4.330) or cities (OR, 3.332) than rural residences were highly likely to enroll the pilot study. Health-related variables also predicted the registration status of the pilot project. The predictors related to GP enrollment types (membership type: general health or disability care, GP's affiliation: clinics or hospitals) significantly influenced levels of access to services. Conclusion: It is necessary to develop the GP project for disabled people by considering the variation in types of disability, residences, and health. Further study will be needed to investigate the impact of GPs on the level of participation among disabled people.

• The Journal of Korea Assosiation for Disability and Oral Health
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• v.1 no.1
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• pp.33-36
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• 2005

Manifestations in tuberous sclerosis such as seizure, mental retardation, end-stage renal disease (ESRD), and heart problems present a number of challenges to the dentist and anesthesiologist. Lack of cooperation in addition to the severe medical condition makes dental treatment more difficult. General anesthesia is often required for mentally and physically handicapped patients undergoing extensive dental treatment. We experienced a case of dental treatment under general anesthesia in a 36-year-old male patient with tuberous sclerosis associated with ESRD and mental retardation. He was treated on an outpatient basis followed by hemodialysis without any complications.

• Management & Information Systems Review
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• v.31 no.4
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• pp.57-82
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• 2012

The purpose of the study is to suggest the measure for the improvement of job satisfaction and level of empowerment of sanatoriums' social workers by analyzing factors of empowerments' effect on the job satisfaction, and investigating level of empowerment and job satisfaction of social workers of sanatoriums for the elderly and the handicapped. The result of investigation and analysis on subjects of 420 social workers of sanatoriums for the elderly and the handicapped in Youngnam area for this is as follows: First, job characteristic that is empowerments' influence factor of sanatoriums' social workers is appeared in order of feedback, and function variety, and in organization characteristic is appeared in order of leadership, reward, and employee development. Second, level of empowerment that is recognized by sanatoriums' social workers is appeared a little higher than normal level and significance is appeared highest, and next are capability, self-determination ability, and influence. Third, features that showed significant difference with significance in general characteristic of sanatoriums' social workers were 'sex', 'marital status', and 'religion', and features that showed significant difference with capability were sex, age, marital status, academic background, and employment history. And features that showed significant difference with self-determination ability were sex, age, marital status, and employment history, and features that showed significant difference with influence were sex, age, employment history and types of facilities. Fourth, the whole average of job satisfaction of sanatoriums' social workers was 3.82 out of 5, which is generally high, features that showed significant difference statistically were age, marital status, academic background, employment history, and types of facilities. Thus, job satisfaction was appeared as high as 'more than age of thirty' in age, 'married' in marital status, 'under graduates of colleges' in academic background, and 'less than three years' in employment history. Fifth, as for factors that had influence on job satisfaction, the indirect effect with empowerment was appeared that had significant effect in organization characteristic, and had few effect in organization features. On these results, practical measures to increase job satisfaction of sanatoriums' social workers are as follows: First, political approach is required to standardize duty system(by various types of facilities and clients' characteristic) of social workers of sanatoriums for elderly and the handicapped, and help to do the role as professionals with giving better treatment and building self-respect by enough reward. Second, to suggest chances to perform the responsibility for the duty of the scenes by the regular supervision, establish regular supervision system of social workers of sanatoriums for the elderly and the handicapped, and the extension of duty to increase the functional varieties. Third, it is required to motivate to have self confidence for the work and to use potential ability with transforming leadership, and to have more chances of education for the self-development. To increase job satisfaction of sanatoriums' social workers who give direct services in sanatoriums for the elderly and the handicapped, more active and positive empowerment's level improvement is in need by improvement of empowerment for them.