• Korean Journal of Psychosomatic Medicine
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• v.24 no.2
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• pp.133-139
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• 2016

Objectives : As the prevalence of elderly depression increases, it becomes urgent problem to provide preventive and management measures. But in practice, it is difficult to detect depression in early stage. The purpose of this study is to evaluate the association between sociodemographic factors and depression in elderly welfare facility users in a city. Methods : In this research, the severity of depression and sociodemographic factors(gender, age, education, co-morbid disease, housing type, number of children, number of family members living with the subjects) was evaluated through PHQ-9 and interview. Using the data, the associations of depression and sociodemographic factors were analyzed. Based on PHQ-9 depression cut-off value(10 points), the subjects were divided into two groups, and the difference of the variables between groups were analyzed statistically. Results : 'Own house'(YES/NO), education(less than elementary school graduation/more than elementary school graduation) were sociodemographic factors which showed significance difference in mean PHQ-9 scores. Group with Over PHQ-9 10 points showed less 'having their own house' and less education level than group with less PHQ-9 10 points. Conclusions : With this research, it is expected that the risk factors for the elderly depression can be understood and the measures for early detection and invention of elderly depression would be provided.

• Korean Journal of Social Welfare Studies
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• v.41 no.4
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• pp.247-276
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• 2010

This study aimed to examine the model to explain the mediator effect of care evaluation(care stress, care satisfaction) on the effect of stress factors and resource on the psychological well-being of the parents of the adult intellectual disabilities. Examining whether there is a difference between the gender of parents was another aim of this study. Study results showed that with the care stress as an endogenous variable, the daily life function and maladjustment behavior of adult children and the health state of parents had a significant direct effect on the psychological well-being of parents. With care satisfaction as an endogenous variable, family support, expert support and care stress had a significant direct effect. With the psychological well-being as an endogenous variable, care satisfaction and care stress had a significant effect, but the health state of parents didn't. In case of indirect effect, the care stress had a significant mediator effect on the effect of the physical function and maladjustment behavior of adult children and the health state of parents on the psychological well-being of parents. Care satisfaction had a significant mediator effect on the effect of family support, expert support and care stress on the psychological well-being of parents. According to the result of the Multiple Group Analysis, the path showed a statistically significant difference between gender was friend support→care satisfaction, care stress→psychological wellbeing, expert support→care satisfaction. On the basis of the study results, practical suggestions were made.

• 한국노년학
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• v.31 no.3
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• pp.691-709
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• 2011

The purpose of this study is to measure the utilization of a day care service and service quality by SERVQUAL model, also to discuss policy implications based on this. The data analysis is conducted with 208 users of a day care service in Deajeon metropolitan city, Chungnam and Chungbuk area. The analysis result is as follows. First, it shows positive definiteness on tangibles, reliability, responsiveness, assurance, empathy in all categories because perceived level is higher than expectations. Perceived level after using the service is more highly rated than expectations before using it by most of seniors who use the service. Second, service quality is examined in accordance with demographic characteristics, but the difference is not statistically significant. Third, examining service quality in terms of characteristics of centers, it shows statistically significant difference in perceived level depending on management type of location, a number of provided programs per week, and the size of a facility and in expectations depending on established institution. Forth, as a result of examining service quality in accordance with characteristics of service users, there is no meaningful difference statistically.

• 한국노년학
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• v.41 no.2
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• pp.197-215
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• 2021

This study aims to evaluate Person Centered Care practice and characteristics of care services in Korean long-term care facilities using Dementia Care Mapping as a tool. DCM, systematic observational evaluation tool for measuring dementia patients' QOL, was transformed into self-report rating scale. The process of transforming DCM into a scale of 34 items involves operationalization of DCM concepts and it's adaptation into Korean long-term care practices. Review by research team of Bradford university was added to maintain DCM concept and meaning in this scale. The scale with Cronbach alpha of .88 was surveyed on 343 care workers. Survey result shows PCC value practiced by them is 3.77(of 5 likert scale) and values on each categories of PCC reveal the characteristics of care in Korean facilities; attachment(4.02), comfort(3.95), inclusion(3.89), identity(3.67) and occupation(3.41). Dementia care in Korean facilities focuses on recipients'safety, comfort but lacks individualistic care and the meaningful and fulfilling occupation for patients. Looking at the organizational and individual factors influencing DCM values, the small facilities showed higher PCC values and there are no significant difference in PCC values between public and private facilities. Managers and care workers with career of 1~2 years showed higher PCC values compared to other career ranks and lengthes. This study suggests care practice should be centered on personhood of patients in long-term care facilities, for which introduction of unit care and education of PCC for service providers including support personnel are needed. DCM and Korean DCM scale developed in this study are suggested for the PCC-based assessment on care quality.

• Journal of Digital Convergence
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• v.14 no.5
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• pp.39-46
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• 2016

The history of Social service is above 10 years. Owing to corresponding to the user's needs social services sector is expanding. And, to deal with them, the social delivery systems has been changed. Traditional social welfare delivery system is provided by public facilities and private facilities. On the other hand, Social Services is made up of the traditional social welfare delivery system and new delivery system which is composed of profit organizations and non-profit organizations. Considering this, Study attempted to compare the performance evaluation of supply type-profit and non-profit social service organizations. Performance evaluation method was applied to net income, except for expenditure in total revenue. Net income difference between profit organization non-profit organization was assessed by T-test. We conclude that the two population means are different at the 0.05 significance level. Looking in detail, the non-profit organizations were found to be higher than the non-profit organizations, labor costs, operating costs, facility cost and consumable costs, but part of the business expense costs, the non-profit organizations was higher than the profit organizations.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.12 no.4
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• pp.1628-1636
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• 2011

The purpose of this study is to analyze the effectiveness of horticultural therapy on children from broken homes: this treatment program, implemented in the social welfare field, targets the children's depression, self-esteem, and social and emotional stress. Its object was composed of 13 lower grade students enrolled in special facilities according to the life-cycle method, and its data were collected as making use of the structured questionnaire. The horticultural Therapy Program was practiced 14 sessions in total from September 2nd to December 16th, 2010, and its results in summary are as follows; The sociality in horticultural therapy was higher by .53 point in 2.76 after practice than in 2.23 before practice, and its value of the ability to cope with stress was higher by 0.52 point in 2.82 after coping with stress than in 2.30 before that. That was meaningful (t=-1.4398, p<.05). The value of anxiety was lower by .15 in 1.45 post-anxiety than in 1.60 pre-anxiety, and that was meaningful (t=-2.3842, p<.05). The value of self-esteem is higher by .42 in 2.92 post-self-esteem than in 2.50 pre-self-esteem, and that was strategically meaningful (t=-1.1871, p<.05). The value of emotional assessment was higher by 2.05 in 5.25 post-emotional assessment than in 3.20 pre-emotional assessment, and that was strategically meaningful (t=-2.4599, p<.05). Based on these results, this study suggests that this horticultural therapy program should apply to the issues of children in social welfare field as one of various approaches.

• Korean Journal of Social Welfare
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• v.67 no.3
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• pp.253-280
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• 2015

This study reconsiders the concept of publicness by raising a question about the problems which the recent marketization of social services in South Korea. The existing perspective on publicness, however, is insufficient to account for the entire Long-term care market because only public organizations have publicness. Accordingly, this study presents 'integrated publicness', particularly 'dimensional publicness' and 'normative publicness'. A disproportional stratified sampling procedure was used to consider ownership. A merged dataset combining surveys from 248 Long-term Care facilities and on-line resources was used and analyzed by multiple regression, negative binomial regression and multiple imputation analysis. The analysis results suggest as follows. First, ownership publicness appeared more effective in the overall. Second, the regulations on the government funding did not show effective, and the regulation on evaluation system showed the effect. Third, professionalization of normative publicness showed a negative effect on service structure and showed a positive effect on service process. Lastly, user of free services whose public accountability was identified to be effective on service structure and outcome. These findings suggest that not only existing ownership but also dimensional publicness and normative publicness showed an effect on service quality. In this respect, this is important as the performance produced by empirical models of integrated publicness, in this situation that the outcome of marketization is insignificant.

• Korean Journal of Social Welfare
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• v.39
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• pp.350-373
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• 1999

The patient population of U. S. state mental hospitals has changed drastically since the 1960s, when the deintstitutionalization movement began. This paper is designed to look at what happened to the number of inpatients of state hospitals in California during the last 150 years and, from this, to explore implications for the future of the mental health system in Korea, especially for the viability of mental hospitals. The data had been collected by field research(visits to state hospitals and State Department of Mental Health, and interviews with mental health administrators) and accessing statistical publications and various reports. Since the first state hospital opened in 1851 the statewide inpatient population of individuals who were mentally disabled has grown and peaked at 37,489 in 1959. The number of patients in state hospitals, however, began declining in the early 1960s and was reduced to 10,874 by 1971, and to 4,973 by 1986. As of 1997, there were only 4, 263 inpatients remaining in the state hospital system. This dramatic decrease slowed down somewhat in 1980s and 1990s, but this trend seems irreversible except for the inpatients referred by the court. Now the beds in state hospitals are filled with more and more forensic patients, which constitutes nearly 70% of the total inpatient population. Based on these findings, it is well expected that the number of inpatients of mental hospitals in Korea will also be reduced in a significant way as the community-based mental health care system is gradually replacing the traditional one. Mental hospitals need to introduce more diversified programs for the care of the mentally ill, and concurrently more vigorous aftercare programs are required in the community.

• Archives of design research
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• v.12 no.3
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• pp.167-176
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• 1999

This article analyzed the recent Korean accessibility standard supporting the people with disabilities. This is the basic study to make the interior environment more comprehensible and safer for the physically handicapped. Researcher selected the interior elements related to the mobility and accessibility for the physically handicapped. Then the '98 Korean accessibility standard code called 'Pyunui Chungjin Pup' were compared with the previous Korean building code and two other guidelines for evaluations. Result showed that 'Pyunui Chungjin Pup' addressed more obligatory items in facilities used by people with disabilities. That contributed to develope the accessible environments and to offer the independent activity in the society for the disabilities. However dimensions of 'Pyunui Chungjin Pup' showed the minimum standard. Also it did not provide the sufficient design considerations to make up the sufficient design considerations to make up the other types of disabilities including sensory limitations, or cognitive function limitations. Hereafter, the quality of accessibility guideline should be raised with further study.

• The Journal of the Korea Contents Association
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• v.13 no.6
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• pp.300-308
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• 2013

The purpose of this study was to explore the level of anger and social support and to identify factors affecting anger in elderly women. This was a cross-sectional descriptive survey. A convenience sample of 155 elderly women was recruited from two senior welfare centers and three nursing homes in J city. Data were collected from June 15 to July 15, 2010 through interviews using a structured questionnaire. Data were analyzed with descriptive statistics, independent t-test, one-way ANOVA, Pearson's correlation coefficient, and multiple linear regression using the SPSS WIN 18.0 program. The level of social support and anger was 3.73 and 2.72 out of 5, respectively. Anger was statistically significantly different according to type of residence (B=0.21, t=2.42, ${\rho}$=.017), psychiatric medication (B=0.66, t=4.93, ${\rho}$ <.001), physical medication (B=0.41, t=4.22, ${\rho}$ <.001), and evaluation support (B=-0.15, t=-3.00, ${\rho}$=.004), and these accounted 33.0% of anger. Providing proper information and developing social support program would be useful for managing anger of elderly women.