• The Journal of Korean society of community based occupational therapy
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• v.6 no.2
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• pp.51-59
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• 2016

Objective : The purpose of study is to provide basic information about the effects of leisure time use and leisure activity performance for intellectual disabilities residing in a residential care facility by participating a regular rehabilitation sports program. Methods : Participants were recruited 8 individual with intellectual disability in a residential care facility in Yong-in city and the study period lasted 12 weeks, from september 1 to November 30 in 2015. As a program, participants participated a muscle strengthening exercise using a Gym-ball and a elastic band. In order to analyze leisure time-use, time questionnaire was used every month to analyze total time and exercise frequency. Also, analyze the effects of leisure activity performance, Canadian Occupational Performance Measure(COPM) was used to performance and satisfaction of dynamic leisure activity. Collected data was encoded by item and analyzed with SPSS ver18.0. Descriptive statistics were used for the participants' general information. A non-parametric test (the Friedman test) was used to analyze leisure time-use. A non-parametric test (the Wilcoxon's signed ranked test) was used to analyze to the effects of leisure activity performance. Statistical significance was accepted outside the 95% confidence interval. Results : The results of the total time and the exercise frequency showed significant increase. Also, the results of the performance and the satisfaction showed significant increase. Conclusion : Thus, the participation of the rehabilitation sports program is a vital element to lead to change leisure time use and leisure activity performance for intellectual disabilities residing in a residential care facility. Also, through the providing and the developing a regular rehabilitation sports program systematically, intellectual disabilities residing in a residential care facility have a higher quality of life and satisfaction of the daily routine and life in a residential care facility.

• 재활복지
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• v.22 no.1
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• pp.51-86
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• 2018

The study was conducted to examine the characteristics of case management in psychiatric rehabilitation facilities. The purpose of this study is to analyze the importance and performance of case management activities, and 114 cases managers in the psychiatric rehabilitation facilities in Seoul participated in the study. The study analysed the importance and performance of each case management through IPA and Paired T-test. As a result of the study, Assessment stage showed the highest performance and importance, and the performance was conducted as much as the importance. Except assessment, performance in all stages were significant lower than the importance. IPA analysis showed that most case management activities belonged to the quadrant I(high importance-high performance) and the quadrant III (low importance-low performance), but the T-test analysis showed lower performance than importance. Participation of Service users and Cooperation of community resource were lower than those of importance. Participation of Service users showed high importance and performance, but performance was relatively lower than importance. On the other hand, cooperation of community resource was low in overall importance and performance, moreover, performance was very low. It is considered that various efforts should be made to activate them.

• Journal of Convergence for Information Technology
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• v.11 no.1
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• pp.91-101
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• 2021

The purpose of this study is to understand the performance of the initial adaptation support program for people with mental illness living in independent housing. The group of people with mental illness living in independent housing from T mental rehabilitation facilities in Seoul were assigned to the experimental group, and the other group of people with mental illness in living facilities and group home were assigned to the control group. After that, the degree of community performance between groups was compared with pre-post tests. As a result of the study, the pre-post analysis of the total social support of the experimental group showed significant differences. Also, the results were statistically insignificant in all of the control groups, so the initial adaptation support program was found effective in improving the total social support of the independent housing group. Based on the results of this study, the direction of housing support and establishment of a performance system for housing services for stable settlement of discharged people with mental illness into the community was suggested.

• 재활복지
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• v.20 no.1
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• pp.65-86
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• 2016

The purpose of this study is to verify the moderating effects of social supports in the relationship between stigma and self-esteem of the mental disabled's family. For this research, 190 family of the mental disabled were asked to complete some scales for this study. The results of this study are as follows. First, stigma of the mental disabled's family is positively correlated to self-esteem and social supports. Second, social support is positively correlated to self-esteem. Third, social supports have moderating effect the relationship between stigma and self-esteem of the mental disabled's family. This study verify that for the purpose of decreasing the stigma and improving the self-esteem, it is important to supply the mental disabled's family with social supports. This study have implication that stigma of the mental disabled family impair their self esteem and social supports delivered to the mental disabled's family improve family's self esteem. In accordance to the results of this study, the authors suggest some strategy to supply social support to the family. The authors suggest some direction to solve the problems related this study questions and describe the limitation of this study.

• 재활복지
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• v.21 no.3
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• pp.49-63
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• 2017

The purpose of this study is to investigate the association of functional disability, ego integrity and depressive symptoms, and analyze the mediating effect of ego integrity among the elderly, residing in the long-term care facilities. The data were collected by using non-random purposive and convenient sampling methods and 247 elderly who reside in the nursing home care, located in Daegu city and Kyungpook provinces participated in this study. Findings of this study indicates that there are statistically significant relationships among functional disability, ego integrity and depressive symptoms of participants. In addition, the mediating effect of ego integrity on the relationship between functional disability and depressive symptoms is statistically significant and shows partial mediating effect. Based on the findings of this study, possible practice implications for improving functional and mental health of the elderly in residential care home and recommendation for further study were provided.

• 재활복지
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• v.22 no.2
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• pp.83-102
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• 2018

The purpose of the this study was to investigate the association of self-stigma, quality of life, and self-esteem and analyze the mediating role of self-esteem in the relationship between self-stigma and quality of life among people with mental disabilities. For this purpose, the data were collected from 254 people with mental disabilities who utilize the community mental health centers located in D and K regions. Findings of the study indicated that there were statistically significant relationships among self-stigma, quality of life and self-esteem. In addition, self-esteem had partial mediating effects on the relationships between self-stigma and the quality of life domains such as physical, psychological, and environmental areas, while self-esteem was a full mediator in the relationships between self-stigma and social relationship in the quality of life. Based on the findings of, possible practice implications for improving the quality of life among people with mental disabilities by reducing self-stigma along with empowering their self-esteem and recommendation for further study were provided.

• Journal of the Korean Data and Information Science Society
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• v.26 no.1
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• pp.111-121
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• 2015

Until now, the operation of community welfare centers for people with disabilities has brought a positive or a generous awareness. Nevertheless, in order to obtain a wide range of welfare outcomes efficiently, the imperative step in rehabilitation researches is to determine whether reasonable and scientific services are being provided to people with disabilities in rehabilitation centers. The purpose of this study was to analyze efficiency and productivity of 176 community welfare centers for people with disabilities. As a result, average technical efficiency for community welfare centers for people with disabilities was 0.4488; pure technical efficiency and scale efficiency was 0.6040 and 0.7080, respectively. The major conclusions of this study were as follows. First, applying the technical efficiency analysis, DMU2, DMU3, DMU8, DMU9, DMU11, DMU13, DMU14 were shown above average. It seems to have a regard for political elements in accordance with the regional social and economic differences. Second, as a result of scale efficiency analysis, the inefficient community welfare centers for people with disabilities such as DMU1, DMU5, DMU12, DMU16 are required to improve the number of employees, revenue, facility area. Finally, this study is expected to be an effectiveness analysis and performance evaluation for the rehabilitation services.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.20 no.7
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• pp.242-248
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• 2019

This study was conducted to examine the effects of a smart home (electronic control unit, ECU) on the performance and satisfaction of activities of daily living of wheelchair users. A total of 15 wheelchair users (10 patients with spinal cord injury and 5 patients with stroke) were investigated. Smart homes were equipped with ECU technology, which consisted of automation of furniture and products. The products and facilities were integrated and controlled by a smart device or voice. Performance and satisfaction of activities of daily living were measured by the Canadian Occupational Performance Measure (COPM) before and after residence in a smart home. All participants showed a higher COPM (performance score ${\geq}3$, satisfaction score ${\geq}4$) during residence in a smart home compared to residence in the current home. In addition, the COPM scores differed significantly before and after residence in a smart home. These results provide evidence of the applicability of smart homes based on high technology. However, additional studies of more smart home participants should be conducted to improve the quality of the results.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.19 no.4
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• pp.211-220
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• 2018

This study was conducted to identify the mediating effects of the therapeutic relationship with mental health professionals between empowerment and recovery in mental illness. The participants were 168 adults in two community mental health centers and three rehabilitation centers in Jeonbuk. The data were collected by structured questionnaires from April 15 to April 30, 2015 and analyzed using descriptive statistics, Pearson's correlation coefficient, and multiple regression analysis with the SPSS 19.0 statistical program. The mean score of empowerment for mental illness, recovery and therapeutic relationship were $60.4{\pm}10.85$, $101.8{\pm}20.70$ and $74.5{\pm}14.30$, respectively. There were significantly positive correlations between recovery in empowerment and therapeutic relationship (r=0.33, p<0.001), as well as empowerment and recovery (r=0.51, p<0.001), while there were significantly positive correlations between therapeutic relationship and recovery (r=0.55, p<0.001). Therapeutic relationship had a partial mediated effect between empowerment and recovery, which was found to be significant by the Sobel test (z=3.706, p<0.001). The results of this study can be used as basic data for development of a practical recovery-enhancing program to promote therapeutic relationships and improve empowerment in relation to therapist of the mentally disabled.

• 대한예방의학회:학술대회논문집
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• 2002.05a
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• pp.73-83
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• 2002

우리 사회에서 일정 정도 이상의 사회와 가정에서의 기능상의 부적응을 초래하는 정신적 문제는 경제활동인구에 있어 가장 흔한 보건의료상의 문제일 것으로 추측되고 있으나, 현재까지는 정신보건제도 마련에 있어 가장 극심한 부적응을 보이는 정신적 장애를 지닌 환자를 위주로 수용시설과 지역사회에서의 재활과 관리에 그 초점을 두어 왔다. 즉 직업스트레스와 같은 일시적인 사회심리적 갈등으로 인한 신체증상의 호소나 알을 및 약물중독으로 인한 사고의 발생으로부터 일생동안 관리되어야 하는 지능저하나 학습장애와 같은 만성적인 문제에 이르기까지 다양한 스펙트럼을 보이는 사업장과 지역사회에서의 정신적 문제들 중 그 일부만이 제도적으로 관리되어 왔다. 실제 그 동안 직장 내 정신보건문제에 대한 행정적 관심은 일부 장애인의 취업 문제를 제외하고는 없었다고 하여야 할 것이다. 그러나 한편으로 우리 사회의 산업구조와 경제사회적 조건의 변화에 따른 노동내용과 조건상 유연화의 증대가 많은 직장에서 노동강화로 이어진다는 점, 그리고 가족 및 교류집단을 비롯한 전통적인 사회적 지지구조가 와해되고 있다는 점과 정신적 문제로 인한 기능상 부적응의 척도가 한편으로 사회적 가치관의 변화에 따라 계속 그 영역이 넓어지는 방향으로 변화하고 있다는 점등에서 직장 내 정신보건 문제는 앞으로 더욱 그 비중이 커질 것으로 판단되고 있다. 문제의 심각성에 대한 관심이 요구되는 현재의 시점에서 제도적 접근에 대한 검토 또한 시작되어야 할 것으로 판단되고 있다. 현재까지 기업 내에서 이루어지고 있는 정신보건관리의 현황을 단편적으로 파악해 보았을 때, 단지 일부 기업에서 취업시 내지는 부서 배치시 성격검사를 비롯하여 적성검사를 실시하고 있으며, 기업윤리확보 차원에서 비정규적으로 사기앙양을 주목적으로 하는 집단적인 교육이나 단체훈련이 이루어지고 있으나, 정신심리적 문제를 개인적 차원에서 그리고 또한 조직적 차원에서 체계화된 프로그램으로 관리하고 있는 사례는 아직 없다. 앞으로 직장 내 정신보건문제에 대하여 제도적인 접근을 하기 위하여서는 다음과 같은 세가지 조건들이 구비되어야 할 것으로 판단된다. 첫 번째로 문제점 그 자체의 내용과 그 규모에 대한 정확한 파악과 예측이 가능하여야 한다. 즉 제도 전체의 운영을 객관적으로 평가하고 개선할 수 있는 기제가 함께 있어야 제도가 실제적인 기능을 할 수 있다는 최소한의 목적이 달성될 수 있다. 두 번째로 문제점의 관리를 위한 효과적인 개입내용 및 개입지점의 확보가 가능하여야 한다. 특히 직장 내에서 수행할 수 있는 프로그램이 개발되어야 하며, 이는 시범사업과 시장을 통한 소비자, 즉 사업주들의 자발적인 선택을 통하여 검토되고 걸려져야만 한다. 마지막으로 제도 운영의 대상, 특히 정신보건문제를 안고 있는 노동자들의 자발적인 동의가 확보될 수 있어야 한다. 이는 정신적 문제가 안고 있는 편견과 그로 인한 차별이 가져다주는 문제를 함께 고려하면서 제도가 운영되어야 하며, 이에 있어 제도 운영상 노동자들의 주체적인 참여가 필요하기 때문이다. 이상 고려되는 직장 내 정신보건문제에 대한 제도적 접근을 담기 위하여서는 프로그램 개발이나 전문가 집단의 양성과 같은 단순한 기술적 접근과 이들의 인허가 및 사업화에 따른 적용기준 및 의무의 설정과 같은 제도적 접근에 그쳐서는 그 실효성을 담보하지 못할 것으로 판단된다. 보다 중요한 것은 이러한 정신보건문제에 대한 노사의 공감대를 이루어 내는 것이며, 사회 전반적인 인식의 확산과 더불어 바람직한 관리모습에 대한 사회적 가치관을 도출해 내는 것이 제도적인 접근의 성공을 보장할 수 있는 기반 조건이 될 것이다. 이러한 점에 있어 정신보건문제를 바라보는 기존의 가치관이 부정적이고 고착화된 모습만을 강조하였으나, 이제는 점차 긍정적이 사회활동에 수반되는 역동적인 모습으로서 비추어지는 것이 많아진다는 측면에서 그 전망을 밝게 하여 주고 있다.