• Title/Summary/Keyword: 정신보건복지

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Assisted Outpatient Treatment and Crisis Intervention in USA and their Implications for Korea (미국의 외래치료명령제도 및 위기대응과 국내적 시사점)

  • Park, Inhwan;Han, Meekyung
    • The Korean Society of Law and Medicine
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    • v.19 no.1
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    • pp.23-80
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    • 2018
  • Since the 1960s, the United States' (U.S.) deinstitutionalization policy has reinstated people with mental illness into communities. Unfortunately, when untreated, some people with psychiatric disorders become homeless, and some commit serious crimes during a psychological crisis. Assisted Outpatient Treatment (AOT), also known as Kendra's Law in New York and Laura's Law in California, provides treatment, services and support to people with mental illness in the community. AOT has repeatedly been found effective and is recognized as an evidence-based practice. The response to the mental health crisis (crisis intervention) in the U.S. has also been successful in preventing worsening mental illness and related criminality and other issues. This paper provides an opportunity to create a platform from which to learn how to successfully apply the AOT and crisis intervention of the U.S. to South Korea within the cultural and societal context when establishing social services for people with mental illness in South Korea's communities.

Social Stigma on People with Mental Disorder (정신장애인에 대한 사회편견 연구)

  • Yang, Ok-Kyung
    • Korean Journal of Social Welfare
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    • v.35
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    • pp.231-261
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    • 1998
  • This study was designed to find out a degree of social stigman on people with mental disorder. Many comparisons were made. The first was a comparison with the stigma on the physically disabled. And the differences between general public, the mentally ill, their families, and professionals were explored. Among general public attitudes, the sociodemographic and regional differences were also explored. The subject was 600 people, including 300 general public, 100 mentally ill, 100 families, 100 professionals. They were evenly distributed to 3 regions - big city, urban area, and rural area. The data were collected by a survey questionnaire consisting of the Attitude toward People with Mental Illness Scale, and the Attitude toward People with Physical Disabilities Scale. The analysis showed that the public attitude toward the mentally ill was quite acceptable. Social stigma was low in areas like accepting his/her human right. But the public also showed low acceptance on areas in allowing social functioning roles, and social integration. High stigma on the hospitalized mentally ill was expressed to those hospitalized patients regarding divorce against their will. However, volunteer experiences with this population seemed influential in high acceptance and low stigma. In comparison with the stigma on people with physical disabilities, the results showed. different levels in different areas. In regional comparison, the results showed that big city is the lowest among three. And the results of urban and rural area revealed different levels in different areas. In regard to self-stigma, while the subjects expressed low in general, they revealed high on areas like relating with others. Based on the findings, the study would conclude that mental health policy should be community-based, social integration oriented policy instead of in-patient oriented policy. Moreover, the professionals should intervene on the elements affecting both negative and positive attitudes.

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Determining the Priorities of Korean Suicide Prevention Policies using Analytic Hierarchy Process(AHP) (AHP기법을 이용한 우리나라 자살예방정책의 우선순위 설정)

  • Kim, Hyo-Jin;Lee, Sue-Hyung;Kang, Eunjeong
    • The Journal of the Korea Contents Association
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    • v.15 no.1
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    • pp.252-263
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    • 2015
  • Since 2004 suicide in Korea was the number 1 cause of mortality among OECD countries, the suicides and suicide mortality rate is constantly increasing. Using AHP(Analytic Hierarchy Process), we examined the main approaches and detailed policies of suicide prevention to confirm an effective suicide policy. A workshop and survey were conducted on August 23rd and 26th, 2013, with 30 people. There were 20 academics (4 social workers, 7 mental health workers, 5 psychiatrists, 4 clinical psychologists), and 5 policymakers and 5 administrative staff. In additional 5 people from social welfare and 5 from clinical psychology fields were survey from september 9 to 12 by e-mail. The research found 4 priorities. They include, suicide attempt management, building up public infrastructure for suicide prevention, support to bereaved families, and crisis management of high risk groups in society.

Convergence Study about the Relationship among Emotional Dissonance, Depression and Anxiety in Care Service Workers -Focused on the Moderating Effects of Emotional Intelligence- (돌봄 종사자들의 감정부조화와 우울 및 불안 간의 관계에 대한 융합연구 -정서지능의 조절효과를 중심으로-)

  • Lee, Jung-Min;Hong, Min-Hee;Jang, Ki-Won
    • Journal of the Korea Convergence Society
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    • v.12 no.1
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    • pp.341-351
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    • 2021
  • The purpose of this study was to investigate the relationships among emotional dissonance, depression and anxiety, and to examine the moderating effects of emotional intelligence on the relationships between emotional dissonance and both depression and anxiety in care service workers. For this study, a sample of 142 care service workers completed the questionnaires: Emotional Dissonance Scale, Patient Health Questionnaire-9, and Generalized Anxiety Disorder-7. This data was analyzed by SPSS 25.0 program. The results of the analysis showed that emotional dissonance and others' emotion appraisal had a significant effect on depression and anxiety. The results also verified the moderating effects of others' emotion appraisal on the relationship between emotional dissonance and depression. Finally, on the basis of the results, we proposed and discussed interventions on emotional labor and mental health issues of care service workers.

Oral Health Behavior Changes Based on Oral Health Education of Mental Disabilities (정신지체 장애인의 구강보건 교육에 따른 구강보건 행태 변화)

  • Choi, Ju-Hyun;Lee, Myeng-Hee;Seo, Hwa-Jeong
    • Journal of dental hygiene science
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    • v.12 no.4
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    • pp.404-412
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    • 2012
  • The main object of this study is to render a better dental education to mental disabilities, teachers, and their parents. By providing a better dental education to them, mental disabilities would understand the importance of their oral hygiene. The study was held in Seoul at two different locations, named H and E mental welfare facilities. Ninety Three mental disabilities were studied by observing their oral behavior, simple oral hygiene index and plaque index prior and post to dental education. At the end of education, following result were gathered from two mental facilities. First, the level of oral behavior in Class 1,2, and 3 mental disabilities were observed prior and post to the dental education. Overall, there was no significant difference among Class 1 mental disabilities with the dental education. Second, in simple oral hygiene index, the severity of mental illness has affected on their oral behavior (F=6.322, p<.001). Third, in simple oral hygiene index, the frequency of dental education, regardless of severity of mental illness has affected on their oral hygiene (F=5.961, p<.01). Fourth, the plaque index also illustrated that the frequency of dental education, regardless of severity of dental illness has affected on their oral hygiene (F=5.126, p<.05). Finally, the general characteristics of mental disabilities according to changes in oral health awareness to gender, age, disability type, educational level do not statistically significant in all variables. Their simple oral hygiene index and plaque index advanced, although after a while they started to lose focus, which brought back their old habits. Nevertheless, in conclusion I believe that helping mental disabilities more frequently to constant reminder, will not only keep them entertained, but help them realize how important oral hygiene practice is, hopefully increasing and benefiting those with mental disabilities for future reference.

Short Research For Sunfull Automation Bot (선플 자동화 봇에 관한 짧은 연구)

  • Kim, YongJun;Kwon, Soonwoo;Oh, YoungEun;Park, TaeHyun;Seong, Hoon;Lee, JiSu;Kang, Yunjeong
    • Proceedings of the Korean Society of Computer Information Conference
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    • 2017.07a
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    • pp.291-292
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    • 2017
  • 우울증은 매우 보편적인 정신병이다. 보건복지부에 따르면 지난해 우리나라 우울증 환자는 61만 3000명으로 전체 국민의 1.5%를 차지했다. 그러나 대부분의 환자들은 본인이 우울증인지도 모르거나 정신병원 진료 기록이 남는다는 이유로 치료를 거부하여 상태를 악화시키는 경우가 적잖다. 그럴 때 다른 이의 도움이 필요하나 정신적인 질환은 겉으로 봐서는 알아차리기가 어렵고 폐쇄적인 우울증 환자의 특성상 직접 만나는 등의 물리적인 도움을 주기는 많이 어려운 것이 사실이다. 그래서 우리는 인터넷이라는, 가장 광범위하고 가장 긴밀한 플랫폼을 통하여 이런 우울증 환자들에게 다가가고자 '선플 로봇'을 고안하게 되었다.

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Liability for Damages Due to Violation of Supervisory Duty by the Legal Guardian of the Mental Patient (정신질환자 보호의무자의 감독의무 위반으로 인한 손해배상책임 -대법원 2021. 7. 29. 선고 2018다228486 판결의 검토-)

  • Dayoung Jeong
    • The Korean Society of Law and Medicine
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    • v.23 no.4
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    • pp.133-170
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    • 2022
  • Supreme Court 2018Da228486, on July 29, 2021, ruled Article 750 of the Civil Act as the basis for liability for damages due to the violation of the supervisory duty of the responsible mental patient. This judgment recognizes that the legal guardian is liable for tort due to neglect of the responsibility of supervision under Article 750 of the Civil Act because the duty of protection bears the duty of supervision over the mental patient under the law. However, unlike the case of Article 755 Paragraph 1, which explicitly requires a legal obligation to supervise, Article 750 only stipulates general tort liability. Thus, to admit tort liability under Article 750, it is not necessary that the basis of the supervisory duty by the law. In this case, the supervisory duty may also be acknowledged according to customary law or sound reasoning. The duty of supervision of a legal guardian is not a general duty to prevent all consequences of the behavior of a mental patient but a duty within a reasonably limited scope. Therefore, the responsibility of the burden of care should be acknowledged only when the objective circumstances in which it is appropriate to hold the legal guardian for the acts of the mental patient are admitted. Under the Act on the improvement of mental health and the support for welfare services for mental patients, a legal guardian cannot even be granted the supervisory duty to prevent the mental patient from harming others.

Analysis of Health and Welfare Support for Children Who Have Ended Protection in Korea - Focused on the case of Cheonan city - (국내 보호종료아동 보건복지 지원실태 분석 -천안시 사례를 중심으로-)

  • YU, TAE GYU
    • The Journal of the Convergence on Culture Technology
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    • v.8 no.1
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    • pp.115-119
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    • 2022
  • According to the 「Child Welfare Act, Article 16(1)」, when the age of a child reaches 18, he or she is discharged from prison. However, in order to prepare an effective support posture from the central government and local governments, a clear fact-finding survey on children who have completed protection is necessary. Therefore, in this study, the most basic questionnaire on housing, health, education, employment, and social relations of children living in Cheonan City after completion of protection is required. An investigation was conducted. As a result, the housing and social relationship of children living in Cheonan city were good compared to children living in Cheonan city compared to children who completed protection nationwide. Therefore, it was found that it is urgent to establish a close cooperation system with related organizations in this regard.

The Study on the Self-Esteem, Group Consciousness and Consciousness of Right of People who are Mentally III (정신장애인의 자아존중감과 집단의식이 권리의식에 미치는 영향)

  • Choi, Mal-Ok
    • Korean Journal of Social Welfare
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    • v.56 no.2
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    • pp.145-166
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    • 2004
  • The purpose of this study is to offer information needed in developing mental health service programs which can help mental patients to improve their self-esteem. For that purpose, the difference and the interrelation between mental patients' characteristics, and their self-esteem, group consciousness and consciousness of right were examined. And also, in practice, I observed 374 patients suffering from mental problem, who live in Busan and in Kyeong Nam province. As the result, the several facts which could be got from this theoretical examination and practical observation are as follows: First, it is shown that what is meaningfully related to mental patients' self-esteem are their educational level, the families' monthly earnings, a feeling of satisfaction to family relationship, the time spending together with their friends, or a feeling of satisfaction to their friends Second, it is appeared that there was a significant interaction between group consciousness of mental patients, and whether they have got married and the time spending together with their friends. Third, it is found out that their feeling of satisfaction to family relationship and the time spending together with their friends have meaningful relation to consciousness of right which mental patients have. Finally, speaking of interaction among self-esteem, group consciousness and consciousness of right, it is understood that self-esteem has significant effect of group consciousness, and that group consciousness has confidential effect on consciousness of right.

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The Mediating Effects of Positive Resources in the Association Between Social Anxiety Symptoms and Adverse Childhood Experiences in Young Adults (젊은 성인에서 사회불안 증상과 아동기 외상 경험 간의 관련성에서 긍정자원의 매개효과)

  • Jung, Young-Eun;Oh, Su-Kyong;Jeong, You-Ra;Kim, Moon-Doo
    • Anxiety and mood
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    • v.18 no.2
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    • pp.65-71
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    • 2022
  • Objective : This study was to examine the impact of adverse childhood experiences on social anxiety symptoms in young adults and verify the mediating effects of positive resources. Methods : Data from 1,317 young adults aged to 18 to 29 years who took part in the university-based cross-sectional survey were analyzed. All participants completed Adverse Childhood Experience (ACE) scale, Social Avoidance and Distress Scale (SAD), and Positive Resources Test (POREST). Results : In young adults, 9.3% had severe social anxiety symptoms. Based on 10 ACE categories, 32.7% of participants reported one or more adverse childhood experience, and 4.5% reported four or more different forms of adverse childhood experiences. Young adults with higher social anxiety symptoms were likely to report more adverse childhood experiences, and less positive resources. Multivariate regression analysis indicated that positive resources moderated the association between adverse childhood experiences and social anxiety symptoms. Conclusion : Based on the results, professionals need to consider early detection of adverse childhood experiences and comorbid social anxiety symptoms. In addition, various positive psychological interventions for individuals with adverse childhood experiences are needed.