• Title/Summary/Keyword: 정신의료시설

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A Study on the Regulation for Mental Healthcare Facility and Delivery System in China (중국의 정신의료시설 및 지원체계에 관한 법제도 연구)

  • Gao, Wen Mei;Yun, Woo Yong;Chai, Choul Gyun
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.24 no.1
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    • pp.7-14
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    • 2018
  • Purpose: This study analyzes mental healthcare delivery services and types of facilities, the status of installation and operation, and planning standard. The purpose of the study is to propose a basic data for the performance of related research and work tasks, along with an understanding of the Chinese mental healthcare facility type and support system. Furthermore, it will show a lack of current function management as the changes of mental health concept and demand for services increases, and it is intended to provide implications for the construction of mental health facilities. Methods: This study was conducted by a research on law and regulation of China's mental healthcare delivery service system and mental healthcare facility. The analyzed data are the national standard GB, the optional national standard GB/T, the building construction standard JGJ, and the report issued by the Health Planning and Development Committee. Results: At present mental healthcare facility construction in China is in the period of rapid development and it exposes the layout of medical facilities, which is not currently reasonable and the service does not reach the designated position and so on. Overall, it requires more detailed guidelines to enhance the quality of mental healthcare service. Implications: It is expected that the research of this paper will provide effective reference for future research on Chinese Mental healthcare system and facilities, and can promote construction of Chinese mental healthcare facility theory in perfect condition.

Present Conditions of Mental Health Care in Rural Areas: Community Mental Health Program of Public Health Center (농촌지역 정신보건관리실태: 보건소 지역사회정신보건사업)

  • Lee, Weon-Young;Kim, Dong-Moon
    • Journal of agricultural medicine and community health
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    • v.28 no.2
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    • pp.1-14
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    • 2003
  • Objectives: This paper introduces need and supply level of rural mental health care service and especially focuses on the evaluation for the community mental health programs of Public Health Centers(PHCs) in rural areas as the facilities for primary mental health care. Methods: We defined the need as prevalance rate and service utilization rate, for which reviewed the results of the epidemiological study of mental disorders using Korean Composite International Diagnostic Interview surveyed on a nationwide scale in 2001. Supply was appraised in terms of psychiatric beds and primary mental heath care facilities such as private psychiatric clinics, facilities for social rehabilitation, PHCs running community mental health programs. For this, we reveiwed a variety of annual reports related mental health published by Ministry of Health and Welfare. To evaluate the community mental health programs of PHCs in rural areas, we selected. randomly samples out of the 3rd community health plans including the contents of community mental health programs, which submitted by 89 rural counties and 44 cities mixed with rural areas, and used the program's guideline established by central government as a standard. Results: Prevalence rates of major psychiatric diseases such as schizophrenia, alcoholism, major depression, anxiety disorder were higher in rural area than in urban area and 8.9% of psychiatric patients in both areas stayed at homes contacted with mental health manpower more than one time during the last year. Psychiatric beds were sufficiently supplied, but urban area had less beds than rural area contrary to general health care service. Psychiatric clinics were supplied very insufficiently in rural areas and PHCs bridged the gap instead. However rural PHCs got less financial support for community mental health programs from higher positioned agencies than urban PHCs. Rural community health programs not supported hardly worked out. Conclusions: Central government should consider a special policy for rural primary mental health care, because private psychiatric clinics can't be introduced in rural areas due to demand-deficiency and the financial independence of rural counties was very vulnerable.

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A Study on the Development of Mental Healthcare Facilities - Focused on European Situation before 19th Century - (정신의료시설의 발전과정에 관한 연구 - 19세기 이전 유럽의 상황을 중심으로 -)

  • Moon, Hani;Lee, Haekyung;Chai, Choul Gyun
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.20 no.1
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    • pp.35-43
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    • 2014
  • Purpose: Globally, Paradigm and corresponding awareness of mental health and mental illness is changing. At this point, social policy and cultural consciousness must also be changed. Medical facilities to contain the recognition of the people of that period and the social, cultural background. Social situation changes, science has developed and facility changes. So, awareness of people for the facility also changes. Thus, this study consider the meaning and features of the facility with change of psychiatry and the concept of disease in each period. Finally, the purpose of this study is to analyze the development of Mental Healthcare Facilities before 19th Century. Methods: In this study, focusing on the literature study, it investigated the developmental process of mental healthcare facilities. Results: As the result of this study can be summarized as followings. In ancient times, facility for the harmony of body and mental appeared by means of supernaturalism and rationalism. In the middle ages, facility for restraint and control appeared by means of religious absolutism and mysticism. In the early modern period, facility for therapy appeared by means of humanism and enlightenment. Implications: Unlike other healthcare facilities, Mental healthcare facilities have a unique history. Based on the point of view of each period, it appears form and characteristics of mental healthcare facilities are different.

A Study on the Evaluation of Environmental Quality required in the Accreditation Program for Mental Health Facilities - Focus on the Mental Institutions Assessment of KOIHA (정신보건시설인증제에서 요구되는 시설환경 평가에 관한 연구 - 의료기관평가인증원의 정신의료기관평가를 중심으로)

  • Jung, Hee Boon;Kim, Uk
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.22 no.4
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    • pp.57-66
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    • 2016
  • Purpose: According to the trend of the global burden of disease, in the future our society is expected to face with gradually increasing problems related to mental health and the demand for the various types of quality mental health facilities. This study investigates whether the accreditation of Mental health facilities serves as a building evaluation tool, and contribute to environmental welfare of the mentally ill. Methods: The facility assessment items related to architectural design are extracted through the analysis about the accreditation program of KOIHA. Extracted items should review if they comply with the relevant regulations, and establish building design standard. Results: This study shows that the accreditation of KOIHA can certify psychiatric hospitals meet the legal requirements, the minimum standard of facilities. But it is not the evaluation of environmental quality. It is difficult to assess the quality of facility in terms of architectural design, because it has no specific standards or the level of assessment. Implications: The accreditation for mental health facilities should be able to provide the right and opportunity to choose a more quality facility for the customer. The introduction of a certification system for the evaluation of environmental quality is required in order to overcome the limitations of the accreditation of KOIHA. Development of design guidelines for mental health facilities that are the basis for certification should be also followed.

A Study on the Healthcare Facility System for Mental Health (정신건강을 위한 보건시설체계에 관한 연구)

  • Lee, Hyunji;Chai, Choul Gyun
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.19 no.4
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    • pp.29-36
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    • 2013
  • Purpose: Currently meaning and the needs of the times for the mental health are extensively changing. Contemporary needs for mental health has led to a change in the mental health policy and mental health facilities. But Change on Most of the mental health facilities have been focused on quantitative increase. So, changes in mental health facilities due to changes in mental health policy are needed for the study. This study investigate to the mental health facility system through this changes. Methods: In order to determine the flow of Mental health policy in Korea the mental health laws and reports were investigated Results: the result of this study can be summarized into two points. Korea's mental health policy has changed from the rehabilitation of the mentally ill to the prophylaxis of all the people. So, mental health facilities are changing form rehabilitation facilities in the private sector to public mental health center. Especially, mental medical institutions and mental health center are changing to requirement for the needs of the times. Mental medical institutions are changing from inpatient to outpatient and mental health center are changing from the rehabilitation of the mentally ill to the prophylaxis of all the people. Implications: Understand the flow of mental health policy, mental health facilities and the corresponding need.

A Case Study and Implications on Improvements in Environmental Design of Outpatient Department and Health Examination Center in Mental Health Hospital - For Health Promotion Department of National Mental Health Center (정신의료시설 내 외래부 및 건강검진센터의 환경디자인 개선 사례 및 시사점 연구 - 국립정신건강센터 건강증진과를 대상으로)

  • Noh, Tae Rin;Lee, Seung Ji;Suh, Swoo kyung
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.27 no.3
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    • pp.17-26
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    • 2021
  • Purpose: This study is a case study in which the space was improved by applying the design direction derived through the theoretical basis and service design process to the outpatient department and health examination center in mental health facilities used by various stakeholders. And it aims to present implications through this. Methods: The research method is based on the analysis of the service design process with a focus on literature review. Results: As a result of deriving the design direction, it was organized into 1) improvement of spatial arrangement, 2) improvement of wayfinding system, and 3) creation of comfortable environment. The design improvement plan suggested division of areas, change of nurse station location, creation of a pleasant waiting space for the outpatient department, reinforcement of access, improvement of room relocation and flow, and increased comfort of common spaces for the health examination center. Implications: First, it is necessary to expand research and application of spatial planning and environmental design reflecting the characteristics of patients and environments of mental health institutions. Second, in the medical environment, the divided territoriality should be reviewed for various stakeholders as well as the coexistence. Third, it is necessary to promote medical service and environmental improvement through the service design process.

A Study on the Architectural Planning of the Ward in Mental Hospital (II) -focused on the Composition of the Nurse Unit- (우리 나라 정신병원 병동부에 관한 건축계획적 연구 (II) -간호유닛의 구성을 중심으로-)

  • Choi, Sung-Bong;Choi, Young-Jib;Kim, Kwang-Moon
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.4 no.7
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    • pp.9-18
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    • 1998
  • Even though the interest to the mental hospital is recently increased, the mental hospitals are not well developed due to the pending arrangement of the concept of returning to the society and the system of local communities. Also, the hospitalism due to the isolation of patients and the long term stay in hospitals has become an issue. Despite the present circumstances, the prototype of mental health care in many field are investigated and progressively fixed. This study attempts to examine the current status of domestic and foreign mental institution and to establish the design guideline of the wards of the mental hospitals.

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A Study on the Management System and the Facility Type of Mental Health and Welfare Center in Japan (1) (일본 정신보건복지센터의 운영체계 및 시설유형 분석연구 (1))

  • Lim, Yenjung;Chai, Choul-Gyun
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.20 no.4
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    • pp.57-65
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    • 2014
  • Purpose : Mental health service desire has been diversified according to the increase of economic level and rapid social change. Mental Health and Welfare Center(MHWC) is a provider of mental health services in Japan. This is a basic stage study which will suggest the architectural planning guidelines for MHWC. Methods : Data were collected through literature research, field surveys, and expert interviews to 69 MHWC in Japan. 1) Research for the policy and legal aspects of mental health support system. 2) Research for structural aspects of MHWC: Characteristics of establishment, management, and regional factors. 3) Research for the physical environment aspects of MHWC: Classification and evaluation of MHWC's Type by locational characteristics in Japan. Results : The result of this study can be summarized into three points. The first one, Mental Health and Welfare Center's service has being expanded to suicide, depression and stress from chronic mental illness, to reflect social needs. The second one, The average population of area installed at Mental Health and Welfare Center was 2,307,570 person, and average area of the regions were $5,745m^2$. The third one, Mental Health and Welfare Center is divided into single-structure type and combine-structure type. And combine-structure type is divided into medical-combine type, welfare-combine type, and public-combine type.

A Study on the Regulation for Type and Design Guideline of Mental Health Service (정신보건서비스 유형 및 시설기준 수립을 위한 관련 법제도 분석 연구)

  • Moon, Ha Ni;Yun, Woo Yong;Chai, Choul Gyun
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.22 no.2
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    • pp.25-33
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    • 2016
  • Purpose : The information of mental health facilities in Korean law is so unclear that people hardly enable to understand what sort of proper mental health service is prepared for them. Futhermore, there is not enough regulation and standard to classify each type of facilities in the law. Therefore the purpose of this study is to provide data on the basis for classification and facility standards by analysing Korean law and policies. Methods : This study was conducted by a research on law and regulation of mental health facility. Results : The result of this study can be summarized into three points. The first one, current law and policy do not reflect a change in community mental health services paradigm. The second one, the classified facility should be designed to fit the community mental health services. The third one, overall, it requires more detailed guidelines to enhance the quality of mental health services. Besides, the treatment as well as the function of the prevention and rehabilitation are necessary criteria that can also be enhanced. Implications : This study looked at the classification and facility standard of mental health facility by the change in community mental health services paradigm. Forward according to these changes, there is a need for specific guidelines for mental health facility.

Examining the Factors Affecting the Correctional Officer's Preference toward the Institute for Forensic Psychiatry (정신질환 전문 교정시설에 대한 교도관의 선호도에 영향을 미치는 요인에 관한 연구)

  • Hong, Moon-Ki;Park, Jongsun
    • Journal of Digital Convergence
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    • v.19 no.10
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    • pp.21-28
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    • 2021
  • This study examines factors affecting correction officer's preference toward institute for forensic psychiatric. The data were collected from the correction officers who worked at the six correctional facilities in 2019. Binary logistic regression was used to find the factors on the officer's preference. The result showed that the correction officers had their own preference toward prison for forensic psychiatric, and the preference was positively related to the age of the officer, work experience at the mental health center, mentally-ill prisoner's fighting as the rule-violation in prison, refusal of medical treatment, and lack of laws and regulations for the mentally-ill prisoners. In contrast, there was a negative relationship between the officer's rank and the preference for forensic psychiatric. More work needs to be done in the future research to collect more samples and include a broader ranger of variables than now.