• Title/Summary/Keyword: 정신질환자

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Discourses on Mental Health Act Revision and Critical Analysis on Mental Health Promotion and Welfare Service Support Act (정신보건법 개정 담론에 근거한 정신건강증진 및 정신질환자 복지서비스 지원에 관한 법률 주요 쟁점 분석)

  • Kim, Moon Geun
    • Korean Journal of Social Welfare Studies
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    • v.47 no.3
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    • pp.85-111
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    • 2016
  • This study aims to analyse major changes of Mental Health Promotion and Welfare Service Support Act(MHPWSSA) and critically discuss these changes based on the major discourses on Mental Health Act revision. For this purposes this study reviewed literatures and government reports to understand human rights discourses, welfare discourses, and prevention discourses. Secondly, the major changes of MHPWSSA were analysed and discussed based on those discourses. This study found that MHPWSSA defined the concept of people with mental disorders narrowly, tightened the involuntary admission procedures, introduced welfare service support provisions and mental health promotion provisions. But this study shows that the new legislation may well be criticised due to neglect of the concept of disability and people with psychiatric disability, involuntary admission without mental capacity assessment, neglect of the basic values and principles of self determination and independent living common in welfare of the persons with disability. And the new legislation may be criticised due to overuse of the concept of mental health promotion as encompassing promotion, prevention, treatment and rehabilitation.

A Study on Sedation, Delirium and Fall in Mental Illness Taking Psychiatric Drugs (정신약물을 복용하는 정신질환자의 진정, 섬망, 낙상에 관한 연구)

  • Park, Kyung-Mi
    • Journal of Industrial Convergence
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    • v.18 no.4
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    • pp.33-40
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    • 2020
  • This study is a descriptive research study to understand the relationship between sedation, delirium, and fall of people with mental illness taking psychiatric drugs. From March10, 2019 to November 10, 2019, four psychiatric nurses were evaluated on 149 people with mental illness in two psychiatric hospitals located in D city. The collected data were analyzed using descriptive statistics, t-test, ANOVA, and Pearson's correlation coefficient using SPSS 22.0. Sedation and delirium(r=.587, p=<.001), sedation and fall(r=.273, p=.001), delirium and fall(r=.390, p=<.001)were all significant positive correlation. This study identified the degree of sedation, fall, and delirium of patients taking psychiatric drugs and confirmed the relationship between sedation, fall, and delirium of people with mental illness. It is thought that it will be able to provide basic data to prevent falls and delirium that may occur when taking psychiatric drugs and to prepare a nursing intervention strategy.

The Effect of Psychobiographical Information on Attitude Change toward Mentally Ill People (심리전기적 정보(Psychobiographical Information)가 정신질환자에 대한 태도변화에 미치는 효과)

  • Kang, Sang-Hyun;Son, ChongNak
    • Journal of Digital Convergence
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    • v.15 no.2
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    • pp.451-457
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    • 2017
  • The purpose of this study was to investigate the effect of psychobiographical information on the attitude change toward mentally ill people. For this, 30 college students were randomly assigned to one group that received a psychobiographical information(PBI) and the other group a psycho-pathological information(PPI). Measures of attitude change were favorability, reliability, and social distance. The results were significantly different only in social distance between the two groups. Within each group, there was a significant change in favorability only in the psycho-pathological information group, and there was a significant change in the favorability, reliability and social distance in the psychobiographical information group. These results are significant in that they have empirically confirmed that a psychobiographical approach can be effective in changing attitudes toward mentally ill people.

Influencing Factors on Alcohol Use of Persons with Severe Mental Illness in the Community (지역사회 만성정신질환자의 알코올 사용 관련요인)

  • Gang, Moonhee
    • Journal of Digital Convergence
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    • v.11 no.11
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    • pp.585-593
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    • 2013
  • This study was to explore demographic, psycho-social and clinical characteristics and the influencing factors on alcohol use of person with severe mental illness in the community. Cross-sectional descriptive design was used to recruit a convenience sample of 176 participants from four community mental health centers in Korea. The collected data were analyzed using t-tests, $x^2$-test, and logistic regression. Depending on the alcohol use (AUDIT-K), participants were divided into the problem alcohol use group (n=54, 30.7%) and normal group (n=122, 69.3%). The problem alcohol use group was significantly more smoking, anxiety, stress, suicidal thought, and had a lower age of onset, phase of rehabilitation, self-efficacy, and others' support. In logistic regression analysis, factors influencing on alcohol use were smoking, age of onset, phase of rehabilitation and others' support. The findings may provide useful information to develop strategies for prevent from alcohol induced the problems in this populations.

Fusion of the Guardianship System and Mental Health Law Based on Mental Capacity - Focusing on the Enactment and the Application of the Mental Capacity Act (Northern Ireland) 2016 - (의사능력에 기반한 후견제도와 정신건강복지법의 융합 - 북아일랜드 정신능력법[Mental Capacity Act (Northern Ireland) 2016]의 제정 과정과 그 의의를 중심으로 -)

  • Kihoon You
    • The Korean Society of Law and Medicine
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    • v.24 no.3
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    • pp.155-206
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    • 2023
  • When a person with diminished mental capacity refuses necessary medical care, normative judgments about when paternalistic intervention can be justified come into question. A typical example is involuntary hospitalization for people with mental disabilities, traditionally governed by mental health law. However, Korean civil law reform in 2011 introduced a new form of involuntary hospitalization through guardianship legislation, leading to a dualized system to involuntary hospitalization. Consequently, a conflict has arisen between the 'best interest and surrogate decision-making' paradigm of civil law and the 'social defense and preventive detention' paradigm of mental health law. Many countries have criticized this dualized system as not only inefficient but also unfair. Moreover, the requirement for the presence of 'mental illness' for involuntary hospitalization under mental health law has faced criticism for unfairly discriminating against people with mental disabilities. In response, attempts have been made to integrate guardianship legislation and mental health law based on mental capacity. This study examines the legislative process and framework of the Mental Capacity Act (Northern Ireland) 2016, which reorganized the mental health care system by fusing guardianship legislation with mental health law based on mental capacity. By analyzing the case of Northern Ireland, which has grappled with conflicts between guardianship legislation and mental health law since the 1990s and recently proposed mental capacity as a single, non-discriminatory standard, we aimed to offer insights for the Korean guardianship and mental health systems.

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.

The relationship between empathy, discriminatory behaviors and prejudice of nursing college students against the mental illness (간호대학생의 공감능력과 정신질환자에 대한 편견 및 차별행동과의 관계)

  • Song, Jung-Hee
    • Journal of Industrial Convergence
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    • v.17 no.2
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    • pp.63-70
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    • 2019
  • This study was conducted to identify the empathy ability of nursing college students and prejudice and discriminatory behavior against the mentally ill and to analyze the relationship between them. The study included 281 nursing college students located on K province. Studies show that the empathy of nursing college students is positive for prejudice and discrimination behavior, negative correlation, prejudice and discriminatory behavior and that there are differences in empathy depending on whether they have experience in volunteer activities. Discriminatory behavior differed depending on the age and grade of the subjects. In order to reduce discriminatory behavior and prejudice among nursing college students, it will be necessary to increase direct and indirect experience opportunities to improve empathy and also to require systematic education and practical courses considering the characteristics of the subjects. This will contribute to improving the awareness and attitude of nursing college students as future professional nurses.

A Study on Social Network Characteristics, Social Support, Functional Recovery, and Life Satisfaction of People with Mental Illness (정신질환자의 사회관계망 특성, 사회적 지지 그리고 삶의 만족도에 관한 연구)

  • Kim, Jin-Mi;Shin, Hyo-Jin
    • The Journal of the Convergence on Culture Technology
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    • v.9 no.6
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    • pp.85-96
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    • 2023
  • In a reality where negative perceptions and social prejudices towards individuals with mental illnesses persist, the absence and lack of social support systems acquired through personal intimate social networks can be considered a significant hindrance to the quality of life for those with mental disorders. Therefore, this study examined the impact of the characteristics of social networks and social support on the life satisfaction of individuals with mental illnesses. A survey was conducted with 180 patients from seven mental health treatment facilities in the Daegu area. The data were analyzed using MANOVA, hierarchical multiple regression analysis, and Sobel test for mediation analysis with SPSS 25 software. The key findings of the study revealed that the intimacy aspect of social networks had a positive and significant effect on social support and life satisfaction. On the other hand, the size of the social network showed a negative influence on social support. Furthermore, social support partially mediated the relationship between the intimacy of social networks and life satisfaction, and it fully mediated the relationship between the size of social networks and life satisfaction. Based on these research outcomes, practical and policy-related recommendations are provided to enhance life satisfaction through increased social support for this population.

A Study on the Use of the Media for Positive Perception and Attitude towards People with Mental Illness: Focusing on Depression, Obsessive-Compulsive Disorder, and Panic Disorder (정신질환자에 대한 태도와 인식 개선을 위한 대중매체 활용 방안 연구 : 우울증, 강박증, 공황장애를 중심으로)

  • Park, Jong-Ho;Lee, Hyun-Sim
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.4
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    • pp.250-263
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    • 2019
  • This study aimed to improve the public perception of people with mental illness by suggesting the need for public efforts and proposing specific plans. Demographic differences in the attitudes towards mental illness, the need of public service announcements to improve public perception of mental illness, and the current and expected situation of each advertising medium were analyzed, and plans to improve the advertising were proposed. Three mental illnesses that are possible to recover from through treatment-depression, obsessive-compulsive disorder(OCD), and panic disorder-were examined primarily, and the general public residing in Seoul and the capital area were surveyed. A comparison of the respondents' attitudes towards people with mental illness showed that there were significant differences in their attitudes with respect to gender, marital status, age, and family history. On the other hand, there was no significant difference with respect to religion, monthly income, or academic background. Most of the respondents recognized that public efforts to improve the public perceptions of mental illness, i.e., efforts through the mass media, were necessary and should be intensified though television, Internet, radio, billboard, and transport advertising. Based on the above findings, this study highlights the necessity for advertising through mass media for positive public perceptions of people with mental illness and proposes plans to intensify the advertising, focusing on social, organizational, and individual levels.