• Title/Summary/Keyword: 지역사회 정신보건

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Type of Service Setting and Drinking Behavior in Persons with Major Mental Illnesses (정신보건서비스 환경에 따른 이용자들의 음주 행태)

  • Lee, Sun-Hae
    • Korean Journal of Social Welfare
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    • v.50
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    • pp.265-288
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    • 2002
  • The use of alcohol is recognized as having negative consequences on clinical and psychosocial outcomes in service users with major mental illnesses. This necessitates an introduction of intervention measures in domestic mental health service in Korea. Since research basis on which such measures are developed lacks, this paper aims at exploring drinking patterns of Korean service users and suggesting directions and strategies for intervention. The data came from 151 service users recruited at 14 service settings in Seoul Metropolitan area. The quantitative part of the data includes their recent drinking experiences in terms of patterns and severity; the qualitative part includes information on the drinking context. The data were compared among three types of service settings, each of which differs in physical availability of alcohol by their users. Each group revealed distinctive features in drinking patterns, the author thus suggested directions and strategies of intervention specific to type of service setting.

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Mental Health Literacy of the Korean Public: A Comparison between Depression and Schizophrenia (한국 성인의 정신건강역량 : 우울증과 정신분열병을 중심으로)

  • Lee, Sun Hae;Suh, Jin Hwan
    • Korean Journal of Social Welfare Studies
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    • v.41 no.2
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    • pp.127-158
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    • 2010
  • The purpose of the study was to identify the level of mental health literacy of the Korean public and to suggest implications of prevention and early intervention for depression and schizophrenia. A household survey was conducted on a stratified sample of community residents from 80 survey clusters in Seoul and the surrounding province who were 18-74 years of age (N=1,653). The data analysis revealed that the percentages of respondents who correctly identified symptoms of depression or schizophrenia were similar, 35.2% and 33.5% respectively. On the other hand, there were differences between the two illnesses in terms of respondents' perceptions of beliefs on causes and usefulness of various methods to address respective symptoms, and sources of mental health information. The authors compared the findings with the results found in other countries, and suggested policy and practice implications for community mental health prevention in Korea.

Empowerment Effects of the Chronic Mental Ill's Volunteer Program (정신장애인 자원봉사 프로그램의 임파워먼트 효과)

  • Choi, Myung-Min
    • Korean Journal of Social Welfare
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    • v.56 no.3
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    • pp.89-112
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    • 2004
  • The purpose of this study is to systemize volunteer program for the people with chronic mental health problems to participate in helping the community as service providers not receivers, and then to examine empowerment effects of this volunteer program. The distinctive feature of this program was to volunteer the mental ill to help other people. Therefore, this volunteer program had specially strengthened preliminary stage which make not only the mental ill be ready to work but also the community to use them as volunteer, and to invite general citizen of the community as co-volunteers. The result showed this program empowered the mental disorders to have more positive self-concept. It revealed that co-volunteer's attitude toward the mental disorders was changed positively through this program, also. These results told us not only the chronic mental ill could be volunteers helping others using their abilities, but also this activity would make their self-image better and citizen's perception toward mental disorder less prejudiced. The volunteer program presented in this paper was expected to be useful for their empowerment and social integration.

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Factors Influencing Health Risk Behaviors of the Chronic Mental Illness in the Community (지역사회 만성정신질환자의 건강위험행위 영향요인)

  • Gang, Moonhee
    • Journal of Digital Convergence
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    • v.11 no.1
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    • pp.381-388
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    • 2013
  • The study was done to identify factors influencing the health risk behavior of the chronic mental illness in the community. A cross-sectional study design was used in this study. The sample was 255 chronic mentally ill persons from D city and C province and who agreed to participate in the study. Data were collected on August-september, 2011 and analyzed using the SPSS/WIN 20. Stress event, insight and depression had significant correlations with health risk behavior. Hierarchial regression analysis showed gender (men), diagnosis (schizophrenia), stress event, insight and depression together explained 24% of variance in health risk behavior. Findings of this study allow a comprehensive understanding of health risk behavior of the chronic mentally ill persons in community. It is necessary to integrated health promotion programs designed for this population should focus on these factors for effective behavioral modification.

Factors Influencing Mental Health Literacy - the Analysis of Mental Health Literacy Survey 2021 (정신건강 지식에 영향을 미치는 요인 분석)

  • Somi Kang;Jeong-Wook Seo;Su Hee Park;Kang Hee Lee;Yangsik Kim;Woo-Young Im;Mi Sook Lee;Jin Yong Jun
    • Korean Journal of Psychosomatic Medicine
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    • v.31 no.1
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    • pp.33-41
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    • 2023
  • Objectives : The purpose of this study was to analyze the factors that influencing mental health literacy. Methods : We obtained data on 2016 general population from the Korean Mental Health Literacy Survey (2021) conducted by Ministry of Health and Welfare. Multiple regression analysis was used to evaluate the associations between sociodemographic characteristics and the score of questionnaire items in Korean Mental Health Literacy Survey. Results : Among the factors, female (p<0.001), higher age (p=0.005), higher income level (p<0.001) were significantly correlated with higher score of questionnaire items. Awareness of mental health center & community addiction management center (p=0.002), awareness of mental health hotline service (p<0.001) were also significantly associated with higher response score. Conclusions : The factors affecting mental health literacy could be considered when providing community mental health services.

Violence Experiences of Community Mental Health Nurse (지역사회 정신보건간호사의 폭력경험)

  • Kim, Mi-Hye;Kim, Han-Na;Shin, Yoon-Mee;Oh, Hyun-Mi;Lee, Jeong-Seop
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.12
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    • pp.8626-8636
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    • 2015
  • This study is a qualitative study to disclose the meaning and reality of violence experiences of the mental health nurses by the phenomenological approach. This study is done with the participation of 9 community mental health nurses who have work experiences more than 3 years in the city of S, from Nov 7, 2014 till Dec 21, 2014. The result of the study revealed that the violence experiences of this study participants may be categorized into 4 categories, 'a small boat running into a storm', 'open sea', 'a small boat lost of the sign post', 'a captain controlling the rudder' and may be identified with 11 theme cluster and 32 theme.Therefore violence from patients who have experienced mental health nurse could be found to affect even the identity of the mental health nurse as well as threaten safety of professionals. This may threaten the quality of service provided to the patient, so we have to accept reality as a serious problem. Also it has been preceded by what the support program development of the nursing organization for the nurse who is violence victims with preparing for violence Prevention. As the result we suggest that you prepare a practical measures for the safety and quality nursing services performed by mental health nurses.

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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Estimation of risks for social exclusion in persons with psychosocial disabilities : a comparison between persons with psychosocial disabilities and those with other types of disabilities (정신장애인의 사회적 배제에 대한 위험 추정 : 타 장애집단과의 비교)

  • Park, Ji Hye;Lee, Sun Hae
    • Korean Journal of Social Welfare Studies
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    • v.47 no.4
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    • pp.361-388
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    • 2016
  • The purpose of the study was to conduct an empirical study on the scope and level of social exclusion experienced by persons with psychosocial disabilities. The Wave 6 data of the Panel Survey of Employment for the Disabled were used to investigate the current status of social exclusion in life areas including income, education, work, housing, health, social network, social participation, and discrimination (N=4,161). A series of logistic regressions were executed, with the psychosocial disability(PD) group being the reference; the reverse odds rations of different disability groups were compared against the PD reference group (OR=1). The results showed that compared with all others, the PD group was about 2 to 11 times more likely to have risks in income, work, and housing; and that compared to other groups except for the autism/developmental disability group, they were about 6 to 10 times more likely to have risks in social network, social participation and discrimination. In conclusion, the authors urged the need for legal mandates to have community based mental health services and welfare services for the disabled more available to the PD groups and the necessity to eliminate various discriminatory legislations that are violating human and social rights of the persons with PDs.

The Sleep Characteristics of Chronic Schizophrenia Patients with Insomnia in Community-based Mental Health Services (지역사회 정신보건 서비스를 이용하는 불면증을 동반한 만성 조현병 환자의 수면의 특징)

  • Hwang, Dong-Ki;Nam, Min;Lee, Yu-Jin G.
    • Sleep Medicine and Psychophysiology
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    • v.24 no.2
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    • pp.97-105
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    • 2017
  • Objectives: To evaluate sleep characteristics and factors associated with sleep disturbance in schizophrenia patients with concurrent active psychotic symptoms and insomnia. Methods: Schizophrenia patients with insomnia and active psychotic symptoms (n = 63) were recruited from community-based mental rehabilitative facilities. Sleep scales such as the Korean version of the Insomnia Severity Index (ISI-K) and the Korean Version of the Pittsburgh Sleep Quality Index (PSQI-K) were evaluated and those with ISI-K >15 were included in the study. Psychotic, anxiety and depressive symptoms were rated with the Brief Psychotic Rating Scale (BPRS), the Korean Version of the Anxiety Sensitivity Index (K-ASI), and the Korean Version of the Beck Depression Inventory-I (K-BDI), respectively. Pearson correlation analyses were performed between the sociodemographic data, ISI-K and PSQI-K. Multiple linear regression analysis was conducted to investigate the factors which affected the ISI-K and PSQI-K. Results: The mean ISI-K and PSQI-K scores were $18.1{\pm}2.6$ and $12.0{\pm}2.2$, respectively. Pearson correlation analysis showed a negative correlation between age of onset and ISI-K score and positive correlations between BRPS and PSQI-K scores and between K-ASI and both ISI-K and PSQI-K scores. Multiple regression analyses for both ISI-K and PSQI-K with K-ASI, age of onset, and BPRS as covariates revealed K-ASI as the only significant remaining factor. Conclusion: Our study suggests that anxiety symptoms are associated with insomnia symptoms in schizophrenia patients regardless of depressive or psychotic symptoms.

The Relationship between Sense of Loss and Suicidal Ideation among Rural Elders use Primary Health Care Post's Services : Mediating Effect of Depression (보건진료소를 이용하는 농촌노인의 상실감과 자살생각과의 관계: 우울의 매개효과)

  • Bong, Eun Ju
    • Journal of agricultural medicine and community health
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    • v.45 no.1
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    • pp.1-12
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    • 2020
  • Purpose: The purpose of this study was to examine the mediating effects of depression on relationship between sense of loss and suicidal ideation among Rural Elders use Primary Health Care Post's Services. Methods: This study was conducted using a descriptive survey design. Participants were 345 rural elders use Primary Health Care Post's Services in Jeollanam-do. Data were collected from August 1 to 31, 2017 using self-report questionnaires. Data were analyzed using descriptive statistics, Pearson's correlation coefficient, hierarchical regression and Sobel test with SPSS 21.0. Results: There were significant positive correlations between sense of loss, depression and suicidal ideation. It was found that physical loss is very high and significantly different only subjective health status on suicidal ideation. Also, Depression partially mediated the relationship between sense of loss and suicidal ideation of Rural Elders. Addtionally, The results show that depression plays a key role in suicidal ideation of Rural Elders. Conclusions: Based on the present findings, nursing interventions should be developed to decrease depression, with additional consideration towards sense of loss, specially physical loss, in order to prevent suicidal ideation among Rural Elders use Primary Health Care Post's Services.