• The Korean Society of Law and Medicine
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• v.17 no.1
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• pp.209-279
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• 2016

The Korean Mental Health Act was amended 2016 overall. This paper examines and evaluates the old Korean Mental Health Act since 1995 and the new Korean Mental Health Promotion Act 2016 from the Perspective of Human Rights and Inclusion of Persons with Psychosocial Disabilities. The persons with mental disabilities was separated and ruled out from society by the enactment of the Mental Health Act in 1995 and five times amendment. That has been justified and institutionally supported by medical viewpoint. The medical approach which reconsider the persons with mental disabilities as patients conceal that the aims of the involuntary admission in Mental Hospital are protection of society and the relief of the family member's duty of support for person with mental disabilities. This is institutionally supported in the 1995 Korean Mental Health Act by involuntary admission through the consent of family members as protectors. According to the old Act, the family members as protectors are authorized to consent to involuntary admission of persons with mental disabilities. Also, the psychiatrist that diagnoses the person with mental disabilities and evaluates the need for treatment by admission is not impartial in this decision. Family members as protectors may want to lighten their burden of support for the person with mental disabilities in their home by admitting them into a mental hospital, and the psychiatrist in the mental hospital can be improperly influenced by demand of hospital management. Additionally, Article 24 of the Korean Mental Health Act for the Involuntary Admission by the Consent of Family Members as Protector might violate personal liberty, as guaranteed in the Korean Constitution. The Mental Health Promotion Law was amended to reduce the scope of the persons with mental illness which are subject to forced hospitalization and to demand that a second diagnosis is made by another psychiatrist and screening by the committee concerning the legitimacy of admission in the process of the involuntary admission by the consent of family members as a method of protection. The amended Mental Health Promotion Law will contribute to reducing the number of the involuntary admissions and the inclusion of persons with mental disabilities. But if persons with mental disabilities are not providing some kind of service to the community, the amended Mental Health Promotion Law does not work for Inclusion of them.

• Journal of agricultural medicine and community health
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• v.34 no.2
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• pp.234-243
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• 2009

Objectives: The aim of this study was to establish the basic data for adolescents' mental health states in a community. Methods: 466 middle school and high school students were analyzed by visit-survey with an organized questionnaire from March to June 2008. K-YSR for measurement of mental health was used. Results: The score of total behavior (p<0.01), anxious/depressed (p<0.05), though problems (p<0.001), attention problems (p<0.001), aggressive behavior (p<0.01) and internalizing problems (p<0.05) in girls appeared significantly higher as compare to those the boys. Also, total competence (p<0.05) in high school students appeared significantly lower as compare to those middle school students. Withdrawn (p<0.01) in high school students appeared significantly higher as compare to those middle school students. The though problems (p<0.001) and aggressive behavior (p<0.05) in middle school students appeared significantly higher as compare to those high school students. The distribution of clinical group was school 93.8%, total competence 32.6%, attention problems 8.8%, total behavior problems 8.6%, anxious/depressed 7.7%, aggressive behavior 6.4% et. al. The social (p<0.05), anxious/depressed (p<0.05), attention problems (p<0.01), internalizing problems (p<0.05) and externalizing problems (p<0.05) in girls of clinical group were more frequent significantly as compared to those the boys of clinical group. Also, the social (p<0.01) in middle school students of clinical group was more frequent significantly as compared to those the high school students of clinical group. Conclusions: This study result will be significant in that it can provide basic data for the school mental health services.

• The Journal of the Korea Contents Association
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• v.16 no.3
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• pp.667-675
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• 2016

The aim of this study is to predict use behavior for social welfare service of the elderly mentally ill through means-end chain theory. Means-end chain theory explains cognitive structure related to the consumer's preference to various products and services. Although the elderly mentally ill begin to emerge as new client population, social welfare services for them do not seem to be enough in the community. Based on this awareness, this study tried to analyse service use behavior of the elderly mentally ill through means-end chain theory to develop new social welfare services. The data were collected from 15 elderly mentally ill and found 5 attributes, 10 consequences, and 11 values. Hierarchical Value Map was composed of 'disease management, rehabilitation preparation, hobby leisure ${\rightarrow}$ health maintenance, energy of life ${\rightarrow}$ social reintegration, life satisfaction, harmonious family life'. To activate the social service for the elderly mentally ill, it should be developed various programs such as disease management, rehabilitation preparation, hobby leisure for the elderly mentally ill. The ultimate value of these programs will be improve life satisfaction and integrated into society.

• 한국노년학
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• v.36 no.4
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• pp.1003-1024
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• 2016

The human rights of older people have gotten more attention recently in South Korea, a country that is in transition to a super-aged society. This study aimed to systematically review studies on elder abuse and related factors among community-dwelling older adults in South Korea over twenty years (1994-2016). We searched major databases (Riss, DBpia, KISS, KMbase, and PubMed) and identified published studies relevant to the topic. Based on inclusion and exclusion criteria related to study quality, a total of 31 studies were selected for this review. We examined types, measurements, and risk factors of elder abuse as well as study designs in the selected studies, guided by Johannesen's theoretical framework on elder abuse. All of the reviewed studies on elder abuse in Korea were cross-sectional studies, most of which focused on older people living in urban areas, using a non-random sampling method. All of the studies focused on certain types of elder abuse only. Some adopted elder-abuse instruments that were not validated, and others used self-developed instruments without psychometric tests. As for the risk factors of elder abuse in South Korea, the physical and mental health of the victims and aggressors impacted the risk of elder abuse, but general sociodemographic factors such as age, sex, and education were less likely to be related to the risk. In addition, decreasing caregiver burden and building elder-friendly communities are important for the prevention of elder abuse. Needed are further empirical studies on elder abuse with a theoretical framework that gives consideration to the unique sociocultural contexts of Korea. It is also recommended to develop instruments to measure elder abuse reflecting the sociocultural contexts of Korea, and to examine the multi-dimensional risk factors of elder abuse.

• Journal of Industrial Convergence
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• v.16 no.3
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• pp.9-15
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• 2018

The purpose of this study was to investigate the relationship between empathy ability and attitude toward mental illness in nursing college students. The subjects of this study were collected in June, 2017 for the 4th grade students attending the nursing department in D city. The data were collected using the SPSS.19 program. The results showed that empathy ability of nursing college students had a significant effect on the attitude toward mentally ill patients. The explanatory power of empathy ability on each subscale was 18% for benevolence, 16% for authoritarianism, 9 % for social restrictiveness, and 4% for community mental health ideology. In conclusion, the empathy ability of nursing college students was found to affect the attitude toward the mentally ill. As the empathy increased, the authoritarianism of the mentally ill was lowered, the benevolence was increased, the social life support and community mental health ideology was positive, so the positive attitude toward mental illness was increased overall. Therefore, it is necessary to systematically train and education nursing college students to develop empathy needed for the therapeutic relationship. These efforts will contribute to the improvement of the awareness of the mentally ill.

• Journal of Korean Academy of Nursing
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• v.37 no.4
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• pp.490-500
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• 2007

Purpose: The purpose of this study was to identify factors influencing the outcome of psychosocial rehabilitation for persons with chronic mental illness and to suggest a hypothetical model of psychosocial rehabilitation which is based on the relationship between influencing factors and then to test its fitness empirically. Method: Data was collected from persons with a chronic mental illness using a self-report questionnaire, and from their case managers using an observed rating questionnaire. A total of 220 cases were used in the final analysis, and a hypothetical model was verified through covariance structure analysis using LISREL. Result: 1) The fitness indices of the model were $X^2=133.77$ (df=48, p=.00), GFI=0.93, AGFI=0.87, RMR=2.32, NNFI=0.95 and NFI=0.95. Twelve paths among fifteen proved to be significant. 2) Psychosocial rehabilitation was influenced directly by symptoms, daily living skill and self-concept, and was influenced indirectly by the psychosocial rehabilitation program service. Psychosocial rehabilitation accounted for 32% of variance of these factors. Conclusion: This study is expected to contribute to understanding the psychosocial rehabilitation phenomena. Besides it will provide basic information for developing strategies of bio-psycho-sociological interventions and evaluations in regard to influential factors of psychosocial rehabilitation.

• 대한예방의학회:학술대회논문집
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• 2000.10a
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• pp.105-105
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• 2000

• Korean Journal of Social Welfare
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• v.58 no.3
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• pp.371-398
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• 2006

The purpose of this study is to investigate the level of mother's caregiving satisfaction of a person with mental disorder and factors influencing to it as a positive aspect of caregiving experience. A survey conducted upon 231 mothers who live together with their adult-children with mental disorder through community mental health centers, social rehabilitation facilities and day hospitals. Collected data were analysed by t-test, Oneway-ANOVA, hierachical multiple regression analysis, and so on. The results are as follows: 1) The mean of mother's caregiving satisfaction is 3.06 in 5 point scale. Among the total items of the caregiving satisfaction scale, the means of the items 'finding strength through caregiving' and 'personal growth through caregiving' are higher than any others. 2) In the final regression model, statistically significant factors influencing to the caregiving satisfaction are 'the relationship quality between mothers and the mentally disordered', 'perceived social support from family, significant others, and friends', 'marital status of mothers', and 'family income'. Better relationship quality between mothers and the adult children with mental disorder and higher social support from family, significant others, and friends explained higher caregiving satisfaction of mothers. The level of a widow or divorced mother's caregiving satisfaction is higher than married one. The less family income affected to higher caregiving satisfaction. Variables related to mental disorder of adult-children, such as social function, years of mental disorder and frequency of hospitalization were not statistically significant influencing factors to mother's caregiving satisfaction. Through this research, the implications of social work practice were suggested in many ways.

• Proceedings of The Korean Society of Health Promotion Conference
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• 2001.09a
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• pp.11-20
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• 2001

"건강이란 질병이나 허약함이 없는 상태를 말함이 아니라, 신체적 정신적 사회적인 복지(Wellbeing)를 뜻하는 것"이라고 WHO(1948)는 정의하였다. 건강은 환경과 생활풍습(Life Style), 유전 그리고 의학적 치료 등에 의하여 결정되며 최근 WHO는 건강제도가 국민건강에 지배적인 역할을 한다고 주장한다. 이런 관점에서 건강제도가 국민 건강에 미친 총괄적인 성취도를 비교해 보면 한국이 전 세계에서 35위, 일본이 1위, 미국은 15위를 차지하고 있다는 통계가 나왔다. 개인의 건강은 지역사회의 건강과 밀접한 관계를 가지고 있으며, 각 지역사회의 건강상태는 국가의 건강상태를 결정짓는다. 그러므로 건강증진 교육과 사업, 연구는 건강상태에 영향력을 미치는 생활풍습과 행동의 변화와 환경조성에 초점을 두고 활성화되어야 한다. 아울러 국민 건강증진 사업을 성공시키기 위해서는 건강정책을 수립하는데 모든 국민의 적극적인 참여가 절대적으로 필요하다.대적으로 필요하다.

• Korean Journal of Family Social Work
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• no.57
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• pp.99-124
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• 2017

The primary objective of this study is to examine differences between the persons with recent onset and chronic mental illness in their family function; and analyze factors influence on the family function. The independent variables are divided into four sets: socio-economic, clinical, familial, and social characteristics. The subjects of this study are the 628 with mental disorders, and the sample was selected in Pusan and Gyeong-nam area. The findings of this study can be summarized as followed: The family with chronic mental illness showed higher family function in comparison with recent onset. Result of hierarchical multiple regression analysis show that age of onset, difference between ideal and reality in family function variable only influenced family function for the recent onset group, and activities of daily living, difference between ideal and reality in family function, caregiver's health, community support variables influenced family function for the chronic group. The results suggest a need for using different treatment approaches for recent onset versus chronic mentally disabled families. Implications for mental health social work practice for family with disabled are suggested.