• Title/Summary/Keyword: Community Mental Health Centers

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Effects of Self-efficacy, Health Attitudes, and Healthy Lifestyle on Recovery of People with Mental Disorders in the Community (지역사회 거주 정신질환자의 자기효능감, 건강태도, 건강생활습관이 회복에 미치는 영향)

  • Kwak, Yun Bok;Kim, Ji Young;Lee, Myung Ha
    • Journal of Korean Academy of Psychiatric and Mental Health Nursing
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    • v.27 no.4
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    • pp.303-312
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    • 2018
  • Purpose: The purpose of this study was to examine the effects of self-efficacy, health attitudes and healthy lifestyles on recovery of people with mental disorders in the community. Methods: Participants were 188 people with mental disorders receiving mental health services at community mental health welfare centers in the J province. The data were collected from May to June, 2018. Self-report questionnaires were used to measure general self-efficacy, health attitude scale, healthy lifestyles and recovery. Data were analyzed with descriptive statistics, independent t-test, one-way ANOVA with $Scheff{\acute{e}}$ test, Pearson's correlation coefficients, and stepwise regression using the SPSS/WIN 23.0 program. Results: Self-efficacy, health attitudes, and healthy lifestyle of people with mental disorders were significant factors, explained about 72% of the variance on recovery. Conclusion: These findings suggest that education programs and health promotion programs focused on healthy lifestyles, improving health attitudes, and self-efficacy should be developed for people with mental disorders to promote their recovery.

A qualitative study on the experiences of community child center workers to deal with the mental health of children and adolescents (지역아동센터 종사자의 아동청소년정신건강 문제 대처경험에 관한 질적 연구)

  • Bae, Eun Kyung
    • Journal of the Korean Society of Child Welfare
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    • no.56
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    • pp.33-68
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    • 2016
  • This study aimed to explore the experiences of community child center workers about how they have dealt with the mental health of children and adolescents who use such centers. For this study, we used a sample of ten community child center workers, who were divided into two groups and who participated in four focus group interviews. The results revealed four themes and twelve sub-themes: "the reality of facing children's mental health issues," "dealing with children's mental health issues and limitations," "know-hows accumulated from experiences and visible changes," and "remaining tasks--the workers who cannot give all." Based on the results the implications of promoting the mental health of children at community child centers were discussed.

Mental health literacy of local public officials and the mental health business attitude survey (일 지역사회 공무원의 정신건강지식 및 정신건강사업에 대한 태도조사)

  • Kim, Hyeun-Sil;Kang, Eun-Ok
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.2
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    • pp.275-285
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    • 2019
  • The purpose of the present study was to investigate perceptions of mental health literacy and mental health services of local public officials in Korea. The participants were 273 civil servants working in three Gangwondo provinces. Data were collected from July 1, 2018 to August 15, 2018 using structured questionnaires, and SPSS Ver. 22.0 was used for data analysis. Results showed mental health literacy of public officials was 101.45 points (range 35-160). Mental health literacy level was found to be significantly dependent on occupation and levels of mental health education, mental health treatment experience, and family mental health treatment experience. Only 39.9% of respondents stated they were aware of mental health welfare centers. The most common condition that caused respondents to seek mental health services was depression (35.9%). In addition, 44.7% of the respondents opined that mental health care was improving due to community changes. An analysis of the relationship between perceptions of mental health welfare centers and mental health literacy scores showed a positive relationship between participant prior knowledge about mental health welfare centers and investment in mental health management (p=.012), suggesting a need for further development of educational programs using mental health nurses to improve mental health literacy among community officials.

Effects of a Self-Management Program for Community Dwelling Patients with Chronic Mental Illness (간호학생을 활용한 재가 만성정신질환자의 자기관리 프로그램 개발 및 효과)

  • Kim, Jung Sug;Lim, Young Mi
    • Journal of Korean Academy of Rural Health Nursing
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    • v.7 no.1
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    • pp.29-37
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    • 2012
  • Purpose: The purpose of this study was to develop and evaluate a self-management program for community dwelling patients with chronic mental illness so that they could improve their daily living skills and interpersonal relationships. Methods: A nonequivalent control group pre-post test design was used. The participants with chronic mental illness were recruited from a community mental health center. Twenty-two participants were assigned to the intervention group and 19 to the control group. The self-management was provided by 8 trained nursing students, and consisted of 8 sessions including education and practice. Each session was composed of strategies to improve self-care of community dwelling patients with chronic mental illness. Baseline and post-intervention measurements were done using a daily living skill performance scale and interpersonal relationship instrument. Results: Scores for daily living skill performance were not statistically significant, but scores for interpersonal relationship were statistically significant. Conclusion: The results of this study show that the self-management program had a positive impact on patients with chronic mental disorders. Therefore, it is suggested that the program could be used as an effective nursing intervention for patients with chronic mental disorders being cared for in community mental health centers.

Professional Self-concept of Psychiatric Mental Health Nurse Practitioners in Hospitals and Public Health Centers (병원과 지역사회에 근무하는 정신보건간호사의 전문직 자아개념)

  • Yang Soo;Yu Sook Ja
    • Journal of Korean Public Health Nursing
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    • v.15 no.2
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    • pp.351-362
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    • 2001
  • This study was conducted to investigate and compare the degree of professional self -concept (PSC) of the psychiatric mental health nurse practitioners (PMHNP) in hospitals and public health centers and to identify the factors predicting PSC of them, in order to provide basic data for developing PSC increasing program PSC. The 355 PMHNP were sampled from the university or general hospitals. mental hospitals, community mental health centers and public health centers across the country. The scales used in this study were PSCNI by Arthur (1990), PSI by Heppner & Petersen (1982) and the Index of work satisfaction by Slavitt et al. (1978). The results of the study were as follows : 1. The average item score of PSCNI of PMHNP in hospitals was $2.83\pm0.27$, and that of PMHNP in public health centers was $2.76\pm0.28$. There was significantly different between two groups (p=0.0202) 2. A comparison of the scores for the dimensions of the PSCNI were as follows ; the mean item score of professional practice of nurses in hospital was $2.90\pm0.30$, and that in public health centers was $2.83\pm0.35$. There were significant differences between two groups in the scores of professional practices (p=0.0315), leadership (p=0.0071) and skills (p=0.0231). 3. There were significant differences between two groups according to education (p=0.0057) with no significant interaction effect of group and education. 4. Job satisfaction (JS) was the highest factor predicting PSC of PMHNP in hospitals $(34.5\%)$, and problem solving inventory score (PS) was the highest factor predicting PSC of PMHNP in public health centers $(33.6\%)$. JS and PS accounted for $42.6\%$ in PSC of PMHNP in hospitals. and PS, JS, age, marital status, religion, and career accounted for $57.6\%$ in PSC of PMHNP in public health centers. In the light of these results. to gam the professional self-concept. nurses should be educated continuously through role modeling in clinical nursing and research. Also, nurse educators and administrators need to develop programs and policies to increase professional self-concept of nurses, particularly of community PMHNP.

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Survey for Community Attitudes toward People with Mental Illness (일 지역사회의 정신질환자와 정신건강사업에 대한 태도 연구)

  • Hyun, Mi-Yeul;Yang, Soo;Lee, Gyung-Joo
    • Journal of Korean Academy of Nursing
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    • v.39 no.1
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    • pp.84-94
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    • 2009
  • Purpose: This study was done to investigate community attitudes towards people with mental illness and to mental health services. Methods: From August to October of 2006, 474 citizens of Siheung city were asked to give demographic data and their personal attitude toward mental illness and mental health services. Results: The residents of Siheung community showed slightly negative attitudes, with a mean opinion about mental illness score of $93.38{\pm}17.29$. According to the study, health professionals and citizens showed a positive attitude to the establishment of day care centers and residential facilities (62.2% and 55.4% respectively). Civil servants showed negative attitudes (40.4%). There were significant differences in attitudes according to gender, age, education level, occupation, religion, and income. Positive attitudes were found for health professionals and negative attitudes for civil servants. Conclusion: The results of this study indicate a need to provide public information and education for civil servants, and for those who have negative attitudes, in particular, men, people in the younger age group, who have lower education levels, who are Buddhists, monthly renters, who have a monthly income below 1 million won, who have no children and no experience with people who have a mental illness.

The Effects of Client Violences on the Turnover Intention of Mental Health Social Workers Working in Community Mental Health Centers : Focusing on the Mediating Effects of Job Stress (정신건강증진센터에 종사하는 정신보건사회복지사의 클라이언트 폭력경험이 이직의도에 미치는 영향 : 직무스트레스의 매개효과를 중심으로)

  • Kim, Ja-Young;Hong, Song-Iee;Han, Chang-Keun
    • Korean Journal of Social Welfare Studies
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    • v.47 no.3
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    • pp.113-138
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    • 2016
  • This study aims to examine whether the relationship between client violence and turnover intentions is mediated by job stress among community mental health social workers. Data of a sample of 1,429 drawn from a study of nation-wide mental health promotion centers in 2013 was analyzed in order to verify both the direct and mediating effects between client violence, turnover intentions, and job stress. The study found that 67.2%(n=961) of the sample experienced client violences in the workplace. Furthermore, the experience of client violences had a direct effect on turnover intentions and job stress had a partially mediating effect on the relationship between client violence and turnover intentions. Based on the results, implications were discussed to reduce the extent of job stress of mental health social workers and to provide a safer work environment.

Factors Influencing Suicidal Ideation in People with Mental Disorder (정신장애인의 자살사고에 미치는 영향요인)

  • Seo, Seong Yee;Kim, Hee Sook;Kim, Yang Tae
    • Research in Community and Public Health Nursing
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    • v.24 no.2
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    • pp.245-254
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    • 2013
  • Purpose: This study was conducted to investigate factors influencing suicidal ideation in people with mental disorder. Methods: The subjects were 176 people with mental disorder from community mental health centers, social rehabilitation facilities, and university hospital psychiatric outpatient departments. The instruments used included a suicidal ideation questionnaire, a self-esteem scale, a spiritual well-being scale, a family support scale, and a professional support scale. Data were analyzed with t-test, one-way ANOVA, Pearson's correlation coefficient, and hierarchical regression analysis. Results: Suicidal ideation was influenced by age, history of suicidal attempts, and existential spiritual well-being. This study shows that suicidal ideation has negative correlation with existential spiritual well-being, self-esteem, family support, and age. Existential spiritual well-being, history of suicidal attempts, and age accounted for 30% regarding suicidal ideation in people with mental disorder. Conclusion: The lower existential spiritual well-being and age, the higher suicidal ideation. And also suicidal ideation was higher in people who had attempted suicide than in those who had not. Based on the outcomes of this study, it is necessary to design an intervention program that emphasizes existential spiritual well-being in order to decrease suicidal ideation in young people with mental disorder.

Survey on Quality of Life, Mental Health and Subjective Health Status of Community Dwelling Cancer Patients (일 지역에 거주하는 암환자의 삶의 질, 정신건강 및 주관적 건강상태 조사)

  • Lee, Bo-Young;Jo, Heui-Sug;Kwon, Myung-Soon
    • Journal of Korean Public Health Nursing
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    • v.24 no.1
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    • pp.49-60
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    • 2010
  • Purpose: This study investigated the quality of life, mental health and subjective health status of community dwelling cancer patients. Methods: Subjects were 212 out-patients with cancer at Kangwon University Hospital. The study was conducted from July 10 to August 14, 2008. Quality of life as determined by the Euro Quality of life-5 Dimensions (EQ-5D) was measured using Korea Centers for Disease Control and Prevention(KCDC). Mental health and subjective health status were measured using KCDC. Results: EQ-5D determined degrees of difficulty were 25.5%(mobility), 25.2%(anxiety or depression), 23.6%(pain or discomfort), 20.3%(activities of daily living), and 13.7%(self care). An analysis of the association between several factors and mental health showed that the statistically significant factors were age, gender, medical coverage, and private insurance. An analysis of the association between several factors and subjective health status showed that the statistically significant factor was occupation. Conclusion: Cancer patients suffer from significant psychological distress. Programs that address mental and physical health would be beneficial.

Development and Evaluation of the Reliability and Validity of the VSSS-82 Korean Version for Measuring Satisfaction with Community-based Mental Health Services in Psychiatric Patients (지역사회정신보건서비스 이용자의 만족도 측정을 위한 한국어판 Verona Service Satisfaction Scale-82 (VSSS-82)의 개발 및 신뢰도와 타당도 평가)

  • Yoo, Weon-Seob;Moon, Ok-Ryun;Nam, Jung-Hyun;Shin, Young-Jeon
    • Journal of Preventive Medicine and Public Health
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    • v.34 no.3
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    • pp.211-218
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    • 2001
  • Objectives : To develop a Korean version of VSSS-82 for measuring the multi-dimensional satisfaction with community-based mental health services in psychiatric patients and to investigate both the reliability and validity of the Korean version. Methods : The VSSS-82 English version was translated and back-translated with some modification. Data from 68 psychosis patients using community-based mental health services in three Community Mental Health Centers (CMHCs) was collected through a personal interview survey regarding the satisfaction and suitability of service. Variability of satisfaction and internal consistency, discriminant validity, and concurrent validity of the VSSS-82 Korean version were evaluated. Results : A higher number of dissatisfied subjects and significant pairwise differences for the dimensions were found. The Crohnbach's alpha coefficient, a measure of internal consistency, ranged from 0.56(overall satisfaction) to 0.90(skills and behavior) and significant differences in satisfaction was found in patients by the self-rated suitability of service. Conclusions : The VSSS-82 Korean version is a reliable and valid instrument for measuring multi-dimensional satisfaction with community-based mental health service.

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