• Korean Journal of Social Welfare
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• v.60 no.4
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• pp.79-103
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• 2008

The purpose of this study is to find out differences on self-determination experiences according to livings in the different types of residential homes: large institutions, small group homes and independent living homes. For this, this study analyzed 17 living experiences, which came from interviews on 9 research participants lived in residential homes. Some of 9 research participants had experience living in only one type of residential homes; others had experiences living in two or three types of residential homes. The result of this study revealed the different levels of self-determination experiences according to the each types of residential homes. In terms of degree of self-determination, its level in the small group homes are higher than large institutions; independent living homes are higher than the small group homes. By this finding, this paper raised the need for the policy changes on residential home for the disabled people to accelerate deinstitutionalization and make sure higher level of self-determination of disabled people. This study suggested other implications related to the research on intellectually disabled people. Firstly, evaluative researches on service provisions to intellectually disabled people should reflect subjective experiences of service users. Secondly, diverse researches focusing on subjective experiences should be tried to expand understanding on intellectually disabled people. In these studies, conversation analysis could be widely used.

• Korean Journal of Child Studies
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• v.33 no.4
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• pp.107-127
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• 2012

This study investigates the factors influencing service outcomes of group homes and residential care centers, as well as the factors causing any differences between the two service outcomes. 119 and 137 5-6th graders were selected from group homes and residential care centers respectively, using the cluster sampling method. Multiple regression and Blinder-Oaxaca decomposition were used in this study. The results revealed that 'stigma', 'school adjustment', and 'social support' were significant factors influencing service outcomes among children in group homes, while 'stigma', 'primary caregivers' attitude', and 'peer relations' were identified as significant factors among children in residential care centers. The study also found that the mean service outcome score for group homes was higher than that of residential care centers. The 74 percent of this difference in the mean scores was due to the difference in children' characteristics of the two out-of-home care service types. The remaining 26 percent of this difference was due to unobserved characteristics. Finally, the implications of this study in child welfare practices were also discussed.

• Journal of Families and Better Life
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• v.20 no.2
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• pp.97-111
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• 2002

Despite the substantial increase of the elderly population in Korea, welfare policies such as housing programs have not been developed enough to meet the diverse needs of the aging people. Particularly, caring for elderly dementia patients is becoming a serious social problem in Korean society. Families are still primarily responsible for taking care of the elderly dementia patients, and thus are suffering from tremendous caregiving burdens. In many Western countries, group homes, which are small-scale care facilities with home-like atmosphere, have become common housing alternatives for elderly dementia patients. Group homes effectively create a therapeutic environment while helping reduce the elder care burdens for the families. This article proposes to review group homes as a housing option for the elderly with dementia in Korea. The purpose of this article is to make suggestions for housing policies, separately or as a part of more general welfare policies. Based on the questionnaire survey conducted on 912 persons currently residing in Seoul and five different provinces, various possible policies and suggestions to promote establishing group homes and other facilities for elderly dementia patients are discussed in this article.

• Journal of Korean Academy of Nursing
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• v.46 no.6
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• pp.858-870
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• 2016

Purpose: The purpose of the study was to explore and describe the adaptation process of older people to group homes. Methods: Participants were twenty older adults aged 65 or older who were living in group homes. Data were collected from January to April, 2015. In-depth unstructured interviews were conducted with individual participants. Data were analyzed using Strauss and Corbin's grounded theory method. Results: From open coding, 100 concepts, 38 sub-categories, and 14 categories were identified. Analysis showed that the central phenomenon of the adaptation process of older people to group homes was 'gradually giving up'. Causal conditions were 'good-for-nothing body', contextual conditions were 'pushed', 'beleaguered'. Intervening conditions were 'reliable pillar: children', 'having affection (情) more than having it from family: facility workers', 'comfort - like feeling at home', 'relieved: system'. Action/interaction strategies were 'facing the unfamiliar reality', 'building relationships with other people', 'accepting reality'. Consequences were 'a good place, more than expected', 'hope for the remaining days', 'waiting for a peaceful death'. Conclusion: The results of this study provide an in-depth understanding of the experience of the adaptation process of older people to group homes. The findings from this study can be used as basic data to establish policies to increase the number of small scale facilities which can help older adults adapt easily to the facilities.

• International Journal of Human Ecology
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• v.2 no.1
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• pp.39-55
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• 2001

Concerns about paid-facilities for the elderly with dementia from middle and upper class families have been discussed lately in Korea. Small-scale, home-like group homes for the elderly with dementia were developed in Sweden in the 1980, but they have not been effectively introduced in Korea where they remain a comparatively new concept. The group home, however, would provide a good alternative to Koreans who feel guilty when they have to leave their frail parents in large-scale facilities or hospitals instead of caring for them at home. The aim of this paper is, first, to define the care of the demented elderly who come from upper and middle class families in Korea and, secondly, to discuss the need for group homes to help care for them. A survey was done by questionnaire and was answered by 577 respondents who belonged to middle and upper class families living in Korea in December 2000. Methods of analysis were frequency, mean, and Chi-square. The results of this study were as follows: 1) the traditional notion that the eldest son should be burdened with the primary responsibility for a demented parent has weakened remarkably; 2) a small-scale long-term care facility was considered the most desirable living environment for the demented elderly; 3) the facilities families needed for professional hospitals for victims of dementia, senior citizen centers, large and small-scale long-term care facilities, day-care centers, and short-stay and service housing. The study also revealed that there was low awareness of the group home. The most preferred type of structure for group homes was a single-family detached house, and the most preferred management system was small-scale that could create home-like atmosphere. Additionally the respondents wanted group homes to consist of 6-8 residents with 2-4 persons per room. The results of this study strongly suggest that policy makers should encourage the development of smallscale group homes as an alternative form of housing for the elderly with dementia.

• Journal of the Korean Dietetic Association
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• v.28 no.2
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• pp.67-84
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• 2022

This study aimed to explore the status of food service outsourcing behavior of long-term care institutions (LTCIs) through a cross-sectional survey using a questionnaire administered between July 16th and August 7th, 2020. The survey respondents were either dietitians or facility managers, who worked at 731 nursing homes, 477 group homes, and 673 day-care centers. Approximately 25.9% of nursing homes, 11.7% of group homes, and 33.1% of day-care centers used a managed-services company to operate their food service units. The main reason for outsourcing food service by nursing homes was related to the staffing of dietitians and cooks, whereas group homes and day-care centers outsourced food services due to factors relating to meal costs and the cooking process. Almost all the LTCIs entered into private contracts for outsourced food services. Only a few food service contracts included the types of meals, nutrition standards such as protein and calories per meal, and the parameter or ratio of food cost. Of the respondents, 84.5% from nursing homes, 87.5% from group homes, and 87.1% from day-care centers agreed that the quality of outsourced food services of the LTCIs should be regulated. Meals are essential for maintaining the health and functional status of LTCI users. As more LTCIs outsource their food services, we suggest the following: (1) Increasing the minimum dietitian staffing standards for LTCIs as per the Welfare of Senior Citizens Act and requiring at least one dietitian for every nursing home, (2) Making it mandatory to use a standard food service contract template when drafting food service contract, and (3) Developing realistic standards for food service operations considering the size and operation type of the LTCIs.

• Proceeding of Spring/Autumn Annual Conference of KHA
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• 1996.11a
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• pp.39-48
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• 1996

It is very well known all over the world that Sweden has a long history of social welfare. especially in the area of housing for the elderly and they have managed it succesfully until now. In this study. the group homes for the elderly with dementia which is adapted and developed in Sweden recently is discussed in reference to the characteristics of the inhabitants. way of management, characteristic of architectural design for the group homes in order to find any possibility to apply it in Korea in the future.

• Journal of the Korean housing association
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• v.8 no.3
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• pp.67-79
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• 1997

It is very well known all over the world that Sweden has a long history of social welfare, especially in the area of housing for the elderly and they have managed it successfully until now. In this study. the group homes for the elderly with dementia which has been adapted and developed in Sweden recently is discussed in reference to the characteristics of the inhabitants, way of management, and architectural design for the group homes in order to find any possibility to apply it in Korea in the future.

• Journal of Urban Science
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• v.9 no.2
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• pp.1-11
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• 2020

The purpose of this study was to assess needs for housing improvement of children group homes in Cheongju-si through interviews with the group home directors and staffs. From April 6, 2018, to April 25, 2018, a series of face-to-face interviews with four directors and three staffs working in four children group homes was conducted. The results were analyzed using thematic analysis technique. Highlights of major findings and implications were as follow: (1) Bedroom: Needs for independent bedrooms and desks for each child were dominant. (2) Common activity space: Interviewees showed somewhat different opinions on common activity spaces according to group home types and/or between directors and staffs. (3) Between "a big and good-quality house" and "a house in good location", interviewees were found to prefer "a big and good-quality house" in order for children to have enough space to run and play. (4) Interviewees insisted that to provide proper group home services and protection similar to a real family, current policy to accommodate up to eight children in one group home should be improved.

• Korean Journal of Child Studies
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• v.29 no.1
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• pp.189-205
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• 2008

A group theraplay program for improving social competence of children in group homes was composed of 24 sessions. The researcher and a therapist accessed 5 children living in a group home and conducted one session each week for 6 months from May to September. Before the application of the program, a pre-test was conducted using evaluation measures of attachment stability, social competence, and children's behavioral problems. A post-test was performed after the end of the program and a follow-up test was carried out to determine the long term effects of the program. Results showed that the group theraplay program improved attachment stability and social competence of children in group homes and was effective in changing problem behaviors.