• 보건의료산업학회지
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• 제5권3호
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• pp.133-143
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• 2011

This study is purposed to suggest the method for improving the effect of the mental health project by checking the influence of the "value and function of the mentally disabled" to the "satisfaction to current life of the mentally disabled" for the users of the daytime mental rehabilitation service in the local community, and the difference in the"satisfaction to the current life of the mentally disabled" and "value and function of the mentally disabled" depending on the participation into the mental rehabilitation program. With regard to the "satisfaction to the current life of the mentally disabled", the result showed that the "relation between the current user members" and "consideration about himself in usual time" were the positive influential factors out of the measuring factors for the "value and function of the mentally disabled." In addition, with regard to the "satisfaction to the current life of the mentally disabled", in case of participating to the "vocational rehabilitation program" out of the mental rehabilitation programs, the general "personal value and function which are felt by the mentally disabled" has higher significant difference in case of participating into the "social technology program", "daily life program", "vocational rehabilitation program", "leisure activity program" out of the mental rehabilitation programs than non participating.

• 한국컴퓨터정보학회논문지
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• 제25권12호
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• pp.253-259
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• 2020

본 연구의 목적은 정신건강서비스 기관 종사자의 정신장애인 직업재활에 대한 인식을 확인하기 위한 서술적 조사하는 것이다. D광역시의 정신건강서비스 기관인 정신건강복지센터와 정신재활시설의 종사자 132명을 대상으로 정신장애인 직업재활, 가족지지, 종사자 역량, 종사자 욕구로 구성된 설문지를 이용하여 측정하였다. 수집된 자료는 SPSS 21.0 프로그램을 이용하여 기술통계분석, 독립된 t 검정, 분산분석, 피어슨 상관관계 분석, 다중회귀분석을 이용하여 분석하였다. 본 연구결과 정신건강서비스 기관 종사자의 정신장애인 직업재활에 대한 종사자 욕구는 정신재활시설이 정신건강복지센터보다 높게 나타났고, 종사자의 역량이 정신장애인 직업능력이나 가족지지에 비해 유의하게 영향을 미치고 있음을 확인하였다. 향후 정신건강서비스 기관 종사자의 정신장애인 직업재활에 대한 역량을 강화시킴으로써 궁극적으로 정신장애인 직업재활의 활성화를 도모할 수 있을 것이다.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제19권4호
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• pp.29-36
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• 2013

Purpose: Currently meaning and the needs of the times for the mental health are extensively changing. Contemporary needs for mental health has led to a change in the mental health policy and mental health facilities. But Change on Most of the mental health facilities have been focused on quantitative increase. So, changes in mental health facilities due to changes in mental health policy are needed for the study. This study investigate to the mental health facility system through this changes. Methods: In order to determine the flow of Mental health policy in Korea the mental health laws and reports were investigated Results: the result of this study can be summarized into two points. Korea's mental health policy has changed from the rehabilitation of the mentally ill to the prophylaxis of all the people. So, mental health facilities are changing form rehabilitation facilities in the private sector to public mental health center. Especially, mental medical institutions and mental health center are changing to requirement for the needs of the times. Mental medical institutions are changing from inpatient to outpatient and mental health center are changing from the rehabilitation of the mentally ill to the prophylaxis of all the people. Implications: Understand the flow of mental health policy, mental health facilities and the corresponding need.

• 디지털융복합연구
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• 제18권10호
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• pp.479-490
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• 2020

본 연구는 정신재활시설에서 진행하고 있는 정신장애인 직업재활서비스에 대해 정신재활시설의 직업재활 실무자들은 어떠한 인식을 갖고 있는지 살펴보고, 이를 토대로 정신장애인 직업재활서비스의 활성화 방안을 제시하고자 하였다. 정신재활시설에서 제공하는 직업재활서비스와 관련된 자료를 수집하였고, 직업재활을 담당하고 있는 실무자들을 대상으로 초점집단인터뷰(FGI)를 실시하고, 이 자료를 분석하여 결과를 도출하였다. 연구결과는 다음과 같다. 정신재활시설에서 직업재활서비스의 정체성을 찾도록 매뉴얼과 지침의 정비가 요구되었으며, 직업재활서비스에 참여하는 근로자에게 맞는 세부적인 기준이 필요한 것으로 나타났다. 또한 타 장애인과 동등하고, 정신장애인의 특성에 맞는 직업재활서비스의 운영을 기대하고 있었다. 이러한 연구결과를 토대로, 직업재활서비스의 구체적인 활성화 방안을 제시하였다.

• Journal of Preventive Medicine and Public Health
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• 제53권3호
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• pp.189-197
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• 2020

Objectives: Our aim was to answer the following questions: (1) Can mental health variance be partitioned to individual and higher levels (e.g., neighborhood and district); (2) How much (as a percentage) do individual-level determinants explain the variability of mental health at the individual-level; and (3) How much do determinants at the neighborhood- or district-level explain the variability of mental health at the neighborhood- or district-level? Methods: We used raw data from the second round of the Urban Health Equity Assessment and Response Tool in Tehran (in 2012-2013, n=34 700 samples nested in 368 neighborhoods nested in 22 districts) and the results of the official report of Tehran's Center of Studies and Planning (in 2012-2013, n=22 districts). Multilevel linear regression models were used to answer the study questions. Results: Approximately 40% of Tehran residents provided responses suggestive of having mental health disorders (30-52%). According to estimates of residual variance, 7% of mental health variance was determined to be at the neighborhood-level and 93% at the individual-level. Approximately 21% of mental health variance at the individual-level and 49% of the remaining mental health variance at the neighborhood-level were determined by determinants at the individual-level and neighborhood-level, respectively. Conclusions: If we want to make the most effective decisions about the determinants of mental health, in addition to considering the therapeutic perspective, we should have a systemic or contextual view of the determinants of mental health.

• 대한간호학회지
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• 제37권4호
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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.

• 한국전문물리치료학회지
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• 제2권2호
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• pp.40-45
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• 1995

The purpose of this study was to investigate the effectiveness of mental practice in increasing accuracy of performance during motor task. Forty healthy students aged 17 years were randomly assigned to two groups. The experimental group(n=20) performed mental practice; the control group(n=20) performed nothing. The task was dotting. No significant change was seen between pre and post test subtest results following mental practice sessions(p>0.05). The experimental group's accuracy improved a little but this was not valuable statistically(p>0.05). We could not prove that mental practice was effective in increasing accuracy of motor task performance.

• The Journal of Korean Physical Therapy
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• 제15권2호
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• pp.75-84
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• 2003

The purpose of this study was to review of mechanism and application methodology about mental practice. The mental practice is symbolic rehearsal of physical activity in the absence of any gross muscular movements. Human have the ability to generate mental correlates of perceptual and motor events without any triggering external stimulus, a function known as imagery, Practice produces both internal and external sensory consequences which are thought to be essential for learning to occur, It is for this reason that mental practice, rehearsal of skill in imagination rather than by overt physical activity, has intrigued theorists, especially those interested in cognitive process. Several studies in sport psychology have shown that mental practice can be effective in optimizing the execution of movements in athletes and help novice learner in the incremental acquisition of new skilled behaviors. There are many theories of mental practice for explaining the positive effect In skill learning and performance. Most tenable theories are symbolic learning theory, psyconeuromuscular theory, Paivio's theory, regional cerebral blood flow theory, motivation theory, modeling theory, mental and muscle movement nodes theory, insight theory, selective attention theory, and attention-arousal set theory etc.. The factors for influencing to effects of mental practice are application form, application period, time for length of the mental practice, number of repetition, existence of physical practice.

• Journal of Korean Biological Nursing Science
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• 제17권2호
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• pp.179-187
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• 2015

Purpose: This study was done to evaluate the effects of a recreation therapy program on burn rehabilitation patients to determine if the program is an effective nursing intervention which can affect mental health problems and heart rate variability. Methods: Subjects were 54 hospitalized burn rehabilitation patients (25 in the control group, 29 in the experimental group). The experimental group participated 6 times in a recreation therapy program led by a qualified instructor. Brief symptoms inventory-18 (somatization, anxiety, depression) questionnaire, and heart rate variability were checked before and after the recreation therapy program. Results: The mental health scale showed significant differences in somatization (p<.001), anxiety (p<.001) and depression (p<.001). There was no significant difference in heart rate variability (autonomic activity, autonomic balance, stress resistance, stress parameter and fatigue, mean heart rate, electro-cardiac stability). Conclusion: The findings from this study suggest that a recreation therapy program is an effective nursing intervention to decrease the level of mental health problems of burn rehabilitation patients. However, a subsequent study is needed to develop an intervention program that will induce the effect of physiological parameters like heart rate variability (HRV).

• 사회복지연구
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• 제42권1호
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• pp.219-242
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• 2011

본 연구의 목적은 인구사회학적 요인, 사회보장제도 접근 상태, 임상적 요인, 지지적 요인, 그리고 프로그램 이용 경험 요인이 전문재활쉼터의 퇴소 및 퇴소유형, 그리고 재입소에 어떠한 영향을 미칠 것인가를 살펴보고자 하는데 있다. 분석대상은 2004년부터 2008년까지 총 5년에 걸쳐 전문재활시설인 비전트레이닝센터를 처음 입소한 정신장애노숙인 총 203명이다. 이들의 쉼터 이용 경험에 관한 기록을 추적하여, 쉼터 퇴소에 영향을 미치는 요인과 퇴소유형을 긍정적 퇴소와 부정적 퇴소 유형으로 구분하여 유형별에 따른 퇴소 영향 요인을 함께 분석하였다. 또한, 조사시점까지 퇴소하지 않은 총 186명을 대상으로 재입소에 영향을 미치는 요인을 분석하였다. Cox의 비례위험모형과 경쟁위험생존분석을 이용하였다. 분석 결과 총 203명 중 17명이 조사 시점까지 퇴소하지 않았으며, 퇴소한 정신장애노숙인 중 긍정적 퇴소를 경험한 정신장애노숙인은 20% 미만이었다. 한편, 재입소는 총 186명 중 101명이 재입소하여 과반수이상이 전문재활쉼터를 이용한 이후 재입소하는 것으로 나타났다. 퇴소율에 대한 분석 결과, 입소 당시 주민등록상태가 말소보다는 유지되고 있는 경우, 입소기간 동안 정신병원의 입원 빈도가 많은 경우, 연계되는 가족이 있는 경우, 그리고 기초재활, 정신재활 그리고 직업재활 프로그램 참여 빈도가 높은 경우에 전문재활쉼터를 퇴소할 확률이 낮아지는 것으로 나타났다. 퇴소형태와 관련한 분석 결과, 미혼일수록 그리고 직업재활 프로그램에 이용한 경험이 많을수록 긍정적인 퇴소 확률이 감소하는 것으로 나타났다. 한편, 입소 당시 주민등록상태가 유지되었던 사람일수록, 정신병원 입원건수가 많을수록, 연계되는 가족이 있을수록, 기초재활 및 정신재활과 직업재활 프로그램에 참여한 경험이 많을수록 부정적인 퇴소 확률이 낮아지는 것으로 나타났다. 끝으로, 재입소율에 대한 분석 결과, 연령이 많을수록, 쉼터 입소 기간 동안 정신병원 입원 빈도가 적을 수록, 그리고 쉼터 입소 기간 동안 정신재활 프로그램에 참여한 빈도가 많을 수록 재입소할 확률이 감소하는 것으로 나타났다. 이러한 연구결과를 바탕으로 정신장애인노숙인의 탈노숙을 위한 실천적, 정책적 함의를 제시하였다.