• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제20권4호
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• pp.57-65
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• 2014

Purpose : Mental health service desire has been diversified according to the increase of economic level and rapid social change. Mental Health and Welfare Center(MHWC) is a provider of mental health services in Japan. This is a basic stage study which will suggest the architectural planning guidelines for MHWC. Methods : Data were collected through literature research, field surveys, and expert interviews to 69 MHWC in Japan. 1) Research for the policy and legal aspects of mental health support system. 2) Research for structural aspects of MHWC: Characteristics of establishment, management, and regional factors. 3) Research for the physical environment aspects of MHWC: Classification and evaluation of MHWC's Type by locational characteristics in Japan. Results : The result of this study can be summarized into three points. The first one, Mental Health and Welfare Center's service has being expanded to suicide, depression and stress from chronic mental illness, to reflect social needs. The second one, The average population of area installed at Mental Health and Welfare Center was 2,307,570 person, and average area of the regions were $5,745m^2$. The third one, Mental Health and Welfare Center is divided into single-structure type and combine-structure type. And combine-structure type is divided into medical-combine type, welfare-combine type, and public-combine type.

• 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.

• 한국산학기술학회논문지
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• 제21권3호
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• pp.427-437
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• 2020

본 연구의 목적은 일 지역사회 학생의 정신건강상태, 정신건강지식, 정신건강복지센터와 정신건강사업에 대한 인식을 알아보기 위한 것으로 시행된 서술적 조사연구이다. 조사대상은 G시에 소재한 정신건강복지센터를 방문하는 중학교, 고등학교 및 대학교의 학생 388명을 대상으로 시행하였으며, 구조화된 설문지를 통해 2018년 10월 1일부터 2018년 10월 26일까지 자료를 수집하였다. 자료분석은 IBM SPSS 24.0 통계프로그램으로 분석하였다. 그 결과, 대상자의 정신건강상태는 '심각한 스트레스'가 31.4%로 가장 많았고, 대상자들의 정신건강지식 점수는 40.99점(범위 15-75)으로 다소 낮았다. 정신건강복지센터 인지여부에서 '들어 본적이 없다'가 45.9%로 가장 많았고, 정신건강사업과 관련하여 정신건강 상담전화에 대해서도 '들어본 적 없다'가 68.3%로 가장 많았고, 복수응답으로 정신건강 혹은 정신질환에 대한 정보를 접하는 경로는 '인터넷'이 58.0%로 가장 많았다. 그리고 정신건강 혹은 정신질환 관리를 위한 정부 예산 증가가 '필요하다'고 응답한 경우가 75.3%로 많았다. 따라서 지역사회 정신건강복지센터의 전문 인력을 통하여 학생들 수준에 맞는 맞춤형 정신건강증진 프로그램 개발과 정신건강 향상을 위해 지속적인 교육과 홍보가 더욱 강화되어야 할 것이다.

• 한국산학기술학회논문지
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• 제21권12호
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• pp.639-650
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• 2020

본 연구는 일 지역사회 일반직 공무원의 정신건강지식, 정신건강상태, 정신건강복지센터와 정신건강사업에 대한 인식 정도를 알아보기 위한 서술적 조사연구이다. 조사대상은 G시 일반직 공무원 762명을 대상으로 구조화된 설문지로 2019년 10월 1일부터 2019년 10월 26일까지 자료를 수집하였으며, IBM SPSS 24.0 통계프로그램으로 분석하였다. 그 분석 결과, 대상자의 정신건강상태는 '심각한 스트레스' 28.1%로 가장 많았고, 정신건강지식의 평균 점수는 40.21점으로 보통보다 낮았으며, 정신건강상태의 평균 점수는 1.66점으로 매우 낮아 정신건강상태가 매우 좋은 것으로 나타났다. 정신건강복지센터의 인지 여부에서 44.6%가 '들어본 적이 없다'로 가장 많이 응답하였고, 정신건강사업의 경우 정신 건강 상담의 전화에 대해 '들어본 적이 없다'가 57.0%로 가장 많았으며, 정신건강 혹은 정신질환에 대한 정보를 얻는 경로로 'TV'가 65.2%로 가장 많았다. 그리고 정신건강 및 정신질환 관리를 위한 정부예산 증가는 85.0%가 '필요하다'고 응답하였다. 따라서 지역사회 정신건강복지센터의 전문인력을 활용하여 일반직 공무원의 특성에 맞는 맞춤형 정신건강 증진교육 프로그램 개발과 정신건강 향상을 위한 교육과 홍보가 지속적으로 더욱 강화되어야 할 것이다.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제34권1호
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• pp.4-14
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• 2023

This study aimed to discuss mental health services for children and adolescents that are being implemented as initiatives of the Korean government and to review the functions and roles of these projects during the COVID-19 pandemic. Three government departments are in charge of providing mental health services for children and adolescents: Ministry of Education, Ministry of Gender Equality and Family, and Ministry of Health and Welfare. The Ministry of Education has implemented several policies to facilitate the early detection of mental health issues among school students (from preventive interventions to selective interventions for high-risk students). The Ministry of Gender Equality and Family additionally serves out-of-school children and adolescents by facilitating early identification of adolescents in crises and providing temporary protection or emergency assistance (as required) through the Community Youth Safety-Net Project. Furthermore, the Ministry of Health and Welfare operates relevant mental health agencies for individuals of all ages including children and adolescents. Any high-risk students who have been screened through the projects of the Ministry of Education are supported through referrals to the following institutions for appropriate treatment of their symptoms: specialized hospitals, the Youth Counseling and Welfare Center operated by the Ministry of Gender Equality and Family, the National Youth Healing Center, the Mental Health Welfare Center operated by the Ministry of Health and Welfare, the Suicide Prevention Center, and the Child Welfare Center. To assist students who are facing any psychological difficulties because of the COVID-19 pandemic, the Ministry of Education has established a psychiatric support group for providing emergency mental health care; furthermore, schools are promoting psychological surveillance (e.g., provision of non-face-to-face counseling services that are centered around the Wee Center). The Ministry of Education, Ministry of Gender Equality and Family, and Ministry of Health and Welfare have provided varied mental health support services in order to address the challenges faced by children and adolescents during the pandemic. Nevertheless, the mental health services operated by each ministry do show some limitations because their service provision system is insufficiently collaborative. The present study discussed the positive effects of each initiative as well as its limitations; furthermore, it suggested improvements for facilitating the healthy development of children and adolescents' mental health.

• 지역사회간호학회지
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• 제29권1호
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• pp.76-86
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• 2018

Purpose: The purpose of study was to examine the relationship between obesity and its associated factors (psychiatric symptom, duration of illness, type of medication, physical activity, dietary habits, depressive symptom, and stress) in patients with chronic mental illness registered to community mental health welfare centers. Methods: This was a cross-sectional correlation study using a convenience sampling. A total of 392 participants were recruited from community mental health welfare centers. The obtained data were analyzed using binary and multinomial logistic regression. Results: Atypical antipsychotic medication, duration of illness, dietary habits (overeating, and drinking instant coffee) were significantly contributed variables into body mass index (BMI) obesity. Atypical antipsychotic medication and instant coffee were significantly related to abdominal obesity. Conclusion: These results emphasized the needs of tailored obesity-preventive management for the community-dwelling patients with chronic mental illness, topically focusing on the administration of atypical antipsychotic medication, duration of illness, and dietary habits.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제29권2호
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• pp.80-85
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• 2018

Objectives: We aimed to assess the test-retest reliability, internal consistency, and validity of the Korean version of the Quantitative Checklist for Autism in Toddlers (Q-CHAT). Methods: The Korean version of the Q-CHAT and the Korean version of the Child Behavior Checklist (CBCL) 1.5-5 were completed by parents of 24 toddlers and preschoolers with autism spectrum disorder (ASD) and 80 unselected toddlers and preschoolers. Parents of the ASD group also completed the Social Communication Questionnaire (SCQ), and Childhood Autism Rating Scale (CARS) scores were obtained from medical records. Results: The ASD group scored higher on the Q-CHAT than the unselected group. The Cronbach's alpha coefficient of the Q-CHAT was 0.658, and test-retest reliability was calculated to be 0.836. The estimated area under the curve was 0.793. The total scores of the Q-CHAT in the ASD group demonstrated significant positive correlations with findings regarding pervasive development problems in the CBCL, SCQ, and CARS. A total score of 33.5 may be a useful cutoff point to use when identifying toddlers at risk of ASD. Conclusion: The Korean version of the Q-CHAT has good reliability and validity and can be used as a screening tool in order to identify toddlers and preschool children at risk of ASD.

• 디지털융복합연구
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• 제20권4호
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• pp.679-688
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• 2022

본 논문은 정보통신 기술의 발전에 기반한 스마트헬스케어의 가능성에 주목하여, 스마트헬스케어와 관련한 개념 및 현황을 간략하게 소개하고, 국내외 스마트헬스케어 사례의 고찰을 통하여 코로나19 시대 정신건강 사회복지 영역에서 스마트헬스케어의 적용 전략과 향후 과제를 논의하고자 한다. 이를 위해 본 논문은 첫째, 한국 정신건강사회복지 영역에서 기존에 시도되어왔던 국립정신건강센터와 서울시 정신건강복지센터의 프로그램을 소개하였다. 둘째, 코로나19 환경의 독일, 중국, 미국, 호주의 실제 스마트헬스케어 프로그램을 소개하고 적용 사례를 고찰하여 공공 및 민간 차원의 다양한 대응을 검토하였다. 마지막으로 한국의 정신건강사회복지에서의 활용 가능성을 논의하였으며 향후 과제를 검토하며 마무리하였다. 본 논문에서 소개된 해외 사례들을 토대로 한국 사회에 실천·정책, 연구영역의 스마트헬스케어가 적극적으로 논의된다면 세계적인 수준의 정신건강사회복지 서비스 성장에 기여할 수 있을 것이다.

• 지역사회간호학회지
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• 제30권1호
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• pp.69-78
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• 2019

Purpose: This study tries to test mediating effects of hope and therapeutic relationship in the relation between general social functions and mental health recovery of community people with mental illness. Methods: This study was carried out in a cross-sectional research design. The participants included 217 people with mental illnesses who were enrolled at eight Mental Health Welfare Centers in the Gyeonggi Province. Data were collected from February to May, 2018. The collected data were analyzed using a regression analysis, and SPSS PROCESS macro was used to test the mediating effects. Results: This study analyzed the direct effects of general social functions on the hope, therapeutic relationship and mental health recovery. And general social functions had indirect effects on their mental health recovery via hope and therapeutic relationship. Both hope and therapeutic relationship had dual mediating effects in the influence of general social functions on mental health recovery. Conclusion: The role of hope and therapeutic relationship in the mental health recovery of community people with mental illness is important, and it is confirmed that hope is a powerful factor influencing mental health recovery.

• 대한조현병학회지
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• 제22권2호
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• pp.66-73
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• 2019

Objectives: This study aimed to elucidate the effectiveness of long-term psychosocial intervention in reducing the disabling period of patients with major psychiatric disorders by their rehospitalization rate. Methods: Of the 210 patients with major psychiatric disorders received psychosocial interventions in a Mental Health and Welfare Center, 192 patients (147 with schizophrenia spectrum disorders, 45 with mood disorders) who received interventions more than 6 months were selected. Review of case management records was conducted to obtain information. Results: The number and length of hospitalization and the hospital days per year significantly decreased after psychosocial intervention. Additional analysis of 102 patients followed up for more than 5 years suggested that the effectiveness of the intervention persisted for a sufficient period. However, no significant difference was observed in the number of rehospitalization in 45 patients with mood disorders, though the length of hospitalization significantly decreased. In addition, the hospital days per year of 21 patients with mood disorder followed up for more than 5 years also showed no significant decrease. Conclusion: Long-term psychosocial intervention had a significant effect on reducing the number and length of hospitalization for patients with major psychiatric disorder and the effectiveness maintained for more than 5 years.