• Perspectives in Nursing Science
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• v.17 no.1
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• pp.40-48
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• 2020

Purpose: This study aimed to describe the empowerment experience of mentally ill persons providing peer support. Methods: Three peer supporters were recruited. A small group interview was conducted with peer supporters in November 2018. The transcribed data were analyzed using a qualitative case study. Results: Three primary themes and seven sub-themes emerged as follows. The first theme is "Personal empowerment," including 1) Remove the sense of helplessness, 2) Be confident, and 3) Establish self-identity. The second theme is "interpersonal empowerment", including 1) Breaking out of isolation and taking an interest in peers, and 2) Assert opinion to family. The last theme was "political empowerment", including 1) Want to legalize "peer support program", and 2) Move to promote "peer support program". Conclusion: Through the activities of peer support, mentally ill persons have diverse empowerment experiences. The results of this study indicated that legislation of the peer support program is necessary to improve their empowerment experience. And it calls for study focusing on the effectiveness and necessity of peer support programs.

• Journal of Korean Public Health Nursing
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• v.29 no.3
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• pp.594-607
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• 2015

Purpose: The purpose of this study was to test the effectiveness of a weight reduction program on the body weight, BMI, self-esteem, and self-efficacy of chronic mentally ill persons. Methods: A nonequivalent control group pre-posttest design was employed. Participants were 46 chronic mentally ill persons who agreed to participate in this study, and were assigned to an experimental group (n=23) and a control group (n=23). The weight reduction program was modified by the author, based on the Wellness program (Lilly Pharmaceutical Company, 2003), Lee (2007) and Kim (2013). Data analysis with frequency, ${\chi}^2$-test, Fisher's exact test, and t-test was performed using SPSS/Win 18.0 version. Results: The results showed a significant decrease in body weight and BMI and an increase in self-esteem in the experimental group compared to the control group. Conclusion: The weight reduction program had a positive effect on body weight, BMI, and self-esteem. Evaluation of drug compliance and vocational rehabilitation is recommended for long term effect of the program and conduct of further studies will be required for use of various resources for self-efficacy for inclusion in drug education in a program for improved health outcome.

• Journal of Korean Academy of Nursing
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• v.42 no.2
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• pp.226-235
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• 2012

Purpose: The purpose of this study was to explore the subjective experiences of stigma among mentally ill persons. Methods: Phenomenological methodology was used for the study. Participants were twelve people with mental illness enrolled at the S community mental health center in GyeongGi-Do. Data were collected via in-depth interviews from August 30 to October 1, 2010 and analyzed using Colaizzi's framework. Results: Four themes and sixteen formulated meanings were identified for the stigma experiences of participants with mental illness. The four themes were 'Incapable of struggling against unfair treatment', 'Living as an outsider', 'Being constrained by oneself', 'Being in suspense over disclosure of oneself'. Conclusion: The results from this study underscore the need for an educational and awareness programs to reduce public stigma among the general population and self-stigma among people with mental illness. In addition, efforts are also needed to prioritize mental illness stigma as a major public health issue at the government and community level.

• The Korean Journal of Rehabilitation Nursing
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• v.15 no.2
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• pp.91-99
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• 2012

Purpose: The purpose of this study was to identify the frequency and status of mentally ill patients who registered in a community health center (CHC) but they could not be accessed. Methods: A total of 233 mentally ill individuals who were registered to a CHC in B Metropolitan City participated in this survey. Data were collected from December 1 to 31, 2010 and analyzed. Results: There were 140 (60.1%) community dwelling mentally ill patients who had been registered to that CHC but were not accessible. The major reasons of this inaccessibility were patients' rejection to be accessed (27.1%) and the wrong or missing address in hospital's discharge note (22.9%). The nursing problems of the subjects were rejection of medication (93.4%); poor personal hygiene (85.8%); violence including harassment of family member(s), assault, property destruction, threat with weapon (38.7%); and so on. Among 159 cases of referrals and requests for help immediate action with patient's compliance were only 8.8%. Conclusion: The findings show that mentally ill patients who had registered to the CHC but were not able to be accessed failed to be managed properly. This would become risk factors of social problems which threat to the community as well as individuals. Thus, we need to prepare programs for this population to make them take medicine at a minimum.

• Korean Journal of Social Welfare
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• v.63 no.1
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• pp.5-28
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• 2011

This study, based on the research on the history of life, aimed to recompose and analyze into what life progressive structure the life experience by the mentally ill, after the onslaught of the disease, developed in a bid to understand the risk progress in the mentally ill's life, and to determine what contributed to the current stabilized recovery and adjustment. Five mentally ill persons participated in the study, and Sch$\ddot{u}$tze's narrative interview was used to gather data. The gathered data were analyzed according to Sch$\ddot{u}$tze's process structure of life. The interviewees' life experiences were chronologically organized as understood, and significant stories were recomposed that not only brought about changes but also helped overcome their disabilities in the process of treatment and rehabilitation after the onslaught of the disease. As a result, their experiences were recomposed into the stage of onslaught of the mental illness and confusion, and into the stage of intensive treatment and rehabilitation. The former was categorized into suppression by the disease, repetition and endurance of the painful life, and separation from their family and frustration. The latter was categorized into the rediscovery of self through social role change, others who helped realize the life potential, the expansion of mental health services in the community, obstacle to the integration of communities, re-integration of family relationships, re-analysis of experience of the disease through the examination of the life prior to onslaught of the disease, and expectation for the future. Also, these themes were comparatively examined so as to examine the crisis progress in the mentally ill's life after the onslaught of the disease, as well as the life transfer process through positive rehabilitation. Lastly, on the basis of these results, important areas of mental health services for the mentally ill were discussed.

• Research in Community and Public Health Nursing
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• v.31 no.3
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• pp.234-243
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• 2020

Purpose: This study is aimed to identify the health-related quality of life for children with a mentally ill parent. Methods: The 13 participants were school-aged children whose parents were registered at the D Regional Mental Health Welfare Center. Data were collected using one-on-one interview with illustration cards and analyzed by content analysis. Results: The participants were living a difficult life in anxiety amid a reversal of parent-child role, such as doing housework and taking care of their parents. The study revealed a love-hate family relationship that the participants wanted parental recognition and attention but they were frustrated by insufficient parental care and sibling conflict. Nevertheless, they only had each other themselves to trust and rely on. Their mixed health awareness and negative emotions were influenced by parents. Some of participants were exposed to dangerous environment such as domestic violence, and they need support system for help in difficult situations. Sometimes they felt happy by satisfying physiological, social, and self-esteem needs. They also showed a positive potential that they were matured more than peers through the experience of overcoming difficulties. Conclusion: Not only were there not enough attention and support for the children with mentally ill people, but they were also exposed to an environment that threatens their physical or mental health. Therefore, to improve their health-related quality of life, there should be some integrated support of the community health system to cope with the challenges they face.

• Perspectives in Nursing Science
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• v.9 no.1
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• pp.16-23
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• 2012

Purpose: The purpose of this study was to examine the effects of a program for rights advocacy on the level of human rights perception and self-esteem for those who are mentally ill. Methods: A quasi-experimental study using a nonequivalent control group pre-post test design was used. The data were collected from January 20 to March. 17, 2010. Forty one (23 in the experimental group and 19 in the control group) individuals participated in this study. The program was developed based on the education program for human rights developed by the Gyeonggi-do community mental health center in 2009. The program consisted of 8 sessions lasting 8 weeks. Results: There were no statistically significant differences in the demographic variables or the outcome variables between the two groups before the intervention. The level of human rights perception and self-esteem increased after the program in the experimental group but not significantly (t=1.87, p=.07; t=0.88, p=.384). Conclusion: Despite the fact that the program was not effective in increasing the level of human rights perception and self-esteem, the study was timely in that it suggests directions for those who develop rights advocacy programs for the mentally ill.

• Korean Journal of Social Welfare
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• v.61 no.3
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• pp.103-127
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• 2009

This study examined the relationships among the case management implementation factors, client satisfaction and quality of life among the persons with mental illness. The survey and interviews were conducted to the 18 community-based mental health service agencies which were implementing case management, and the 381 mentally ill persons who were living in the community and were receiving services from the agencies. The path analysis and the hierarchical linear modeling were used to examine the association among the independent, mediator, and dependent variables. The major finding of this study were that the caseload had the direct relationship with the quality of life. The case management team approach had the direct relationship with the client satisfaction. The suggestions were made that more focus should be on the maintenance of the appropriate caseload, the increase of the number of the case manager, and the team approach.

• The Journal of the Korea Contents Association
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• v.14 no.2
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• pp.270-282
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• 2014

This study examined the influence of case management implementation factors on mentally ill person's quality of life based on case managers and clients who are from Mental Health Total Care voucher agencies. Hierarchical Lineral Model was used to verify client factors, case manager factors, agency factors and service providing factors. For the first time in our nation, major findings were found that case manager's career and intervention range have influence on mentally ill persons's quality of life, and that there is no influence for the caseload below 20 cases per one person. The practical implication was suggested about usefulness of case manager's career, caseload and intervention range within local social community system.

• Journal of Korean Academy of Nursing
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• v.38 no.4
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• pp.533-540
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• 2008

Purpose: This study was designed to examine the effects of a weight control program on body weight and the sense of efficacy for control of dietary behavior in psychiatric inpatients. Methods: A quasi-experimental design was used. Data were collected from March 1 to September 30, 2007. Female mentally ill patients in closing psychiatry ward of H University Hospital participated in the study (16 persons in the experimental group and 13 in the control group). Results: The weight control program including diet therapy, exercise, education and behavior modification therapy decreased the rate of weight gain in female mentally ill patients taking atypical anti psychotics, and effectively increased a sense of efficacy for control of dietary behavior. Conclusion: Weight control program had a positive effect as a nursing intervention to decrease obesity and to increase the sense of efficacy for control of dietary behavior of psychiatric inpatients in psychiatric inpatients.