• 한국응급구조학회지
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• 제6권1호
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• pp.5-14
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• 2002

The purpose of the study was to compare on the cognition and attitudes toward the mentally ill person among EMT College Student before and after Psychiatric Nursing Course Work. The data was collected twice before and after Psychiatric Nursing course work during one semester 16-weeks from 71 EMT department Students. Used measurements were self-reported questionnaires about cognition and CAMI questionnaires about attitudes. Analysis of data was done by frequence, percentage and t-test with SAS program. The cognition was changed over positively after then before Psychiatric Nursing Course. Especially, It was answered that needed to learning, caring and curing for mental illness. The study of attitudes for mentally ill person was that authoritarianism, benevolence and social restrictiveness were changed over positively but community mental health ideology was not changed. In conclusion, follwing the results of this study, the psychiatric nursing course work was influenced very much to changing of attitudes and cognition toward mentally ill person. Accordingly, psychiatric nursing curriculum will be offered and psychiatric educators have to emphasize the understanding of attitudes and cognition toward mentally ill person.

• 의료법학
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• 제19권2호
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• pp.99-137
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• 2018

정신보건법은 1995년 제정되어 2016년 정신건강복지법으로 전면개정되었다. 일련의 개정을 통하여 기왕에 제기되어온 문제 중 상당 부분이 해결되기는 하였으나, 기존의 틀을 유지한 채 대증요법으로 일관한 결과 문제 해결의 방법이 다소 거칠고, 그로 인한 부작용도 우려된다. 이 글에서는 이러한 관점에서 우리 법의 기본 틀이 어디에서 왔고, 그 근본적인 한계는 무엇이며, 비교법적 관점에서 대안과 바람직한 개선 방향은 어떠한 지를 검토하였다. 나아가 이와 체계적으로 관련되어있는 민법상 피성년후견인 입원절차(제947조의2)에 관하여도 살펴보았다.

• 대한간호학회지
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• 제42권2호
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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.

• Perspectives in Nursing Science
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• 제9권1호
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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.

• 한국콘텐츠학회논문지
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• 제14권2호
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• pp.270-282
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• 2014

정신건강 토탈케어 바우처 기관의 사례관리자와 이용자를 대상으로 사례관리 수행요소가 정신질환자의 삶의 질에 미치는 영향을 분석하였다. 클라이언트 요인, 사례관리자 요인, 서비스 전달 요인과 기관요인을 위계적 선형모형(HLM: Hierarchical Lineral Model)을 적용하여 검증하였다. 본 연구는 국내최초로 사례관리자의 사회복지경력과 사례관리 개입범위가 정신질환자의 삶의 질에 유의미한 영향력이 있다는 것을 검증하였고, 담당 사례수가 1인당 20케이스 이하일 경우 삶의 질에 영향을 미치지 않는 것을 확인하였다. 연구를 통해 사례관리자의 사회복지경력, 담당 사례수, 지역사회환경체계 개입범위의 유용성에 대한 실천적 함의를 제안하였다.

• 대한간호학회지
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• 제3권3호
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• pp.62-72
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• 1973

THE author conducted a field survey form Feb.1, 1973 to March 31, 1973 in the Busan area, standing six "institutions" where mentally ill patients are kept. These six institutions are registered at Busan Government, but are not regular hospitals. There suits of these investigation are as follows: \circled1 There are six institutions. which are registered at Busan City Government. All six are operated by layman who have little psychiatric knowledge and little human is tic motivation. \circled2 These institutions are allegedly to promote the welfare of the mentally sick. However they give little help for the patients. And they do not even have a resident medical person. The staff of those places will not accept professional medical help, and try to keep all information secret. \circled3 The finances are largely composed of patients′fees and partially from city′s help. The buildings are of high quality compared with the poor therapeutic situation. There also exist factors which make the patients worse, i,e. very small room space, compelling the patients to sit in a uteral position. This situation makes them worse and more autistic. \circled4 At the time of this survey, those lucrative overcrowded six institutions had 1.000 patients. At the same time the legitimate hospitals in Busan area had about 200 patients, \circled5 In my opinion, the City Government must take a more positive policy for the mentally ill patients, instead of the passive attitude which has held till now. And most of all, these patients must be medically and humanistically helped, instead of being left in a forgotten, depressed snake pit.

• 한국사회복지학
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• 제68권4호
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• pp.225-246
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• 2016

정신장애인의 삶의 공간을 시설에서 지역사회로 전환하려는 탈시설화는 사회복지영역에서 인권과 복지라는 근대 이념을 실질적으로 구현하려는 대표적 노력이다. 이러한 이념 구현 노력은 탈시설화가 작동하는 현장인 현대사회의 사회적 공간에 대한 구체적 분석이 더해짐으로써 그 가능성과 적실성을 더 할 것이다. 이에 본 연구는 탈시설화가 구현되는 사회적 공간에 대한 구체적 분석을 통해, 인권과 복지와 같은 이념적 차원이나 탈시설화 구현의 조건 및 환경에 관한 정책 차원에서 진행된 기존 논의를 사회적 맥락으로 확장하여 조명한다. 이러한 연구목적을 달성하기 위해 본 논문은 우선 탈시설화와 관련된 기존 논의들을 정리하고 본 논문의 주요 분석 관점인 후기근대 사회적 공간에 대한 이론들을 살펴본다. 그리고 이를 토대로 이러한 후기근대의 사회공간의 성격이 정신장애인의 탈시설화와 맞물릴 때 어떠한 현상들이 나타나는지를 탐색적으로 살펴본다. 마지막으로 후기 근대공간에서 정신장애인의 탈시설화의 구현 노력과 관련된 연구의 함의를 제시한다.

• 대한간호학회지
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• 제51권3호
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• pp.320-333
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• 2021

Purpose: The study was conducted to explore the experiences of job retention among working people with mental illness. Methods: The participants were members with mental illness at the S Community Mental Health Center in Gyeonggi Province and who had been working for more than six months. The data were collected through in-depth interviews with 11 participants between June 27 and August 20, 2018. The data were analyzed through Corbin and Strauss's grounded theory method. Results: The core category was struggling to take root in the community as a productive member. The core phenomenon was the desire to be a productive person, and the causal condition was the willingness to change for a purposeful life. The action and interaction strategies included maintaining regular living patterns, maintaining medication, developing one's tips for self-management, and self-approval. The intervening conditions were difficulties in forming social relationships, presence of symptoms, social resources, and acceptance of one's mental illness. The consequences were restoration of family relationships, healthy pleasure through work, social inclusion, development of self-worth, and transition to an independent person. Conclusion: Working people with mental illness are struggling to take root in the community as a productive member. This study suggests that a holistic understanding of the job retention experience among people with mental illness is required. The findings will provide the basis for developing interventions that can improve job retention among working people with mental illness.

• 대한간호학회지
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• 제52권2호
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• pp.187-201
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• 2022

Purpose: This study discovered a substantive theory of the experience and process of peer support work among people with mental illness. Methods: The participants were members of community-based mental health facilities and had been working as peer supporters for more than six months. The data were collected through in-depth interviews with twelve participants and analyzed using Corbin and Strauss's grounded theory approach. Results: The core category was "becoming a healer going with patients in the journey of recovery," and the core phenomenon was "identity confusion as a peer supporter." The causal conditions were "starting peer support work without certainty" and "standing at the boundary between the therapist and patient." The intervening conditions were "willingness to become a successful peer supporter," "feeling a sense of homogeneity with the patient," "accepting the mental illness," and "support from people around." The action and interaction strategies were "letting go of greed," "being open about oneself," "developing professional skills," "maintaining wellness in the body and mind," and "being with the patient." The consequences were "becoming a useful person," "changing attitude toward life," "expansion of the sense of self-existence," "recovering from mental illness," and "discovering a role as peer supporter." Finally, the substantive theory of "becoming a healer going with patients in the journey of recovery" was derived. Conclusion: This study provides a holistic understanding of peer support work and the implications of interventions to help people with mental illness in a person-centered recovery process.

• 의료법학
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• 제16권1호
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• pp.221-254
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• 2015

개정된 민법은 2013년 7월 1일부터 시행되고 있다. 개정된 민법에서 가장 중요한 것은 성년후견제도 이다. 100개 이상의 조문이 개정되었으며, 개정된 민법은 후견인이 필요한 사람들의 다양하고 복잡한 요구를 충족시카는 체계와 적법한 절차를 마련하였다. 새로운 성년후견제도는 피성년후견인의 보호를 위해 그들의 자율성을 지켜주고 공적인 개입을 최소화함으로써 피성년후견인의 존엄성과 인권을 존중하려고 했다. 새로운 성년후견제도는 세 가지 종류의 법정후견제도를 가지고 있다(성년후견제도, 한정후견제도, 특정후견제도). 정신질환자는 정신보건법에 의해 입원이 이루어지고 이때 정신질환자는 동의능력이 없는 것으로 대부분 여겨지지만 원칙적으로 정신질환자는 동의능력을 가지고 있는 경우가 있다. 정신질환자와 후견인 사이에 이해상충이 발생할 경우 정신질환자의 동의가 우선된다. 정신질환자가 동의능력이 없는 경우에만 후견인의 동의에 의해 의료행위를 할 수 있는 것이 타당하다. 그러나 정신질환자가 동의능력이 없는 경우에는 후견인에 의해 문제가 발생할 경우에는 후견감독인을 두어 후견인에 대한 감독을 해야 한다. 결론적으로 정신질환자라고 하여 입원에 대한 동의능력을 상실한 것은 아니며 우리는 정신질환자의 동의범위에 대해 구체적으로 논의해야 한다. 따라서 개정 민법에 따라 정신보건법 개정이 필요하다.