• Title/Summary/Keyword: People with Mental Disabilities

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A Convergence Study on Violence, Discrimination and Suicidal Ideation among Person with Disabilities (장애인의 폭력 및 차별경험과 자살생각에 관한 융합연구)

  • Kim, Seokhwan;Lee, Hyunjoo;Kim, Ji hyun
    • Journal of the Korea Convergence Society
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    • v.9 no.10
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    • pp.347-353
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    • 2018
  • The purpose of this study is to investigate the relevance of discrimination and violence experienced by persons with disabilities to suicidal ideation of persons with disabilities. The study data used the 2014 national survey of the disabled persons and 6,332 people were included in the analysis. Suicidal ideation was defined as whether or not suicide was actually attempted in the last year. The reference group was a group without suicidal ideation and logistic regression analysis of violence discrimination and experience was performed. The study found that 18.5%(n=1.171) of people with disabilities had suicidal ideation. The risk of suicidal ideation was higher when there was language violence and mental violence because of being disabled. When adolescents experienced sexual harassment, sexual abuse, and sexual violence, the risk of suicide was 16.7(CI=4.22-66.18) times higher. The risk of suicidal ideation was 5.8(CI=2.34-14.6) times higher for those who did not know the violent offenders and 4.08(CI=2.05-8.12) times higher for coping strategies that ignored or tolerated violence. The risk of suicidal ideation was 1.60(CI=1.24-2.08) times higher in the case of discrimination experienced at the time of marriage and it was 2.73(CI=4.22-66.18) times higher when they had always felt the discrimination due to disability. The suicidal ideation that comes from experiences of violent experience and discrimination can appear as actual suicide. Therefore, it is necessary to support the suicide prevention program at the community level, along with the care and consideration of the family and society of the disabled for the well-being of the disabled.

THE ADDITIONAL POINT SYSTEM OF NATIONAL HEALTH INSURANCE FOR DENTAL TREATMENT IN PATIENTS WITH A SPECIAL HEALTH CARE NEED IN KOREA (한국의 장애인 환자 치과 진료를 위한 국민 건강 보험 가산제도의 종류 및 청구 현황)

  • Kwon, Doyoun;Nam, Okhyung;Kim, Misun;Choi, Sungchul;Kim, Kwangchul;Choi, Jaeyoung;Lee, Hyo-Seol
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.14 no.1
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    • pp.11-16
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    • 2018
  • In order to increase the accessibility of dental care for people with disabilities, National Health Insurance Service has implemented an additional point system of National Dental Insurance for dental treatment of patients with a special health care need (AID). The purpose of this study is to investigate the types and status of AID in Korea using data of the Health Insurance Review and Assessment Service from 2011 to 2017. The basic consultation fee is increased by 9.03 points (713 won) for brain disorder, intellectual disability, mental disability, or autistic disorder. From 2011 to 2015, the number of claims with a basic consultation fee increased from 90,456 to 141,179. Dental treatment and surgical treatment fee is increased by 100% of the defined insurance score for each of the 15 items. During the five years from 2012 to 2016, the number and amount of claims for each item increased steadily. Of the total claims for 5 years, endodontic treatment was highest, with 107,477 cases, followed by 51,641 cases of scaling. There are two types of dental safety observation fee, simple and complex. The simple safety observation fee is 10,370 won per day, and the complex safety observation fee is 20,750 won per day. Dental safety observation fees were charged 34 times in 2015, 14 times in 2016, and 41 times through May 2017. From 2011 to 2017, the number and amount of claims using AID for dental care for people with disabilities increased. However, considering that the number of registered dental users with disability was about 560,000 in 2016, the number of claims using AID is 1-20,000, which is less than 2% of registered dental users with disability. Therefore, it is necessary to expand dental services for people with disabilities including AID.

Factors Influencing Social Participation in People with Musculoskeletal Conditions - Applying ICF relevant categories - (ICF 관련 범주에 따른 근골격계질환 장애인의 사회참여 관련요인)

  • Shin, Eun Kyoung;Lee, Han Na
    • Korean Journal of Social Welfare
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    • v.65 no.1
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    • pp.5-31
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    • 2013
  • The principle objective of this study is to determine factors affecting social participation for physically disabled people with musculoskeletal conditions (spinal cord injury, muscular dystrophy, osteogenesis imperfecta, rheumatoid arthritis) in South Korea using ICF relevant categories of the international classification index by WHO. The subjects of this study 352 people with physical disabilities, the data were collected using ICF component(body functions, body structures, activities and participation and environmental factors) and the relevant categories deprived from ICF core sets. The collected data were evaluated with descriptive analysis, ANOVA, correlation analysis, and multiple regression analysis. The results of this study can be summarized as follow. The mental function, Neuromusculoskeletal and movement-related functions, Genitourinary and reproductive functions, Skin and related structures, Learning and applying knowledge, General tasks and demands, and Mobility positively influenced social participation in people with musculoskeletal conditions. However individual factors and environmental factors didn't statistically significant affect on social participation. The implications of the study is to examine by ICF components of universal approach on disability study and utilized the relevant ICF categories as measurement tools.

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Employment Needs of People with Mental Disabilities - Centering on Income and occupational ability Variables (정신적 장애인의 소득수준과 직업능력에 따른 취업욕구)

  • Park, Hyo-Eun;Choi, Man-kyu;Lee, Hyun-Kyung
    • Proceedings of the Korea Contents Association Conference
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    • 2013.05a
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    • pp.387-388
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    • 2013
  • 본 연구는 정신적 장애인의 소득수준과 직업능력에 따른 취업욕구를 살펴보고 그에 따른 취업 활성화를 방안을 제안하고자 하였다. 이를 위해 '2008년~2010년 장애인 고용패널조사'에 3년간 참여한 정신적 장애인 298명(가중빈도적용:154,348명)을 연구하였다. 연구결과, 직업교육을 희망하는 정신적 장애인이 남성, 중졸 이상, 자격증 소지자, 그리고 정신적 장애인 유형중 지적장애일때 교육참여 희망률이 높았다. 한편, 취업의사를 가진 정신적 장애인은 남성, 가구주, 중졸이상, 자격증 소지자, 육체활동 능력이 높아질 때, 그리고 정신적 장애인 유형 중 자폐장애일 때 취업의사가 높았다. 이러한 결과를 토대로 정신적 장애인의 경제활동참여를 높이기 위하여 정신적 장애인의 의사를 반영한 직업재활서비스제공, 사업주 주도적 직업활동을 제안하였다

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The Effect of Income Status on Life Satisfaction of Middle-aged and Disabled Persons: Multiple Mediating Effects of Depression and Social Support (중장년 장애인의 소득지위가 삶의 만족에 미치는 영향: 우울과 사회적 지지의 다중매개효과)

  • Lee, Hyoung-Ha
    • Journal of the Korea Convergence Society
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    • v.12 no.11
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    • pp.377-389
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    • 2021
  • This study analyzed whether depression and social support had a mediating effect between income status and life satisfaction of middle-aged and elderly people with disabilities using data from the 15th year of the Korea Welfare Panel data. As a result of the analysis, first, the income status of the middle-aged and disabled was depressed(B=.241, p<.001), social support(B=-.167, p<.001), and life satisfaction(B=-.277, p<.001) was confirmed to have a direct effect. Second, the mediating effect of depression and social support was verified on the influence between the income status of middle-aged and disabled people between life satisfaction. Third, it was confirmed that depression and social support had a multi-mediating effect between the income status and life satisfaction of middle-aged and disabled people. Therefore, an income support system that supports middle-aged and disabled people to live at an appropriate level should be prepared. In addition, in order to increase the life satisfaction of middle-aged and disabled people, it is necessary to intervene in mental health support services that can actively cope with depression and to expand the social support network.

Study on the oral health awareness and behavior in the special school for students of disability (일부 특수학교 장애인의 구강보건의식행태에 관한 조사연구)

  • Song, Yun-Shin;Chang, Woo-Sung
    • Journal of Korean society of Dental Hygiene
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    • v.11 no.1
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    • pp.103-111
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    • 2011
  • Objectives : This study of oral health problems was conducted to 311 students in Special Schools in order to inquire into the state of their oral health behaviors, to find out the main obstacles against dental services, to secure dental reasonable basis for oral health promotion. Methods : A questionnaire survey was conducted in the Special School of the 311 students in the area of the metropolitan Seoul. By means of Chi-squared test and Fisher's exact test, oral hygiene habits for each type of the subjects, the contents of dental care services, the prerequisites to improve oral health, were inquired. To evaluate the effects to the current oral health status of types of disability, 2-way ANOVA was practiced. Results : The handicapped with Visual impairment, mental retardation, multiplicity with disabilities, answered negatively in their own oral health status. 47.4% of the deaf can do brush for theirselves without the inconvenience, but in other types of disability they showed that they were helped by others. Subjects did not use the secondary oral hygiene necessaries because, except brain damage, almost of types of disability impeded the convenient use. 60 to 88.2 percent of the total respondents were the recent visitors to dental clinique within 1 year, and the most common motives of the visiting dentist, is a routine medical examination, their movements to the dentist in all types of disabilities, needed helps of others. Most of them received medical treatment at a private dentist, the handicapped preferred the private care and place(49.8%). Only in the case of the brain disorders, extremely much of the disabled answered that they were needed the preventive treatment, and the another cases of disability were largely needed the treatment of the decayed teeth. To improve the oral health of the people with disabilities, at the opening of the clinics and hospitals over a certain size, the mandatory medical facilities for the care of the disabled should be preceded and followed by the improvement of dental insurance system so as to reduce the burdens of the cost of dental care. Conclusions : The improvement of oral health policy for the disabled are needed inevitably: Development of secondary oral hygienic easy to use for the disabled, the building systems of medical dental hospital with the disabled facilities, by the improvement of the insurance system, the reduction of the burden of payments.

A Research for Methodology of Culture Semiotics for Smart Healing Contents (스마트 힐링콘텐츠의 문화기호학적 방법론 연구)

  • Baik, Seung-Kuk;Yoon, En-Ho
    • Journal of Information Technology and Architecture
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    • v.11 no.3
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    • pp.347-357
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    • 2014
  • This research aims to suggest the possibility of functional culture contents based on interdisciplinary methodologies, especially for people who have Autism Spectrum Conditions, or those who have disabilities on express and receive gamsung (emotions). Recently, the development of application technologies in smartphones and tablet computers needs of functional culture contents, which are connected with the gamsung system. Moreover, the potential of marketplace of functional culture contents is emerging, as can be seen from the success of Augmentative and Alternative Communications (AAC) applications. Therefore, with the development of more applications that prevent and resolve Gamsung Disabilities anticipatively, there will be a positive economic effect of reducing back on intervention expenses as well as the construction of new contents ecosystem. So, in this research, we will attempt to make an approach of using the cultural semiotics methodology in finding attributes and features of applications that help to keep mental stability and balance for people with gamsung Disabilities. Particularly, this research will suggest an interdisciplinary theory on healing contents making methodology, using contents analysis; user interface (UI) analysis; and user experience (UX) analysis on existing smart healing applications.

Comparison of factors among the regional oral health center for the disabled in Korea (우리나라 권역 장애인구강진료센터 이용자 만족요인 비교)

  • Jung, Yun-Sook;Choi, Yeong-Ae;Kang, Jae-Min;Lee, Young-Eun;Song, Keun-Bae
    • Journal of Korean society of Dental Hygiene
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    • v.21 no.2
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    • pp.183-191
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    • 2021
  • Objectives: The purpose of this study was to identify the factors of satisfaction with regional oral health centers for people with disabilities in Korea. Methods: A survey was conducted with 784 patients who visited regional oral health care centers in Korea. A self-developed questionnaire (29 items) was adapted with a consent form and IRB (Institutional Review Board). All collected data were analyzed for statistics using SPSS version 25.0. Results: The study participants were 452 (57.7%) male patients, 207 (26.4%) aged 20-29 years old, and mostly had physical, developmental, and mental disabilities. The patients were introduced by their acquaintances, and the major reason for visit was specific dental care for the disabled. Most patients used their cars and took half to one hour to commute. The common factor affecting the comprehensive satisfaction was the facility satisfaction. Conclusions: A more comprehensive and standardized questionnaire should be developed for the annual evaluation of all centers. This study presents the basic data that can aid to activate the operation of the four oral health care centers for the disabled, which are scheduled to be implemented in the future, as well as 10 currently operated centers.

Working Patterns and Job Satisfaction in Primary Health Practitioners (보건진료전담공무원의 업무분석과 직무만족도)

  • Kim, Jin Hak;Song, Min Sun
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.24 no.1
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    • pp.69-78
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    • 2017
  • Purpose: The purpose of this study was to identify the frequency and duration of primary health practitioners' work, and their job satisfaction, and to confirm differences in work and job satisfaction by type of primary health care post. Methods: Work frequency, duration of work, and job satisfaction were estimated by 371 primary health practitioners. Chi-square test and t-test were used to identify the differences in working patterns and job satisfaction by type of primary health care post. Results: Primary health practitioners were found to spend more time working with the elderly population than with students, pregnant women, children, people with disabilities, and multicultural families. Those in costal areas were more concerned with students than those working inland. In the latter group of practitioners, more time was spent working with patients with chronic diseases, pregnant women, women, children, multicultural families, and mental health clients. Also, the job satisfaction of inland primary health practitioners was significantly higher than that of costal practitioners. Conclusion: It is necessary to identify the characteristics of primary health practitioners' work, focusing on changes in the medical service environment. Furthermore, it is necessary to provide job training according to type of primary health care post, as practitioners' approaches should differ between posts.

Managing the behavior of a patient with autism by sedation via submucosal route during dental treatment

  • Jo, Chan-Woo;Park, Chan-Hee;Lee, Jong-Hyug;Kim, Ji-Hun
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.17 no.2
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    • pp.157-161
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    • 2017
  • In sedation via the submucosal route, the drug is administered through the maxillary buccal submucosa. It is time saving, effective, and safe. Patients with autism, a mental disorder, often find it hard to make relationships with other people. These patients display a strong resistance to dental treatment and sedation. This study reports a successful case of behavioral management during dental treatment, using sedation via the submucosal route. The patient was strongly resistant to sedation via the oral, intramuscular, and intravenous routes. The drug used was 9 mg (0.1 mg/kg) of midazolam. Through this case report, we reaffirm the significance of sedation via the submucosal route, and expect that it will be used more frequently for patients with autism, who display behaviors that are difficult to manage, patients with other disabilities, and children.