• Journal of Korean Academy of Nursing
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• v.52 no.2
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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.

• Journal of Korean Academic Society of Home Health Care Nursing
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• v.19 no.1
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• pp.46-54
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• 2012

Purpose: The purpose of this study is to analyze the concept of recovery in relation to those living with mental illness and provide a better understanding to the definition, perspectives, and paradigm of recovery in phenomenon, as a conceptual knowledge. Methods: A literature review was conducted to define the concept of recovery from a mental illness by using key words, "recovery", "mental health and illness", "concept analysis" and "recovery-oriented nursing", and searching the Cumulative Index to Nursing and Allied Health Literature, PubMed, Cochrane library and RISS4U database. Concept analysis of recovery was done, by using the Walker and Avant's framework of concept analysis. Results: Attributes of recovery for those living with mental illness included regain, life reconstruction, hope, adjustment, and health. Antecedents of recovery from mental illness included instilling hope, recovery vision, belief, peer support, recovery-oriented services, empowerment, personal accountability, education, human rights and culture. The consequences, as meanings of recovery included self-esteem, hopeful life, positive adjustment, and healthy life. Conclusion: Concept of recovery is important for a nurse to understand when caring for a person living with mental illness. This concept of recovery from mental illness may apply to future studies to develop a recovery-oriented nursing intervention.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.21 no.6
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• pp.256-265
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• 2020

The purpose of this study was to develop and explore the effectiveness of a peer-leadership program on the recovery of people with mental illness. To develop the program, a literature review and an analysis of developed programs were performed.Brown's recovery framework was applied, including an understanding of mental illness, self-leadership, empowerment, and self-directed action plans. A program was developed (6 sessions over 3 days) including peer-led activities, disability awareness and perception, and recovery action plans. The program consisted of education, understanding, planning, and implementation. Its focus was on recovery-oriented activities for empowering people with mental illness. Twenty people with mental illness and using mental rehabilitation centers participated in the program. Four scales (i.e., stigma, empowerment, leadership, and disability awareness) were used for the pre-post analysis. The study results showed statistically significant differences in the participants' levels of stigma (p< .05), empowerment (p < .05), leadership (p< .01), and disability awareness (p< .05) after completing the program. These findings suggest that the peer-leadership program is a recovery program that includes increased understanding of mental illness, empowerment, and leadership capability. Discussions and suggestions were provided for a future study based on the results.

• 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.

• Journal of Korean Academy of Nursing
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• v.45 no.6
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• pp.834-845
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• 2015

Purpose: This study was done to develop an empowerment program for people with chronic mental illness and to analyze effects of the program on level of empowerment. Methods: The research was conducted using a nonequivalent control group pretest-posttest design. Participants were 37 people with chronic mental illness (experimental group: 18, control group: 19). The empowerment program was provided for 8 weeks (15 sessions). Data were collected between July 21 and October 17, 2014. Data were analyzed using Chi-square, Fisher's exact test, Sapiro-wilk test, and Repeated measure ANOVA with SPSS/WIN 18.0. Results: Quantitative results show that self-efficacy, interpersonal relationships, attitudes in the workplace, occupational performance capacity, and levels of empowered execute were significantly better in the experimental group compared to the control group. Conclusion: Study findings indicate that this empowerment program for persons with chronic mental illness is effective for improving self efficacy, interpersonal skills, attitudes in the workplace, occupational performance capacity, levels of empowered execute.

• Journal of Preventive Medicine and Public Health
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• v.48 no.1
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• pp.62-71
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• 2015

Objectives: This study aimed to investigate North Korean refugees' knowledge of mental illnesses and treatments and analyze the factors affecting this knowledge. Methods: Subjects were selected via a snowball sampling method, and the survey outcomes of 152 North Korean refugee participants were analyzed. The factors affecting knowledge of mental illnesses were analyzed via a regression analysis by constructing a multivariate model with mental illness knowledge score as the dependent variable. Results: The North Korean refugees' mental illness scores ranged from 3 to 24 points, with an average score of 13.0. Regarding the factors that influence mental illness knowledge, the subjects with South Korean spouses and those who had spent more time in South Korea had higher knowledge scores. Furthermore, the subjects who considered the mental health of North Korean refugees to be a serious issue revealed lower knowledge scores than those who did not believe it was a serious issue. The subjects who visit psychiatric clinics showed higher knowledge scores than those who do not. The South Korean subjects who had at least a college education exhibited higher scores than did those without advanced education. The subjects who are satisfied with life in South Korea manifested a higher mental illness knowledge score than those who are not. Conclusions: This study is significant as being the first study to ever measure and evaluate the level of North Korean refugees' knowledge of mental illnesses. In addition, the evaluations of North Korean refugees' mental illness knowledge and influencing factors while residing in South Korea created basic data that formed the foundation of an effort to enhance mental health literacy and provide proper mental health services. The results of this study can be utilized to solve mental health problems that might frequently occur during the unification process of North and South Korea in the future.

• Journal of Industrial Convergence
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• v.18 no.4
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• pp.33-40
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• 2020

This study is a descriptive research study to understand the relationship between sedation, delirium, and fall of people with mental illness taking psychiatric drugs. From March10, 2019 to November 10, 2019, four psychiatric nurses were evaluated on 149 people with mental illness in two psychiatric hospitals located in D city. The collected data were analyzed using descriptive statistics, t-test, ANOVA, and Pearson's correlation coefficient using SPSS 22.0. Sedation and delirium(r=.587, p=<.001), sedation and fall(r=.273, p=.001), delirium and fall(r=.390, p=<.001)were all significant positive correlation. This study identified the degree of sedation, fall, and delirium of patients taking psychiatric drugs and confirmed the relationship between sedation, fall, and delirium of people with mental illness. It is thought that it will be able to provide basic data to prevent falls and delirium that may occur when taking psychiatric drugs and to prepare a nursing intervention strategy.

• Journal of Korean Public Health Nursing
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• v.37 no.1
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• pp.111-124
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• 2023

Purpose: This study aimed to investigate the effects of restorative family circles (RFCs) on empowerment and family support for people with mental illness, and the belief system and caring experience of their families. Methods: This study used a quasi-experiment with a non-equivalent control group pretest-posttest non-synchronized design. Ninety-two dyads of patient-family caregivers were recruited using convenience sampling and assigned to the experimental and control groups. The subjects of the experimental group participated in RFCs consisting of eight 90-minute sessions. Data were collected at three different times (pretest, posttest, follow-up test) and analyzed for the effects of RFC using the 𝑥² test, Fisher's exact test, Mann-Whitney U test for homogeneity between groups, and generalized estimating equation models. Results: The findings of this study showed that there were significant differences in the family support for people with mental illness between the pretest and follow-up test, and also in the belief system and caring experience of the family between the pretest and posttest. Conclusion: This study revealed that family interventions based on restorative justice emphasizing community-driven conflict management could be used in psychiatric mental health nursing care for fostering a cohesive family relationship.

• Journal of the Korea Convergence Society
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• v.11 no.1
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• pp.293-299
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• 2020

The purpose of this study is to examine the effect of psychosocial rehabilitation services on the independent living of the mentally ill people. The study was conducted using mentally ill people who were using services offered by psychosocial rehabilitation service center during the study period, have lived independently, and used the service center for three months or longer. The data analysis included 231 surveys collected from 42 agencies and then perform hierarchical regression analysis. As a study result, the number of types of psychosocial rehabilitation service used by the mentally ill people and the greater the satisfaction with the psychosocial rehabilitation service, the more independent living competency of the mentally ill people was received. This means that community-based integrated psychosocial rehabilitation service have the effect of contributing to strengthening the competency of independent living with the mentally ill people. Based on the research results, this study proposed the development of integrated mental rehabilitation service to improve the independence competency of the mentally ill people.

• The Korean Society of Law and Medicine
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• v.7 no.2
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• pp.75-96
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• 2006

Having gone through socioeconomic changes from an agricultural to a post-industrial society, mental health system accordingly has been changed. In Korea where the socioeconomic change has been so rapid, the mental health system and law have been behind the socioeconomic system. Post-industrial society needs more humanized and advanced mental health system, however, Korean mental health law reflects ideology of Korean society in industrial age. This paper attempts to assess the significance Korea's Mental Health Law against the backdrop of socioeconomic changes. A substantial part of the report is devoted to identifying discrepancies between Korea's Mental Health Law and the perspectives of post-industrial ideology and areas for improvement. Improvement in mental health law should take place in line with the changes occurring in socioeconomic environments, the social concept of family, and the public awareness of human rights. Korea's mental health law should be changed in a way to improve hospitalization procedure for people with mental illness, promote the opening of mental health facilities and improve the quality of the lives of the mentally ill. Further changes are deemed necessary in the public and media view of mental illness. Also, the national budget will have to be increased with a view to raise the social rights of those with mental illness to receive quality rehabilitation services.