• Title/Summary/Keyword: People with mental disorder

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Evaluation of the qualite of life related to oral health among elderly people in some elderly care facilities by OHIP-14 (OHIP-14를 이용한 일부 요양기관 노인들의 구강건강관련 삶의 질)

  • Jang, Sun-Hee;Choi, Mi-Hye
    • Journal of Korean society of Dental Hygiene
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    • v.11 no.4
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    • pp.475-487
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    • 2011
  • Objectives : The growing elderly population and social changes have fueled a rapid increase in demand for elderly care facilities, but health care services for the elderly, especially oral health services, have long been overlooked. The purpose of this study was to examine the oral health care of elderly residents in elderly care facilities in an effort to provide some information on the elderly's oral health care and the development of dental care programs geared toward institutionalized elderly people. Methods : The subjects in this study were 230 elderly people who were in elderly care facilities in Jeolla Province. An individual interview was held, and they got a dental checkup. As for data analysis, t-test and ANOVA were utilized, and Scheffe post-hoc test was employed. Results : 1. In relation to the subfactors of the quality of life related to oral health, the elderly people investigated got a mean of 4.58, 4.47, 4.38, 4.09, 3.94, 3.91 and 3.76 respectively in activity disorder, mental disorder, social disorder, mental inconvenience, functional disorder, physical pain and physical disorder. 2. Concerning the overall quality of life related to oral health, there were statistically significant gaps in this aspect according to gender, age, presence or absence of systemic disorder, presence or absence of eating difficulties, subjective health status, subjective oral health state and oral health concern. 3. The presence or absence of root caries had a significant relationship to physical pain and social disorder among the subfactors of the OHIP-14, but that had nothing to do with functional disorder, mental inconvenience, physical disorder, mental disorder and activity disorder. Conclusions : The oral health indexes of the institutionalized elderly people in Jeolla Province were measured, and what factors affected the subfactors of oral health was checked. As a result, there appeared a close relation ship between oral health and the quality of life. Therefore effective oral health plans that cater to the elderly should be carried out to improve elderly people's quality of life related to oral health who stay in long-term elderly care facilities. In the future, prolonged research should be implemented from diverse angles for the sake of institutionalized elderly people.

A Study on the Coping Experience of Mental Disorder Symptoms (정신장애인의 정신질환 증상 대처 경험에 관한 연구)

  • Kim, Nanghee;Song, Seung-yeon;Kim, Hyojung
    • Journal of Convergence for Information Technology
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    • v.11 no.5
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    • pp.158-167
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    • 2021
  • This work aims to explore personal coping and insight experience in mental disorder symptoms from the perspective of the parties in order to lay an empirical basis for the transition of the mental health service paradigm from a medical model to a human rights model. For this purpose, in-depth interviews with 8 persons with mental disorders were conducted and a model of practice was suggested through analysis using the grounded theory. As a result, 11 categories, 23 sub-categories and 132 concepts were identified. According to the analysis of this study, people with mental disorders have changed their perspective on symptoms through in-depth insight into their identities and symptoms as mental disorders, and discovered their own autonomous ways to cope with symptoms, managing their daily lives. Therefore, in developing a Korean alternative model for people with mental disorders, it is necessary to prepare conditions to find their own countermeasures through opportunities for insight.

Factors Influencing Suicidal Ideation in People with Mental Disorder (만성정신질환자들의 자살사고에 영향을 미치는 요인)

  • Lee, Mi-Young;Kim, Young-Sun
    • The Korean Journal of Health Service Management
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    • v.8 no.2
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    • pp.209-220
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    • 2014
  • The purpose of this study was to identify the effects of depression, self-efficacy and social support on suicidal ideation in people with mental disorder. The participants for this study were 165 patients from psychiatric hospital, day hospital, community mental health center and nursing home, located in Busan. A self-report survey was used for data collection, which was carried out from May 1 to 30, 2011. The collected data were analyzed using SPSS21.0 program. According to results, Suicidal ideation was influenced by age, number of admission, psychiatric diagnosis and history of suicidal attempts. This study showed that suicide ideation had positive correlation with depression, negative with social support. History of suicidal attempt, depression, self-esteem and social support accounted for 52.8% regarding suicidal ideation. Based on the outcomes of this study, it is necessary to design an intervention program that emphasizes decreasing depression and suicidal attempt and increasing the self-esteem and social support in order to decrease suicidal ideation.

A Study on Medical Costs for Patients with Vertigo Based on 2014 Health Insurance Review & Assessment Service-National Patients Sample Data (2014년 건강보험심사평가원 환자표본데이터 분석을 이용한 현훈환자의 의료비용에 관한 연구)

  • Kim, Bong Joo;Kang, Hyung Won;Kim, Nam-Kwen;Seo, Eun-Sung
    • Journal of Oriental Neuropsychiatry
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    • v.29 no.3
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    • pp.135-144
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    • 2018
  • Objectives: The purpose of this study was to analyze the medical cost for patients with vertigo and to examine associations between chronic vertigo and mental disorder using 2014 Health Insurance Review & Assessment Service-National Patients Sample (HIRA-NPS). Methods: We analyzed sociodemographic characteristics, medical cost and medical care use pattern for vertigo patients. We used hierarchical multiple logistic regression analysis to examine odds ratio between chronic vertigo and mental disorder. Results: A total of 46,502 people and 118,504 claims data were identified for vertigo cases. Characteristics of vertigo patients have significant differences on proportion of female patients (68.36%), patients' average age (54.98) and proportion of medical assistance (5.76%) compared with non-vertigo patients. Results revealed that Korean medicine are one of frequent methods among total treatments for vertigo patients. Total days of medical care and total costs are 2.78 days and 111,362 won, respectively, and days for outpatients in Korean medical care (mean: 2.26 days) are more than those (mean: 5.05 days) in Western medical care. There is significant difference relative to sex between acute vertigo and chronic vertigo. The odds ratio between chronic vertigo and mental disorder is estimated as 1.34, that means risk of becoming chronic is 34% higher for vertigo patients with mental disorder. Conclusions: This study assessed socio-demographic characteristics, medical care use and expenses related to vertigo, and estimated associations between chronic vertigo and mental disorder. Findings provide a basis for economic evaluation studies on vertigo patients and development of clinical practice guidelines for vertigo patients with mental disorder.

Employment Needs of People with Mental Disabilities - Centering on Economic Status and Occupational Ability Variables (정신적 장애인의 경제수준, 직업능력 및 취업욕구관련 분석)

  • Lee, Hyun-Kyung;Park, Hyo-Eun;Choi, Mankyu
    • The Journal of the Korea Contents Association
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    • v.13 no.7
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    • pp.265-277
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    • 2013
  • The study aimed to figure factors affecting employment needs of people with mental disabilities as the employment needs may differ according to income and occupational ability among people with mental disabilities who are classified economically inactive population. Study subjects included 298 economically inactive populations among registered people with mental disability. And the data from 2008-2010 Panel Data of Employment of Person with Disability were analyzed with logistic regression analysis. The result of the study is as follows. It has been found that interested in vocational education of mentally disabled when the graduated from junior high school, the types of intellectual disability, hope education participation rate was high. And then, Mental disabilities with employment needs, male, head of household, when the graduated from junior high school, when ability to increase physical activity and mental disabilities type of autism spectrum disorder when employment desires were. Based on these results, to increase the economic participation of people with mental disabilities, provide vocational rehabilitation services that reflect the needs of people with mental disabilities and employer-driven professional activity is proposed.

A Study on Factors Influencing the Recovery of People with a Mental Disorder: With a Focus on the Moderating Effects of Family Resilience (정신장애인의 회복에 영향을 미치는 요인에 관한 연구 : 가족탄력성의 조절효과를 중심으로)

  • Jeon, Soon-Bo;Lee, Dong-Young
    • The Journal of the Korea Contents Association
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    • v.19 no.5
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    • pp.306-315
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    • 2019
  • The purpose of this study was to analyze empirically influential factors related to the recovery of people with a mental disorder and also the moderating effects of family resilience. For this purpose, the investigator developed a research model that took into consideration both the positive and negative elements of individual and social factors based on the ecological, psychological, social, and ecosystem perspectives in previous studies and checked their causal effects and the moderating effects of family resilience in statistical significance. The subjects include 112 clients at an institution for people with a mental disorder. Data was collected with an interview based on a structured questionnaire. Collected data was put to the multiple regression analysis. The analysis results show that there was statistical significance in self-esteem, social stigma, and social support excluding symptoms and that the moderating effects of family resilience had positive(+) synergistic effects only on self-esteem and social support. Based on these results, the study made proposals about practice strategies including the establishment of internal and external support systems to make an effective approach to recovery and the systemization of family resilience and supportive strategies to promote the smooth recovery of people with a mental disorder through the reinforcement of programs related to the confirmed positive elements of self-esteem and social support.

A SURVEY OF THE TREATMENT IN FREE MOBILE DENTAL CLINIC AT THE DISABLED RESIDENTIAL FACILITES (SURVEY OF FREE MOBILE DENTAL CLINIC: AT DISABLED RESIDENTIAL FACILITES) (장애인 거주시설을 방문하여 시행한 무료 이동식 치과 진료에 대한 2014년 통계 (시설거주장애인을 대상으로 한 이동치과진료에 대한 통계))

  • Lim, Hyun soo;Lee, Hyo-Seol;Choi, Sung Chul;Lee, Eun young;Kim, Kwang Chul
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.11 no.2
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    • pp.58-61
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    • 2015
  • The people with disabilities living in residential facilities have more difficulty in caring oral hygiene than those living at home. The purpose of this study is to evaluate the recent 2014 dental treatment records of free mobile dental clinic service for disabled people in Korea. 203 disabled living in residential facilities participated in mobile dental clinic. Patients classified according to types of disability. Mental retardation were 75.3%, mental disorder were 6.0%, crippled disorder were 7.4%, brain disorder were 6.5%, visual disorder were1.4%, auditory and speech disorder were 2.3% and autism disorder were 0.9%. Performed treatments were 99 scaling and curettage, 88 fluoride varnish and TBI, 4 extraction, 1 endodontic treatment, 16 caries control (resin filling, GI filling), 1 denture repair and 8 refuse the treatment. Free mobile dental clinic can not provide complex dental treatment. So, the organization should systemize advanced dental treatment and regular preventive programs. Furthermore, we need to have a more concerns about the people with disabilities living in residential facilities and constantly participate on a dental voluntary work.

The promotion of mental health and the prevention of mental health problems in child and adolescent

  • Cho, Sun Mi;Shin, Yun Mi
    • Clinical and Experimental Pediatrics
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    • v.56 no.11
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    • pp.459-464
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    • 2013
  • Improving mental health and reducing the burden of mental illness are complementary strategies which, along with the treatment and rehabilitation of people with mental disorders, significantly improve population health and well-being. A Institute of Medicine report describes a range of interventions for mental disorders that included treatment and maintenance, reserving the term "prevention" for efforts that occur before onset of a diagnosable disorder. Mental health problems affect 10-20% of children and adolescents worldwide. Despite their relevance as a leading cause of health-related disability and their long lasting consequences, the mental health needs of children and adolescents are neglected. Early intervention can help reduce the significant impacts that children and adolescents with serious mental health problems may experience. Screening is the first step in early intervention, recognizing emotional and behavioral problems and providing help at an early stage. It is essential to implement early intervention in a sensitive and ethical manner to avoid any of the negative outcomes.

Correctional Officer's Mental Health Management and Promotion (교정공무원의 정신건강 관리와 예방)

  • Im, Hyuk;Lee, Hyo-Young;Kim, Hye-Sook
    • The Korean Journal of Health Service Management
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    • v.7 no.3
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    • pp.1-13
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    • 2013
  • This study is proposed to suggest the preventing methods for correctional officer's mental health problems. For this purpose, Delphi method was used and the study panel was composed of finally 10 people. Total Delphi process was performed for 4 times and six qualified researchers & skilled correctional officers participated in developing Delphi questionnaires. As the main results, major correctional officer's mental health problems are PTSD(post traumatic stress disorder), job stress, suicide witnessing, stress from violent accidents, and anger by related with their own work. All of these problems must need to be managed. Besides, the most effective preventing method for correctional officer's mental health problem is providing regular counsels & treatments with a psychiatrist or the fully qualified experts. The mental health promotion strategies for correctional officers must be settled for providing appropriate mental health services to them.

Problems & Mental Health Act from (정신보건의 역사적 변화선상에서 본 우리나라 정신보건법의 문제와 개선안)

  • Suh, Tong-Woo
    • 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.

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