The purpose of this study was to explore the meaning of work between Asian Americans and white Americans living with mental illness. Employment is important for recovery of Asian Americans with mental illness. However, little is known about reasons of low participation and completion rates on recovery and employment services for Asian Americans with mental illness. Although few studies have suggested that exploring cultural difference is a key to understand these issues, no study have explored how their culture influences a viewpoint on work. Therefore, a study to explore the meaning of work and influences of culture on work is required. This study used both quantitative and qualitative methods. An Internet version of world of work survey was developed based on results of study by Millner(2015) and cognitive interview. The survey was conducted from May to August 2015 and 91 people living with mental illness completed the survey. T-test was used for analyzing qualitative data and researchers analyzed qualitative data. Asian Americans showed higher preference for employment and have more difficulty at workplace and in receiving recovery and vocational services. The findings from this study can inform the development of recovery-oriented employment for people living with mental illness from diverse ethnic groups.
The purpose of this study was to investigate the effects of the regular Upright Body Type Excercise on posture, muscle strength of leg, lung capacity and depression of people with mental illness. The subjects of this study were recruited from B mental health center (5 years and more mental illness patients, n=19) located in P city. For the exercise group, They were carried out the Upright Body Type Excercise Program during 8 weeks (60 min/time, 3 times/week). They were randomly divided into two groups. Exercise group (n=10) and Control group (n=9). And also, they were agreed with consent forms before the experiments. Research results were as follows. Through the upper body type exercise, there was significantly difference in PEF and FEV1/FVC in the trained group. And also, there was much improved in depression level in the trained group. The change of melancholy feeling before and after the program was not statistically significant. However, because of limitations of sampling size due to the peculiarities of the program participants, in consideration of the limit of statistical validation exists clearly, intended to better understand the subjective experience of attendees, qualitative analyzing(qualitative research) was carried out in parallel. It was conducted a deep interview only person accepted among program participants, thematic analysis, subject analysis tasks to be subdivided by classifying by considering the semantic units of what participants expressed, was thus carried out. It found that the degree of melancholy feeling of mental disorders who participated in the Upright Body Typed Exercise Program was reduced. The course of the experience of change in depression appered the three subjects and six sub-themes such as "the start of the change", "interest of the program", "recognition of the need of the body’s health", "physical health promotion", "recovery of physical function", "negative change of habits (attitude)", "reduction of sense of depression", "confidence that it is possible to", "hope for the future". Therefore, upper body type exercise is much helpful in lung capacity and mental health of people with mental illness. So, this type of exercise mostly needed in the people with mental illness group than the other group for the quality of life.
Purpose: As the daily life experiences of community-dwelling people with mental disabilities are closely correlated to mental health recovery, this study aimed to analyze their daily life experiences in depth to determine their significance. Method: Participants included eight community-dwelling people with mental disabilities. A total of 12 in-depth interviews were conducted once or twice per participant. The collected data were analyzed using the phenomenological analysis method described by Giorgi. Results: The daily life experiences of community-dwelling people with mental disabilities were categorized into the following four components: "encountering shocking reality in the outside world", "life tied down by the mental illness", "happiness and gratefulness encountered in daily life", and "wishing for a change and self-sustaining life". Conclusion: This study found that the recovery and welfare of community-dwelling people with mental disabilities were promoted and that these patients made necessary efforts to become a member of the local community. These findings could be used as a reference for establishing social welfare policies which enable people with mental disabilities to participate as functioning members of the community that facilitate the prevention of relapse, to promote their integration into the community. Furthermore, the present results will contribute to the development of nursing intervention programs to promote recovery and prevent relapse, to ultimately establish a mental health management system.
Purpose: The purpose of this study was to evaluate the service satisfaction for families who have someone with mental illness, and are using community mental health centers in Gyeonggi Province. Methods: The participants in this study were 796 family members. Data were collected using Family satisfaction survey questionnaire developed by the author (23 items on family service and 15 items on client service). Results: The total satisfaction level for the service with family and client resulted in above average scores. Of the 23 service items, data showed the highest level of satisfaction was with professional skills and attitude, and day rehabilitation programs, and the lowest for professional activities for advocacy and social welfare benefits, emergency & crisis intervention, medical expense subsidies. Of the 15 service items, job and housing related service had the lowest level of satisfaction. Conclusion: It is recommended that psychiatric emergency & crisis intervention programs and system development be accelerated. Also, there is a need to develop medical expense subsidy programs for older family caregivers, job and housing focused rehabilitation programs and community facilities for the client, as well as more active and powerful professional advocate activities for persons who have mental disabilities and their families.
The purpose of this study was to examine the perceptions of vocational rehabilitation practitioners in mental rehabilitation facilities related to their services, then it was intended to suggest the strategic plans for the services. To this purpose, data related to vocational rehabilitation services provided by mental rehabilitation facilities were collected, and a focus group interview(FGI) was conducted for the practitioners in charge of vocational rehabilitation services. And this data was analyzed to results. The research results are as follows. First, the related manuals and guidelines should be created to clarity the role and function of the facilities, that is the detailed standards are necessary for the workers participating in vocational rehabilitation services. Second, they expect that people with mental illness must be treated equally with other people with disabilities and the vocational rehabilitation services should be supported according to their disability characteristics. Based on the results of these studies, specific strategic plans for vocational rehabilitation services were suggested.
This study aimed to investigate the differences of perceived stigma, psychological empowerment, job satisfaction according to the working hours by latent means analysis(LMA). To get the results, a survey was conducted, targeting employed people with mental illness. Key outcomes of the analysis were as follows. First, it was verified that perceived stigma and job satisfaction, psychological empowerment had statistically meaningful direct relationships. Second, it was analyzed that psychological empowerment had a partial mediating effect in the relationship between perceived stigma and job satisfaction. Third, according to LMA, full-time group showed higher latent mean values on the perceived stigma and lower latent mean values on the job satisfaction. However, part-time group showed lower latent mean values on the psychological empowerment. Based in these results, comprehensive interventions for activating job satisfaction were proposed.
This study conducted a meta-analysis to examine syntagmatically on the variables related with recovery among persons with mental illness in Korea. In order to do a meta-analysis, theses and dissertations published between 1999 and 2018 in Korea were reviewed systematically and a total of 24 including studies were selected. Using Comprehensive Meta Analysis (CMA) 3.0 software, this study calculated average effect size and moderator variables related with recovery among persons with mental illness. Results were as follows. First, this study identified a total of 16 variables related with recovery among persons with mental illness. Second, the results indicated that variables which showed large effect sizes included social support(r=.575), empowerment(r=.555), self-efficacy(r=.544), social skill(r=.500), relationship with social worker(r=.482), stigma(r=-.446), family support(r=.418). Third, variables with medium effect sizes included interpersonal relationship capacity (r=.391), agency service satisfaction(r=.366), insight(r=.373) and symptom(r=-.239). Fourth, variables with small effect sizes included work experience(r=.188). Fifth, moderator analyses were conducted utilizing characteristics of residence state (community or mental hospital). Moderator effects were identified in the social support and family support. Based on the findings, theoretical and clinical implications for the recovery among persons with mental illness in Korea were discussed.
Purpose: This study was conducted to explore the mediating effects of internalized stigma on the relationship between hospitalization stress and quality of life among patients with mental illness in closed wards. Methods: A cross-sectional study design was employed. The participants were 141 hospitalized patients with mental illness in the closed wards of K university hospital and Y psychiatric hospital in Korea. Data were collected using self-report questionnaires including hospitalization stress, internalized stigma and quality of life. Data were analyzed using SPSS 21.0 and AMOS 21.0 programs and the mediating effects were examined by the method suggested by Baron and Kenny. Results: There was a significant correlation between hospitalization stress, internalized stigma and quality of life of psychiatric patients. In addition, internalized stigma was found to have a partial mediating effect on the relationship between hospitalization stress and quality of life. Conclusion: The results suggest that the internalized stigma plays an important role in improving the quality of life of the people with mental illness in a closed unit. Therefore, it is necessary to develop a program focusing on internalized stigma for improving the quality of life in hospitalized patients in a closed unit.
Seol, Ga Ae;Yun, Suk Young;Choi, Byung Jin;Jang, Hyun Hee
Journal of the Korean Society of Floral Art and Design
/
no.43
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pp.57-79
/
2020
The purpose of this study was to investigate the effects of emotion and EEG of people with mental illness by vocational rehabilitation program based on horticultural therapy. The subjects of the study were three people with mental illness who were training in a vocational rehabilitation team at a health center located in G city, Gyeongsangbuk-do. The result of this study, positive affect increased and negative affect decreased. The result of EEG inspection was increased 17.27% on pre test to 21.39% on post test for Theta wave and 39.66% on pre test to 49.02% on post test for Alpha wave in case of subject A. Also Beta wave was decreased 27.53% on pre test to 17.54% on post test. Subject B increased Alpha wave 29.70% on pre to 31.82% on post. Subject C increased Alpha wave 26.30% on pre to 49.42% on post. Beta wave decreased 29.85% on pre to 16.13% on post. Theta wave, when creatively idea or thought occurs, alpha wave when safety and focusing was increased and beta wave when stress, tension and anxiety was decreased. As a result of profits analysis, subject A spent cost a total of 101,700 won for material and achieve profits of 203,400 won by setting a sales price. Therefore, gain the 101,700 won of net revenue. Subject B spent cost a total of 81,000 won for material and achieve profits of 162,000 won by setting a sales price. Therefore, gain the 81,000 won of net revenue. Subject C spent cost a total of 56,200 won for material and achieve profits of 112,400 won by setting a sales price. Therefore, gain the 56,200 won of net revenue.
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.
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