장애인복지시설 서비스 환경과 긍정적 돌봄의 관계 -발달장애인의 도전적 행동에 대한 지원을 중심으로-
The Effects of support environment in service agencies on the challenging behavior support for people with developmental disabilities
0
조회
0
다운로드
17
인용
0
참고문헌
키워드
초록
이 연구는 발달장애인의 도전적 행동에 대한 장애인복지시설의 서비스 환경과 종사자의 긍정적 돌봄의 관계를 살펴보고자 한 것이다. 이를 위해 경기도 장애인복지시설 종사자들을 대상으로 서베이를 실시하였고, 다중회귀분석을 통해 그 상대적 영향력을 분석하였다. 연구결과, 장애인복시설 종사자들의 긍정적 돌봄 실태는 3점(4점 만점)으로 나타났다. 또한 서비스 환경은 각 하위요인별로 살펴보면, 물리적 환경 2.98점(4점 만점), 대인간 환경 2.96점(4점 만점), 프로그램 환경 2.57점(4점 만점)으로 나타나서 프로그램 환경에 대한 종사자의 인식이 상대적으로 낮음을 알 수 있었다. 긍정적 돌봄에 대한 서비스 환경의 영향은 모든 하위요인에서 통계적으로 유의미한 결과로 나타났으며, 특히 이용자와의 의사소통과 관계로 구성된 대인적 환경의 영향이 가장 큰 것으로 나타났다. 이를 기초로, 이 연구는 장애인복지시설 종사자들의 긍정적 돌봄을 향상시킬 수 있는 서비스 환경의 중요성을 확인하고 강조하고 있으며, 사회복지적 함의를 논의하고 있다.
Abstract
The study amis to investigate the positive care by service workers and support environment in agencies for people with developmental disabilities who displaying challenging behavior and examine the effects of support environmental factors on positive care. For this purpose, the survey was conducted to service workers in agencies for people with developmental disabilities in Gyeonggi-Do and a total of 260 questionnaire responses were analysed for multiple regression analysis using SPSS 23.0. The results presented that the measurement of positive care for people with developmental disabilities who displaying challenging behavior in service agencies was 3 point using 4-point scale. Moreover, the results identified that the effects of support environment on positive care were significant. Among the sub variables of support environment, the effects of interpersonal environment were greatest and those of physical environment were smallest. Based on these findings, the implication are suggested that the design of support environment is important to improve positive care and discussed the supporting policies for environmental intervention in practice.
참고문헌 (27)
- 김고은, "발달장애인복지론" (2014), EM커뮤니티
- 시설이용자의 도전적 행동에 대한 개별화 조치계획 방안, "김미옥", 한국장애인복지시설협회․전북대학교, ~ (2014)
- 시설이용자의 도전적 행동에 대한 개인별 지원계획 방안, "김미옥", 한국장애인복지시설협회․전북대학교, ~ (2015)
- 김미옥, "발달장애인의 도전적 행동 지원에 관한쟁점과 전망", 비판사회정책, (56), pp.59~94 (2017), 비판과 대안을 위한 사회복지학회[DOI]
- 발달장애인의 도전적 행동 지원을 위한 교육과정 및 교재 개발, "김미옥", 경기도장애인복지종합지원센터, ~ (2017)
- 장애인거주시설 발달장애인의 도전적행동 지원을 위한 교육프로그램 개발 연구, "김미옥", 청록원․아산사회복지재단, ~
- 서비스 최저기준 적용 매뉴얼5: 신체적 개입, "김용득", 한국장애인복지시설협회·성공회대학교사회복지연구소, ~ (2011)
- British Institute of Learning Disabilities, "Code of practice for minimising the use of restrictive physical interventions: Planning, developing and delivering training" (2014), BILD
- Bradshaw, J., "Challenging Behaviour and People with Learning Disabilities: A handbook", pp.49~56 (2013), Pavilion
- Brower, F., "100 Ideas for supporting pupils on the autistic spectrum" (2011), Bloomsbury Publish
- Bush, A., "Challenging Behaviour and People with Learning D isabilities: A handbook", pp.21~28 (2013), Pavilion
- Cronin, P., "Challenging Behaviour and People with Learning Disabilities: A handbook", pp.119~120 (2013), Pavilion
- Department of Health, "Services for people with learning disabilities and challenging behaviour or mental health needs", ~ (2007)
- Department of Health, "Positive and Proactive Care: reducing the need for restrictive interventions", ~ (2014)
- Dwyer, J., "Challenging Behaviour and People with Learning Disabilities: A handbook", pp.83~90 (2013), Pavilion
- Emerson, E., "Challenging Behaviour: Analysis and Intervention in People with Intellectual Disabilities" (1995), Cambridge University Press
- Emerson, E., "Challenging Behaviour" (2014), Cambridge University Press
- Kabot, S., "Setting up Classroom Spaces that Supports Students with Autism Spectrum Disorders" (2010), AAPC
- La Vigna, G., "Multi element model for breaking the barrieres to social and community integration", Tizard Learning Disability Review, 10(2), pp.16~23 (2005)
- McGill, P., "Interventions and supports for people with learning disabilities and challenging behaviours", Workshop 1 of 4 Learning Disability Services Series (2014)
- National Institute for Health and Care Excellence, "Challenging behaviour and learning disabilities: prevention and interventions for people with learning disabilities whose behaviour challenges", Nice guideline 11, ~ (2015)
- Parris, A., "Challenging Behaviour and People with Learning Disabilities: A handbook", pp.29~48 (2013), Pavilion
- Royal College of Psychiatrists, "Challenging behaviour: a unified approach", ~ (2007)
- Royal College of Psychiatrists, "Challenging behaviour: a unified approach – update", ~ (2016)
- Skills for Care, "A positive and proactive workforce. A guide to workforce development for commissioners and employers seeking to minimise the use of restrictive practices in social care and health", ~ (2014)
- US California Department of Education, "Direct Support Professional Training Year1: Student Resource guide", S20~S23 (2016)
- Woodward, P., "Challenging Behaviour and People with Learning Disabilities: A handbook", pp.21~28 (2013), Pavilion