정신보건사회복지사 포커스집단면접을 통한 정신보건서비스 전달체계에 대한 인식 조사
A Study of the Current State of the Mental Health Service Delivery System Using the Focused-Group Interview
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ObjectivesZZTo use focus-group interviews (FGI) to determine the current state of the Korean mental health service delivery system, inter-agency patient links, and identify associated problems. MethodsZZThe FGI were conducted by seven workers from psychiatric rehabilitation centers and community mental health centers and seven social workers from mental health hospitals. ResultsZZWithin the mental health service delivery system, disconnection of the community network after discharge is considered a serious problem. The following improvement proposals are suggested : 1) the control tower should govern the community network after discharge, 2) consider insurance costs during activation of hospital links, and 3) expand information sharing related to community social facilities. With regard to non-voluntary admission and long-term hospitalization, most focus group members considered the revolving-door phenomenon to be more serious than non-voluntary admission. In order to prevent unnecessary long-term hospitalization, the FGI results indicated that the government should proactively intervene in the admission/discharge process. In addition, the following improvement proposals were suggested : 1) functional activation of the mental health review board via the reinforcement of workers’ expertise, 2) expansion of local mental health centers, and 3) undertake institutional changes related to the family-related issue of preferring hospitalization over a stay at a secure facility. ConclusionZZFor the government to improve the efficiency of the mental health service delivery system, it is necessary to improve institutional linkages, expand mental health infrastructure, and develop an integrated management system.
Abstract
ObjectivesZZTo use focus-group interviews (FGI) to determine the current state of the Korean mental health service delivery system, inter-agency patient links, and identify associated problems. MethodsZZThe FGI were conducted by seven workers from psychiatric rehabilitation centers and community mental health centers and seven social workers from mental health hospitals. ResultsZZWithin the mental health service delivery system, disconnection of the community network after discharge is considered a serious problem. The following improvement proposals are suggested : 1) the control tower should govern the community network after discharge, 2) consider insurance costs during activation of hospital links, and 3) expand information sharing related to community social facilities. With regard to non-voluntary admission and long-term hospitalization, most focus group members considered the revolving-door phenomenon to be more serious than non-voluntary admission. In order to prevent unnecessary long-term hospitalization, the FGI results indicated that the government should proactively intervene in the admission/discharge process. In addition, the following improvement proposals were suggested : 1) functional activation of the mental health review board via the reinforcement of workers’ expertise, 2) expansion of local mental health centers, and 3) undertake institutional changes related to the family-related issue of preferring hospitalization over a stay at a secure facility. ConclusionZZFor the government to improve the efficiency of the mental health service delivery system, it is necessary to improve institutional linkages, expand mental health infrastructure, and develop an integrated management system.
참고문헌 (15)
- Simmonds S, "Community mental health team management in severe mental illness: a systematic review", Br J Psychiatry, 178, pp.497~502 (2001)
- Study on the program and profiles of patients in mental health facilities in Korea, "Suh DW", Korea Institute for Health and Social Affairs, ~ (1999)
- The structural causes and maintenance factors affecting long-term hospitalization of the mentally ill, "Pack JI", Korea National Human Rights Commission of Korea, ~ (2008)
- 2014 Annual Report The National Mental Health Commission, "The National Mental Health Commission", The National Mental Health Commission, ~ (2014)
- Promoting mental health: concepts, emerging evidence, practice: a report of the World Health Organization, Department of mental Health and Substance Abuse in collaboration with the Victorian Health Promotion Foundation and the University of Melbourne, "Herrman H", World Health Organization, ~ (2005)
- 이명수, "정신보건심판위원회 퇴원명령 대상자 추적조사", 신경정신의학, 48(1), pp.42~47 (2009), 대한신경정신의학회
- Survey of perform status of Municipal Mental Health Service, "Bae JK", National Human Rights Commission of Korea, ~ (2009)
- Kim MK, "Division of roles and referral strategies in the community mental health service delivery system", Korea Academy of Mental Health Social Work Conference (2003)
- Lee K, "A study on current linking status of community mental health organizations", pp.2004
- Patton MQ, "Qualitative research and evaluation methods" (2002), Sage Publication
- 김연희, "미국 공적 정신보건서비스 관리의료체계가 한국의 정신보건 서비스 전달체계 개선에 갖는 함의", 사회복지연구, (28), pp.69~103 (2005), 한국사회복지연구회
- National Human Rights Commission of Korea: Case Management and Development of Advanced Model for Improvement of Human Rights of The Mentally Ill, "Hong S", National Human Rights Commission of Korea, ~ (2009)
- Choi HM, "A Study on the National Mental Health Strategy in Australia", Ment Health Soc Work, 12, pp.75~92 (2001)
- Report on the Seoul Mental Health Center 4-year-plan (2005-2008), "Seoul Mental Health Center", Seoul Mental Health Center, ~ (2008)
- 홍진표, "정신보건법의 주요 쟁점 조항에 대한 선진국과의 사례 비교", 신경정신의학, 48(2), pp.92~101 (2009), 대한신경정신의학회