국내 재난정신건강지원의 현재 한계 및 향후 개선을위한 실무자들의 경험 조사
Quantitative Analysis of Providers’ Experiences in the Disaster Behavioral Health Services of South Korea
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ObjectivesZZThis study was conducted to quantify the six dimensions of obstacles to disaster behavioral health (DBH), which was explored through the previous Qualitative Content Analysis of field workers’ experiences after the Sewol Ferry accident and to determine the preference and significance of the details of every dimension. MethodsZZBased on the six dimensions and their details, structured questionnaires were devised. The field workers as DBH service providers were requested to choose not only the most urgent item but also the reason for their choice. For the statistical analysis, the field workers were grouped by age, employment period, place of employment, occupation, mental health professional certificate, and experience and education of DBH interventions. Differences of the groups were analyzed using chi-square test. ResultsZZThe questionnaires were distributed to 284 field workers for DBH, and a total of 79 usable questionnaires were collected and analyzed. Out of six dimensions, 43% of the field workers primarily suffered from difficulties in vertical relations of the administration system. Vague policy on DBH was the most challenging in difficulties in vertical relations of administration system (32.9%). The details of the other 5 dimensions were also discovered. Several significant differences were identified among groups according to the structured questionnaires. ConclusionZZThis study identifies the six dimensions and their significance as obstacles to DBH services. It may make a contribution to improving laws and systems when deciding on related policies and sorting out urgent problems.
Abstract
ObjectivesZZThis study was conducted to quantify the six dimensions of obstacles to disaster behavioral health (DBH), which was explored through the previous Qualitative Content Analysis of field workers’ experiences after the Sewol Ferry accident and to determine the preference and significance of the details of every dimension. MethodsZZBased on the six dimensions and their details, structured questionnaires were devised. The field workers as DBH service providers were requested to choose not only the most urgent item but also the reason for their choice. For the statistical analysis, the field workers were grouped by age, employment period, place of employment, occupation, mental health professional certificate, and experience and education of DBH interventions. Differences of the groups were analyzed using chi-square test. ResultsZZThe questionnaires were distributed to 284 field workers for DBH, and a total of 79 usable questionnaires were collected and analyzed. Out of six dimensions, 43% of the field workers primarily suffered from difficulties in vertical relations of the administration system. Vague policy on DBH was the most challenging in difficulties in vertical relations of administration system (32.9%). The details of the other 5 dimensions were also discovered. Several significant differences were identified among groups according to the structured questionnaires. ConclusionZZThis study identifies the six dimensions and their significance as obstacles to DBH services. It may make a contribution to improving laws and systems when deciding on related policies and sorting out urgent problems.
참고문헌 (24)
- 하규만, "한국의 재난대응체계의 바람직한 개선방향 연구 -미국․일본․한국의 국가재난대응체계의 비교분석을 중심으로-", 한국비교정부학보, 15(1), pp.209~232 (2011), 한국비교정부학회
- 최남희, "재난 피해자 사후 지원: 재난 피해자의 사회 복귀", Crisisonomy, 2(2), pp.1~18 (2006), 위기관리 이론과 실천
- 이은애, "한국의 재해구호서비스 효율화 방안", Crisisonomy, 3(2), pp.69~81 (2007), 위기관리 이론과 실천
- Zhang G, "Psychiatric disorders after terrorist bombings among rescue workers and bombing survivors in Nairobi and rescue workers in Oklahoma City", Ann Clin Psychiatry, 28, pp.22~30 (2016)
- Boe HJ, "Mental health outcomes and predictors of chronic disorders after the North Sea oil rig disaster: 27-year longitudinal follow-up study", J Nerv Ment Dis, 199, pp.49~54 (2011)
- Jacobs GA, "The development of a national plan for disaster mental health", Prof Psychol Res Pract, 26, pp.543~549 (1995)
- Dass-Brailsford P, "Crisis and disaster counseling: lessons learned from hurricane katrina and other disasters" (2010), SAGE Publications
- "Development the model and the operating system for national mental health trauma center (tentatively named)" (2014)[URL]
- Ji JG, "A study on the post-traumatic stress disorder of the bereaved families of subway conflagration in Daegu", Korean J East West Sci, 11, pp.97~112 (2008)
- Lee SH, "Sewol ferry 100th day: Ansan trauma center has a long way forward", NEWSIS, ~ (2014)
- Lee YE, "Sewol special committee “Why didn’t government establish disaster behavioral health services system?”", Inews24, ~ (2014)
- 백종우, "세월호 사고 직후 대한정신건강재단 재난정신건강위원회의 초기 지원과 대한신경정신의학회 회원들의 자원 봉사 활동", 신경정신의학, 54(1), pp.1~5 (2015), 대한신경정신의학회[DOI]
- Cohen RE, "Mental health services for victims of disasters", World Psychiatry, 1, pp.149~152 (2002)
- 이나빈, "세월호 참사 후 재난심리지원 실무자들의 경험을 통해 본 국내 재난심리지원체계의 한계 및 개선방안", 정신보건과 사회사업, 43(4), pp.116~144 (2015), 한국정신보건사회복지학회
- Park JE, "Mental health management system of community and government in disaster", Ment Health Policy Forum, 5, pp.22~38 (2011)
- Park MO, "Disaster behavioral health services system need to introduce a psychiatric emergency interventions", Medical Today (2014)
- Kukinews, "Problems of excessive complex reporting system when disaster occurs", Kukinews, ~ (2014)
- Han DS, "It’s time for government and society to smooth over the hurts between victims and survivors of disaster", Kihoilbo, ~ (2015)
- Seo MJ, "A failure of disaster behavioral health services in Sewol ferry accident, we need a long-term approach", Medical Observer, ~ (2014)
- 오미애, "일본의 재난정신건강서비스체계 고찰", 신경정신의학, 54(1), pp.6~10 (2015), 대한신경정신의학회[DOI]
- Choi BK, "Is Chung-buk safe? Total failure of disaster management system", Chungbukilbo, ~ (2014)
- Ministry of Health and Welfare, "Bureau of Health Policy, Division of Mental Policy", pp.68~75 (2015), Iemun Inc
- 이동훈, "재난정신건강에 대한 국내 연구동향 분석", 재활심리연구, 22(1), pp.41~58 (2015), 한국재활심리학회
- Jung HW, "At the first anniversary of Sewol ferry accident, stand at the crossroad between the distrust and the low confidence of society", Hankooki, ~ (2015)