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정신의료기관 보호실 대상 해외 가이드라인 비교분석 연구

Comparative Analysis of Overseas Guidelines for Seclusion Room of Psychiatric Facilities

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주제분류건축공학

초록

Purpose: Seclusion room in a psychiatric facility limit the body and space for treatment or protection, so controversy over human rights violations arises despite their necessity. The seclusion room should be created as an environment that can promote the recovery and healing of patients, not the purpose of managing patients. while ensuring the safety of medical staff. Therefore, the purpose of this study is to compare and analyze the standards of overseas guidelines for the seclusion room in psychiatric facility, and through this, it is intended to contribute to the improvement of facility standards for seclusion rooms in Korea, which are at a very insufficient level. Method: This study takes the method of comparative analysis through literature review. We analyze the facility standards of seclusion room in Korea, and compare and analyze guidelines for seclusion rooms in Australia, US, UK, and Canada. Result: As a result, the elements of the guideline for seclusion room were classified into size, space, opening, furniture and equipment, and etc. The results of comparative analysis of details are presented. Implications: Korea should also prepare guidelines for psychiatric institutions, and among them, the standards for seclusion room, which are at the center of controversy over human rights violations, should be reviewed in depth.

Abstract

Purpose: Seclusion room in a psychiatric facility limit the body and space for treatment or protection, so controversy over human rights violations arises despite their necessity. The seclusion room should be created as an environment that can promote the recovery and healing of patients, not the purpose of managing patients. while ensuring the safety of medical staff. Therefore, the purpose of this study is to compare and analyze the standards of overseas guidelines for the seclusion room in psychiatric facility, and through this, it is intended to contribute to the improvement of facility standards for seclusion rooms in Korea, which are at a very insufficient level. Method: This study takes the method of comparative analysis through literature review. We analyze the facility standards of seclusion room in Korea, and compare and analyze guidelines for seclusion rooms in Australia, US, UK, and Canada. Result: As a result, the elements of the guideline for seclusion room were classified into size, space, opening, furniture and equipment, and etc. The results of comparative analysis of details are presented. Implications: Korea should also prepare guidelines for psychiatric institutions, and among them, the standards for seclusion room, which are at the center of controversy over human rights violations, should be reviewed in depth.

참고문헌 (9)

  1. 국가인권위원회, "인권위, 정신의료기관 격리‧강박 조치 관련법개정 등 권고", 국가인권위원회 보도자료, ~ (2016)
  2. 김숙자, "정신질환자의 격리 및 강박에 대한 환자와 간호사의 지각", 석사, 간호학, pp.2007
  3. 정신건강증진시설 환경개선 연구, "보건복지부", ~ (2021)
  4. 보건복지부, "정신건강사업 안내", ~ (2022)
  5. 보건복지부, "4주기 정신의료기관 평가기준–정신병원 및 병원급 의료기관에 설치된 정신건강의학과", ~ (2021)
  6. 보건복지부, "4주기 정신의료기관 평가기준–정신건강의학과의원", ~ (2021)
  7. 여소연, "환자경험에 기반한 정신의료기관 환경디자인 이슈 및 주요 공간 개선방안 연구", 한국의료복지건축학회춘계학술발표대회 (2023)
  8. 이승지, "주요 국가별 보건의료시설 가이드라인의 체계 비교 및 시사점 연구 - 미국, 호주, 영국을 중심으로", 의료·복지 건축, 26(3), pp.27~35 (2020), 한국의료복지건축학회[DOI]
  9. 지수인, "정신건강의학과 급성기 병동 공간계획을 위한 국외 가이드라인에 관한 연구", 의료·복지 건축, 29(1), pp.53~62 (2023), 한국의료복지건축학회

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