정신장애인의 COVID-19 시기 자립생활에 대한 질적연구
A Qualitative Study on Independent Living of Individuals with Mental Disorders during the COVID-19 Pandemic
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본 연구의 목적은 지역사회에서 자립생활을 하는 정신장애인이 COVID-19를 경험하면서 위기가 자립생활에 어떤 영향을 미쳤는지 탐색하는 데 있다. 지역사회에서 자립생활을 유지하고 있는 정신장애인 10명을대상으로 면접하였으며, 분석한 결과, ‘내가 생각하는 자립의 의미’, ‘자립을 위한 필요조건’, ‘COVID-19가자립생활에 미친 영향’, ‘COVID-19 위기에 대한 적응과 대처’의 네 가지 주요 주제를 확인하였다. 이를바탕으로 세 가지 방안을 제안했다. 첫째, 정신장애인이 비장애인들과 함께 일상생활을 공유할 수 있는기회가 지역사회 안에서 더욱 다양하게 구축되어야 한다. 둘째, 정신장애인의 자립생활을 위한 사회적지지체계로 가족, 동료지원가, 지역주민, 전문가 등을 대상으로 정신장애에 대한 이해를 높일 수 있는교육과 지원을 확대해야 한다. 마지막으로 정신장애인이 COVID-19와 같은 전염병 위기 상황뿐만 아니라재발, 가족 갈등 등 일상에서 경험할 수 있는 위기들에 대처하고 자립생활에 활용될 수 있도록 다양한서비스 방식을 구축 및 재정비하는 것이 필요하다.
Abstract
The purpose of this study is to investigate the impact of the covid-19 crisis of people with mental disabilities who were living independently. We interviewed with 10 people with mental disabilities who were living independently. As a result, four major themes were identified: ‘What I think of independence’, ‘The Necessary Conditions for independence’, ‘The impact of covid-19 on independent living’, and ‘Adaptation and coping with the covid-19 crisis’. Based on these, three suggestions were made. First, it is necessary to provide opportunities for mentally disabled individuals to engage in shared activities with non-disabled people. Second, Education and support should be expanded to enhance understanding of mental disorders for families, peer supporters, local residents, and experts. Lastly, It is necessary to establish and reorganize various service methods so that they can cope with not only infectious diseases crises such as covid-19, but also crises that people with mental disabilities may experience in their daily lives, such as relapse and family conflict, and can be used for independent living.
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