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What Else Is Needed in the Korean Government’s Master Plan for People With Developmental Disabilities?

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On September 12, 2018, President Jae-In Moon announced the Comprehensive Plan for Lifelong Care for People with Developmental Disabilities, with representatives from the associated government branches (Ministry of Health and Welfare, Ministry of Education, and Ministry of Employment and Labor) in attendance. The goals of this plan are to provide health, medical, rehabilitative, special education, and social welfare services according to the life-stages of the affected individuals; to reduce parental pressure; to promote social interventions; and to enhance community-level participation in order to create a ‘welfare society in harmony.’ However, in order for the plan to succeed, additional efforts must be made in the following areas. First, an epidemiological survey is needed to understand the scale, prevalence, and incidence of developmental disabilities and to establish an evidence base to support policy development. Second, accurate definitions of developmental disabilities must be established in order to avoid policy discrimination based on impairment type and age. Third, personal evaluations to assess disabled individuals’ unmet needs and customized service designs to deliver those needs are required. Fourth, the plan must fulfill the goals of accessibility and fairness that the government intends to provide. Fifth, the government should consider an integrated financial support system and to propose a detailed plan for monetary distributions. Finally, an integrated system that links health, medical, employment, educational, and welfare services must be constructed.

Abstract

On September 12, 2018, President Jae-In Moon announced the Comprehensive Plan for Lifelong Care for People with Developmental Disabilities, with representatives from the associated government branches (Ministry of Health and Welfare, Ministry of Education, and Ministry of Employment and Labor) in attendance. The goals of this plan are to provide health, medical, rehabilitative, special education, and social welfare services according to the life-stages of the affected individuals; to reduce parental pressure; to promote social interventions; and to enhance community-level participation in order to create a ‘welfare society in harmony.’ However, in order for the plan to succeed, additional efforts must be made in the following areas. First, an epidemiological survey is needed to understand the scale, prevalence, and incidence of developmental disabilities and to establish an evidence base to support policy development. Second, accurate definitions of developmental disabilities must be established in order to avoid policy discrimination based on impairment type and age. Third, personal evaluations to assess disabled individuals’ unmet needs and customized service designs to deliver those needs are required. Fourth, the plan must fulfill the goals of accessibility and fairness that the government intends to provide. Fifth, the government should consider an integrated financial support system and to propose a detailed plan for monetary distributions. Finally, an integrated system that links health, medical, employment, educational, and welfare services must be constructed.

참고문헌 (10)

  1. "Announcement of comprehensive plans for lifelong care for people with developmental disabilities" (2018)[URL]
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  3. Leslie DL, "Medicaid waivers targeting children with autism spectrum disorder reduce the need for parents to stop working", Health Aff(Millwood), 36(2), pp.282~288 (2017)
  4. Buescher AV, "Costs of autism spectrum disorders in the United Kingdom and the United States", JAMA Pediatr, 168(8), pp.721~728 (2014)
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  7. Maglione M, "TRICARE applied behavior analysis(ABA)benefit : comparison with Medicaid and commercial benefits", Rand Health Q, 6(2), pp.10~ (2017)
  8. "Autism spectrum disorders (ASD): state of the states of services and supports for people with ASD" (2014)[URL]
  9. Velott DL, "Medicaid 1915(c)Home-and Community-Based Services waivers for children with autism spectrum disorder", Autism, 20(4), pp.473~482 (2016)
  10. 김민선, "Pediatric Deaths Attributed to Complex Chronic Conditions over 10 Years in Korea: Evidence for the Need to Provide Pediatric Palliative Care", Journal of Korean Medical Science, 33(1), pp.1~13 (2018), 대한의학회

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