본문 바로가기
KERD
논문KCI 등재

정신장애인의 지원교육 프로그램 개발을 위한 욕구 조사

A Needs Assessment Survey for Developing Supported Education Program of People with Psychiatric Disabilities

김상희
한국장애인고용공단 고용개발원 (Korea Employment Agency for the Disabled / Employment Development Institute)|2010.11|장애와 고용 (Disability & Employment)|제20권 제4호|pp. 149-181|DOI 10.15707/disem.2010.20.4.007

0

조회

0

다운로드

1

인용

0

참고문헌

키워드

정신장애욕구조사needs assessment고등교육지원교육심리사회적 재활psychiatric disabilitiespostsecondary educationsupported educationpsychosocial rehabilitation

초록

본 연구는 정신장애인 지원교육 프로그램 개발을 위한 기초연구로 프로그램의 잠재적 수요자인 지역사회 정신보건기관 이용자(N=340)를 대상으로 고등교육 지원에 대한 욕구조사를 실시하였다. 이용자의 과반수는 평균 37세의 정신분열병 진단을 받은 고졸 이상 학력의 남성으로 지역사회 거주 정신장애인의 전형적인 프로파일과 일치하였다. 조사결과를 토대로 연구자는 다음과 같은 결론에 도달하였다. 첫째, 정신장애인을 자기결정이 어려운 클라이언트로 보는 일반적 인식과 달리, 정신장애인은 학업재개의 결정권자가 당사자이거나 가족친지이어야 한다고 생각하였고 전문가나 동료라는 인식은 소수에 지나지 않았다. 둘째, 교과과정은 직업과 밀접히 연관된 것이어야 하고 당사자의 관심을 충분히 반영한 것이어야 하며 학업적 부담은 일반 대학생보다 적어야 한다. 셋째, 장애 노출에 대해서는 절반 정도만 긍정적이었던 반면 장애 노출의 위험성이 있는 지원서비스에 대해서는 적극 수용하려는 의지를 보였다. 넷째 고등교육 장면에서 정신장애인에게 제공될 지원과 서비스는 종합적이어야 하고 그 중 정신보건서비스 전달체계 구축과 학자금 지원이 가장 중요하였다. 다섯째, 기존 심리사회적 프로그램에 대한 이용자의 만족도를 알아보고자 하는 경우, 폐쇄형의 직접적인 질문보다는 개방형의 간접적인 질문들을 이용하는 것이 더 효과적이다. 마지막으로, 이러한 결론을 토대로 후속 연구과제와 연구의 한계점을 논의하였다.

Abstract

The current study surveyed community-based mental health service utilizers (N=340) to assess their needs for accommodations and supportive services in higher educational setting. Based on the gained results, the author reached the following conclusions: First, participants considered mainly themselves as decision-makers of going to or returning to college, which was in contrast with general public's perceptions of viewing persons with psychiatric disabilities as incompetents. Second, the curriculum of supported education for them should be directed towards a clear vocational goal and reflect their interests and preferences. Also, academic loads for students with psychiatric disabilities should be adjusted as lighter than for general college students. Third, whereas participants were conditionally positive about disclosing their disability, they were very willing to accept supportive services to be provided only for disability-registerers, despite being at risk of disclosing their own disability. Fourth, supported educational services should be comprehensive with building up mental health service delivery systems and financial supports as the foremost. Fifth, open-ended and indirect questioning is more effective than closed-ended and direct questioning when you attempts to evaluate service utilizers' satisfaction level with traditional psychosocial programs. Finally, study limitations and suggestions for future study were discussed.

참고문헌 (71)

  1. 김상희, "정신장애인의 직업재활과정: 증상과 직업성과 간에 관계를 중심으로", 박사, pp.2006
  2. 김상희, "정신의학적 증상과 직업수행에 대한 직장편의의 조절효과", 한국심리학회지:일반, 27(2), pp.443~468 (2008), 한국심리학회
  3. 김상희, "정신장애인의 지원교육 성과연구 개관: 선행연구를 중심으로", 장애와 고용, 20(2), pp.235~268 (2010), 한국장애인고용공단 고용개발원
  4. 김상희, "정신장애인 지원교육의 의미와 필요성", 직업재활연구, 19(3), pp.5~29 (2009), 한국직업재활학회
  5. 김상희, "정신장애인을 위한 직장편의", 한국심리학회지:일반, 24(1), pp.1~22 (2005), 한국심리학회
  6. 2008년 장애인 실태조사, "변용찬", 한국보건사회연구원, ~ (2009)
  7. 이동훈, "Academic and Personal Stress Patterns of College Students: Developing Campus-wide Stress Management Interventions", 상담학연구, 7(4), pp.1071~1091 (2006), 한국상담학회
  8. 정신장애인의 적합직종 개발연구, "이성규", 직업안정연구원 연구보고서, ~ (2000)
  9. 한주연, "부적응적 완벽주의와 우울과의 관계성에 대한 연구 고찰", 심리치료, 9(2), pp.19~36 (2009)
  10. 황성철, "사회복지 프로그램 개발과 평가" (2008), 공동체
  11. Arnstein, R., "Mental Health on the campus revisited", Journal of American College Health, 43(6), pp.248~251 (1995)
  12. Astin, A., "Student involvement: A developmental theory of higher education", Journal of College Student Personnel, 25(4), pp.297~308 (1984)
  13. Axelrod, S., "Factors associated with better compliance with psychiatric aftercare", Hospital and Community Psychiatry, 40, pp.397~401 (1989)
  14. Bank, B., "Effects of peer, faculty, and parental influences on students' persistence", Sociology of Education, 63, pp.208~225 (1990)
  15. Bean, J., "The application of a model of turnover in work organization to the student attrition process", Review ofHigher Education, 6(2), pp.129~148 (1983)
  16. Beiser, M., "Establishing the onset of psychotic illness", American Journal of Psychiatry, 150(9), pp.1349~1354 (1993)
  17. Beratis, S., "Age at onset in subtypes of schizophrenic disorders", Schizophrenia Bulletin, 20(2), pp.287~296 (1994)
  18. Black, D., "Psychotic symptoms and age of onset in affective disorders", Psychopathology, 25(1), pp.19~22 (1992)
  19. Brockelman, K. F., "Exploring relationships among self-determination, GPA, and use of mental health among university students", 박사, pp.2007
  20. Collins, K. D., "Academic accommodations for students with cognitive and psychiatric disabilities: What works and why", Seminar presented for the Department of Special Education and the Higher Education Collaborative at the University of Illinois at Urbana-Champaign (2007)
  21. Collins, M., "Higher education and psychiatric disabilities: National survey of campus disability services", American Journal of Orthopsychiatry, 75, pp.304~315 (2005)
  22. Cook, J. A., "Field-testing a postsecondary faculty in-service training for working with students who have psychiatric disabilities", Psychosocial Rehabilitation Journal, 17, pp.157~169 (1993)
  23. Erickson-Cornish, J., "Perceived distress in university counseling center clients across a six-year period", Journal of College Student Development, 41(1), pp.104~109 (2000)
  24. Eudaly, J., "A rising tide: Students with psychiatric disabilities seek services in record numbers", Information from Health, pp.1~4 (2003)
  25. Ford, W. D., "정신장애인을 위한 지원고용: 선택, 자원, 전략의 실제" (1995), 도서출판 정신재활
  26. Fox, R., "Application of a conceptual model of college withdrawal to disadvantaged students", American Educational Research Journal, 23(3), pp.415~424 (1986)
  27. Gehring, D., "The dismissal of students with serious emotional problems: An administrative decision model", NASPA Journal, pp.9~14 (1983)
  28. Gerdes, H., "Emotional, social, and academic adjustment of college students: A longitudinal study of retention", Journal of Counseling & Development, 72, pp.281~288 (1994)
  29. Gilbert, S., "Ethical issues in the treatment of severe psychopathology in university and college counseling centers", Journal of Counseling and Development, 70, pp.695~699 (1992)
  30. Hoffmann, F., "The hospitalized young adult: New directions for psychiatric treatment", American Journal of Orthopsychiatry, 62(2), pp.297~302 (1992)
  31. Hollis, C., "Adult outcomes of child- and adolescent-onset schizophrenia: Diagnostic stability and predictive validity", American Journal of Psychiatry, 157(10), pp.1652~1659 (2000)
  32. Jackson, L., "Great expectations: The relation between expectancies and adjustment during the transition to university", Journal of Applied Social Psychology, 30(10), pp.2100~2125 (2000)
  33. Kim, S. H., "Persons with severe mental illness: A meta-analysis of vocational rehabilitation programs", 석사, pp.1997
  34. King, J. M., "Dynamics of concealed disabilities among students at a major research university in a rural area", Dissertation Abstracts International, 65(2), pp.397~ (2004)
  35. Kiracofe, N., "Changing demands on counseling centers: Problems and possibilities", Journal of College Student Psychotherapy, 7(4), pp.69~83 (1993)
  36. Lewinsohn, P., "Natural course of adolescent major depressive disorder, I: Continuity into young adulthood", Journal of the Academy of Child and Adolescent Psychiatry, 38, pp.56~63 (1999)
  37. Lewinsohn, P., "Natural course of adolescent major depression in a community sample: Predictors of recurrence in young adults", American Journal of Psychiatry, 157(10), pp.1584~1591 (2000)
  38. McMichael, A., "Mental health problems among university students, and their relationship to academic failure and withdrawal", The Medical Journal of Australia, 1, pp.499~504 (1975)
  39. Megivern, D. M., "Educational functioning and college integration of students with mental illness: Examining the roles of psychiatric symptomatology and mental health service use", 박사, pp.2001
  40. Megivern, D., "Barriers to higher education for individuals with psychiatric disabilities", Psychiatric Rehabilitation Journal, 26, pp.223~231 (2003)
  41. Milem, J., "A modified model of college student persistence: Exploring the relationship between Astin’s Theory of Involvement and Tinto’s Theory of Student Departure", Journal of College Student Development, 38(4), pp.387~400 (1997)
  42. Moores, K., "Comparing personal, social, and institutional variables for university dropouts and those who persist", College Student Journal, (1), pp.16~22 (1989)
  43. Munro, B., "Dropouts from higher education: Path analysis of a national sample", American Educational Research Journal, 18(2), pp.133~141 (1981)
  44. Newman, D., "Psychiatric disorder in a birth cohort of young adults: Prevalence, comorbidity, clinical significance, and new case incidence from ages 11-21", Journal of Consulting and Clinical Psychology, 64(3), pp.552~562 (1996)
  45. Oliver, J., "Students’ self-reports of help-seeking: The impact of psychological problems, stress, and demographic variables on utilization of formal and informal support", Social Behavior and Personality, 27(2), pp.109~128 (1999)
  46. Pantages, T., "Studies of college attrition: 1950-1975", Review of Educational Research, 48, pp.49~101 (1978)
  47. Pappas, J., "Returning learners. in : Increasing student retention: Effective programs and practices for reducing the dropout rate", pp.138~161 (1985), Jossey-Bass
  48. Parten, D., "Responding to student disruptions: Incorporating supported education", Journal of American College Health, 41, pp.227~229 (1993)
  49. Pascarella, E., "Interaction effects in Spady's and Tinto's conceptual model of college dropout", Sociology of Education, 52, pp.197~210 (1979)
  50. Pascarella, E., "Predicting freshman persistence and voluntary dropout decisions from a theoretical model", Journal of Higher Education, (1), pp.60~65 (1980)
  51. Pascarella, E., "How college affects students: Findings and insight from twenty years of research" (1991), Jossey-Bass
  52. Pledge, D., "Stability and severity of presenting problems at a university counseling center: A 6-year analysis", Professional Psychology: Research and Practice, 29(4), pp.386~389 (1998)
  53. Reid, K., "Community mental health on the college campus", Hospital and Community Psychiatry, 21(12), pp.387~389 (1970)
  54. Sales, A., "Rehabilitation counseling: An empowerment perspective" (2007), PRO-ED Inc.
  55. Sher, K., "The course of psychological distress in college: A prospective high-risk study", Journal of College Student Development, 37, pp.42~51 (1996)
  56. Spaner, D., "Major depressive disorder", Acta Psychiatrica Scandinavica, 89(376), pp.7~15 (1994)
  57. Stage, F., "Motivation, academic and social integration, and the early dropout", American Educational Research Journal, 26(3), pp.385~402 (1989)
  58. Stone, G., "College and university counseling centers in the 1990s: Challenges and limitations", The Counseling Psychologist, 18(4), pp.539~607 (1990)
  59. Stone, G., "Thinking about mental health policy in university and college counseling centers", Journal of College Student Psychotherapy, 10(3), pp.3~27 (1996)
  60. Terenzini, P., "Students’ personal growth during the first two years of college", Research inHigher Education, 26(2), pp.161~179 (1987)
  61. Tinsley, H., "College students' help-seeking preference", Journal of Counseling Psychology, 29(5), pp.523~533 (1982)
  62. Tinto, V., "Dropout from higher education: A theoretical synthesis of recent", Review of Educational Research, 45, pp.89~125 (1975)
  63. Tinto, V., "Theories of student departure revisited. in : Higher education: Handbook of theory and research" (1986), Agathon Press
  64. Tinto, V., "Leaving college: Rethinking the causes and cures of student attrition" (1993), The University of Chicago Press
  65. Unger, K. V., "Handbook on supported education: Providing services for students with psychiatric disabilities" (2007), Paul H. Brookes Publishing
  66. Unger, K., "Are families satisfied with services to young adult chronic patients? A recent study and a proposed alternative. in : The young adult chronic patient revisited: New directions for mental health services sourcebook", pp.91~98 (1984), Jossey-Bass
  67. Unger, K., "A supported education program for young adults with long-term mental illness", Hospital and Community Psychiatry, 42(8), pp.838~842 (1991)
  68. Weiner, E., "An exploratory study of three university students with mental illness and the perceived role their families play in their education", Psychiatric Rehabilitation Journal, 19(3), pp.77~80 (1996)
  69. Weiner, E., "Concerns and needs of students with psychiatric disabilities", Journal of Postsecondary Education and Disability, 12, pp.2~9 (1996)
  70. Wilson, S., "Evaluating the impact of receiving university-based counseling services on student retention", Journal of Counseling Psychology, 44(3), pp.316~320 (1997)
  71. Wolf, J., "From patient to students: Supported education programs in southwest Connecticut", Psychosocial Rehabilitation Journal, 15, pp.61~68 (1992)

관련 논문AI추천

정신장애인의 지원교육 성과연구 개관: 선행연구를 중심으로김상희한국장애인고용공단 고용개발원 · 장애와 고용2010 · 제20권 제2호정신장애인의 사회참여에 영향을 미치는 요인김선미, 김수정, 신희정(사)위기관리이론과실천 · Crisisonomy2024 · 제20권 제11호정신장애인의 직업지원서비스 요구도: 초기성년기와 후기성년기간 연령대별 차이를 중심으로강상경, 박종은, 정은희한국장애인복지학회 · 한국장애인복지학2022 · 제57권 제57호정신장애인의 인권존중수준에 대한 인식이 고등교육지원 욕구에 미치는 영향 -청년기와 타 연령집단 간 비교를 중심으로강상경, 김경희한국사회복지교육협의회 · 한국사회복지교육2022 · 제57권 장애대학생 교육복지지원정책에 따른 정신장애를 가진 대학생을 위한 학업지원서비스 도입방안 연구 : 지원교육모델을 중심으로김정진한국정서행동장애학회 · 정서·행동장애연구2004 · 제20권 제2호정신장애인 취업과 구직활동에 미치는 요인에 관한 연구송승연, 정유석한국장애인고용공단 고용개발원 · 장애와 고용2021 · 제31권 제1호

이 간행물의 다른 논문 (15건)

시각장애학생의 직업재활을 위한 전환교육 사례 연구김동복pp. 5-30울프운동기능검사(Wolf Motor Function Test)의 비장애인 표준치에 관한 예비 연구장기연, 우희순pp. 31-46직업평가사 자격 구분과 교부 및 양성 교육과정박은영, 박희찬, 이상진, 이은정pp. 47-68The Relationship between Education and Self-Perceived Ability of Vocational Rehabilitation ProfessionalKim, Muwoongpp. 69-97Roles of Public Unions on the Adoption of Economic Compensation for U.S. Government Employees with DisabilitiesKim, Junginpp. 99-118
원문 보기