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지역사회 정신보건 서비스에 정신건강의학과 전문의의 역할 : 광주광역시 마음건강주치의 사업 분석
전민(Min Jhon),왕수연(Soo-Yeon Wang),김선영(Sun-Young Kim),이주연(Ju-Yeon Lee),김재민(Jae-Min Kim),신일선(ll-Seon Shin),김성완(Sung-Wan Kim) 대한신경정신의학회 2021 신경정신의학 Vol.60 No.1
Objectives The treatment rate for mental illness is low in Korea (22%) compared to Western countries (40-50%). Thus, Gwangju city commenced a mental health project termed “Mind Doctor” in 2016. Psychiatrists regularly visit mental health centers to provide services, including counseling. This paper summarizes the achievements and significance of the project. Methods The project has been in progress for four years. This study evaluated 7,483 clients assisted by 322 center staff and 55 participating psychiatrists. The characteristics of the mental health center and addiction management center clients were identified. The center staff opinions and satisfaction were analyzed. Results Psychiatrists placed in community mental health services played a variety of roles as counselors, supervisors, lecturers, and program organizers. During the time since the project commenced, referral rates to mental health clinics after in-center counseling increased from 9.4% to 41.6%. Half of the psychiatrists worked in psychiatric hospitals (45.5%), and were in their 30s (43.6%). Of those seen by psychiatrists in mental health centers, 42% were aged under 30 years, and almost half were male (46%). Most clients were satisfied with their consultations (90%) and were willing to recommend the project to others (88%). More than 85% of center staff responded positively to the project, particularly in 2019. Conclusion “Mind Doctor” readily identified the mental problems of community residents and provided smooth referrals to mental health clinics. Collaboration between the psychiatrists and mental health workers in mental health centers contributed to mental health promotion and early intervention to treat mental problems.
지역사회 정신건강 종사자에서 소진과 이직 의도의 관계 : 보람의 매개 효과
박인후(In-Hoo Park),오민주(Min-Ju Oh),김미나(Mina Kim),이유리(Yu-Ri Lee),전민(Min Jhon),이주연(Ju-Yeon Lee),김성완(Sung-Wan Kim) 대한생물치료정신의학회 2021 생물치료정신의학 Vol.27 No.1
Objectives:The turnover rate of mental health workers in community mental health institutes is remarkably high. We explored the mediating effects of perceived work value on the relationship between burnout and turnover intention among mental health professionals working for community mental health centers and addiction centers. Methods:A total of 161 mental health workers completed this survey. We administered the Maslach Burnout Inventory-General Survey (MBI-GS) and the Michigan Organizational Assessment Questionnaire (MOAQ) (which explores turnover intention). Perceived work value was assessed using two items of the Scale of Resilience to Burnout. Associations were sought using the t-test, analysis of variance, correlation analyses, and hierarchical regression analyses. Results:The burnout level was significantly negatively correlated with perceived work value. Burnout was significantly positively correlated with turnover intention, and perceived work value significantly negatively correlated. Bootstrapping showed that perceived work value partially mediated the relationship between burnout and turnover intention. Conclusion:Perceived work value may buffer turnover intention caused by burnout. Creation of an environment in which mental health workers feel that their work is valuable is important to prevent resignations.
김영혁(Young-Hyuk Kim),박인후(In-Hoo Park),김하늬(Honey Kim),전민(Min Jhon),강희주(Hee-Ju Kang),이주연(Ju-Yeon Lee),유승형(Seung-Hyeong Ryu),김재민(Jae-Min Kim),김성완(Sung-Wan Kim) 대한생물치료정신의학회 2020 생물치료정신의학 Vol.26 No.3
Objectives:This study investigated psychosocial risk and protective factors associated with suicide attempt. Methods:This cross-sectional study included 1,466 participants. Socio-demographic and clinical variables were collected. The following scales were used : Hospital Anxiety and Depression Scale (HADS), Perceived Stress Scale (PSS), Alcohol Use Disorder Identification Test-Korean version (AUDIT-K), Family Adaptability & Cohesion Evaluation Scale III (FACES-III), Korean version of Connor-Davidson Resilience Scale (K-CD-RISC), Rosenberg Self-Esteem Scale (RSES), and Korean version of Gratitude Questionnaire 6 (K-GQ-6). Univariate and logistic regression analyses were used to identify factors associated with a history of suicide attempt. Results:Seventy-one of the 1,466 participants (4.8%) reported a history of suicide attempt. Attempted suicide was less common in married individuals, but more common in Medicaid recipients and smokers. Compared with participants who had not attempted suicide, participants who had attempted suicide had higher scores for the HADS, AUDIT- K, and PSS, whereas they had lower scores for the FACES-III, RSES, K-GQ-6, and four subscales of the K-CDRISC (Hardiness, Persistence, Optimism, and Support). Logistic regression analysis revealed that Medicaid use [odds ratio (OR)=5.837] and AUDIT-K score (OR=1.066) were positively associated with a history of suicide attempt. Marriage (OR=0.451), FACES-III score (OR=0.971), and K-CD-RISC Support subscale score (OR=0.711) were negatively associated with a history of suicide attempt. Conclusion:Low income and alcohol abuse were positively associated with attempted suicide, whereas marriage, high family cohesion, and social support were negatively associated with attempted suicide in the general population. A social and economic support system might aid suicide prevention.