피부 관리가 이용고객의 정신 건강 및 자아존중감에 미치는 영향

이순희 ( Soon Hee Lee ),이경옥 ( Kyung Ok Lee ),김순옥 ( Soon Ok Kim ) 한국미용학회 2009 한국미용학회지 Vol.15 No.1

The purpose of this study was to examine which effects it has on mental health and self-esteem targeting customers of using skin care. The subjects were 217 men and women who now attend the skin care room while dwelling in Daejeon area. Regarding the result on mental health of customers who use skin care, the customers with the better healthy condition in skin led to indicating the better mental health, thereby having shown the significant difference(F=17.09, p<.001). By satisfaction with skin, the customers with the higher satisfaction at skin led to indicating the better mental health, thereby having shown the significant difference(F=30.23, p<.001). By term in special skin care, the customers with the longer-term skin care led to indicating the better mental health, thereby having shown the significant difference(F=23.02, p<.001). The customers with the more use in skin care room for the recent 6 months led to indicating the better mental health, thereby having shown the significant difference(F=15.07, p<.001). Regarding the results of self-esteem according to satisfaction with skin in customers of using skin care, the customers with the higher satisfaction at skin led to being higher, and showed the statistically significant difference(F=16.74, p<.001). Regarding term, the whole self-esteem was higher in the customers with the longer-term special skin care, and showed the statistically significant difference(F=10.12, p<.001). These findings can be known that the skin care is effective for promoting mental health and enhancing self-esteem. Accordingly, the skin care is suggested to be likely to be more recommended in the future by psychological and mental necessity as well as external care. And, the aim is to become basic data in order to implement the competitive edge and the institutional foundation available for coping with the opening and globalization in skin-care industry, in order for a rapidly changing social diversity such as internationalization and globalization.

지역사회 정신보건재활간호가 재가 만성정신질환자의 자기관리활동에 미치는 영향

양수,유숙자,이광자 대한간호학회정신간호학회 1998 정신간호학회지 Vol.7 No.2

The health care system's rapid transformation from one in which the hospital plays a major role to one in which the hospital is no longer central to the delivery of health care has had a tremendous impact on psychiatric nursing, In Korea, the community mental health system has just begun to take root. In these days, psychiatric nurse specialists have come to take an interest in rehabilitation, caring for the psychiatric patients, community mental health. However, the developmental state of the community mental health system is rudimentary and the studies which are supposed to restore the psychosocial function of the chronic mentally ill patients and insufficient. Following this requirement, this study was designed to test the effects of community-based mental health nursing program on self-care activities of mentally ill patients. The sample of this study consisted of 26 patients who were registered with certain health center in Seoul and attending this program. This study was conducted for 18 months from the beginning of Aug. 1996 to the end for Feb. of 1998. The program required a client's meeting 5 times a week and family counsellor once a week, and was consisted of home visiting and day care program. Data by using Self-care performance scale were collected four times : right after participation, and in month six, and twelve, eighteen, and analyzed by the statistical methods of Repeated Measures ANOVA. The results of this study were as follows : 1. The was a significant difference in the scores of self-care activities of chronic mentally ill according to the duration of their participation in this program in all categories except eating and sleeping activities. 2. There was a statistically significant difference between before and the 6 months after the participation in the program in the eating, individual hygiene, dressing, leisure activities. At 12-month after participating the program, the subjects showed statistically significant improvement in all categories except sleeping, home life, leisure activities. Also, there was a statistically significant difference between before and 18-month after treatment in all categories expect eating and social life activities. 3. There was no significant difference in the score of self-care activities between 6-month and 12-month after participating program. Thus, both of patients and nursing care givers are apt to be tired of their work at these time. 4. At 18-month after the participation in this program, the scores of leisure activities, social activities were significantly different from those of 6-month and 12-month. In the light of these results, community-based mental health nursing program can improve self-care activities by helping them to continue their life and to function as a good support system for the chronic mentally ill. The researchers, therefore, propose that this program should be extended to the other place and be supported by local and central government.

전면개정 정신건강증진법의 주요내용과 향후의 과제

최행식 한국의료법학회 2017 한국의료법학회지 Vol.25 No.1

On May 29, 2016, the entire 「Mental Health Act」 was revised and retitled as the 「Act on Mental Health Promotion and Mental Patient Welfare Service Support」, which will be enforced from May 30, 2017. The overall revision of the Mental Health Act began in earnest as its contradiction to UN’s Convention on the Rights of Persons with Disabilities emerged as important issue. Emphasis has been put on the need for proposing more objective and detailed judgment to improve problems relating to the current requirements of and limitations on the involuntary treatment of mental patients, and related laws have been revised, accordingly. Today’s Korea shows the highest suicide rate among OECD nations alongside enormous social stresses and politically difficult situations, and the issue of national mental health reached a serious level. Countries around the world have revised laws related with mental patients in order to establish very strong policies to promote mental health and rewarded with results and actual effects. While Korean government announced a comprehensive measures for mental health although rather late and prepared a new mental health law which will be enforced soon, it would be meaningful to re-examine the Mental Health Act which was revised in its entirety. This study examined the establishment and revision of the Mental Health Act and reviewed the revised law centering on the involuntary admission system which had produced many controversies, particularly the hospitalization by the person responsible for protective custody or care. This study followed by the review of the major contents of the mental health law entirely revised in May 2016 and reviewed the meaning of the revised law alongside the comments on future tasks. 2016년 5월 29일에 「정신보건법」이 전부개정 되고,「정신건강증진 및 정신질환자 복지서비스 지원에 관한 법률」로 변경하여 2017년 5월 30일부터 시행되기에 이르렀다. 정신보건법에 대한 전면적인 개정 작업은 UN 장애인권리협약에 대한 저촉 여부가 중요한 쟁점으로 부각되면서 본격적으로 시작되었다. 종래 행하여져 왔던 정신질환자 강제치료의 요건과 한계에 관하여 문제점을 개선하기 위하여 보다 객관적이고 상세한 판단기준을 제시할 필요성이 강조되어 왔고 이에 부응하기 위하여 관련 법 개정이 이루어지게 된 것이다. 오늘날 우리나라는 OECD국가 중에서 자살률이 1위이고 사회적 스트레스가 많은 나라로서 가뜩이나 정치적으로 어려운 상황에 놓여져 있어서 국민의 정신건강 문제는 심각한 수준에 이르고 있다. 세계 각국은 정신건강을 증진하기 위한 고강도의 정책을 수립하고 추진하기 위하여 정신질환자 관련법을 개정하여 왔으며 그 성과와 실효를 거두고 있는 것이 현실이다. 뒤늦게나마 정부가 정신건강에 대한 종합적인 대책을 발표하고 새로운 정신보건법을 마련하여 시행을 앞두고 있는 상황에서 전부 개정된 정신보건법을 다시 살펴보는 것은 의미 있는 일이라 생각된다. 이 논문에서는 정신보건법의 성립과 개정에 관하여 살펴보고, 그동안 논의가 많았던 강제입원제도, 특히 보호의무자에 의한 입원제도를 중심으로 개정된 정신보건법을 검토하였다. 이 논문은 2016년 5월에 전부개정된 정신보건법의 주요 내용을 살펴본 다음, 개정법의 의의를 되새겨 보면서 앞으로의 과제에 관하여 고찰한다.

정신장애인의 정신건강정보이해능력(Mental Health Literacy)에 관한 연구: 인구사회학적 요인 및 자아존중감, 가족지지와의 상관성을 중심으로

조선영,최송식 한국보건사회학회 2017 보건과 사회과학 Vol.0 No.44

An ability to care own mental health is critical for the socio-psychological recovery of people with mental disorder. A new concept, Mental Health Literacy(MHL) is a prerequisite for self health care especially in terms of early recognition and appropriate service choice. This study has aims of examining MHL among people with mental disorder and identifying its disparities in socio-demographic factors and the correlations among their MHL, self-esteem and family support. It is a cross-sectional study with survey questionnaire with a scale-based measure developed by O’Connor & Casey (2015). Univariate analysis, one-way ANOVA and pearson correlation analysis were used to apprehend sociodemographic information and identify disparities of MHL and correlations between variables. A sample of 203 people with mental disorder in South Korea found the results. As a result, the MHL level of people with mental disorder was revealed considerably low, compared with those in Australia, suggesting the necessity of education program for improving their MHL. There are disparities in MHL level depending on their education, co-residence with family and family income. Lastly, it was identified the correlations among MHL, self-esteem and family support, which propose the need of future studies to demonstrate the detailed relationships among MHL and other variables, for instance, higher MHL may influence the better self-esteem and ability of caring own mental health for people with mental disorder. This study has a significance in that a novel approach has been suggested for community mental health programs for people with mental disorder to strengthen their ability to take care of their own health. 지역사회중심의 정신보건서비스가 확대되면서 정신장애인의 심리사회적 복귀와 지역사회통합에대한 관심이 높아지고 있다. 이를 위해서는 정신장애인이 자신의 정신건강을 적극적으로 관리할 필요가 있다. 정신건강정보이해능력(Mental Health Literacy, MHL)은 치료자 중심의 의료서비스를 극복하고, 정신건강정보에 대한 비전문가들의 이해능력을 향상시켜 자신의 정신건강을 올바르게 이해하고 능동적으로 관리하도록 돕기 위한 개념이다. 본 연구는 먼저 우리나라 정신장애인의 정신건강정보이해능력을 측정하고 일반적 특성에 따른 차이를 확인한다. 이어서, 정신건강정보이해능력, 자아존중감, 가족지지 간의 상관관계가 존재하는지 확인한다. 본 연구의 결과, 정신장애인의 정신건강정보이해능력이 낮은 수준인 것으로 나타났고, 학력, 가족과의 동거, 가족월소득에 따라 정신건강정보이해능력의 차이가 있는 것으로 드러났으며, 정신건강정보이해능력과 자아존중감, 가족지지 간에 상관관계가 존재하였다. 따라서 본 연구는 정신장애인의 정신건강정보이해능력 향상을 위한 교육 프로그램의필요성을 논의하고, 주요 변인들과 정신건강정보이해능력의 상관관계를 확인함으로써 후속연구의 필요성을 제안한다. 이는 정신장애인을 위한 지역사회정신보건프로그램에 대한 새로운 시도와 접근을제시하였다는 점에서 실천적 함의가 있다.

정신보건법상 보호의무자에 의한 입원

하명호 ( Myeong Ho Ha ) 안암법학회 2011 안암 법학 Vol.0 No.36

Legal Guardian laws established by the Mental Health Act derive from the Japanese Care & Custody of the Mentally Ill Act of 1900 that gave the welfare responsibility of the mentally-ill to the next-of-kin. This policy delegated the duty of care of the mentally-ill by an extension of the duty of care under civil laws since social and economic foundations to take care of such mentally-ill persons were non-existent. There are various opinions on what we should do about this duty of care going forward. From a social welfare standpoint, it is better to have a public system serve the medical issues of mental illness, and thus, some boldly suggest to abolish the duty of care in its entirety. On the other hand, others point to the fact that since it is difficult to find an alternative support system that can substitute the duty of care of the next-of-kin, we should try to improve the current system rather than replace it. Yet, before any kind of serious discussion has been made by social welfare or legal experts on the issue of Hospitalization by Legal Guardians, the Korean Civil Law has been revised on March 7, 2011 and shall be in effect by July 1, 2013. This revised Civil Law abolishes the previous incompetency and partial incompetency laws and introduces the concepts of adult guardianship, limited guardianship and specific guardianship. Also, adult guardianship is appointed directly by Family Courts in lieu of the previous sequential appointments of guardianship. In addition, adult guardians need to obtain permission from the Family Court to hospitalize an underage person in his custody. But according to current Mental Health laws, persons with Duty of Care have first priority as Legal Guardians, and then court-appointed Guardians thereafter. This means that until Mental Health laws are revised to reflect the changes in the Civil Law, even if a Family Court appoints an suitable guardian to protect a mentally-ill person, persons with Duty of care, i.e. the next-of-kin, will still remain in priority. In my opinion, we should revise Mental Health laws to distinguish between persons with parental rights and guardians for underage persons in custody and leave only the concept of guardians for adults in custody. In addition, we should revise Mental Health laws to require Family Court permission when a Legal Guardian hospitalizes a mentally-ill person in his custody.

정신질환 소년원생의 현황 및 처우방안

권수진 한국소년정책학회 2018 少年保護硏究 Vol.31 No.3

In recent years, the percentage of juveniles with mental disorders in juvenile reformatories have been increasing to the extent that one forth of protected juveniles are found to have mental disorders or developmental disabilities. The increase in the number of protected juveniles with mental problems has raised concern that mental disorders can be a cause of accidents in reformatories, including violence among juveniles and self-injury. Also, considering that a major purpose of the juvenile reformatory is to protect and rehabilitate juvenile offenders, it is crucial to provide effective treatment to protected juveniles with mental disorders. Against this backdrop, this study aims to make suggestions to improve the treatment of protected juveniles with mental disorders by examining the current state of the juvenile reformatory in terms of the provision of medical care and rehabilitation. For this purpose, the study conducted a survey of staffs who work at the Juvenile Classification Review Board and juvenile reformatories. Also, this study conducted interviews of teaching staff and medical staff of juvenile reformatories concerning possible improvement measures for the effective treatment of mentally disordered juveniles under detention. The survey and interviews were designed to identify major problems and to obtain opinions of reformatory staff regarding the treatment of juveniles with mental disorders. Especially, the questions delved into the issues of how to make dispositions for medical care and by what standards; of how to improve the medical care of mentally disordered juveniles in general reformatories; and of how to operate a facility for medical protection of juveniles. The results of the staff survey show wide consensus among teaching and medical staff that there is an urgent need of increasing medical and rehabilitative care for protected juveniles with mental disorders or developmental disabilities. Also, in order to improve the effectiveness of medical care, it was pointed out that reliable standards for classifying juveniles should be established to provide individualized medical care. In addition, a large number of respondents and interviewees pointed out that one of the most pressing issues was the shortage of medical staff, especially full-time psychiatrists and clinical counselors at reformatories. The establishment of a new juvenile medical care and protection institution is suggested as a possible solution to the issues mentioned above. In addition, this study concludes with a set of suggestions on how to improve the effectiveness of the treatment of mentally disordered juveniles. First, the results of the survey and interviews show that the improvement of the physical environment at the reformatories can contribute to mitigating the issues of mental disorders. Second, it was repeatedly pointed out that there was an urgent need to increase the personnel in charge of rehabilitation and medical care, especially psychiatrists and clinical counselors. Third, in addition to the establishment of a specialized facility for medical protection of juveniles, it needs to facilitate the provision of clinical service for juveniles who stay at the general reformatories. Forth, one of the ways of providing clinical service to protected juveniles is to make use of resources in the community by strengthening cooperation with diverse clinical experts. Lastly, it should be noted that treatment within the reformatory needs to be connected to treatment in the community so that juveniles with mental disorders can be effectively supported in the process of returning to the society. .

정신보건법과 정신장애인의 인권

이철호(Lee cheol-ho) 한국헌법학회 2007 憲法學硏究 Vol.13 No.4

This article deals with (1) The Mental Health Law and (2) Human Rights of Persons with Mental Disorders. The various mental patients are increasing gradually who don"t adapt themselves to new sense of value out of the development of industrial society. These people occasionally commit shocking crimes such as murder and arson in the mental process beyond our comprehension There are many difficulties in the constitution of the mental health act and cure custody act. Because from the beginning, both the human rights of the psychiatric patients, as well as the protection of civilians from the risk of the unpredictable and impulsive behavior of such patients had to be considered. Compulsive hospitalization of persons mental disorder should be due process of law and, after seperation, their human rights should be respected. So, the direction of mental health care should be defined as ""establishment of due process of law and respect of human rights"", and ""from hospitalization to cummunity mental health care"". In this study, current law and practice relating to mental disorder in Korea are reviewed and international standards and foreign laws are also examined, and finally, several improvement measures of persons of persons of mental disorder are suggested. And for persons with mental disorder who did not commit crime, ① es-tablisgment of due process of law in the course of hospitalization and leaving hospital, ② protection of rights and improvement of treatment for hospitalized persons mental disorder, ③ strengthening welfare character in the mental health law ④ establisment of community mental health care system are suggested.

요양보호사 준비생의 정신건강에 영향을 미치는 요인

정인자,박미경 사단법인 인문사회과학기술융합학회 2017 예술인문사회융합멀티미디어논문지 Vol.7 No.8

The purpose of this study was to identify the factors relating to mental health in care helper trainees. This study was conducted four care helper training centers located in G Metropolitan City. From July to october in 2015, data were collected by self-reporting questionnaires from 200 trainees. To verify the predictors of mental health, family strength, social support and self-acceptance were measured. Data analysis was done with SPSS/WIN 21.0 program. The average score of the mental health of the trainees was 2.21(±0.93). There were significant mean differences in mental health according to physical health state, stress state, supporter numbers. Mental health correlated negatively with family strength, social support, self-acceptance. The significant predictors of mental health included social support, stress, and physical health state. The regression model explained 38.0% of mental health. It is needed to develop a mental health program in order to improve social support and reduce stress of care helper trainees. 본 연구의 목적은 요양보호사 준비생을 대상으로 정신건강을 파악하고 정신건강에 미치는 영향요인을 확인하기 위해 시도되었다. 연구대상은 G광역시에 소재한 요양보호사 교육관 4개에서 학업중인 요양보호사 교육생이며 자료는 2015년 8월부터 10월까지 200명을 대상으로 자기보고형 설문지를 사용하여 정신건강, 가족건강성, 사회적지지, 자기수용을 측정하고자 수집되었다. 수집된 자료는 SPSS/WIN 21.0 프로그램을 이용하여 분석하였다. 결과에서 정신건강은 5점 만점에 평균2.21점(±0.93)이었다. 일반적 특성 중 신체건강상태, 스트레스 정도, 지지자수는 정신건강에 유의한 차이를 보였다. 정신건강은 가족건강성, 사회적지지, 자기수용과 부적 상관관계가 있는 것으로 나타났다. 정신건강에 영향을 미치는 요인은 사회적지지, 신체건강상태와 스트레스이며 영향력은 38.0%였다. 따라서 요양보호사 준비생의 정신건강을 증진하기 위해 사회적지지를 고양하고 스트레스 완화 전략을 세울 수 있는 정신건강프로그램을 개발할 것을 제언한다.

정신건강복지법의 문제점과 지역사회 탈원화를 위한 개선방안

권현주,유영미 사회복지법제학회 2020 사회복지법제연구 Vol.11 No.1

Recently, 'community care' to support social topic of vulnerable groups has emerged as a social topic, and the establishment of community care system is emphasized. The implementation of the 「Mental Health Law」 has been criticized for the fact that a people with mental illness are staying in hospitals and facilities for a long time. In 2017, it was newly revised to the 「Law on the Improvement of Mental Health and the Support for Welfare Services for Mental Patients」 with the focus on 'deinstitutionalization' and 'respect for autonomy of mental patients'. It prevents forced hospitalization without consent, has established restrictions on the hospitalization period, and actively promotes services that allow mental patients to settle in their communities. This study also shows that the implementation of the revised law has increased the number of patients with mental illness who have become independent and have reintegrated into the community. In addition, we proposed the following plan to enable patients with mental illness to live together in the community after discharge. First, it is necessary to expand social rehabilitation facilities, resolve regional deviations, and examine vulnerable areas. Second, the state should be responsible for active support and establishing a delivery system for patients' independence and community integration, and the training of care experts. Third, if there is no family to care for the mental patients after discharge, an integrated policy such as housing support that provides health and care services is necessary. Finally, it is necessary to institutionalize out-patient care so that patients can continue to receive treatment in their communities after discharge. 최근 취약계층의 사회정착 지원을 위한 ‘커뮤니티케어(community care)’가 사회적 화두로 떠오르며, 지역사회 돌봄체계 확립이 강조되고 있다. 「정신보건법」의 시행은 정신질환자들이 오히려 병원이나 시설에 장기간 입원해 있는 등 시설의 수용화 라는 비판을 받게 되었다. 이에 2017년 ‘탈원화’ 및 ‘정신질환자 자율성 존중’을 핵심으로 「정신건강복지법」으로 새롭게 개정되어, 본인 동의 없이 강제 입원하는 것을 막고, 입원기간에 대한 제한 규정을 마련하였으며, 정신질환자들이 지역사회에서 정착해 살아갈 수 있도록 하는 서비스를 적극적으로 추진할 수 있도록 하고 있다. 본 연구에서는 개정법의 시행으로 인해 정신질환자가 자립하여 지역사회로 유입된 환자의 수가 높아졌다는 긍정적 측면도 있지만, 퇴원 후 치료를 적절하게 받을 수 있는 시설이 충분히 준비되지 않은 상태에서 탈원화가 시작되었음을 지적하며, 퇴원 후 정신질환자들이 지역사회에서 함께 살아갈 수 있도록 하는 다음과 같은 방안을 제안하였다. 첫째, 사회복귀시설의 확대와 지역별 편차를 해결하고, 취약지역에 대한 점검이 필요하다. 둘째, 국가가 정신질환자의 자립생활 및 지역사회 통합을 위한 적극적인 지원과 전달체계 구축, 전문인력 양성 등의 책임 주체가 되어야 한다. 셋째, 퇴원 후 정신질환자를 돌볼 가족이 없는 경우 건강과 돌봄 서비스를 연계해 제공하는 주거지원 등의 통합적인 정책이 필요하다. 마지막으로, 퇴원 후의 관리를 보다 구체적으로 제도화하여 정신질환자가 퇴원 이후에도 지역사회에서 치료를 지속적으로 받을 수 있도록 해야 할 것이다.

보육교사의 영유아 정신건강에 대한 인식 조사 연구

박지연 ( Ji Yeon Park ),정민정 ( Min Jung Chung ) 한국가족복지학회 2009 한국가족복지학 Vol.14 No.4

본 연구는 보육시설에서 근무하는 보육교사를 대상으로 영유아 정신건강에 대한 보육교사의 인식을 조사함으로써, 영유아 정신건강에 대한 관심과 이해를 갖는 계기를 마련하고자 하였다. 본 연구 대상은 서울특별시, 경기도 등 수도권에 소재한 어린이집에 근무하고 있는 보육교사 211명을 대상으로 하였다. 본 연구에서 수집된 자료는 SPSS WIN 13.0 프로그램을 사용하여 백분율, 평균과 표준편차, x2검증과 일원변량분석을 실시하였다. 본 연구의 주요 연구결과는 첫째, 보육교사들은 영유아의 정신건강 문제행동에 대해 보통보다 조금 높게 문제라고 인식하고 있었다. 둘째, 보육교사들에게서 영유아의 정신건강 문제행동 발생에 대해 54%가 경험이 있다고 하였으며, 셋째, 보육시설에서 영유아 정신건강 교육의 필요성에 대해 보육교사들은 1명의 보육교사를 제외한 전체가 보통이상의 필요성을 느끼고 있는 것으로 파악되었다. 마지막으로, 영유아를 대상으로 정신건강 교육을 실시해야 하는 이유로는 영유아의 정신건강 문제행동이 증가하고 있기 때문이라고 하였고, 영유아를 대상으로 한 정신건강 교육의 실시는 부모교육과 연계하여 가정과 보육시설에서 동시에 이루어지는 것이 효과적이라고 하였다. The purpose of the present study was to gain interest and help understand infants` and preschoolers` mental health by surveying teachers working at child care centers, and to examine their level of awareness on infants` and preschoolers` mental health. The survey was completed by some 211 child care teachers working at an infants and preschool care center in Seoul and the surrounding province of Gyeonggi. Data was analyzed by frequency analysis, percentage, average, standard deviation, mean analysis, x2 test, and one-way ANOVA, using SPSS/WIN (ver 13.0). The level of awareness of infants` and preschoolers` mental health by nursery school teachers was average or slightly higher than average. Of the nursery school teachers, 54% had experienced infants` and preschoolers` mental health problems in the past. More than half of those surveyed showed slightly higher concerns over infants` and preschoolers` problem behavior. All except one nursery school teacher expressed the necessity to provide adequate training on child mental health with concerns higher than average. The biggest reason for needing education on infants` and preschoolers` mental health is due to the increased occurrence of problem behavior. Mental health education was thought to be the most effective when provided inclusively with parent education, and showed some variance of opinion on how frequently the education should be given.