사회복지관 사회복지사들의 사례관리수행 경험 연구

다국어 초록 (Multilingual Abstract)

The purpose of this study is to investigate social workers' experience in performing case management in social welfare centers in order to explore the diverse situations they face, analyze the coping strategies they employ in difficult situations, and propose some improvement plans for rational case management performance .
The research questions are as follows. First, what are the difficulties social workers experience in social welfare centers in performing case management? Second, how do they solve these difficulties in the process of performing case management?
This study employs the methodology of grounded theory of qualitative research and was conducted through in-depth interviews of sixteen social workers in social welfare centers. The collected data is analyzed according to open coding, axial coding, and selective coding, and the standard methods of analysis of grounded theory, in order to comprehensively and systematically represent social worker’s experience in performing case management.
The findings of this study are as follows. The central phenomena social workers experience in the process of case management performance was the difficulty in performing case management process.
This was induced by three causal conditions: overload in work, lack of professionalism, and burden on resource development.
These three causal conditions also interact with each other and are in a cyclical relationship. Meanwhile, difficulty in performing case management process is influenced by contextual conditions like underdevelopment of the institutional service environment and lack of educational systems as well as discrepancies in the level of difficulty depending on intervening conditions such as the characteristics of the institution and community.
Under these contextual and intervening conditions, although social workers in social welfare centers employ coping strategies such as self improvement, manual development, utilization of the information system, and collaboration among institutions, there is a limit to achieving this goal with only the personal capacity of a social worker.
Consequentially, social workers came to anticipate three alternatives to overcome limit of personal practice with the help of the system.
The first was 'the anticipation of establishment of an educational system' for 'improvement of professionalism'.
The second was 'the anticipation of reestablishment of functions of social work' in social welfare centers to overcome 'overload in work'.
The third was 'the anticipation of collaboration of community-based public-private sectors' for solutions for burden on resource development.
A core category penetrating through the above processes can be seen as 'a search for a solution in quality improvement in performing case management'. 'The search for a solution in quality improvement in performing case management' is the process of anticipating quality improvement in performing case management through policy alternatives for situations where social workers in social welfare centers try to overcome difficulties that they face in performing case management caused by causal and contextual conditions through personal-level strategies, though these strategies reach a limit.
The policy implications obtained from the results of this study can be seen as an improvement plan on causal conditions to overcome difficulties in performing case management.
First, the improvement plan that case managers expect to overcome the lack of professionalism is the arrangement of an educational system. Its contents include systemization of class-based worker performance education, field-centered discussion and application of instructional methods focusing on case presentations, and vitalization of joint education among related organizations of public-private sectors. The Korea Association of Social Welfare Centers needs to take the lead in arranging educational systems to establish the identity of social welfare centers.
Second, what case managers expect to overcome overload in work is the reestablishment of functions of social work in social welfare centers. In order to resolve work overload as a cause of a dysfunctional work environment, a task force team and manpower organization through the reestablishment of functions in social welfare centers are required. For this, the government should not delay the support for the arrangement of standard manpower arrangement criteria and the improvement of support methods of government subsidies.
Third, what case managers expect to overcome burden on resource development is community-based collaboration of public-private sectors. Related future tasks include the establishment of community-based opeation systems, integrated case management by community-based collaboration of public-private sectors, vitalization of community social welfare consultative bodies, and development of an integrated information management system.
Suggestions for future studies on solution plans for quality improvement by solving the fundamental problems that underlie the three causal conditions are as follows.
First, the need for in-depth discussion and continuing further studies are proposed to practically reestablish functions of social work in social welfare centers as a coping plan for overload in work.
Second, discussion specifications on the collaboration of public-private sectors as a coping plan for burden on resource development and the need for further studies on models of operation system establishment that take community characteristics into consideration to stabilize community-based integrated case management are proposed.
Third, the need for further studies on curriculum establishment to arrange education and training systems intended for case managers as a coping plan for lack of professionalism is proposed.
Fourth, this study is only intended for social workers in social welfare centers in G metropolitan city and the study results hav

목차 (Table of Contents)

• 제1장 서론 1
• 제1절 연구의 필요성 1
• 제2절 연구 목적과 연구 문제 5
• 1. 연구 목적 5
• 2. 연구 문제 6
• 제2장 선행연구 고찰 7
• 제1절 사례관리수행 경험의 의미 7
• 제2절 선행연구 동향 8
• 제3절 선행연구 개념 12
• 1. 클라이언트 수준 12
• 2. 사례관리자 수준 15
• 3. 사회복지관 수준 23
• 4. 지역사회 수준 29
• 제3장 연구 방법 39
• 제1절 근거이론 39
• 제2절 연구 참여자 41
• 1. 연구 참여자 선정 41
• 2. 연구 참여자 기술 43
• 제3절 자료 수집 51
• 제4절 자료 분석 54
• 제5절 연구의 검증 57
• 제4장 연구 결과 59
• 제1절 개방코딩 결과 59
• 제2절 축코딩 결과 61
• 1. 중심현상 : 사례관리과정 수행의 어려움 63
• 2. 중심현상에 대한 인과적 조건 66
• 3. 맥락적 조건 75
• 4. 중재적 조건 81
• 5. 전략 87
• 6. 결과 95
• 제3절 선택코딩 결과 105
• 1. 핵심범주 : ‘사례관리수행의 질 향상을 위한 방안 모색’ 105
• 2. ‘사례관리수행의 질 향상을 위한 방안 모색’의 이야기 개요 105
• 제4절 ‘사례관리수행의 질 향상을 위한 방안 모색’의 상황모형 109
• 1. 사례관리과정 수행의 어려움에 영향을 미치는 체계 수준별 요인들 109
• 2. 전략 과 결과 111
• 제5장 사회복지관 사회복지사들의 사례관리수행 경험에 대한 논의 114
• 제1절 사례관리수행 과정에서 경험하는 어려움 114
• 1. 사례관리과정 수행의 어려움 114
• 2. 사례관리과정 수행의 어려움에 영향을 미치는 조건들 120
• 제2절 사례관리수행 과정에서 경험하는 어려움의 해결방안 137
• 1. 전략 137
• 2. 결과 143
• 제6장 요약 및 결론 150
• 제1절 연구결과 요약 150
• 제2절 함의 및 제언 153
• 1. 이론적 함의 153
• 2. 실천적 함의 154
• 3. 정책적 함의 156
• 4. 후속연구를 위한 제언 161
• 참고문헌 164
• 부록 175
• <부록> 연구 참여 동의서 175