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KMID : 0614420170450040053
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Mental Health & Social Work
2017 Volume.45 No. 4 p.53 ~ p.82
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Effects of Self-Determination on Recovery of Persons with Mental Illness Living in Mental Health Care Facilities : The Moderating Effect of Social Support
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Ahn Hee-Cheol
Kim Min-Ah
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Abstract
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The purpose of this study is to verify the effect of self-determination on the recovery and to test the moderating effect of social support among persons with mental illness living in mental health care facilities. A total of 320 adults with mental illness living in mental health care facilities in Seoul, Gyeonggi, Incheon, and Daejeon completed self-reported questionnaires. The average age of the participants were 54.34 years and average time since diagnosis were 24.68 years. They had been residing in the facilities for 16.97 years on average. The recovery level of the study participants was 2.37 points on a 5-point Likert scale (0～4 points). The level of self-determination averaged 3.27 points, with the highest in health and the lowest in occupational area. Results from hierarchical regression analyses indicated that self-determination and psychiatric symptoms were significant factors affecting recovery. Higher levels of self-determination and lower levels of symptoms were significantly associated with higher levels of recovery. The moderating effects of family and peer support were significant in the relationship between self-determination and recovery, whereas professional support was not. These findings have practice and policy implications for improving the recovery of adults with mental illness living in mental health care facilities by developing better residential environments for self-determination and increasing family and peer support.
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KEYWORD
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mental health care facilities, mental illness, recovery, self-determination, social support
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