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KMID : 0897520000050020125
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Journal of Korean Association of Social Psychiatry
2000 Volume.5 No. 2 p.125 ~ p.132
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Community Mental Health Service Delivery Model
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Hwang Tae-Yeon
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Abstract
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After opening of community mental health center(CMHC) in Seoul and Kyonggi Province for psychosocial rehabilitation of the chronic mentally ills in the community, now there are 44 CMHCs nationwide established by the joint effort between central, local government and private sector. Because of small population, lack of budget, and lack of mental health professionals in the community, many public health offices(PHO) are providing mental health service primarily by the home visiting nurses. Residential facilities and vocational workshops are established to reduce recidivism and improve functioning of the chronic mentally ills. Rapid growing of these community mental health centers and programs called debate in the issues of financial resources distribution and service delivery system. Professionals who emphasized public aspect of these services advocate PHO-centered delivery of services. On the other hand, professionals who thought consumer-oriented mental health services accompanied with quality of care and easy accessibility urged CMHCs should be the center for community services for the integration of mental health services. Other professionals started services based on welfare facility to stress existing resource utilization in the community. Among these debates, an opinion that said utilization of limited financial and human resources is opposed to another that said new investment and reimbursement should be done. The author reviewed various models of community mental health delivery and suggest new model for the future.
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KEYWORD
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Community mental health, Community mental health center, Public health office, Service delivery model
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