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KMID : 0897520060110010017
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Journal of Korean Association of Social Psychiatry
2006 Volume.11 No. 1 p.17 ~ p.22
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Investigation on Recognition of Mental Health Professionals Working in Hospital about Linkage between Hospital and Community
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Seo Yong-Jin
Ko Jung-A
Hwang Tae-Yeon
Oh Jeong-Ha
Youm Ho-Yang
Park Hye-Jin
Lee Myung-Soo
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Abstract
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Objectives：We investigated attitudes of professionals working in hospital toward linkage between hospital and community mental health facility for mentally ill people who are discharged from hospital, and also their experiences of referral to community facilities. So that we want to explore the obstacles against effective linkage, and consider how to manage those problems and make linkage system more active.
Methods：Total 258 psychiatrists, nurses and social workers, working in mental hospital which had inpatient unit and are located in Seoul and Kyeonggi province were asked to fulfil our questionnaire including attitudes toward linkage, their experience, obstacles against linkage.
Results： Most staffs in hospital consider the linkage system between hospital and community is essential and the role of mental health facilities in community is very important. Among the responders, 159(61.6%) staffs have referred clients to community facilities, and mean number of referral during last 1 year is 8.17 times(SD=10.266). They consider day care program, and case management service when they refer the patients to the community and for this purpose, they refer their patients to community mental health center the most. They consider lack of information on community services, and poorly organized referral system as two most serious obstacles against linkage.
Conclusion：This study shows that staffs in hospital consider the linkage between hospital and community is so important and essential for continuing mental health services, but they have less information and their is no formal pathway and system of referral, so they have lots of difficulties when they perform and the linkage is not done effectively now. For making linkage system more effectively, most of all, sufficient and balanced infra-structure have to be constructed according to needs. And also, community staffs have to make efforts to develope education program, individual service plan, and public awareness. Staffs in hospital have to make efforts to get more information on community mental health services and related facilities, and find ways to how exaggerate the motivation of patients and care-givers for recovery and rehabilitation. Lastly, various linkage system models have to be suggested and examined, and we have to improve and modify those models.
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KEYWORD
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Linkage, Psychiatric institute, Community mental health facility
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