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KMID : 1001320160430030031
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Social Welfare Policy
2016 Volume.43 No. 3 p.31 ~ p.57
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A Study on Mental Health Delivery System Reform for Deinstitutionalization of Persons with Mental Illness
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Kim Moon-Geun
Ha Kyung-Hee
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Abstract
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This study aims to analyze limitations of mental health delivery system concerning the deinstitutionalization of persons with mental illness and to suggest mental health delivery system reform directions and alternatives. The authors interviewed professionals from national mental hospitals, private hospitals, psychiatric long term care facilities, psychiatric rehabilitation centers, community mental health centers, and regional government. According to this study, firstly, public mental hospitals need to develop standard treatments models and to ensure emergency admission services to enhance deinstitutionalization of persons with mental illness. Secondly, ensuring financial incentives for short admission is important to decrease long-term admission by private hospitals. Thirdly, transformation of long term care facility into psychiatric elderly nursing home is necessary. Fourthly, psychiatric rehabilitation centers need to enhance independent living support services. Fifthly, community mental health centers need to build more integrated mental health system. Lastly, governments need to be firmly committed to deinstitutionalization policy and to use effective policy measures.
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KEYWORD
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Deinstitutionalization, Community Mental Health, Mental Health Delivery System
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