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KMID : 1023220150060010032
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Mental Health
2015 Volume.6 No. 1 p.32 ~ p.40
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Measurement of Competence 레벨레 of Case Management Service Providers from Mental Health Centers in Seoul
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김희정:Kim Hee-Jeong
김윤정:Kim Yoon-Jeong/이연경:Lee Yeon-Gyeong/이인혜:Lee In-Hye/조정은:Cho Jeong-Eun/서용진:Seo Yong-Jin
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Abstract
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Purpose : This study used standardized items and measured the competence 레벨s of case management service providers to evaluate the improvement of confidence rate of case management service provided by community centers and to ultimately improve the quality of case management services.
Method : This study used the [Competence 레벨 of Mental Health Care Case Management in Korea Communities] developed by Min, So-Yeong of Gyeonggi University in 2012, and surveyed 215 case management service providers from 25 mental health centers in Seoul between August 27th, 2015 and September 4th, 2015 through e-mails. One service provider did not respond, so that this study used SPSS 22.0 and analyzed frequencies, correlations, and regressions of the remaining 214 survey answers.
Result : This study firstly divided the case management into 6 processes: intake, assessment, planning, implementation, inspection, and evaluation. As a result of evaluating implementation, importance, and difficulty of each process with the 4-point Likert scale. the most implementations of the 6 processes scored averagely higher than 3 points(most of them were implemented). In particular, the 레벨s of the implementations of intake and assessment were higher than 95%, which means very high. Also, 98% of respondents gave 3 or higher points(little important) for the importance, and showed that they recognized all processes very important. This study compared the ‘implementations’ of the processes by ‘importance’, and expected that ‘people implement the processes that they think important’. However, the analysis results showed that the importances of most processes averagely scored 4.0 points(“very important”) and the scores of ‘implementations’ were relatively evenly distributed. About 99% respondents gave 1 point(“very easy”) or 3 (“little difficult”) or higher points. This showed that they felt relatively easy. As a result of analyzing the influence of service providers` self-efficacy on implementation, the case management service providers who had higher self-efficacies implemented all case management processes more frequently. Also, the case management service providers with higher 레벨s of control variables including educational background, position, and work experience implemented case management processes more frequently.
Conclusion : Based on the result of this study, the case managers in the fields understood the importance of all case management processes but could not actually implement the processes. In other words, the current system which evaluated the service providers based on result and operability made service providers hard to focus on case management. Also, there was a static correlation between the self-efficacies and service implementations of the case management service providers. This showed that it was necessary to prepare a curriculum for improving the selfefficacies of the case management service providers. Lastly, this study expected that there would be the same studies for the case management service providers from local mental health centers or comparative studies between the centers in Seoul and the centers in other regions to improve the quality of case management services.
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KEYWORD
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Case Management, Quality of Case Management Service, Competence of Case Management, Community Mental Health
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