정신 의료기관, 정신 요양 시설 및 부랑인 시설 입소자의 재원기간에 관한 연구
- 발행기관 고려대학교 대학원
- 발행년도 2004
- 학위명 박사
- 학과 대학원:의학과 정신과학
- 식별자(기타) DL:000014914377
- 서지제어번호 000045197357
초록/요약
Object: After legislation of the Mental Health Law in 1995 in Korea, the mental health policy changed its direction from institutionalization to treatment and rehabilitation in community. but inappropriate long-term stay is still present. This study was aimed to find the contributing factors that influence the length of stay in various mental health related facilities and to present future direction for the mental health policy. Methods: The 1,875 patients who are aged between eighteen and sixty-five are chosen by the stratified random sampling from ten hospitals, six nursing facilities and five homeless asylums. First, we investigate about length of stay of all subjects by sociodemographic characteristics, socioeconomic status, functional status, disease related characteristics and analyse contributing factors. And then do within each type of facilities. We used the Korean version of the Composite International Diagnostic Interview(K-CIDI) for diagnosis. Subjects were evaluated general functional status with Global Assessment of Function(GAF) and specific function areas with need for help in eating, general hygiene, social communication, management of personal belongings, and ability for usage of transportation and utility. Results: From total subjects, average length of stay was 1,906 days, and facilities, where subjects are institutionalized, explains 40% of length of stay. Other related factors are female, old age, single, lack of supportive system before admission and after discharge, medical assistance type I, unavailable of public transportation and utility, long duration of illness, and psychotic disorder. From the analysis of causes within each facility, psychiatric hospitals show generally similar results with the case from total subjects, but there is no difference in length of stay by gender and education. Age of having diagnosis is one of causes which explain length of stay in psychiatric hospital. From nursing facility and homeless asylum, related
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