Korean J Schizophr Res.  2013 Oct;16(2):51-61. 10.16946/kjsr.2013.16.2.51.

Comparison between Users of Community Mental Health Services and Psychiatric Patients in Mental Health Related Facilities in Korea

Affiliations
  • 1Korea Suicide Prevention Center, Seoul, Korea.
  • 2Department of Psychiatry, Kangwon National University Hospital, Chuncheon, Korea. lugar@kangwon.ac.kr
  • 3Seoul Eunpyeong Metropolitan Hospital, Seoul, Korea.
  • 4Dr. Jang's Psychotherapeutic Clinic, Seoul, Korea.
  • 5College of Nursing, Yonsei University, Seoul, Korea.
  • 6Department of Psychiatry, Kangwon National University School of Medicine, Chuncheon, Korea.

Abstract


OBJECTIVES
This study was conducted to compare the characteristics of psychiatric inpatients in mental health related facilities and community mental health services-utilizing patients by diverse factors in Korea.
METHODS
Questionnaires were sent via mail to 140 standard mental health centers from October to December of 2008. 64 facilities responded and data of 461 mentally disabled who are registered at and utilize the services of these mental health centers were analyzed. T-test and cross-analysis were performed to determine the differences in the averages of the variables and the discrepancy in ratios, respectively.
RESULTS
Differences between long-term psychiatric inpatients and community mental health services-utilizing patients were seen in characteristics such as gender, age, type of medical coverage, family support systems, diagnosis, age of onset, duration of hospitalization, community-dwelling period, and clinical symptoms and functions. It was significantly short in length of stay in facilities in users of community mental health services with comparison to institutionalized patients.
CONCLUSION
The results of this study suggest that invigoration of community mental health services is an alternative that can help deter long-term hospitalization.

Keyword

Length of stay; Long-term hospitalization; Community mental health service; Community mental health center

MeSH Terms

Age of Onset
Community Mental Health Services*
Diagnosis
Hospitalization
Humans
Inpatients
Korea*
Length of Stay
Mental Health*
Mentally Disabled Persons
Postal Service
Surveys and Questionnaires

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Jee Hoon Sohn, Seung-Hee Ahn, Su Jeong Sung, Ji Min Ryu, Ji Eun Park, Maeng Je Cho
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Reference

1). Ministry of Government Legislation [homepage on the Internet]. Korea Ministry of Government Legislation; (c)1997-2012. Available from. http://www.moleg.go.kr.
2). Division of Mental Health Policy. A guide to mental health service 2012. Seoul: Ministry of Health and Welfare;2012.
3). Seoul National University College of Medicine. The epidemiological survey of mental disorders in Korea 2011. Seoul: Ministry of Health and Welfare;2012.
4). Chung IW, Chi KH, Son JW, Shin CJ. Influential factors of the cohabitation intention of the mentally-ill patient's family. J Korean Asso Soc Psychiatry. 2002; 7:3–9.
5). Hwang TY, Park CI, Lee JG, Ko Y, Lee MS, Lee WK, et al. 3 years followup study of psychosocial rehabilitation outcomes of community mental health centers. J Korean Asso Soc Psychiatry. 2001; 6:103–111.
6). Suh TW, Kim YH, Bae JG, Shin YJ, Yoon MS, Lee KJ. Annual report 2001. Korean institute for health and social affairs. 2001.
7). Suh DW, Kim SJ, Kim YH, Bae JG, Shin YG, Yoon MS, et al. Annual report 2001. The Regional Mental Health Commission. Seoul: Ministry of Health and Welfare;2002.
8). Suh DW, Kim SJ, Kim YH, Shin YG, Yoon MS, Lee BW, et al. Annual report 2002. The Regional Mental Health Commission. Seoul: Ministry of Health and Welfare;2003.
9). Yu J. Cost effectiveness of modified ACT program in Korea. Presented at the 10th Congress of the World Association of Psychosocial Rehabilitation, Bangalore, November. 2009.
10). Yu J, Kim S, Ki S, Lee Y. Program for Assertive Community Treatment (PACT) in Korea: preliminary 7 months followup study. Presented at the 161st Annual Meeting of the American Psychiatric Association, Washington, May. 2008.
11). Hong YS. Whether community mental health project (CMHP) reduced medical expenses. Korean Journal Of Clinical Social Work. 2007; 4:263–269.
12). Noh IY. Comparative research of the medical cost, the quality of life, the family burden of the mentally 3 before and after the community mental health service. J Korea Community Health Nursing Academic Society. 2001; 15:56–72.
13). Lee YM, Kim Y, Lee MS, Lee JS, Kang SK, Kee SW, et al. Annual report 2011. The National Mental Health Commission. 2012.
14). Lee MS, Hoe M, Hwang TY, Lee YM. Service priority and standard performance of community mental health centers in South Korea: a Delphi approach. Psychiatry Invest. 2009; 6:59–65.
Article
15). Lee HY, Lee YM, Chung YK, Kim BH. The study about reclassification of mentally disability and development of metal health medical facility standard. The Report sponsored by Ministry of Health and Social welfare. 1994.
16). Suh TW. Length of Stay of Psychiatric Inpatients by Sociodemographic and Clinical Characteristics, and Type of Facilities. J Korean Neuropsychiatr Assoc. 2002; 41:1174–1184.
17). Suh TW, Lee YM, Hong JP, Cho SJ, Lee JY, Lee SY, et al. Influencing Factors on Length of Stay of Psychiatric Patients in Mental Health-related Facilities. J Korean Neuropsychiatr Assoc. 2003; 42:761–770.
18). Cho SJ, Lee BJ, Cho MJ, Kim YI, Suh TW, Jung IK. Length of Stay of Psychiatric Patient and Its Correlate in Mental Health-related Facilities. J Korean Neuropsychiatr Assoc. 2006; 45:372–381.
19). Choi JK, Jang HS, Lee MS, Hong JP, Park JI. The contributing factors on length of stay of psychiatric patients in mental health related facilities in Korea. J Korean Neuropsychiatr Assoc. 2013; 52:98–107.
20). Suh TW, Lee YM, Kim Y, Lim JK, Kim DJ. Study on the program and profiles of patients in mental health facilities in Korea. Korean institute for health and social affairs. 1999.
21). Ito H, Setoya Y, Suzuki Y. Lessons learned in developing community mental health care in East and South East Asia. World Psychiatry. 2012; 11:186–190.
Article
22). Monzani E, Erlicher A, Lora A, Lovaglio P, Vittadini G. Does community care work? A model to evaluate the effectiveness of mental health services. Int J Ment Health Syst. 2008; 2:10.
Article
23). Chung IW, Kim H, Son JW, Lee SY, Kim HY, Suh DW. Characteristic of Age Groups in Schizophrenic Patients Registered at Day and Vocational Rehabilitation Programs in Community Mental Health Centers. J Korean Neuropsychiatr Assoc. 2004; 43:105–112.
24). Marshall M, Crowther R, Almaraz-Serrano A, Creed F, Sledge W, Kluiter H, et al. Systematic reviews of the effectiveness of day care for people with severe mental disorders: (1) acute day hospital versus admission; (2) vocational rehabilitation; (3) day hospital versus outpatient care. Health Technol Assess. 2001; 5:1–75.
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