Korean J Psychosom Med.  2017 Dec;25(2):145-152. 10.22722/kjpm.2017.25.2.145.

Current State of Vocational Rehabilitation Program for Individuals with Disabling Mental Illness in Korea

Affiliations
  • 1Department of Psychiatry, Konyang University Hospital, College of Medicine, Konyang University, Daejeon, Korea. maumdoctor@gmail.com
  • 2Chungcheongnam-do Mental Health Welfare Center, Hongsung, Korea.
  • 3College of Community and Human Services, Rikkyo University, Tokyo, Japan.
  • 4Development Planning Department, R&D Center, Dongwha Pharm., Seoul, Korea.
  • 5Department of Psychiatry, National Center for Mental Health, Seoul, Korea.
  • 6Workplace Mental Health Institute, Kangbuk Samsung Medical Center, Seoul, Korea.

Abstract


OBJECTIVES
There has been long lasting trend of deinstitutionalization and public health centered care in management of individuals with disabling mental illness. We aimed to investigate current vocational rehabilitation state and effectiveness of system in korea.
METHODS
We carried basic survey via telephone and e-mail beforehand to figure out how many and which institutions are operating vocational rehabilitation programs to psychiatric patients. A questionnaire packages were sent to total of 108 institutions in Korea which were operating occupation rehabilitation program.
RESULTS
Of 108 institutions, 40.74% were returned with answers. The person in charge of vocational rehabilitation at each institution was mainly mental health social worker(48.8%), and the budget under \1,000,000 was the majority(61.5%) among surveyed institutions. The most commonly used vocational rehabilitation programs was case management(23.1%), followed by psychosocial rehabilitation program(21.2%), and on-the-job training(17.9%). The most effective program was case management(27.4%), followed by psychosocial rehabilitation program(19.8%), on-the-job training(17.9%). The main barrier of occupation rehabilitation to be conducted widely was "˜worries about being excluded from beneficiary of National Basic livelihood Protection Act'.
CONCLUSIONS
Our results suggest that, in spite of high demand in vocational rehabilitation programs, government financial support is still lacking.

Keyword

Mental disorder; Vocational rehabilitation; Schizophrenia

MeSH Terms

Budgets
Deinstitutionalization
Electronic Mail
Financial Support
Government Programs
Humans
Korea*
Mental Disorders
Mental Health
Occupations
Psychiatric Rehabilitation
Public Health
Rehabilitation
Rehabilitation, Vocational*
Schizophrenia
Telephone
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