Psychiatry Investig.
2025 Jan;22(1):26-39. 10.30773/pi.2024.0189.
A New Agenda for Optimizing Roles and Infrastructure in a Mental Health Service Model for South Korea
- Affiliations
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- 1Department of Psychiatry, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea
- 2Department of Psychiatry, Soonchunhyang University Cheonan Hospital, Soonchunhyang University, College of Medicine, Cheonan, Republic of Korea
- 3Department of Social Welfare, Nambu University, Gwangju, Republic of Korea
- 4Suwon Community Addiction Management Center, Suwon, Republic of Korea
- 5Department of Psychiatry, Gil Medical Center, Gachon University College of Medicine, Incheon, Republic of Korea
- 6Department of Public Health, Seoul National University, Seoul, Republic of Korea
- 7Department of Psychiatry, Korea University College of Medicine, Seoul, Republic of Korea
- 8Institute of Public Health and Medical Service, Seoul National University Hospital, Seoul, Republic of Korea
- 9Department of Psychiatry, Keyo Hospital, Uiwang, Republic of Korea
- 10Workplace Mental Health Institute, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea
- KMID: 2563898
- DOI: http://doi.org/10.30773/pi.2024.0189
Abstract
Objective
As the demand for community mental health services continues to grow, the need for well-equipped and organized services has become apparent. This study aimed to optimize the roles and infrastructure of mental health services, by establishing, among other initiatives, standardized operating models.
Methods
The study was conducted in multiple phases from May 12, 2021, to December 29, 2021. Stakeholders within South Korea and metropolitan mental health welfare centers were targeted, but addiction management support centers, including officials, patients, and their families, were integrated as well. A literature review and survey, focus group interviews, a Delphi survey, and expert consultation contributed to comprehensive revisions and improvements of the mental health service model.
Results
The proposed model for community mental health welfare centers emphasizes the expansion of personnel and infrastructure, with a focus on severe mental illnesses and suicide prevention. The model for metropolitan mental health welfare centers delineates essential tasks in areas such as project planning and establishment, community research, and education about severe mental illnesses. The establishment of a 24-hour emergency intervention center was a crucial feature. In the integrated addiction support center model, the need to promote addiction management is defined as an essential task and the establishment of national governance for addiction policies is recommended.
Conclusion
This study proposed standard operating models for three types of mental health service centers. To meet the increasing need for community care, robust mental health service delivery systems are of primary importance.
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