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- 저자 : 민현순 (검색결과 2 건)
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의료사회사업에서 척수손상자를 위한 사례관리 실천모형 연구
민현순 경성대학교 정책정보대학원 1997 국내석사
The purpose of this study is to develop an appropriate case management practice model for the spinal cord injured in medical social work setting, and to test it for the practiccal purposes. This study is evolved through literature review, which is related to spinal cord injury and case management, and the researcher's experience with the spinal cord injured in medical social work setting. The contents of the intended model are as follow: The goals of this model are related to help the spinal cord injured to perform appropriately their daily living tasks in community. Continued rehabilitation treatment and care after being discharged from the hospital are highly emphasized in this model, which is intended to achieve an effective rehabilitation management. Therefore, compared to the other traditional social work practices, this model focuses more on monitoring, follow-ups, and re-assesments. The model uses teamwork approach which is composed of rehabilitation doctors, nurses, physical therapists, volunteers, and social workers. In this case, the role of case manager is a professional manager. In order to solve various problems of the spinal cord injured, public and personal resource systems are composed and used. Tn modifying case management process, Rothman's experiential model for social work practice is referred. In order to test this model empirically, it has been applied to an existing medical social work practice setting. The study sample is consisted of 3 clients, who were diagnosed as spinal cord injury, hospitalized at rehabilitation medicine unit in Pusan ** hospital, and who were given services more than one years by this researcher. This study subjects had various problems, for instance, economical, psycho-social and family problems, so they could not carry out daily living tasks properly by then. In assessment phase, re-assessment phase, and evaluation phase, measured were the Escrow (Environment, Social support, Cluster of family member. Resources, Outlook, Work or school status) profile that can evaluate home care assessment, and the modified Barthel index that can evaluate ADL(Activities of Daily Living) score. After being applied, the tests showed positive trends being occurred to the study subjects (clients), And all of the subjects were found to be strengthened by social network also. Therefore, this researcher was able to conclude that the proposed model could contribute positively welfare of the spinal cord injured. Even in a situation where community resources are limited and the service delivery system is not well established, this study could show that this model can contribute for the spinal cord injured to integration of the their community. In this case, the social worker as a case manger should be effective as following. First, social workers should strengthen their function as an educator and as a continuous monitoring person. Social worker should have sensibility to social welfare policy and community resources. And they have to develop the resource systems of the base of relationship with the spinal cord injured. Particularly, in a situation of the deficit of service facilities and resource systems as in the case of Korea, they must intervene the contexts of social network. Second, it is needed that social workers put their efforts in community resource development. Third, social workers should intervene to the situations in need of strengthening functions of extended families by activating family conference and developing family education programs. Based on the findings in this study, a few of suggestions are as follows. First, it is needed that assessment tools be provided before practicing case management, so that the effectiveness of applying life-task centered case management model can be more empirically tested Second, the availability of this model might need ta be tested on extending to the other areas like the brain-injured and the other clonic diseased. Third, in testing the effectiveness of case management method like this, it is required to have control groups in the phase of study design. Fourth, applying the case management model, which is developed in the context of western countries, to the situation in Korea, the efforts of developing other contexts like half-way care facilities are needed.
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