정신건강 전공 및 직무 교육이 취약계층 정신건강문제에 대한 사회복지사 실천에 미치는 영향

이선혜(Lee, Sun-Hae),서진환(Suh, Jin-Hwan),최정아(Choi, Jung-Ah) 한국지역사회복지학회 2014 한국지역사회복지학 Vol.0 No.48

지역사회의 공공 및 민간 복지기관에서 정신건강문제를 가진 클라이언트를 위한 지속적이고 책임성 있는 개입의 중요성이 증가하고 있다. 본 연구에서는 정신건강 전공교육과 직무교육이 교육내용의 현장 적용을 촉진하는 실천효능감 요인을 매개로 사회복지사 실천에 영향을 미치는 구조적 관계를 검증하고자 하였다. 이를 위해 수도권 소재 사회복지관련기관의 실무자 400명을 대상으로 정신건강문제가 있는 취약계층에 대한 개입실태 자료를 수집하고 구조방정식을 활용한 분석을 실시하여 다음 결과를 도출하였다. 첫째, 사회복지사 실천에 대한 정신건강 전공교육의 직접 효과는 유의하지 않은 반면, 실천효능감을 통한 간접 효과는 유의한 것으로 나타났다. 둘째, 사회복지사 실천에 대한 정신건강 직무교육의 직접 효과 및 실천효능감을 통한 간접 효과는 모두 유의한 것으로 나타났다. 이러한 연구결과를 바탕으로 결론에서는 정신건강에 관한 대학 전공교육과 현장 직무교육의 중요성 및 이러한 교육에 요구되는 교수 전략에 대한 함의를 제시하였다. It is important for social workers in public and private agencies to be able to provide services to clients with mental health problems in a continuous and accountable manner. This study investigated the structural relationship between education and interventions to these clients as mediated by practice efficacy. Four hundred social workers were recruited from local government offices, community welfare centers, and workfare agencies in Seoul Metropolitan Area for a survey on their intervention to those clients; the data were analyzed through structural equational modeling. The results showed that the direct effect of college courses on intervention was not significant while their effect, mediated by practice efficacy, was significant. On the other hand, the effect of continuing education was found to be significant, both directly and indirectly, mediated by practice efficacy. Based on these results, the importance of formal and continuing education on mental health issues was emphasized, and implications for teaching strategies required of these types of education were discussed.

한국인의 정신건강 도움요청행위에 영향을 미치는 요인

이선혜(Sun Hae Lee) 한국정신건강사회복지학회 2007 정신보건과 사회사업 Vol.27 No.-

이 연구의 주된 목적은 한국인의 정신건강 도움요청행위에 대한 탐색적 이해를 도모함으로써, 정신보건서비스의 활성화 전략을 도출하기 위한 근거를 마련하는 데 있다. 이를 위해, 도움요청행위와 관련된 다양한 선행요인, 접근요인, 욕구요인들 가운데 한국인이 심리정신적 이유로 일반의료제공자와 정신건강전문가를 찾는 행위에 영향을 미치는 요인들을 파악하고자 설문도구를 구성하고 자발적 참여자 300명을 대상으로 자기응답식 설문조사를 실시했다. 연구의 결과, 일반의료제공자를 찾는 데 가장 큰 영향을 미치는 요인들은 성별, 신뢰/불신의 정도, 주관적 욕구였으며, 정신건강전문가를 찾는 데 가장 큰 영향을 미치는 요인들은 객관적 욕구, 성별, 자원이용경험, 사회적 승인, 가족의 승인인 것으로 나타났다. 이에 따라 결론에서는 성별에 따른 차별화된 전략, 의료제공자의 선별 및 의뢰 역할의 강화, 일반인과 사회복지실무자에 대한 정신건강역량(mental health literacy)의 강화 등을 제언했다. The primary purpose of this study is to explore help-seeking behavior of Koreans with mental health problems and provide a basis for strategies to facilitate use of mental health services. A self-administered questionnaire was designed for a survey of 300 voluntary respondents to identify which of the factors among predisposing, enabling, and need factors affect the behavior of seeking help from general medical providers and mental health professionals. The study results showed that sex, trust/mistrust, and subjective need were the most influential factors affecting the use of general medical services, while objective need, sex, past experience of using resources and social sanction being the most influential in the use of mental health services. In the conclusion, this study discussed the need to enhance mental health literacy among the general public, apply gender-specific strategies in promoting help-seeking behavior, and increase the role of screening and referral among general medical providers.

초등학생 자녀를 둔 가족의 부모자녀 관계증진 프로그램 참여 경험에 관한 연구

이선혜(Lee, Sun Hae),장영은(Chang,Young Eun),고정은(Ko, Jungeun),김윤민(Kim, Yun Min) 한국지역사회복지학회 2018 한국지역사회복지학 Vol.0 No.67

본 연구의 목적은 부모자녀 간의 관계증진에 보편적으로 적용 가능한 예방적 프로그램을 개발 적용하고, 프로그램 참여자의 경험을 통해 그 적용 결과를 탐색하기 위함이다. 이를 위해 서울 시내 한 초등학교에 재학 중인 초등학생 6명과 그 어머니를 대상으로 가족관계증진 사회서비스 R&D의 일환으로 개발한 부모자녀 관계증진 프로그램을 9회기 걸쳐 시범 실시하였다. 프로그램의 효과를 분석하기 위해 참여 어머니를 대상으로초점집단면접을 수행하였고 주요 연구결과는 다음과 같다. 먼저, 문제 중심으로 접근하는 기존 프로그램과 달리 성숙한 관계를 형성하고 유지할 수 있는 기초역량 강화 중심의 접근은 친밀한 관계에 대한 이해력 제고에 긍정적으로 작용함을 알 수 있었다. 또한 자녀양육 강의가 아닌 대안적 상호작용 체험 위주의 진행 방식은 부모가 자녀의 특성을 이해하고 관계상의 고민과 문제를 통찰하는데 용이하다는 장점으로 부각되었다. 다음으로, 사회서비스로서 부모자녀 관계증진 프로그램의 공급과 확산을 위한 학교 역할의 중요성을 확인하였으며 참여 어머니들의 프로그램 경험이 자조집단 발달로 이어지는 성과를 관찰하였다. 이러한 연구결과는 보편적이고 예방적 성격의 사회서비스가 부모교육 및 전문상담에 대한 잠재 욕구를 인식하게 하는 계기(screening) 또는 서비스진입점(entry point) 역할을 할 수 있다는 함의를 가진다. The purpose of this study is to develop and implement a prevention program to enhance the parent-child relationship and to explore the participants’experience of the program. For this purpose, a 9-session group program was provided on six children and their mothers who were recruited at the same elementary school in Seoul, Korea. A focus group interview was conducted on the mothers and they were asked about the effectiveness and short-term outcome of the program. The major results emerged from the interview data were as follows. First, the solution-oriented approach resulted in a better understanding of the nature of their relationship with their children. The experiential mode of the program, not a lecture mode, was pointed to be an advantage of understanding better their child as a person as well as providing insights on relationship concerns and issues. Next, the potential role of schools was strongly proposed in facilitating the supply and distribution of a social service program such as this; the relationship of the mothers as peer participants was developed into a self-help group. These results suggest that this type of social service program with a prevention perspective can facilitate the screening of a potential need for or the entry into parent education and family counseling.

국내 지역별 외국인 직접투자 결정 요인

이선혜(Sun-hae Lee),박세운(Sae-Woon Park) 한국무역연구원 2012 무역연구 Vol.8 No.1

Local governments within a country compete against each other in trying to attract foreign direct investment. While there are various studies explaining the factors behind a country's potential to attract foreign direct investment, within-country location choice of multinationals has not adequately. After a brief review of this literature on location decisions of multinationals, this study attempts to identify the factors that lead to variations in the attractiveness of regions withing a country. The result of this empirical analysis shows that foreign companies may seek efficiency represented by wage level, unemployment and unionization rate rather than market when they decide to invest in Korea.

구상보증서 지급금지에 대한 중국 법원 판례연구

이선혜(Sun-Hae Lee) 한국무역연구원 2021 무역연구 Vol.17 No.5

Purpose Focusing on recent Chinese court cases, this study aims to review the perspective of Chinese courts on fraud exceptions under a demand guarantee, and derive precaution points for a guarantor in demanding payment under a counter-guarantee. Design/Methodology/Approach A literature study is conducted in relation to recent Chinese court cases with reference to International Standard Demand Guarantee Practice and ICC official opinion related to guarantees or counter guarantees. Findings First, Chinese courts have restricted application of fraud exception since the provisions of China’s Supreme People’s Court on independent guarantees were enacted in 2016. Second, Chinese courts judged that it was a manifest fraud that a guarantor falsely made a demand despite discrepancies in the beneficiary’s demand under a guarantee. Third, counter guarantors must decide whether to pay within five business days following the day of presentation, but often times they delay payment thus being informed from the local court that the applicant has filed for an injunction. Research Implications Chinese courts’ frequent allowance for fraud exception in the past aroused worldwide complaints. However, since enactment of independent guarantee provisions, Chinese courts have rarely issued injunctions. Thus, guarantees and counter-guarantees issued by Chinese banks these days have accordingly been considered trustworthy.

한국 성인의 정신건강역량: 우울증과 정신분열병을 중심으로

이선혜 ( Sun Hae Lee ),서진환 ( Jin Hwan Suh ) 한국사회복지연구회 2010 사회복지연구 Vol.41 No.2

The purpose of the study was to identify the level of mental health literacy of the Korean public and to suggest implications of prevention and early intervention for depression and schizophrenia. A household survey was conducted on a stratified sample of community residents from 80 survey clusters in Seoul and the surrounding province who were 18-74 years of age (N=1,653). The data analysis revealed that the percentages of respondents who correctly identified symptoms of depression or schizophrenia were similar, 35.2% and 33.5% respectively. On the other hand, there were differences between the two illnesses in terms of respondents` perceptions of beliefs on causes and usefulness of various methods to address respective symptoms, and sources of mental health information. The authors compared the findings with the results found in other countries, and suggested policy and practice implications for community mental health prevention in Korea.

자활사업 재활프로그램을 위한 절주집단프로그램의 개발과 평가

이선혜 ( Sun Hae Lee ) 한국사회복지연구회 2004 사회복지연구 Vol.25 No.-

정신장애 동료상담 교육과정 개발 기초연구 : 내러티브접근의 철학과 방법의 적용

이선혜(Lee, Sun Hae),송영매(Song, Young Mae),김민아(Kim, Min Ah) 한국장애인복지학회 2021 한국장애인복지학 Vol.52 No.52

정신장애인의 고용율이 매우 낮은 현실 속에서 정신장애에 특화된 일자리로서 동료지원가에 대한 관심이 증가하고 있다. 본 연구는 정신장애인들을 대상으로 동료상담가 교육과정을 개발하고 성과를 평가하였다. 양성교육 과정은 영미의 동료지원 필수역량과 국내의 기존 교과내용을 근거로 이론과목(대면상담, 상담행정, 사회연대)과 실습과목으로 구성하였고, 교육과정 전체를 관통하는 철학과 방법으로서 포스트모던 사회복지실천 및 상담 모델인 내러티브접근을 적용하였다. 본 교육은 성인 정신장애인 15명을 대상으로 10주간 300시간에 걸쳐 진행되었고, 사전사후에 설문조사 각 1회와 사후 초점집단인터뷰 1회가 수행되었다. 윌콕슨 부호순위 검정 결과, 연구참여자들은 교육과정 참여 이전과 비교하여 교육 참여 이후 삶의 만족도, 회복, 정신건강 자신감 수준이 통 계적으로 유의미하게 증가하였고, 정신건강 증상은 유의미하게 낮아졌다. 주제분석 결과, 일상 회복, 개인정체성 재구성, 동료상담가로서의 정체성 발달측면에서의 변화가 주요 성과로 도출되었다. 정신장애인이 동료상담가로서의 정체성과 역량을 개발하고 안정적인 일자리에 접근할 수 있도록 하는 생태환경 조성의 방안을 제언하였다. Given low rate of unemployment among people with psychosocial disabilities, mental health peer support has received much attention as a viable job for individuals who are mentally ill and recovering. The purpose of this study was to develop a curriculum to train the recovering mentally ill as peer counselors and evaluate the effect of the training. After a review of international and domestic literature on competencies and curriculums for peer supporters, this study constructed a training curriculum to develop core competencies in peer counselors. The principles of narrative approach, a postmodern counseling and therapy model, were applied as theoretical underpinnings of the curriculum. The curriculum consisted of theoretical courses (face-to-face counseling, counseling administration, and social solidarity) and practical courses. Fifteen adults with mental illness participated in the training for 300 hours (10 weeks), taking both pre- and post-surveys and participating in a focus group interview after the training. Results of Wilcoxon s signed-rank test showed that participants reported statistically significant increases in the levels of life satisfaction, recovery, and mental health confidence and a significant decrease in mental health symptoms compared to the levels before their participation in the training. Thematic analysis identified major themes related to their changes after participation in the training, such as recovery in daily life, restructuring of personal identity, and the development of an occupational identity as a peer counselor. This study highlights the efforts necessary for people with psychosocial disabilities to develop their identity and competency as peer counselors and provides an ecological environment to increase access to stable jobs.

신용장 개설은행의 지급거절시 의무사항에 대한 연구

이선혜(Sun-Hae Lee) 한국무역학회 2021 무역학회지 Vol.46 No.5

This study aims to derive precaution points for issuing banks in refusing payment under L/C through literature review and examination of court cases and official opinions of ICC Banking Commission with regard to the provisions of article 16 of UCP 600 that stipulates obligations of issuing banks in refusing payment. If the issuing bank fails to act in accordance with this article, it shall be precluded from claiming that the documents do not constitute a complying presentation. Therefore, it is crucial that issuing banks should be well informed of this article. When discrepant documents are presented, however, issuing banks seldom refuse payment because, in most cases, the applicants waive the discrepancies. For this reason, issuing banks have few chances to deal with payment refusal in practice and thus they occasionally end up failing to observe the provisions of the article. Such court cases include Kookmin Bank and Korean Exchange Bank (currently Hana Bank) that failed to indicate discrepancies in the refusal notice losing the lawsuits. It should be noted that if issuing banks disregard the provisions of article 16 of UCP 600 and thus fail to indicate discrepancies in the refusal notice, they may face fatal situations in which they must make payment against discrepant documents.

우울증상 해결자원의 유용성 신념에 영향을 미치는 요인

이선혜(Sun-Hae Lee),서진환(Jin-Hwan Suh),정슬기(Sul-Ki Chung) 한국보건교육건강증진학회 2011 보건교육건강증진학회지 Vol.28 No.2

Objectives: This study investigated beliefs of Koreans on the usefulness of various resources they use to alleviate depressive symptoms and to identify factors affecting the beliefs on different approaches to depressive symptoms. Methods: A household survey was conducted on a stratified sample of adults of age 18~74 (N=1,607) in 2009. The participants were asked to read a case vignette of depression and to provide their opinion about usefulness of 39 types of resources as ways of addressing the symptoms. Factors affecting opinions on usefulness of various resources were examined with logistic regression. Results: The three approaches identified via factor analysis were believed to be useful in the order of ‘psychological/relational/ activity-oriented’, ‘lifestyle/cultural’, and ‘physical/medical’ approaches. The logistic regression analyses revealed that correct recognition of symptoms increased the likelihood of positive opinion about psychological and physical approaches, and so did having current symptoms about physical and popular approaches. Past help-seeking experience increased the likelihood of negative opinion about physical approach, however. Conclusions: Strategies to adopt various types of resources need to be developed, including rigorous use of psychosocial methods, mechanisms to control service quality, and the integration of diverse resources into the current community mental health services.