다중흐름모형을 적용한 정신건강복지법 개정 과정 분석 = Analysis of the Revision Process of the Mental Health Welfare Act Using the Multiple Streams Model

다국어 초록 (Multilingual Abstract)

In December 2023, a partial amendment to the Mental Health Welfare Act was passed, introducing four new provisions: peer support, peer support shelters, procedural assistance, and adult guardianship. This is significant as it marks the introduction of systems in which people with mental illnesses directly participate in and lead the previously expert-centered mental health system. However, it also reflects the fact that only a few of the comprehensive amendments originally proposed by the Coalition were passed.
This study analyzes the revision process of the Mental Health Welfare Act using Kingdon's Multiple Streams Model to explore the decision-making processes and factors involved. The analysis revealed that the problem stream included national indicators reflected mental health policy issues, social incidents highlighting the shortcomings of current policies, and feedback on existing policies. In the political stream, there were policy recommendations from the National Human Rights Commission to the government, the Coalition for revision, legislators, public officials, and the medical community, legislative advocacy from organizations representing people with mental illnesses, and media coverage of violent crimes. Finally, the policy stream included government pilot projects, the second national mental health plan, proposals from coaliton advocating for comprehensive amendments, and legislative bills in the National Assembly. The policy leaders in the legislative process were the organizations representing people with mental illnesses and coalition for revision. Based on the research findings, the study suggests the need for proactive legislative advocacy, diverse discussions about policies, and institutional support for advocacy movements led by people with mental illness