지역사회 정신보건 서비스에 정신건강의학과 전문의의 역할

• 영문명: Roles of Psychiatrists in Mental Health Services: The Gwangju Mental Health Project “Mind Doctor”
• 발행기관: 대한신경정신의학회
• 저자명: 전민(Min Jhon) 왕수연(Soo-Yeon Wang) 김선영(Sun-Young Kim) 이주연(Ju-Yeon Lee) 김재민(Jae-Min Kim) 신일선(ll-Seon Shi
• 간행물 정보: 『신경정신의학』제60권 제1호, 70~77쪽, 전체 8쪽
• 주제분류: 의약학 > 정신과학
• 파일형태: PDF
• 발행일자: 2021.02.28

영문 초록

Objectives The treatment rate for mental illness is low in Korea (22%) compared to Western countries (40-50%). Thus, Gwangju city commenced a mental health project termed “Mind Doctor” in 2016. Psychiatrists regularly visit mental health centers to provide services, including counseling. This paper summarizes the achievements and significance of the project. Methods The project has been in progress for four years. This study evaluated 7,483 clients assisted by 322 center staff and 55 participating psychiatrists. The characteristics of the mental health center and addiction management center clients were identified. The center staff opinions and satisfaction were analyzed. Results Psychiatrists placed in community mental health services played a variety of roles as counselors, supervisors, lecturers, and program organizers. During the time since the project commenced, referral rates to mental health clinics after in-center counseling increased from 9.4% to 41.6%. Half of the psychiatrists worked in psychiatric hospitals (45.5%), and were in their 30s (43.6%). Of those seen by psychiatrists in mental health centers, 42% were aged under 30 years, and almost half were male (46%). Most clients were satisfied with their consultations (90%) and were willing to recommend the project to others (88%). More than 85% of center staff responded positively to the project, particularly in 2019. Conclusion “Mind Doctor” readily identified the mental problems of community residents and provided smooth referrals to mental health clinics. Collaboration between the psychiatrists and mental health workers in mental health centers contributed to mental health promotion and early intervention to treat mental problems.

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지역사회 정신보건 서비스 정신건강의학 정신질환 이차 예방 의뢰 및 자문 Community mental health services Psychiatry Mental disorders Secondary prevention Referral and consultation