WHO Collaborating Center for Psychosocial Rehabilitation, Yongin Mental Hospital, Yongin, Korea.
Psychiatry Investig. 2009 Jun;6(2):59-65. doi: 10.4306/pi.2009.6.2.59. Epub 2009 Jun 30.
The role of community mental health centers (CMHCs) in Korea is quite different than that of these centers in Western countries due to nation-specific health care system characteristics. For example, CMHCs of Korea are expected to provide services for serious mental illness in addition to other services in response to community needs, such as internet addiction of adolescents. Consequently, it is important to determine service priorities of CMHCs and to define standard service performances in order to maximize their effectiveness with limited resources. The present study aimed to generate expert consensus on service priorities and to identify standard service performances of CMHCs in South Korea.
Forty-five mental health professionals participated as experts in a Delphi survey. We made a survey questionnaire based on Korean and international data and guidelines of some countries such as the UK and Australia. Experts answered the first and second round questionnaires and their answers were analyzed using frequency analysis.
For the question about future directions of CMHCs, twenty-two experts (49%) answered that the growth of services for serious mental illness should be preferred to other areas. The service for chronic mental illness was thought to be the most important service area (27.1%) and, early psychosis (10.5%) is included, the services for serious mental illness should be regarded as the most important service area of Korean CMHCs. It is followed by child and adolescent services (13.2%) and mental health promotion services (10.8%). The relative importance of service performances on each service domain were given by answers of experts.
CMHCs in Korea should focus their priority on the management of serious mental illness. Service standardization by the relative importance of service performances on each service domain is needed.
由于特定的医疗保健系统特征，韩国社区心理健康中心（CMHC）的角色与西方国家的这些中心有很大的不同。例如，韩国的 CMHC 除了提供其他服务以满足社区需求（如青少年网络成瘾）外，还期望为严重精神疾病提供服务。因此，确定 CMHC 的服务重点并确定标准服务绩效以在有限资源的情况下最大限度地提高其效果非常重要。本研究旨在就服务重点达成专家共识，并确定韩国 CMHC 的标准服务绩效。
45 名精神卫生专业人员作为专家参加了 Delphi 调查。我们根据韩国和国际数据以及英国和澳大利亚等一些国家的指南制定了调查问卷。专家回答了第一轮和第二轮问卷，他们的答案通过频率分析进行了分析。
对于 CMHC 的未来方向问题，有 22 名专家（49%）回答说，应优先考虑严重精神疾病服务的增长，而不是其他领域。慢性精神疾病服务被认为是最重要的服务领域（27.1%），包括早期精神病（10.5%），因此，严重精神疾病服务应被视为韩国 CMHC 的最重要服务领域。其次是儿童和青少年服务（13.2%）和精神健康促进服务（10.8%）。专家的回答给出了每个服务领域的服务绩效的相对重要性。
韩国的 CMHC 应将重点放在严重精神疾病的管理上。需要根据每个服务领域的服务绩效的相对重要性进行服务标准化。
