精神遲滯障碍人 그룹홈의 改善方案

Abstract

The handicapped have various desires but they don't have enough information and recognition about the service which they need. Moreover, Korean service delivery system is complicated and the service is not various and resources are also lack so that it often happens that the handicapped aren't given the service which they need. Private organizations continue to lead Korean health medical care and welfare at present. It will obviously make a health policy limp, incite to produce medical care on a commercial scale, and function as an obstacle of giving health medical service. Besides, present social welfare changes into universality, stress on local communities, stress on beneficiaries, decentralization, participation of beneficiaries, diversification of the field to give welfare service, overall welfare policies. In addition, as the conception of welfare expands, social welfare system has expanded from a quantitative field to qualitative field and from personal field to social field. So, we can see that the field of welfare is infinite. Based on this facts, we studied a unification plan in the group home as the plan for unification of service founded on the desire for health medical welfare of the handicapped through this study. The following are the purposes of this study. First, we see the actual state of operating the group home through theoretical consideration. Second, we prove the necessity of unifying health medical care and welfare services of group home as a counter plan of mentally retarded person's future. Third, we grasp the desire as well as the actual state of health medical care and welfare service in the group home through the interview case of the mentally retarded. Fourth, based on this, we intend to present the basic data which are necessary for the activation of revitalization programs as well as reconsideration of recognition for health medical care and welfare service of the mentally retarded. We used the methods of literature research and questionnaire research whose subjects are mentally retarded person's parents, and interview research with the mentally retarded who live in the group home. The following are the results of this study. First, according to the questionnaire research, the majority of mentally retarded person's parents showed the desire for health, medical care, welfare service, and they were positive for the service plan of health medical welfare which unify service in each field. Second, considering the interview case with the mentally retarded who live in the group home, we could see that they have whole and various desires. There are many cases which they have no income because they are the mentally retarded, which they depend on their parents or siblings, which they feel uncomfortable as they couldn't take normal education in a school, and which they abase themselves and personal relations are not harmonious. Of course, they usually didn't endure small pain because of the fear of disease. We must pay attention to their various desires and the state of recognition in order that we remove both the thought and the feeling which they are shunned from them, and improve the quality of their lives. We need the following so as to activate all the functions in the group home. First, if we operate about 4 group homes in the same city and county centering on the professional organ of group home and each expert circulates and gives service, a budget will reduce a lot as well as organization, programs, and service will be more efficient. Second, we must make assembly by hiring and using experts together in combination with the group home which other organs operate in the same local community, and exchange information and various resources one another. Third, we must find and use experts in local communities as volunteers. We sufficiently inform the experts in local communities of group home and interest them so that we will give special service as well as reduce the budget. For this, we must immediately make network about human and material resources being scattered in local communities. The following are the methodological problems and limits to the investigation of this study. First, there will be the critical point on generalizing restricted results of the study because we used the random sampling method when we choose the subjects of an interview. Second, systematic precedent studies are not enough for the lack of existing studies about the health medical care of the mentally retarded and the unification of welfare. Third, the distortion can emerge in respondents' subjectivity because the results came from respondents' perception. Finally, the service of health medical welfare in the group home is necessary not only to reduce the cost of government's welfare service but also to improve the personal life quality of the mentally retarded and the ability of society adaptation behavior so that we must intensify the unification service in the group home through systematic introduction and continue many studies to diversify the form and method of operation.