DOI QR코드

DOI QR Code

Research on Ways to Promote Community Care for People with Developmental Disability

발달장애인의 커뮤니티 케어 실현방안에 대한 연구

  • Shin, Jun-Ok (Department of Social Welfare, Sungkyul University)
  • 신준옥 (성결대학교 사회복지학과)
  • Received : 2020.04.29
  • Accepted : 2020.06.20
  • Published : 2020.06.28

Abstract

The purpose of this study was to present ways and tasks for the successful settlement of community care that the korea government recently aimed to convert the care system of the vulnerable from the center of institutional care to the community-based care system. As a research method, we tried to find out the community care policies for foreign developmental disabilities and explore major issues and problems in the process. As a result of the study, de-institutionalization and maintenance and enactment of laws related to community-based care systems, the division of subjects and tasks in policy implementation, and above all, it is necessary to specify necessary financial estimation, procurement plan, and budget securing method. In addition, sincere deliberation on the form of living space for people with developmental disabilities after de-institution and clarification of the subjectivity of using the services provided Establish reliable statistics on the characteristics and degree of disability of people with developmental disabilities, worry about human rights violation factors that can occur in community residential facilities that will be provided after de-facility, and create consensus in the community was also analyzed as an important factor. I think it is a key factor to secure the success of the community care policy by carrying out the above multiple tasks simultaneously.

본 연구의 목적은 최근 정부에서 취약계층의 돌봄 체계를 시설보호(Institution Care) 중심에서 커뮤니티 케어체계로의 전환을 목표로 추진하고 있는 발달장애인의 탈시설화를 위한 커뮤니티 케어의 성공적인 정착을 위한 방안과 대안을 제시하는데 있다. 연구방법으로 커뮤니티 케어의 궁극적 목적인 일상적 삶에 있어서 주도적이고 참여적인 삶을 실현하기 위해 외국의 발달장애인 커뮤니티 케어 정책들을 알아보고 추진 과정상의 주요 쟁점과 문제점을 탐색하고자 하였다. 연구결과, 탈시설화와 커뮤니티 케어 관련법의 정비·제정, 정책 시행상의 주체와 수행 과제, 소요재정 추계와 조달계획 및 예산확보 방안 등을 구체화 시켜야 할 것이다. 또한, 발달장애인의 주거공간 형태와 서비스 이용의 주체성을 명확하게 하는 것, 발달장애인의 특성과 장애정도에 대한 신뢰성 있는 통계 마련, 탈시설화 후 커뮤니티 케어에서 발생할 수 있는 인권유린 요인에 대한 고민, 지역사회의 공감대 형성 등 다양한 과제를 동시다발적으로 진행해 나가는 것, 커뮤니티 케어 정책의 성공을 담보하는 데 있어서 핵심요소 등이 필요하다는 것을 정책적 차원에서 제언하였다.

Keywords

References

  1. H. S. Cho. (2018). Tasks for Activating Community Care monthly public policy, 157, 62-65.
  2. M. J. Sung. (2019). De-institutionalization process for the developmentally disabled, Master's thesis, Graduate School of Civil and Social Welfare.
  3. Y. D. Kim. (2012). Disability and Social Welfare, Seoul: EM.
  4. H. W. Choi. (2020). Master's thesis, research on the realization of deinstitutionalization for the severely disabled (focused on the disabled).
  5. S. K. Park. (2017). The Actual Condition for the Preparation of the Deconstruction Plan for the Disabled, National Human Rights Commission of Korea.
  6. J. I. Jeon. (2000). Practical Implications of De-institutionalization of Community Welfare, Research on Social Welfare, 6(2).
  7. J0 An. (2006). Measures to improve the legal system for the protection of human rights of people living in social welfare facilities: Focused on social welfare facilities, Law and Social Theory Society.
  8. Seattle Regional Office of United States General Accounting Office Deinstitutionalizion of the mentally disabled in Oregon. 1976.
  9. Y. D. Kim. (2018). Deinstitutionalization and Building Community-Based Personal Special Services: Community Care that Comments Independence and Interdependence. Health and Social Welfare Review, 38(3), 492-520. https://doi.org/10.15709/hswr.2018.38.3.492
  10. Korea Institute for Health and Social Affairs, 2018.
  11. Emerson, Deinstitutionalization Tizard Learning Disability Review, 2005.
  12. Collins, J. From hospital to home: the drive to support people with intellectual disabilities in the community. International Journal of Developmental Disabilities, 2015.
  13. Asylum Essays on the Social Situation of Mental Patients and Other Inmate, Harmonds worth: penfuin Books, 1961.
  14. Institutional Neuroses, Bristol: Wright, 1959.
  15. Bradley, Creating Individual Supports for People with Developmental Disabled, Baltimore: MD Brooks, 1994.
  16. Mean and Smith, Community Care: Policy and Practice(4 Edition), 1998.
  17. J W. Kim. (2012). Focusing on the implications of de-institutionalization of people with disabilities in the UK and the promotion of residence and subjectivity in the community, Korean Journal of Social Welfare,
  18. M. Y. Kim. (2016). Dignity deprivation policy for the disabled with dignified life, Korean Society of Public Engineers, Vol.44 (3), 61-101.
  19. J. H. Jeon. (2015). A study on how to improve the support system for people with disabilities in Korea, focusing on the Assistance System for Persons with Disabilities (PAS) and the Care for the Disabled (PCA), Korean Community Welfare 52.
  20. S. H. Kim. (2013). Supporting Plan for Independent Living for the Disabled: Focusing on the Disabled, Korea Institute for Health and Social Affairs.
  21. Ericsson, Deinstitutionalization and community living for persons with an intellictual disability in sweden, 2000.
  22. D, H, Kim. (2018). Deinstitutionalization and Community Care, Monthly Welfare Trend (236), 52-56.
  23. Y. I. OH. (2018). A critical perspective for the correct direction of Korean community integrated care.