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3 "Mentally Ill Persons"
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Research Papers
Experience of Peer Support Work among People with Mental Illness in the Community: A Grounded Theory Approach
Hyun, Myung Sun , Kim, Hyunlye , Nam, Kyoung A , Kim, Su Young
J Korean Acad Nurs 2022;52(2):187-201.   Published online April 30, 2022
DOI: https://doi.org/10.4040/jkan.21208
AbstractAbstract PDF
Purpose
This study discovered a substantive theory of the experience and process of peer support work among people with mental illness.
Methods
The participants were members of community-based mental health facilities and had been working as peer supporters for more than six months. The data were collected through in-depth interviews with twelve participants and analyzed using Corbin and Strauss’s grounded theory approach.
Results
The core category was “becoming a healer going with patients in the journey of recovery,” and the core phenomenon was “identity confusion as a peer supporter.” The causal conditions were “starting peer support work without certainty” and “standing at the boundary between the therapist and patient.” The intervening conditions were “willingness to become a successful peer supporter,” “feeling a sense of homogeneity with the patient,” “accepting the mental illness,” and “support from people around.” The action and interaction strategies were “letting go of greed,” “being open about oneself,” “developing professional skills,” “maintaining wellness in the body and mind,” and “being with the patient.” The consequences were “becoming a useful person,” “changing attitude toward life,” “expansion of the sense of self-existence,” “recovering from mental illness,” and “discovering a role as peer supporter.” Finally, the substantive theory of “becoming a healer going with patients in the journey of recovery” was derived.
Conclusion
This study provides a holistic understanding of peer support work and the implications of interventions to help people with mental illness in a person-centered recovery process.
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Job Retention Process among Working People with Mental Illness: A Grounded Theory Approach
Hyun, Myung Sun , Nam, Kyoung A , Kim, Hyunlye , Kim, Su Young
J Korean Acad Nurs 2021;51(3):320-333.   Published online June 30, 2021
DOI: https://doi.org/10.4040/jkan.21016
AbstractAbstract PDF
Purpose
The study was conducted to explore the experiences of job retention among working people with mental illness.
Methods
The participants were members with mental illness at the S Community Mental Health Center in Gyeonggi Province and who had been working for more than six months. The data were collected through in-depth interviews with 11 participants between June 27 and August 20, 2018. The data were analyzed through Corbin and Strauss’s grounded theory method.
Results
The core category was struggling to take root in the community as a productive member. The core phenomenon was the desire to be a productive person, and the causal condition was the willingness to change for a purposeful life. The action and interaction strategies included maintaining regular living patterns, maintaining medication, developing one’s tips for self-management, and self-approval. The intervening conditions were difficulties in forming social relationships, presence of symptoms, social resources, and acceptance of one’s mental illness. The consequences were restoration of family relationships, healthy pleasure through work, social inclusion, development of self-worth, and transition to an independent person.
Conclusion
Working people with mental illness are struggling to take root in the community as a productive member. This study suggests that a holistic understanding of the job retention experience among people with mental illness is required. The findings will provide the basis for developing interventions that can improve job retention among working people with mental illness.
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Original Article
Developing a Psychosocial Rehabilitation Model for Persons with Chronic Mental Illness
Hyun Sook Kim
Journal of Korean Academy of Nursing 2007;37(4):490-500.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2007.37.4.490
AbstractAbstract PDF
Purpose

The purpose of this study was to identify factors influencing the outcome of psychosocial rehabilitation for persons with chronic mental illness and to suggest a hypothetical model of psychosocial rehabilitation which is based on the relationship between influencing factors and then to test its fitness empirically.

Method

Data was collected from persons with a chronic mental illness using a self-report questionnaire, and from their case managers using an observed rating questionnaire. A total of 220 cases were used in the final analysis, and a hypothetical model was verified through covariance structure analysis using LISREL.

Result

1) The fitness indices of the model were χ2=133.77 (df=48, p=.00), GFI = 0.93, AGFI = 0.87, RMR = 2.32, NNFI = 0.95 and NFI = 0.95. Twelve paths among fifteen proved to be significant. 2) Psychosocial rehabilitation was influenced directly by symptoms, daily living skill and self-concept, and was influenced indirectly by the psychosocial rehabilitation program service. Psychosocial rehabilitation accounted for 32% of variance of these factors.

Conclusion

This study is expected to contribute to understanding the psychosocial rehabilitation phenomena. Besides it will provide basic information for developing strategies of bio-psycho-sociological interventions and evaluations in regard to influential factors of psychosocial rehabilitation.

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