용인정신병원세계보건기구 협력센터

주요사업WHO 협력센터 Annual Report

Annual Report 2015

WHO Collaborating Center for Psychosocial Rehabilitation and Community Mental Health

Implementation of Work Plan

01

Community-Based Psychosocial Rehabilitation

A.PEPS (Patients Empowerment Program for Schizophrenia) Project

The PEPS is a comprehensive psycho-education program that offers practical and useful information to empower people with schizophrenia in their daily lives. The program is informative, practical to use, and covers a broad spectrum of issues associated with schizophrenia and other mental illnesses. 745 people with mental illness from 49 mental

health facilities throughout the country; including 8 mental hospitals, 25 community mental health centers, and 16 rehabilitation facilities joined the 10" year's PEPS project in 2014. The number of participants who completed the education course (over 80% attendance rule) was 491. 55.2% (N=271) of them were male and the majority age group was 4049 (31.8%). 80.4% (N=256) were diagnosed as schizophrenia and others had diagnoses of bipolar disorder and schizoaffective disorder.

We conducted the 11 year's PEPS project in March 2015 with a workshop. 101 mental health professionals attended; where participants could learn what it is and how to run at various settings. WHO CC staff delivered educational 

lectures on the background of program development, principles and practices to apply, and several service providers who had experience running this program in 2014 shared their experiences and educational skills with the participants. 

This year's workshop had a special ceremony for best practice facilities of PES in 2014. Cham Sa Rang Hospital in 

In-Cheon city, which has been participated in the PEPS project every year since 2008, was selected as the best practice hospital. About 954 people with mental illness of the 66 mental health facilities nationwide will be expected to 

experience PEPS in 2015.

B.SDM (Shared Decision Making) Project

Shared decision making (SDM) refers to a process in which mental health professionals and consumers work together to clarify treatment, management or self management support goals, sharing information about options, and preferred outcomes with the aim of reaching mutual agreement on the best course of action. It was introduced in South Korea only several years before but is currently being widely considered in practical settings.


The 4" year project of SDM started with the PEPS & SDM workshop for mental health professionals on 27 March 2015. This year's SDM workshop, co-held with PEPS workshop, had a special ceremony for the best practice facilities of SDM in 2014. Dongdaemun-gu Mental Health Center in Seoul, which has 

participated in the SDM project every year since 2012, was selected as the best practice facility. This year, 39 mental health facilities are involved in this project, where the program is being provided to consumers as well as providers, from April to November. 


We are expecting that more than 520 participants will complete the education course and their clinical symptoms, self-confidence, and quality of life would improve drastically through SDM. The lack of recognition for the need of SDM among mental health professionals poses a challenge as SDM is still an unfamiliar and unknown approach in the mental health area of Korea. SDM should be looked at with a long-term perspective. Restricted and temporary support and education will never change the rooted prejudice and stigma against mental illness in the community and also the life of patients and families suffering from mental illness. Sustainable support and education is needed to change their lives and community.

02

Building Capacity in Psychosocial Rehabilitation for WPRO Member Countries

A.14th International Conference on Psychosocial Rehabilitation and Mental Health

The 14th International Conference on Psychosocial Rehabilitation and Mental Health of Yongin WHO CC was held at Gyeonggi Small Business Center in Suwon city on November 7th, 2014. The theme of this conference was "Psychosocial Rehabilitation and the Mental Health of Asia focusing on various services and programs on psychosocial rehabilitation and mental health conducted in Taiwan, Japan, Malaysia, and Korea. Dr. Joseph Jror-Serk Cheng who is the Senior Consultant Physician of China Medical University Hospital in Taiwan, Naoko Satake who is the Psychiatrist of National Center Hospital of Neurology and Psychiatry in Japan, Abdul Kadir Abu Bakar who is the Director of Permai Hospital in Malaysia, and Myoung Soo Lee who is the director of Seoul Community Mental Health Center, participated in a symposium of the conference as invited speakers. All sessions including plenary workshops dealing with up-to-date perspectives and knowledge on mental health areas. Four invited speakers presented their country's situation regarding psychosocial rehabilitation and mental health, discussing current situations and the future direction of mental health of Asia at a panel discussion.

The workshops covered currentissues in the mental health field - 1) Beyond the Movement to the Job; 2) The Understanding and Application of Motivational Interviewing for mental illness patients attending mental health facilities; 3) Burn-out Prevention of a Mental Health Worker; 4) Comprehension & Coping Methods for Neurosis & General People's Mental Health; 5) Getting a better cure for patients and improving therapeutic team Work through therapists' self reflection; 6) Mindfulness, A Way of Self-Compassion. We could confirm that most participants had a beneficial and fruitful time during the conference by conducting a satisfaction survey. We are expecting that they will be able to provide up-to-date psychosocial rehabilitation services and evidence based practice for the people with mental illness and their caregiver.

Yongin WHOCC will be scheduled to participate in 12th World Congress of World Association for Psychosocial Rehabilitation as an affiliated organization on Nov 2-5, 2015 instead of being held at the 15" International Conference.(http://www.wapr2015.org)

B.Vocational Rehabilitation Forum

Vocational Rehabilitation Forum has been Conducted by Yongin WHO CC in order for the stakeholder in mental health service as well as the mental health professionals to provide opportunities to share experiences, up-to-date information, and knowledge regarding vocational rehabilitation for people with mental disorders. It is supposed to be held 6 times every year in collaboration with diverse mental health facilities nationwide. Having the theme of "How to promote the employment for people with mental disorder", the forum took place four times in 2015 with 258 mental health professionals.

These topics were discussed: a) Let's talk : Job and Recovery, b) Evaluation and future tasks for peer support provider service, c) Strategy on employment development at the workplace that should hire disabled people, d) the past, present, and future of vocational rehabilitation for people with mental 

disorders in the Gangwon province. ldeas for novel strategies to overcome social barriers are to be shared with foreign countries through the mental health fellowship program and Yongin WHO international symposium and is expected to help them develop culturally and socially competent vocational 

rehabilitation programs.

C.Yongin Mental Health Expert Training Program

Yongin WHOCC has been operating mental health fellowship programs that develop and advance the mental health services of Asian countries. It is based on evidence that training and education will improve knowledge and skills required for better quality and results of interventions. It is also to follow the training and education activities of the WHO's programs, the training and re-orientation of mental health professionals and primary health care workers in order to develop the attitudes, skills, and knowledge needed for modernmental health care. To achieve these goals, fellows are provided lectures, site visits, observation of rehabilitation program, and experts' supervision for 4 weeks to deal with various subjects on mental health from principles to practices, individual to system level.
In 2015, 18 fellows from 5 countries completed this program. 12 of thern were Korean and all of thern were young psychiatrists under the resident's training courses at university hospitals or mental hospitals. International fellows were from Malaysia, Indonesia, Mongolia, and China. Two of them were assistant medical officers from Malaysia, one was a psychotherapist from China. The others were psychiatrist.

03

Community-Based Suicide Prevention Program

A."Postvention "System for Suicide Attempters based in the Emergency Room
: Catch the Golden Time

The Seoul Suicide Prevention Center (SSPC), affiliated with Yongin WHO CC, designed a “postvention” system for suicide attempters in which the emergency medical center and the department of neuropsychiatry get involved to deliver effective service for them in emergency room at the level of community. On the basis of this system, a suicide prevention program Was developed and distributed to helpo those who visit emergency room.

In 2014, an meeting was held to encourage mental health centers and hospitals to join the "postvention" system where 24 mental health centers and 20 hospitals in Seoul participated in the meeting. 75 citizens received assistance with payments for medical bills, and 73 of them accepted to get crisis intervention services offered by the community mental health centers between March 2014 and November 2014.

The project needs to be strengthened through partnerships among the emergency medical center, the department of psychiatry, and the community. Furthermore, it requires building up service provision systems agreed by three parts after reaching a consensus regarding issues of the procedure needed for the service. In the near future, we expect that more effective linkage systems will be built on mutual understandings.

B.School-Based Post Mediation Program Comforting with Hope

Teaching staffs may experience psychological trauma that include guilt and remorse if there is a suicide in school and have difficulty teaching the other students how to deal with the situation. Furthermore, it may not be easy for them to provide accurate information about effective ways of coping with and overcoming a traumatic event.

SMHC have made efforts in developing and disseminating a school-based post mediation program called "Comforting with Hope" to assist the survivors of suicide with the grief process and normalize schools' functions after suicide in Seoul schools.

Since the development of the post mediation program in 2011, 801 people (students, teachers etc) of 24 schools have participated in this program.

The participants responded that the program is highly effective for achieving emotional stability and developing healthy coping strategies for both 

students and teachers. Teachers in particular responded that the program helped reduce their feeling of burden. Through workshops led by the school principal, active public relations about the program are needed to raise awareness on the importance of early intervention in addition to active participation in the program. Ultimately, the program is expected to create a healthy school culture by utilizing various community resources.

C."Love and Respect Your Life" Project

The "Yongin Suicide Prevention Policy Forum" took place in Yongin City Hall on March 19", 2015. Five leading suicide prevention professionals, several relevant public servants, and members of a legislative body participated in the forum. They talked about causes of suicide and directions of the suicide prevention service and also discussed present and future suicide prevention services of Korea as well as in Yongin city. Securing budget and manpower were especially empathized as factors required for successful suicide prevention. "Happy Mind, Happy Military" was performed to spread the culture of "Love and Respect Your life" and to prevent suicide in military units in Yongin city. The meaning of the service slogan was "soldiers who have a happy mind can make military units happier". YCMHC and several military units have signed the Memorandum of Understanding for service. We also have tried to discover soldiers who showed high risk of suicide, such as depressive and anxiety disorders, and to train gate keepers for suicide prevention in their military units. In addition, we have been taking a survey for detection of high risk groups for suicide in Yongin city. Over 300 citizen have been gathered as survey volunteers who were made up of university students, high school students, and their parents. The survey included a variety of questions in order to detect various factors influencing suicide. After the survey, we will make a formal report about the state of suicide prevention service in Yongin city and also try to establish a suicide prevention system which will be based on the report.