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Development of Peer-Leadership Program focused on Recovery of People with Mental Illness

정신장애인 회복에 초점을 둔 당사자 리더십 프로그램 개발 연구

  • Received : 2020.03.06
  • Accepted : 2020.06.05
  • Published : 2020.06.30

Abstract

The purpose of this study was to develop and explore the effectiveness of a peer-leadership program on the recovery of people with mental illness. To develop the program, a literature review and an analysis of developed programs were performed.Brown's recovery framework was applied, including an understanding of mental illness, self-leadership, empowerment, and self-directed action plans. A program was developed (6 sessions over 3 days) including peer-led activities, disability awareness and perception, and recovery action plans. The program consisted of education, understanding, planning, and implementation. Its focus was on recovery-oriented activities for empowering people with mental illness. Twenty people with mental illness and using mental rehabilitation centers participated in the program. Four scales (i.e., stigma, empowerment, leadership, and disability awareness) were used for the pre-post analysis. The study results showed statistically significant differences in the participants' levels of stigma (p< .05), empowerment (p < .05), leadership (p< .01), and disability awareness (p< .05) after completing the program. These findings suggest that the peer-leadership program is a recovery program that includes increased understanding of mental illness, empowerment, and leadership capability. Discussions and suggestions were provided for a future study based on the results.

본 연구는 정신장애인 회복을 위한 당사자 리더십 프로그램을 개발하고 그 효과성을 탐색하는 것이 목적이다. 프로그램 개발을 위해 문헌검토와 선행프로그램 분석을 실시하였으며, 정신장애에 대한 이해-셀프리더십-역량강화-자기 주도 실천계획을 포함하는 Brown의 회복 프레임워크를 적용하였다. 이러한 과정을 통해 당사자주도 활동, 장애의 이해와 인식개선 활동, 당사자 실천계획개발 등을 주제로 2박 3일 동안 총 6회기 프로그램을 개발하였다. 본 프로그램은 회복의 가치를 기반으로 당사자 스스로 할 수 있다는 역량강화를 위해 교육-이해-계획-실행의 단계로 구성하였다. 개발된 프로그램은 정신재활시설 이용자 20명을 대상으로 실시하였다. 프로그램 참여 후 변화를 측정하기 위해 낙인, 역량강화, 셀프리더십, 장애수용 척도를 이용하여 비교분석하였다. 분석결과 참여자들의 낙인(p < .05), 역량강화(p < .05), 셀프리더십(p < .01), 장애수용(p < .05)에서 통계적으로 유의미한 변화가 있는 것으로 나타났다. 이러한 결과는 개발된 당사자 리더십 프로그램이 정신장애에 대한 이해 증가, 역량강화, 리더십 능력향상을 포함하는 회복 프로그램임을 시사한다. 연구결과를 기반으로 향후 당사자 리더십 프로그램의 확대를 위한 논의와 제언을 하였다.

Keywords

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