가족중심 사례관리의 지역사회 체계구축을 위한 탐색적 연구 -건강가정지원센터와 다문화가족지원센터 적용을 중심으로- An Exploratory Study of the Establishment of a Local Community System for Family-centered Case Management -Focused on the Application of a Healthy Families Center and a Multi-cultural Family Support Center-원문보기
This aim in this study is to investigate the meaning of case management and management in general from the case manger's perspective, as well as case mangers' abilities and networks. We also propose a development direction for the establishment of a local integrated family-centered community managem...
This aim in this study is to investigate the meaning of case management and management in general from the case manger's perspective, as well as case mangers' abilities and networks. We also propose a development direction for the establishment of a local integrated family-centered community management system. Regarding the collection of qualitative data, focus group interviews (FGIs) were conducted with 11 case managers from social welfare organizations in the city of C. The interviews consisted of open-ended questions in the following four categories: understanding of case management, case managers' abilities, case management environments, and local community networks. According to the interview analysis, a total of 16 subcategories in 9 categories and 4 domains have been identified. Due to the ambiguity regarding the concept of case management, case management was completely dependent upon individual case managers' abilities. In particular, family-centered case management was found to exist in several organizations in the same region. In terms of case management environments, the following problems have been observed: absence of related departments and staff, confusion regarding performance evaluation standards, limitations in sharing information among organizations, limitations in resource exploration and management, redundant support, and an uncomfortable relationship between the private and public sector. Horizontal exchange and cooperation among organizations are essential to establish and facilitate a local community network. After all, to establish a local family-centered community case management system, the roles of a Healthy Families Center and a Multi-cultural Family Support Center as parts of a family-centered transfer system should be fully emphasized in local society, and the performance of family-centered case management should be developed.
This aim in this study is to investigate the meaning of case management and management in general from the case manger's perspective, as well as case mangers' abilities and networks. We also propose a development direction for the establishment of a local integrated family-centered community management system. Regarding the collection of qualitative data, focus group interviews (FGIs) were conducted with 11 case managers from social welfare organizations in the city of C. The interviews consisted of open-ended questions in the following four categories: understanding of case management, case managers' abilities, case management environments, and local community networks. According to the interview analysis, a total of 16 subcategories in 9 categories and 4 domains have been identified. Due to the ambiguity regarding the concept of case management, case management was completely dependent upon individual case managers' abilities. In particular, family-centered case management was found to exist in several organizations in the same region. In terms of case management environments, the following problems have been observed: absence of related departments and staff, confusion regarding performance evaluation standards, limitations in sharing information among organizations, limitations in resource exploration and management, redundant support, and an uncomfortable relationship between the private and public sector. Horizontal exchange and cooperation among organizations are essential to establish and facilitate a local community network. After all, to establish a local family-centered community case management system, the roles of a Healthy Families Center and a Multi-cultural Family Support Center as parts of a family-centered transfer system should be fully emphasized in local society, and the performance of family-centered case management should be developed.
사례관리란 클라이언트가 최적의 사회적 기능을 강화할 수 있도록 하기 위한 사정, 상담, 교육, 설계 그리고 옹호의 기술을 포함하는 창조적이고 협력적인 과정이다(Woodwide & McClam, 2006). 통합사례관리는 개별기관단위의 사례관리가 갖는 지역사회 자원연계와 서비스 조정의 한계를 극복하고, 개별기관들 간의 네트워크 구축 또는 지역기반의 네트워크형 사례관리체계(홍선미, 2010)와 공공 및 민간서비스의 통합과 자원조정을 적극적으로 유지하는 수준에서 클라이언트 욕구중심의 통합적인 서비스연계 효과를 강조한다. 사례관리가 제대로 수행되기 위해서는 사례관리기관이나 사례관리 담당자의 지역사회 자원파악 및 네트워크 정도와 조직 간의 협력이 매우 중요하다(최지선, 2010).
사례관리란 무엇인가요?
사례관리는 지역단위 복지자원의 효율적인 연계, 조정 등을 기반 목적으로 다양한 제공주체간의 협력, 욕구에 맞춘 자원 확충 계획 및 확대를 시행해 나가는 효율적인 방안이다(류애정, 2011). 사례관리란 클라이언트가 최적의 사회적 기능을 강화할 수 있도록 하기 위한 사정, 상담, 교육, 설계 그리고 옹호의 기술을 포함하는 창조적이고 협력적인 과정이다(Woodwide & McClam, 2006).
사정, 상담, 교육, 설계 그리고 옹호의 기술을 포함하는 창조적이고 협력적인 과정인 사례관리가 제대로 수행되기 위해서는 무엇이 중요한가요?
통합사례관리는 개별기관단위의 사례관리가 갖는 지역사회 자원연계와 서비스 조정의 한계를 극복하고, 개별기관들 간의 네트워크 구축 또는 지역기반의 네트워크형 사례관리체계(홍선미, 2010)와 공공 및 민간서비스의 통합과 자원조정을 적극적으로 유지하는 수준에서 클라이언트 욕구중심의 통합적인 서비스연계 효과를 강조한다. 사례관리가 제대로 수행되기 위해서는 사례관리기관이나 사례관리 담당자의 지역사회 자원파악 및 네트워크 정도와 조직 간의 협력이 매우 중요하다(최지선, 2010). 통합적인 사례관리의 필요성과 유용성은 기존 사례관리 체제에서 서비스 지역, 기관, 대상별, 영역별 사례관리의 방향을 재조정하며, 연계서비스의 활용과 중복방지, 정보체계 구축을 통한 효율적인 통합서비스 전달은 궁극적인 사례 관리의 목적을 달성하기 위해 매우 중요하다(도광조, 2011).
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