이 누리집은 대한민국 공식 전자정부 누리집입니다.
이 누리집은 대한민국 공식 전자정부 누리집입니다.
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제1장 서론 ······················································································································································ 8
1절. 연구 배경 및 필요성 ·························································································································· 8
2절. 연구 목적 및 주요 내용 ···················································································································· 8
3절. 연구 추진체계 및 연구 방법 ············································································································ 9
제2장 선행연구 및 이론적 배경 ·············································································································· 12
1절. 정신의료기관 시설환경 관련 국내외 연구 동향 ······································································ 12
2절. 정신건강복지법 및 관련 제도 내 시설기준의 발전 과정 ······················································ 18
3절. 정신의료기관 인증 평가시 반영되는 시설환경 요소 ································································ 27
제3장 국내 정신의료기관 시설 현황 ······································································································ 31
1절. 정신의료기관 유형별 시설 현황 및 특성 ·················································································· 31
2절. 도면 분석을 통한 구조 및 설비 실태 ························································································ 42
3절. 현장방문 조사 결과 ························································································································ 62
4절. 시설 내 위험요소 및 안전관리 실태-병실 및 공용공간 내 자타해 위험요소 분석 ········ 118
5절. 위생 및 감염관리 취약 구조 ······································································································ 190
6절. 보호실 구조 및 설비 현황 ·········································································································· 198
7절. 병동 구조 및 관찰 시스템의 실태-관리 사각지대 ································································ 209
8절. 시설환경의 인권적·안전적 개선요소 종합 ·············································································· 216
제4장 국외 정신의료기관 시설 현황 ···································································································· 219
1절. 일본 정신의료기관 시설 모형 ······································································································ 219
2절. 대만 정신의료기관 시설 모형 ······································································································ 284
3절. 영국 및 유럽의 정신의료기관 시설 모형 ·················································································· 302
4절. 캐나다의 정신의료기관 시설 모형 ···························································································· 326
5절. 미국의 정신의료기관 시설 모형 ································································································ 341
6절. 주요 국가의 법령 및 시설기준 비교 ·························································································· 351
제5장 인권친화적 치료시설·환경 모델 개발 ·················································································· 365
1절. 정신의료기관 시설의 인권친화적 및 존엄성 측면 고찰 ························································ 365
2절. 인권적 치료공동체 환경의 구성요소 ·························································································· 370
3절. 병실·공용공간 중심의 시설모형(안) 제시 ················································································ 379
4절. 유형별 맞춤형 시설기준 제안 ······································································································ 389
5절. 보호실 시설 모형 및 개선안 ········································································································ 392
6절. 재난 안전 설비 및 관리 기준 ······································································································ 394
제6장 제도 및 정책적 시사점 ················································································································ 401
1절. 정신건강복지법(령) 내 시설 기준 및 제도화 방안 ································································ 401
2절. 정신의료기관 인증평가에서의 시설환경 반영 ·········································································· 404
3절. 시설개선을 위한 예산 추계 및 지원체계 ················································································ 413
7장 정책 권고 및 결론 ···························································································································· 420
1절. 인권친화적 치료시설·환경 조성을 위한 정책 방향 ···························································· 420
2절. 제도 반영 및 지속가능한 운영방안 제안 ················································································ 430
3절. 인권친화적 치료시설·환경 조성을 위한 정책권고안 ·························································· 437
4절. 후속 연구 과제 제안 ······················································································································ 440
