정신질환 수용자에 대한 통합재활프로그램의 효과

초록

This study aimed to develop and empirically evaluate an integrated rehabilitation program based on the Biopsychosocial Model for inmates with mental illness in correctional facilities. Drawing on Engel’s (1977) Biopsychosocial Model as the theoretical foundation, the program was designed with consideration of both the unique characteristics of inmates with mental illness and the environmental factors of correctional settings. The study was conducted with 30 inmates diagnosed with mental illness at a correctional facility in Gyeongnam Province, who were randomly assigned to an experimental group (n = 10), a comparison group (n = 10), and a control group (n = 10). The experimental group participated in the integrated rehabilitation program based on the Biopsychosocial Model, the comparison group received the institution’s existing rehabilitation program, and the control group received no intervention. The results indicated that the experimental group showed significant improvements across all dependent variables. In particular, there were notable improvements in subscales such as self-deprecation in self-esteem, cooperative assertiveness and self-control in social skills, and physical recovery in mental illness recovery. Furthermore, perceived stress levels were significantly reduced. Repeated measures ANOVA revealed statistically significant main effects of time, group, and interaction effects between time and group on all dependent variables, supporting the effectiveness of the integrated rehabilitation program. While the comparison group exhibited slight improvements through the existing program, the degree of change was limited compared to the experimental group, and the control group showed no significant changes. In conclusion, this study provides empirical evidence that an integrated rehabilitation program based on the Biopsychosocial Model is effective in improving self-esteem, enhancing social skills, promoting recovery from mental illness, and reducing perceived stress among inmates with mental illness in correctional settings. These findings offer important implications for improving the psychosocial functioning and reintegration of mentally ill inmates, ultimately contributing to the prevention of recidivism. Future research is needed to develop tailored programs by mental illness type, conduct longitudinal studies to verify long-term effects, and establish multi-agency collaborative intervention models.

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