Korean Clinical Psychology Association

Journal Archive

Korean Journal of Clinical Psychology - Vol. 37 , No. S1

[ Review Article ]
Korean Journal of Clinical Psychology - Vol. 37 , No. S1 , pp.24-32
ISSN: 2466-197X (Online)
publication date 30 Apr 2018
Received 10 Apr 2018 Revised 24 Apr 2018 Accepted 27 Apr 2018
DOI: https://doi.org/10.15842/kjcp.2018.37.S1.004

한국과 미국의 정신건강서비스 체계 비교: 지역사회 현장에서 임상심리학자의 역할
유득권 ; 이영호
가톨릭대학교 심리학과

A Comparison of Mental Health Service Systems in South Korea and U.S.: Role of Clinical Psychologists in Local Community
Deuk-Kweon You ; Young-Ho Lee
Department of Psychology, the Catholic University of Korea, Bucheon, Korea
Correspondence to : Young-Ho Lee, Department of Psychology, the Catholic University of Korea, 43 Jibong-ro, Bucheon, Korea; E-mail: yhlee@catholic.ac.kr

© 2018 Korean Clinical Psychology Association


현재 한국에서는 바람직한 지역사회 정신건강증진 방안을 놓고 활발한 논의가 이루어지고 있다. 특히, 효과적인 정신건강치료 방법과 접근성 강화를 놓고 의견이 분분하다. 본 연구의 목적은 지역사회 정신건강증진 방법을 놓고 비슷한 문제를 겪었던 미국과 한국 사례를 비교함으로써, 우리나라 지역사회 정신건강서비스 체계의 문제점과 개선방안을 제안하는 데 있다. 구체적으로 미국과 한국의 치료방법, 서비스 전달체계 등을 각각 살펴보았고, 정신건강서비스에서 보험제도가 어떻게 활용되고 있는지 탐색적으로 알아보고자 하였다. 마지막으로 본 연구의 제언 및 후속연구의 필요성을 언급하였다.


Currently, in South Korea a desirable mental health service system plan for local community have been under discussion. In particular, opinions are divided over effective mental health treatment methods and accessibility enhancement. The purpose of this review is suggesting improvement plan and discovering problem of local community mental health service system in South Korea by comparing case reviews of U.S. and South Korea. In this review, the researcher examined each the therapy method, service delivery system and how mental health service is applied in insurance policy in both countries. At the end of the review, the researcher emphasized the suggestion of the review and need of further investigation for it.

Keywords: community mental health, psychotherapy, clinical psychologist, health insurance
키워드: 지역사회 정신건강, 심리치료, 임상심리전문가, 건강보험

1. American Medical Association. (Apr 2018). Find-a-code. Retrieved from https://www.findacode.com/.
2. Bennefield, R. L. (1998). Health insurance coverage: 1997. Retrieved from https://www2.census.gov/prod2/popscan/p60-202.pdf.
3. Blumenthal, S., & Lavender, T. (1997). The role of clinical psychologists in community mental health teams. Clinical Psychology and Psychotherapy, 4, 192-200.
4. Centers for Medicare & Medicaid Services. (2015). Mental health services booklet. Retrieved from https://www.cms.gov/Outreachand-Education/Medicare-Learning-Network-MLN/MLNProducts/Downloads/Mental-Health-Services-Booklet-ICN903195.pdf.
5. Centers for Medicare & Medicaid Services. (2017). Medicare and your mental health benefits. Retrieved from https://www.medicare.gov/Pubs/pdf/10184-Medicare-Mental-Health-Bene.pdf.
6. Cho, H., & Kim, H. (1992). A study on contents of mental health laws in various countries: Focusing on England, USA, Japan and Taiwan. Korea Association for Social Welfare Studies, 4, 213-250.
7. Choi, K. H. (2014). Is the psychological qualification system in the United States applicable to Korea?. The Korean Psychological Association Academic Publications.
8. Fisher, L., & Dickinson, W., P. (2014). Psychology and primary care: New collaborations for providing effective care for adults with chronic health conditions. American Psychological Association, 69, 355-363.
9. Gunn, W., & Blount, A. (2009). Primary care mental health: A new frontier for psychology. Journal of Clinical Psychology, 65, 235-252.
10. Gyeongsangnam-do Provincial Council. (2018). Notice of ordinance on Gyeongsangnam-do psychological support. Retrieved from http://council.gyeongnam.go.kr/kr/open/bbsLaw.do?reform=view&key=c1512faf93834dc8f71e8bc2b5dd31a749ec3a08057a70b144c0676cc708e0a8efd33708392c708d.
11. Hong, S., Kim, D., Kim, M., Yeom, H., & Lee, Y. (2016). Comparative study on overseas case study for integration of community with mental disorder. Seoul, Korea: National Human Rights Commission.
12. Jeon, S., & Lee, S. (2017). Regarding the necessity of redefining the legal basis for psychological services (psychotherapy and psychological counseling, etc.). The Korean Psychological Association Academic Publications, 236-237.
13. Joint ministry. (2016). Comprehensive measures for mental health for a happy life and a healthy society. Retrieved from http://dl.nanet.go.kr/SearchDetailView.do?cn=MONO1201631641&sysid=uci.
14. Jung, J., Chae, H., Chun, J., Yoon, S., Lee, H., & Kim, Y. (2012) Strengthening the mental health care systems for high risk groups. Seoul, Korea: Korea Institute for Health and Social Affairs.
15. Jung, K. (2003). Medical system and medical law in America. Korean Association of Law and Politics, 3, 9-27.
16. Karlin, B. E., & Humphreys, K. (2007). Improving medicare coverage of psychological services for older Americans. American Psychologist, 62, 637-649.
17. Kim, J. (2014). Review on the legal character of penalty clause of PPACA in USA - Is it a penalty or tax? -. Korea Public Land Law Association Public Land Law Review, 64, 277-299.
18. Kim, S. (2011). A study of welfare politics on health insurance reform of Obama administration (Doctoral dissertation). Retrieved from http://www.riss.kr/link?id=T12570742.
19. Kim, T. (2010). The role of psychological experts in child sexual abuse. Korean Psychological Association Academic Publications, 490-491.
20. Kim, T., Yun, S., Seo, M., Kim, K., & Han, E. (2013). The role model of intermediary in South Korea. Korean Association of Victimology, 21, 193-213.
21. Kim, Y. (2005). A study on the U.S. public mental health managed care system and its implications for improvement of mental health care financing system in Korea. Korean Journal of Social Welfare Studies, 28, 69-103.
22. Korean Clinical Psychology Association. (2018, March). For whom is the cognitive behavior therapy health insurance policy reorganization?. Chey, J (Chair), Korean Clinical Psychology Association. Public Hearing conducted at Seoul, Sungshin University, Korea.
23. Korea Institute of Public Administration. (2013). Community mental health management efficiency plans. Seoul, Korea: Korea Institute of Public Administration. Retrieved from https://www.nrc.re.kr/kor/pubCoView.do?menuIdx=540&currentPage=1&otpId=NRCS00046420.
24. Kwon, H., & Ko, S. (2016). Recommendation for psychological autopsy studies. Korean Journal of Culture and Social Issues, 22, 623-641.
25. Lee, J., Chung, J., Park, J., Joo, H., & Jung, S. (2013). Operation condition analysis of ‘Wee center’ as an institute for educating and treating bullies and victims. Korean Journal of Educational Administration, 31, 67-89.
26. Lee, Y. (1995). Problems and improvements of mental health law. Seoul, Korea: Korean Clinical Psychology Association.
27. Los Angeles County Department of Mental Health. (2017). L.A. care Cal MediConnect plan member handbook. Retrieved from https://www.calmediconnectla.org/sites/default/files/documents/la0958_cmc_eoc_ko_111315_final.pdf.
28. Ministry of Health and Welfare. (2018a). 18th year 2nd health insurance policy review committee reshaping the number of psychotherapy health insurance and decreasing the burden on the person. Retrieved from http://www.mohw.go.kr/react/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&page=1&CONT_SEQ=343770&SEARCHKEY=TITLE&SEARCHVALUE=정신치료.
29. Ministry of Health and Welfare. (2018b). Mental health service guide. Seoul, Korea: Ministry of Health and Welfare. Retrieved from http://www.ncmh.go.kr/kor/data/snmhDataView2.jsp?no=8327&fno=106&gubun_no=0&pg=1&search_item=0&search_content=&menu_cd=K_04_09_00_00_00.
30. Naik, D. (2017). Role of clinical psychologist in community mental health. Indian Journal of Health and Wellbeing, 8, 57-61.
31. National Center for Mental Health. (2016). Report on the Current Situation of Mental Health Professionals. Seoul, Korea: National Center for Mental Health.
32. National Center for Mental Health. (2017). National mental health statistics Pilot Study. Seoul, Korea: National Center for Mental Health.
33. National Center for Mental Health. (2018). Mental health specialist operation guidance. Seoul, Korea: National Center for Mental Health. Retrieved from http://www.kcp.or.kr/boardManagement/board.asp?board_menu=view&boIdx=40470&bid=bid_2&menuCategory=7&subMenu=1&subTabMenu=&subLeftMenu=&boSoIdxi=&listNum=20&titlei=boTitle&findstr=%EC%A0%95%EC%8B%A0%EA%B1%B4%EA%B0%95.
34. National Institute of Mental Health. (2018). Mental health information. Retrieved from https://www.nimh.nih.gov/health/topics/index.shtml.
35. National Law Information Center. (2018). Medical Service Act. Retrieved from http://www.law.go.kr/lsSc.do?tabMenuId=tab18&query=%EC%9D%98%EB%A3%8C%EB%B2%95#undefined.
36. OECD Korea Policy Centre. (2015). Making mental health count: The social and economic costs of neglecting mental health care. Seoul, Korea: OECD Korea Policy Centre.
37. Samsung Medical Center. (2017). The Survey of Mental Disorders in Korea 2016. Seoul, Korea: Ministry of Health and Welfare. Retrieved from http://library.mohw.go.kr/Search/?q=2016+%EC%A0%95%EC%8B%A0%EC%A7%88%ED%99%98%EC%8B%A4%ED%83%9C%EC%97%AD%ED%95%99%EC%A1%B0%EC%82%AC&x=0&y=0#wrap.
38. Seoul Metropolitan Council. (2017). Seoul ordinance on psychological support. Retrieved from http://www.smc.seoul.kr/info/bill-Read.do?menuId=006004001&url=/billNewList.do&propTypeCd=01&generationNum=009&billNo=02056&billTypeCd=1&billNum=1&1=1.
39. Sundararaman, R. (2009). The U.S. mental health delivery system infrastructure: A primer. Washington, DC: Congress Research Service, Library of Congress.
40. Twining, C. (2007). The role of the clinical psychologist. Psychiatry, 7, 73-75.
41. United States Bureau of the Census. (1995). Statistical brief: Health insurance coverage–Who had a lapse between 1991 and 1993?. U.S Department of Commerce: Economics & Statistics Administration.
42. World Health Organization. (2011). Mental health atlas 2011. Geneva: World Health Organization.
43. World Health Organization. (2015). Mental health atlas 2014. Geneva: World Health Organization.