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거주시설 장애인의 자기결정권 보장과 정책 과제 = Current State of the Right to Self-Determination in Residential Care Facilities for People with Disabilities and Its Policy Implications

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dc.contributor.author이민경
dc.date.accessioned2024-03-22T00:14:44Z
dc.date.available2024-03-22T00:14:44Z
dc.date.issued2024-03-01
dc.identifier.issn1226-3648
dc.identifier.urihttps://repository.kihasa.re.kr/handle/201002/44849
dc.identifier.urihttps://doi.org/10.23062/2024.03.5
dc.description.abstract이 글에서는 거주시설 장애인이 시설 생활과 입퇴소 과정에서 자기결정권을 충분히 보장받고 있는지 현황을 살펴보고, 탈시설과 지역사회 자립 지원정책 추진의 배경에서 거주시설 장애인의 자기결정권을 보장하기 위한 사회적 지원 방안을 제안하였다. 이를 위해 ‘거주시설 장애인의 자기결정권 실태 및 욕구 조사’를 진행하였고, 전국 4개 시도의 장애인 거주시설 15곳에 입소해 있는 장애인 119명이 참여하였다. 조사 결과에 기반한 제언은 다음과 같다. 첫째, 탈시설 및 지역사회 자립 지원에서 장애 특성별, 연령별 세분화, 특히 최중증 발달장애인의 지역사회 자립을 위한 모델과 전략 수립의 필요성, 둘째, 장애인 개별 욕구에 대응하여 지원할 수 있도록 거주시설에 대한 지나친 행정 중심적 운영의 개선, 셋째, 도전 행동에 대한 대응, 지역사회 참여 지원 등을 위한 거주시설 장애인의 개인별 지원 인력(서비스) 도입 제안, 넷째, 거주시설 종사자의 교육 내실화 등 역량 강화 방안 마련, 다섯째, 탈시설과 지역사회 자립에서 장애인이 주체로서 자기결정에 기반하여 선택할 수 있는 지원체계 구축이 필요함을 제안하였다.
dc.description.abstractI examine in this article whether the right to self-determination is sufficiently guaranteed for disabled people living in residential care facilities in the course of their daily lives, as well as at the stages of their entry into and exit from institutional care. My observation is based on a survey of the right to self-determination and needs of people with disabilities living in institutional care. The survey involved 119 individuals with disabilities selected from 15 residential care facilities across four cities. I then make several suggestions to ensure their right to self-determination. First, the ongoing efforts to help disabled individuals in facility-based care transition out to deinstitutionalization and independent community living should be pursued based on detailed support strategies that reflect the different characteristics of people of different ages with different disabilities. It is especially important to develop a model of support to enable individuals with the severest of developmental disabilities to live on their own in the community. Second, there is a need to move away from the overly administrative control of resource allocation to residential care facilities to an approach more aligned to the needs of individual residents themselves. Third, a new system can be considered whereby residential care facilities for disabled individuals can have in place support staff tasked with, among others, handling challenging behavior and assisting their residents in community participation. Fourth, there is a need for improving capacity-building education and training for workers serving in residential care facilities for disabled individuals. Fifth, support mechanisms should be built to help disabled individuals, as the subject of their own lives, make self-determined choices regarding their deinstitutionalization and community living.
dc.formattext/plain
dc.formattext/html; charset=utf-8
dc.formatapplication/rdf+xml; charset=utf-8
dc.format.extent18
dc.languagekor
dc.publisher한국보건사회연구원
dc.publisherKorea Institute for Health and Social Affairs
dc.rightsKOGL BY-NC-ND
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/
dc.rights.urihttps://www.kogl.or.kr/info/licenseType4.do
dc.title거주시설 장애인의 자기결정권 보장과 정책 과제
dc.title.alternativeCurrent State of the Right to Self-Determination in Residential Care Facilities for People with Disabilities and Its Policy Implications
dc.typeArticle
dc.type.localArticle(Series)
dc.subject.keyword장애인의 자기결정권
dc.subject.keyword거주시설 장애인의 자기결정권
dc.subject.keywordThe Right to Self-determination for People with Disability
dc.subject.keywordThe Right to Self-determination in Residential Care Facilities for People with Disability
dc.description.eprintVersionpublished
dc.contributor.alternativeNameYi, Min-Gyeong
dc.identifier.doi10.23062/2024.03.5
dc.citation.title보건복지포럼
dc.citation.titleHealth and Welfare Policy Forum
dc.citation.volume2024
dc.citation.volume329
dc.citation.number3
dc.citation.date2024-03-01
dc.citation.startPage49
dc.citation.endPage66
dc.identifier.bibliographicCitation보건복지포럼 2024년 3월 통권 제329호, pp.49-66
dc.identifier.bibliographicCitationHealth and Welfare Policy Forum 2024.3 No.329, pp.49-66
dc.date.dateaccepted2024-03-22T00:14:44Z
dc.date.datesubmitted2024-03-22T00:14:44Z
dc.description.subject거주시설 이용자의 인권 보장 현황과 과제
dc.description.subjectCurrent Status of the Guarantee of the Human Rights of People in Residential Care Facilities
dc.subject.kihasa장애인 복지
dc.description.section이달의 초점
KIHASA 주제 분류
사회서비스 > 장애인 복지
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