바로가기메뉴

본문 바로가기 주메뉴 바로가기

Korean Journal of Psychology: General

Economic Values of Mental Health Services in College Counseling Center

Korean Journal of Psychology: General / Korean Journal of Psychology: General, (P)1229-067X; (E)2734-1127
2009, v.28 no.2, pp.363-384



Abstract

This study aims to estimate the degree of utilization of mental health services, social costs of mental illness, and economic values of college counseling center to develop the strategies that help college students to improve their psychological well-being and mental health. The cost-effective analyses of the group counseling in college students were conducted with three different approaches as follow: 1) The effect of mental health treatment on employment prospects, 2) The effect of mental health treatment onquality- adjusted life years, 3) The monetary-gain analyses by evaluating the costs and benefits of group counseling. As a result, individuals who received the group counseling could obtain 90 times more monetary gain than those who did not receive the group counseling. The results of this study verified the values of mental health service and provided empirical evidences for how to decrease social costs efficiently by identifying the priority of psychological problems and symptoms.

keywords
대학생, 정신건강서비스, 경제적 가치, 비용-효과분석, College Students, Mental Health Service, Economic Values, Cost-Effective Analysis.

Reference

1.

김경화, 주동범 (2006). 청소년 문제행동 유형별 사회적 비용의 비교연구. 비교교육연구, 16(3), 119-140.

2.

김은주 (2006). 정신질환의 사회적 비용에 관한 연구. 서울대학교 보건대학원 석사 학위논문.

3.

김지향, 오혜숙, 민성희 (2004). 대학생의 건강생활 습관과 스트레스에 관한 연구. 동아시아식생활학회지, 14, 207-216.

4.

명은파 (2009). 문화적 자기관이 전문적 도움추구에 미치는 영향: 자기개방에 대한 결과 기대를 매개로. 가톨릭대학교 대학원, 석사학위논문.

5.

문종숙 (2004). 청년실업. 고시연구, 10, 295- 297.

6.

박경애, 조현주 (2007). 한국 대학생의 상담 및 심리치료에 대한 생각. 청소년상담연구, 15, 1, p.3-15.

7.

박철현, 박정선, 송태정 (2007). 청소년범죄의 사회적 비용 추정. 형사정책, 19, 331-358.

8.

손현동 (2004). 집단상담 프로그램이 학업성취도에 미치는 효과에 대한 메타분석. 한국교원대 석사학위논문.

9.

신연희 (2004). 전문적 도움 추구 행동에서 접근요인과 회피요인의 상대적 중요성 고찰. 부산대학교 대학원, 석사학위논문.

10.

신연희, 안현의 (2005). 전문적 도움 추구 행동에서 접근요인과 회피요인의 상대적 중요성 고찰. 한국심리학회지: 상담 및 심리치료, 17(1), 177-195.

11.

신희천, 장재윤, 이지영 (2008). 대학졸업 청년실업과 정신건강의 관계: 자기회귀 교차지연 모형의 적용. 사회연구, 16, 43-75.

12.

심영숙 (2000). 대학생의 문제의 심각도 지각과 도움추구에 대한 태도가 상담요청가능성에 미치는 영향. 한양대학교 대학원, 석사학위논문.

13.

원호택, 김순화 (1985). 대학생의 스트레스 요인에 관한 일 연구. 서울대학교 학생연구, 20(1), 43-51.

14.

유성경, 유정이 (2000). 집단주의-개인주의 성향과 상담에 대한 태도와의 관계. 한국심리학회지: 상담 및 심리치료, 12(2), 19-32.

15.

윤진, 최정훈 (1989). 청소년기의 정신건강문제와 그 대처 행동 양식: 고교 및 대학생에 대한 기초 연구. 한국심리학회지: 상담 및 심리치료, 2(1), 16-35.

16.

윤형란, 배상철 (2003). 약물경제학. 대한내과학회지, 64(2), 145-150.

17.

이숙정, 유지현 (2008). 대학생의 학업 및 진로 스트레스와 대학생활적응의 관계에 대한 자기효능감의 매개효과. 교육심리연구, 22(3), 589-607.

18.

이은희 (2004). 대학생들이 경험하는 생활스트레스와 우울: 공변량 구조모형을 통한 대처방식의 조절효과 검증. 한국심리학회지: 건강, 9(1), 25-52.

19.

이형득 외 공저 (1984). 상담의 이론적 접근. 서울: 형설출판사.

20.

임은미, 임찬오 (2003). 국내 집단 진로지도 및 상담 프로그램의 효과에 관한 메타분석. 청소년상담연구, 11(2), 3-11.

21.

장영임 (1999). 문제의 심각도, 사회적지지 및 상담자에 대한 신뢰가 상담요청 가능성에 미치는 영향. 가톨릭대학교, 석사학위논문.

22.

정영호, 고숙자 (2004). 5대 사망원인 질병의 사회․경제적 비용추계. 한국정체․공공경제학회 재정논집, 2002: 18(2).

23.

정영호, 고숙자 (2006). 질병의 사회․경제적 비용 추계. 예방의학회지, 39(6), 499-504.

24.

조긍호, 명정완 (2001). 문화성향과 자의식의 유형. 한국심리학회지: 사회 및 성격, 11(1), 111-139.

25.

조민아 (2004). 집단상담이 대인관계에 미치는 효과에 관한 메타분석. 전북대학교 석사학위논문.

26.

채명희 (2006). 학교적응을 위한 국내 집단상담 성과연구에 대한 메타분석. 대구대학교 석사학위논문.

27.

최상진 (2000). 한국인 심리학. 서울: 중앙대학교 출판부.

28.

최정선 (2004). 집단상담이 자기존중감에 미치는 효과에 관한 메타분석. 한국교원대 석사학위논문.

29.

통계청 (2008). 2007년 사망 및 사망원인 통계결과. 서울: 저자

30.

한국경영자총협회 (2007). 2007년 임금조정 실태조사. 서울: 저자.

31.

한국교육개발원 (2009) 대학알리미. 웹사이트 URL: http://www.academyinfo.go.kr/

32.

한국은행 금융경제연구원 (2009). 최근 고용여건 변화와 청년실업 해소방안. 금융경제연구, 364, 1-58.

33.

한국일보 (2007, 05, 09). 니트족 30% ‘은둔형 외톨이’ 전락 가능성. 웹사이트 URL: http://news.hankooki.com/lpage/economy/200705/h2007050912281756330.htm.

34.

Axelsson, L., & Ejlertsson, G. (2002). Self-reported health, self-esteem and social support among young unemployed people: A population-based study. International Journal of Social Welfare, 11, 111-119.

35.

Bosmans, J. E., van Schaik, D. J., de Bruijne M. C., van Hout, H. P., van Marwijk, M. W., van Tulder, M. W., Stalman, M. A. (2008). Are psychological treatments for depression in primary care cost-effective? The Journal of Mental Health Policy and Economics, 11(1), 3-15.

36.

Brand, S. & Price, R. (2000). The economic and social costs of crime. Home Office Research Study 217. London: Home Office.

37.

Carr, V. J., Neil, A. L., Halpin, S. A., Holmes, S., & Lewin, T. J. (2003). Costs of schizophrenia and other psychoses in urban Australia: Findings from the low prevalence (Psychotic) disorders study. Australian and New Zealand Journal of Psychiatry, 37, 31-40.

38.

Duru, G., Auray, J. P., Beresniak, A., Lamure, M., Paine, A., & Nicoloyannis, N. (2002). Limitations of the methods used for calculating quality-adjusted life-year values. Pharmacoeconomics, 20, 463-473.

39.

Greenley, J., & Mechanic, D. (1975). Social selection in seeking help for psychological problems. Journal of Healthy and Social Behavior, 17, 249-262.

40.

Gross, A. E., & McMullen, P. A. (1983). Models of help-seeking process. In B. M. Depaulo, A. Nadler, & J. D. Fisher (Eds), New directions in helping: Help-seeking (Vol. 2, pp.45-70). New York: Academic press.

41.

Kawanishi, Y. (1992). Somatization of Asians: An artifact of western medicalization? Transcultural Psychiatric Research Review, 29, 5-36.

42.

Koopmanschap, M. A., van Ineveld, B. M. (1992). Towards a new approach for estimating indirect cost of disease. Soc Sci Med, 34(9), 1005-1010.

43.

Koopmanschap, M. A., Rutten, F. F. H. (1993). Indirect costs in economic studies: Confronting the confusion. Pharmacoeconomics, 4(6), 446-454.

44.

Koopmanschap, M. A., Rutten, F. F. H., van Ineveld, B. M., & van Roijen, L. (1995). The friction cost method for measuring indirect costs of disease. Journal of Health Economics, 14, 171-189.

45.

Layard, R. (2004). Mental health: Britain's biggest social problem? Available URL: http:// www. strategy.gov.uk/downloads/files/mh_layard.pdf.

46.

Laynard, R., Clark, D., Knapp, M., & Mayraz, G. (2007). Cost-benefit analysis of psychological therapy. National Institute Economic Review, 202, 90-98.

47.

Liljas, B. (1998). How to calculate indirect costs in economic evaluations. Pharmacoeconomics, 13(1), 1-7.

48.

Lin, N. (1981). Traditional Chinese medical beliefs and their relevance for mental illness and psychiatry. In A. Kleinman & K. Lin (Eds.), Normal and abnormal behaviors in Chinese culture(pp.95-111). Dordrecht, Netherlands: D. Reidel.

49.

Lopez, F. G., Meledez, M. C., Sauer, E. M., Berger, E., & Wyssmann, J. (1998). Internal working models, self-reported problems, and help-seeking attitudes among college students. Journal of Counseling Psychology, 45(1), 79-83.

50.

Menken, M, Munsat, T. L., & Toole, J. F. (2000). The global burden of disease study: Implications for neurology. Archives of Neurology, 57, 418-420.

51.

National Institute of Health and Clinical Excellence (2005). Measuring effectiveness and cost effectiveness: The QALY. London, UK: Author.

52.

Nord, E. (1999). Cost-value analysis in health care: Making sense out of QALYs Cambridge, UK: Cambridge University Press.

53.

Prause, J., & Dooley, D. (1997). Effect of under-employment on school-leavers' self- esteem. Journal of Adolescence, 20, 243-260.

54.

Revicki, D. A., & Wood, M. (1998). Patient-assigned health state utilities for depression-related outcomes. Journal of Affective Disorders, 48, 25-36.

55.

Rice, D. P. (1994). Cost-of-illness studies: Fact or fiction? The Lancet, 344, p.1519-1520.

56.

Rice, D. P., & Miller, L. S. (1998). Health economics and cost implications of anxiety and other mental disorders in the United States. British Journal of Psychiatry, 173, 34, 4-9.

57.

Rice, D. P., Kelman, S., & Miller, L. S. (1991). Estimates of economic costs of alcohol and drug abuse and mental illness, 1985-1988. Public Health Reports, 106, 3, 280-292.

58.

Schaufeli, W. B. (1997). Youth unemployment and mental health: Some dutch findings. Journal of Adolescence, 20, 281-292.

59.

Shepard, D., & Weinstein, M. (1980). Utility functions for life years and health status. Operations Research, 28(1), 206-224.

60.

Simon, G. E., Revicki, D., Heiligenstein, J., Grothaus, L., VonKorff, M., Katon, W. J., & Hylan, T. R. (2000). Recovery from depression, work productivity, and health care costs among primary care patients. General Hospital Psychiatry, 22, 153-162.

61.

Stefl, M. E., & Prosperi, D. C. (1985). Barriers to mental health service utilization. Community Mental Health Journal, 21(3), 167-178.

62.

Stephens, T., & Joubert, N. (2001). The economic burden of mental health problems in Canada. Chronic Diseases in Canada, 22, 18-23.

63.

Taris, T. W., Heesink, A. M., & Feij, J. A. (1995). The evaluation of unemployment and job-searching behavior: A Longitudinal study. The Journal of Psychology, 129, 301-314.

64.

Tata, S. P., & Leong, F. T. L. (1994). Individualism-collectivism, social-network orientation, and acculturation as predictors of attitude toward seeking professional psychological help Among Chinese Americans. Journal of Counseling Psychology, 41(3), 280-287.

65.

Vermeersch, D. A., Whipple, J. L., Lambert, M. J., Hawkins, E. J., Burchfield, C. M., & Okiishi, J. C. (2004). Outcome Questionnaire: Is it sensitive to changes in counseling center clients? Journal of Counseling Psychology, 51, 38-49.

66.

Vogel, D. L., Wester, S. R., & Larson, L. M. (2007). Avoidance of counseling: Psychological Factors that inhibit seeking help. Journal of Counseling and Development, 85, 225-229.

67.

Wampold, B. E. (2000). Outcomes in individual counseling and psychotherapy: Empirical evidence addressing two foundational question. In Steven D. Brown & Rovert, W. Lent (Eds.). Handbook of Counseling Psychology (p.711-739). New York: John & Wiley & Sons, Inc.

68.

Wells K. B., Sherbourne, C., Schoenbaum, M., Duan, N., Meredith, L., Unutzer, J., Miranda, J., Carney, M. F., & Rubenstein, L. V. (2000). Impact of disseminating quality improvement programs for depression in managed primary care. The Journal of the American Medical Association, 283(2), 212-220.

69.

Whipple, J. L., Lamnert, M. J., Vermeersch, D. A., Smart, D. W., Nielsen, S. L., & Hawkins, E. J. (2003). Improving the effects of psychotherapy: The use if early identification of treatment failure and problems solving strategies in routine practice. Journal of Counseling Psychology, 58, 59-68.

70.

Winefield, A. H. (1997). Introduction to the psychological effects of youth unemployment: International perspectives. Journal of Adolescence, 20, 237-241.

71.

World Health Organization (1996). Global burden of disease study. Geneva, Switzerland: Author.

72.

World Health Organization (2006). Dollars, DALYs and decisions: Economic aspects of the mental health system. Geneva, Swiss: Author.

73.

World Health Organization (2007). Projected DALYs for 2005, 2015, and 2030 by WHO Region under the base-line scenario. Geneva, Swiss: Author.

74.

World Health Organization (2007a). Mental health: Strengthening mental health promotion. Geneva, Swiss: Author.

75.

Yoo, S. K. (1997) Individualism-collectivism, attribution styles of mental illness, depression symtomatology, and attitudes toward seeking professional help: A comparative study between Koreans and Americans. Unpublished doctoral dissertation. University of Minnesota.

Korean Journal of Psychology: General