Mental Welfare Research Articles

The Characteristics of Law-evading Drug Users and Effective Approaches

The increasing number of law-evading drug users in Japan is becoming a serious social problem. Previous studies have shown that law-evading drug users are younger, more educated, and less antisocial than methamphetamine users. They also tend to have some type of psychiatric disorder before starting drug use; therefore one of the reasons that they start using drugs may be to alleviate certain psychiatric symptoms. Furthermore, if drug users are successful in avoiding arrest, they often lack the motivation to stop, which makes treatment difficult. Therapists are required to be non-confrontational, to keep pace with their patients, and to take their patients' other existing disorders into account. Recently, the Matrix Model has shown promise as a new treatment strategy for drug abusers in Japan. The Matrix Model, which was originally developed in response to the 1980s cocaine epidemic in the USA, is an intensive outpatient treatment approach for drug abuse and dependence. The Matrix Model integrates cognitive-behavioral therapy, contingency management, motivational interviewing, 12-step facilitation, family involvement, and so on, with a directive, non-confrontational approach, and this style of therapy seems to fit with law-evading drug users. A Matrix Model-based treatment program was first established in Japan in 2006. The aim of this report is to introduce and assess the benefits of the TAMA Mental Health and Welfare Center Relapse Prevention Program, a Matrix Model-based treatment program established at the Tama Mental Health and Welfare Center in 2007.

Factors related to care burden among parents of adults with developmental disabilities.

Purpose To clarify the care burden and associated factors among parents of adults with developmental disabilities in order to obtain suggestions for the family supports.Methods Subjects included 125 parents of adults (aged 18 or older) with developmental disabilities. All parents belonged to and/or contacted parents' associations, mental health welfare centers, and support centers for persons with developmental disabilities in the Tokyo metropolitan area. Participants completed self-report questionnaire surveys from October to November 2011. Questionnaire items included parent and adult demographic factors, parent care burden, disability state, and support available from family and others. The level of care burden was measured using the short Japanese version of the Zarit Burden Interview (J-ZBI_8).Results A total of 64 responses were analyzed. The mean J-ZBI_8 score was 12.8 (SD=7.2). Adults' most common diagnoses were autism (50%), Asperger's syndrome (25%), and pervasive developmental disorder (20%). state of daily life (P=0.041) and presence of secondary disability (P=0.001) were associated with parents' care burden in age-adjusted multiple linear regression analysis.Discussion Overall, the results suggest that it is important to assess developmental disability status and family support when developing programs to reduce parental care burden.

On Health Justice. Some Thoughts and Responses to Critics.

On Health Justice. Some Thoughts and Responses to Critics.

The Mental Welfare Commission for Scotland – a unique and influential voice

Purpose – The purpose of this paper is to describe the unique and independent role of the Mental Welfare Commission for Scotland. Design/methodology/approach – The paper takes the reader through the history of the Commission, its changing status, roles and responsibilities, its influence and impact, and current priorities. It is based on details of the Commission ' s development, narrative from current employees and published investigations and advice. Findings – The Mental Welfare Commission has advanced significantly since its original establishment. It plays a vital role in protecting the human rights of people in Scotland with learning disabilities and mental illness, by visiting those who are in receipt of care or treatment, investigating situations of concern, providing advice and guidance, monitoring the Mental Health (Care and Treatment) (Scotland) Act 2003 and Adults with Incapacity (Scotland) Act 2000 and shaping relevant policy and legislation. Originality/value – This paper provides an introduction to the work of the Commission, which will be of value to readers in Scotland and beyond. It illustrates its importance in preserving the rights of individuals with learning disabilities and mental illness in line with the UN Convention on the Rights of Persons with Disabilities and other legislation.

Perbandingan Kesejahteraan Antara Pengusaha dan Pegawai Perspektif Maqashid Syariah di Kelurahan Kejawan Putih Tambak Surabaya

This study aims to identify and analyze Comparison Between Employers and Employees Welfare maqashid Shariah Perspective in the Village Kejawan Putih Tambak Surabaya. That is the basis of interview questions to determine the welfare comparison between employers and employees in terms of five aspects, namely, religion, life, intellect, lineage and property.This study used a qualitative approach with ethnographic strategy. Data was collected through interviews and direct observation to study the object. The analysis technique used is descriptive qualitative analysis narrate the results of interviews and direct observation.The results of this study is that there is little difference between employers and employee welfare. The welfare of employers better meet the criteria Maqashid Shariah Perspective. The employers have more time to gather with family, having time to pray in the mosque, pay more attention to their health and have more social activities than employees. While employees have limited time togather with family, can not pray in a timely manner, rarely have time to socialize and do not have time for a workout. Therefore employers mental welfare is better than employees.

Psychometric properties of the Dutch version of the Evidence-Based Practice Attitude Scale (EBPAS).

BackgroundThe Evidence-Based Practice Attitude Scale (EBPAS) was developed in the United States to assess attitudes of mental health and welfare professionals toward evidence-based interventions. Although the EBPAS has been translated in different languages and is being used in several countries, all research on the psychometric properties of the EBPAS within youth care has been carried out in the United States. The purpose of this study was to investigate the psychometric properties of the Dutch version of the EBPAS.MethodsAfter translation into Dutch, the Dutch version of the EBPAS was examined in a diverse sample of 270 youth care professionals working in five institutions in the Netherlands. We examined the factor structure with both exploratory and confirmatory factor analyses and the internal consistency reliability. We also conducted multiple linear regression analyses to examine the association of EBPAS scores with professionals’ characteristics. It was hypothesized that responses to the EBPAS items could be explained by one general factor plus four specific factors, good to excellent internal consistency reliability would be found, and EBPAS scores would vary by age, sex, and educational level.ResultsThe exploratory factor analysis suggested a four-factor solution according to the hypothesized dimensions: Requirements, Appeal, Openness, and Divergence. Cronbach’s alphas ranged from 0.67 to 0.89, and the overall scale alpha was 0.72. The confirmatory factor analyses confirmed the factor structure and suggested that the lower order EBPAS factors are indicators of a higher order construct. However, Divergence was not significantly correlated with any of the subscales or the total score. The confirmatory bifactor analysis endorsed that variance was explained both by a general attitude towards evidence-based interventions and by four specific factors. The regression analyses showed an association between EBPAS scores and youth care professionals’ age, sex, and educational level.ConclusionsThe present study provides strong support for a structure with a general factor plus four specific factors and internal consistency reliability of the Dutch version of the EBPAS in a diverse sample of youth care professionals. Hence, the factor structure and reliability of the original version of the EBPAS seem generalizable to the Dutch version of the EBPAS.

Analysis of posttraumatic stress disorder in children with road traffic injury in Wenzhou, China

ABSTRACTObjective: Road traffic accidents are the leading health threat to children and cause significant long-term mental health problems. This study aimed to characterize posttraumatic stress disorder (PTSD) in children suffering from road traffic injuries (RTIs) in Wenzhou, China.Methods: We conducted a retrospective study of 537 children (aged 1 to 13 years old) with RTIs. The epidemiological features, PTSD incidence, clinical manifestation, and risk factors were analyzed based on a customized PTSD risk factor questionnaire. The outcome factors were also evaluated by means of the logistic regression method.Results: The PTSD incidence was 24.77% in children with RTIs. The incidence of PTSD was related to the personality, family environment, and family care of the children. It was found that early psychological intervention and reasonable family care from the family might promote physical and mental welfare as well as contribute to the development of more effective treatments to prevent PTSD.Conclusion: For susceptible children, in addition to dealing with the somatic injury, psychological intervention and family care should be carried out as early as possible.

Estilos de vida saludable en estudiantes de sexto año de Medicina de la Facultad de Ciencias Médicas de la Universidad Nacional Autónoma de Honduras, 2011

Los problemas de salud pública actualmente son las enfermedades crónicas no trasmisibles como diabetes mellitus, hipertensión arterial y la obesidad, entre otras; las cuales son enfermedades derivadas del estilo de vida de las personas. Por ello es importante promocionar la salud en las diferentes etapas de la vida como un patrimonio vital, dado que la salud es el resultado de los cuidados y de asegurarse de que la sociedad en que uno vive ofrezca a todos sus miembros la posibilidad de gozar de un buen estado de salud.Los profesionales de la salud con comportamientos saludables son más proclives a tener mejores prácticas e impacto en la consejería preventiva de los hábitos de los pacientes; en tal sentido, el objetivo de este estudio es describir el comportamiento de los estudiantes de sexto año de Medicina de la Facultad de Ciencias Médicas de la Universidad Nacional Autónoma de Honduras (UNAH), con relación a su estilo de vida saludable durante el segundo semestre del año 2011.La metodología que se usó para fines del estudio fue el cuestionario de prácticas y creencias sobre estilos de vida de Arrivillaga, Salazar y Gómez (2002), el cual fue modificado a conveniencia conforme los objetivos del estudio, una muestra de 231. La población estudiada se encontraba entre 21 y 45 años, con una edad promedio de 25 años y según el género, el 58 % eran del género femenino y 42 % género masculino, a razón de F: M; 1.4:1.La percepción del bienestar físico y mental de los estudiantes del sexto año de Medicina es en general positiva, aunque tienen una actitud desfavorable en la dimensión de la actividad física. Los estudiantes mostraron una actitud muy favorable con relación a la dimensión del tiempo de ocio. En la dimensión hábitos de alimentación saludable, la actitud de los estudiantes de Medicina es neutral, con una ligera tendencia a muy favorable.En conclusión, la información recabada indica que para adoptar comportamientos saludables no es suficiente recibir formación profesional en áreas de la salud para producir cambios en los hábitos de vida, ya que estos están determinados por factores distintos, entre ellos las creencias, las motivaciones, la percepción de riesgo, la sensación de autocontrol y probablemente otros factores aún inexplorados.Revista Ciencia y Tecnología, N° 15, diciembre 2014: 19-42

P24 - The importance of network intervention for cancer patient welfare. the ccm 2012 project: the molise experience

Background: CCM 2012 Project “Integrated support to sick relatives and cancer patients” promoted by the Emilia Romagna region, preventive measures are not limited only to primary prevention but can also in secondary/tertiary prevention. The project aims is to test a cancer patient assistance that goes beyond diagnosis and care but takes supports it with a networking model that involves multiple agencies (LILT, ASReM, SIAN, two schools, ARSIAM). It will stress the importance of prevention interventions and changes of life style for a recovery of mental and physical welfare. Materials and methods: In the context to prevention and promotion of welfare were implemented: cancer prevention training with sensory education workshops to taste (extra-virgin olive oil); educational activities for students Larino's Agrario future operators in the agri-food sector; cooking workshops in collaboration with the hotel of Vinchiaturo. The path took place in 3 stages: 1-network training, education on the themes of foods; 2-preparation cooking workshop with products supplied by Agrario; 3-taste education by students of the hotel sector. The final day of the course saw the participation of patients and students, by creating a menu adapted to the purpose of the project. Results: Were involved: 4 ASREM operators, 3 volunteers LILT, 1 MMG, 3 teachers, 80 students. From the questionnaire rating 90% of students is satisfied with his school's participation in the project, 88% consider appropriate the project at his school, 100% of patients are satisfied and want to participate in other meetings in theme. The search path of nutritionally suitable to prevention made it possible to select food for preventive properties, easy to prepare and pleasing to the taste. Conclusions: The project has led to the activation of a network of integrated care to cancer patients, functionally adequate and motivated, which resulted in the achievement of the best results in terms of efficiency.

A Research Framework for Understanding the Practical Impact of Family Involvement in the Juvenile Justice System: The Juvenile Justice Family Involvement Model.

Family involvement is recognized as a critical element of service planning for children's mental health, welfare and education. For the juvenile justice system, however, parents' roles in this system are complex due to youths' legal rights, public safety, a process which can legally position parents as plaintiffs, and a historical legacy of blaming parents for youth indiscretions. Three recent national surveys of juvenile justice-involved parents reveal that the current paradigm elicits feelings of stress, shame and distrust among parents and is likely leading to worse outcomes for youth, families and communities. While research on the impact of family involvement in the justice system is starting to emerge, the field currently has no organizing framework to guide a research agenda, interpret outcomes or translate findings for practitioners. We propose a research framework for family involvement that is informed by a comprehensive review and content analysis of current, published arguments for family involvement in juvenile justice along with a synthesis of family involvement efforts in other child-serving systems. In this model, family involvement is presented as an ascending, ordinal concept beginning with (1) exclusion, and moving toward climates characterized by (2) information-giving, (3) information-eliciting and (4) full, decision-making partnerships. Specific examples of how courts and facilities might align with these levels are described. Further, the model makes predictions for how involvement will impact outcomes at multiple levels with applications for other child-serving systems.

Spiritual life in homes shared by older people

Purpose – The purpose of this paper is to describe a series of surveys undertaken for The Abbeyfield Society to assess the nature of spiritual needs and care in its homes, and outlines their findings in relation to practical and policy implications. Design/methodology/approach – Over the course of ten months, 35 homes representing a variety of sizes and locations were visited, and 100 interviews of approximately one hour each were undertaken with residents, managers, care workers and volunteers. These were guided by a semi-structured questionnaire, and included observations on the accommodation and facilities. An analysis of the transcriptions resulted in four reports with consolidated recommendations. Findings – The analyses indicated that the factors contributing to spiritual wellbeing can be described in “clusters” relating to family, friendship, memory, time, listening, resilience and sense of self and place; but the common factor underlying all is the nature of the relationships formed in the home. It is almost impossible to separate out spiritual flourishing from physical or mental welfare, and therefore important to observe the interplay between them. Practical implications – An environment in which the key contributing factors are nurtured, can be defined and described in concrete terms, and these can then be taken into account when forward planning. Social implications – While national policy on care of the elderly is subject to a range of drivers, of which holistic health is only one, this study does challenge some assumptions on which current policy is based. Originality/value – The purpose and methodology of the surveys enabled a very wide range of views and experiences to be synthesised, providing information and insights firmly located in the voices of people who are directly affected by practice and policy.

Statistical aspects of psychiatric inpatient care in Japan: Based on a comprehensive nationwide survey of psychiatric hospitals conducted from 1996 to 2012.

The aim of this review is to clarify the state of psychiatric admissions and discharges in Japan using statistical data collected from 1996 to 2012. We performed a secondary analysis of nationwide data on psychiatric hospitals, which are collected yearly by the Ministry of Health, Labour and Welfare. The latest national figures for indices defined in the 'Reform Vision of Mental Health and Welfare' (originally released in 2004) were 70.9% for 'discharge rate for newly admitted patients' and 23.3% for 'discharge rate for long-term patients', which have target rates of ≥76% and ≥29%, respectively. The national discharge rate for newly admitted patients was roughly on the increase, but appeared to reach a plateau in recent years. [Correction added on 17 July 2015, after first online publication: 'on the decline' has been corrected to 'on the increase' in the sentence above.] The national discharge rate for long-term patients was higher in 2012 than in 1999 and appeared to increase throughout the 2000s, although not enough to reach the target. Some improvements in the discharge rate for newly admitted patients indicated some progress in mental health reform, although problems should continue to be addressed in order to reach the targets. As for discharge rates of long-term admissions in local communities, some problems still remain to be solved in order to achieve the goals of the reform vision.

Mental health and Parkinson's disease: from the cradle to the grave.

With advances seen in medical imaging (for example, functional magnetic resonance imaging), and development of new drugs and breakthroughs in molecular medicine (for example, neuroprotective agents for Parkinson’s disease [PD]), many clinicians may become caught up in the idea that PD is merely a movement disorder with motor symptoms only. However, research has shown that patients with PD suffer from non-motor symptoms (including mental comorbidities), just as they do from motor symptoms. This article sheds light on mental health and PD; it provides a concise background on issues related to mental welfare from pre-diagnosis to the end of life. PD is a neuropsychiatric disorder characterised by motor symptoms, postural instability as well as non-motor symptoms. Non-motor symptoms are usually categorised into sensory, autonomic, cognitive–behavioural, and sleep-related symptoms.1 Of these, cognitive–behavioural symptoms are of special importance, due to their insidious onset, relative difficulty in diagnosis and treatment, and significant impact on both patients with PD and their caregivers. Mental health care in patients with PD should be a continuum of care from pre-diagnosis through to the patient’s last days, and extending further to their caregivers. However, research into PD-related cognitive–behavioural comorbidities as well as appropriate evidence-based mental health care in patients with PD has been fairly limited to date; and new research has not yet been assembled for proper clinical use and discussion. This article explores recent published research in …

Workplace Social Distance toward Psychiatric Patients among Employers

Employment-related problems of psychiatric patients are attracting attention in the field of mental health and welfare. Employers’ social distance from psychiatric patients negatively influences patients’ chances to work. Therefore, social distance should be carefully measured and evaluated among employers. In this study, we developed the Workplace Social Distance Scale (WSDS), rephrasing the eight items of the Japanese version of the SDS to apply to the work setting in Japan. We examined the reliability and validity of the WSDS among 938 employers. Factor analysis extracted two factors from the scale items: ‘negative factor’ and ‘positive factor.’ Cronbach’s alpha coefficient for the WSDS was 0.821. In the scores for the test and the retest, a significant correlation was seen for the scale overall and respective subscales, although the correlation for positive items was somewhat low, at 0.415. In addition, the WSDS was significantly correlated with the Japanese version of the SDS. These findings suggest that the WSDS represents an approximation of social distance in the workplace among employers. Our study assessed the reliability and validity of the newly developed WSDS for measuring social distance among employers in Japan. Future studies should investigate the reliability and validity of the scale in other countries. Original Research Article Yoshii; BJESBS, 8(1): 63-69, 2015; Article no.BJESBS.2015.100 64

Research on mental health and welfare activities in municipalities

Research on mental health and welfare activities in municipalities

일본 정신보건복지센터의 운영체계 및 시설유형 분석연구 (1)

Purpose : Mental health service desire has been diversified according to the increase of economic level and rapid social change. Mental Health and Welfare Center(MHWC) is a provider of mental health services in Japan. This is a basic stage study which will suggest the architectural planning guidelines for MHWC. Methods : Data were collected through literature research, field surveys, and expert interviews to 69 MHWC in Japan. 1) Research for the policy and legal aspects of mental health support system. 2) Research for structural aspects of MHWC: Characteristics of establishment, management, and regional factors. 3) Research for the physical environment aspects of MHWC: Classification and evaluation of MHWC's Type by locational characteristics in Japan. Results : The result of this study can be summarized into three points. The first one, Mental Health and Welfare Center's service has being expanded to suicide, depression and stress from chronic mental illness, to reflect social needs. The second one, The average population of area installed at Mental Health and Welfare Center was 2,307,570 person, and average area of the regions were <TEX>$5,745m^2$</TEX>. The third one, Mental Health and Welfare Center is divided into single-structure type and combine-structure type. And combine-structure type is divided into medical-combine type, welfare-combine type, and public-combine type.

Components of Effective Social Work Practice in Mental Health for Young People who are Users of Multiple Services

This article reports on findings from a mixed-methods New Zealand study of young people’s experience of service use. It focuses on young people’s experiences with mental health services. The youth (aged 13 to 17) were multiple users of statutory and nongovernmental services: mental health, child welfare, juvenile justice, and remedial education. The research explored their life experiences including exposure to harmful events and environments (such as abuse and neglect, violence, and substance abuse) and of particular interest was how services contributed to better outcomes for this vulnerable group of young people. This article explores the components of mental health services that contribute to effective practice. It underlines the key role for services in supporting young people to seek out resources that have the potential to enhance their health and wellbeing.

Perceived Sensations Related to the State of Flowing Factors Produced during the Performance of Cognitive Stimulation: Exercises through the Didactics of the Body Percussion BAPNE Method

Nowadays, the population is growing in their age range, and it is getting old. Furthermore, it is known that these people often present diseases and they cannot do their normal tasks or their daily lives. Sometimes, that can be a compounded problem (this problem gets worse or can grow) and they are not able to develop their basic and vital functions like other people. These are diseases such as cognitive deficits, Alzheimer's, Parkinson's, brain damage and others. It is a hard work to offer and provide these people a quality life with a minimum wellness which contributes to their health in a positive way. This is one of the main aims in our research group through teaching body percussion - BAPNE method. This is intended primarily to cognitive stimulation, and to develop kinetic and motor skills, as well as multiple intelligences. Although this is not the cure or the solution to their disease, that can stop its growth or at least do it slower. After an academic year (2013-2014) working in this program with these subjects, we have carried out a research about the personal perceptions of these people within the development of these activities.Seven different aspects were measured. They are directly related with the factors which make Flow test made by Csikszentmihalyi,in order not only to obtain objective data but also to have more personal information about people. A semi structured survey was created and the questions have been validated by experts.The final aim is to go deep in the emotions and sensations which arise when these activities are done, so that we can conclude if our objective of offering a mental and physical welfare is achieved. Consequently, this research is complementary to the neurological data which belongs to a wider study that confirms the benefits obtained when these activities are implemented.

The Care Programme Approach and the end of indefinitely renewable Leave of Absence in Scotland

&lt;strong&gt;&lt;strong&gt;&lt;/strong&gt;&lt;/strong&gt;&lt;p align="LEFT"&gt;&lt;strong&gt;Objective&lt;/strong&gt;&lt;/p&gt;&lt;strong&gt;&lt;/strong&gt;&lt;p align="LEFT"&gt;To consider the relationship between the restriction of leave of absence (LOA) to 12 months, the introduction of community care orders (CCOs) and the implementation of the Care Programme Approach (CPA).&lt;/p&gt;&lt;strong&gt;&lt;strong&gt;&lt;/strong&gt;&lt;/strong&gt;&lt;p align="LEFT"&gt;&lt;strong&gt;Design&lt;/strong&gt;&lt;/p&gt;&lt;strong&gt;&lt;/strong&gt;&lt;p align="LEFT"&gt;Multiple methods were employed: scrutiny of Mental Welfare Commission for Scotland (MWC) records; questionnaire to consultant psychiatrists and mental health officers (MHOs) regarding attitudes; survey of psychiatrists in respect of outcomes for named patients.&lt;/p&gt;&lt;strong&gt;&lt;strong&gt;&lt;/strong&gt;&lt;/strong&gt;&lt;p align="LEFT"&gt;&lt;strong&gt;Setting&lt;/strong&gt;&lt;/p&gt;&lt;strong&gt;&lt;/strong&gt;&lt;p align="LEFT"&gt;Scotland&lt;/p&gt;&lt;strong&gt;&lt;strong&gt;&lt;/strong&gt;&lt;/strong&gt;&lt;p align="LEFT"&gt;&lt;strong&gt;Subjects&lt;/strong&gt;&lt;/p&gt;&lt;strong&gt;&lt;/strong&gt;&lt;p align="LEFT"&gt;Two hundred and sixty six patients who were affected by the changes introduced by the Mental Health (Patients in the Community) Act 1995.&lt;/p&gt;&lt;p align="LEFT"&gt;&lt;strong&gt;Results&lt;/strong&gt;&lt;/p&gt;&lt;p&gt;Information was available for 195 (73%) patients in relation to CPA. Of these 113 (58%) were included on CPA and for 63/113 (56%) (63/195 (32%)) CPA was considered to have enhanced patient care.&lt;/p&gt;&lt;p&gt;Where CPA was considered useful it was because it was seen as bringing people together, enhancing the patient’s role in treatment and managing difficult situations. Negative comments regarding CPA were that it was unnecessary as the patient’s needs were straightforward, it duplicated current practices or it was too bureaucratic.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions&lt;/strong&gt;&lt;/p&gt;&lt;p&gt;Despite concerns expressed by professionals about the restriction to LOA and the guidance that patients should be on CPA, for only a minority of patients was CPA described as enhancing care. Questions are raised about the low use of CCOs and CPA by psychiatrists for patients who reached the new limits of LOA.&lt;/p&gt;

재가 취약계층 여성 노인을 대상으로 한 우울·자살예방 프로그램의 효과

본 연구는 재가 취약계층 여성 노인을 대상으로 한 우울 자살예방 프로그램을 개발하고 그 효과를 검증하여 지역사회에서 용이하게 활용할 수 있는 프로그램을 보급하고자 하는 데 그 목적을 두고 있다. 우울 자살예방 프로그램은 인지행동 이론에 기초하고, 선행연구결과를 토대로 연구자들에 의해 개발되었다. 프로그램의 효과는 시계열설계를 이용한 실험연구설계로 12명의 재가 여성노인을 대상으로 검증하였다. 우울 자살예방 프로그램을 적용한 결과 중재 직전에 비해 중재 직후에는 대상자의 우울, 자살생각, 무망감 수준에서 통계적으로 유의한 변화가 없었으나, 중재 직전에 비해 중재 4주 후에는 우울, 자살생각, 무망감 수준에서 통계적으로 유의한 변화가 나타났다. 이상 결과에 근거하여 지역사회 정신건강증진센터 또는 복지관의 종사자들이 본 프로그램을 적극 활용할 것을 제언한다. The purpose of this study was to develop a program to prevent depression and suicidality in vulnerable community-dwelling elderly women, then to furthermore demonstrate the effectiveness of the program in a community setting. The researchers designed the depression and suicide prevention program by combining a cognitive behavioral theory model with prospective research data. The effects of the program were measured by time-series design based on survey results from 12 vulnerable community-dwelling elderly women. The depression and suicide prevention program was implemented and feelings of depression, suicidal ideation, and hopelessness were measured 4 weeks before implementation, prior to implementation, immediately following implementation, and 4 weeks after implementation. Although there was no statistically significant difference in feelings of depression, suicidal ideation, and hopelessness immediately after implementation of the program, there was a statistically significant difference in all parameters 4 weeks following the implementation of the program. Therefore, we recommend the implementation of our program in community mental health care centers or welfare facilities.