[정신건강] 2020년 정신건강사업안내, 보건복지부

2020년 정신건강사업안내

보건복지부

Ⅰ. 정신건강사업의 개요

1. 국가정신건강증진사업의 방향성 ····················································· 3

가. 비전과 정책목표 ·············································································· 3

나. 기본원칙 ·························································································· 3

다. 정신건강서비스 전달체계도 ··························································· 4

2. 정신건강사업 연혁 ········································································· 5

3. 정신건강증진기관 및 시설현황 ···················································· 10

4. 정신건강전문요원 인력 운영 현황 ··············································· 12

가. 정신건강전문요원 인력 수련기관 현황 ·········································· 12

나. 정신건강전문요원 보수교육 ························································· 12

5. 국립정신건강센터 설치･운영 ························································ 13

가. 사업 목적 ···················································································· 13

나. 법적근거 ························································································ 13

다. 국립정신건강센터의 직무범위 및 운영 ·········································· 13

라. 직무범위 ························································································ 13

마. 사업계획 ························································································ 14

바. 예산집행 및 변경 승인 ·································································· 14

6. 국가트라우마센터 설치･운영 ························································ 15

가. 사업 목적 ······················································································ 15

나. 법적근거 ························································································ 15

다. 직무범위 ························································································ 16

라. 주요재난 정신건강 서비스 ··························································· 16

 

Ⅱ. 지역기반의 정신건강 서비스 체계･운영

1. 정신건강복지사업지원단 설치･운영 ············································· 19

가. 설치 및 운영체계 ·········································································· 19

나. 행정사항 ························································································ 20

다. 주요사업 ························································································ 21

라. 업무실적 보고 ··············································································· 21

2. 광역･기초정신건강복지센터･중독관리통합지원센터 설치 및 운영 ·· 23

[미션, 가치, 비전]

[공 통 사 항]

가. 설치 및 운영체계 ·········································································· 24

1) 사업목적 ····················································································· 24

2) 법적 근거 ··················································································· 24

3) 설 치 ························································································ 24

4) 운영체계 ····················································································· 25

5) 인력관리 ····················································································· 31

[정신건강복지센터 ‧ 중독관리통합지원센터 종사자 인건비 국비보조기준]

나. 운영비 기금보조 및 기타 행정사항 ··············································· 41

다. 광역‧기초정신건강복지센터‧중독관리통합지원센터 평가 및 컨설팅 ··· 47

[광역정신건강복지센터]

가. 기본방향 ························································································ 50

나. 사업내용 ························································································ 50

1) 지역사회정신건강복지사업 및 자살예방사업 기획 및 수립 ·········· 50

2) 지역사회진단 및 연구조사 사업 ·················································· 51

3) 교육사업 ····················································································· 51

4) 네트워크 구축사업 ······································································ 52

5) 인식개선사업 ·············································································· 52

6) 지역특성화사업 ··········································································· 53

7) 정신건강위기상담 운영 ····························································· 53

다. 업무실적 보고 ··············································································· 57

[기초정신건강복지센터]

가. 주요사업 ························································································ 62

1) 중증정신질환관리 ········································································ 62

2) 자살예방 ····················································································· 70

3) 정신건강증진 ·············································································· 72

4) 아동･청소년 정신건강증진 ·························································· 73

5) 재난 정신건강 지원 ···································································· 84

6) 행복e음 보건복지통합전달체계 구축 사업 ·································· 84

나. 업무실적 보고 ··············································································· 89

1) 기본적 정신건강증진사업 업무실적 보고 ···································· 89

2) 아동･청소년 정신건강증진사업 업무실적 보고 ·························· 125

[중독관리통합지원센터]

가. 주요사업 ······················································································ 143

1) 기본적 중독관리사업 ································································· 143

2) 노숙인 및 취약계층 알코올중독문제 관리사업 ·························· 145

나. 업무실적 보고 ············································································· 147

3. 기타 중독 사업 ·········································································· 164

가. 음주폐해예방사업 ········································································ 164

나. 마약류 중독자 치료보호사업 ······················································· 172

 

Ⅲ. 정신건강증진시설 유형별 서비스 체계･운영

1. 정신재활시설 설치･운영 ···························································· 193

가. 사업목적 ···················································································· 193

나. 법적근거 ···················································································· 193

다. 정신재활시설 설치 ····································································· 193

라. 정신재활시설의 운영목표 및 방침 ············································· 200

마. 정신재활시설 운영비 지원 ··························································· 201

1) 정신재활시설 운영비 지원 ························································ 201

2) 인력관리 ··················································································· 208

바. 회원관리 ······················································································ 214

1) 등록 및 입소･이용관리 ····························································· 214

2) 입소･이용자의 인권 및 재산상 권리보호 ·································· 217

3) 입소･이용자의 건강관리 ··························································· 218

4) 급식, 환경 및 위생관리 ···························································· 218

사. 행정사항 ······················································································ 219

1) 회계 및 물품관리 ····································································· 219

2) 입소･이용료 징수 및 사용 등 ··················································· 219

3) 후원금관리 ················································································ 221

4) 문서관리 ··················································································· 221

5) 안전사고 예방 및 대처 ····························································· 221

6) 지도감독 ················································································· 222

7) 보고 ·························································································· 222

8) 미인가시설 관리 ······································································· 222

9) 사망자 유류금품 관리 ····························································· 223

아. 사회복귀훈련 ··············································································· 228

자. 정신재활시설･정신요양시설 기능보강사업 ···································· 229

1) 사업목적 ··················································································· 229

2) 정신요양시설 및 정신재활시설 공통사항 ·································· 233

2. 정신요양시설 설치･운영 ···························································· 241

가. 사업 목적 ···················································································· 241

나. 근거 법령 ···················································································· 241

다. 정신요양시설 설치 ······································································· 241

라. 정신요양시설의 이용 및 운영 ······················································ 244

1) 운영목표 ··················································································· 244

2) 입‧퇴소 관리 ············································································· 244

3) 입소자 인권 및 재산상 권리 보호 ············································ 246

4) 입소자 건강관리 ······································································· 247

5) 요양보호 ··················································································· 248

6) 작업요법 및 사회복귀훈련 ························································ 248

7) 시설 안전관리 ·········································································· 248

8) 종사자 관리 ·············································································· 250

9) 회계 및 물품관리 ·······································································250

10) 장부비치 및 기록관리 ····························································· 250

11) 입소료 징수 및 사용 ······························································ 251

12) 시설의 개방 ············································································ 252

마. 행정사항 ······················································································ 252

1) 지도‧감독 ·················································································· 252

2) 보고 ·························································································· 253

3) 기타 ·························································································· 253

바. 정신요양시설 운영비 국고보조：국고환원(’15년~) ······················ 260

1) 지원 기준 ················································································· 260

2) 국고보조금 교부 신청 및 정산 ················································· 270

3. 정신의료기관 설치･운영 ···························································· 273

가. 사업 목적 ···················································································· 273

나. 법적 근거 ···················································································· 273

다. 정신의료기관 설치 ······································································· 273

라. 정신의료기관 운영 ······································································· 274

1) 목표 ·························································································· 274

2) 정신의료기관장의 의무 ····························································· 274

3) 입 ‧ 퇴원 관리 ··········································································· 275

4) 기록의 보존 ·············································································· 275

5) 환자인권 보호 ·········································································· 277

6) 작업요법 실시 ·········································································· 278

7) 시설 안전관리 ·········································································· 279

8) 종사자 관리 ·············································································· 279

마. 입･퇴원절차 ················································································ 280

1) 자의입원 ··················································································· 280

2) 동의입원 ··················································································· 281

3) 보호의무자에 의한 입원 ··························································· 282

4) 특별자치시장·특별자치도지사·시장·군수·구청장에 의한 입원 ·· 289

5) 응급입원 ··················································································· 292

6) 기타 ························································································ 293

바. 정신건강심의(심사)위원회 운영 ···················································· 296

사. 외래치료 명령 ············································································· 304

아. 행정사항 ······················································································ 306

 

Ⅳ. 정신질환자의 권익보호와 편견해소 및 인식개선

1. 정신질환자의 권익보호 ······························································ 319

가. 인권교육 ····················································································· 319

나. 정신질환자의 권익보호 방안 ······················································· 321

다. 인신보호법 안내 ········································································· 324

[ 격리 및 강박 지침 ] ·································································· 326

[ 작업요법지침 ] ··········································································· 333

[ 인신보호제도 안내 ] ·································································· 340

2. 편견해소 및 인식개선 ································································ 344

 

부 록 1

1. 유형별 정신건강증진기관 현황 ·················································· 347

가. 광역 정신건강복지센터 설치운영 현황 ········································ 347

나. 기초 정신건강복지센터 설치운영 현황 ········································ 348

다. 중독관리통합지원센터 현황 ························································· 357

라. 정신재활시설 설치운영 현황 ······················································· 360

마. 정신요양시설 설치운영 현황 ······················································· 371

2. 생애주기별, 정신건강 문제종류에 대한 검진도구 리스트 ·········· 373

3. 국고보조금통합관리시스템 사용 안내 ········································ 380

가. 추진 배경 ···················································································· 380

나. e나라도움 구축 목표 ··································································· 380

다. e나라도움 사용 대상 ··································································· 380

라. e나라도움의 국고보조금 집행체계 변화 ······································ 381

마. e나라도움 단계별 처리과정 ························································· 382

바. 민간보조사업자 대상 e나라도움 사용자 교육 ······························ 382

 

부 록 2

<별표 제Ⅱ-3-1호> 정신건강복지센터 및 중독관리통합지원센터 종사자 기본급 지급기준 ················································· 39

<별표 제Ⅱ-3-2호> 정신건강복지센터 및 중독관리통합지원센터 종사자 수당 지급기준 ····················································· 40

[별지 제Ⅱ-3-0호] 사업실적 보고서 ·················································· 58

[별지 제Ⅱ-3-1호] 정신건강복지센터 및 보건소 업무실적 ··············· 90

[별지 제Ⅱ-3-2호] 광역·기초정신건강복지센터 현황조사표 ············ 99

[별지 제Ⅱ-3-3호] 자살예방사업 인력현황 조사 ····························· 106

[별지 제Ⅱ-3-4호] 일반상담기록지(성인‧아동 공통) ························ 107

[별지 제Ⅱ-3-5호] 일반상담 접수대장 ············································ 108

[별지 제Ⅱ-3-6호] 정신건강복지센터 지도점검결과 ························ 109

[별지 제Ⅱ-3-7호] 정신건강심사위원회 운영 실적 ························· 110

[별지 제Ⅱ-3-8호] 정신건강복지센터 일반상담 실적보고 정신건강복지센터 기타 상담 실적 보고 ··········· 111

[별지 제Ⅱ-3-9호] 자살예방사업 업무실적 ······································ 116

[별지 제Ⅱ-3-10호] 아동청소년 정신보건사업 업무실적보고 ·········· 126

[별지 제Ⅱ-3-11호] 아동청소년 의료비지원 실적 총계 ·················· 134

[별지 제Ⅱ-3-12호] 아동청소년 일반상담 및 기타상담 실적 보고 ··· 135

[별지 제Ⅱ-3-13호] 아동‧청소년 일반상담접수대장 ························· 140

[별지 제Ⅱ-3-14호] 아동‧청소년 정신건강증진사업 서비스 참여현황 ·· 141

[별지 제Ⅱ-4-1호] 중독관리통합지원센터 업무실적 ························ 148

[별지 제Ⅱ-4-2호] 중독관리통합지원센터 현황조사표 ···················· 159

<별표 제Ⅱ-4-3호> 치료보호 프로그램신청서 양식 ························· 178

<별표 제Ⅱ-4-4호> 치료보호 승인 요청서 양식 ······························ 179

<별표 제Ⅱ-4-5호> 치료보호 판정결과 회신서 양식 ······················· 180

<별표 제Ⅱ-4-6호> 치료보호 중도 종료자 통보서 양식 ·················· 181

<별표 제Ⅱ-4-7호> 치료보호 프로그램 연장 신청서 양식 ·············· 182

<별표 제Ⅱ-4-8호> 치료보호 프로그램 연장 신청 회신서 ·············· 183

<별표 제Ⅱ-4-9호> 치료보호 프로그램 종료 통보서 ······················· 184

<별표 제Ⅱ-4-10호> 치료보호 실적 보고 양식 ······························· 185

<별표 제Ⅱ-4-11호> 검사의뢰 마약류 중독자 치료보호 환자관리 가이드라인 ······················································ 187

<별표 제Ⅱ-4-12호> 치료보호 대상자 치료경과 통보 양식 ············ 189

[별지 제Ⅲ-1-1호] 정신재활시설 현황조사표 ································ 224

[별지 제Ⅲ-1-2호] 정신재활시설 지도점검 결과 ····························· 227

[별지 제Ⅲ-1-3호] 국고보조금 교부신청서 ······································ 234

[별지 제Ⅲ-1-4호] 국고보조사업계획서(기능보강) ··························· 235

[별지 제Ⅲ-1-5호] 기능보강사업 보조금 교부신청에 대한 의견서 ···· 237

[별지 제Ⅲ-1-6호] 기술직공무원(감리원) 설계검토 의견서 ············· 238

[별지 제Ⅲ-1-7호] 국고보조사업계획 변경 승인신청서(기능보강비) ···· 239

[별지 제Ⅲ-1-8호] 국고보조사업 수행실적 보고(정신보건시설 확충) ·· 240

[별지 제Ⅲ-2-1호] 촉탁의 업무 협약서 ··········································· 255

[별지 제Ⅲ-2-2호] 정신요양시설 현황조사표 ·································· 256

[별지 제Ⅲ-2-3호] 정신요양시설 지도점검 결과 ····························· 258

[별지 제Ⅲ-2-4호] 시설안전사고보고서 ··········································· 259

[별지 제Ⅲ-2-5호] 국고보조금교부신청서 및 사업계획서(정신요양시설) ··· 271

[별지 제Ⅲ-2-6호] 정신요양시설운영지원 보조금 집행실적 ············ 272

<별표 제Ⅲ-3-1호> 정신의료기관의 시설 및 장비기준 ·················· 311

<별표 제Ⅲ-3-2호> 정신의료기관 종사자의 수 및 자격 기준 ······· 313

<별표 제Ⅲ-3-3호> 정신의료기관 행정처분기준 ···························· 314

<별표 제Ⅳ-4-1호> 격리 및 강박 지침 ············································· 326

[별지 제Ⅳ-4-1호] 격리·강박 기록지 ············································ 332

<별표 제Ⅳ-4-2호> 작업요법지침 ···················································· 333

[별지 제Ⅳ-4-2호] 작업요법기록지 ················································· 337

[별지 제Ⅳ-4-3호] 현금인출증 ························································ 338

[별지 제Ⅳ-4-4호] 원내 작업요법 평가서 ······································· 339

<별표 제Ⅳ-4-3호> 인신보호제도 안내 ············································ 340

[별지 제Ⅳ-4-5호] 구제청구서 ························································ 343

 

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