Changing needs and new perspectives for psychiatry and mental health services in Korea

Although western psychiatry was introduced more than one hundred years ago, the history of Korean psychiatry actually began with the foundation of the Cho-sun Neuropsychiatric Association (formerly Korean Neuropsychiatric Association) in 1945. Since the initiation of Korean national economic development plan in 1960s, the number of mental institutions grew gradually but a large portion of patients suffering from psychosis and alcohol dependence still remained in the asylum. Rapid industrialization in the 80's brought about family disintegration and breakdown of the social support system, resulting in displacement of mentally ill persons outside of the family. In 1995, the Mental Health Law was enacted and with the introduction of the concept of community mental health, construction of many mental health centers commenced. Korea faces important tasks of further developing local community mental health and predicting and resolving the mental health problems related to the issues of rapid aging society, transformation in family structure, foreign laborers, and North Korean refugees. Such tasks must be met through refined mental health policy plans, effective allocation of mental health-related human resources and funding, and fostering of social concern and consensus about the issues of mental health.