http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
소아 청소년 정신건강 선별검사 및 치료 연계 효율성에 대한 연구
김효진(Hyo-Jin Kim),조수철(Soo-Churl Cho),김재원(Jae-Won Kim),강제욱(Je-Wook Kang),신민섭(Min-Sup Shin),김효원(Hyo-Won Kim),윤명주(Myung-Ju Yun),이경영(Kyong-Young Lee),강연주(Yun-Ju Kang),김붕년(Boong-Nyun Kim) 대한소아청소년정신의학회 2009 소아청소년정신의학 Vol.20 No.3
Objectives:This study evaluated the effectiveness of school-based mental health screening and treatment linkage programs, focusing on attention-deficit hyperactivity disorder (ADHD) and adolescent depression. Methods:All 11,158 children and adolescents aged 8-14 years in Seoul received a school-based mental health screening, consisting of the Korean versions of the ADHD rating scale and the Child Behavior Checklist (CBCL), for ADHD, and the Center for Epidemiological Studies Depression Scale (CES-DS) and the Suicidal Ideation Questionnaire-Junior (SIQ-JR), for depression. The high-risk children’s and adolescents’ diagnoses were confirmed using the Diagnostic Interview Schedule for Children-IV (DISC-IV). Treatment linkage programs were managed by the Seoul Metropolitan Community Mental Health Center (Program 1), the Seoul Metropolitan Office of Education (Program 2), or the Dongjak District Office of Education (Program 3). We estimated and compared the referral rates of the three programs. Results:Program 1 screened and referred 22.9% of ADHD youths to mental health services, Program 2, 68.8%, and Program 3, 40.0%. Program 1 screened and referred 22.8% of depressed youths to mental health services, Program 2, 53.8%, and Program 3, 88.9%. Key elements for successful screening and referral programs were an effective school/community mental health center/Office of Education network, the parents’ financial support and perception of their child’s mental health status as being problematic, and the teachers’ active engagement. Conclusion:This is the first study investigating the effectiveness of school-based mental health screenings’ linkage to treatment for primary and middle school students in Korea. An effective network for community mental health and improvements in parents’ and teachers’ perceptions regarding mental health are needed for more successful treatment linkage.