Journal of the Korean Society of School Health (한국학교보건학회지)

The Korean Society of School Health (한국학교보건학회)
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Mental Health Screening in Schools

학생정신건강검진 시범운영사업에 따른 추진방안

  • Kim, Hyoun-Jeong (Solbit Psychiatric Clinic) ;
  • Kim, Yun-Young (Seongdong Mental Health Center) ;
  • Lee, Hye-Sook (Seongdong Mental Health Center) ;
  • Hyun, Mi-Na (Department of Psychology, SungShin Women's University Graduate School) ;
  • Nam, Dong-Hyun (Department of Child Psychology and Education, SungKyunKwan University Graduate School) ;
  • Kim, Sang-Won (Department of Child Psychology and Education, SungKyunKwan University Graduate School) ;
  • Ahn, Dong-Hyun (Department of Psychiatry, Hanyang University Medical School)
  • 김현정 (솔빛정신과의원) ;
  • 김윤영 (성동정신건강센터) ;
  • 이혜숙 (성동정신건강센터) ;
  • 현미나 (성신여자대학교대학원 심리학과) ;
  • 남동현 (성균관대학교 대학원 아동학과) ;
  • 김상원 (성균관대학교 대학원 아동학과) ;
  • 안동현 (한양대학교 정신과)
  • Published : 2009.06.01
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Abstract

Purpose: The purpose of the study was to find the strategies of mental health screening in school. Based on the literature review, we discuss the importance of screening students in schools for mental health problems. Methods: Data from the 2008 Korean Mental Health Screening in Schools(2008-KMHSS) are used to estimate the outline of this screening. We administered the questionnaire for satisfaction of 2008-KMHSS for students(N=1,280), parents(N=2,672), school nurses(N=75), teachers(N=685), district personnels(N=6), and mental health center staffs(N=37). Also we interviewed a part of them by telephone and e-mail. And we reviewed the tools and methods for screening students for emotional/behavioral problems. Results: Mental health screening in schools is a very important, yet worrisome, agenda that is in its very early stages. From the 2008 Korean Mental Health Screening in Schools, 9,588 students(12.9%) needed more evaluation in the first stage. Of these, 6,910(72.1%) completed the second stage screening. In this sample, 1,975(28.6%) utilized the mental health services in school or community. 38.3% of students and 43.7% of their parents notified the 2008-KMHSS. But only 12.1% of students and 10.9% of their parents dissatisfied with the screening. 9.9% of teachers and 22.7% of school nurses dissatisfied with the screening. Among them the school nurses were mostly dissatisfied, and they complained work burden from KMHSS. Mental health center staffs complained similar issues. The Children's Problem-behavior Screening Questionnaire(CPSQ) and Adolescents' Mental-health & Problem-behavior Screening Questionnaire(AMPQ) were compatible to screen students in schools for mental health problems in first stage. Conclusion: Mental health screening in schools needs careful planning and implementation. For successful mental health screening in schools, several elements need to be considered: careful planning, collaboration, staff training, and integrative mental health programs and services in community or schools.

Keywords

References

  1. 김영신, 소유경, 노주선, 최낙경, 김세주, 고윤주(2003). 한국어판 부모, 교사 ADHD평가척도(K-ARS)의 규준연구. 신경정신의학, 42(3),352-359
  2. 김영환, 김재환, 김중술, 노명래, 신동균, 염태호, 오상우(1997). 다면적 인성검사. 서울：한국 가이던스
  3. 김지혜, 홍창희, 황순택, 조선미(2005). 한국아동인성검사 개정판(KPI-C-R). 서울: 한국가이던스
  4. 김재환, 김광일(1984). 간이정신진단검사의 한국판 표준화연구 III. 정신건강연구, 2, 278-311
  5. 서울시소아청소년광역정신보건센터(2008). 서울시학교정신보건사업 2007년도 사업보고서
  6. 소유경, 노주선, 김영신, 고선규, 고윤주(2002). 한국어판 부모, 교사 ADHD 평가 척도의 신뢰도와 타당도 연구. 신경정신의학, 41, 283-289
  7. 신민섭(1993). 자살기제에 대한 실증적 연구: 자기도피 척도의 타당화. 연세대학교, 박사학위논문,서울
  8. 안동현, 김윤영, 장혜진, 강화연(2003). 2003년도 전국정신보건센터 아동.청소년정신보건사업-연구조사. 서울: 한양대학교 정신건강연구소
  9. 안동현, 이영식, 정선주, 반건호, 이정섭, 전성일, 김연신, 신의진(공역)(2005). 아동 및 청소년 정신병리의 진단평가, 서울 : 학지사
  10. 안정숙, 전성균, 한준규, 노경선, Goodman R.(2003).한국어판 강점. 난점 설문지(Strengths and Difficulties Questionnaire)개발. 신경정신의학, 42(1), 141-147
  11. 이혜련, 오경자, 홍강의(1988). 한국어판 아동행동조사표. 서울 : 하나의학사
  12. 정승아, 안동현, 정선녀, 정윤경, 김윤영(2008). 청소년 정신건강 및 문제행동 선별검사 개발연구.신경정신의학, 47(2), 168-176
  13. 조맹제, 김계회(1993). 주요우울증환자 예비평가에서 CES-D의 진단적 타당성 연구. 신경정신의학, 32, 381-399
  14. 조수철, 최진숙(1989). 한국형 소아의 상태 ； 특성 불안척도의 개발. 서울의대정신의학, 14(3),150-157
  15. 조수철, 이영식(1990). 한국형 소아 우울척도의 개발. 신경정신의학, 29(4), 934-956
  16. 한국정보문화진흥원(2002). 인터넷중독자가진단검사(K-척도)와 예방교육프로그램
  17. 허윤석, 안동현, 최준호, 강지윤, 김윤영, 오경자 (2003). 아동용문제행동선별검사의 개발. 신경정신의학, 42(6), 723-735
  18. 홍강의, 신민섭, 조성준(1999). 주의력장애 진단 시스템 사용설명서, 서울 : 한국정보공학(주)
  19. 홍강의(2006). 소아정신의학(1판), 118-124, 서울 :중앙문화사
  20. 황혜정, 강성빈, 윤명희(2001). 초등학생용 문제행동 진단검사의 개발연구. 초등교육연구, 14(3),369-389
  21. 최진숙, 조수철(1989). A development korean revised children's manifest anxiety scale. 대한소아청소년정신의학, 5, 141-149
  22. Achenbach, T.M., Edelbrock, C.S.(1984). Psychopathology of childhood. Annu Rev Psychol. 35, 227-256 https://doi.org/10.1146/annurev.ps.35.020184.001303
  23. Bethell, C.D., Read, D.(2005). Mental Health in the United States: Health Care and Well Being of Children with Chronic Emotional, Behavioral, or Developmental Problems --- United States, 2001. Morbidity and Mortality Weekly Report, 54(39), 985-989
  24. Blanchard, L.T., Gurka, M.J., Blackman, J.A.(2008). Emotional, developmental, and behavioral health of American children and their families: A report from the 2003 National Survey of Children's Health. Pediatrics, 117, e1202-e1212. Accessed on http://www.pediatrics.org/cgi/content/full/117 /e1202 on Dec 19, 2008
  25. Eyberg, S.M., Matarazzo, R.G.(1980). Training parents as therapists: a comparison between individual parent-child interaction training and parent group didactic training. J Clin Psychol, 36(2), 492-499 https://doi.org/10.1002/jclp.6120360218
  26. Goyette, C.H., Conners, C.K., Ulrich, R.F.(1978). Normative data on Revised Conners Parent and Teacher Rating Scale. J Abnorm Child Psychol, 6, 221-236 https://doi.org/10.1007/BF00919127
  27. Jellineck, M.S., Murphy, J.M., Little, M., Pagano, M.E., Comer, D.M., Kellcher, K.J.(1999). Use of the Pediatric Symptom Checklist to screen for psychosocial problems in p e d i a t r i c primary care. Archives of Pediatric and Adolescent Medicine, 153, 254-260
  28. Kovacs, M., Beck, A.T.(1977). An empirical-clinical approach toward a definition of childhood depression. In J.G. Schulterbrandt & A. Raskin(Eds.), Depression in childhood: diagnosis, treatment and conceptual models(pp1-25). New York : Raven Press
  29. Lucas, C.P., Zhang, H., Fisher, P.W., Shaffer, D., Regier, D.A., Narrow, W.E., Bourdon, K., Dulcan, M.K., Canino, G., Rubio-Stipec, M., Lahey, B.B., Friman, P.(2001). The DISC predictive scales (DPS): Efficiently screening for diagnoses. J Am Acad Child Adolesc Psychiatry, 40, 443-339 https://doi.org/10.1097/00004583-200104000-00013
  30. Mass, R., Haasen, C., Wolf, K.(2000). The Eppendorf Schizophrenia Inventory (ESI). Development and evaluation of a questionnaire for assessment of characteristic perception of cognitive dysfunctions by schizophrenic patients. Nervenarzt, 71 (11),885-892 https://doi.org/10.1007/s001150050679
  31. Remschmidt, H., Belfer, M.(2005). Mental health care for children and adolescents worldwide: a review. World Psychiatry, 4(3), 147- 153
  32. Reynolds, W.M.(1987). Suicidal Ideation Questionnaire : Professional Manual. Psychological Assessment Resources, Inc
  33. Seif, E.l., Din Amira(2004). Prevention and intervention in school setting. In H. Remschmidt, M. Belfer, I. Goodyer(Eds.), Facilitating Pathways: Care, Treatment and Prevention in Child and Adolescent Mental Health(pp326-334). Berlin : Springer-Verlag
  34. Weist, M.D., Rubin, M., Moore, E., Adelsheim, S., Wrobel, G.(2007). Mental health screening in schools. J Sch Health, 77, 53-58 https://doi.org/10.1111/j.1746-1561.2007.00167.x
  35. 有井悅子(2006). スクールカウンセラーとの協働:學校で希望をひろげる. In 岩田祥吾, 谷村聰, 岡空輝夫, 高田 修, 町田 孝(Eds.), ,學校医 は學 校へ行こう(pp162-167). 東京 : 医齒藥出版株式會社