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재난 시 소아청소년 정신건강 평가 및 치료의 주요 요소: 전문가 델파이 예비 조사

The Major Elements of Psychological Assessment and Intervention for Children and Adolescents after a Disaster: A Professional Delphi Preliminary Survey

  • 박장호 (울산대학교 의과대학 울산대학교병원 정신건강의학과) ;
  • 이미선 (을지대학교 을지병원 정신건강의학과) ;
  • 장형윤 (아주대학교 의학전문대학원 정신건강의학교실) ;
  • 황준원 (강원대학교 의학전문대학원 정신건강의학교실) ;
  • 이주현 (아이나래 정신건강의학과의원) ;
  • 김지연 (좋은마음 정신건강의학과의원) ;
  • 이철순 (경상대학교 의학전문대학원 창원경상대학교병원 정신건강의학과) ;
  • 김은지 (경북대학교병원 정신건강의학과) ;
  • 배승민 (가천대학교 길병원 정신건강의학과) ;
  • 방수영 (을지대학교 의과대학 을지대학교 을지병원 정신건강의학교실)
  • Park, Jang-Ho (Department of Psychiatry, Ulsan University Hospital, University of Ulsan College of Medicine) ;
  • Lee, Mi-Sun (Department of Psychiatry, Eulji University Hospital) ;
  • Chang, Hyoung Yoon (Department of Psychiatry, Ajou University School of Medicine) ;
  • Hwang, Jun-Won (Department of Psychiatry, Kangwon National University School of Medicine) ;
  • Lee, Ju-Hyun (Inarae Psychiatry Clinic) ;
  • Kim, Ji-Youn (Goodmind Psychiatry Clinic) ;
  • Lee, Cheol-Soon (Department of Psychiatry, Gyeongsang National University School of Medicine, Gyeongsang National University Changwon Hospital) ;
  • Kim, Eunji (Department of Psychiatry, Kyungpook National University Hospital) ;
  • Bae, Seung-Min (Department of Psychiatry, Gachon University Gil Medical Center) ;
  • Bhang, Soo-Young (Department of Psychiatry, Eulji University School of Medicine, Eulji University Hospital)
  • 투고 : 2016.05.04
  • 심사 : 2016.06.16
  • 발행 : 2016.09.30

초록

Objectives: This study attempted to evaluate the usefulness and direction of development of post-traumatic assessment and interventions based on the opinions of psychiatrics and disaster and trauma-related experts using the Delphi survey technique. Methods: In-depth individual interviews served as the pre-survey and were followed by Delphi primary and secondary surveys. Specialists in child and adolescent mental health, psychological support professionals specialized in disasters and related practitioners with experience of disasters in Korea completed a set of questionnaires and participated in focus group interviews and in-depth individual interviews on post-traumatic assessment and intervention. Results: We found that the following issues have a significant impact on the interventions after disasters: the proper time of the initial interview in the event of a disaster, assessment notices, aged assessment services, mandatory enforcement measures, scale screening and treatment intervention elements, symptoms degree classification, intervention standardization, the use of a levelled program, care unit environment, and operation plan. Conclusion: This study proposed effective mental health intervention measures and has implications for the development of evaluation treatment protocols after disasters.

키워드

참고문헌

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피인용 문헌

  1. Development of Korean Disaster Mental Health Support Guidelines: Results of a Scoping Review and a Delphi Survey vol.16, pp.2, 2019, https://doi.org/10.30773/pi.2018.11.14
  2. A Qualitative Study on the Process of the Mental Health Assessment and Intervention after the Sewol Ferry Disaster: Focusing on Survivors among Danwon High School Students vol.29, pp.4, 2016, https://doi.org/10.5765/jkacap.180013