• Korean Journal of Family Welfare
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• v.23 no.4
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• pp.633-652
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• 2018

This study aimed to examine the direct effects of relationships with parents, peers, and community child center teachers on the school adjustment of low-income adolescents attending community child centers and the indirect effects mediated through adolescents' resilience. The second-term panel data from the fourth-year Community Child Center Survey was used to analyze 198 adolescents (103 boys, 95 girls) who were first graders at middle schools. SPSS 20.0 and AMOS 20.0 were used to analyze the data through structural equation modeling. The results of the study were as follows: Parental monitoring and peer trust had direct effects on the adolescents' school adjustment, while satisfaction with community child center teachers did not. Parental monitoring, peer trust, and satisfaction with community child center teachers had indirect effects on adolescents' school adjustment mediated through resilience. The school adjustment of low-income adolescents has received attention from both researchers and politicians. The results of this study are notable in that both the important relationships and resilience of low-income adolescents can significantly contribute to their school adjustment in their first year at middle school. Given the developmental needs of low-income adolescents, interventions for school adjustment that consider adolescents' important social contexts and psychological characteristics should be developed.

• The Journal of the Convergence on Culture Technology
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• v.4 no.4
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• pp.241-247
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• 2018

This study investigated sense of community influencing satisfaction with center teacher and service use evaluation and mediating effects of school adjustment involving sense of community, satisfaction with center teacher and service use evaluation among adolescents in community child center. Secondary data analysis from the 2nd Panel Survey on Service Satisfaction with Community Child Center was performed using data of 438 the first grade middle school aged student in 2017. Correlation coefficient and step-wise Regression using SPSS 18 program 18.0. and Sobel test showed that the higher of satisfaction with center teacher and center service use evaluation influenced the more enhanced sense of community, and school adjustment had partial mediating effect among them. Therefore, to promote low income adolescents' sense of community, this study suggested the need to persist the sustainable relationship between satisfaction with center teacher and adolescents and to improve quality of service and to develop and apply the community action program connecting community child care center and school system.

• Child Health Nursing Research
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• v.23 no.2
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• pp.158-167
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• 2017

Purpose: The purpose of this study was to investigate the ecological factors influencing school adjustment of adolescents from low-income families. Methods: Secondary data analysis was performed using data of 1,321 low-income adolescents in 123 regions found on the Survey on Service Satisfaction with Community Child Care Center. Results: The results of multi-level analysis identified the factors influencing school adjustment of low-income adolescents as follows: individual-level factors were gender, grade in school, and emotional problem; an interpersonal-level factor was family structure; organizational-level factors were length of time attending center and satisfaction with the service of the center; community-level factors were region and perception of community. Conclusion: The results suggest that low-income adolescents' adjustment to school is influenced not only by individual factors but also by diverse environmental factors. Community factors suggest that more education support systems and leisure facilities for adolescents need to be built in small and medium cities. Strategies to enhance positive perception of community are also needed for this population. Further, it is necessary to develop multi-level interventions to improve the school adjustment of adolescents from vulnerable social groups.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.20 no.7
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• pp.485-496
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• 2019

The current study examined the latent mean analysis and path analysis comparison between male and female groups in the structural relationships among parent-child conversation, peer attachment, satisfaction in teacher at a community child care center, ego-resiliency, self-esteem, and career identity in adolescents who attend a community child care center. For this purpose, 438 adolescents who participated in the 4th(2017) questionnaire in the 2nd child panel of the community child care center were used. From the analysis results, first, peer attachment and satisfaction in teacher at a community child care center increased ego-resiliency and career identity, but parent-child conversation did not predict ego-resiliency and career identity. Peer attachment and satisfaction in teacher at a community child care center was fully mediated by ego-resiliency and self-esteem to career identity. Second, in the latent mean analysis, male students showed significantly higher latent mean values in ego-resiliency and self-esteem than female students, while female students showed significantly higher latent mean values in parent-child conversation than male students. Third, multi-group analysis revealed different paths to career identity between the genders. Peer attachment can buffer the effect of ego-resiliency and self-esteem on career identity of male students, but satisfaction in teacher at a community child care center buffers more on the ego-resiliency of female students. The results of this study suggest that social support for enhancing ego-resiliency and self-esteem is needed to encourage career identity, and that gender needs to be considered.

• Research in Community and Public Health Nursing
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• v.28 no.1
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• pp.34-43
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• 2017

Purpose: The purpose of this study is to determine factors affecting happiness of adolescents who attended community child centers. Methods: We surveyed 154 adolescents attending a community child center in P City with a structured self-report questionnaire from October 3 to October 15, 2016. Data was analyzed by SPSS 18.0 descriptive statistics, t-test, ANOVA, $Scheff\acute{e}test$, Pearson's correlation coefficients and stepwise multiple regression. Results: The mean scores of family strength, friend support, teacher support, and happiness were $3.8{\pm}0.84$, $3.8{\pm}0.98$, $3.7{\pm}0.84$ and $3.7{\pm}0.63$. There were significant differences in happiness according to the subjects' number of close friends and duration of their stay at the community child center. There were a significant positive correlations among family strength, friend support, teacher support, and happiness. The most significant factors affecting happiness included friend support (${\beta}=.40$) and peaceable family strength (${\beta}=.35$). These variables explained 44% of the total variance in happiness. Conclusion: It is desirable to prepare and support measures to increase friends' support and family strength in order to improve happiness of adolescents attending community child centers. The findings suggest that it is necessary to develop nursing intervention programs to promote friend support and family strength.

• Journal of the Korean Society of Child Welfare
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• no.56
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• pp.33-68
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• 2016

This study aimed to explore the experiences of community child center workers about how they have dealt with the mental health of children and adolescents who use such centers. For this study, we used a sample of ten community child center workers, who were divided into two groups and who participated in four focus group interviews. The results revealed four themes and twelve sub-themes: "the reality of facing children's mental health issues," "dealing with children's mental health issues and limitations," "know-hows accumulated from experiences and visible changes," and "remaining tasks--the workers who cannot give all." Based on the results the implications of promoting the mental health of children at community child centers were discussed.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.20 no.3
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• pp.129-139
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• 2009

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.

• Journal of the Korean Society of School Health
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• v.29 no.3
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• pp.235-244
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• 2016

Purpose: The purpose of this study was to investigate factors effecting the psychological well-being of adolescents who attend a community child center. Methods: The survey was conducted on 143 children attending a community child center in P city with a structured self-report questionnaire from August 20 to September 20, 2016. Data were analyzed through descriptive statistics, t-test, ANOVA, $Scheff{\acute{e}}$ test, Pearson's correlation coefficient, and stepwise multiple regression, using SPSS/WIN version 18.0. Results: There were significant differences in psychological well-being according to grade, one of the general characteristics of the subjects. There was a significant positive correlation between ego-resilience, social support, subjective well-being, and psychological well-being. From the multiple regression analysis, the most significant factors affecting psychological well-being were subjective well-being (${\beta}=.56$) and grade division (${\beta}=.19$). These variables explained 38.0% of the total variance in psychological well-being. Conclusion: Considering the results of this study, it is desirable to develop measures to increase adolescents' subjective well-being and provide support according to grade in order to improve the psychological well-being of the adolescents attending community children centers.

• Research in Community and Public Health Nursing
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• v.32 no.2
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• pp.205-219
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• 2021

Purpose: This concept analysis was conducted to clarify 'parents' treatment adherence for an epileptic child or adolescent'. Methods: The analysis used a hybrid model comprising three phases: theoretical phase, fieldwork phase, and integration phase. In the theoretical phase, fifty studies were reviewed. Interviews with four parents of epileptic children or adolescents were conducted during the fieldwork phase. In the integration phase, the results derived from prior phases were synthesized and clarified. All phases were performed cyclically. Results: The concept, 'parents' treatment adherence for an epileptic child or adolescent' was defined as parents' voluntary and goal-directed behavior towards the epilepsy treatment for their children: a collaborative decision-making process with health-care providers, establishing a support system, adaptability to the treatment plans, and appraisals of the child's health condition. Conclusion: This achievement is thought to contribute to improving the accuracy and validity of the concept measurement. It has implications for additional research on how the concept 'treatment adherence' differs in diverse health problems and other population groups than parents of children and adolescents with epilepsy.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.34 no.1
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• pp.4-14
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• 2023

This study aimed to discuss mental health services for children and adolescents that are being implemented as initiatives of the Korean government and to review the functions and roles of these projects during the COVID-19 pandemic. Three government departments are in charge of providing mental health services for children and adolescents: Ministry of Education, Ministry of Gender Equality and Family, and Ministry of Health and Welfare. The Ministry of Education has implemented several policies to facilitate the early detection of mental health issues among school students (from preventive interventions to selective interventions for high-risk students). The Ministry of Gender Equality and Family additionally serves out-of-school children and adolescents by facilitating early identification of adolescents in crises and providing temporary protection or emergency assistance (as required) through the Community Youth Safety-Net Project. Furthermore, the Ministry of Health and Welfare operates relevant mental health agencies for individuals of all ages including children and adolescents. Any high-risk students who have been screened through the projects of the Ministry of Education are supported through referrals to the following institutions for appropriate treatment of their symptoms: specialized hospitals, the Youth Counseling and Welfare Center operated by the Ministry of Gender Equality and Family, the National Youth Healing Center, the Mental Health Welfare Center operated by the Ministry of Health and Welfare, the Suicide Prevention Center, and the Child Welfare Center. To assist students who are facing any psychological difficulties because of the COVID-19 pandemic, the Ministry of Education has established a psychiatric support group for providing emergency mental health care; furthermore, schools are promoting psychological surveillance (e.g., provision of non-face-to-face counseling services that are centered around the Wee Center). The Ministry of Education, Ministry of Gender Equality and Family, and Ministry of Health and Welfare have provided varied mental health support services in order to address the challenges faced by children and adolescents during the pandemic. Nevertheless, the mental health services operated by each ministry do show some limitations because their service provision system is insufficiently collaborative. The present study discussed the positive effects of each initiative as well as its limitations; furthermore, it suggested improvements for facilitating the healthy development of children and adolescents' mental health.