Journal of the Korean Academy of Child and Adolescent Psychiatry

Korean Academy of Child and Adolescent Psychiatry (대한소아청소년정신의학회)
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The Effectiveness of Mental Health Problems Screening and Treatment Linkage in Children & Adolescents : Community Based Study Focused on ADHD and Depression

소아 청소년 정신건강 선별검사 및 치료 연계 효율성에 대한 연구 : 지역사회 중심 연구

  • Kim, Hyo-Jin (Department of Neuropsychiatry, Seoul National University College of Medicine) ;
  • Cho, Soo-Churl (Division of Child and Adolescent Psychiatry, Seoul National University College of Medicine) ;
  • Kim, Jae-Won (Division of Child and Adolescent Psychiatry, Seoul National University College of Medicine) ;
  • Kang, Je-Wook (Division of Child and Adolescent Psychiatry, Seoul National University College of Medicine) ;
  • Shin, Min-Sup (Division of Child and Adolescent Psychiatry, Seoul National University College of Medicine) ;
  • Kim, Hyo-Won (Division of Child and Adolescent Psychiatry, Seoul National University College of Medicine) ;
  • Yun, Myung-Ju (Seoul Child & Adolescent Mental Health Center) ;
  • Lee, Kyong-Young (Seoul Child & Adolescent Mental Health Center) ;
  • Kang, Yun-Ju (Seoul Child & Adolescent Mental Health Center) ;
  • Kim, Boong-Nyun (Division of Child and Adolescent Psychiatry, Seoul National University College of Medicine)
  • 김효진 (서울대학교 의과대학 정신과학교실) ;
  • 조수철 (서울대학교 의과대학 소아.청소년정신과) ;
  • 김재원 (서울대학교 의과대학 소아.청소년정신과) ;
  • 강제욱 (서울대학교 의과대학 소아.청소년정신과) ;
  • 신민섭 (서울대학교 의과대학 소아.청소년정신과) ;
  • 김효원 (서울대학교 의과대학 소아.청소년정신과) ;
  • 윤명주 (서울시 소아청소년 정신보건센터) ;
  • 이경영 (서울시 소아청소년 정신보건센터) ;
  • 강연주 (서울시 소아청소년 정신보건센터) ;
  • 김붕년 (서울대학교 의과대학 소아.청소년정신과)
  • Received : 2009.03.06
  • Accepted : 2009.05.07
  • Published : 2009.10.30
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Abstract

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.

Keywords

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