학교정신보건사업 모델개발 : 2. 도시형 초등학교 정신보건사업 모델개발

Abstract

This research was aimed at developing a model for school mental health service. Subjects were students at two elementary schools located in an urban community. The goals of the study included； 1) early detection and intervation in children with mental health problems；2) developing educational programs for parents and teachers；3) developing programs linking mental health resources in the community with the school system(school consultation, telephone counselling, and group activities for high risk-students). Subjects wers 1,732 students at 2 primary schools in a community of Seoul. Problem children were selected thorugh screening with CBCL and were examined by psychiatrists. The results were as follows： 1) Of 1,732 students, nearly 8% had mental health problems. The parents of the studyents with mental health problems were urged to seek psychiatric care. However, only 8% of them had a positive response. On the other hand, telephone counselling was preferred and 40% of them said they had vistied a psychiatric clinic. 2) Regarding the education of parents, they preferred telephone counselling and written information to direct counselling or participating in education programs. In most cases, they avoided talking about their childern’s problems. 3) Teachers showed a ggod sense for decting children’s mental health problems, but they suffered from a feeling of helplessness because of lack of knowledge and skills. 4) Special education programs were needed for suudents with serious behavior prblems. Group activities, which were directed by college student volunteers, had been proved to be effective in helping children with high risks. 5) This suggests that the stigma for mental disorder is still an obstacle in mental health service and that fechers need on-going systemic education on children’s mental health since college period. Based on these study results, the authors surggest a model of school mental health service linking the school system, family(parents) and professional mental health resources in the community.