J Korean Acad Child Adolesc Psychiatry.
2009 Oct;20(3):129-139.
The Effectiveness of Mental Health Problems Screening and Treatment Linkage in Children & Adolescents: Community Based Study Focused on ADHD and Depression
- Affiliations
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- 1Department of Neuropsychiatry, Seoul National University College of Medicine, Seoul, Korea.
- 2Division of Child and Adolescent Psychiatry, Seoul National University College of Medicine, Seoul, Korea. kbn1@snu.ac.kr
- 3Seoul Child & Adolescent Mental Health Center, Seoul, Korea.
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.
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