DOI QR코드

DOI QR Code

The Current Status of Student Mental Health Programs and the Needs for Related Training: Focusing on School Nurses and School Counselors

학생정신건강사업 현황 및 관련 교육 요구도: 초중고 보건교사와 상담교사 대상

  • Received : 2018.05.16
  • Accepted : 2018.08.14
  • Published : 2018.08.31

Abstract

Purpose: The leading cause of death among teenagers in Korea is suicide. Also, it is known that mental health of Korean adolescents identified based on the levels of perceived stress or depression is very poor. The purpose of this study was to examine the current status of student mental health programs in Korea and the associated problems and to explore ways to make the programs more effective. Methods: The subjects of the study were a total of 115 school nurses and school counselors in elementary, middle and high schools. The study examined the current status and the associated problems of school mental health programs as well as the needs for teacher training programs related to student mental health. Results: Few mental health programs other than counseling for at-risk students were being carried out. The problems associated with student mental health management were, in terms of management, 'accountability in case of incidents such as student suicide' and 'parents uncooperative in their kid's mental health management (visit to hospital, etc.)' and, in terms of manpower, 'unclear R&R between school nurses and school counselors' and, more fundamentally, 'the lack of human resources.' The needs for teacher training programs related to student mental health were very high and the content required most was 'ways to manage stress of students and teachers themselves,' followed by 'interpersonal conflicts management & conservational skills,' and 'ways to manage student mental illness.' Conclusion: In conclusion, to increase the effectiveness of student mental health programs, we should move on from the current system which focuses only on early discovery and intervention to a more comprehensive system that includes preventive approaches, while having clearer R&R and more workforce dedicated to student mental health programs and attracting more parental cooperation and support.

Keywords

References

  1. Statistics Korea. Population Projections for Korea (2015-2065) [Internet]. Daejeon: Statistics Korea; 2016 [cited 2018 July 16]. Available from: http://kostat.go.kr/portal/eng/pressReleases/1/index.board?bmode=read&aSeq=359108.
  2. Statistics Korea. 2016 Cause of Death Statistics [Internet]. Daejeon: Statistics Korea; 2017 [cited 2018 July 16]. Available from: http://kostat.go.kr/portal/eng/pressReleases/1/index.board?bmode=read&aSeq=363695.
  3. Statistics Korea, Ministry of Gender equality and Family. 2017 Juvenile Statistics. [Internet]. Daejeon: Author; 2017 [cited 2018 July 16]. Available from: http://www.korea.kr/policy/pressReleaseView.do?newsId=156196542.
  4. Kim MS. The subjective well-being of Korean children and its policy implications. Health-Welfare Policy Forum. 2015 Feb; 220:14-26.
  5. Ministry of Education, Ministry of Health and Welfare, Korea Center for Disease Control. 13th (2017) Korea youth risk behavior web-based survey statistics. Osong; 2017.
  6. Ryoo KY, Shin YK, Eun BL, Park SH, Tocko YC. Adolescent depression in a provincial city. Journal of Korean Pediatric Society. 2000;43:172-187.
  7. Mo SH, Kim HJ, Lee SY, Kim JH, Yoon KM. A study on mental health improvement policy for children and adolescents III. General report. Seoul: National Youth Policy Institute; 2013. December. Report No.: 13-R16.
  8. Ministry of Education, Chungcheongbuk-do office of education. A policy implementation announcement about 'support for student mental health services'. Osong; 2011.
  9. Park ON. Experiences with guiding students with mental health support needs among middle and high school teachers. Journal of Korean Society School Health. 2017;30(3):211-223. https://doi.org/10.15434/kssh.2017.30.3.211
  10. Kang SY, Lee CH, Lee DH. A qualitative study on perception of school counselors about mental health problems and interventions. The Korea Journal of Youth Counseling. 2014;22(1):93-123.
  11. Lee JH, Park HA. Survey study of current status of and need for mental health education enhancing protective factors in the elementary schools. J Korean Acad Community Health Nurs. 2016;27(1):9-20. https://doi.org/10.12799/jkachn.2016.27.1.9
  12. Hong H, Ha K, Kim J, Kim W, Oh E. A study on the effective factors of the school-based mental health in Korea: students' mental health school community cooperative model. Mental Health & Social Work. 2016;44(2):140-166.
  13. Kim SJ, Lee CS, Choi BS. School nurses' recognition about mental health problems of students. Chonnam Journal of Nursing Science. 2004;9(1):113-137.
  14. Bae EK. The changes of Korean public mental health services for children and adolescents-challenges for mental health promotion. Mental Health & Social Work. 2015;43(2):283-312.
  15. Nabors LA, Reynolds MW. Program evaluation activities: Outcomes related to treatment for adolescents receiving schoolbased mental health services. Children's Services: Social Policy, Research, and Practice. 2000;3(3):175-189. https://doi.org/10.1207/S15326918CS0303_4
  16. Foster S, Rollefson M, Doksum T, Noonan D, Robinson G. School mental health services in the United States 2002-2003. [Internet]. Rockville, MD: Center for Mental Health Services, Substance Abuse and Mental Health Services Administration; 2005 [cited 2018 July 16]. Available from: https://files.eric.ed.gov/fulltext/ED499056.pdf.
  17. Langley AK, Nadeem E, Kataoka SH, Stein BD, Jaycox LH. Evidence-based mental health programs in schools: Barriers and facilitators of successful implementation. School Mental Health. 2010;2:105-113. https://doi.org/10.1007/s12310-010-9038-1
  18. South Gyeongsang Province Office of Education. 2015 training course for teachers developing regional cooperation model for student mental health-to improve Mind Health School. Policy report. Osong: South Gyeongsang Education; 2015 December. Report No.: 2015-112.
  19. You HJ, Kim BN, Shin YM, Park EJ, Lee KS, Lee MS. Mental health promotion service guideline for childhood and adolescents. Research Report. Osong: Ministry of Health and Welfare; 2013. Report No.: 11-1352000-001093-01.
  20. Yun AR, Cho HN. The effects of job circumstance and individual internal factors on youth counselor's burnout. Journal of Social Science. 2013;52(2):193-224.
  21. Jeong CW. Theoretical structure of social and emotional learning and its implications for moral education. Journal of Moral & Ethics Education. 2013;38:153-172.
  22. Lee DY, Roh EM, Kim IY, Ko GN, Choi JW, Lee YR, et al. School-based short term mental health awareness and school bullying prevention programs: Preliminary Report. Journal of the Korean Academy of Child and Adolescent Psychiatry. 2014;25(4):196-202. https://doi.org/10.5765/jkacap.2014.25.4.196
  23. Lee CH, Kang SY, Lee DH. A study on mental health improvement policy for children and adolescents III: Efficient intervention program for children and adolescents. Policy report. Seoul: National Youth Policy Institute; 2013 December. Report No.: 13-R16-2.
  24. Park HS. The development of an integrated suicide violence prevention program for adolescents. Journal of Korean Academy of Nursing. 2008;38(4):513-521. https://doi.org/10.4040/jkan.2008.38.4.513
  25. Weist MD, Sander MA, Walrath C, Link B, Nabors L, Adelsheim S. Developing principles for best practice in expanded school mental health. Journal of Youth and Adolescence. 2005; 34:7-13. https://doi.org/10.1007/s10964-005-1331-1