Abstract
This study examined the degree of perceived need and use of child mental health services in Korea, as well as the factors associated therewith. The sample consisted of 3,477 children aged 8–13 years. Overall, 10.4% of the parents demonstrated a perceived need for mental health services regarding their children’s emotional or behavioral problems, while 1.9% used mental health services. Although the perceived need for mental health services is high, only a small proportion of children receive them. Whether a child receives mental health care is influenced by the child’s psychopathology, especially when social and/or thought problems exist.
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Achenbach, T. M. (1991). Manual for the child behavior checklist/4–18 and 1991 profile. Burlington: University of Vermont Department of Psychiatry.
Angold, A., Messer, S. C., Stangl, D., Farmer, E. M., Costello, E. J., & Burns, B. J. (1998). Perceived parental burden and service use for child and adolescent psychiatric disorders. American Journal of Public Health, 88(1), 75–80.
Bongers, I. L., Koot, H. M., van der Ende, J., & Verhulst, F. C. (2003). The normative development of child and adolescent problem behavior. Journal of Abnormal Psychology, 112(2), 179–192. doi:10.1037/0021-843X.112.2.179.
Burns, B. J., Costello, E. J., Angold, A., Tweed, D., Stangl, D., Farmer, E. M., et al. (1995). Children’s mental health service use across service sectors. Health Affairs (Millwood), 14(3), 147–159. doi:10.1377/hlthaff.14.3.147.
Cohen, P., & Hesselbart, C. S. (1993). Demographic factors in the use of children’s mental health services. American Journal of Public Health, 83(1), 49–52.
Costello, E. J., & Janiszewski, S. (1990). Who gets treated? Factors associated with referral in children with psychiatric disorders. Acta Psychiatrica Scandinavica, 81(6), 523–529. doi:10.1111/j.1600-0447.1990.tb05492.x.
Costello, E. J., Mustillo, S., Erkanli, A., Keeler, G., & Angold, A. (2003). Prevalence and development of psychiatric disorders in childhood and adolescence. Archives of General Psychiatry, 60(8), 837–844. doi:10.1001/archpsyc.60.8.837.
Edelbrock, C., Costello, A. J., Dulcan, M. K., Conover, N. C., & Kala, R. (1986). Parent-child agreement on child psychiatric symptoms assessed via structured interview. Journal of Child Psychology and Psychiatry, 27(2), 181–190. doi:10.1111/j.1469-7610.1986.tb02282.x.
Fonagy, P., Target, M., & Cottrell, D. (2002). What works for whom: A critical review of treatments for children and adolescents. New York: Guilford.
Garralda, M. E., & Bailey, D. (1988). Child and family factors associated with referral to child psychiatrists. British Journal of Psychiatry, 153, 81–89.
Goodman, R., Ford, T., & Meltzer, H. (2002). Mental health problems of children in the community: 18 month follow up. British Medical Journal, 324(7352), 1496–1497. doi:10.1136/bmj.324.7352.1496.
Han, J. S. (2002). Bullying and educational collapse in Korea. Seoul: Jipmoondang.
Jensen, P. S., Bloedau, L., & Davis, H. (1990). Children at risk: II. Risk factors and clinic utilization. Journal of the American Academy of Child and Adolescent Psychiatry, 29(5), 804–812. doi:10.1097/00004583-199009000-00021.
Kessler, R. C., Frank, R. G., Edlund, M., Katz, S. J., Lin, E., & Leaf, P. (1997). Differences in the use of psychiatric outpatient services between the United States and Ontario. New England Journal of Medicine, 336(8), 551–557. doi:10.1056/NEJM199702203360806.
Kroes, M., Kalff, A. C., Steyaert, J., Kessels, A. G., Feron, F. J., Hendriksen, J. G., et al. (2002). A longitudinal community study: Do psychosocial risk factors and child behavior checklist scores at 5 years of age predict psychiatric diagnoses at a later age? Journal of the American Academy of Child and Adolescent Psychiatry, 41(8), 955–963. doi:10.1097/00004583-200208000-00014.
Lavigne, J. V., Arend, R., Rosenbaum, D., Binns, H. J., Christoffel, K. K., Burns, A., et al. (1998). Mental health service use among young children receiving pediatric primary care. Journal of the American Academy of Child and Adolescent Psychiatry, 37(11), 1175–1183. doi:10.1097/00004583-199811000-00017.
Leaf, P. J., Alegria, M., Cohen, P., Goodman, S. H., Horwitz, S. M., Hoven, C. W., et al. (1996). Mental health service use in the community and schools: results from the four-community MECA Study. Methods for the Epidemiology of Child and Adolescent Mental Disorders Study. Journal of the American Academy of Child and Adolescent Psychiatry, 35(7), 889–897. doi:10.1097/00004583-199607000-00014.
Lee, J. C. (2003). Health care reform in South Korea: success or failure? American Journal of Public Health, 93(1), 48–51.
Loeber, R., Green, S. M., Lahey, B. B., & Stouthamer-Loeber, M. (1991). Differences and similarities between children, mothers, and teachers as informants on disruptive child behavior. Journal of Abnormal Child Psychology, 19(1), 75–95. doi:10.1007/BF00910566.
Mojtabai, R., Olfson, M., & Mechanic, D. (2002). Perceived need and help-seeking in adults with mood, anxiety, or substance use disorders. Archives of General Psychiatry, 59(1), 77–84. doi:10.1001/archpsyc.59.1.77.
Offord, D. R., Boyle, M. H., & Racine, Y. (1989). Ontario Child Health Study: Correlates of disorder. Journal of the American Academy of Child and Adolescent Psychiatry, 28(6), 856–860. doi:10.1097/00004583-198911000-00008.
Sawyer, M. G., Arney, F. M., Baghurst, P. A., Clark, J. J., Graetz, B. W., Kosky, R. J., et al. (2001). The mental health of young people in Australia: Key findings from the child and adolescent component of the national survey of mental health and well-being. The Australian and New Zealand Journal of Psychiatry, 35(6), 806–814. doi:10.1046/j.1440-1614.2001.00964.x.
Sayal, K., Taylor, E., & Beecham, J. (2003). Parental perception of problems and mental health service use for hyperactivity. Journal of the American Academy of Child and Adolescent Psychiatry, 42(12), 1410–1414. doi:10.1097/00004583-200312000-00007.
Son, J. W. (2002). The difference of the behavioral problem and maternal rearing pattern between adolescent psychiatric parents in peer neglect or reject and those in non-neglect: A preliminary study. Korean Journal of Child and Adolescent Psychiatry, 13(1), 177–188.
Sourander, A., Multimaki, P., Nikolakaros, G., Haavisto, A., Ristkari, T., Helenius, H., et al. (2005). Childhood predictors of psychiatric disorders among boys: a prospective community-based follow-up study from age 8 years to early adulthood. Journal of the American Academy of Child and Adolescent Psychiatry, 44(8), 756–767.
Sourander, A., Santalahti, P., Haavisto, A., Piha, J., IkAheimo, K., & Helenius, H. (2004). Have there been changes in children’s psychiatric symptoms and mental health service use? A 10-year comparison from Finland. Journal of the American Academy of Child and Adolescent Psychiatry, 43(9), 1134–1145.
Verhulst, F. C., & van der Ende, J. (1997). Factors associated with child mental health service use in the community. Journal of the American Academy of Child and Adolescent Psychiatry, 36(7), 901–909.
Yoo, H. I., Cho, S. C., Kim, B. N., Kim, S. Y., Shin, M. S., & Hong, K. E. (2005). Psychiatric morbidity of second and third grade primary school children in Korea. Child Psychiatry and Human Development, 36(2), 215–225.
Zahner, G. E., & Daskalakis, C. (1997). Factors associated with mental health, general health, and school-based service use for child psychopathology. American Journal of Public Health, 87(9), 1440–1448.
Zwaanswijk, M., Van der Ende, J., Verhaak, P. F., Bensing, J. M., & Verhulst, F. C. (2003). Factors associated with adolescent mental health service need and utilization. Journal of the American Academy of Child and Adolescent Psychiatry, 42(6), 692–700.
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Cho, SM., Kim, HS., Kim, HJ. et al. Perceived Need and Use of Child Mental Health Services in Korea. Community Ment Health J 45, 56–61 (2009). https://doi.org/10.1007/s10597-008-9160-9
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DOI: https://doi.org/10.1007/s10597-008-9160-9