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정서행동장애의 효과적인 선별⋅진단 모형

A Model on Effective Screening and Diagnosis of Emotional Behavioral Disorders

이효신
한국정서행동장애학회 (The Korean Society of Emotional and Behavioral Disorders)|2011.12|정서·행동장애연구 (JOURNAL OF EMOTIONAL & BEHAVIORAL DISORDERS)|제27권 제4호|pp. 25-48

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참고문헌

키워드

평가Assessment정서행동장애선별-진단체계적 접근Emotional Behavioral DisordersScreening-DiagnosisSystematical Approach

초록

정서행동 문제를 가진 아동을 선별하고 장애로 진단하는 과정에서 자료 수집 방법은 매우 중요하다. 정서행동상의 문제는 시공간적으로 다양하게 나타나고 문제의 본질이 보편성을 가지기 때문이다. 본 연구에서는 정서행동장애의 효과적인 선별-진단을 위한 요인으로 자동화, 의뢰전 중재, 체계적 적용을 지적하고, 모형을 도출해 내기 위해 다양한 선별-진단체계의 특성에 대하여 탐색하였다. 자동화는 아동이 어떤 환경에 처해 있던지 간에 정서행동장애의 위험성을 검토 받게 하기 위한 장치이며 이것을 통해 아동 소구조 내 인적구성원의 잘못으로 인한 음성오류를 줄일 수 있다. 의뢰전 중재는 최근 새롭게 제안된 정서행동장애의 정의에서 ‘일반적인 중재에 반응하지 않는’ 이라는 측면을 적용한 것이며 과다의뢰로 인한 양성오류를 줄일 수 있는 방안이다. 체계적 적용이란 다양한 자료수집 방법을 순차적으로 적용하는 방법을 의미한다. 이것은 행동상의 공변인 문제를 최소화하기 위한 방안이다. 이상의 조건을 감안한 효과적인 정서행동장애 선별-진단체계 모형이 제안되었으며 그 운영방법에 대한 유의점도 논의되었다.

Abstract

The method of data collection is crucial in the process of screening and diagnosing a child with emotional behavioral disorders. This is because emotional behavioral issues present themselves throughout various times and places(space and time), while carrying universality at the core of the issues. This research points out automation, pre-referal intervention, and systematic application as primary factors for the effective screening/diagnosis of emotional behavioral disorders; and also explores the characteristics of various screening/diagnosis systems in order to reach a model. Automation is used in order to have the risk of emotional behavioral disorders examined regardless of the environment a child is in, and this allows for the reduction of false-negative diagnoses due to the fault of human members within the child's micro-system. For pre-referal intervention, the aspect of “unresponsive to general intervention” in the newly proposed definition of emotional behavioral disorder was applied. This approach can reduce false-positive diagnoses due to over-referal. Systematic application is a method of sequentially applying various methods of data collection in order to minimize behavioral covariation. In consideration of the conditions given above, a model for an effective emotional behavioral disorder screening/diagnosis system was proposed and points to note in its execution were discussed.

참고문헌 (50)

  1. 이상훈, "정서·행동장애의 정의와 선별, 진단에 관한 고찰", 정서·행동장애연구, 27(2), pp.291~317 (2011), 한국정서·행동장애아교육학회
  2. 이영연, "중재-반응을 이용한 정서 및 행동장애 판별 및긍정적 행동지원", 정서·행동장애연구, 26(2), pp.307~329 (2010), 한국정서·행동장애아교육학회
  3. 특수교육 요구아동 출현율 조사연구, "정동영", 국립특수교육원, ~ (2001)
  4. Albers, C. A., "Introduction to the special issue: How can universal screening enhance educational and mental health outcomes?", Journal of School Psychology, 45(2), pp.113~116 (2007)
  5. Bailey, D. B., "Assessing infants and preschoolers with handicaps" (1989), Merrill Publishing Co
  6. Cheney, D. A., "Teacher competence, student diversity, and staff training for the inclusion of middle school students with emotional and behavioral disorders", Journal of Emotional and Behavioral Disorders, 3(3), pp.174~182 (1995)
  7. Cohen, L. G., "Assessment of children & youth with special needs third ed" (2007), Allyn and Bacon
  8. Costello, E. J., "One-year research update review: The epidemiology of child and adolescent psychiatric disorders: Ⅰ. Methods and public health burden", Journal of the American Academy of Child and Adolescent Psychiatry, 44(1), pp.972~986 (2005)
  9. Council for Children with Behavioral Disorders, "Best assessment practices for students with behavioral disorders: Accommodation to cultural diversity and individual differences", Behavioral Disorders, 14(4), pp.263~278 (1989)
  10. Cronbach, L. J., "Psychological tests and personnel decisions" (1965), University of Illinois Press
  11. Cullinan,D, "Students with emotional and behavioral disorders: An introduction for teachers and other helping professionals", pp.2002, Merrill
  12. Cullinan, D., "Behavior disorders. In Exceptional children and youth (9th ed.)", pp.1995, Merrill
  13. Distefano, C. A., "Development and validation of a behavioral screener for preschool-age children", Journal of Emotional and Behavioral Disorders, 15(2), pp.93~102 (2007)
  14. Drummond, T, "The Student Risk Screening Scale(SRSS)" (1994), Josephine County Mental Health Program
  15. Fairbanks, S., "Response to intervention: Examining classroom behavior support in second grade", Exceptional Children, 73(3), pp.288~310 (2007)
  16. Feil, E. G., "Investigation of a multiple-gated screening system for preschool behavior disorders", Behavioral Disorders, 19(1), pp.44~55 (1993)
  17. Feil, E. G., "Young children with behavior problems: Research and development of the early screening project", Journal of Emotional and Behavioral Disorders, 3(4), pp.194~202 (1995)
  18. Feil, E. G., "Screening for emotional and behavioral delays: The early screening project", Journal of Early Intervention, 21(3), pp.252~266 (1998)
  19. Flick, G. L, "Understanding and managing emotional and behavioral disorders in the classroom" (2011), Pearson Education
  20. Forness, S. R., "A new proposed definition and terminology to replace “serious emotional disturbance” in Individuals with Disabilities Education Act", School Psychology Review, 21(1), pp.12~20 (1992)
  21. Fuchs, D., "Responsiveness-to intervention: Definitions, evidence, and implications for the learning disabilities construct", Learning Disabilities Research and Practice, 18(3), pp.157~171 (2003)
  22. Goodman,R, "The strengths and Difficulties Questionnaire: A research note", Journal of Child Psychology and Psychiatry, 38(5), pp.581~586 (1997)
  23. Gresham,F.M, "Conceptualizing behavior disorders in terms of resistance to intervention", School Psychology Review, 20(1), pp.23~36 (1991)
  24. Gresham,F.M, "Treatment integrity in single-subject research. In Design and analysis of single-case research", pp.93~118 (1997), Lawrence Erlbaum
  25. Gresham,F.M, "Noncategorical approaches to K-12 emotional and behavioral difficulties. In Special education in transition: Functional assessment and noncategorical programming", pp.107~138 (1999), Sopris West
  26. Gresham,F.M, "Response to intervention: An alternative means of identifying students as emotionally disturbed", Education and Treatment of Children, 28(4), pp.328~344 (2005)
  27. Hardin, B. J., "Special education referral, evaluation, and placement practices for preschool English language learners", Journal of Childhood Education, 22(1), pp.39~54 (2007)
  28. 윤치연, "최신특수교육(Exceptional Children: An Introduction to special education)" (2006), 시그마프레스
  29. Kauffman,J.M, "How we prevent the prevention of emotional and behavioral disorders", Exceptional Children, 65(4), pp.448~468 (1999)
  30. Kauffman, J. M., "Characteristics of emotional and behavioral disorders of children and youth (9th ed.)" (2009), Prentice Hall
  31. Lane, K. L., "A comparison of systematic screening tools for emotional and behavioral disorders", Journal of Emotional and Behavioral Disorders, 17(2), pp.93~105 (2009)
  32. Lane, K. L., "How do different types of high school students respond to schoolwide positive behavior support program?", Journal of Emotional and Behavioral Disorders, 15(1), pp.3~20 (2007)
  33. Loeber, R., "Multiple gating: A multistage assessment procedure for identifying youths at risk for delinquency", Journal of Research in Crime and Delinquency, 21(1), pp.7~32 (1984)
  34. Merrell,K.W, "Behavioral, social, and emotional assessment of children & adolescents" (1999), Lawrence Erlbaum Associates
  35. Mindes,G, "Assessing young children 2nd Ed" (2003), Pearson Education
  36. Ortiz, A. A., "Considerations in implementing intervention assistance teams to support English language learners", Remedial and Special Education, 27(1), pp.53~63 (2006)
  37. Reid, J. B., "Observation in the assessment of childhood disorder. In Assessment and diagnosis in child psychopathology", pp.156~195 (1988), Guilford
  38. Robins, D. L., "The modified checklist for autism in toddlers: An initial study investigating the early detection of autism and pervasive developmental disorders", Journal of Autism & Developmental Disorders, 31(2), pp.131~144 (2001)
  39. Sattler,J.M, "Assessment of children-behavioral and clinical applications 4th ed" (2002), Sattler Publisher
  40. Shepherd,T.L, "정서행동장애학생의 이해와 교수전략" (2010), 시그마프레스
  41. Shepherd, T. L., "The disproportionate representation of English language learners for special education services along the border", Journal of Social and Ecological Boundaries, 1(1), pp.101~112 (2005)
  42. Sugai,G, "Response to intervention and school-wide positive behavior support", Paper presented at OSEP RTI, Storus, CT. (2008)
  43. Todis, B., "The critical events scale: Behavioral profiles of students with externalizing and internalizing behavior disorders", Behavioral Disorders, 15(2), pp.75~86 (1990)
  44. U.S. Department of Education, "27th annual report to congress on the implementation of the Individuals with Disabilities Education Act" (2004), U.S. Department of Education
  45. Walker, H. M., "Antisocial behavior in school : Evidence-based practices" (2004), Wadsworth
  46. Walker, H. M., "Systematic screening for behavior disorders (SSBD)" (1992), Sopris West
  47. Walker, H. M., "Replication of the systematic screening for behavior disorders (SSBD) procedure for the identification of at-risk children", Journal of emotional and behavioral disorders, 2(2), pp.66~77 (1994)
  48. Walker, H. M., "Systematic screening of pupils in the elementary age range at risk for behavior disorders: Development and trial testing of a multiple gating model", Remedial and Special Education, 9(3), pp.8~14 (1988)
  49. Walker, H. M., "Systematic screening for behavior disorders(SSBD): Further validation, replication, and normative data", Remedial and Special Education, 11(2), pp.32~46 (1990)
  50. Ysseldyke, S, "Assessment in Special and Inclusive Education 9th ed" (2004), Houghton Mifflin Co

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