Journal List > J Korean Neuropsychiatr Assoc > v.57(2) > 1095173

Hong, Song, Oh, Oh, Park, Kim, and Choi: Multidisciplinary Approaches in Developing Guideline for Mediating Behavioral Problems in Children and Adolescents with Neurodevelopmental Disorders

Abstract

Objectives

To initiate and develop a treatment guideline in multidisciplinary approaches for related professions who are either working and/or living with children and adolescents with neurodevelopmental disorders who show behavioral problems.

Methods

To collect and reflect opinions from multiple professions who assumedly have different interventions or mediations on behavioral problems, a self-report survey and Focus Group Interview (FGI) were conducted for a group of child and adolescent psychiatrists, behavioral therapists, special education teachers, social welfare workers, and caregivers.

Results

According to a self-report survey and FGI results from multiple professional groups, aggressive behavior is the mostly common behavioral problem necessitating urgent interventions. However, both mainly used intervention strategies and effective treatment methods were different depending on professional backgrounds, such as pharmacological treatment, parent training, and behavior therapy, even though they shared an importance of improving communication skills. In addition, there was a common understanding of necessity to include parent training in a guideline. Lastly the data suggested lack of proper treatment facilities, qualified behavior therapists, and lack of standardized treatment guideline in the field needed to be improved for a quality of current therapeutic services.

Conclusion

It is supported that several subjects should be included in the guidelines, such as how to deal with aggressive behavior, parent training, and biological aspects of neurodevelopmental disorders. Also, it is expected that publishing the guideline would be helpful to above multiple professions as it is investigated that there are lack of treatment facility and qualified behavioral therapists compared to need at the moment.

Figures and Tables

Table 1

Estimated number and rate of increase of disabled person in Korea

jkna-57-190-i001

Statistics : Actual condition survey of disabled person (2014, Korea Institute for Health and Social Affairs)1)

Table 2

Descriptive statistics

jkna-57-190-i002

SD : Standard deviation

Table 3

Descriptive statistics and frequency

jkna-57-190-i003

* : p<0.05. ABA : Applied behavior analysis

Table 4

Focus Group Interview-summary

jkna-57-190-i004

Notes

Conflicts of Interest The authors have no financial conflicts of interest.

References

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