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KMID : 1118520200170121236
Psychiatry Investigation
2020 Volume.17 No. 12 p.1236 ~ p.1243
A Pilot Study Evaluating the Effectiveness of System-Wide Positive Behavior Support for Institutionalized Orphans in South Korea
Kim Yun-Hee

Park Young-Sun
Abstract
Objective: In South Korea, the placement of orphans in institutions is still common, despite evidence of its adverse influence on children¡¯s psychological, emotional, physical, and cognitive development. In this preliminary study, we evaluate whether system-wide positive behavior support (SWPBS) is effective for decreasing externalizing problems in institutionalized children.

Methods: SWPBS was provided for one month to 36 school-aged boys who had lived in an orphanage for an average of 8.72 years (SD=2.52), along with their 10 caregivers. Direct observation of the frequency of target behaviors in the participating children, caregivers¡¯ ratings of the severity of children¡¯s problematic behaviors, self-reported caregiving stress (i.e., Parenting Stress Scale), and intervention fidelity were dependent variables.

Results: After receiving SWPBS, the frequency of problematic behaviors in the participating children showed a mean decrease of 73.6%. The caregivers also reported seeing a decrease in the severity of their children¡¯s problematic behaviors after SWPBS compared to before.

Conclusion: SWPBS may be a promising intervention to decrease externalizing behaviors in school-aged children who have been living in institutions for a long time and have shown mental health issues.
KEYWORD
Externalizing behaviors, SWPBS, Intervention, Caregivers, Institutionalized orphans
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SCI(E) ÇмúÁøÈïÀç´Ü(KCI) KoreaMed