Korean Journal of Psychology : General

理쒓렐샇 寃깋

Korean Journal of Psychology : General - Vol. 39 , No. 3

[ Regular issue ]
The Korean Journal of Psychology: General - Vol. 39, No. 3, pp.421-443
ISSN: 1229-067X (Print)
Print publication date 25 Sep 2020
Received 07 Jul 2020 Accepted 04 Sep 2020
DOI: https://doi.org/10.22257/kjp.2020.

아동학대 및 방임 예방을 위한 근거기반 프로그램에 대한 논의와 제언
김현경1) ; 이주영2), ; 정다빈3)
1)연세대학교 아동․가족학과, 교수 (hyounkim@yonsei.ac.kr)
2)동덕여자대학교 아동학과, 부교수 (jylee7694@dongduk.ac.kr)
3)연세대학교 아동․가족학과, 학생 (dabnie811@yonsei.ac.kr)

Evidence-based prevention programs in child abuse and neglect programs
Hyoun K. Kim1) ; Joo Young Lee2), ; Dabin Jeong3)
1)Dept. of Child and Family Studies Yonsei University
2)Dept. of Child Development and Education Dongduk Women’s University
3)Dept. of Child and Family Studies Yonsei University
Correspondence to : 동덕여자대학교 아동학과, 부교수, 서울특별시 성북구 화랑로13길 60 동덕여자대학교 인문관 E-mail: jylee7694@dongduk.ac.kr


최근 아동학대 및 방임이 우리 사회의 큰 이슈로 대두되면서 정부는 이에 대한 예방 대책과 지원방안 마련에 부심하고 있고, 이에 대응하여 여러 프로그램이 개발되어 피해 아동, 가족, 그리고 가해자에게 실행되기 시작하였다. 그러나 국내에서 개발된 아동학대와 방임 예방 및 중재 프로그램들이 어느 정도의 근거(evidence)를 기반으로 하고 있는지, 그리고 프로그램이 기대한 효과를 거두고 있는지 확인하기 어려운 상황이다. 이와 반대로, 미국에서는 무선할당 통제실험(Randomized Controlled Trial)을 통해 효과성이 검증된 ‘근거기반(evidence-based)’ 프로그램들이 다양한 맥락에서 시행되어 아동학대 및 방임의 예방과 중재에 유의한 효과를 거두고 있다. 본 연구에서는 아동학대 및 방임 예방과 중재에 효과적이라고 검증된 미국의 주요 근거기반 프로그램들을 소개하고, 국내의 아동학대 및 방임 관련 프로그램의 효과를 조사한 연구들을 검토함으로써, 근거기반 프로그램의 개발과 현장 적용의 중요성에 대한 국내 연구자와 관련자들의 인식을 높이고자 하였다. 또한, 이상의 검토를 바탕으로 국내에서 아동학대 및 방임을 예방하고 재발을 방지하는데 효과적인 근거기반 프로그램의 정착을 위해 필요한 정책적 제언을 하고자 하였다.


There have been growing concerns about child abuse and neglect in Korea, which has prompted the government to develop various measures to prevent or reduce them. However, few of the programs can be characterized as evidence-based and it has been difficult to evaluate efficacy or effectiveness of the programs. The purpose of the present study was to review ‘evidence-based’ prevention and intervention programs that have been rated as effective by several clearinghouses in preventing and/or reducing child abuse and neglect in the US. The present study also reviewed 3 programs that were aimed at preventing child abuse and neglect and published in Korea between 1999 to 2018. Drawn upon the discussions of these programs in the US and Korea, we made recommendations for future research to promote the development and implementation of evidence-based programs that are aimed to prevent child abuse and neglect in Korea.

Keywords: evidence-based program, child abuse and neglect, intervention effects
키워드: 근거기반(evidence-based) 프로그램, 아동학대 및 방임, 효과성

1. Brunk, M. A., Henggeler, S. W., & Whelan, J. P. (1987). Comparison of Multisystemic Therapy and Parent Training in the brief treatment of child abuse and neglect. Journal of Consulting and Clinical Psychology, 55(2), 171-178.
2. The California Evidence-Based Clearinghouse for Child Welfare. (2006). CEBC Program Registry. CEBC. https://www.cebc4cw.org
3. Chaffin, M., & Friedrich, B. (2004). Evidencebased treatments in child abuse and neglect. Children and Youth Services Review, 26(11), 1097-1113.
4. Chaffin, M., Hecht, D., Bard, D., Silovsky, J. F., & Beasley, W. H. (2012). A Statewide Trial of the SafeCare Home-based services model With Parents in Child Protective Services. Pediatrics, 129(3), 509-515.
5. Choi, J. Y. (2018). Evidence-based Treatments of traumatized children. Korean Journal of Clinical Psychology, 37(4), 605-620.
6. Do, M, H. (2016). Parent Personality Coaching Training Program for the prevention of child abuse. Journal of Korean Coaching Research, 9(2), 81-102 http://db.koreascholar.com/article.aspx?code=316533
7. Gershater-Molko, R. M., Lutzker, J. R., & Wesch, D. (2002). Using recidivism data to evaluate Project SafeCare: Teaching bonding, safety, and health care skills to parents. Child Maltreatment, 7(3), 277-285.
8. Gershater-Molko, R. M., Lutzker, J. R., & Wesch, D. (2003). Project SafeCare: Improving health, safety, and parenting skills in families reported for, and at-risk for child maltreatment. Journal of Family Violence, 18(6), 377-386.
9. Guastaferro, K. M., Lutzker, J. R., Graham, M. L., Shanley, J. R., & Whitaker, D. J. (2012). SafeCare®: Historical perspective and dynamic development of an Evidence-Based Scaled-Up Model for the prevention of child maltreatment. Psychosocial Intervention, 21(2), 171-180.
10. Hurlburt, M. S., Nguyen, K., Reid, J., Webster-Stratton, C., & Zhang, J. (2013). Efficacy of the Incredible Years group parent program with families in Head Start who self-reported a history of child maltreatment. Child Abuse & Neglect, 37(8), 531-543.
11. Infurna, M. R., Reichl, C., Parzer, P., Schimmenti, A., Bifulco, A., & Kaess, M. (2016). Associations between depression and specific childhood experiences of abuse and neglect: A meta-analysis. Journal of Affective Disorders, 190(15), 47-55.
12. Kim, E, Y., Part, W, S., Lee, J, H., Lee, H, Min., Yun, J, S., Yu, J., Kang, J, Y., Kim, K, H., & Kim, M, K. (2016). Plans to Further Safe Childcare Education Environments (Ⅱ)(Final report) (KICCE Publication NO. 16-48-01). Korean Institute of Child Care and Education. http://repo.kicce.re.kr/handle/2019.oak/920
13. Kim, S.-R. (2017). Development and application of the program for preventing of infant abuse in child care centers. Journal of Children’s Literature and Education, 18(3), 317-340.
14. Lee, G. Y., Jang, S. K., Jaekal, E. ju, Koo, H. J., & Choi, K. H. (2017). Randomized Controlled Trials of psychological treatment in Korea : A Systematic Analysis by journals and periods. Korean Journal of Clinical Psychology, 36(3), 434-447.
15. Lee, H, K., Jang, H, J., & You, S, Y. (2001). Evaluation of an integrated training program for 6-7 years old children, their parents & teachers for the prevention of child abuse & neglect : Focus on Child Empowering Service (CES). Journal of Korean Council for Children’s Rights, 5(1), 23-33.
16. Letarte, M.-J., Normandeau, S., & Allard, J. (2010). Effectiveness of a parent training program “Incredible Years” in a child protection service. Child Abuse & Neglect, 34(4), 253-261.
17. Lutzker, J. R., & Rice, J. M. (1984). Project 12-ways: Measuring outcome of a large in-home service for treatment and prevention of child abuse and neglect. Child Abuse & Neglect, 8(4), 519-524.
18. Mihalic, S. F., & Elliott, D. S. (2015). Evidencebased programs registry: Blueprints for healthy youth development. Evaluation and Program Planning, 48, 124-131.
19. Mihalic, S., Hansen, D., Fagan, A., Elliott, D., & Irwin, K. (2001). Blueprints for Violence Prevention. In Juvenile Justice Bulletin (pp. 2-17). story, Juvenile Justice Clearinghouse.
20. Ministry of Health and Welfare, & National Center for the Rights of the Child. (2015). Annual Prevalence Rate of Child Maltreatment. Statistics Korea. http://kosis.kr/statHtml/statHtml.do?orgId=117&tblId=DT_117064_A006&conn_path=I2
21. Ministry of Health and Welfare, & National Center for the Rights of the Child. (2019). Annual Prevalence Rate of Child Maltreatment. Statistics Korea. http://kosis.kr/statHtml/statHtml.do?orgId=117&tblId=DT_117064_A006&conn_path=I2
22. National Center for the Rights of the Child. (2018). Child Abuse & Neglect Korea 2018 (Publication NO. 11-1352000-002541-01). National Center for the Rights of the Child. http://www.korea1391.go.kr/new/bbs/board.php?bo_table=report&wr_id=9882
23. Ogbonnaya, I. N., Martin, J., & Walsh, C. R. (2018). Using the California Evidence-Based Clearinghouse for child welfare as a tool for teaching Evidence-based practice. Journal of Social Work Education, 54(S1), S31-S40.
24. Ogden, T., Bjørnebekk, G., Kjøbli, J., Patras, J., Christiansen, T., Taraldsen, K., & Tollefsen, N. (2012). Measurement of implementation components ten years after a nationwide introduction of empirically supported programs - a pilot study. Implementation Science, 7(49), 1-11.
25. Ogden, T., Christensen, B., Sheidow, A. J., & Holth, P. (2008). Bridging the gap between science and practice: The effective nationwide transport of MST Programs in Norway. Journal of Child & Adolescent Substance Abuse, 17(3), 93-109.
26. Prinz, R. J., & Sanders, M. R. (2007). Adopting a population-level approach to parenting and family support interventions. Clinical Psychology Review, 27(6), 739-749.
27. Prinz, R. J., Sanders, M. R., Shapiro, C. J., Whitaker, D. J., & Lutzker, J. R. (2009). Population-based prevention of child maltreatment: The U.S. Triple P System Population Trial. Prevention Science, 10(1), 1-12.
28. Blueprints for Healthy Youth Development. (1996). Providing a registry of Experimentally Proven Programs. Blueprints. https://www.blueprintsprograms.org/
29. Puddy, R. W., & Wilkins, N. (2011). Understanding Evidence Part 1: Best Available Research Evidence. A Guide to the Continuum of Evidence of Effectiveness. Centers for Disease Control and Prevention. https://www.cdc.gov/violenceprevention/pdf/understanding_evidence-a.pdf
30. Reid, M. J., Webster-Stratton, C., & Beauchaine, T. P. (2001). Parent training in Head Start: a comparison of program response among African American, Asian American, Caucasian, and Hispanic mothers. Prevention Science, 2(4), 209-227.
31. National Institute of Justice. (2019). Reliable Research. Real Results. CrimeSolutions. https://www.crimesolutions.gov/
32. Sanders, M. R. (1999). Triple P-Positive Parenting Program: Towards an Empirically Validated Multilevel Parenting and Family Support Strategy for the Prevention of Behavior and Emotional Problems in Children. Clinical Child and Family Psychology Review, 2(2), 71-90.
33. Sanders, M. R. (2012). Development, Evaluation, and Multinational Dissemination of the Triple P-Positive Parenting Program. Annual Review of Clinical Psychology, 8(1), 345-379.
34. Sanders, M. R., Cann, W., & Markie-Dadds, C. (2003). The Triple P-Positive Parenting Programme: a universal population-level approach to the prevention of child abuse. Child Abuse Review, 12(3), 155-171.
35. Sanders, M. R., Pidgeon, A. M., Gravestock, F., Connors, M. D., Brown, S., & Young, R. W. (2004). Does parental attributional retraining and anger management enhance the effects of The Triple P-positive Parenting Program with parents at risk of child maltreatment? Behavior Therapy, 35(3), 513-535.
36. Sanders, M. R., Turner, K. M. T., & Markie-Dadds, C. (2002). The development and dissemination of The Triple P.Positive Parenting Program: A multilevel, evidencebased system of parenting and family support. Prevention Science, 3(3), 173-189.
37. Schaeffer, C. M., Swenson, C. C., Tuerk, E. H., & Henggeler, S. W. (2013). Comprehensive treatment for co-occurring child maltreatment and parental substance abuse: Outcomes from a 24-month pilot study of the MST-Building Stronger Families program. Child Abuse & Neglect, 37(8), 596-607.
38. Schuerman, J. R., Rzepnicki, T. L., & Littell, J. H. (1994). Putting Families Frst: An Experiment in Family Preservation. A. De Gruyter.
39. Swenson, C. C., Schaeffer, C. M., Henggeler, S. W., Faldowski, R., & Mayhew, A. M. (2010). Multisystemic Therapy for child abuse and neglect: A Randomized Effectiveness Trial. Journal of Family Psychology, 24(4), 497-507.
40. The Incredible Years. (2013). Training series for Parents, Teachers, and Children. The Incredible Years. http://www.incredibleyears.com
41. Weisz, J. R., & Kazdin, A. E. (2017). Evidencebased psychotherapies for children and adolescents. The Guilford Press.
42. Weisz, J. R., Kazdin, A. E., Sanders, M. R., & Turner, K. M. T. (2017). The international dissemination of The Triple P-Positive Parenting Program. In Evidence-based psychotherapies for children and adolescents (pp. 429-446). essay, The Guilford Press.
43. Weisz, J. R., Kazdin, A. E., Webster-Stratton, C., & Reid, M. J. (2017). The Incredible Years Parents, Teachers, and Children Training Series: A multifaceted treatment approach for young children with conduct problems. In Evidence-based Psychotherapies for Children and Adolescents (pp. 122-141). essay, The Guilford Press
44. Yim, M. K., Lee, J. H., Lee, H. N., Kim, T. D., & Choi, K. H. (2013). Evidence-based practice in psychotherapy. Korean Journal of Psychology: General, 32(1), 251-270.