어린이집과 유치원 장애위험 영유아 조기발견 및 발달지원 종합 대책 방안(Ⅳ): 통합지원체계 모델 시범 적용

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Title
어린이집과 유치원 장애위험 영유아 조기발견 및 발달지원 종합 대책 방안(Ⅳ): 통합지원체계 모델 시범 적용
Alternative Title
Comprehensive Strategies for Early Screening and Support for Children at Risk for Developmental Disabilities in Early Childhood Education and Care (Ⅳ)
Author(s)
강은진박진아송해민이순행최진희이소영안의정박현옥
Keyword
Children at riskKorean Screening Index for Early DevelopmentTeacher support guideParents support guideECECInfant and young children
Issued Date
2025-12-31
Publisher
육아정책연구소
URI
https://repo.kicce.re.kr/handle/2019.oak/5925
Abstract
This study presents the key findings of the final year of the four-year project, Comprehensive Strategies for Early Screening and Support for Children at Risk for Developmental Disabilities in Early Childhood Education and Care (2022–2025). The purpose of this study is to enhance the field applicability and effectiveness of the Korean Screening Index for Early Development (K-SIED)—a screening tool for teachers and parents developed and standardized over the previous three years—and to establish a collaborative developmental support system among teachers, parents, and professionals within the context of young children’s daily lives.
To achieve these goals, the study examined the usability of the K-SIED, implemented pilot programs for integrated developmental support for children at risk, and established and operated regional networks to support children with developmental delays. Based on these efforts, the study proposed comprehensive strategies and detailed action plans for developmental support.
The research methods included literature reviews, in-depth analysis and refinement of the standardized data collected in the third year, focus group interviews(FGIs) with teachers and parents, pilot implementation of a family-centered early intervention model for infants through collaborative research, analysis of domestic and international cases of early screening and intervention, expert advisory meetings, and consultations with institutions in the fields of education, care, welfare and healthcare.
The main findings are as follows.
First, the K-SIED usability analysis showed that over 70% of children were classified within the typical developmental range, and the agreement rate between parent and teacher ratings exceeded 70% across most age groups, confirming the tool’s reliability.
Second, in the pilot programs for early screening and early intervention, the family-centered early intervention model demonstrated positive effects on infant development and parental competence. The K-SIED was also validated as an effective tool for communication and collaboration between parents and professionals during the Individualized Family Service Plan (IFSP) process. Additionally, case studies of ECEC institution-based developmental support illustrated the practical applications of early screening and intervention using the K-SIED.
Third, regional cooperative networks for early screening and early intervention were established in Seoul, Gyeonggi, and Gangwon, and three models were proposed: an education office-centered model, a childcare support center–healthcare linkage model, and a welfare-centered model.
Finally, the study proposed a vision and objectives for a comprehensive developmental support system for children at risk for developmental delays, identified four key strategies and ten detailed action plans, and suggested directions for improving relevant laws and systems. The findings of this study provide foundational evidence for strengthening the linkage between early screening and early intervention, and for establishing a community-based integrated developmental support system for young children.
Table Of Contents
요약 1

Ⅰ. 서론 11
1. 연구의 필요성 및 목적 13
2. 연구 내용 17
3. 연구 방법 20

Ⅱ. 연구의 배경 29
1. 일과 중심 영유아 조기개입의 중요성 31
2. 국내 위험군 영유아 현황 47
3. 국내 위험군 영유아 지원체계 57
4. 해외 위험군 영유아 협력체계 71
5. 소결 88

Ⅲ. 영유아발달체크도구(K-SIED) 심층 분석 및 사용성 검증 91
1. 영유아발달체크도구 개발 및 표준화(1~3차년도 연구) 93
2. 2024년 표준화 검사 데이터 심층 분석 103
3. 교사-부모 문항 심층분석 122
4. FGI 결과를 통한 사용성 검증 126

Ⅳ. 시범사례 1: 가족중심 영아 발달지원 137
1. 시범적용 개요 139
2. 조기개입 과정 내 K-SIED 적용 결과 146
3. 소결 176



Ⅴ. 시범사례 2: 기관 중심 발달지원 179
1. 대구광역시교육청: 2025 유아 맞춤형 발달지원 181
2. 삼성복지재단·한국보육진흥원: 2025년 영유아 발달지원 시범사업 183
3. 소결 197

Ⅵ. 지역 협의체 구축(의료, 복지, 교육)의 시범 적용과 향후 제언 199
1. 개요 201
2. 지역별 발달지연·장애·위험군 관련 진행사업 202
3. 협의체 구축의 과정 229
4. 지역 협의체 구축을 위한 제언 256

Ⅶ. 발달지연 등 위험군 영유아 발달지원 종합대책 259
1. 종합 요약 261
2. 발달지연 등 위험군 영유아 발달지원의 비전과 목표 263
3. 발달지연 등 위험군 영유아 지원의 추진 전략 265
4. 법 개정 제안 293
5. 향후 과제 300

참고문헌 303
Abstract 325
부록 327
1. 최종 교사용 K-SIED 문항 327
2. 최종 부모용 K-SIED 문항 346
3. 사용설명서 예시(부모용, 12~17개월) 364
4. 검사결과지(플랫폼 용: www.k-sied.org) 예시 370
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