The practical study for the efficacy of 5 years old health examination aimed reduction of school maladjustment

5岁儿童健康检查或5岁儿童发育咨询作为一种检测发育疾病的系统是有用的。我们需要三种类型的咨询，即儿童护理咨询、心理咨询和教育咨询，以加深对孩子行为问题的理解。我们在鸟取县的东部、中部和西部组织了三种类型的咨询机构。该制度自2009年开始实施。我们研究了这四年的咨询内容。患儿护理咨询34例，共咨询39次。内容方面，与幼儿环境有关的28例，与纪律有关的23例，与发育问题有关的11例，其他9例。心理咨询43例，共咨询56次。在一个例子中发现了一个问题，在一个例子中发现了一个问题，在5岁儿童健康检查中发现了一个问题，在3岁儿童健康检查中首次发现了一个问题。此外，在心理咨询中很明显，连续性很重要。在研究期间，教育咨询的总数有所下降。起因是鸟取的一名咨询员来处理婴儿的咨询。通过这一实践研究，认识到5岁儿童健康检查后咨询的重要性。在我们的研究中，四个管理部门采用了5岁儿童健康检查后的咨询系统，假设本研究是一个模型。此次研究似乎起到了引导像本次研究这样的自治机关的行政措施的作用。

5 years old child health examination or 5 years old child development consultation is useful as a system of detecting for a developmental disease.We require three types of counseling, i.e., child nursing counseling, psycho logical counseling and educational counseling to deepen the understanding for the behavior problems of their children.We organized counseling organization three types of counseling in the eastern, the central part and the western part of Tottori. This system was started since 2009. We researched the counseling contents during these four years.The child nursing counseling was 34 cases, total of counseling number 39 times. As the contents, 28 cases were associated with child care environment, 23 cases were associated with discipline, 11 cases were related to developmental problems and 9 were the others.The psychological counseling was 43 cases, total of counseling number 56 times. A difference clear in the background was found in the example that a problem was noted in an example and the 5 years old child health examination which a problem was noted on development in 3 years old child health examination for the first time.In addition, it became clear in psychological counseling that continuity was important.The total number of educational counseling decreased during research periods. The cause was because a member of counseling of Tottori came to cope with consultation of infant.We made importance of counseling after 5 years old child health examination known by this practical research. In our research, four administrations adopted the counseling system after 5 years old child health examination which assumed this study a model. It seems that this study served as a role to lead an administration measure of such a self-governing body as for our study.