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PubMed1990

[Comparison of the results of clinico-epidemiological examination of retarded children-orphans and retarded children brought up in the family].

A group of mentally retarded children (n = 881) aged 8 to 14 years, identified as a result of a clinico-epidemiological screening, were examined. The results obtained were compared in two groups. Group 1 (n = 272 or 30.9%) included orphans and children who remained without their parents' care since infancy and group II (n = 609 or 69.1%) included children brought up in complete or incomplete families. The differences were established in the degree of mental retardation, in its complication by additional psychopathological symptomatology, in the share of some complicating syndromes and the time of their origin, in the times of the diagnosis establishment and sending to specialized institutions, in the quality and timeliness of the assistance rendered, and in some other indicators. The importance of the problem of psychic deprivation in mental retardation is emphasized.

Adolescent↗
PubMed1988

Cost and quality of psycho-pedagogic institutional care: the case of 56 establishments in the Swiss canton of Vaud.

We studied 56 boarding institutions caring for 834 children and adolescents with different kinds of difficulties or handicaps in the Swiss Canton of Vaud. In order to weigh the purely qualitative approach we performed two different statistical analyses: 1) a correlation matrix between all qualitative and quantitative variables with the daily individual cost of the institutional care. This cost has been calculated in a standard manner and independently of each institution's accounts. 2) a factor analysis of the collected data led us to the identification of different patterns of institutional functioning. This study stresses the importance of the staff/pupil coefficient, i.e. the richness of the pedago-therapeutic framing--the intervention of specialists such as special teachers, psychologists, and speech and/or motor therapists-, and more particularly the higher ratio of specialist help compared to pure educative staff. The severity of the cases, evaluated by independent specialist observers, was in direct relation to this factor independently of the kind of difficulty or handicap.

Adolescent↗