[The management of institutionalized children in a pediatric department].
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Forty-one children reared in group care were compared with 41 age- and sex-matched family care children according to interview, questionnaire, and observation measures of behavioural and scholastic functioning. Individual differences in outcome within the group care sample were examined in relation to a range of possible risk/protective indicators. The strongest predictor of outcome proved to be the reason for admission into residential care, with the implication that the outcome was best for children who had experienced stable, harmonious family relationships in their early years. The risk and protective effects applied to both the children's behaviour and scholastic attainments but, although the two were intercorrelated, neither accounted for the other. All subgroups of children in institutional care failed to show a lack of confiding peer relationships, with the pattern of findings suggesting that this stemmed from some aspect of experiences (possibly involving peer relationships) during residential care, as well as from discontinuity in caregiving during the early years.
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This paper reports research findings obtained regarding family relationships for three groups of adolescents: institutionalized, dependent children; noninstitutionalized, dependent children who are candidates for placement in institutions; and children living with their parents. It also describes a relatively novel, nonverbal, research instrument, the Family Relations Test, used to obtain the data. The conclusion is drawn that one of the major tasks of child care institutions is to restore children's self-esteem and confidence--yet it is far from certain as to whether these settings are capable of accomplishing this important task.
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