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Results for “Child, Institutionalized”

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At least 829 records · Page 46Linked to original sources
PubMed1994

Family involvement in residential treatment of children with retardation: is there evidence of detachment?

Family involvement could be critical for successful residential treatment. Historically, however, out of home placement for children with mental retardation meant a severing of meaningful ties with their families. Today, families have greater involvement with pre-placement services and might be more involved in residential treatment as well. Families (N = 55) were interviewed twice, approximately one and two years after placement, to assess their involvement with the child and their reactions to placement. Contrary to previous findings, family involvement was high and stable; there was no evidence of behavioral detachment. Moreover, respondents primarily reported post-placement benefits to the family. Family emotional reactions were considered within a framework of "psychological tasks of placement".

Child↗
PubMed2000

Effect of vitamin D and calcium on bone mineral density in children with CP and epilepsy in full-time care.

Atraumatic fractures are often seen in children and adolescents with cerebral palsy (CP) and epilepsy in full-time care. Increased bone fragility was postulated to be due to osteopenia resulting from a combination of factors including immobilization and antiepileptic treatment. The aim of this study was to determine the effect of vitamin D and calcium substitution on bone mineral density (BMD) in a group of children with CP in full-time care. Twenty children with the most severe form of CP (spastic quadriplegia) who had been treated with antiepileptic drugs for a relatively long period of time were included in the study. Physical examination and laboratory analyses excluded other possible causes of osteopenia. BMD was measured by dual X-ray absorptiometry. Thirteen patients were treated for 9 months with 1,25-dihydroxy-cholecalciferol vitamin D (0.25 mcg daily) and with calcium (500 mg daily). Seven control children were used for observation only. BMD greatly increased in the treated group, while children with CP in full-time care who did not receive vitamin D and calcium substitution continued to lose their bone mass. It can be concluded that the addition of vitamin D and calcium increases BMD in children with the most severe form of CP, who are receiving antiepileptic drugs.

Absorptiometry, Photon↗
PubMed1974

Reducing aggressive and self-injurious behavior of institutionalized retarded children through reinforcement of other behaviors.

Aggressive and self-injurious behaviors of four retarded children were reduced by combining various techniques with the differential reinforcement of other behaviors (DRO). In one study, aggressive responses of a severely retarded child were reduced when DRO was combined with a 30-sec timeout. In a second study, various aggressive classroom behaviors were reduced when the child was told "no" for an inappropriate response but earned puzzle pieces for periods of time when inappropriate responses resulted did not occur. Exchangeable tokens were given to a third subject for every 15 min in which aggressive responding did not occur, while each inappropriate response resulted in the loss of all tokens accrued. Responding was decreased to a level far below baseline. For a fourth child, self-injurious responses were followed by "no", and intervals of time in which no self-injurious responding occurred earned candy. The rate of this behavior reduced significantly. In each case, the DRO procedure combined with the other techniques proved to be manageable for the teacher and successful in reducing the inappropriate behavior.

Adolescent↗
PubMedDate not supplied

Incontinence and troublesome behaviors predict institutionalization in dementia.

Factors predicting the early institutionalization of demented patients were studied in 143 outpatients using univariate and multivariate life-table methods. Four types of factors were evaluated for prognostic value: severity of functional impairment, behavioral disorders, individual patient characteristics, and type of caregiver. After follow-up of 19 +/- 12 months, 51 patients had been institutionalized. Increased global severity of dementia, the presence of troublesome and disruptive behaviors, and incontinence increased the likelihood of institutionalization. The best predictors of institutionalization were paranoia, aggressive behavior, and incontinence. Neither individual patient characteristics (age, education, and gender) nor caregiver relationship to the patient (male spouse, female spouse, and male or female child) influenced institutionalization. Since troublesome behavioral disorders are potentially treatable aspects of dementia leading to institutionalization, their management should be a major focus of therapy in dementia.

Activities of Daily Living↗
PubMed1989

Sexual victimization of child and adolescent patients.

Extrafamilial abuse of hospitalized or institutionalized patients has not often been studied. Five categories of caregivers (N = 272) reported physical, psychological and "socially acceptable" instances of abuse, with most incidents occurring one or more times per week. Abuse of children, especially sexual abuse, was singled out for further study. Case reports supplement the presentation. Implications for understanding abuse, for practice and for research are presented.

Adolescent↗