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Avoiding Institutionalization of Psychotic Children

Avoiding Institutionalization of Psychotic Children Abstract TRADITIONALLY, the treatment of choice for severely disturbed and hard-to-manage psychotic children has involved institutional placement. Because such children exhibit behavior which is threatening to family, school, and community, in-hospital care has seemed most advisable from the community's point of view. However, clinical observation suggests that institutionalization frequently has a disruptive effect on children's emotional and intellectual development if they are not provided with an appropriate degree of specific professional attention, available only at specialized intensive residential treatment centers. Since the cost of such residential treatment is prohibitive for most parents, and since the number of such centers is extremely limited, alternative methods of treatment are urgently needed. Moreover, with the development of the community mental health movement, child psychiatrists and child development experts have become concerned about the implications of removing children from their homes. To this group it seems contrary References 1. Carter, C.H.: Trifluoperazine in the Management of Hyperactive, Mentally Defective Children: Trifluoperazine, Further Clinical and Laboratory Studies , Philadelphia: Lea & Febiger, Publishers, 1959. 2. Fish, B.: Drug Therapy in Child Psychiatry: Pharmacological Aspects , Compre Psychiat 1:212-227, 1960.Crossref 3. Freed, H.: The Current Status of the Tranquilizers and of Child Analysis in Child Psychiatry , Dis Nerv System 22:434-437, 1961. 4. Le Vann, L.F.: The Use of Trifluoperazine as a Tranquilizing Agent in Mentally Defective Children: Trifluoperazine, Further Clinical and Laboratory Studies , Philadelphia: Lea & Febiger, Publishers, 1959, 130-136. 5. Silberstein, R.M., et al: Avoiding Institutionalizing Psychotic Children , Int J Neuropsychiat 1:144-148, 1965. 6. Hudson, D.F., and Corman, H.D.: Extrapyramidal Symptoms: Trifluoperazine, Further Clinical and Laboratory Studies , Philadelphia: Lea & Febiger, Publishers, 1959, 179-185. 7. Porter, R.B., and Cattell, R.B.: Manual for the Children's Personality Questionnaire (C.P.Q.) , Champaign, Ill: Institute for Personality and Ability Testing, 1960. 8. Cattell, R.B.; Beloff, H.; and Coan, R.W.: Manual for the High School Personality Questionnaire (H.S.P.Q.) , Champaign, Ill: Institute for Personality and Ability Testing, 1958. 9. Mandell, W., and Silberstein, R.M.: Children's Psychopathology Behavior Rating Scale, read before the meeting of the EPA, Atlantic City, April 1965. 10. Wittenborn, J.R.: Symptom Patterns in a Group of Mental Hospital Patients , J Consult Psychol 15:290-302, 1951.Crossref 11. Blackman, S., and Goldstein, K.M.: ` `Factor Structure and Differentiating Ability of a Children's Psychopathology Behavior Rating Scale ,'' in Proceedings of the 74th Annual Convention of the American Psychological Association 1966 , Washington, DC: American Psychological Association, 1966. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of General Psychiatry American Medical Association

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Publisher
American Medical Association
Copyright
Copyright © 1968 American Medical Association. All Rights Reserved.
ISSN
0003-990X
eISSN
1598-3636
DOI
10.1001/archpsyc.1968.01740070019003
Publisher site
See Article on Publisher Site

Abstract

Abstract TRADITIONALLY, the treatment of choice for severely disturbed and hard-to-manage psychotic children has involved institutional placement. Because such children exhibit behavior which is threatening to family, school, and community, in-hospital care has seemed most advisable from the community's point of view. However, clinical observation suggests that institutionalization frequently has a disruptive effect on children's emotional and intellectual development if they are not provided with an appropriate degree of specific professional attention, available only at specialized intensive residential treatment centers. Since the cost of such residential treatment is prohibitive for most parents, and since the number of such centers is extremely limited, alternative methods of treatment are urgently needed. Moreover, with the development of the community mental health movement, child psychiatrists and child development experts have become concerned about the implications of removing children from their homes. To this group it seems contrary References 1. Carter, C.H.: Trifluoperazine in the Management of Hyperactive, Mentally Defective Children: Trifluoperazine, Further Clinical and Laboratory Studies , Philadelphia: Lea & Febiger, Publishers, 1959. 2. Fish, B.: Drug Therapy in Child Psychiatry: Pharmacological Aspects , Compre Psychiat 1:212-227, 1960.Crossref 3. Freed, H.: The Current Status of the Tranquilizers and of Child Analysis in Child Psychiatry , Dis Nerv System 22:434-437, 1961. 4. Le Vann, L.F.: The Use of Trifluoperazine as a Tranquilizing Agent in Mentally Defective Children: Trifluoperazine, Further Clinical and Laboratory Studies , Philadelphia: Lea & Febiger, Publishers, 1959, 130-136. 5. Silberstein, R.M., et al: Avoiding Institutionalizing Psychotic Children , Int J Neuropsychiat 1:144-148, 1965. 6. Hudson, D.F., and Corman, H.D.: Extrapyramidal Symptoms: Trifluoperazine, Further Clinical and Laboratory Studies , Philadelphia: Lea & Febiger, Publishers, 1959, 179-185. 7. Porter, R.B., and Cattell, R.B.: Manual for the Children's Personality Questionnaire (C.P.Q.) , Champaign, Ill: Institute for Personality and Ability Testing, 1960. 8. Cattell, R.B.; Beloff, H.; and Coan, R.W.: Manual for the High School Personality Questionnaire (H.S.P.Q.) , Champaign, Ill: Institute for Personality and Ability Testing, 1958. 9. Mandell, W., and Silberstein, R.M.: Children's Psychopathology Behavior Rating Scale, read before the meeting of the EPA, Atlantic City, April 1965. 10. Wittenborn, J.R.: Symptom Patterns in a Group of Mental Hospital Patients , J Consult Psychol 15:290-302, 1951.Crossref 11. Blackman, S., and Goldstein, K.M.: ` `Factor Structure and Differentiating Ability of a Children's Psychopathology Behavior Rating Scale ,'' in Proceedings of the 74th Annual Convention of the American Psychological Association 1966 , Washington, DC: American Psychological Association, 1966.

Journal

Archives of General PsychiatryAmerican Medical Association

Published: Jul 1, 1968

References