Hochstadt N J, Jaudes P K, Zimo D A, Schachter J
Child Abuse Negl. 1987;11(1):53-62. doi: 10.1016/0145-2134(87)90033-0.
The estimated three to four hundred thousand children in foster care represent a population at high risk for medical and psychosocial problems. Their problems are compounded by the lack of adequate resources available to them while in foster care. This study provided a medical and psychosocial screening of 149 abused and neglected children entering the foster care system. The goal was to generate a profile of the medical and psychosocial needs of children entering the foster care system as a first step toward development of a better health care delivery system. Results indicated that these children have a much greater incidence of chronic medical conditions, are likely to weigh significantly less and be significantly shorter than the general population, require significant amounts of medical sub-specialty care, have a high incidence of developmental delays, and major deficits in adaptive behavior and have a large number of behavioral problems often associated with psychiatric disorders. Results are discussed in terms of the development of a regional model to effectively manage the health care needs of children entering foster care.
据估计，寄养机构中的三四十万儿童面临着出现医疗和心理社会问题的高风险。在寄养期间，他们可获得的资源不足，这使问题更加复杂。本研究对149名进入寄养系统的受虐待和被忽视儿童进行了医疗和心理社会筛查。目标是勾勒出进入寄养系统儿童的医疗和心理社会需求概况，作为朝着建立更好的医疗服务体系迈出的第一步。结果表明，这些儿童慢性病发病率更高，体重可能明显低于、身高也明显矮于普通人群，需要大量的医学专科护理，发育迟缓的发生率很高，适应性行为存在重大缺陷，且有大量往往与精神障碍相关的行为问题。将根据建立一个区域模型以有效管理进入寄养机构儿童的医疗需求来讨论研究结果。
