Abstract |
This case report of a child with insulin-dependent diabetes mellitus ( IDDM) describes a naturally occurring ABABCA design. The A condition represents poor diabetes management provided in the home setting, and the B and C conditions represent improved diabetes management in residential treatment (condition B) or foster care (condition C). The A condition was consistently associated with episodes of diabetic ketoacidosis, high glycosylated hemoglobin percentage, and school failure. In contrast, the B/C conditions were consistently associated with improved health status and school performance. On two occasions, the child was returned to condition A by the state's protective service agency (HRS) in direct conflict with the recommendations of the child's psychological and medical treatment staff. During her last condition A placement, the youngster died. Chronically ill children who are neglected may not receive the protection they need because of lack of awareness about the psychosomatic aspects of their problem.
|
Authors | G Geffken, S B Johnson, J Silverstein, A Rosenbloom |
Journal | Clinical pediatrics
(Clin Pediatr (Phila))
Vol. 31
Issue 6
Pg. 325-30
(Jun 1992)
ISSN: 0009-9228 [Print] United States |
PMID | 1628464
(Publication Type: Case Reports, Comparative Study, Journal Article)
|
Chemical References |
|
Topics |
- Child
- Child Abuse
(psychology)
- Child Advocacy
(standards)
- Child Behavior
- Child Custody
- Diabetes Mellitus, Type 1
(blood, psychology, therapy)
- Diabetic Ketoacidosis
(psychology)
- Female
- Foster Home Care
- Glycated Hemoglobin
(analysis)
- Humans
- Residential Treatment
|