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Richard I. Grossberg, MD

Arch Pediatr Adolesc Med. 2007;161(4):418-419.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

The Gunther and Diekema¹ article on using estrogen therapy to attenuate growth and keep children with disabilities at home is the latest contribution to a growing movement advocating for all children with disabilities to live at home, regardless of their families' abilities to do so. In support of this, the American Academy of Pediatrics has endorsed the goal of Healthy People 2010: to eliminate all children from long-term care facilities by 2010.²

Such endorsements are exclusionary and border on discrimination. An unfair bias exists, in which mothers who provide care at home are canonized and mothers who do not are demonized. The message is clear: not only can you do this, you should do this. The result is support and funding for home-based options and growing denial of the value of facility-based care.

While home is best for most, it is not for everyone. In fact, . . . [Full Text of this Article]

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Attenuating Growth in Children With Profound Developmental Disability: A New Approach to an Old Dilemma
Daniel F. Gunther and Douglas S. Diekema
Arch Pediatr Adolesc Med. 2006;160(10):1013-1017.
ABSTRACT | FULL TEXT