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More Than You Would Think

David Rubin, MD, MSCE; Kathleen Noonan, JD

Arch Pediatr Adolesc Med. 2010;164(5):492-493.

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

Asked to pen an editorial about the child welfare articles in this month's Archives, our challenge was to link the policy and practice implications between 2 articles that could not appear more different at first glance. The first article,¹ by Bos and colleagues, reports the results of a clinical trial from Romania that compares children who were raised in institutional care with those who were randomized to family foster care, finding a significant reduction in the "stereotypies" often seen in other pervasive developmental disorders for the children placed in family foster care. The second article,² by Bernard and colleagues, reports significant perturbations in daily cortisol levels among a Delaware cohort of children who remained in home with their birth parents following the involvement of Child Protective Services compared with children placed into family foster care.

We could spend a lot of time . . . [Full Text of this Article]

AUTHOR INFORMATION

Author Affiliations: PolicyLab, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.

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Stereotypies in Children With a History of Early Institutional Care
Karen J. Bos, Charles H. Zeanah, Jr, Anna T. Smyke, Nathan A. Fox, and Charles A. Nelson, III
Arch Pediatr Adolesc Med. 2010;164(5):406-411.
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Cortisol Production Patterns in Young Children Living With Birth Parents vs Children Placed in Foster Care Following Involvement of Child Protective Services
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