New Directions in Failure to Thrive

Implications for Research and Practice

  • Dennis Drotar

Table of contents

  1. Front Matter
    Pages i-xiii
  2. Introduction

  3. Conceptual Models: Research Implications

    1. Front Matter
      Pages 45-46
    2. Elizabeth F. Gordon, Delia M. Vazquez
      Pages 69-75
    3. Patrick H. Casey, William R. Collie, William M. Blakemore
      Pages 77-85
  4. Research Reports

    1. Front Matter
      Pages 87-88
    2. Studies of Risk and Outcome

      1. Kathryn B. Sherrod, Susan O’Connor, William A. Altemeier III, Peter Vietze
        Pages 89-106
      2. Robert H. Bradley, Patrick M. Casey
        Pages 107-118
      3. Dennis Drotar, Charles A. Malone, Linda Devost, Corrine Brickell, Carole Mantz-Clumpner, Judy Negray et al.
        Pages 119-138
    3. Methods

      1. Karen E. Peterson, Jennifer M. Rathbun, M. Guillermo Herrera
        Pages 157-176
      2. Mary Ann Finlon, Dennis Drotar, Jackie Satola, John Pallotta, Betsy Wyatt, Debra El-Amin
        Pages 177-190
  5. New Approaches to Diagnosis and Intervention

    1. Front Matter
      Pages 191-192
    2. Pediatric Management

      1. William A. Altemeier III, Susan M. O’Connor, Kathyrn B. Sherrod, Thomas D. Yeager, Peter M. Vietze
        Pages 211-222
    3. Psychosocial Diagnosis and Intervention

      1. Irene Chatoor, Linda Dickson, Sharon Schaefer, James Egan
        Pages 235-258
      2. Alicia F. Lieberman, Marian Birch
        Pages 259-277
      3. Thomas R. Linscheid, L. Kaye Rasnake
        Pages 279-294
      4. Dennis Drotar, Janice Woychik, Carole Mantz-Clumpner, Corrine Brickell, Judy Negray, Mariel Wallace et al.
        Pages 295-310
  6. Primary Prevention

    1. Front Matter
      Pages 315-316
    2. Jolie S. Brams, Daniel L. Coury
      Pages 317-336
    3. Deborah A. Frank, Deborah Allen, J. Larry Brown
      Pages 337-357
    4. Elizabeth F. Gordon, Delia M. Vazquez
      Pages 359-366
  7. Conference Summary

  8. Back Matter
    Pages 377-383

About this book


Failure to thrive affects the lives of many infants and young children at critical times in their development and represents a significant public health problem in the United States. Moreover, this condition is invisible and can affect children for long periods of time before it is recognized. The long-term psychosocial sequelae of failure to thrive have only begun to be recognized but may be more severe than first realized. We do know that the costs to society in terms of acute pediatric hospitalization and long-term rehabilitation, foster care, and mental health treatment of young children who present with failure to thrive are considerable. Children who are diagnosed with failure to thrive represent a special challenge and opportunity for intervention, especially preventive intervention, because it is quite possible that many of the long-term consequences of this condi­ tion on psychological development can be lessened via early recognition and intervention. However, the potential for preventive intervention in failure to thrive has been limited by the state of the art in scientific knowledge and practice. Despite the frequency with which failure to thrive is encounter­ ed in ambulatory and inpatient settings, there is little scientific infor­ mation to guide practitioners. Research on the causes and consequences of failure to thrive has been very much limited by small sample sizes, lack of common definitions, and short follow-up periods. Uncertainties in the science of failure to thrive coincide with the considerable practical difficulties involved in diagnosis and inte~vention.


Affect Foster Care Mental Health Recognition behavior children cognition development diagnosis health intervention rehabilitation research state treatment

Editors and affiliations

  • Dennis Drotar
    • 1
  1. 1.School of MedicineCase Western Reserve UniversityClevelandUSA

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