Day Treatment for Disturbed Children from Socially and Economically Disadvantaged Homes
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The Children’s Day Hospital (CDH) of the New York Hospital-Cornell Medical Center, Westchester Division, is a hospital-based day treatment program that has been in existence for about 15 years. It currently serves almost exclusively severely disturbed minority children from urban areas. These children come from economically disadvantaged homes. About 75% of the children are black; most of the rest are white; a few are Hispanic. As will be described more fully, the children at the CDH have a variety of psychiatric diagnoses. The majority have been referred from local school divisions because of conduct problems, impulsivity, and hyperactivity that have made functioning in the local school environment impossible even when special services have been provided. Problem areas in the families of these children often include poverty, alcohol or drug abuse, antisocial behavior, and child abuse or neglect. Many of the children live in foster care or with the extended family rather than biological parents. Others live with only one biological parent, almost invariably the mother. No child currently enrolled in the program lives with both biological parents. Social service agency involvement is extremely common.
KeywordsPersonality Disorder Conduct Disorder Borderline Personality Disorder Assessment Battery Family Assessment Device
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