title: Residential treatment for youngsters with difficult-to-manage insulin dependent diabetes mellitus.
abstract: A descriptive outcome study of 52 children with insulin-dependent diabetes mellitus (IDDM) admitted to a residential treatment program over 6 years. Criteria for admission included repeated hospitalizations for diabetes-related problems, excessive school absences, and/or familial disruption. Residential treatment included individual, group, and family psychotherapy, diabetes education, and close medical supervision. The design included collection of data before, during and after treatment. Children admitted to the residential unit were compared to a population of pediatric IDDM outpatients from the same geographical area. Treatment was associated with a reduction in diabetes-related hospitalizations, improved school attendance, decreased glycosylated hemoglobin levels, weight gain, individualized insulin changes, improved knowledge about diabetes, and a normalization of attitudes towards this disease.
authors.affiliation: Department of Psychiatry, University of Florida Health Science Center, Gainesville 32610-0234, USA.
authors.forename: G R
authors.initials: GR
authors.lastname: Geffken
authors.forename: C
authors.initials: C
authors.lastname: Lewis
authors.forename: S B
authors.initials: SB
authors.lastname: Johnson
authors.forename: J H
authors.initials: JH
authors.lastname: Silverstein
authors.forename: A L
authors.initials: AL
authors.lastname: Rosenbloom
authors.forename: L
authors.initials: L
authors.lastname: Monaco
mesh_terms: D000041:Absenteeism; D000293:Adolescent; D001294:Attitude to Health; D002648:Child; D003922:Diabetes Mellitus, Type 1 / Q000523:psychology / Q000628:therapy*; D005260:Female; D006442:Glycated Hemoglobin / Q000378:metabolism; D006760:Hospitalization; D006801:Humans; D007328:Insulin / Q000008:administration & dosage / Q000627:therapeutic use; D008297:Male; D010290:Parents; D010353:Patient Education as Topic; D012114:Residential Treatment; D016896:Treatment Outcome; D015430:Weight Gain
chemical_list: D006442:Glycated Hemoglobin; D007328:Insulin