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Attachment disorders versus more common problems in looked after and adopted children: comparing community and expert
Matt Woolgar1,2, Emma Baldock1
1Department of Child and Adolescent Psychiatry, Institute of Psychiatry, King's College London, Box P85, DeCrespigny Park, London, SE5 8AF, UK.
Background:
Attachment disorders in adopted and fostered children may be overdiagnosed and could obscure more common disorders.
Methods:
A case note review of 100 referrals to a specialist adoption and fostering service compared community referrals with the specialist assessments of attachment disorders.
Results:
Attachment disorders were identified four times more often in community referrals versus the specialist service, but this only partly explained the significant under-identification of more common disorders in the community, especially for neurodevelopmental factors and conduct disorder by up to 10-fold.
Conclusions:
The relevant practice parameters are discussed and implications for service models for adopted and fostered children reviewed.
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