[Comparative approach to 2 hospital institutionalization procedures. Application to a sampling of mistreated and neglected children from 0 to 3 years. A monographic study within an institution]. / Approche comparative de deux procédures institutionnelles hospitalières. Application à un échantillon d'enfants maltraités et négligés de 0 à 3 ans. Etude monographique au sein d'une institution.

Many studies show that a large number of children hospitalized after numerous placement and successive hospitalizations, are victims of serious physical abuse. On the basis of these previous studies, 73 clinical observations of children victims of physical maltreatment and negligence from 0 to 3 years, are studied in the light of a comparison of two hospital systems: one is unidimensional, the other is pluri-dimensional. The multidisciplinary approach seems to have better results thanks to the way it uses space and the work of a united team. Long term solutions have to be found once the child is hospitalized. This confirms the importance of early detection of abuse. Recurrences of abuse are frequently observed, whereas results from the placement of abused children in a therapeutic family seem positive, all the more as these placements are stable. This solution permits earlier adoptions.