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Children with complex disabilities require comprehensive, coordinated and integrated services. However, parents often find themselves navigating fragmentary service systems—a process that may be more difficult when children exhibit behavioral problems such as hyperactivity and inattention. Such problems are more common among children with disabilities. Thus, the present study examined the familial and economic impact of service integration and child hyperactivity among 111 families involved with a children’s treatment network over 2 years. The most dysfunctional families over time were involved with low-integration teams and had children who were highly hyperactive. Children who were hyperactive and their parents had the highest levels of service utilization at baseline, though these patterns reversed or disappeared over time, respectively. Family functioning was also associated with higher service costs for parents, over time. Results highlight the importance of considering the impact of child hyperactivity and inattention, even when children are receiving services for other primary diagnoses.

Objective: This exploratory study examined the discriminant validity of 10 human-figure features commonly used by many proponents of the draw-a-person (DAP) projective technique as evidence of childhood sexual abuse. Two exploratory features were also examined. Method: Rather than drawing human figures, 64 children ( M = 8 years, 9 months), including 19 sexually abused children, 26 nonsexually abused but emotionally/behaviourally troubled children, and 19 nonabused, nonclinical children, were instructed to build male and female figures using groups of prefabricated pieces of human-figure body parts. Unbeknownst to the children, each group of parts contained a potential sexual abuse feature (or features). Results: None of the human-figure features under examination, either individually, or in combination, distinguished the sexually abused group from the other two groups of children. Conclusions: In accordance with years worth of DAP projective technique research, no support for the validity of the human-figure features under examination as evidence of childhood sexual abuse, was found.