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| In most institutions in Eastern Europe children are cohorted by age. While this may make care easier, it precludes interactions between children of various ages much as we’d find in a family. Older children provide excellent role models for younger children as well as provide models for language development and play skills. Institutions with mixed ages generally have better developmental outcomes. |
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| Presentation published by Dana E. Johnson, MD, Ph.D, October 2002, and reproduced on this website with his permission. |