Mongoloid children and their families were studied retrospectively in order to contrast the development of 21 such children institutionalized before they were one year old with that of 34 reared in their own homes. The 34 children kept at home acquired motor and speech skills earlier, and 20 of these families were considered to have made a good adjustment. The fact that milder cases predominated in this group made interpretation of the results difficult, but it is concluded that there are advantages in keeping the mongoloid child at home, at least until the age of 5 years, and that the physician should consider all family factors before recommending institutionalization.
Kugel RB, Reque D. A Comparison of Mongoloid Children. JAMA. 1961;175(11):959-961. doi:10.1001/jama.1961.03040110023005