The psychological factor that was associated with increased attendance may reflect the concept of psychological mindedness; however, this requires replication in a larger study. A full-scale study was deemed to be warranted based on this prospective design.

Rates of mental health difficulties were investigated among children in substitute care across five childcare teams in Craigavon and Banbridge H'/SS Trust. A total of 64 children were assessed using a behavioural screening instrument. Results indicate that more than 60% of 4Á/10 year olds assessed may have a diagnosable psychiatric disorder. The presence of such a disorder is probable in almost 50%. Among the 11Á/16 year olds assessed, the proportion likely to have a diagnosable disorder is slightly higher at almost two-thirds of the sample group. A significant number of children appeared in more than one diagnostic category, indicating the complexity of their presentation and probable co-morbid diagnoses. The implications of these results for further research and for the provision of mental health services to young people in substitute care are discussed.