The behavioral and emotional adjustment of 27 siblings of ill children was compared with that of 27 siblings from "healthy" families. Findings indicated that siblings of ill children had significantly more behavior problems than did controls. Levels of self-concept, however, did not differ. The importance of systemic research on the topic is highlighted.

This study describes the development of a model for psychological service delivery in a community based health care facility. Demographic characteristics, presenting problems, modes of intervention, and number of contact hours were analyzed for 75 children referred for psychological assistance in a one-year period. Sex, age, and family structure (two-parent, single-parent, severe familial discord) were significant variables in relation to difficulties experienced and treatment modalities employed. Responders to a formal and systematic evaluation were highly positive in their ratings of improvement, satisfaction, and recommendation to others. Based on these findings, a flexible model providing both consultation and primary therapy was proposed. Discussion of conceptual issues relevant to this model, and its potential value in a community health care setting is provided.

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