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EDITOR
The editorial by Watt points out that projects targeting
socially excluded groups tend to address consequences rather than
addressing the causative issues.1 It is often the
provision of evidence of shocking health figures, such as those for
children looked after and accommodated by the local authority (in
care), that underpins the release of funding.2 These
initiatives will have a beneficial effect on the health of the nation
only if lessons learnt from them are applied to mainstream services.
In Lothian, funding has been obtained from the Scottish Executive for
the residential care health project, targeting children and young
people in residential units provided by the local authority. By the
time a young person enters a residential unit, he or she will have
moved around the care system several times. Only 46% of children
looked after continuously for four or more years have spent at least
the preceding two