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July 11, 2005 Secretary Carmen Hooker Odom N.C. Department of Health and Human Services Raleigh, North Carolina Dear Secretary Hooker Odom: As requested, the North Carolina Division of Facility Services DFS ; , in collaboration with the Division of Mental Health, Developmental Disabilities and Substance Abuse Services DMH DD SAS ; staff, has conducted focused surveys of all children's residential treatment facilities in the State. The primary purpose was to determine compliance with the North Carolina Administrative Rules governing child residential facilities and provide information relative to the treatment needs of the children and adolescents in these homes. A copy of our final report is attached. If further information is needed, please let us know. Respectfully submitted.

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J Clin Endocrinol Metab: 1993; 76: 1344-1348. "58. O Halloran DJ, Tsatsoulis A, Whitehouse RW, et a l\: Increased bone density after recombinant human growth hormone GH ; therapy in adults with isolated GH deficiency. J Clin Endocrinol Metab\: 1993; 76\: 1344-1348." Rudman D, Feller AG, Nagraj HS, et al, 1990: Effects of human growth hormone in men over 60 years old. N Engl J Med. 323: 1-6. "59. Rudman D, Feller AG, Nagraj HS, et al, 1990\: Effects of human growth hormone in men over 60 years old. N Engl J Med. 323\: 1-6." 60. Burman P, Broman, JE, Hetta J, et al: Quality of Life in Adults with Growth Hormone GH ; Deficiency: Response to Treatment with Recombinant Human GH in Placebo-Controlled 21-Month Trial. J of Clin Endocrinol and Metab 1995: 80: 3585-3590. "60. Burman P, Broman, JE, Hetta J, et al\: Quality of Life in Adults with Growth Hormone GH ; Deficiency\: Response to Treatment with Recombinant Human GH in Placebo-Controlled 21-Month Trial. J of Clin Endocrinol and Metab 1995\: 80\: 3585-3590." McGauley GA: Quality of life assessment before and after growth hormone treatment in adults with growth hormone deficiency. Acta Paediatr Scand 1989; 356 suppl ; : 70-72. "61. McGauley GA\: Quality of life assessment before and after growth hormone treatment in adults with growth hormone deficiency. Acta Paediatr Scand 1989; 356 suppl ; \: 70-72." 62. Rosen T, Wiren L, Wilhelmsen L, Wiklund I, et a l: Decreased psychological well-being in adult patients with growth hormone deficiency. Clin Endocrinol 1994: 40: 111-116. "62. Rosen T, Wiren L, Wilhelmsen L, Wiklund I, et al\: Decreased psychological well-being in adult patients with growth hormone deficiency. Clin Endocrinol 1994\: 40\: 111-116." Verhelst J, Abs R, Vandeweghe M, et al: Tw o years of replacement therapy in adults with growth hormone deficiency. Clin Endocrinol Oxf ; 1997: Oct; 47 4 ; : 485-94. "63. 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