interACTION: case managers and social skills teaching.

There is good evidence that social skills are important to the community adjustment of persons with serious and persistent mental health problems. There is also conjecture that inattention to the development of social skills may explain the lack of impact that case management services are having on social functioning. This paper describes a series of social skills education groups provided by case managers over several years.

Gingival fibromatosis with prune-belly syndrome.

A case is described in which a child appeared for evaluation with marked gingival overgrowth, facial dysmorphism, and abdominal defects consistent with prune-belly syndrome. The relationship between this case and other reports of gingival enlargement are discussed. Coincidence of the oral, facial, and abdominal abnormalities has not been previously reported.