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Published Online:https://doi.org/10.1176/ajp.127.6.803

The authors describe their study of four black students who participated in a special 13th year of schooling in predominantly white private schools. They found that the students' difficulties in the program resulted in a loss of self-esteem and the precipitation of an identity crisis to which they were particularly vulnerable because of inadequate preparation and the lack of peer support. The authors present a set of recommendations for prevention of these difficulties in other programs.