London's Pulse: Medical Officer of Health reports 1848-1972

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London County Council 1935

[Report of the Medical Officer of Health for London County Council]

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72
East London
child
guidance
clinic.
The East London child guidance clinic is organised by the Jewish Health Organisation
of Great Britain and is held at the Jews' free school, Whitechapel. The
director of the clinic, Dr. Emanuel Miller, reports that the clinic continues to provide
a steadily increased service on progressive lines. The work has expanded both in
the number of cases dealt with and in the field from which they are drawn. Among
recent developments, special attention has been given to remedial work for children
whose disabilities are educational, and in the speech clinic, which has been re-started,
the children are treated individually. The playroom technique continues to produce
good results, and not only affords an opportunity for studying the social behaviour
of children, but provides the solution for many individual neurotic problems through
the freedom for expression during play. Much assistance has been given by the
school teachers, and an extraordinary degree of co-operation has been shown by
parents and patients in spite of grave economic difficulties. Although many cases
have obviously been weighed down by the burden of poverty resulting from unemployment,
the reaction to treatment has been surprisingly good.
During 1935, the clinic dealt with 326 cases from the Council's schools. Of
these, 201 were boys and 125 girls. The age distribution was : under 5 years, 14 ;
from 5 to 8 years, 92 ; 8 to 11 years, 93 ; 11 to 14 years, 96 ; 14 years and over, 31.

The following statement shows the source of reference of the cases and the reasons for reference :—

Source of ReferenceReason for Reference
Care committees43Beyond control36
Hospitals and clinics36Theft, pilfering30
Probation officers and children's courts30Enuresis30
Parents, friends, etc.27Backwardness28
Head teachers23Night terror, sleepwalking19
Private doctors2Unmanageable at school14
Miscellaneous agencies22Reading disability14
Total326Habit spasm12
Stammer4
Other speech defects8
Temper tantrums7
Aggressiveness, spitefulness, destructive-ness7
Wandering6
Depression6
Masturbation, sex difficulties4
Truanting3
Lack of appetite3
Advice re employment2
Solitariness1
Faecal incontinence1
Inability to keep job1
Total326

The results obtained are as follows:—

Cases discharged—
Satisfactorily adjusted73
Partially adjusted32
Unsuitable or unadjusted49
Other reasons19
173
Cases still under treatment—
Progressing satisfactorily36
No change4
Too early to report2161
Cases failed to attend48
Number of cases on waiting list44
Total326