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The turnover in this type of casework is always slow. It takes time to form
a working relationship with mentally subnormal or emotionally disturbed parents
and once the caseworker has gained their confidence it is equally slow helping
the family to make the best use of their capabilities and to modify their often
aggressive behaviour towards those trying to help them.
The need for more family caseworkers in the Health Service became
apparent and in 1970 a senior caseworker was appointed to carry a small case
load and to supervise the 3 full-time caseworkers as well as some of the casework
undertaken by the School Health Social Workers for the Borough.
The full time case workers carried a case load of 12 — 17 families and the
School Health Social Workers 3—5. Families were referred through interdepartmental
Case Conferences, Rent Arrears Sub-Committee and a few through the
Special Investigation Clinics.
Caseworkers found that families referred for Rent Arrears and other debts
often had more deepseated problems, debts were merely the presenting problem.
There were several' cases of severe marital disharmony and a small increase of
cases of unsupported mothers.
The Caseworkers continued to have the regular advice and support of
Dr. Isaacs (Psychiatrist, the Maudsley Hospital) in the treatment and recognition
of mental illnesses.
In the advent of the new Social Services Directorate forming in 1971 the
Caseworkers in the Health Services would be absorbed into the Area Generic
Teams.
(Sgd) Miss T. Watts
INTERNATIONAL CERTIFICATES OF VACCINATION
Certificates of recent successful vaccination/inoculation are required by
persons travelling to certain countries abroad.
After completion by the vaccinating doctor (normally the person's own
doctor) the certificate must be taken or sent for authentication of the doctor's
signature by the Medical Officer of Health for the area in which the doctor
practises.
In Lambeth signatures on certificates are authenticated in the Health
Department, Blue Star House, 234/244 Stockwell Road, S.W.9.