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

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London County Council 1936

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

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62
administrative adjustments were carried out on economic grounds, but the general
work in connection with the treatment of cases has been maintained with the exception
of the eurhythmic class, which was discontinued on account of the noise and
consequent disturbance of other activities at the centre. The number of Council
school children dealt with was 192, of which number 108 were boys and 84 girls.
The sources of reference were: district organisers, 80; head teachers, 20; parents
and friends, 19; hospitals, 15; care committees, 10; probation officers, 10;
private doctors, 6; other agencies, 32. The reasons for reference were: stealing,
33; backwardness, 23; behaviour difficulties, 22; nervousness and fears, 15;
enuresis, 14; speech difficulties and stammer, 13; truancy and wandering, 7; habit
spasm and tics, 7; temper and screaming fits, 7; vocational guidance, 6; other
reasons, 45. The results of treatment were: adjusted, 8; improved, 33;
unimproved, 3; not co-operative, 4; placement, 3; no problem, 1; transferred, 2;
special service completed, 5; consultations only, 29; still under treatment, 104.
West End
hospital for
nervous
diseases.
The work of the child guidance clinic organised by the West End hospital for
nervous diseases, 73, Welbeck-street, W.I, is under the direction of Dr. Emanue
Miller, who is also in charge of the East London child guidance clinic, to which
reference is made later in this report. Considerable attention is paid at this clinic
to observation of the children's reactions during play, both as a diagnostic aid and
also in some cases as an actual therapeutic measure. Provision is made at the clinic
for special individual coaching for educational disabilities which give rise to anxiety
During the year 209 attendances were made by children for this purpose. The
number of new cases registered during the year was 67, the number of cases
carried over from the preceding year was 71, and 3 cases were re-opened, making
a total of 141 cases for the year. Of the 67 new cases, 37 were boys and 30 girls
The sources of reference of the cases were: other departments of West End
hospital, 27; care committees, 16; other hospitals, 12; other agencies, 12 . The
reasons for reference were : enuresis, 14; backwardness, 12; stealing,7; intelligence
tests only, 6; other reasons, 28. The results obtained were: adjusted, 13
improved, 7; unadjusted, 3; refused, 6; unsuitable, 3; transferred to other
hospitals, 6; consultations only, 6 ; still under treatment, 23.
Institute of
Medical
Psychology.
At the Institute of Medical Psychology (Tavistock clinic) the number of Council
school children dealt with during the year 1936 was 94, of whom 50 were boys and
44 girls. The sources of reference were: care committees, 22; school doctors, 20;
parents and friends, 13; head teachers, 12; general practitioners, 10; other agencies,
17. The reasons for reference were: neurosis, 20; behaviour difficulties, 32;
delinquency, 16; backwardness, 11; enuresis, 7; other reasons, 8. The results
obtained were: improved, 19; unsuitable, 8; consultations only, 12; transferred
to other clinics, 3: deceased, 1; placement, 6; still under treatment, 45.
Institute of
Child
Psychology*
The Institute of Child Psychology at 26, Warwick-avenue, W.9, has worked
in London since 1928. The Council and Board of Education decided in April, 1936,
that the clinic should be recognised as a school treatment centre under section 80
of the Education Act, 1921, in order that the attendances of school children may
be recognised as equivalent to attendance at school. In this way it has been possible
to maintain closer contact with the school medical and educational services by the
interchange of information relating to school children under treatment at the clinic
and by recommendations from the clinic as to suitable methods of treatment in the
schools and homes. During 1936 the number of children from Council schools
dealt with at the clinic was 47, of which number 25 were boys and 22 girls. The
sources of reference were: care committees, 23; head teachers, 8; medical officer
of health and general hospitals, 5; medical practitioners and psychotherapists, 5;
other agencies, 6. The reasons for reference were: anti-social behaviour, 22;
neurosis, 13; educational difficulties, 8; basic factor physical, 4. The results
obtained were: satisfactorily adjusted, 9; partially adjusted, 5; unsuitable, 12;
still under treatment. 21.
East London
child
guidance
clinic.
The work at the East London child guidance clinic at the Jews Free school,
Whitechapel, has continued during the year under the direction of Dr. Emanuel