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sex difficulties, 11 ; temper and screaming fits, 9 ; truancy and wandering, 8 ;
feeding difficulties, 8; incontinence and soiling, 6 ; advice as to placement, 5 ;
vocational guidance, 5; night terrors, 5; other reasons, 38. The results of
treatment were : very much improved, 3 ; improved, 17 ; unimproved, 2 ; special
service, 6 ; transferred for treatment, 4 ; placed in homes, etc., 5 ; withdrawn,
7 ; incomplete (parents unwilling, etc.), 6 ; diagnosis only (no treatment), 39 ; still
under treatment, 116.
East London
child
guidance
clinic
The East London clinic established by the Jewish Health Organisation of Great
Britain is held at the Jews' Free school, Whitechapel, under the direction of Dr.
Emanuel Miller. The clinic is entirely undenominational and does not confine its
activities to the immediate neighbourhood, although the majority of the children
are drawn from the districts of Stepney, Bethnal Green and Poplar. The number of
London school children dealt with during the year was 219, of whom 141 were boys,
and 78 girls. The age distribution was : under 5 years, 6 ; 5 to 7 years, 63 ; 8 to
10 years, 69 ; 11 to 13 years, 64 ; 14 years and over, 17.
The sources of reference were : school doctors, 87 ; hospitals and clinics, 30 ;
head teachers, 23 ; school care committees, 20 ; probation officers and children's
courts, 18 ; parents, friends, etc., 15 ; private doctors, 10 ; other agencies, 16. The
reasons for reference were : backwardness, 31 ; difficult or beyond control at home,
29 ; nervousness, restlessness and excitability, 28 ; theft, pilfering, 26 ; enuresis, 25 ;
night terrors, sleepwalking, 12 ; reading disability, 11 ; unmanageable at school,
10 ; stammering, 4 ; other speech defects, 10 ; aggressive, spiteful, destructive, 8 ;
habit spasm, 5 ; other reasons, 20. The results obtained were : satisfactorily adjusted,
18 ; partially adjusted, 16 ; unsuitable or unadjusted, 36 ; placement, 17 ; failed
to attend, 17 ; advice only, 12 ; progressing satisfactorily, 53; no change, 2 ; too
early to report, 18 ; awaiting appointments, 30.
Guy's
hospital
child
guidance
clinic
The child guidance clinic at Guy's hospital is attached to the department of
psychological medicine, but is a separate unit under the direction of Dr. R. D.
Gillespie. The number of school children referred to the clinic during the year was
376, of whom 234 were boys and 142 girls. The age distribution was : under 5 years,
28; 5 to 8 years, 132 ; 9 to 11 years, 111 ; 12 to 14 years, 92 ; over 14 years, 13.
Of these children, 181 were referred through the Council as education authority.
Other sources of reference were : other departments of the hospital, private doctors,
other hospitals or clinics, private persons, police courts, employment exchange,
public health departments, the Invalid Children's Aid Association, and public
assistance committees.
The clinic authorities give information and advice to head teachers, care
committees, etc., as to suitable treatment for particular children, and, although
a child may not need to continue attendance at the clinic, the treatment is carried
on in the school or home. The clinic has instituted a careful system of following-up
the children after a period of about 2 years, and, therefore, does not assess the results
of treatment each year. It is, however, understood that the work undertaken is comparable
with that at other similar clinics in London.
Institute of
Child
Psychology
The work at the Institute of Child Psychology, 26, Warwick-avenue, W.9,
has continued during the year under the direction of Dr. Margaret Lowenfeld. Close
contact has been maintained with the school authorities and care committees/ and
the interchange of information has been very helpful both in the diagnosis of the
cases and the carrying out of the treatment recommended.
The number of school children from the county of London referred to the clinic
during the year was 83, of whom 47 were boys and 36 girls. The age distribution
was : 5 years and under, 14 ; 6 to 8 years, 18 ; 9 to 11 years, 30 ; 12 to 14 years, 16 ;
over 14 years, 5.
The sources of reference were : care committees, 31 ; social agencies, 10 ; private
individuals, 10 ; medical practitioners, 9 ; head teachers, 8 ; parents and
guardians, 8; medical officer of health and general hospitals, 7. The reasons for
reference were : anti-social behaviour, 36 ; neurosis, 33 ; educational difficulties,