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74
Institute of
Medical
Psychology
8 ; basic factor physical, 6. The results obtained were : satisfactorily adjusted, 15;
partially adjusted, 7 ; no change, 6 ; consultations only, 8; unsuitable, failed to
attend, etc., 9 ; still under treatment, 20 ; awaiting appointments, 18.
The number of London school children dealt with, under the direction of Dr.
J. R. Rees, at the Institute of Medical Psychology (Tavistock clinic) during the year
was 75, of whom 47 were boys and 28 girls. The age distribution was : 4 to 6
years, 11 ; 7 to 9 years, 27 ; 10 to 13 years, 29 ; 14 years and over, 8.
The sources of reference were : care committees, 16 ; parents and friends, 15 ;
head teachers, 10 ; hospitals and clinics, 10 ; medical officers of health, 10 ; general
practitioners, 9; children's special workers, 3 ; welfare workers, 2. The reasons
for reference were : behaviour difficulties, 17 ; fears, 17 ; backwardness, 9 ; stealing,
lying and truancy, 9 ; enuresis, 7 ; sex difficulties, 5 ; speech difficulties, 3 ; depressive
state, 3 ; nail biting, 2 ; endocrine disorder, 1 ; habit spasm, 1 ; lack of concentration,
1. The results obtained were : improved, 7 ; some improvement, 3 ;
unsuitable or not co-operative, 17 ; consultations only, 10 ; placement, 1 ; still
under treatment, 37.
North
Western
child
guidance
clinic
The North-Western child guidance clinic is situated at Sheldon Lodge, Cricklewood,
and is able to deal with difficult cases which arise in the Hampstead and
northern districts of London. The work is under the direction of Dr. W. Paterson
Brown. During the year the number of school children dealt with was 11, of whom
8 were boys and 3 girls. The age distribution was : 4 to 8 years, 6 ; 9 to 15 years, 5.
The sources of reference were : care committees, 6 ; head teachers, 4 ; welfare
clinic, 1. The reasons for reference were : unmanageable, 2 ; backwardness, 2 ;
enuresis, 2 ; uncontrollable and violent, 1 ; petty theft, 1 ; desire for independence
and freedom, 1 ; loss of weight, 1 ; excitability, 1. The results obtained were :
satisfactorily adjusted, 4 ; partially adjusted, 2 ; still under treatment, 5.
West End
hospital for
nervous
diseases
The work at the West End hospital for nervous diseases, 73, Welbeck-street,
W.l, under the direction of Dr. Emanuel Miller, has continued during the year.
The number of Council school children dealt with was 41, of whom 26 were boys and
15 girls. The age distribution was : 5 to 8 years, 12 ; 9 to 11 years, 14 ; 12 to 14
years, 14 ; over 14 years, 1.
The sources of reference were : other departments of West End hospital, 21 ;
care committees, 10 ; school doctors, 3 ; other hospitals, 3 ; parents, 2 ; Invalid
Children's Aid Association, 1; head teacher, 1. The reasons for reference were :
tics and jerky movements, 9 ; backwardness, 6 ; unmanageable, 5 ; enuresis, 4 ;
intelligence tests, 4 ; stealing, 3 ; anxieties, 3 ; hysterical ailments, 2 ; truanting, 1 ;
obsessional behaviour, 1 ; sleepwalking, 1; insomnia, 1 ; speech defect, 1. The
results obtained (including children still under treatment at commencement of year)
were : adjusted, 12 ; improved, 7 ; unadjusted, 3 ; unsuitable, 3 ; parents refused
to co-operate, 8 ; transferred to other institutions, 2 ; left district, 2 ; consultations
only, 10 ; still under treatment, 35.
Summary
During the year, 959 London school children, of whom 606 were boys and 353
girls, were dealt with at the above-mentioned clinics, with the exception of Guy's
hospital clinic, the work of which is set out in a different form. The following statement
gives details of the cases :—
Source of reference
Hospitals 209
Care committees 206
School doctors 148
Parents and friends 124
Head teachers 87
Private doctors 64
Probation officers 40
Other agencies 81
Total 959
Reasons jor reference
Behaviour difficulties 180
Nervousness 142
Backwardness 116
Stealing 102
Enuresis 79
Night terrors and fears 47
Intelligence tests 30
Speech difficulties 28
Temper 22
Truancy 21
Sex difficulties 16
Fits 8
Other reasons 168
Total 959