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

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London County Council 1948

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

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75
Some of the children had reports made under more than one heading. Of the
1,411 children (1,156 boys and 255 girls) remanded to the Home no reports were
required in 26.5 per cent.

Analysis of cases referred for psychiatric examination in the6month period—1st May-3lst October

Sex and age8 years9-1011-131415 and overTotal
Boys2541936298319
Girls16201262101
Total264711374160420

Disposals ordered by the Court
Boys Girls
Probation and Supervision Order 131 46
Fit Person Order 40 14
Approved School Order 70 11
Discharged Probation of Offenders Act 26 11
Certified Mental Deficiency Act 2 1
Punitive Detention 1 —
Result not known 8 6
Decision Pending 41 12
319 101
Annual trend in number of Psychiatric Reports requested is shown by the
following percentages taken from the annual statistics of the Remand Home
1936 11.6 1944 35.3
1937 20.9 1945 33.4
1938 26.5 1946 47.9
1941 19.9 1947 43.0
1942 31.6 1948 56.7
1943 35.3
The completion of the psychiatric team should now make records sufficiently
full and reliable to enable research to be carried out. The three difficulties, however,
are likely to be lack of time owing to heavy routine work, shortage of clerical
assistance and difficulties in securing follow-up information.
Possibilities
for research
Analysis of 345 consecutive cases which had been referred to the Remand Home
for psychiatric examination showed that 116 of them had been recommended for
psychological treatment. Of these 116, 84 were considered fit to have their treatment
at a clinic while remaining at home, and 32 were thought to need placement away
from home. Of these latter cases 10 were recommended to have psychological treatment
in approved schools while 2 were recommended to be kept under periodic
psychiatric surveillance in approved schools. The remaining 20 were recommended
for treatment while residing in residential schools or hostel.
Psychological
treatment
Examination of the decisions of the Court in these 116 cases showed close
correspondence between recommendation and decision.
Rheumatism scheme
The great changes in the Council's Public Health Service brought about by the
National Health Service Act made the organisation of the Rheumatism scheme very
much the same as it was prior to 1930. Between 1926, when the scheme was born,
and 1930, the beds required for the institutional treatment of rheumatic children
were provided by the Children's Hospitals then under the control of the Metropolitan
Asylums Board and the organisation of the Scheme itself was essentially an organisation
devised for the purpose of co-ordinating the ascertainment, treatment and