Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
[Report of the Medical Officer of Health for London County Council]
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(x) Compulsory admission to and detention in institutions should be effected by
judicial order in cases in which the defective is not under proper care or control
and the consent of the parents or guardians cannot be obtained. The judicial
authority should not be debarred from making an order even if the consent
of the parent is withheld with the bona fide intention of benefiting the defective.
Power should be given to enforce the attendance of a defective and his parents
before a judicial authority, if necessary.
(xi) The period of detention of defectives ordered to be sent to institutions as a
result of criminal offences should be subject to limitations in relation to the
maximum term of imprisonment which could have been imposed.
(xii) Feeble-minded persons should be accommodated in institutions separate from
those for the lower grades.
(xiii) The cases of feeble-minded persons in institutions should be subject to review
at yearly intervals.
(xiv) The continuation of institutional care for defectives accommodated with the
consent of their parents should be effected by the issue of a certificate in appropriate
terms by the medical officer of the institution.
(xv) Persons under compulsory detention should receive independent review at
the prescribed intervals.
(xvi) Parents of defectives should have the right to submit their views to the reviewing
tribunal, which should have the power to discharge the defective.
(xvii) The power to discharge should be vested also in hospital management committees.
(xviii) The reasons for decisions made contrary to their wishes should be given to
parents.
(xix) The term 'supervision' as a form of care should be discontinued and replaced
by 'community care.'
(xx) Community care should normally be a service offered on a voluntary basis by
local authorities. Additional powers should be granted to local authorities
to enable them to pay maintenance allowances to defectives not living with
their parents and to provide hostels for defectives receiving such care.
(xxi) Power to enforce admission to a hostel or to other suitable accommodation
away from home should be given to local authorities in cases in which the
parents are opposed to this action under the same conditions as for the enforcement
of institutional care.
(xxii) Defectives receiving community care should be medically examined at prescribed
intervals when consideration should be given to the advisability of
discontinuing such care.
(xxiii) Defectives of school age in institutions and occupation centres should be reexamined
at regular intervals to ascertain whether they are educable.
(xxiv) Attendance of defectives at occupation centres should be compulsory up to the
age of 16 years.
(xxv) All the services provided for school children, i.e., medical, dental, milk and
meals, should be available to children attending occupation centres and, where
applicable, to defective children, under community care, not attending
occupation centres.
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