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 Barnet]
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SPECIAL INVESTIGATION CLINIC
Although the Total number of sessions fell from 97 (1969) to 92 (1970), the total
appointments increased, 2218 (1969) to 2524 (19701 and also the average number
appointed per session i.e. 23 (1969) to 27 (1970). If the number of patients discharges is
compared to the number of new patients, this indicates a success rate of 97% which
compares favourably with the 96% success rate obtained in 1969. The recurrence rate for
1970 was 23% compared with 28% in 1969 and an overall relapse rate of 31% for 1967
1969. This figure is encouraging and may indicate the value of using overlearning
reinforcement therapy to resistance of extinction of the conditional response. The total
number of annual referral increased from 236 (1969) to 283 (1970). This unfortunately
lengthened the time that the children spent on the waiting list. In certain cases this can
be very frustrating and demoralizing, and consideration will be given to more sessions
and the possibility of redistribution of staff man-power to support the clinic.
Permission was granted for a postgraduate scholar, Mr. R.T.T. Morgan, B.A., to
commence research on a thesis entitled "Success and Failure in the Conditioning
Treatment of Childhood Enuresis" to be presented to the University of Leicester for a
degree of Ph.D. Mr. Morgan will be commencing his work in January, 1971.
The research projects mentioned in the 1969 report, which include Intensity Tone
Conditioning, Personality Factors and Overlearning Therapy, are continuing but
insufficient date has yet been obtained for analysis.
142
A paper entitled " Treatment for Nocturnal Enuresis by Conditioning Techniques" by R.K. Turner, G.C. Young and S. Rachman was published in Behaviour Research and Therapy (1970 Behav. Res. & Ther. 8 367 - 381).
| BOYS | GIRLS | TOTAL | |
|---|---|---|---|
| No. of new patients seen: Under 5 | 12 | 6 | 18 |
| 5-9 | 55 | 43 | 98 |
| 10 & over | 21 | 16 | 37 |
| TOTAL | 88 | 65 | 153 |
| Total Attendances: | 1118 | 518 | 1636 |
| No. of 1st Appointment Failures: | 42 | 32 | 74 |
| Total Appointment Failures: | 634 | 254 | 888 |
| Referrals: Under 5 | 19 | 17 | 36 |
| 5-9 | 115 | 78 | 193 |