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
The clinic exists basically for the treatment of childhood enuresis and encopresis.
The number of new patients seen (190) shows an increase compared with 1970
(153) but only 6 additional sessions were used. The referrals still continue to increase
and this trend lengthens the period of time spent on the waiting list. This may reflect in
the considerable number of first appointment failures .(110): approximately half the patients
referred fail to turn up for the first appointment. This shows an uneconomic use of clinic
man-power and also denies other children an earlier appointment. Detailed analyses of
factors possible relating to appointment failure have been undertaken by Mr. R.T.T. Morgan
as part of his Ph.D. investigation into the 1969 cohort of referred children. The following
papers have been accepted for publication:
1. Non-attending Enuretic children.
2. Over-learning in the Conditioning treatment of Enuresis.
3. The treatment of Enuresis:Merits of Conditioning methods.
4. Reasons for Appointment failure among Enuretic patients.
The Research work on over-learning theory has been completed and this reveals a
dramatic reduction in the recurrence rate if this technique is used in conjunction with the
classic conditioning method.
The intensity tone conditioning experiments are near completion and analyses will be undertaken next year.
BOYS | GIRLS | TOTAL | ||
---|---|---|---|---|
No. of new patients seen: | Under 5 | 3 | 9 | 12 |
5-9 | 95 | 54 | 149 | |
10 & over | 21 | 8 | 29 | |
TOTAL | 119 | 71 | 190 | |
Total Attendances: | 1041 | 667 | 1708 | |
No. of 1st Appointment Failures: | 62 | 48 | 110 | |
Total Appointment Failures: | 576 | 295 | 871 | |
Referrals: | Under 5 | 26 | 15 | 41 |
5 - 9 | 134 | 86 | 220 | |
10 & over | 24 | 21 | 45 | |
TOTAL | 184 | 122 | 306 | |
Discharged Cases: | 89 | 68 | 157 | |
(of these, discharged for 2nd subsequent time: | 13 | 14 | 27 ) |