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

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Barnet 1971

[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.

BOYSGIRLSTOTAL
No. of new patients seen:Under 53912
5-99554149
10 & over21829
TOTAL11971190
Total Attendances:10416671708
No. of 1st Appointment Failures:6248110
Total Appointment Failures:576295871
Referrals:Under 5261541
5 - 913486220
10 & over242145
TOTAL184122306
Discharged Cases:8968157
(of these, discharged for 2nd subsequent time:131427 )