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51
between the two authorities. This provided for all the social
workers in the Mental Health Service to be employed by the Local
Health Authority and for an appropriate re-imbursement to be
made by the Hospital Authority, and thus confirms and consolidates
the joint arrangements.
The first half of 1965 saw some further staff losses among
the social workers, but it was possible to make these good
towards the end of the year. The enlargement of the Borough by
the addition of the Purley and Coulsdon area had the immediate
effect of increasing by about 100 the number of mentally subnormal
patients to be cared for in the community. There has also
been an increase in the number of mentally ill patients needing
social work help, but the full impact of the new area in this
respect has not yet been felt. An additional Mental Health
Office has been established at 115 Brighton Road to deal with
the work of the new area.
In the service generally the demand for social work continues
to grow. The first table shows the actual number of active cases
carried by the social workers at the end of 1965. The second
table shows the actual number of cases referred to the social
workers for help during 1965.

Social Clubs
Three clubs are run at The Oaks Day Hospital, one on Tuesday
afternoons for mentally infirm old people and two on Thursday
and Monday evenings for psychiatric patients. Another club for
psychiatric patients is now run at The Crescent Day Hospital,
New Addington.
A fifth club is run by the Local Health Authority on Wednesday
evenings at the Causton Hall for trainees attending the
Crosfield Industrial Unit and other physically or mentally
handicapped people. A sixth club is run for severely mentally
subnormal people by the Society for Mentally Handicapped children
and is held at St. James's Church Hall on Monday evenings.