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

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Enfield 1969

[Report of the Medical Officer of Health for Enfield]

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The number of attendances was 69 and the number of new cases was 33. The
type of cases seen included foot deformities, knock knee, scoliosis, kyphosis and
chest deformities.
Children attending this Clinic and requiring physiotherapy continue to attend
hospital for this purpose, owing to the difficulty experienced in making the appointment
of a physiotherapist.
However, a part-time physiotherapist was appointed during the year, and she
provides a service on two mornings a week at Hazelbury Day Open Air School, one
morning a week at Durants Day School for Educationally Sub-Normal Children,
and one morning a week at the Junior Training School. One hundred and eighteen
children with postural defects, cerebral palsy, asthma and other respiratory defects
received a total of 2.465 treatments.
Speech Clinics
In addition to the twenty sessions normally held each week at eight clinic
premises, the speech therapists undertake sessions at Durants and Oaktree Schools
for educationally sub-normal children, and at the Junior Training School for
mentally handicapped children. In all. 462 children, of whom 109 were new cases,
received treatment or were kept under observation, the total attendance being 3,288.
Defects treated included stammer, dyslalia, sigmatism, and delayed development of
speech.
Six students from the Oldrey-Fleming School of Speech Therapy each attended
Central Clinic for one session a week. Of these, three were third year students, who
took and passed their practical examination at the clinic.
Child Guidance Centre and Clinic
The Child Guidance Centre and Clinic is situated at 8 Dryden Road, Bush Hill
Park. There is staffing provision for a part-time psychiatrist (eight sessions per
week), four psychiatric social workers, four educational psychologists and two
psychotherapists. The Education Committee is responsible for appointing staff other
than psychiatrists, who are appointed by the North East Metropolitan Regional
Hospital Board.
The present staff consists of one part-time psychiatrist (eight sessions per week),
two psychiatric social workers, three full-time and one part-time educational
psychologists and one psychotherapist. The psychiatric social workers and the
psychotherapist work in conjunction with the psychiatrist.
Although the centre and clinic are housed in one building, the work falls broadly
into two categories. The educational psychologists deal mainly with educational
problems and the assessment of intelligence. If the problem appears to be basically
emotional and psychiatry is indicated, the case is referred through the School Health
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