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Service to the psychiatrist, for diagnosis and treatment by the psychiatrist and psychotherapist.
Cases are referred to the psychiatrist by hospitals, by assistant medical
officers and general medical practitioners, or parents may enlist the help of the
clinic directly. The types of cases dealt with in the clinic include children of all
ages whose symptoms indicate that they may suffer from an emotional disorder.
Owing to a continued staff shortage, there is a waiting list for diagnostic interview
and subsequent therapy.
In conjunction with the centre and clinic there is the Enfield Selection Unit at
Chase Side School for twenty young children suffering gross emotional disorder.
They are admitted on the recommendation of the psychiatrist. The Unit provides
a therapeutic environment in which further assessment of the problems and abilities
of these children is possible. Many of them are non-speaking and in other ways
inaccessible. This unit is not suitable for adolescents.
Remedial classes are provided for very small groups of children with specific
learning difficulties, who attend part-time.
The recent provision by the Education Committee of Aylands, a day school for
50 maladjusted children of all ages, and the conversion of Wavendon House to a
school for maladjusted boys requiring residential schooling, has greatly improved
the prospects of satisfactory placement for many of the children seen at the Child
Guidance Clinic.
Enuresis
The number of automatic enuresis alarms available for treatment is 22. Fiftyseven
children were issued with alarms during the year.
The progress of each case is checked every two months and also six months
after a reported cure.
At the two-monthly check, success was reported in 37 cases, twelve were
unsuccessful and two were improved. At the six-monthly checks of reported cured
cases, fifteen were still dry, three had relapsed and sixteen failed to keep appointments.
The number on the waiting list at the end of the year was 59.
Recuperative Holidays
Recuperative holidays of two to four weeks' duration are arranged under Section
48 of the Education Act, 1944, and arrangements were made for seven children to
go away.
Summer holidays were arranged by the British Diabetic Association for children
who have diabetes, and two children were able to have a holiday through this scheme.
(See Statistical Tables 49, 50, 51, 52, 53, 54 and 55)
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