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The staff of the Clinic, as in previous years, has co-operated with other care-giving agencies through informa
meetings, case conferences and discussions.
With the reorganisation of the National Health Service in 1974, some uncertainty exists about the future of
psychiatric services for children in the London Borough of Bromley.
Staff:
Medical Staff: Dr. R. Rodriguez MD., MRCP., DPM., MRC. Psych, has continued to act as
Consultant Psychiatrist and Medical Director (4 sessions per week).
Educational Psychologists: Miss A. Griffiths and Mr. T. Russell, who recently joined the
School Psychological Service have visited the Clinic to carry out psychological assessments
and also for weekly case discussions. Their efforts in increasing communication with
schools has been greatly appreciated.
Social Worker: Mrs. Walton was appointed full time Social Worker in September 1972.
This is most welcome, as this for the first time, has meant there has been full time
professional coverage at the Clinic.
Child Psychotherapist: This post is still vacant.
Clerical Staff: Mrs Gurr has given valuable service as Clinic Secretary, assisted by Mrs. Lane
(one morning per week).
Building and Equipment:
Some much needed decorations were carried out during the year. The shortcomings of the present building
were partly highlighted by the failure to appoint a Psychotherapist, as the sessions can only be held on a Thursday.
It is not possible to have a full team (Psychiatrist, Psychologist, Social Worker and Psychotherapist) to work
simultaneously at this Clinic, as there are not enough rooms available.
Referral and Treatment:
68 children from the Borough were investigated and taken on for treatment (1971=78). Approximately
another 180/200 children were seen by Dr. Rodriguez in the hospitals of the Bromley Group. School Medical
Officers and General Practitioners continue to refer nearly 50% of the children seen at this Clinic.
Co-operation with outside agencies:
As in previous years, close co-operation was maintained with other disciplines in the field of education
and child care, and there were discussions with School Medical Officers, Head Teachers, Education Welfare
Officers, Social Service Department Workers, Probation Officers and Health Visitors. Inter-disciplinary case
conferences were held at this Clinic. Dr. Rodriguez attended the quarterly meetings with other Child Psychiatrists
working for the South-East Regional Metropolitan Hospital Board.
Six students attended the Clinic:—
1— Social Services Student
5— Health Visitor Students
Details of referrals and attendances during the year are as follows:—
Waiting List:
(a) Awaiting first interview 31
(b) Interviews and awaiting treatment Nil
In attendance:
(a) Active 87
(b) Periodic Review (holiday cases) 25
Number of cases closed: 74
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