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

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Harrow 1965

[Report of the Medical Officer of Health for Harrow]

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124
Reasons for Referral :
Nervous Disorders (Fears, Depression, Anxiety, Refusal
to attend school) 20
Behaviour Disorders 43
Psychosomatic Disorders (Asthma) 6
E.S.N. (Psychiatric Supervision) 1
Anti-Social Behaviour 18
Habit Disorders (Enuresis, Soiling, Speech difficulties,
Sleeping difficulties, Eating difficulties, Masturbation)
14
Lack of School Progress/Backwardness 13
Source of Referral :
Medical Officer of Health
General Practitioner
Children's Officer
Educational Psychologist
Probation Officer
Hospital Paediatrician/Psychiatrist
Health Visitor
Director of Education
Head Teacher
Parent
School Psychological Service
The School Psychological Service is widely used and all types of school,
from Nursery to Grammar School, refer children for investigation. The
Primary Schools make the largest number of referrals, most of these being
children with learning difficulties, particularly in reading. Many of these
children also present behaviour difficulties, and schools refer some children
at the request of the parents. Some individual remedial work is carried out
within the School Psychological Service, but in most cases recommendations
are made to the school concerned. In almost all cases, visits to the
school are made by the Educational Psychologist involved, and parents
are always interviewed, usually before the child is seen. Full psychological
reports are prepared and sent to the schools, with copies to the Director
of Education and the Medical Officer of Health. The School Psychological
Service also "screens" children in that children obviously in need of
psychiatric help are referred on to the Consultant Psychiatrist, who, in
turn, frequently refers children to the Educational Psychologist for psychological
and educational assessment.
Number of cases referred and seen by psychologist 151
Reasons for Referral :
(1) Learning difficulties
(2) Behaviour problems at home/at school
(3) Refusal to attend school
(4) Educational assessment as part of the clinical work of the Centre
10
35
5
19
2
19
2
2
12
9