Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
[Report of the Medical Officer of Health for Harrow]
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There is therefore a tendency for social work staff to gain rapid
promotion outside the service as a result of experience gained in it,
whereas to stay on entails a financial sacrifice which is often intolerable to
the person concerned.
A too rapid turnover of social work staff, and delay in finding suitable
replacements, leads to a deterioration in the services offered direct to
clients, and often diminishes the scope of their colleagues' work as well.
The unique contributions of the Child Guidance Service are:-
(1) child psychotherapy in close conjunction with family casework,
and psychiatric supervision;
(2) specialist teaching, with psychiatric support, for very severely
disturbed children;
(3) an economical approach to diagnostic and therapeutic consultations
with children and their parents;
(4) provision of a setting which brings together five professions
intimately concerned with children's education, health and emotional
development, these professions being readily available for joint case
conferences and consultations;
(5) training, consultation and supervision in a child-centred treatment
approach to the family.
Number of Cases 101*
Source of Referral :
(a) Medical Officer of Health 12
(b) General Practitioner 38
(c) Children's Officer 4
(d) Educational Psychologist 11
(e) Probation Officer 4
(f) Parents 11
(g) Transfer from other Clinics/Agencies 3
(h) Hospital Paediatrician/Psychiatrist 4
(i) Head Teacher (through Educational Psychologist) 14