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Part II
SPECIALIST SERVICES
AUDIOMETRY
The routine audiometry service was continued as in previous years with the audiometer
operator working on a part-time basis of three days per week. Investigations were continued in
Junior and Infant Departments of Primary Schools.
Number of children tested 6,790
Number found to have normal hearing 6,323
Number found to have a hearing loss 467
Of the 467 children found to have a hearing loss:
105 were found to have a hearing loss in the right ear
143 were found to have a hearing loss in the left ear
219 were found to have a hearing loss in both ears
The 467 children were referred for examination by the school doctors with the following
results:
45 were found to have normal hearing on clinical testing
258 were noted for re-examination
1 was referred to a hospital
35 were referred to G.P's
5 were referred to Audiology Units
69 were already attending hospital
20 were already attending Audiology Units
11 had left the area
23 still under observation
CHILD GUIDANCE CLINICS
I am grateful to Dr. R. P. M. Urquhart, Medical Director for the following report:
The past year was distinguished by the higher standards of work possible consequent on
having a larger and more highly trained staff. The Clinics have been fortunate in being able to
attract well qualified students from centres of advanced training to undertake professional work
while continuing their studies. The demand for psychiatric and psychotherapeutic help continues
to exceed the provision of professional time.
Staff
The number of psychiatric sessions available has continued to prove insufficient, although
for large portions of the year the psychiatrist has worked the two extra sessions which the Regional
Board allowed. There is a need for further psychiatric time; a further part-time consultant or senior
registrar would be appropriate.
The psychiatric social workers have been able to cope with increased demands on their
clinical skills, and the administrative work entailed in arranging more individual and family treatment.
Mrs. H. Bonard at the Hayes Clinic has maintained her extensive local contacts built up over
many years with numerous individuals and agencies, and for much of the year was involved in
collaborative treatment of children and families with Mr. Campbell, psychotherapist, in addition
to the psychiatrist. At the Uxbridge Clinic, Miss R. Reynolds, and Mrs. E. S. Jones, who works
part-time, were already fully extended in their work with parents before the number of psychotherapists
was increased, and the service would have faltered without the considerable extra
work beyond Clinic hours which they contributed.
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