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 Brent]
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The Brent Consultation Centre as a "walk-in service" for adolescents is most welcome. A few of the
older children referred to the Child Guidance Centres have been passed on there. Dr. Friedman serves on
the honorary treatment panel, Mr. Graham is their honorary consultant psychologist and Mrs. Lester acts as
P.S.W.
Liaison with agencies outside the Borough is not always as efficient as one would desire. This occurs
(a) when a schoolchild is referred, usually by a local G.P., to a London hospital child psychiatry outpatients
department, (b) when a schoolchild is brought before the Juvenile Court and remanded in custody for
psychiatric reports. In both cases children will be seen, although not by the Brent Child Guidance Service,
and they may also be referred by the Schools. The resultant fragmenting of responsibility causes difficulties
from time to time, since the Educational Psychologists cannot get involved in somebody else's cases.
In conclusion, the Child Guidance Service is most grateful to Mr. Wyeth and the Education Department,
and Dr. Grundy and the Health Department for the close co-operation and help which is always
forthcoming.
CHILD GUIDANCE CENTRES
Table 1. Referrals
Number of cases referred to the Centres in 1968 (124 girls, 252 boys) | 376 | |
Number of cases brought forward from 1967 waiting list | 79 | |
Number of new cases dealt with by psychiatrist and team | 230 | 455 |
Number of cases investigated by Educational Psychologist and P.S.W. or withdrawn before full investigation | 109 | |
Cases remaining on waiting list at 31.12.68 | 116 | |
Number of cases seen for regular treatment | 182 | 455 |
Number of cases recommended for residential placement | 24 |
Table 2. Sources of Referrals
M.O.H. and School Medical Officers | (18%) | 66 |
Headteachers and Educational Psychologists | (25%) | 95 |
General Practitioners | (13%) | 50 |
Hospitals | (4%) | 14 |
Probation Officers and Juvenile Courts | (2%) | 7 |
Parents | (25%) | 95 |
Children's Department | (7%) | 26 |
Others | (6%) | 23 |
376 |
Table 3. Reasons for Referral
1. | (11%) | |
(a) Fears and anxieties | 30 | |
(b) Inhibited behaviour | 12 | |
2. | (46%) | |
(a) At home | 94 | |
(b) At school | 54 | |
(c) Predominantly aggressive | 23 | |
3. | (14%) | |
(a) Enuresis (wetting) | 33 | |
(b) Involuntary movements | 5 | |
(c) Sleep disturbance | 9 | |
(d) Speech disorders | 5 | |
(e) Head banging | 2 | |
4. | Psychosomatic | (5%) |
Asthma, Eczema, etc | 17 | |
5. | (16%) | |
(a) Stealing | 32 | |
(b) Non-attendance at school | 29 | |
6. | Psychotic behaviour | 2 |
7. | Educational difficulties | (8%) |
Backwardness and retardation in school work | 29 | |
376 |