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Intelligence of Children Tested:
Below average
Average 44%
Above average 46%
Reasons for referral:
Emotional disorders:
Pear 10
Seclusiveness 1
Apathy 1
Psychosomatic disorders:
Speech disturbance 3
Sleep disturbance 8
Feeding difficulties 1
Nervous pains 2
Enuresis 15
Soiling 1
Physical disorders: 4
ehaviour disorders:
Unmanageable 5
Temper tantrums 9
Aggressiveness 10
Jealousy 2
Demanding attention 2
Truancy 10
Delinquency:
Stealing 10
Sex difficulties: 2
Educational difficulties:
Backwardness 11
For opinion concerning placement 8
For estimation of I,Q# 5
This Clinic has now been providing a Child Guidance service for West Ham Borough
since 19^5 o The experience of six years has indicated and emphasised the special
difficulties which hamper the effectiveness of the service in this area. The statistics
for the year 1950 differ little from those of previous years. They indicate something of
the general activity of the clinic. They also reveal some recurrent problems and
indicate the directions in which improvement of the service may be sought.
The total number of cases referred during the year is thzjee less than the number
for the previous year. It is about one hundred less than the minimum expectation of cases
as estimated on a basis of from one to two per cent of an average school population
(Blacker - "Neurosis and Mental Health Services", 1946). This suggests that there are
as many undetected as detected maladjusted in the schools of West Ham. It also invites
the assumption that the maladjustment must be gross and correspondingly intractable
before it merits referral to Child Guidance Clinic. This assumption is supported by the
relatively high percentage of cases requiring active treatment at the clinic. More than
8o# of cases require treatment. Less than 20# of cases are dealt with by full diagnosis
and appropriate advice to parents and/or schools. If more cases were referred during the
early stages of maladjustment, a smaller percentage would require prolonged treatment
and the annual turnover of cases would be greater and the service generally more effective.
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