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

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West Ham 1953

[Report of the Medical Officer of Health for West Ham]

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TREATMENT
Number of cases given individual therapy 56
Number of cases given group therapy 39
Number of cases given both individual and group therapy 29
Number of cases given remedial coaching 17
MAIN SYMPTOMS CONSTITUTING REASONS FOR REFERRAL FROM SCHOOL AND HOME
(a) School
Backwardness 65
Aggressiveness 15
Timidity 12
Solitariness 11
Truancy and refusal to attend school 8
Over-excitability 7
Stammering, masturbation, crying, pilfering and enuresis
each appeared on two occasions as known reasons for referral.
(b) Home
Unmanageable 34'
Temper tantrums 29
Enuresis 24
Sleep disturbance 17
Pilfering 12
Fears 12
Ficking and tearing clothes 7
Speech difficulty 7
Tics 4
Food fads 3
Soiling, masturbation, fits, Jealousy, excitability, vomiting
and vague pains appeared on a few occasions and made up the
remaining causes of referral from the home.
The table of statistics covers most of the work of the Child Guidance Clinic for the
year 1953. Where the figures show marked variation from those of the previous year they call
for comment, and in so far as they fail to reflect the total activity of the clinic, they need
amplification. Despite an increased total case load, an effective service was maintained
throughout the year and the waiting list reduced. In addition a follow-up survey, suggested
by the National Association for Mental Health was undertaken on all cases newly referred to
the clinic in 1950.
The only change in personnel occurred in November, when the Psychiatric Social Worker,
Miss Holmes, left to take up a similar appointment in Australia. Since her departure, many
mothers have written to express their appreciation of the help they had had from Miss Holmes
while their children were attending here for treatment.
Although the total number of cases dealt with during the year showed an appreciable
increase, the number of new referrals remained at a little less than two hundred. An increase
In the incidences of failed appointments resulted in some falling off in the number of
psychiatric interviews.
75