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

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Tottenham 1963

[Report of the Medical Officer of Health for Tottenham]

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74
The increase in its usefulness owes much to the enthusiasm of the staff, which
has resulted in many home visits by the psychiatric social worker, innumerable contacts
by telephone, visiting to the clinic, and conference with auxiliary child workers.
All this, of course, entails greatly added work, but its results have been its potential
reward.
It is very regrettable that Dr. Craike, Senior Consultant Psychiatrist, resigned in
October; he has been much missed. The vacancy has not yet been filled, but it is hoped
that a new appointment will be made very shortly. We are also hoping to increase the
number of psychiatric social workers, and this, in turn, will entail larger premises."
Speech Therapy
Miss Joan Came, Senior Speech Therapist, reports -
"Delays in staff replacement chiefly affecting Hornsey caused difficulties in
1963.
Many children need help with language acquisition in addition to articulation
improvement. Among other aetiological factors associated with delayed onset of speech
and language are cerebral palsy, minimal neurological abnormality and cleft palate.
Recent work in linguistics and studies of the emotional origins of communication offer
valuable insight into language development. Pre-school referral provides optimum
conditions for preventive treatment and research in such cases.

Treatment of two children at the partially-hearing unit, Devonshire Hill, has given a much-appreciated opportunity to co-operate with the teachers of the deaf, under their headmaster, Mr. Brown.

Type of speech disorderNumber of children treatedNumber dischargedRemaining Under observation for review ΓΈ
BoysGirlsBoysGirlsBoysGirls
Stammering2132054114
Dyslalia271613204215
Dyslalia (sigmatism)7589912
Delayed speech development10311116
Development dysarthria2-2---
Dysarthria associated with cerebral palsy121---
Developmental dysphasia212---
Traumatic aphasia-1----
Dysphonia1--1-1
Indistinct speech631251
Cleft-palate speech1111-21
Speech disorder associated with high-frequency deafness1-----
7935493811050
Totals11487160
0 Most cases are kept for a period of Observation after treatment, before final discharge
Number of pre-school children referred20
Number of attendances for treatment2461