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

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  • Table on page 111
    Table (i)— Source of referral of all cases
    Mentally illSubnormal and severely subnormalTotal 1964Total 1963
    With a view to hospital admissionCommunity care
    No.%No.%No.%No.%No.%
    Text on page 111

    Community care No. % No. % No. % No. % No. % Psychiatric hospital or ward 608 13.0 999 35.9 1ll 9.4 2,471 28.5 2,568 28.8 Psychiatrist at general ward 303 6.5 80 2.9 Non-psychiatric referrals from hospitals 340 7.3 30 1.1 Psychiatric out-patient clinic

    Text on page 106

    hospitals for persons living in their catchment areas and psychiatric departments of general hospitals, to a club run by the psychiatric department of one of the London teaching hospitals (which has an average attendance of 50) and to other

  • Text on page 96

    psychiatrist employed by the Council as its adviser in mental health. In 1955 the number of psychiatric social workers rose to four—one of the positions becoming a senior post during 1957. Nature of psychiatric case-work Psychiatric social workers

    Text on page 98

    psychiatric social workers. The present consultative development is therefore invaluable, both as giving information about the ways in which such a ' diluted ' service might function, and in showing psychiatric social workers how to make the best

    Text on page 123

    schools for the maladjusted The arrangements for psychiatric services at other boarding special schools, approved schools and other residential establishments, described in previous reports, continued. Psychiatric services at other residential

    Text on page 99

    worker to maintain any previous contact there may have been, or, with new referrals, to make the first approach while they are still in hospital and their relationship to the psychiatrist and other staff is actively appreciable. The fact that

    Text on page -

    A bus brings children to an occupation centre. Psychiatric testing at a special welfare clinic. Play activity by a nursery group. Juniors make up scrapbooks h

    Text on page 107

    was examined independently both by myself and the senior psychiatric social worker concerned to see what proportion of cases might have benefited from the services of a psychiatric worker. In the event it was found that in only one or two per

  • Text on page 33

    Rehabilitation Association hostel, Nicholas House, just across the border in Tower Hamlets, housed twelve Hackney people during the year. A community home in Tottenham gave accommodation for one Hackney client. The Psychiatric Rehabilitation

  • Text on page 39

    appointment was made, for shared duties with Cane Hill Hospital. One result of discussion in the Psychiatric Advisory Committee on the desirability of having a psychiatric nurse for making domiciliary visits to psychiatric patients after

    Text on page 38

    in the life of the new borough between the department and consultant of the psychiatric hospitals serving the area, with the formation later of the Psychiatric Advisory Committee to the Medical Officer of Health (one of the speciality advisory

  • Text on page 114

    the psychiatric work was with boys. The number of psychiatric reports requested by the Courts was 783, of which 17 were for girls. This represented a reduction on the previous years: 1948—800 psychiatric reports and 1949—902. In addition 17

    Text on page 117

    by both the cottage staff and the teachers that discussions with the psychiatric social workers and the therapist might be initiated. We are satisfied that the group method will repay further attention and experiment." Psychiatric social

  • Text on page 71

    Health Act, 1959. Both the mental welfare officers and the mental health social workers transport patients in their cars to and from the psychiatric hospitals, in case of emergency. The psychiatric social workers are largely concerned with

  • Text on page 56

    the qualifications, training and experience of all social workers working in mental health to that of the psychiatric social worker we are accustomed to deal with in the hospital setting. Are we turning back the clock to the time of the Duly

    Text on page 81

    cases which otherwise might need the more specialised care of the psychiatric team. It is only by increasing such awareness that the very small available resources of a part-time psychiatric service can hope to cover the vast extent of disturbance

  • Text on page 55

    55 MENTAL HEALTH Psychiatric Services The psychiatric services depend to a great extent on a close integration between hospital and community services, and

    Table on page 56
    Details are as follows:
    YearTotal ReferredAdmissions Under Mental Health ActInformal Admissions
    EmergencyWith Psychiatric ConsultationWith Psychiatric Consultation
  • Text on page 98

    social workers Community care and after care Authority was given for the employment of an additional psychiatric social worker, making the establishment one senior psychiatric social worker and four psychiatric social workers. Unfortunately

  • Text on page 87

    cases) cannot be assessed by us because of our lack of sufficient knowledge of the various methods of psychiatric treatment, and of approaches to psychiatric diagnoses in a young child. There is a clear indication for improvement of psychiatric

    Text on page 77

    25.3 **** N.B The absence of psychiatric handicaps in this Table is caused by lack of information from hospitals dealing with psychiatric cases, and not to the absence of psychiatric problems in the 0-5 population in Lambeth. TABLE 8 OBSERVATION

  • Text on page 54

    health and, in particular, close liaison with psychiatric hospitals continued. The Psychiatric Advisory Committee to the Medical Officer of Health, consisting of four consultants from psychiatric hospitals with catchment areas in the

  • Text on page 116

    able to make use of the Consultant Services of 4. Three full-time Educational Psychologists who were jointly appointed to the Psychiatric Service and School Psychological Service. A second Clinic is opening at Vale Drive Health Clinic in June,

    Text on page 71

    Council's long term plans for future development. Hospital Services Napsbury Hospital remains the sole psychiatric hospital providing cover for the mentally ill in the Borough. The hospital also provides excellent out-patient facilities

  • Text on page 53

    practitioners, who recognise the early symptoms of emotional and psychiatric disorders. Psychiatric help and advice given by the mental welfare officers, sometimes coupled with out-patient psychiatric treatment, often enables the patient

    Text on page 163

    HEALTH Work of Mental Welfare Officers (a) Mental Illness : Compulsory admissions to psychiatric hospitals 108 Informal admissions to psychiatric hospitals 111 Number of visits and office interviews 5,834 (b) Mental Subnormality : Number

    Text on page 55

    capable of working. They are encouraged to resume their places in society with increased confidence. The Principal Medical Officer, the Principal Mental Welfare Officer and the Warden consider the suitability of each patient for admission usually

    Text on page 115

    consists of one part-time psychiatrist (eight sessions per week), one psychiatric social worker, two full-time and one part-time educational psychologists and one psychotherapist. The psychiatric social worker and the psychotherapist

  • Text on page 69

    officers and the mental health social workers transport patients in their cars to and from the psychiatric hospitals. The psychiatric social workers are largely concerned with the after-care and rehabilitation of persons discharged after

  • Text on page 55

    Psychiatric Social Worker, left to take up an appointment as Principal Mental Health Social Worker in Redbridge. Mrs. Gray, Psychiatric Social Worker, transferred to Raphael House in Romford. Mr. B.R. Munday, Psychiatric Social Worker, left

  • Text on page 37

    a case is referred and the initial psychiatric interview. Staffing 383 psychiatric sessions were held during the year and the total number of cases seen during this time was 1,240. This represents about 3.3 cases per session, but it will be

  • Text on page 78

    Worker Attendances by parents and children at Clinic: Psychiatrists 675 Play Therapist 291 Educational Psychologist 578 Psychiatric Social Worker 64 Home Visits: Educational Psychologist 21 Psychiatric Social Worker 47 School Visits:

    Table on page 78
    The following statistics relate to the work of the Child Guidance team in 1951, although they can give little idea of that accomplished owing to the individual and time consuming nature of this form of treatment.
  • Text on page 27

    weekly sessions amounted to 9 psychiatric and 8 lay psycho-therapeutic. In addition a fortnightly psychiatric session has been allowed for six months to reduce the waiting list. The permanent staff comprise—2 Educational Psychologists, 2 Psychiatric

    Text on page 25

    Diagnostic interviews 65 Cases taken on for treatment 20 Treatment interviews 317 Other interviews 3 No. of psychiatric sessions per week 4 (b) Psychologists Clinic cases tested 68 Cases given remedial education 14 Treatment interviews (remedial

    Table on page 25
    TABLE I Analysis of Figures for 1955
  • Text on page 61

    psychiatric social workers 220 Total attendances to see psychiatric social workers (paints) 1 605 Total attendances to see psychiatrist (parents and/or chi Idren) 461 Number of cases treated by psycho therapist 20 Total attendances to see

    Table on page 119
    Table 23 Work of mental health social workers during 1970
    Mental illnessMentally handicapped and severely mentally handicapped
    Text on page 28

    The extension to the Hounslow Health Centre for 12 family doctors and for child Psychiatric and Psychological services

    Text on page 10

    Inspectors 6 Rodent Officer 1 Rodent Operators/General Duties Assistants 8 Mortuary Attendant 1 Psychiatric Social Workers 3 Senior Psychiatric Social Worker Mrs A Lees BSc MHO Mental Health Social Workers 13 Chief Mental Health Social Worker

    Text on page 12

    Assistants 2 Hounslow Day Centre Sister in Charge 1 Mrs 01 McClennon SRN RMN Deputy Sister 1 Staff Nurse 1 Nurse SEN 1 Psychiatric Social Worker 1 Occupational Therapist 1 General Assistant 1 12

  • Text on page 82

    STATISTICS. Interviews at Clinic— Psychiatric Interviews 465 Psychologist 421 Tests 95 Coaching 152 Play Group 174 Psychiatric Social Worker 448 Interviews outside the Clinic— School Visits by Psychologist 18 School Visits by Psychiatric Social

  • Text on page 52

    Council left the service in June, and at the end of the year, efforts to replace this officer had been unsuccessful. Pre-care and after-care patients attending the Psychiatric Out-patient Clinic are visited by the Psychiatric Social Worker employed

    Text on page 73

    Secretary Mrs,Peters (Full-time) Interviews at clinic Psychiatrist's interviews 912 Psychologist's „ 384 Psychiatric Social Worker's interviews 610 Interviews outside clinic School visits by Psychologist 10 Testing interviews at school

  • Text on page 90

    and consideration is being given to the creation of a further post for next year. Psychiatric The original establishment was five posts of Psychiatric Social Workers Social Worker to be appointed jointly with the local Hospital Management

    Text on page 87

    arrangements with Hospital Authorities (i) Psychiatrists — 2 .82 (ii) Educational Psychologists 2 2 (iii) Psychiatric Social Workers 4 4 (iv) Play Therapists - - - (v) Social Workers — Qualified — — — Unqualified - - - (vi) Child Psycho- Therapists

  • Text on page 127

    appended below and the 1959 figures are given for comparison purposes: - 1960 1959 Admitted to Psychiatric Hospitals 21 18 Admitted to Psychiatric Hospitals(mental illness) 1 3 Admitted to Hospitals for Siort-Term Care 15 13 Transferred from

    Table on page 127
    Mental Health Act 1959 - Subnormality and Severe Subnormality During the year 15 new cases were ascertained, compared with 22 in 1959, and the total number of cases on the authority's registers is now 841 made up as follows:-
  • Text on page 147

    nice if the title "Child and Family Psychiatric Clinic" could be given formal acknowledgment, and for this psychiatric service to be recognised as a part of the psychiatric services to the community as a whole. There is a high degree of co-operation

    Text on page 26

    Medical, Surgical, Fracture, Paediatric, Gynaecology, Ear, Nose and Throat, Maternity, Orthopaedic, Psychiatric, Adolescent, Orthodontic, Rheumatology, Diabetic, Dermatology, Ophthalmology, Pathology, Chest Diseases, Oral Surgery

    Text on page 61

    acts as psychiatric adviser to the Health and Welfare Department and assists in the appointment of mental health staff. The duties of a mental welfare officer demand social work skills together with embracing a knowledge of psychiatric disorders,

    Text on page 148

    cases initially seen by psychiatrist during the year 110 New caseload initial distribution: Psychiatrist 51 Psychiatric Social Worker 49 Psychologist 10 Total of caseload during the year 471 All cases - closures during the year: Treatment completed

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