CHILD GUIDANCE CLINIC

BYA. SWAROOPA, MSC (Nursing)

INTRODUCTIONTHE FIRST CHILD GUIDANCE CLINIC WAS STARTED IN CHICAGO IN 1990.

THEY HAVE GROWN IN NUMBER THROUGH OUT THE WORLD.

THE FIRST CGC WAS STARTED IN INDIA IN 1939 AT THE TATA INSTITUTE MUMBAI.

DEFINITION:CHILD GUIDANCE CLINIC ARE SPECIALIZED CLININCS THAT DEAL WITH CHILDREN OF NORMAL AND ABNORMAL INTELLIGENCE, EXHIBITING A RANGE OF BEHAVIORS AND PSYCHOLOGICAL PROBLEMS WHICH ARE SUMMED UP AS MALADJUSTMENTS.

OBJECTIVES:THE CHILD GUIDANCE CLINIC IS TO PREVENT

CHILDREN FROM THE POSSIBILITIES OF BECOMING NEUROTICS AND PSYCHOTICS IN LATER LIFE.

PROVIDING COUNSELLING AND GUIDANCE TO PARENTS.

PROVING HELP FOR CHILDREN WITH BEHAVIOURAL PROBLEMS, LEARNING DIFFICULTIES.

PROVIDING HELP FOR CHILDREN WITH BEHAVIORAL PROBLEMS.

LIKE PICA, BED WETTING (NOCTURNAL ENURESIS), SLEEP

WALKING (SOMNAMBULISM), BREATH HOLDING SPELLS,

TEPER TANTRUMS, HABITS(THUMB SUCKING, NAIL BITING, HEAD

BANGING, TEETH GRINDING, STAMMERING, AUTISM, DRUG ABUSE AND SCHOOL PHOBIA.

SCHOOL REFUSALS, SCHOOL WITHDRAWL OR SCHOOL ABSENTISMS.

CHILDREN WHO HAVE MENTAL RETARDATION,LEARNINGDISABILITIES BEHAVIOURALPROBLEMS:LYING,STEALING,

AGGRESIVENESS,DESTRUCTIVENESS, DISOBEDIANCE,OVER ACTIVITY.

EMOTIONAL & MOOD DISORDERS EX: DEPRESSION, SCHOOL REFUSALS,FEARS.

ADJUSTMENT REACTIONS EX: SCHOOL RELATED PROBLEMS, GRIEF.

DEVELOPMENT DISORDERS. EX: AUTISM BED WETTING AND SOILING.

INTELECTUAL DEFICIT.

SCHOOL LEGAL ISSUES AND PROBLEMS EX: SEXUAL OFENCES, CHILD ABUSE, AND HEAD INJURIES.NEUROSES (ANXIETY, PHOBIAS, OBSESSIONS).PSYCHOTICDISORDER (SCHIZOPHRENIA).

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PSYCHIATRIST CLINICAL PATHOLOGIST EDUCATIONAL PSYCHOLOGISTPSYCHIATRIC SOCIAL WORKERPUBLIC HEALTH NURSESPEDIATRICIANPSYCHOLOGIST

TEAM MEMBERS:MULTI DICIPLINANARY TEAM COMPRISING OF A

SPEECH THERAPISTSOCIAL WORKER NURSESTEACHERSOCCUPATIONALTHERAPIST NEUROLOGIST THE PSYCHIATRIST IS THE CENTRAL FIGURE WHO DOES THE CORRECT DIAGNOSIS AND FORMULATING THE LINE OF TREATMENT.

THE TEAM MEETS REGULARLY ONCE IN 2 WEEKS.

SCREENS ALL THE CHILDREN EARLY STIMULATION GIVES A PROGRAMME FOR THE CHILDREN

WHO HAVE NOT BEEN INTERVENED FOLLOW-UP REINFORCES BY TRAINING THE CARETAKERS.

SERVICES PROVIDED AT CHILD GUIDANCE CLINIC AREPEDIATRICIAN TAKES CARE OF THE PHYSICAL HEALTH OF THE CHILD.

THE PSYCHIATRIST IS THE CENTRAL FIGURE AND IS HELPED BY OTHERS IN ARRIVING AT A CORRECT DIAGNOSIS AND FORMULATING THE LINE OF TREATMENT.

THE CORE OF THE THERAPY IS PSYCHO THERAPY INORDER TO RESTORE POSITIVE FEELINGS OF SECURITY IN THE CHILD. INORDER TO ACHIEVE THIS MANY METHODS ARE EMPLOYED.

EG:MEDICAL TREATMENTINDIVIDUAL PSYCHO THERAPYFAMILY AND MARITAL THERAPYBEHAVIOUR AND COGNITIVE THERAPYOCCUPATIONAL THERAPYGROUP THERAPYPLAY THERAPY COUNSELLING SUGESSIONS CHANGE IN THE PHYSICAL ENVIRONMENTRECONSTRUCION OF PARENTAL ATTITUDES ETC.

THANK YOU