CHILD GUIDANCE CLINIC in pedaitrics.pptx

This ppt discusses about Child Guidance Clinic in detail.

1. CHILD GUIDANCE CLINIC Presented to- Presented by- Ms. Anjali Kaushik Ms. Garima Chaudhary Tutor MSc Nursing

2. CHILD GUIDANCE CLINIC

3. INTRODUCTION Child guidance clinic were started in 1922, as part of programme sponsored by a private organization “Common Wealth Fund’s Programme” for the prevention of juvenile delinquency.

4. INTRODUCTION The first CGC was started in India in 1939 at the TATA institute, Mumbai. The CGC in Delhi was started in 1955 at RAK CON, simultaneously with madras.

5. Specific Objectives: To introduce about child guidance clinic. To define child guidance clinic. To explain the concept of child guidance clinic. To elaborate the objectives of child guidance clinic. To enlist the faculty of child guidance clinic.

6. Specific Objectives: To describe the services provided by CGC. To explain the principles of CGC treatment. To enlist the activities of CGC. To explain the treatment provided in CGC. To elaborate role of nurse in CGC. To discuss the review of related literature.

7. DEFINITION Child guidance clinics are the specialized clinics that deals with children of normal and abnormal intelligence, exhibiting a range of behaviors and psychological problems which are summed up as maladjustments.

8. DEFINITION A child guidance clinic is one of the medico - social amenities for the organized and scientific study and treatment of maladjustment in children.

9. CONCEPT OF CGC For the all round development of a child the child’s physical and physiological functioning and the environment to which he is exposed at home and school, should be taken care off. All this is possible through interaction with and counseling of the child and his family by a health care team.

10. OBJECTIVES Providing help for children with behavioral problems like pica, bed – wetting, sleep walking, speech defects etc. Providing care and guidance for children with mental retardation.

11. OBJECTIVES Providing care for children with learning difficulties. Providing counseling, guidance and information to parents regarding care and upbringing of children.

12. FACULTY 1. Pediatrician 2. Pediatric Psychiatrist 3. Clinical Neuropsychologist 4. Pediatric Neurologist 5. Speech Pathologist and Audiologist 6. Pediatric Ophthalmologist 7. Clinical Geneticist 8. Occupational and Physical Therapist 9. Special Educators

13. SERVICES PROVIDED BY CHILD GUIDANCE CLINIC Managing behavioral problems Managing learning difficulties Managing emotional problems Managing adjustments problems Managing developmental problems Managing intellectual deficits Managing socio – legal issues

14. PRINCIPLES OF CHILD GUIDANCE TREATMENT The treatment of the child is carried out not by one person but by a team of workers. The team of staff members is constituted of a psychiatrist, a pediatrician, a PHN, an educational psychiatric social worker and playroom workers. The child is treated as a whole and the personality has many aspects, viz., physical, intellectual, educational, emotional, social and economic etc. each of these aspects is studied by the respective staff member who has specialized in that particular field.

15. THE TREATMENT Treatment of the child himself . Treatment of any physical illness if it is present. Psychotherapy which includes: Suggestion and Persuasion Hypnosis Re- education Psychoanalysis Play therapy and other forms of expressive therapies. Family attitudes as a focus of treatment Attitude therapy to the parents. Treatment of psychoneurosis or psychosis in parents, if and when necessary.

16. ROLE OF NURSE The nurse can help by identifying risk cases in the community. Educating the public. Not only encouraging but also undertaking research studies herself. Providing holistic nursing care. Help establish good child parent bond as well as good teacher parent child bond by guiding them. Be an exemplary role model.

17. REVIEW OF LITERATURE 1. Utilizing yearly clinic census data and a larger sample of children served over a three-year period by three child guidance clinics in Dutchess County, New York, this study describes the types of children seen in outpatient clinics, the actual services the children received, and the outcome of these services. The majority of clients received a combination of treatments, with each receiving a unique sequence of modalities.

18. REVIEW OF LITERATURE 2. There is a paucity of Indian studies on psychiatric morbidity in children. Present work was undertaken in a child guidance clinic in armed forces. Retrospective analysis of 213 patients who attended a child guidance clinic was done. Majority (n=138) were boys. 55.9% were referred from paediatric outpatient department while medical officers in periphery referred 38.5%. The diagnoses was mental retardation in 30.97%, behavioral and emotional disorders in 23.06% and neurotic, stress related and somatoform disorders in 15.98% cases.

19. SUMMARY Today we have discussed about the introduction, definition, concept, objectives, faculty, services provided, principles, treatment, and review of literature.

20. CONCLUSION The domain of the Pediatrician as including both physical and psychosocial aspects of growth, development and health of the individual and in order to have optimum level of health child guidance clinic is must.

21. BIBLIOGRAPHY BOOKS 1. IAP Textbook of Pediatrics. Jaypee publications. Edition 4. Page no. 1229, 1230. 2. Sharma Rimple, Textbook of Pediatric Nursing, Jaypee publications. Page no. 677, 678. INTERNET 1. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4925451/ 2.https://www.researchgate.net/publication/230276406_Child_Guidance_Clinics