INTRODUTION Child guidance clinic was started in 1909, in Chicago It started to deal with problems of juvenile delinquency In India, the first child guidance clinic was started in 1939 at the TATA institute, Mumbai
DEFINITION “Child guidance clinic are specialized of normal and abnormal intelligence exhibiting a range of behaviours and psychological problems which are summed up as maladjustments” A child guidance clinic is one of the medico-social amenities for the organised and scientific study and treatment for maladjustments in children
OBJECTIVES Providing help for children with behavioural problems like pica, bed-wetting, sleeping walking, speech defects etc Providing care and guidance for children with mental retardation Providing care for children with learning difficulties Providing counselling, guidance and information to parents regarding care and upbringing of children
Providing help for children with behavioural problems include : interviewing and interacting with child and parents Give appropriate advice and counselling to both child and parents Behaviour modification therapy
Providing care and guidance for children with mental retardation including : Offering counselling to parents about the exact nature of mental sub normality in their child Providing supportive medical and rehabilitative services Advice regarding placement in appropriates schools / vocational training centres Forming peer support groups
Providing care for children with learning difficulty : Patient identification of cause and type of learning difficulty in the child Complete physical developmental assessment Counselling of the parent and referring the children to special schools for training education when needed
PRINCIPLES OF CHILD GUIDANCE TREATMENT The treatment of the child is carried out not by one person but by a team of members Team members of child guidance clinic : Psychiatrist, Clinical psychologist Educational psychologist Psychiatric social workers Community health nurses Speech therapist Neurologist Paediatrician
The child as treated as whole and the personality has many aspects, i . e. physical, emotional, intellectual, educational, social and economic etc. each of these aspects is studied by the respective staff members who has specialized in that particular field
TREATMENT The treatment can be divided broadly as : Treatment of the child himself Family attitudes as a focus of treatment
Treatment of the child himself : Treatment of any physical illness if it is present Psychotherapy which includes: - suggestion and persuation - hypnosis - re-education - psycho-analysis
c. Play therapy and other forms of expressive therapies d. Change of environment as treatment : Foster home placement Institutional placement School’s part in changing the child’s behaviour
2. Family attitudes as a focus of treatment : Attitude therapy to the parents Treatment of psychoneurosis or psychosis in parents, if and when necessary Activities : Good follow up Continuous monitoring Counselling Need based assistance Help from care takers, teachers and parents
ROLE OF NURSE Nurse plays an important role in the child guidance clinic The nurse can help prevent by identifying risk cases in the community Educating the public Not only educating but also undertaking research studies herself Provide holistic nursing care Be a exemplary role model Helps to establish good child – parent bond, as well as good teacher – parent child bond by guiding them