Swaroopa Beulah Perumalla

1. CHILD GUIDANCE CLINIC
BY
A. SWAROOPA, MSC (Nursing)

2. INTRODUCTION
THE 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.

3. 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.

4. 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.

5. 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.

6. SCHOOL REFUSALS, SCHOOL WITHDRAWL
OR SCHOOL ABSENTISMS.
CHILDREN WHO HAVE MENTAL
RETARDATION,
LEARNINGDISABILITIES
BEHAVIOURALPROBLEMS:LYING,STEALING,
AGGRESIVENESS,DESTRUCTIVENESS,
DISOBEDIANCE,OVER ACTIVITY.

7. 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.

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

9. )

10. PSYCHIATRIST
CLINICAL PATHOLOGIST EDUCATIONAL
PSYCHOLOGIST
PSYCHIATRIC SOCIAL WORKER
PUBLIC HEALTH NURSES
PEDIATRICIAN
PSYCHOLOGIST
TEAM MEMBERS:
MULTI DICIPLINANARY TEAM COMPRISING
OF A

11. SPEECH THERAPIST
SOCIAL WORKER
NURSES
TEACHERS
OCCUPATIONALTHERAPIST
NEUROLOGIST
THE PSYCHIATRIST IS THE CENTRAL
FIGURE WHO DOES THE CORRECT
DIAGNOSIS AND FORMULATING THE LINE OF
TREATMENT.

12.  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.

13. SERVICES PROVIDED AT CHILD
GUIDANCE CLINIC ARE
PEDIATRICIAN 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.

14. 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.

15. EG:MEDICAL TREATMENT
INDIVIDUAL PSYCHO THERAPY
FAMILY AND MARITAL THERAPY
BEHAVIOUR AND COGNITIVE THERAPY
OCCUPATIONAL THERAPY
GROUP THERAPY
PLAY THERAPY
COUNSELLING
SUGESSIONS
CHANGE IN THE PHYSICAL ENVIRONMENT
RECONSTRUCION OF PARENTAL
ATTITUDES ETC.