Child Guidance Clinics: A Comprehensive Overview
CHILD GUIDANCE CLINIC
INTRODUCTION
Child guidance clinic was started in
1909 in Chicago to deal with problem
of learning difficulties, Poor School
performance or emotional Problems in
a setting where various specialties are
available under one roof and where
children or their parents can walk in
comfortably to seek help.
DEFINITION
Child guidance clinic are
specialized clinics that deal with
children 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 organized and scientific study
and treatment of maladjustment
in children
Removal of the particular behavior problem
for which a child is referred, treatment is
directed to the child as a whole.
The total personality of the child is studied and
treated in order to make him better adapted
to his environment.
All this is possible only through repeated
interactions and counseling of the child and
family by a team of specialist including:
Pediatrician,
Neuropsychologist
Behavioral Therapist,
Speech Therapists and
Special Tutor Trained
This is the basic philosophy of CGC.
To bring harmonious relations between the
parents as the lack of these is causing the
child’s misbehavior. Modification of such
faulty parental attitude as far as
responsible for the child’s maladjustment is
another important aim of treatment
.
Providing help for the children with behavioral
problems like pica,enuresis, somnambulism,
breath holding spells, temper tantrum habits
thumb sucking, nail biting, head banging,
stammering, tics.
Interviewing and interacting with the child and the
parents.
Give appropriate advice and counseling to both
parents and child.
Behavioral modification therapy. Providing
counseling, guidance and information to parents
regarding care and bringing up of their children
MANAGEMENT…….
Providing care for children with learning
difficulties which includes:-
Early identification
Physical examination
Personal interview
Counseling the parents and refer
FACULTY
ACTIVITIES
Initial triage, assessment and evaluation
Individual, family and group therapy
Psychological evaluation
Psychiatric evaluation and medication management
Sexual abuse evaluation and treatment
Anger management and psycho-educational
groups
Parent groups
Training and consultation to schools and
community organizations
INTAKE INTERVIEW
This is a major step in diagnosis, with information from
parents, child, and report from teacher and samples from
the child’s work, to identify the child’s problems and to
determine which other specialist needs to examine the
child, if necessary.
PHYSICAL/ NEUROLOGICAL
EXAMINATION
This is done to rule out soft neurological
signs and sensory deficits. Tests like EEG or
other investigations may be done for the
same.
ASSESSMENT OF POOR SCHOOL PERFORMANCE
(LEARNING DISORDERS)
The basic sets of assessments include:
Tests of general Intelligence (IQ) and Types
of Intelligence| Assessment of Academic
Skills- Reading, Writing, Spelling, Math's and
Language|
Assessment of Pre academic Skills
(for children below 6 years)| Tests of
Speech and Language| Identification
of Special Abilities/ Aptitude
Testing| Neurological assessment/
EEG, etc.
PARENT AID PROGRAM
The Parent Aid Program provides home based
education, advocacy and case management
services to families. Through a diverse staff of
Family Outreach Workers, provides support
and encouragement while assisting families in
mobilizing their personal resources. There is no
fee to the families who participate in the
program and services.
SERVICES INCLUDE
Home based parent education and
support
Advocacy
Coordination of Services
Reunification Services
Case Management
SUBSTANCE ABUSE PROGRAM
Adolescent Substance Abuse services are
offered to youth to assist in making the
behavioral, psychological, and lifestyle
changes to become drug and alcohol free
and avoid relapse.
PROGRAM COMPONENTS INCLUDE
Evaluation
Group Treatment
Individual and Family Therapy
Family Education and Support
ECCP,( Early Childhood Consultation
Partnership)
THERAPIES
Therapy
After initial information is gathered and the
nature of the child’s presenting challenges is
determined, treatment will begin. This usually
takes the form of meeting with the child
individually as well as having meetings with the
entire family.
Services
are offered on sliding
fee scale, based on income and family size. No
one is denied services because of inability to
pay.
Individual and Family Therapy
Cont……
Child Guidance Center use a family
systems model, which views the child not in
isolation, but rather as a part of the family
system where each member has a role and
influence on every other member
Staff works with the child and family by
introducing them to a wide range of cognitive
behavioral interventions such as offering:
Alternative ways of viewing the situation,
Introducing relaxation techniques,
suggesting positive ways to reframe an issue,
Presenting behavior modification
techniques such as a reward system.
Group Therapy
All group therapy is conducted offsite, with
referrals coming from our community partners.
The purpose of group therapy is to help
children develop skills for positive peer
interaction.
Cont……
as well as encouraging young people
to talk about their feelings through
appropriate means of expression
instead of screaming, fighting, or
withdrawing. The group also provides
feedback for the children about how
other children perceive them.
PLAY THERAPY
In play therapy therapists use the
therapeutic powers of play to help clients
prevent or resolve psychosocial challenges
and achieve optimal growth and
development.
A working definition might be a form of
counseling or psychotherapy that
therapeutically engages the power of
play to communicate with and help
people, especially children, to engender
optimal
integration
and
individiualization
.
CONT…………..
According to the
psychodynamic
view, people
(especially children) will engage in play
behavior in order to work through their interior
anxieties
. In this way, play therapy can be used
as a self-help mechanism.
From a developmental point of view, play
has been determined to be an essential
component of healthy child development.
Play has been directly linked to
cognitive
development
.
ROLE OF NURSE
The nurse can help prevent by
identifying risk cases in the
community.
Educating the public
Not only encouraging but also
undertaking research studies herself
Provide holistic nursing care
Lobby for child rights
Nurse plays an important role in the
child guidance clinic
Help establish good child parent
bond as well as good teacher parent
child bond by guiding them
Be an exemplary role model
CONCLUSION
Child guidance clinic provide comprehensive
mental health, educational developmental,
behavioral and consultation services to
communities. clinical services for child
guidance gives effect to the best current
thinking about the way to prevent delinquency
and mental disease.
Child guidance clinics provide specialized services for children facing learning difficulties, poor school performance, or emotional problems. Originating in Chicago in 1909, these clinics offer various specialties under one roof, promoting easy access for children and parents seeking help. In India, the first clinic was established in Mumbai in 1936, with subsequent developments in Ranchi. These clinics focus on addressing a range of behavioral and psychological issues in children, aiming to facilitate their adaptation to the environment. Principles of child guidance clinics involve treating the child holistically and fostering harmonious family relations to address maladjustments.
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Presentation Transcript
INTRODUCTION Child guidance clinic was started in 1909 in Chicago to deal with problem of learning difficulties, Poor School performance or emotional Problems in a setting where various specialties are available under one roof and where children or their parents can walk in comfortably to seek help.
The first child guidance clinic was organized in India in 1936 at Mumbai. A child guidance clinic was started in 1950 at Ranchi city and an independent 50-bed child psychiatry unit started in 1975.
DEFINITION DEFINITION Child guidance clinic are specialized clinics that deal with children 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 organized and scientific study and treatment of maladjustment in children
PRINCIPLES OF CHILD GUIDANCE CLINIC PRINCIPLES OF CHILD GUIDANCE CLINIC Removal of the particular behavior problem for which a child is referred, treatment is directed to the child as a whole. The total personality of the child is studied and treated in order to make him better adapted to his environment.
All this is possible only through repeated interactions and counseling of the child and family by a team of specialist including: Pediatrician, Neuropsychologist Behavioral Therapist, Speech Therapists and Special Tutor Trained This is the basic philosophy of CGC.
To bring harmonious relations between the parents as the lack of these is causing the child s misbehavior. Modification of such faulty parental attitude as far as responsible for the child s maladjustment is another important aim of treatment.
Providing help for the children with behavioral problems like pica,enuresis, somnambulism, breath holding spells, temper tantrum habits thumb sucking, nail biting, head banging, stammering, tics.
Interviewing and interacting with the child and the parents. Give appropriate advice and counseling to both parents and child. Behavioral modification therapy. Providing counseling, guidance and information to parents regarding care and bringing up of their children
MANAGEMENT. MANAGEMENT .
Providing care for children with learning difficulties which includes:- Early identification Physical examination Personal interview Counseling the parents and refer
FACULTY FACULTY
ACTIVITIES ACTIVITIES Initial triage, assessment and evaluation Individual, family and group therapy Psychological evaluation Psychiatric evaluation and medication management Sexual abuse evaluation and treatment
Anger management and psycho-educational groups Parent groups Training and consultation to schools and community organizations
INTAKE INTERVIEW INTAKE INTERVIEW This is a major step in diagnosis, with information from parents, child, and report from teacher and samples from the child s work, to identify the child s problems and to determine which other specialist needs to examine the child, if necessary.
PHYSICAL/ NEUROLOGICAL PHYSICAL/ NEUROLOGICAL EXAMINATION EXAMINATION This is done to rule out soft neurological signs and sensory deficits. Tests like EEG or other investigations may be done for the same.
ASSESSMENT OF POOR SCHOOL PERFORMANCE ASSESSMENT OF POOR SCHOOL PERFORMANCE (LEARNING DISORDERS) (LEARNING DISORDERS) The basic sets of assessments include: Tests of general Intelligence (IQ) and Types of Intelligence| Assessment of Academic Skills- Reading, Writing, Spelling, Math's and Language|
Assessment of Pre academic Skills (for children below 6 years)| Tests of Speech and Language| Identification of Special Abilities/ Aptitude Testing| Neurological assessment/ EEG, etc.
PARENT AID PROGRAM PARENT AID PROGRAM
The Parent Aid Program provides home based education, advocacy and case management services to families. Through a diverse staff of Family Outreach Workers, provides support and encouragement while assisting families in mobilizing their personal resources. There is no fee to the families who participate in the program and services.
SERVICES INCLUDE SERVICES INCLUDE Home based parent education and support Advocacy Coordination of Services Reunification Services Case Management
SUBSTANCE ABUSE PROGRAM SUBSTANCE ABUSE PROGRAM Adolescent Substance Abuse services are offered to youth to assist in making the behavioral, psychological, and lifestyle changes to become drug and alcohol free and avoid relapse.
PROGRAM COMPONENTS PROGRAM COMPONENTS INCLUDE INCLUDE Evaluation Group Treatment Individual and Family Therapy Family Education and Support ECCP,( Early Childhood Consultation Partnership)
Therapy Therapy After initial information is gathered and the nature of the child s presenting challenges is determined, treatment will begin. This usually takes the form of meeting with the child individually as well as having meetings with the entire family. Services are offered on sliding fee scale, based on income and family size. No one is denied services because of inability to pay.
Individual and Family Therapy Individual and Family Therapy
CoNT Child Guidance Center use a family systems model, which views the child not in isolation, but rather as a part of the family system where each member has a role and influence on every other member
Staff works with the child and family by introducing them to a wide range of cognitive behavioral interventions such as offering: Alternative ways of viewing the situation, Introducing relaxation techniques, suggesting positive ways to reframe an issue, Presenting behavior modification techniques such as a reward system.
Group Therapy Group Therapy All group therapy is conducted offsite, with referrals coming from our community partners. The purpose of group therapy is to help children develop skills for positive peer interaction.
CoNT as well as encouraging young people to talk about their feelings through appropriate means of expression instead of screaming, fighting, or withdrawing. The group also provides feedback for the children about how other children perceive them.
PLAY THERAPY PLAY THERAPY
In play therapy therapists use the therapeutic powers of play to help clients prevent or resolve psychosocial challenges and achieve optimal growth and development.
A working definition might be a form of counseling or psychotherapy that therapeutically engages the power of play to communicate with and help people, especially children, to engender optimal integration and individiualization.
CoNT.. According to the psychodynamic view, people (especially children) will engage in play behavior in order to work through their interior anxieties. In this way, play therapy can be used as a self-help mechanism.
From a developmental point of view, play has been determined to be an essential component of healthy child development. Play has been directly linked to cognitive development.
ROLE OF NURSE The nurse can help prevent by identifying risk cases in the community. Educating the public Not only encouraging but also undertaking research studies herself Provide holistic nursing care
Lobby for child rights Nurse plays an important role in the child guidance clinic Help establish good child parent bond as well as good teacher parent child bond by guiding them Be an exemplary role model
CONCLUSION Child guidance clinic provide comprehensive mental health, educational developmental, behavioral and consultation communities. clinical guidance gives effect to the best current thinking about the way to prevent delinquency and mental disease. services for to services child
