Child guidance

clinic
Presented by:
Pratima Bhattarai
Priyanka Gautam
B.Sc Nsg 3rd Year
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 Introduction:

Child guidance clinics deal with all the children

adolescents who for one reason or another
aren't fully adjusted towards the environment.

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 Objectives:
The objective of child guidance clinic is to
prevent children from the possibility of
becoming neurotics and psychotics in
later life.

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 History:
The first child guidance clinic was started
in Chicago in 1909 and ever since they
have grown in number and complexity
throughout the world. It was originally
intended to deal with the problems of
juvenile delinquency.

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The child guidance clinic is a team work. The team comprises
of:

• A psychiatrist
• Clinical psychologist
• Educational psychologist
• Psychiatric social worker
• Public health nurses
• Pediatrician
• Speech therapist
• Occupational therapist
• Neurologist
• Counselor

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• The psychiatrist is the central figure and is
helped by the other in arriving to correct
diagnosis and formulating the line of
treatment.

• The clinical psychologist is the one who helps

the child to perform various tests. The
diagnostic tests basically help the psychiatrist
to come into the point of diagnosis and to
judge the extent of limit upto which the child
has improved himself.
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 Contd….
• A pediatrician takes a complete health history
of the child and a complete physical
assessment. Here during the physical
examination he can see the cooperation of the
child towards the examiner in addition to the
developmental procedures of screening.

• In case of an infant, questionnaire may also be

used by the psychologist.
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 Contd….
• The questionnaire objectively identifies
temperamental profile so that the
professional person can then help the parents
interact with and care their child.

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• The public health nurses work by supporting,
counseling and reassuring the patients since
the infants of various temperaments differ in
their rates of development. The nurse can
thus provide anticipatory guidance to parents
to improve parent-child interactions.

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 Continued…
• Here the core of therapy is psychotherapy
in order to restore the feelings of security in
the child. To achieve this, many methods
are applied:
• Play therapy
• Counseling
• Suggestions
• Change in physical environment
• Reconstruction of parental attitudes
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The child guidance clinics operate on the
premises that if sound foundations of mental
health are laid in childhood and adolescence ,
the same will continue in the adulthood.
Hence it is mandatory for each child with
behavioral disorder to be under child guidance
clinic.

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 ROLE OF NURSES:

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• Help family members to recognize the symptoms early
and referring client for various services provided in
clinics(eg.Day treatment programmes, psychosocial
rehabilitation programmes, support groups)

• Working effectively with multidisciplinary approach.

• Counselling the family members about the benefits of

visiting such clinics

• Monitoring effectiveness of their services (e.g.. through

health visits or follow up appointment in community)

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THANK YOU

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