The lack of good statistical information had been a major factor in the poor planning of services for the mentally handicapped in the late 1960s. The principal object of this book was to provide an accurate factual basis for the planning of future services. Originally published in 1972, this title is based on three years’ extensive research and consists primarily of statistical studies rather than case studies. There is a survey of facilities provided by hospitals for the mentally handicapped and a sample survey of three Hospital Regions indicating the characteristics and disabilities of the mentally handicapped inpatients. Also included are two cohort studies, one of the subsequent experience of patients after their first admittance to a hospital, and one of the subsequent experience of all first referrals to a Local Authority service. Both studies were carried out to determine trends in the patterns of care. This was the first time that cohort techniques had been applied in this field in this country. Since effective long-term planning depends upon the coordination of the work of Local Authorities and hospitals, it is unrealistic to divorce the need for hospital beds from community provision. This book, therefore, examined the present services for the mentally handicapped in the round. It is supplemented by an extensive bibliography and numerous tables and diagrams. As a result, it should be of particular interest to psychiatrists, clinical psychologists, hospital administrators, senior nursing staff and Local Authority social service administrators. This book is a re-issue originally published in 1972. The language used is reflective of its era and no offence is meant by the Publishers to any reader by this re-publication.

The lack of good statistical information had been a major factor in the poor planning of services for the mentally handicapped in the late 1960s. The principal object of this book was to provide an accurate factual basis for the planning of future services. Originally published in 1972, this title is based on three years' extensive research and consists primarily of statistical studies rather than case studies. There is a survey of facilities provided by hospitals for the mentally handicapped and a sample survey of three Hospital Regions indicating the characteristics and disabilities of the mentally handicapped inpatients. Also included are two cohort studies, one of the subsequent experience of patients after their first admittance to a hospital, and one of the subsequent experience of all first referrals to a Local Authority service. Both studies were carried out to determine trends in the patterns of care. This was the first time that cohort techniques had been applied in this field in this country. Since effective long-term planning depends upon the coordination of the work of Local Authorities and hospitals, it is unrealistic to divorce the need for hospital beds from community provision. This book, therefore, examined the present services for the mentally handicapped in the round. It is supplemented by an extensive bibliography and numerous tables and diagrams. As a result, it should be of particular interest to psychiatrists, clinical psychologists, hospital administrators, senior nursing staff and Local Authority social service administrators. This book is a re-issue originally published in 1972. The language used is reflective of its era and no offence is meant by the Publishers to any reader by this re-publication.

For all the work on disability in previous years, there had been surprisingly little done on a subject of central importance - the social and psychological needs of teenagers with disabilities. Originally published in 1982, the purpose of this timely book was both to review the literature and to report an extensive study of the nature of the psychological problems, the quality of social life and the adequacy of the services available to a substantial group of teenagers with disabilities in the last years at school, with a follow-up study of half their number a year later. The authors show that many of these teenagers, including those with a mild disability, are often unhappy, worried and isolated from their peers. While the majority of the teenagers with disabilities, whether in ordinary or special schools, made friends at school, these friendships were rarely sustained outside. After leaving school the degree of social isolation is as great, and often worse. Among these teenagers the incidence of psychological problems was three to four times higher than for a control group, the most common being worry, depression, misery, fearfulness and lack of self-confidence and self-esteem. For the most part, the teenagers with disabilities were likely to be immature and ill-prepared to cope with adult life. These findings underline the need for a counselling service while the teenagers are still at school, and supporting services when they have left. Like other teenagers, those in this study were unprepared for the possibility of not having a job, and had not thought how to organize their lives if a job was not available or feasible. The authors draw attention to the large proportion of people with disabilities without occupation after leaving school, and the high dissatisfaction with day centres. Perhaps their most important finding is the need to rationalize the piecemeal and overlapping provision of help for school-leavers with disabilities. In the meantime, their book provides a wealth of information of direct use to those concerned with teenagers with disabilities and their families, whether in school provision, careers advice, work placement and alternatives to work, social services, counselling, medical services and further education. This book is a re-issue originally published in 1982. The language used is a reflection of its era and no offence is meant by the Publishers to any reader by this re-publication.

First published in 1977, this book focuses on the disability of spina bifida in children. Children with the condition frequently suffer with severe physical handicaps such as lower limb paralysis and incontinence, as well as intellectual impairment. It can be difficult for the families of these multiply handicapped children and they often require the help of professionals from many disciplines. In this book, the authors focus on practical suggestions for alleviating many of the problems brought about by the condition. Their suggestions are designed to help parents, as well as professionals.

First published in 1977, this book focuses on the disability of spina bifida in children. Children with the condition frequently suffer with severe physical handicaps such as lower limb paralysis and incontinence, as well as intellectual impairment. It can be difficult for the families of these multiply handicapped children and they often require the help of professionals from many disciplines. In this book, the authors focus on practical suggestions for alleviating many of the problems brought about by the condition. Their suggestions are designed to help parents, as well as professionals.