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[Quality of child guidance counseling--current developments at the beginning of the 21st century].

Development of quality is not a new discussion in child guidance. There has been a long tradition about this theme. The continuously changing conditions of society and law demands child guidance on the other hand to changing reactions also. In modern child guidance we can find them in changed concepts and methods. So quality will be developed. The complete analysis shows us also, were new discussions are necessary.

Adolescent↗

Child guidance.

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A study of psychiatrically normal children in a hospital based child guidance clinic.

A total of 1330 children who attended a hospital-based child guidance clinic in last three years were studied retrospectively. 7.37% of these were found to have no psychiatric disorder. Epilepsy and scholastic backwardness without any psychiatric disorder, together constituted 70.41% of this group. Children referred to a child guidance clinic require proper assessment to detect psychiatrically normal children who would otherwise receive unnecessary label of psychiatric disorder and treatment.

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Child guidance in interwar Scotland: international influences and domestic concerns.

Child guidance was central to twentieth-century international programs of "mental hygiene," with the shift from an emphasis on children's physical health to concern with their mental health. In interwar Britain it was supported by American philanthropy and influenced by American practice, especially the latter's emphasis on the dominant role of psychiatry. In Scotland the psychiatric model undoubtedly gained purchase. But in a highly contested field this approach also encountered resistance from psychologists, while the powerful Catholic Church had strong views about the areas of child mental health and development into which psychiatry might be allowed to venture.

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[Evaluation of child guidance counseling: status of research and references for future research].

The evaluation of child guidance is placed in the context of quality control with emphasis on the significance of evaluation under field as opposed to laboratory conditions as well as the advantages of experimental or quasi-experimental field research over catamnestic studies. Up until now only three experimental evaluation studies have been carried out in the field of child guidance under natural conditions. These studies are first described in terms of their methods and results and then placed in a larger context on this basis. Proceedings from these studies based on methodological considerations and empirical evidence, comments and recommendations will be made concerning methodologically satisfactory and practically significant future evaluation research. They emphasize in particular the different evaluation strategies as well as various aspects of validity.

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["... so that Theo knows what he should do better". Client orientation in social-therapeutic child group work--an experiential report of quality management at a child guidance clinic].

Within the framework of internal evaluation and self-evaluation activities in a child guidance clinic, measures of success have to date been based primarily on the degree to which the delegating organisations are satisfied with the results of the counselling. The orientation of the success of counselling towards the results stems from the fact that the process of helping is not generally manifest to parents, schools, and education staff. It takes place in the context of direct contact between therapists and children, the immediate addresses of help, and therefore often remains "hidden". Since the children's perspective--their impressions and appraisals--has often been neglected in past assessment methods, it hardly plays any role at all in the discussion of quality at counselling centres. This made it all the more stimulating for all those involved to initiate improvement measures within the framework of quality management on the basis of a client survey and in this way to launch a shared learning process as to how client orientation can flow directly into everyday practice. This is certainly the first attempt of its kind in the work of child guidance clinics to develop an understanding of client orientation in line with the expectations of parents and children and to link this to the quality development of the service. In the first part of this experiential report, the external process coach provides a brief summary of the assessment method employed in connection with the introduction of internal quality management at the counselling centre. This is followed by the centre's own description of the concrete performance of the client survey with children using the example of social-therapeutic child group work. The study concludes with a discussion of the benefit drawn from this process for the improvement of this pedagogical project.

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Mortality and aggressiveness in a 30-year follow-up study in child guidance clinics in Stockholm.

The mortality rate and aggressiveness in a cohort of 2364 former patients of the child guidance clinics in Stockholm were studied during a 30-year follow-up period; 106 died during this observation period. This frequency is significantly higher than the calculated mortality rate in a reference population. In all, 82% of the total deaths were caused by suicide, accidents, or abuse of alcohol or drugs. Among the patients that died of suicide and abuse, more mental disorders, abuse and criminality were found in their parents during the initial evaluation. Significantly more males than females died as a result of accidents and alcohol or drug abuse. Aggressive feelings and acts, both against oneself and others, were overrepresented in the initial contacts with the child guidance clinics. To prevent these deaths, an alternative approach during the first contact with a child psychiatric centre is discussed, as well as more extensive help and intervention at an early stage.

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[Prevention--a promising goal or illusory task for institutional child guidance, adolescent and family counseling?].

Beginning with some comments on prevention as a concept that is en vogue the meaning of the concept in scientific literature is described. Hereafter the field of prevention is differentiated. Primary and general forms of prevention as well as secondary and specific forms of prevention are specified. Preventive activities in the field of child-guidance, youth- and family-counselling are shown. As an example for these activities a small survey is reported followed by remarks about the critical approach of community health proponents towards the position of institutionalized child-guidance and youth- and family-counselling within the field of psycho-social services. Next the work with clients of lower-class background is characterized. Finally some primary preventive activities of social-political relevance basing on the practical experience of institutionalized child-guidance, youth- and family-counselling are given.

Adolescent↗

Sensory integrative function in a child guidance clinic population.

Recent researchers in the area of mental health have recognized the influence of biological defects on psychosocial development and on the child's ability to acquire social and academic skills. This study was designed to determine whether or not senxory integrative disorders occurred in a child guidance population, to explore the nature of sensory integrative disorders found in such a group, and to ascertain any relationships between certain types of sensory integrative disorders and specific behavioral traits. The subjects were 87 children between 5 and 9 years of age, the total number referred to a child guidance clinic in southern California because of problems in behavior. All subjects (Ss) were administered the Southern California Sensory Integration Tests and were observed for neuromuscular deviations. The date were subjected to factor analyses. Results showed a high incidence of sensory integrative dysfunction in this population. There was considerable evidence of a syndrome known as postural and bilateral integration dysfunction as well as a strong tendency in this group to show various kinds of behavior problems.

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