Child health nursing,

1. Child guidance clinic

2. INTRODUCTION
• Child guidance clinic were started in 1922, as part of
programme sponsored by a private organization
‘Common Wealth fund’s Programme’ for the
prevention of juvenile delinquency.
• The first CGC was started in India in 1939 at the
TATA institute Mumbai. The CGC in Delhi was
started in 1955 at RAKCON, simultaneously with
madras.

3. DEFINITION
• Child guidance clinic are specialized clinics that deal
with children of normal and abnormal intelligence,
exhibiting a range of behaviors 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.

4. CONCEPT OF CHILD GUIDANCE CLINIC
For the all-round development of a child the child’s
physical and physiological functioning and the
environment to which he is exposed at home and
school, should be taken care off.
 All this is possible through interaction with and
counseling of the child and his family by a health care
team.

5. OBJECTIVES
1. Providing help for children with behavioral problems like pica, bed-
wetting, sleep walking, speech defects, etc. It includes:
 Interviewing and interacting with the child and his parents.
 Giving appropriate advice and counseling to both child and his parents.
Behavior modification therapy, if needed.
2. Providing care and guidance for children with mental retardation
including-
 Counseling of parents regarding mental sub-normality of their children.
Providing medical and physical rehabilitation services.
 Advise regarding placement of the child in appropriate schools or vocational
training centers.
 Forming peer support groups.

6. OBJECTIVES
3. Providing care for children with learning difficulties,
which include:
4. Early identification of cause and type of learning
difficulty in the child.
5. Complete physical (including vision and hearing),
developmental and neurophysiological assessment.
6. Personal interview of family members to identify
environmental and family factors affecting the child and
advising modification of the same.

7. OBJECTIVES
7. Individual training to correct learning disability.
8. Counseling parents and referring children to special
schools for training and education.
9. Providing counseling, guidance and information to
parents regarding care and upbringing of children.

8. SERVICES PROVIDED BY CHILD
GUIDANCE CLINIC
Managing behavioral problem
Managing learning difficulties
Managing emotional problems
Managing adjustment problems
Managing developmental problems
Managing intellectual deficits
Managing socio-legal issues.

9. PRINCIPLES OF CHILD GUIDANCE
TREATMENT
The treatment of the child is carried out not by one
person but by a team of workers. The team of staff
members is constituted of a psychiatrist, a pediatrician,
a PHN, and educational psychiatric social worker, and
playroom workers.
The child is treated as a whole and the personality has
many aspects, as., physical, intellectual, educational,
emotional, social and economic, etc. each of these
aspects is studied by the respective staff member who
has specialized in that particular field.

10. treatment
• TREATMENT can be divided broadly as:
• Treatment of the
child himself
1
• Family attitudes as
a focus of treatment
2

11. Treatment of the child himself.
A.Psychotherapy which includes -
Treatment of any physical illness if it is present.
Suggestion and Persuasion.
Hypnosis
Re-education
Psychoanalysis
C. Play therapy and other forms of expressive
therapies

12. Family attitudes as a focus of treatment.
A). Attitude therapy to the parents.
B). Treatment of psychoneurosis or
psychosis in parents, if and when
necessary.

13. 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

14. Conclusion
• Child Guidance Clinic (CGC) is an overall
development of a child in term of their physical
and psychological. CGC used psychology and
medicine to deal with difficult behavior and help
children adjust to challenging issues in their lives
and family members were involve.

15. REFERENCE:
• 1.Datta P. Pediatric nursing. Published by
Jaypee Publisher. Edition, 2nd , page no.
472-73.
• 2.Sharma R. Essential of Pediatric Nursing.
Published by Jaypee Publisher. Edition, 2nd
, page no. 667-78.