These visits, if announced in advance, would enable the rural authorities have children and others selected for mental examination, that periodically the psychiatric problems in every community would placed in the hands those best able deal with them efficiently. As far as the state hospitals are concerned, such an itinerant clinic would not involve the employment more personnel or the expenditure a greater amount time than would necessitated the establishment but one additional fixed out-patient clinic with a single weekly session. The only added expense would that automobile transportation If the two state hospitals in the county would divide between them this work, that the Buffalo State Hospital would send out its itinerant clinic the townships in the northern half, and the Gowanda State Hospital those in the southern half the county, then for each these institutions the establishment such an itinerant clinic would involve but half the labor and time that would required for the establishment one additional paraphrasing graphic organizer clinic in a fixed locality.

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If a cooperative plan for itinerant consultations involving more than one medical service should worked out in cooperation with the proposed county health unit, this would mean decided economy in personnel and transportation.

Outside the work in their oxit-patient clinics, the state hospitals have seldom opportunities rendering psychiatric service in cases children. This due the striking rarity psychoses cpa coursework in children under sixteen years age.

At the present time there not one patient under sixteen years age from Erie County in the Gowanda State Hospital, and but one in the Buffalo State Hospital. During the year ending June, but seven patients from Erie County under sixteen were admitted the two hospitals, three whom had manic-depressive psychoses and four dementia praecox. The department health the city Buffalo has a Hal bureau for child hygiene which includes a division for mental hygiene. This division employs a physician part time who has specialized in psychometric work and who examines cases referred the schools, the children's court. orphan asylums, and other city and county agencies.

This division works in cooperation with the division for special classes in the department education.


The department hospitals and dispensaries the city Buffalo has suggested a far-reaching plan for psychiatric service rendered children in the city schools, such service made i need someone to write my paper available for children elsewhere in the county as well bringing them the city where the facilities are Considerable progress has been made in the establishment facilities for such work.

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In connection with the Buffalo City Hospital, a new psychopathic ward has just been completed and about furnished and opened for the admission patients.

It has a capacity forty beds, equipped with hydrotherapeutic, electrotherapeutic, and diagnostic appliances, and has provision for the classification cases according sex, age, and mental condition.

The new psychopathic ward located in relation other departments the hospital that in case need would hepossible convert other wards into additional mental wards, thus not only increasing the capacity the neuropsychiatry service, but also further multiplying facilities for classification. The visiting physician in charge the psychopathic ward also holds the chair psychiatry in the medical school the. The comita superintendent the poor has his office in Buffalo, and many cases dependent children arc referred In overseers the poor and others throughout the At the time this study, there were reported approximately. children under the charge the superintendent the poor, whom, were in orphan asylums and other institutions, and, were in boarding homes, in free private homes, r with their mothers, whom maintenance was being The principal causes dependency in these children's cases were the illness or death one or both parents, deserlion father, lather in prison, mother feebleminded. The superintendent lie poor deals with mental disorders in childhood only in those marked cases in which the necessity arises for commitment an institution for epileptic persons or for the feebleminded. Although the present incumbent this office very conservative in the matter committing children such institutions-feeling that a step Justified only as a last resort and that even a definitely feebleminded child should first tried in a private home or a farm before commitment decided on-yet finds the professional cv and resume writing services state's facilities for the care children who must committed such institutions very inadequate. At present states that the county compelled maintain fifteen children in the Brunswick Home in Amityville, Long Island, a private institution which the county pays a certain amount per week for the maintenance these Not only are the facilities that the state provides for feebleminded, epileptic, and otherwise mentally abnormal children inadequate, but such facilities as are available are in institutions located for the most part hundreds miles distant from Erie County. Owing this circumstance, the relatives children who should committed are often unwilling consent such commitment, as the children would have taken far from where to buy term papers online their homes that visiting would rendered From the superintendent the poor and from other sources have learned that there a great need for an institution for menially defective persons in the western part the state. 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