B.

Sc (N) THIRD YEAR

CHILD HEALTH NURSING

UNIT VI
CHILD GUIDANCE CLINIC
 LEARNING OBJECTIVES
By the end of the class the students will be able
to:
 define the child guidance clinic
 identify the vision, mission and values of
Child Guidance Clinic (CGC)
 enumerate the objectives of CGC
 explain the services at CGC
 list out the multidisciplinary health team
 discuss the steps of CGC program
 OVERVIEW
 Introduction
 Definition
 Child Guidance Clinic Mission
 Child Guidance Clinic Vision
 Child Guidance Clinic Values
 Objectives
 Multi disciplinary health team
 Services at Child Guidance Clinic
 Introduction

 CHILD GUIDANCE CLINIC was started in

1909 in Chicago to deal with problems of
juvenile delinquency.
 The objective of CGC (is to prevent children
from the possibility of becoming neurotics and
psychotics in later life.
 The first CGC was started in India in 1939 at
the TATA Institute Mumbai.
 DEFINITION
• CGC is a non-profit organization dedicated to
empowering children and their parents to
achieve their potential as loving, responsible
families.

• Child guidance clinic are specialized clinics

that deal with children of normal and abnormal
intelligence, exhibiting a range of behaviours
and psychological problems which are
summed up as maladjustments.

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 Child Guidance Clinic Mission

 To provide quality outpatient mental health,

child abuse and substance abuse counseling
 To empower children and families to achieve
their potential
 To increase community awareness as to the
importance of prevention and treatment

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 Child Guidance Clinic Vision
 Helping children and parents achieve their
best by fully utilizing their internal and external
personal and interpersonal resources.

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 Child Guidance Clinic Values

To make a measurable
difference in the lives of the
children and families
served
To make each client an
active participant in
achieving the goals of
treatment
To seek collaborative
partnerships with other
social and health agencies

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 OBJECTIVES
• Providing help for children with behavioural
problem like pica, bed-wetting, sleep walking,
1 speech defects etc.

• Providing care and guidance for children with

2 mental retardation

• Providing care for children with learning

3 difficulties

• Providing counselling, guidance and

information to parents regarding care and
4 upbringing of children.

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 Multi-Disciplinary Service Delivery Team

Physician

Clinical Psychologist Counselor

Psychiatrist Social Worker

(Referral)
Nutritionist
Gynecologist
(Referral) Child Development Expert
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 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.
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 SERVICES PROVIDED BY CHILD
GUIDANCE CLINIC

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 SERVICES AT CGC

 Counseling for Poor

School Performance
(PSP) and Learning
Disorders (LD)

 Assessment of
Levels of Intelligence
(IQ) and Types of
Intelligence

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 SERVICES AT CGC

 Special Skills and

Abilities

 Academic Skill
Deficits in Reading,
Writing, Spelling,
Math, etc.

 Speech and
Language Disorders:
Stuttering, Aphasia
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 SERVICES AT CGC
 Motor Skill Deficits; poor handwriting,
clumsiness, etc.
 Attention Deficit Hyperactivity Disorders
(ADD/ADHD)
 Defiant/ Oppositional Behavior, Conduct
Disorders
 Addiction to TV/ Internet, Disorganized
routines
 Tics

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 SERVICES AT CGC
• Obsessive Behavior/ Disorders; obsessive
slowness/ procrastination
• Anxiety, School Phobia, Exam Phobia and
various Fears in the child

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 SERVICES AT CGC
• Depression, Social Withdrawal, loss of interest
• Developmental Neurological Disorders
• ‘Functional’ symptoms like Headache,
Breathlessness, Stomachache, Frequent
sickness, Absenteeism from school etc.

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 PRINCIPLES OF CHILD GUIDANCE CLINIC

• 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, viz., physical,
intellectual, educational, emotional, social and
economic, etc.
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 The Treatment
The TREATMENT is divided broadly as:

Family
Treatment of attitudes as a
the child focus of
treatment

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 Treatment of the child
A.Treatment of any physical illness if it is present.
B.Psychotherapy which includes:
Suggestion and Persuasion.

Hypnosis

Re-education

Psychoanalysis
C. Play therapy and other forms of expressive
therapies
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 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.

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 STEPS
Intake Interview

Physical/ Neurological Examination

Assessment of Poor School

Performance

Assessing Overlapping Disorders

Multidisciplinary Diagnosis and

Documentation

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 CGC- PROGRAMS
 Clinical program
 Parent groups
 Sexual abuse evaluation
 Anger management
 Psychiatric and psychological evaluation
 Individual, family and group therapy
 Steps of CGC program

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 CGC- PROGRAMS

 Family enrichment services

 Substance abuse program

 Out reach program

1. Teacher training course

2. Consultation and liason

3. Conducting workshops

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 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

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 ROLE OF NURSE

 Lobbying for child rights

 Nurse’s play an important role in the child

guidance clinic

 Help and establish good parent child bond as

well as good teacher-parent-child bond by
guiding them

 Be an exemplary role model

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 CONCLUSION

Despite having many facilities for healthy

development of child many problems which are
seen are common in children. With the above
knowledge on CGC we can make a difference
in every child’s life.

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 References
Hockenberry, M., & Wilson, W. (2008). Essentials
of Pediatric Nursing, (7th ed). Missouri. Mosby
Publications.

James, S.R., & Ashwill, J.A. (2007). Nursing Care

of Children, Principles and Practice,
Pennsylvania. Saunders Elsevier Publicatons.

Townsend ,M.C., (2010).psychitric mental health

nursing concepts of caring in evidenced based
practice 5th ed , jaypee brothers.

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 THANK
YOU

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