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Biomedical subjects

S Waldron

Publications and source records attributed to S Waldron.

29 records · Page 2Linked to original sources

Where did all the "No-Shows" go?

The pilot study examines the demographic profile, referral source, and presenting symptom of 40 families whose child was referred to and accepted for assessment by the Outpatient Psychiatry Department of the Hospital for Sick Children, but who ended up cancelling their initial assessment interview when an appointment time was set. These "No-Show" cases constitute a relatively small (13.6%) proportion of the total population accepted for assessment. the "No-Show" families did not differ markedly from the general intake population in terms of age, and presenting problem. However, girls, suburban residence and lower class background were more prevalent in the "No-Show" group. The length of time spent on the waiting list was given most frequently as the primary reason for cancelling the appointment.

Ambulatory Care↗

Intake follow-up of "no service" cases.

At The Hospital for Sick Children in Toronto, an attempt was made to bypass long pre-assessment waiting lists by referring an increasing number of patients to local community resources at the point of the initial intake call. During the pilot study, we contacted 40 families who had been redirected along these lines between January and June 1979. We found that 31 (78%) families had followed our recommendation and most were satisfied with the treatment they were receiving. This suggests that "re-referral" upon intake can often be a highly effective and useful service when provided by a central resource and consultation centre. A further systematic follow-up of all applications to children's mental health clinics, including a careful appraisal of no-show cases (families who are accepted so that we can tailor our services to the specific child psychiatry needs of our varied clientel.

Adolescent↗

The significance of childhood neurosis for adult mental health: a follow-up study.

The author compared the mental health of 42 young adults who had suffered from a neurosis in childhood with that of 20 control subjects. Various aspects of functioning were clinically assessed using the Current and Past Psychopathology Scales and the Health-Sickness Rating Scale. More than 75% of the former patients were at least mildly ill at follow-up, compared with only 15% of the control group. Intergroup differences in diagnoses and symptoms are described. The findings establish the fact that neurotic children require much more effective treatment than they have traditionally received in order to attain a good prognosis for adult mental health.

Adult↗

School phobia and other childhood neuroses: a systematic study of the children and their families.

The authors developed reliable clinical rating scales to compare 35 children with school phobia and their families with a matched sample of children with other neuroses and their families. Twice as many school phobic children as children with other neuroses showed excessive separation anxiety, dependency, and depression. Although a mutually hostile-dependent interaction was found in most of the families of children with school phobia, the development of school phobia appeared to be dependent on defects in character development in the children as well. The authors discuss the etiological significance of the almost universal parental pathology and family malfunction for both groups of children.

Aggression↗

Current controversies in the dietary management of diabetes in childhood and adolescence.

Dietary recommendations for children and adolescents with diabetes are not based on scientific evidence nor on proven benefit to the patient; they are subject to considerable variations in local interpretation and practice. This article examines these principles, the practices and the evidence for their use, and considers future initiatives.

Adolescent↗