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Page 4 â€"â€" THE TIMES ADVERTISER â€" Thursday, Sept. 20, 1962 Last week we heard the plight of an old man. . .a man who felt alone at 79 years of age, dependent for the first time in his life, entirely on contributions the Government of Canada was willing to make him for being old. This man is a veteran. He had lifesavings five months agoâ€" a meager amount of $500 â€" an amount enough to guarantee him a decent burâ€" ial paid for with his own funds. Today he had nothing but two checks a month, a veteran‘s allowance and an old age pension, to keep him in room and board until he dies. He feels he has been cheated out of his lifesavings by red tape at the Kipâ€" ling Home For The Aged. According to him the Home officials told him the price for his keep would be a percentage of his old age pension â€" then the amount of both his checks, with a small rebate for expenses, of about $9 per month. Then, he said. the Home took his checks, his $500, which he had to put in the trust of the Home when he entered, and, in return gave him inferior food and laxatives. We agree this man is old, and he may be wrong. He may have been told the complete cost« of his care ($6.54 per day) when he entered the Home. He had his chance to understand the. rates, and (the Home‘s opinion seems to be) if he didn‘t understand the charges, that‘s tough luck. We don‘t think this is the proper attiâ€" tude to take where old people are inâ€" volved. Especially if the elderly appliâ€" cant to the Home is without kin or friends to help him decide whether or not he can afford the Home. The fact remains that if he had enterâ€" ed a private nursing home. such as the one he now resides in, he would have been charged a straight $100 ner month and would still have his $500. Extract from Report on the Washington Conference on Inâ€" Patient _ Psychiatric â€" Treatment for children, October, 1956). Child Care Workers True he may not have had as good care as in the government home, but he Child Care Workers are those personnel who are responsible for the 24hour care of the chilâ€" dren living in the inâ€"patient centre. In most centres they proâ€" vide _ a â€" thereapeutic _ milieu through daily experiences planâ€" ned to meet the children‘s needs for dependency and growth. By taking care of children in the daily routines of eating, bathing, dressing.. toileting, going to bed, playing etc., by helping them acâ€" quire skills for enjoying various activities, and by assisting sick. hurt, frightened, angry or un happy â€" children at periods . of stress, child care workers carry out many parental . functions. However, they differ from the & . i& c ailnts in aaat ccous oo sponsibilities are shared | with other Child Care Workers and are carried out only during workâ€" ing hours, and in relation also to other disturbed children of the same age group. This is certainâ€" ly not typical of family living in Child Care Workers should have the capacity to form meaniâ€" ngful relationships with children. based on a genuine interest in helping them through _ group living. This includes an underâ€" standing of the dynamics of beâ€" haviour, an objectivity of obserâ€" vation, the capacity and desire to learn through interactions with children ahd other staff and a degree of maturity which does not permit a living out of unresolved _ personal problems with children or other personnel Child Care Workers should be particularly sensitive to the emâ€" otionally disabled child‘s needs for gratification at his growth level. They should have the emoâ€" tional capacity and skills to take eare of children and to provide dependency pleasures as well as instructions which children need im various activities in order to Jearn gradually how to express himself safely, enjoyable, and more . independently. . T hey, should be patient and tolerant in Special Report a "homeâ€"like atmosphere." Qualifications and functions ©UBSCRIPTION KATES $250 per year in advance to any address in Canada. EDITOBRIALS THE TIMES ADVERTISER Authortzed as Second Class Mail, Post Office GIVE BACK HIS MONEY Ottawa Ont. and for payment of postage im by Principal, Publishing Ltd, every Thursday CHILD GARE WORKERS V J. MceMILLAN, President and Publisher Published at 23§ Dizon Road. Weston, handling _ fllogical _ behaviour which should be recognized as symptoms rather than as direcâ€" ted towards them _ personally. They should be able to function efficiently and comfortably as adult authorities by using their greater strength in a firm but kindly. helpful. protective manâ€" ner, when the child‘s best interâ€" ests as well as the welfare of cthers demand some restriction of his behaviour. At the same time with a warm acceptance of the child‘s needs. they should be skilled in sguiding him to subâ€" stitute® satisfactions. Child _ Care Workers _ should Child â€" Care Workers _ should have the capacity to avoid comâ€" petitive attitudes to share their functions with other Child Care Workers. to actept and respect their own responsibilities as a major contribution to the total treatment along with the someâ€" what different functions of the pyschiatrists _ and casowo; :ers. Taey should be able to accept parents objectively and to underâ€" stand that parents too have proâ€" blems which inadvertently lead to mistakes with their children and for which they frequently also want help. In their brief casual _ friendly relationships with parents around practical plans, they should remain un involved _ emotionally, and â€" acâ€" cept the psychiatric caseworker as the staff member responsible for the work with parents. Child Care Workers should be able to accept supervision from the chief or supervisory Child Care Workers, and if necessary administratively, from a superâ€" visor in a larger hospital deâ€" partment. They should be able to share all information about the child _ and _ their _ relationships with other staff members They should be skilled in reporting and recording accurately their observations of individual and group _ ‘behaviour, _ and _ they should be capable of developing these skills further through the inservice training programme They should have an appreciaâ€" tion for and be able to superâ€" vise and participate in the main tenance aspects of the programâ€" me. They should accept responâ€" sibilities for taking care of phyâ€" sical properties, and equipment Other countrieg $3.80 GARY RALPH, Editor would have the security provided by his lifesavings being with him. Also, if had stayed at the Home until his death, he would have had enough money in his trust fund to afford him a good burial. Now the Township and the Province will pay the remainder of the cost of a person in the Home who has only an old age pension to draw on. But because a man has some savings, he must pay his way, until his savings are eaten up and he becomes a semiâ€"welfare case. In Frank B. Holland‘s case, the man is still active, reasonably happy, reasonâ€" ably sensible and dignified. Because he chose to leave the home he has nothing. If he misunderstood the terms of the Home when he entered, we must preâ€" sume he misunderstood them because of his age. Must he be penalized by losing his lifesavings because he is of an age where the mind fails to comprehend all that is happening? Must legal forms and a hope for a place to live in peace rob this man of his meager money reserved for his burial. No matter who is right. we think Mr. Holland‘s money should be returned to him, and the Township should write off his expenses as they do welfare payâ€" ments. Surely $500 does not mean that much to the taxpayer when this is all an old man has. An official at the Home told us "This man is not one of our wealthy people, although he thinks he is." Frank Holland thought he was wealâ€" thy because he had ‘money in the bank.‘ This money, though little, gave security and dignity. He no longer has his money, and he may not be far from losing his dignity and becoming an old man waiting for death, instead of an old man with hope for the future. The commissioner should return his monevy. as they used, and for planning constructiviely the use of suppâ€" lies. They should be interested in and have some skills for helping to make the unit comâ€" fortable and attractive. Thy must also be able to work _ coâ€"operatively and conâ€" structively _ with _ other _ staff members in meetings, conferâ€" ences, and in other aspects of the inservice training programâ€" healthy physically as well as emotionally, _ and _ should _ be young enough to have sufficient vitality, energy. endurance and resilience for working hard unâ€" der many pressures. and for reâ€" cuperating readily from emotionâ€" al and physical fatigue. Area History Main Topic For Meeting Mr. Walter C. Rean will ‘be guest speaker at a meeting of the North York Historical Soâ€" ciety on Thursday, September 27 at 8:00 p.m. in the auditorium of the Main Library of the North York Public Library, 5126 Yonge Street, Willowdale. Mr. Rean, historian of Oriole York Mills United Church, has been â€" gathering _ information about this area for some time He lives in the old Thomas Clark farmhouse on Sheppard Avenue East and will include its history in his discussion it« history in his discussion Both the Oriole Schnol and Wesâ€" Iyan â€" Methodist Church were located on this property which is a North York Township land mark of significance Members of the public who »re interested in the history of the Township and preserving loâ€" cal landmarks are invited to attend this meeting and to join the historical Society if they desire. 1 Child Care Workers should be Special Report Thistletown Hospital, opened in January 1958, is an Ontario provincial psychiatric centre for children, situated on 98 acres of land in the northâ€"west corner of Metropolitan Toronto, It has a total staff of approximately 200 and provides residential acâ€" commodation for 64 children. The hospital is a specialized centre for training, | research, and treatment directed towards mentally ill children between the ages of six and twelve years. Thistletown _ functions under new provincial legislation â€" "The Childrens‘ Mental Hospitals Act" (1960). While retaining the selfâ€" protective provisions of older mental health legislation, this act allows admission, treatment and discharge procedures subâ€" stantially the same as those in any general hospital. Thus chilâ€" dren are never admitted on cerâ€" tificates, cannot be admitted on court orders, may be discharged to their guardians or removed by them on twenty four hours notice. The hospital has an advisory board composed of distinguished psychiatrists and â€" psychologists who ‘advise the Minister of Health directiy on any policy changes or innovations envisâ€" aged for the hospital. The superâ€" intendent, wl-‘his himself a psyâ€" chiatrist, has Mhe overall responâ€" sibility for the direction and opâ€" eration of the hospital; policy and major decisions are discusâ€" sed in one of four committees, each of which has a core memâ€" bership of senior department heads. The clinical director is res ponsible for the hospital treatâ€" ment programs and heads a psyâ€" chiatric . department consisting of two staff psychiatrists and three senior postâ€"graduate stuâ€" dents in child psychiatry from the University of Toronto. The Psychology department includes five senior psychologists, one or more _ psychological _ assistants and a number of interns. A deâ€" partment of speech pathology is being established under a qualiâ€" fied speech therapist. The Social Work department numbers five senior social workers and a numâ€" ber of students. Five registered nurses under a director of nursâ€" ing form the nursing departâ€" ment. A parttime EEG, techâ€" ;mclan. a consultant neurologist and pediatrician, and a consultâ€" ing dentist also provide profesâ€" (siv.lal services. STAFFING A â€" new â€" professional â€" group, Child Care Workers, provide the day to day care and create the treatment milieu for the pat« ients. Under a Chief Child Care Worker, who holds an MS.W. degree, four Child Care Worker Instructors and eight Child Care Worker Supervisors direct 99 child care staff, a number of whom are trainees. Accounting, purchasing. and general administration are unâ€" der the direction of the Business Administrator, assisted by the remainder of the hospital staff â€" cooks, laundry staff, housekeepâ€" ers, stenographers and maintenâ€" ance personnel. for a wide range of childhood disorders; it must train person: nel from all disciplines and is expected to conduct a detailed and intensive program of _ reâ€" search. As a specialized resource Thistletown _ hospital has . a four fold role in the mental health _ field. It must provide specialized _ treatment â€" facilities it advises, sponsors and interâ€" prets advances in the mental health field to the community which it serves Each of these functions is seen as equally imâ€" FUNCTIONS No Recognition For This Hospitalks Grads BUT DON‘T REDUCE YOUR UNITED APPEAL DONATION ' The hospital admits for treatâ€" ment, children between the ages of 6 and 12, who suffer from some psychiatric disorder and ‘lfor whom short term residenâ€" |tial treatment (up to two years) lhas some positive value, |Brain damaged and mentally deâ€" !fecli\'e children are occasionally {admitted for investigation or reâ€" lsearch purposes. The Admissions | Committee, composed of the superintendent, the clinical dirâ€" ector, the chief psychologist, chief social worker, chief child care worker and one staff psychâ€" latrist review applications for admission from any professional source and grant admissions. 1. TREATMENT Parents or agencies responsible for children admitted are exâ€" pected to visit the hospital at least monthly, and children are admitted only if their guardians agree to this; where case work is to be attempted much closer contact is expected. For treatment purposes, the hospital is divided into four groups. Two of these, each with a capacity of 20 children, are completely open â€" living â€" situaâ€" tions. Each treat both boys and girls within the age range and different diagnostic categories. The remaining two groups are closed settings, each with a bed capacity of 12 patients. One is used to treat children who canâ€" not tolerate open living condiâ€" tions and also contains a 6 bed facility for the investigation and experimental treatment of brainâ€" damaged children. The second group consists of 12 beds used for the experimental treatment of childhood schizophrenia. _ The four settings are grouped in two units. each containing one open setting and ‘one closed setting, and each served by its own professional staff. On adâ€" mission to the hospital, a child is assigned to a unit, becomes the responsibility of a psychiaâ€" trist and normally remains on that unit until his discharge. The entire range of treatment techniques is available to the team of each unit for use with their children. Diagnostic faciliâ€" ties include . electroencephaloâ€" graph. neurological consultation, diagnostic psychological services and, _ controlled observation. Treatment techniques include inâ€" dividual psychoâ€"therapy and playâ€"therapy, group thereapics, a full activity program and a conâ€" trolled therapeutic milieu. The use of a gymnasium, swimming pool, carpentry shop, clay shop, dance and music therapy rooms, paint rooms. a children‘s kitchâ€" en and extensive grounds with outdoor facilities as well as planâ€" ned community contacts, includâ€" ing attendance at Sunday School are available to the professional team of each unit, The day to day care of the children and the activities program is in the hands of a fully trained profesâ€" sional child care staff. The patient‘s family is the unâ€" it social worker‘s chief concern. Intensive casework treatment in volves helping parents accept the need for inâ€"patient care and active participation â€" throughout hospitalization _ and _ discharge. The social worker interprets treatment plans and deals with \serious problem areas within the families too far away from the hospital to visit regularly. Children at Thistletown are usâ€" ually _ too disturbed to attend school in the community and school _ facilities are provided throught the Institute of Child Study, _U. of T A.’ the â€" moâ€" ment, 10 teachers are employed, with 9 class rooms in the main hospital. Educational techniques |for this type of child are a matâ€" home. The department provides foster aunts and uncles for chilâ€" dren _ without families, . works with other agencies and has a "touring" worker who services families too far away from the ‘ter for continuing research and "study. Thistletown is seen as a trainâ€" ing hospital. The superintendent and clinical director are memâ€" bers of the teaching staff of the Department of Psychiatry of the University of Toronto. The hosâ€" pital is accredited for residency in chlid psychiatry by that uniâ€" versity. Three training posts are provided by the Department of Health for postâ€"graduate . stuâ€" dents in child psychiatry. 2. TRAINING The Psychology Department accepts interns from Canadian universities for training and on occasion the University of Torâ€" onto uses the facilities as a reâ€" search training centre. The Socâ€" ial Work Department, provides supervision for two final year students from ‘the School of Socâ€" ial Work, University of Toronto, Although no formal program of training is available for school teachers and for nurses, it is hoped that such programs will develop. The Child Care Worker Trainâ€" ing Program is the hospital‘s unâ€" ique contribution to training facâ€" ilities in Canada. When the hosâ€" pital was first opened, discussâ€" ions took place as to staffing needs for such a centre, and it was concluded that no profesâ€" sional or semiâ€"professional group existed that could provide the type of staff Thistletown sceemâ€" ed to require. It was decided to train the necessary staff and a new provincial civil service clasâ€" sification â€" Child Care Worker â€" was inaugurated. The course ofâ€" fered to students at present. is either a two or one year course depending upon the student‘s previous academic â€" background and experience, and leads to a diploma in Child Care Work, granted by the Department of Health. The basic course is open to students who already have a university degree or professionâ€" al standing in a related discipâ€" line. These students, B.A.‘s, nurâ€" ses, teachers, occupational therâ€" apists, etc., receive a one year course which includes Child Deâ€" velopment, _ Child _ Psychiatry, Child Health and First Aid, Menâ€" tal Health and a series on the Family and the Community. In seminars, they learn the princiâ€" ples and applications of milieu therapy, group dynamics, craft and activity skills with children and in addition meet weekly with the psychiatrist in charge of patients for detailed discusâ€" sion of pathology and treatment. Over and above this theoretical material, they work for a minâ€" imum of fortyâ€"six weeks, under supervision, with mentally dis turbed children. Below the level of the basic course are those students who are accepted for two years trainâ€" ing. These students have a minâ€" imum of Grade 12 education, Their first academic year . is spent in elementary courses, in the areas listed above and their second year is the same as that given to students in the basic course. Surprisingly, there has been little difficulty in obtaining stuâ€" dents for the course. One of the factors related to the large numâ€" ber of applicants is the student salary range, by which students receive between $2.250. to $3.360. per year during training. To date the course has been strikingly _ successful. Between the Ist. of October, 1957 and the 31st. of September, 1961, the hospital had enrolled 193 students in either the one or two year program; 75 of these stuâ€" dents received their diploma and of this group 35 remain employed at the hospital. There are 66 students at present and 52 students have failed to comâ€" plete the course for various reaâ€" sons. Of the 40 graduates who s THE } WA\.RUS‘ SAID... | We see in another newspaper, The Lakeshore Adâ€" vertiser, where Etobicoke Township is criticized as beâ€" ing a conglomeration of 30 or 40 subdivisions, each with their own roadway pillars, ratepayers groups, and ‘snobishness.‘ We don‘t think Rexdale and Thistletown are incluâ€" ded in this picture of Etobicoke ‘the height of confusâ€" ion.‘ So far we have managed, in Rexdale and Thistleâ€" town to keep the community together under a comâ€" mon bond It is true Rexdale has several subdivsions in its midst, such as Rexlington Heights and Kipling Heights, but in the general sense the area is still conâ€" sidered as being separated in only two parts, Rexdale and Thistletown. Thistletown is an old community, bonded into one by the farmers of 50 years ago. While most of the farms are now gone, the people still retain the concept of living in a compact village where neighbours are first members of the community and second residents of Etobicoke. This is the way I feel things should be in a Townâ€" ship as large as Etobicoke. Rexdale is an area populated by young, new resiâ€" dents who are learning to live together, to shop toâ€" gether, and to socialize with one another. The editorial also states the Township is ignoring the requests of different subdivisions. This is why I feel the Rexdaleâ€"Thistletown area should put up a strong united front, with a powerful ratepayers‘ group to represent this large, growing area, in council chamâ€" bers. job of operating a newspaper is difficult enough withâ€" out the kind of ‘coâ€"operation‘ received from the Rexâ€" dale Soccer League and the Rexlington Heights Tenâ€" ants‘ Association. Nothing has been done to initiate such a group, but it must be done sooner or later. have left the staff. 33 are still emploved in related work. many as Child Care Workers in supâ€" ervisory positions in other institâ€" utions in the province. 3. RESEARCH When we were first contacted by the Rexdale Socâ€" cer League, we went out of our way to cover the Leaâ€" gue schedule, and to set up a consistent coverage of the games. We were first kept informed of the Soccer League events by James Hall who told us he was a league orâ€" ganizer. In a general sense, all the acâ€" tivities at Thistletown can be considered _ research â€" activities. More specifically, the hospital is currently engaged in some 15 research projects in different areas (see Appendix), A large scale program in childhood schâ€" izophrenia is now in its second year. Preliminary studies have been completed on the acquisiâ€" tion of aggresive behaviour. Two large scale studies are centered No sooner did we quote Mr. Hall in a story than we were informed by John Siveter of the Soccer League that Mr. Hall was not an organizer, but a Johnyâ€" Comeâ€"Lately. Mr Siveter was to be our source of news of the League. Fine. We then ran stories about Rexlington Heights subâ€" division, quoting, guess who, Mr. Hall. We were then informed Mr. Hall was no longer Chairman of the Rexlington Tenants‘ Association and we were to get our news from, guess who again, John Siveter. Now we find Mr. Hall is being accused of butting into various organizations with roots in Rexlington Heights. Mr Hall in turn, complains of being ‘pushed out‘ of his busy schedule by others wanting a share of the glory. Personally we do not give two hoots as to whom we use as a news source, as long as the source is an accreâ€" dited member of the organization in question, and is knowledgeable of all the facts we print. on the problem of measuring change in children‘s behaviour, relating this to therapeutic techâ€" niques and other relevant variâ€" ables. A detailed investigation of the Archimedes Spiral as a diagnostic tool for brain damage is under way. The social organizâ€" ation of the hospital is a conâ€" tinuing aréa of study. The idea of having one‘s name appear in the paper as a news source being a means of deriving glory or recognition is all right at times, if the news is correct and the nerson is proud of his position as a community leader. But when we are tricked into printing names of neople hungry for publicity, we get angry. We want news of both the Rexdale Soccer League and of the Tenants‘ Association, as a service to our readers. We want to help our community leaders inâ€" crease interest in area activities for the good of the community. But we don‘t want to contribute to gloryâ€" seeking. 4. RELATIONS WITH THE COM MUNITY Unless these grouns organize their executives pronâ€" erly and tell us who is the nroner renresentative of the groun we and our readers who are interested in these grouns will be denrived of all news of both groups. To think that civing us news is a game oroa To think that giving us news is a game or a way of getting vour name in print is an injustice to both vour Inca! newspaper and to the members of your organizations. IT‘S ENOUGH TO MAKE YOU SCREAM . . . The All members of the profes ‘ by R. G. DANIELS sional staff are available to acâ€" cept invitations offered almost weekly to speak to community groups and many are involved as consultants or teachers with community agencies. In such a changing field. no hospital program can stand still. Plans for the future of Thistle town are continually under asseâ€" ssment by the advisory board and the Department of Health. Thistletown‘s four years experiâ€" ence suggests that the communâ€" ity‘s needs could be met by the development of an outâ€"patient setting, with day care facilities and the creation of a separate school building which _ could serve as a training centre for PLANS FOR THE FUTURE serve as teachers. In the general area of trainâ€" ing, it is hoped that the hospital would expand the child care worker training program to acâ€" cept staff tmembers from other institutions for varying periods of advanced training and a clos er university liaison for all the disciplines is anticipated.