Poco a Poco (Little by Little) Page: 16
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QUESTIONS FREQUENTLY ASKED AND THEIR ANSWERS
It is felt that the details of the functions and methods used may be most adequately covered by pre-
senting some of the questions which we are frequently asked, and their answers:
1. In what other areas is the Community Guidance Center useful to the community other
than that of diagnosis and treatment of specific problems?
Conferences, not only in relation to problems presented by specific cases, but also in relation to
general problems involving the emotional life of children are held with representatives from the various
schools, the social agencies, etc. One of the benefits which seems to derive from such conferences is that
of a closer integration and mutual understanding among the various organizations and agencies involved.
Members of the staff are always ready, and are not infrequently called upon, to participate in
workshops and community educational activities. Many talks have been given to parent groups such as
preschool mothers and PTA. The point of view emphasizing the importance of mental health which the
Community Guidance Center brings to the community is being accorded increasing acceptance as people
are becoming more and more aware of the mental health problem.
The Community Guidance Center has the opportunity and the obligation to engage in much needed
research to further the understanding of the mental health problems of individual children and their
families and the community at large.
2. How are cases referred to the Community Guidance Center?
Anyone may refer a case to the Community Guidance Center; that is, anyone can recommend or
suggest to parents to contact the Center. The initial phone call, however, must be made by the parents
themselves. The intake social worker discusses with the parents at some length the nature of the prob-
lem. If it appears to be one in which the Community Guidance Center may be helpful, the parents are
formedd of the clinic procedures, and of the approximate length of time before they can be seen. Priori-
ty may be offered to parents when the situation requires it. If the presentation of the problem indicates
that the family can best be served by another agency, an appropriate referral is made. Doctors, teach-
ers, principals, school nurses, ministers, and family friends are our primary source of referrals.
3. What fees are charged for services by the Community Guidance Center?
No case is refused evaluation or treatment at the Community Guidance Center because of the parents'
inability to pay. However, it is felt that a fee which is of such an amount as to be meaningful, while
at the same time not working a hardship, is an important factor in the effective functioning of the clinic.
Human beings seem to be so constituted that we value most those things which cost us something.
A sliding scale of fees has therefore been established, based on the average monthly income and the
number of children in the family. An additional adjustment in the fee may be made if there are found
to be other circumstances affecting the family's ability to pay.
The fee for a family of three children and a monthly income of $300 (approximately the "average"
family using the services of the Center) is $2.00 per appointment, $20 for a complete evaluation and
$10.00 for an abbreviated evaluation as described previously.
Fees received contribute approximately five percent of the Center's total budget. The major portion
of the balance comes from the United Fund. The Division of Mental Health of the Texas State Depart-
ment of Health, the Juvenile Department of Bexar County, and the Protestant Children's Home currently
constitute the other sources of income for the Center.
4. What is the difference between a psychiatrist and a psychologist?
A psychiatrist is a doctor of medicine, or a physician who has received specialized training
in the diagnosis and treatment of mental or emotional illness. A psychologist is a person who has
received training in the administration and interpretation of psychological tests, and who is a special-
ist in the knowledge and understanding of the way people think and feel. The psychologist has also
received training in the psychotherapeutic approach to the treatment of emotional problems and is
qualified to carry out such treatment. The clinical psychologist's training entails postgraduate work
leading to an MA and then to a Ph.D. degree.
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Community Guidance Center of Bexar County, Texas. Poco a Poco (Little by Little), pamphlet, 1963; San Antonio, Texas. (https://texashistory.unt.edu/ark:/67531/metapth841224/m1/18/: accessed July 17, 2024), University of North Texas Libraries, The Portal to Texas History, https://texashistory.unt.edu; crediting Moody Medical Library, UT.