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accept action already alth appear approach assessment attention baby basic Bedford Square behaviour British Medical Association casework chapter child abuse client Cmnd concept confidentiality considerable considered contribute Councilfor courses demonstrate dependent diagnosis difficulties discipline discussed disorders district nursing effect emotional needs employment evidence example experience Fabian Society factors feelings Firstly handicap hard-to-help families health services health visitor helping process HMSO hospital illness important income individual involved June Clark knowledge legislation London mental methods mother National Health Service NSPCC nursing profession organisations parents particular patients physical poor possible poverty practical help present problem families professional helpers Psychiatrists psychotherapy recognised referred registers relationship require response role secondly sidered situation skills social problems social services social worker society suggested Supplementary Benefit Tavistock Square therapy trie vulnerable