Welbourn H
Br Med J. 1975 Jan 18;1(5950):142-5. doi: 10.1136/bmj.1.5950.142.
From September 1971 to September 1973 a policy was actively followed in South Gloucestershire of placing spina bifida children in ordinary schools wherever possible. This was achieved successfully in 14 cases out of a possible 24. Special attention was paid to the selection of children and schools. The main contraindications to attendance at ordinary school were: below average intelligence, special perceptual problems, the need for intensive physiotherapy, and problem incontinence-particularly infaecal continence. Success often depended on special provisions-for example, transport, aids to mobility, peripatetic physiotherapists. Personal attendants (welfare assistants) could be allocated to each of the more severely handicapped children. The lack of facilities for handicapped pupils in comprehensive schools is a matter needing urgent review.
1971年9月至1973年9月期间,南格洛斯特郡积极推行一项政策,尽可能将脊柱裂患儿安置在普通学校。在可能安置的24例患儿中,有14例成功安置。对儿童和学校的选择给予了特别关注。普通学校就读的主要禁忌症包括:智力低于平均水平、特殊感知问题、需要强化物理治疗以及大小便失禁问题——尤其是大便失禁。成功往往取决于特殊安排——例如,交通、行动辅助工具、巡回物理治疗师。可以为每个残疾更严重的儿童分配个人护理员(福利助理)。综合学校中残疾学生的设施不足是一个亟待审查的问题。