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6<br />

The treatment of handicapping conditions is badly taught<br />

in medical schools but I also found that it is extremely<br />

badly taught in all these disciplines so I had to get not only<br />

therapists, but therapists with a specialist post graduate<br />

knowledge and experience of handicapping conditions.'<br />

(Field, 1982).<br />

The late 1980s and 1990s saw the establishment of Child<br />

Development Centres and Community Paediatricians appointed in<br />

each Board with responsibility for children with developmental<br />

disabilities. As a result, many children have access to specialist clinics<br />

within their own localities and fewer children have to be seen at<br />

regional treatment centres in Belfast. Dr N Hill, Consultant<br />

Community Paediatrician in South and East Belfast HSS Trust recently<br />

scoped the known morbidities i.e. those that have been recognised<br />

for many years and the 'new' morbidities i.e. emerging trends and<br />

conditions that have become prevalent in relatively recent times. It is<br />

evident that the latter present new challenges to the<br />

multidisciplinary, community team (Figure 1).<br />

50 YEARS OF CHILD CARE IN NORTHERN IRELAND<br />

137

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