1974-Annual Town Report - Laserfiche WebLink

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121 attracted a small group of health workers. Our dental hy- gienist has been working with the college in the development of the clinical experiences for the new program for Dental Hygienists, and was on an advisory committee of the Lower Cape Cod Vocational School. The inspection, consultation and recommendation of day care centers for licensure by the individual towns con- tinues to require much skill. Increasingly stringent and necessary regulations affect established centers as well as newer ones. There are now 49 licensed centers, five of these were new this year. Once a year each of the nine Home Health Agencies is surveyed for re-certification, in order to provide nursing, physical therapy, and other therapeutic services under Medi- care. The nurse directors of this department assist in the preparation for these evaluations, and provide supervision by agreement to seven of these agencies. The schools are now responsible for providing evaluation and education for children from 3-21 years for those with special needs. Because of our contacts with many children, families and households, we are spending a great deal of time working with parent groups, school groups, and physicians, clinical nurseries and day care centers, in coordinating and approving certain plans. Continued pressure from the 15 towns will require us to provide more laboratory services for the analysis of water samples and monitoring of shore and pond areas. We must enlarge the laboratory work area and obtain more time- saving equipment. The sanitarians have provided more an- alysis of paint chips for lead content, and they have parti- cipated in more conferences. The medical social worker has served as supervisor and consultant to two departments of social service and one Home Health Agency. She has been instrumental in plan- ning for regular meatings of the medical social work staff of eight hospitals in the area, and has established contacts with many agencies providing funds and services for those with developmental disabilities. We appreciate suggestions and requests for different or additional services and plan to adapt to meet needs when Possible.