Great Britain. Royal Commission on Poor Laws and Relief of Distress; Poor -- Great Britain; Poor laws -- Great Britain
[859] It may be objected that, in thus directing attention to the
fact that it is always an individual who is attacked, not, at
first, the family as a whole, we are ignoring the fact that there
are, at any rate, the families to be dealt with which are now, as
whole families, in a state of destitution; and that, moreover, it
must be anticipated, even with uniformly good administration of
the preventive services, there will be not a few families who, as
"missed cases," will have slipped into family destitution, without
having had their descent arrested by the preventive action above
described. We suggest that each member of even such a family
requires, for restoration, specialised treatment according to his
or her need. The infant, the child of school age, the mentally
defective, the sick, the infirm or incapacitated, the boy or girl
above school age and finally the able-bodied and able-minded
adult, each requires that something different should be done for
him or her, if _that individual_ is to be properly dealt with. The
alternative, namely, to treat the family as a whole, means to
place it in the General Mixed Workhouse, or merely to give it a
dole of Outdoor Relief. This, indeed, is to-day the dominant
practice; and as such, has been condemned by Majority and Minority
alike. It must, we think, be admitted that the several members of
the family, with their very different needs, cannot be wisely
treated without calling in the Public Authorities specialising on
those heads, such as the Education, Health, Lunacy, Pension, and
Unemployment Authorities. This does not mean that the needs of the
other members of the family will escape consideration. Assuming
that the cause of the destitution in which the family is plunged
is the sickness of the breadwinner, and that the other members of
the family are all normal, the Health Authority will, if it thinks
domiciliary treatment desirable, not only give the necessary
medical attendance, and look after the whole family environment by
its Health Visitor, but, if there is no income, will grant
(subject to the statutory rules and the Council's own Bye-laws)
the home aliment that is requisite for the family maintenance.
Would any one suggest that the Health Committee, with its Medical
Officer and its Health Visitor should be excluded from this case,
or that it should be precluded from treating the case at home when
the doctor reports that it can properly be so treated? If there is
a mentally defective person in such a family, ought the Lunacy
Authority to be kept out? If there are children of school age in
it, is it wise to prevent the intervention of the Education
Authority and its School Attendance Officer? It is the business of
the officers of the County or Town Council--in particular the
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