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go out into the community to describe and explain the unit's work has given the authorities and the families confidence in the unit and a realisation that it is concerned with them as people and not just with the results of the screening tests and the treatments prescribed. We believe that this, to a considerable extent, has been achieved by the creation of a liaison nursing sister post and with the invaluable wholehearted help of those regional health visitors who have been so keenly interested in the programme.We are indebted to the health visitors in the North-western Region for their help and enthusiasm, to Mrs M A Riley for the psychological assessments, and to Miss Pat Chapman and the unit staff, who spent much time in acquiring the information on which the costing analysis was based.