Abstract
To Editor.— Despite his disclaimer, Silver (216:1332-1334, 1971) is proposing fragmentation of health services to children of school age, separating child supervision and investigation of learning disorders. Why not instead include such services under umbrella Dr. Bornemeier recently proposed, a comprehensive health resource? Not only does this proposal split off some health services from others, its cost may not be justified. Does a school nurse practitioner identify and assess the factors that may operate to produce learning disorders, psychoeducational problems, perceptive-cognitive difficulties, and behavior as well as would school psychological and counselling staff? Would well-child care proposed detect health problems as well as periodic examinations by family's regular general practitioner or pediatrician? Would well-child evaluation by a school nurse practitioner uncover previously unknown problems as effectively as a well-devised self-administered parent questionnaire? The proposal is in imitation of European model of
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