X1 v Re 44 5fKK yjSX 3 rOne Hundred and Eighteenth ANNUAL REPORT of th Milledgeville State Hospital uNIVCRStTV Of QORGt ot i FEB5 2 LIBRARIES J Milledgeville Georgia FOR THE YEAR ENDING JUNE 30 1961 Or i v s One Hundred and Eighteenth ANNUAL REPORT of th Milledgeville State Hospital at Milledgeville Georgia FOR THE YEAR ENDING JUNE 30 1961 DIRECTORY HONORABLE S ERNEST VANDIVER Governor State of Georgia JOHN H VENABLE M D Director State Department of Public Health STATE BOARD OF HEALTH DR JAMES M BYNE JR Waynesboro First District DR ALDWIN G FUNDERBURK Moultrie Second District DR MAURICE F ARNOLD Hawkinsville Third District DR VIRGIL B WILLIAMS Griffin Fourth District DR HAROLD P McDONALD Atlanta Fifth District DR A M PHILLIPS Macon Sixth District DR FRED H SIMONTON Chickamauga Seventh District DR ALEX LITTLE JR Valdosta Eight District DR BEN K LOOPER Canton Ninth District 1 4 DR D M THOMPSON Elberton Tenth District DR J M HAWLEY Columbus State at Large ROBERT H HOGG Macon State at Large TYRE WATSON JR Decatur State at Large DR J G WILLIAMS Chairman Atlanta State at Large THE GOVERNOR ExOfficio member 9 y MEDICAL DEPARTMENT IRVILLE H MACKINNON MD Superintendent JAMES B CRAIG M D Assistant Superintendent PSYCHIATRY Allen Edwin W Sr M D Assistant Chief of Service Smith W T M D Assistant Chief of Service Bailey Lucius A M DClinical Director Crow James F M D Clinical Director Fidler A K M D Clinical Director Chance Francis S M DStaff Physician Hires Mary K M D Staff Physician Jacobs Jerry M D Staff Physician Kramer Stephen M D Staff Physician Monroe William G M D Staff Physician Ring HH MD Staff Physician Smith M EM D Staff Physician Stewart Mark M D Staff Physician West Maxwell M D Staff Physician Wooley LF M D Staff Physician Word J J M D Staff Physician Alvarez Manuel M D Assistant Staff Physician Ambrose Mario M D Assistant Staff Physician Azzi John M D Assistant Staff Physician Balbona Jose L M D Assistant Staff Physician Curtis Edwin D M D Assistant Staff Physician Dzirkalis Marta L M DAssistant Staff Physician Freeman Leon M DAssistant Staff Physician Garcia Pedro M D Assistant Staff Physician Gomez Julian M D Assistant Staff Physician Jones Phillip M DAssistant Staff Physician Mekis Peter M DAssistant Staff Physician Mendoza Jose M DAssistant Staff Physician Munoz Juana M DAssistant Staff Physician Ozolins Zelma M DAssistant Staff Physician Pallares Enrique M D Assistant Staff Physician Sarma Adolph M D Assistant Staff Physician Schuberth Albert M D Assistant Staff Physician Tornya Margaret M D Assistant Staff Physician Zakitis Dr Vilies M D Assistant Staff Physician Diplomate American Board of Psychiatry and Neurology PHYSICAL TREATMENT Bohorfoush jg M D Chief of Service Jordon Raymond M DAssistant Chief of Service Majanovic Mahmud M DDirector of TB Services Martinez Alberto M D Staff Physician McCandliss Robert M D Staff Physician Rice George M D Staff Physician Triana Carlos M D Staff Physician Alvarez Frank M D Assistant Staff Physician Amodea Jose M DAssistant Staff Physician AlvarezMena Sergio MD Assistant Staff Physician Benito Dr Jose M D Assistant Staff Physician Comas Gaston M D Assistant Staff Physician Franco Jaime M D Assistant Staff Physician Gomez Frank MD Assistant Staff Physician Maruri Carlos M D Assistant Staff Physician Mellinger Theodore M D Assistant Staff Physician Nodal Ronaldo M D Assistant Staff Physician Ortega Hernando M D Assistant Staff Physician Pessino Helena M DAssistant Staff Physician Piedra Joachin M D Assistant Staff Physician Ponce de Leon Adolfo M D Assistant Staff Physician Rivero Paul M D Assistant Staff Physician Saule Edward M D Assistant Staff Physician Schroeder Gerd MD Assistant Staff Physician Steinhards A M D Assistant Staff Physician Soto Emilio M D Assistant Staff Physician Trelles Julio M D Assistant Staff Physician Vigil Ramon M D Assistant Staff Physician Baumgartel Karl M D Neurologist Courtney George M D Optometrist Keeler Clyde Medical Geneticist Taylor GeorgePharmacist Keeler Mrs Clyde Medical Librarian PSYCHOLOGY Wildman Robert W Ph D Chief Clinical Psychologist Cook Murray Ph D Clinical Psychologist Caston William F Ph D Clinical Psychologist Madison Francis L M A Psychologist Primac Daniel W M A Psychologist Stewart Horace F M APsychologist CONSULTING STAFF Barton William L M D Ear nose and throat Bazemore J Malcolm M D Dermatology Clark Robert M D Neurology Flanagin WS MD Plastic Surgery Hall John I M D Orthopedic Hatcher Milford B M D Surgery Hooper R James M D Ophthalmology Jarratt Devereux M D Ophthalmology Lucas W T M DUrology Mullins DeWitt F Jr M D Pathology8 am y Rinker John Robert M D Urology Robinson Joe S M D Thoracic Surgery Stewart J Benham M D Surgery Wammock Hoke S M D Oncology Williams David Jr M D Urology DENTAL STAFF Watson Robert C D D S Director Dental Services Dorris Mack W D D S Dentist Luker Jack D D S Dentist MacGaughey John D D S Dentist McLean Omer D D S Dentist Sasser Robert D D S Dentist Vickers Thomas H D D S Dentist Warren Howard D D S Dentist ADMINISTRATIVE OFFICERS Bonner Myra S R N Director of Nurses and Nursing Services Bonner M M Supervisor Colored Male Service Boone Maude L Chief Occupational Therapy Brown Raymond D Director Public Relations Acting Chief Music Therapy Coordinator Religious Services Carey Tap M Director Division of Business Mangement Carpenter Nan D Dietician Cook Mary F Registrar Crittenden William R Institutional Business Administrator Daniel Wayne W Biostatistical Analyst Fowler Charles P Institutional Engineer Electrical Engineering Haddock Jane Director Volunteer Services Harrington Mary R Medical Records Librarian Hartley A L Director Environmental Sanitation Knowles Vera RN Supervisor Colored Female Service Madden Fred Director of Personnel Maddox Woodson Hospital Administrative Assistant and Secretary to Superintendent McDade A C Director of Food Service McGowan John E Director of Farms and Dairies McHan W N Director of Security Division McMillan Robert W Ill Institutional Engineer Construction Engineering Newsome Edgar T Horticulturist Pennington Alice H Dietician Petty W C Director of Vocational Rehabilitation Prosser Bruce R Director Recreational Therapy Reeves Fred Supervisor White Male Service Ricketts Ina Principal Stenographer Stewart Charles A Director Social Work Smith Edward S Institutional Engineer Mechanical Engineering Spivey Woodrow T Chief of Building Maintenance Swinger Levi F Administrative Officer Engineering Department Teague James D Jr Institutional EngineerCivil Engineering10 July 1 1961 c Dr John Venable Director State Department of Public Health 12 Capitol Square Atlanta 3 Ga SUBJECT 118th Annual Report Milledgeville State Hospital Dear Doctor Venable Complying with custom and statute the annual report of Milledge ville State Hospital for the fiscal year ending June 30 1961 is here with respectfully submitted First we would like to express our grateful appreciation to you and the members of your staff for sympathetic understanding of our problems as well as for invaluable assistance cheerfully rendered in cooperative programs to better the care and treatment of the mentally ill of our state This has been a year of progress and while in many areas it has been painfully slow results are beginning to be apparent There is a feeling of solidarity among the working staff and this is inevitably reflected in a more effective treatment program and a higher release rate While admissions are up 22 per cent over 1960 and the rate of admissions are continuing to increase we have been able to care for all who need immediate treatment The present effectivness of the therapy program gives hope for the future that even should the present trend in increased admission continue our staff will be equal to the task and we may in addition be able to extend our intensive treat ment program into the chronic buildings where much work remains to be done 3 Detailed reports of each department will be found in this report so we will confine ourselves to several items of overall improvement in which we can take some satisfaction11 NEW BUILDINGS Perhaps the outstanding event of the past fiscal year has been the implementation of Governor Ernest Vandivers 6500000 building program at the hospital When completed these buildings will provide a 500 bed Rehabilitation Center A 660 bed addition to the present Arnall Building a Central Kitchen to feed the entire population of the institution and a Staff Dormitory and Apartment Building for profes sional personnel The construction of these buildings is now under way and it is expected that several of them will be completed within this coming fiscal year These new buildings will provide for a real ignment of administrative services and thus make possible a greatly expanded treatment program in the chronic and geriatric wards while sacrificing none of the effectiveness of the present intensive treat ment program with new patients The new buildings will also enable the destruction of several old unsafe and substandard buildings and will make possible the housing of the entire resident patient population in safe sanitary and com fortable quarters NEW MEDICAL STAFF Equally important has been the addition of a number of exceptionally qualified individuals to the medical staff as well as to the adminis trative staffs of other disciplines Thirty new doctors joined the medical staff since July 1 1960 They are Doctors Hemando Ortega Julio Trelles John Azzi Juana Munoz Maxwell West Albert Schu berth Margaret Tornya James B Craig Ronaldo Nodal Jose Bal bona Julian Gomez Frank Gomez Mario Ambros Helena Pessino Gaston Comas Ramon Virgil George Courtney Frank Alvarez Jaime Franco Carlos Maruri J H Piedra Paul Rivero Jose Men doza Adolph Ponce de Leon Raymond Jordan Joseph Rice M G Stewart Sergio AlvarezMena Emilio Soto and Philip Jones While we have lost 18 physicians due to retirement transfer and other causes this still leaves us with a net gain of 12 doctors over the previous year The following doctors left the medical staff during the year Wilbur Baugh Robert Cary Mary Elliott Jorge Escamilla Blake Foster Carlos Guillermo Ulrich Harte Samuel Hall M W Husseini James Johnson Ramon Larios William Newton James12 Lambert J C Pirkle Ernest Saye KarlUllman David Williams Sr and Y H Yarbrough An irreplaceable loss to the hospital and to the medical profession was the death of Dr Y H Yarbrough who served this institution for more than 52 years Starting as Assistant Physician in 1908 Dr Yar brough served the patients of the State Hospital continuously until his passing He was Superintendent of the institution from 1943 to 1948 but much preferred working with his beloved patients to carrying the load of administrative responsibility so he resigned and became Senior Consulting Psychiatrist for the hospital with special responsi bility for the Boland Building His work with the aged male patients quartered in this building earned him statewide renown His was a record blazoned large upon the pages of the history of this state for unselfish and dedicated services The addition of the new staff members has enabled us to materi ally increase our ward coverage with the result that patients are now being discharged more rapidly and we have been able to do some screening work in the Chronic buildings We are still far below the standard recommended by the American Psychiatric Association and until we are adequately staffed we can only hope to scratch the surface insofar as the treatment of the chronic patient is concerned NEW DEPARTMENTS The appointment of Dr James B Craig Educational Director as Assistant Superintendent has relieved the Superintendent of much of the administrative load he formerly carried Dr Craig will continue to assume responsibility for the education program until a satisfactory replacement can be found V O Ley Two new departments recommended by the recent Scheafer Com mittee report of the Medical Association of Georgia have been estab lished A Department of Public Relations was set up in November with Mr Raymond D Brown as Director Working immediately under the Superintendent this department has proved invaluable in relieving the Superintendent of much of the public contact work he was formerly required to carry thereby allowing him to devote himself more fully to the administrative affairs of the hospital Because of previous13 training in these fields Mr Brown is also acting as head of the Music Therapy Department and as Coordinator of Religious Services until qualified heads of these departments can be employed A Department of Volunteer Services was organized in February with Miss Jane Haddock as Director The use of volunteers in an under staffed state mental hospital is an absolute necessity and Miss Haddock has been able to add materially to the amount of volunteer participation in hospital programs The employment of Mr Wayne Daniel as Director of the Department of Biostatistics has made possible some reorganization of the medical records division and the coding of all patient information on IBM cards Microfilming of all old hospital records will provide additional space and make possible increased efficiency in this department A department of Optometry under the direction of Dr George R Courtney has been a tremendous assistance to patients needing glasses The restoration of clear vision to many of these patients has been better therapy than anything that has happened to them for years Under the direction of Institutional Business Manger W R Crit tenden the Engineering Department was reorganized into five sepa rate units Construction Engineering Civil Engineering Mechancial Engineering Electrical Engineering and Building Maintenance All engineering units are headed by a graduate engineer and the mainte ance unit by a skilled craftsman A maintenance man who is under the supervision of the Chief of Building Maintenance has been assigned to each domiciliary building The new organization is functioning smoothly and has markedly increased the speed and efficiency of the overall maintenance program Hospital Administrators Jesse Scarbrough and Robert Maifeld assigned to the Powell and Jones Buildings have contributed greatly to the overall programming in these units as well as relieving the Chiefs of the medical services of a great mass of business detail that does not properly come within their function It is hoped that add itional administrators will be assigned when personnel and funds be come available14 COST OF OPERATION 4 The per diem cost to the state for the operation of Milledgeville State Hospital for fiscal year 1961 has risen to 278 as compared to a per diem cost of 255 for fiscal 1960 In round figures the cost of oper ation to the state this past year was 12500000 as compared with 10700000 in 1960 This is still far below the minium amount re quired to effectively meet the needs of the mentally ill of this state At the absolute minimum the allocation from state funds for the oper ation of this institution should be 20000000 EMPLOYEE RELATIONSHIPS 9 We would be remiss if we did not express our thanks to the staff members and employees of the hospital many of whom have served the patients in this institution for years faithfully sincerely and com petently The fruit of their labor is now observed in an increased dis charge rate and a better and more comprehensive treatment program The employeepatient ratio has improved from 1508 in I960 to 14 63 during the past year This of course is still far from the ideal standard of 11 however a pay raise and additional personnel added to the attendant service made it possible to reduce working hours on some wards and conditions in this area are generally much improved Total number of employees has increased from 2336 in I960 to 2561 in 1961 Additional positions are badly needed in the nursing services business and administrative departments and toplevel medical and adjunctive therapy staffs This of course requires additional funds from state allocations A real need is some attention given to employee recreation and social life On the whole the hospital has made encouraging process in all areas of service to the mentally ill however we cannot be satisfied with present accomplishments but must look to the future with hope and confidence that those who guide the destiny of our great state will continue to view with sympathetic concern the needs of our emo tionally ill fellow citizens for whom this hospital was built IS We must include a special word of thanks to Mrs Louise Hines and her Garden Therapy Volunteers the Garden Clubs of Georgia Inc for sponsoring the program to the Pilot Clubs and Mrs Gene Goslee to the United Church Women represented by Mrs L L Aus tin to the Georgia Municipal Association and Mrs Betty Vandiver for the annual Christmas gift program to the Georgia Association of Mental Health headed by Judge Frank Smith for the sponsorship of many activities during the year and to all the many organizations and individuals who have taken an interest in our patients brought to them the warmth of friendship and the comforting feeling that someone cares We now call your attention to the detailed reports of the various departments which follow Respectfully submitted I H MacKinnon MD Superintendent16 DEPARTMENT OF CLINICAL PSYCHIATRY The motivating force in patient therapy in any state mental hospital is the Department of Clinical Psychiatry The caliber of patient care is only as good as the caliber of the psychiatric staff for these men and women are the necleus around which all other hospital activities revolve Words of high praise must go to these conscientious and devoted physicians both in psychiatry and general medicine for the standard of performance and dedication to duty which they have ex hibited during the past year In spite of many difficulties shortage of equipment inadequate nursing staffs patient loads far higher than they should be asked to carry and greatly increased admissions they have carried on with cheerful cooperation and remarkable success Perhaps the best indication of the efficiency with which the psy chiatric staff is now functioning can be observed in the population figures for the institution The average daily population for the year ending June 30 1961 was 11873 or 1 more patient per day than 1961 This in spite of the fact that admissions rose 22 per cent over last year This simply means that the psychiatric siaff is discharging 22 per cent more patients than in I960 in order to keep the resident population figures as close as they are The addition of new physicians during the past year has resulted in an increase of doctors on the admission and intensive treatment wards Two psychiatrists are now assigned to each admission ward where formerly there was one In addition the psychiatric teams on these wards have been expanded with the addition of clinical psy chologistssocial workers vocational rehabilitation specialists and where indicated occupational therapists music therapistschaplains recreational therapists so that a full complement of professional disciplines is available for the use of the ward psychiatrist in his treatment program V Much of the effectiveness of modern therapy in mental illness is due to the use of the psychotropic drugs Particularly in the areas of mania and depression have these new chemotherapeutic agents been of great benefit Research in their use side effects dosage etc con tinues and much is being learned that will make these drugs even more useful in the future17 The evolution in psychiatric treatment procedures has changed remarkably in the last five years Insulin Therapy once a much respected therapy is now practically extinct The use of electro shock therapy is still the only answer for certain conditions however gradual inroads are being made in this area also particularly by the antidepressant drugs Individual and group psychotherapy has a large and important role in the treatment program in this hospital and as practitioners become more adept and as research continues to give additional information we may expect to see this important tool of the psychiatrist assume an even more vital place in the psychiatric armamentarium Two psychiatric teams headed by Dr James B Craig and Dr James Johnson commenced screening in the 726 patient Howell Build ing where chronic males are housed These teams turned up some interesting information resulting in the discharge of a number of pa tients the modification of treatment procedures for others the recom mendation of the use of various kinds of adjunctive therapy such as work occupational therapy music recreation and others in certain cases transfer to other wards where the mlieu was deemed to be more salubrious for the patient in question and in a few cases trans fer to the intensive treatment wards for intensive therapy of a special type This pilot project has shown that with a more adequate staff much improvement may be possible in patients housed in the chronic buildings by the use of modern treatment methods It is hoped that during the coming year with the possible addition of new medical personnel even further advances in the research and treatment of mental illness may be achieved here in Milledgeville DEPARTMENT OF MEDICINE AND SURGERY It has been evident for several years that the present Jones Hospital is inadequate to care for the physical needs of the patients and em ployees of the State Hospital without extensive remodeling of the building and a reorganization of staff and procedure A start in this direction was made last year with the appointment of Dr J G Bohor foush as Chief of Physical Treatment Services The addition during this fiscal year of Mr Robert Maifeld as Hospital Administrator was18 a further step toward the attainment of supplying the patients of Mill edgeville State Hospital with the best medical and surgical care possible S Remodeling of the physical plant was held up for months because the electrical system was so overloaded transformers and extensive rewiring were necessary throughout the building Also the plumbing required almost total replacement to function adequately however much of the remodeling has been completed One ward has been com pletely remodeled according to modern hospital practice The Labor atory Central Supply Prison Ward and Medical Library are nearing completion The remaining four wards the operating suite the out patient department the radiology department and the pathology dep artment are scheduled for remodeling during the coming fiscal year The addition of 16 physicians to the medical staff many of them outstanding in their specialties has increased the tempo of medical treatment to the point where the acutely ill can now be adequately cared for In addition the new staff members have made possible a limited annual health inventory of all chronic patients which includes six examinations among which is an electrocardiagram on all patients over 40 At the present rate of examination it will take one year to complete this health inventory The addition of six physicians will make possible adequate medical coverage of the chronic services The recruitment of graduate nurses has not kept pace with the growth of the medical staff and it is in this area that the greatest shortage exists This is a serious problem and should receive immedi ate attention OUTPATIENT DEPARTMENT More specialized and better care in the Outpatient Department has resulted in three times as many visits being made this year as in fis cal 1960 A total of 25799 visits were made broken down as follows 5473 by patients 8820 by employees 6489 by dependents of employ ees 307 by student nurses 3504 by state prisoners and 1186 by inmates of the Boys Training School 319 RADIOLOGY The load of the Radiology Department has gradually increased in spite of the addition during the year of a full time radiologist In June 1960 961 patients were seen while in June of 1961 1437 cases were seen A total of 15229 procedures with 26809 exposures were com pleted by this department A Chief Radiologist A Chief Radiological Technician and a clerk are urgently needed to meet the mounting load posed by a growing medical staff and a better patient care pro gram PATHOLOGY During the past year this department has operated without the services of a wellqualified Pathologist A staff physician with lim ited training in this field was assigned full time and with the aid of consultants functioned at the minimal level A full time Chief Path ologist will join the staff during the early part of the next fiscal year and another Pathologist will be added in the fall With the addition of a Cytologist this professional complement should meet the immediate needs CLINICAL LABORATORY On July 1 1960 a director Mr W A Bowman was appointed to co ordinate the work of the Jones and Rivers Laboratories and the Blood Bank His first task was to improve the quality of work on nearly all examinations Changes to conform with the regulations of the Ameri can Association of Blood Banks were instituted to protect both the donor and the patient The Technician Training program was abandoned during the year and all training positions were elevated to full time positions When new quarters are completed and an adequate staff is available the training program will be resumed So far it has been possible to recruit personnel During the year arrangements were made with the Georgia College for Women to accept selected technical personnel for training in the basic sciences Five technicians have taken courses in Organic CJiemistry This program is to continue20 Tests not previously offered are now being performed These include Uroporphyrins CReactive Proteins ASTO and Rheumatoid Arthritis Examinations Protein bound Iodine determinations will be instituted as soon as the technicians familiarize themselves with the technique The present Laboratory staff consists of a Director a Technical coordinator 3 Supervisory Technicians13 Technicians 7 Assistants 2 Clerks and 2 Institutional Workers One Technician and One Insti tutional Worker are assigned to Pathology the major part of the time During fiscal 1960 91291tests were performed During fiscal 1961 a total of 130647tests were performed This was accomplished with out addition of technical personnel V MEDICAL RECORDS AND STATISTICS Previous statistical reports were found to be inadequate some items having been reported for only seven months A Medical Records Librarian has been employed and all medical records are being stand ardized to conform with the Board of Accreditation for Hospitals The Standard Nomenclature of Diseases and Operations has been introduc ed and will be adhered to RESEARCH DEPARTMENT During the past year a Research program was instituted A phy sician well trained in pharmacology and a Medical Geneticist were employed Consolidation of the laboratories in the Jones Building will enable the entire Rivers Laboratory to be utilized for research projects The Department of Medical Illustration will also be in this building Work has already begun on the Pharmacology of Tranquil izers During the past year a research project was completed by the Surgical Service and the paper was presented before the Medical Ass ociation of Georgia The findings will be published in the Society Journal in the near future Dr Bohorfoush continues his studies on the Mathematical Implications of Electrocardiography Dr Karl Baum gartel Neurologist completed his study on the effect of Librium in the treatment of Epilepsy and has submitted the results to a medical journal Research studies were also completed by Clinical Psycho logists Stewart and Primac21 MEDICAL LIBRARY Formerly the Medical Library was located in the basement of the Jones Building and was badly lighted and poorly equipped The books were of ancient vintage only one or two new acquisitions having been made over the past ten or fifteen years Such new books as were purchased were scattered over various sections of the hospital and not available to all professional personnel A new Medical Library is now being constructed on the first floor of the Jones Building More than 500 new books have been delivered or are on purchase Journal subscriptions are being reviewed and all necessary professional Journals not on subscription will be ordered The Library of Congress system of cataloging has been adopted An active Library Committee has been appointed by the Superintendent and will set rules and regulations for what is expected to be one of the leading Medical Libraries in a southern hospital SURGERY The Surgical Service was augmented during the year with several competent surgeons resulting in an increase of services rendered A total of 1209 surgical procedures were performed during fiscal 1961 divided as follows General Surgery 534 Orthopedic 173 Urological 168 Gynecological 192 EENT 35 Thoracic 28 and Obstetrical 79 Individuals receiving surgery were classified as follows Patients 837 Employees 163 Dependents 120 Student Nurses 2 Prisoners 62 and inmates of the Boys Training School 25 T B SERVICE At the present time 786 patients are housed in the Rivers Build ing These include 89 active TB cases 476 chronic inactive 141 nontubercular diabetic patients and 70 geriatric cases During the past year 57 patients have been discharged and 104 furloughed All employees in the TB Service are Xrayed at least three times an nually and only one new case of tuberculosis has been discovered in the last ten years 22 The department is participating in the INH Prophylactic study and tuberculin testing program of the US Public Health Prophylactic Service THE FUTURE 1J 6 The increased tempo of medical care at Milledgeville has not been accompanied by a parallel increase in personnel particularly in the nursing and clerical areas As a new service is offered its use in creases each month As more physicians are added to the staff there by providing better patient care the use of the Laboratories and Radiology Department increases As the Health Survey progresses the load on the specialty clinic will mount The extension of ade quate medical treatment to every patient in Milledgeville has just be gun and already the saturation point is being reached The present hospital is inadequate even if completely remodeled The need for a new hospital building to house the physical service laboratories and clinics is urgent PHARMACY Dr George W Taylor Chief Pharmacist was honored during the year by invitation to membership in the American Society of Pharmacog nosy one of the highest honors which the profession of Pharamacy af fords Dr Taylor was invited and sponsored by the University of Pitts burgh and notification of his membership acceptance came from Wash ington State University of Seattle A tremendous work load is carried by the Pharmaceutical Depart ment in an institution of this size Goods purchased during the year amounted to 44000000 in value and a regular inventory in thea mount of 27000000 is carried at all times to meet the needs of the hospital Products manufactured in the department during the year included 431 gals of tinctures spirits and extracts 190 gals of elixers and tonics 250 lbs of ointments 455 gals of liquors lotions and mix tures 386 lbs of medicated powders and 12850 assorted capsules filled to order A total of 110791 prescriptions were filled 23 DENTISTRY The dental staff includes eight dentists four dental hygienists two laboratory technicians one laboratory assistant two senior clerks and nine dental assistants Dr John E Crietzberg director Dental Health Branch of the State Health Department and members of his staff have been most helpful by providing program evaluation and recommendation as well as in valuable consultive service as does Dr Sidney Miller Central Re gional Dental Consultant The past year has been marked by a significant increase in the scope as well as in the quantity of dental service rendered by the department A total of 77547 operations and treatments were performed by the staff and an additional 7869 laboratory procedures were com pleted Simplification in administration has resulted from the separation of the employees dental program from that of the patients The em ployees program is now located downstairs with two full time dentists assigned The patients program is located upstairs and has been reorganized so that different sections will be responsible for different phases of dental treatment Surgery prosthetic and operative and emergency sections have been set up resulting in more efficient oper ation of the entire program Emergency treatment is available to pa tients employees and their dependents 24 hours daily and seven days a week Dental examinations of all patients are performed on the wards every ten months Patients needing treatment are brought to thedental clinic where the treatment as indicated by the examinations is given As much additional treatment including operative prosthetic period ontal oral surgery and limited orthodontic procedures as the staff is able to accomplish is performed for the patients Plans for the future include obtaining the services of one or more consultants in the field of oral surgery expanding the dental program to more adequately meet the needs of the patients revision of statis tical records to make them more uniform and concise futher develop the dental library continue inservice courses on various aspects of assisting dentistry and continue instruction for ward personnel in oral hygiene care following extractions and proper diets24 DEPARTMENT OF CLINICAL PSYCHOLOGY 3 During the year the department added two qualified clinical psychol ogists to the staff Drs Murray Cook and Frank Caston One staff member is in training and will eventually return on a professional level Because of the larger staff more patients have received psycho logical treatment more diagnostic evaluations have been made more research projects have been completed and more teaching has been done The department has assisted in developing a special education pro gram for the children in the hospital has supervised the training and research programs of the summer college students cooperated in the screening of chronic patients and has given some pyschological ser vice to the prisoners at the hospital One of the most significant advances was progress achieved in the development of an intern program in cooperation with the University of Georgia which has a doctoral program in Clinical Psychology An advisory visit was made to the hospital by the Evaluate Committee of the American Psychological Association and the report was very fa vorable and indicated that the Milledgeville department was first class in quality This is a giant step forward in developing a pool of clinical psychologists for the state of Georgia and will furnish the hospital with professional help through the training program More professional responsibility for patient treatment has been assumed by staff members during the year both in group psycho therapy sessions and individual interviews A total of 1500 sessions have been held during the year Diagnostic evaluations numbered 658 research projects consumed 341 hours and 279 hours were spent in teaching The department is still grossly understaffed and far below the standard set by the American Psychiatric Association Salaries should also be raised so that competition with other states for competent psychologists may be on a more equitable basis 25 DEPARTMENT OF NURSING SERVICES During 1961 293 Psychiatric Affiliate Student Nurses completed their three months course in Psychiatric Nursing and participated in the National League for Nursing Achievement Test They came from the following hospitals Georgia Baptist Hospital 111 Georgia Southwest ern College 10 Grady Memorial Hospital 56 Macon Hospital 42 Med ical Center at Columbus 18 Piedmont Hospital of Atlanta 38 and War ren A Candler Hospital at Savannah 18 The Affiliate Nurses are invaluable to the nursing program at Mill edgeville Some of the present graduate nurses are recruits from this program and it is hoped that an expansion of the affiliate nursing pro gram may result in the near future A recent innovation has been the use of volunteer workers who assist the nursing staff in many and varied ways write letters for patients adjust pillows and render helpful service wherever they can The value of these services cannot be estimated It goes without say ing that every member of the nursing staff is deeply appreciative of these fine people and their unselfish service to the patient The first Psychiatric Aide Training Class was begun in October with 40 aides participating in the three months course During the three quarters of 1961 a total of 99 aides completed the course and were presented graduation certificates Of those completing the course 67 were women and 32 were men During the year a total of 99 new positions were approved for the nursing services while 22 employees left the service due to death and retirement and 8 for other reasons making a total of 30 separat ations for the year A total of 1595 positions are allocated to the nur sing service of which 73 are RNs 1404 are in the Attendant Service as Building Supervisors Assistants and Attendants and 45 are Occu pational Therapy Aides The balance of 73 positions are allocated among various nonnursing personnel The 73 Registered Nurses represent a pitifully small percentage of those needed to minister to 12000 patients of this institution Every effort must be made and all possible resources explored to correct this condition within the next several years26 DEPARTMENT OF PSYCHIATRIC SOCIAL WORK A gratfying advancement in the program to bring this department up to standard was the appointment in June of Dr Charles A Stewart as Director The staff at the end of fiscal 1961 consisted of the Direc tor 6 social worker aides 3 social science trainees and 6 stenogra phers The bulk of the work performed by the department consists of obtaining social history data and providing case abstracts for medi cal and social agencies A departmental selfevaluation was begun in June and the emerging indication of this study points up the immediate need to elevate the standards of social work practise as a necessary prelude to recruiting additional trained personnel as well as an essential requirement for the establishment of a field work training program for students of grad uate schools of social work The complexity of this setting requires a variety of social work services but our immediate objective is the creation of an effective program in intake and prerelease planning for the intensive treatment wards before expanding into additional and less essential services Several recent developments give promise of fulfilling these general objectives Staff development will be encouraged by means of weekly training sessions with the case aid staff and four aides are attending graduate schools of social work at the Universities of Tennessee Florida State and Smith on training stipends furnished through cooper ation of the Georgia Health Departments Health Education and Train ing Division and will return to the hospital in two years after receiv ing Masters Degrees All new subprofessional personnel will be required to begin graduate study within two years of employment Social work accomplishments during the past year include 2047 social histories obtained in interviews with relatives of newlyadmit ted patients the summarization of 2296 questionnaires in cases in which relatives could not come to the hospital or staff shortage pre vented personal interview Fifty patients were placed in vocational or boarding settings The majority of these placements involved domestic or practical nursing duties and therefore provided the patient a salary as well as maintenance A total of 27 nonresident patients were trans ferred to outofstate instutitions 23 babies born to patients in the hospital were placed with relatives or referred to the Department of27 Public Welfare for adoption 563 abstracts of clinical records were sent to local health offices for public health nursing followup ser vice 320 clinical aostracts of patient records were furnished to OASI officials and 2068 pieces of correspondence pertaining to miscellane ous service catagories were completed Acknowledgement is due Mrs Claire Calloway former Chief Social Worker who retired during the year after many years of dedicated ser vice to the patients of this institution Her work will be a memorial to her during the years ahead DEPARTMENT OF PUBLIC RELATIONS This department was set up as the result of a recommendation of the Schaefer Committee of the Medical Association of Georgia when in vestigation showed the need for the presentation to the general public of accurate and factual information regarding the policies procedures activities problems and accomplishments of Milledgeville State Hos pital as well as the need to relieve the Superintendent of the mass of public relations duties which he was forced to carry in representing the hospital to the public The present staff consists of the director and a senior stenographer and the department commenced operations in November of 1960 The directors immediate objective was to familiarize himself with the bas ic operating policies and procedures of the huge 10000 acre institu tion so that the information presented to the news media and the gen eral public might be based on personal and factual knowledge In this task he was ably assisted by the Superintendent Dr IH MacKinnon Institutional Business Manager WR Crittenden Director of Nurses Mrs Myra Bonner and the various heads cf departmentsmedical staff and employees throughout the hospital Regular dissemination of news releases to statewide PR media commenced in December Newspapers radio and television stations mental health associations and professional organizations all ex pressed satisfaction that there was a contact person at the hospital who would expedite the gathering of such information required28 The department took over the responsibility of arranging all tours of the institution for visiting groups the preparation of seminar pro grams for college students arrangements for special events the scheduling of speakers for outside organizations and the develop ment of better employeestaff relationships within the institution s During the past eight months the director has made 37 talks to civic clubs church groups PTAs and professional associations regarding the hospitals program More than 700 college students have attended oneday seminars on mental illness at the hospital More than 300 high school seniors attended a seminar on mental health careers presented at the hospital under the joint sponsorship of the Georgia Health Department the Georgia Association for Mental Health and MSH A total of 48 groups including 5179 individuals have taken guided tours of the hospital 0 More than 700 copies of the 1960 annual report prepared by the department have been distributed to legislators libraries profession al organizations health departments and individuals requesting them A total of 84 news releases received statewide coverage in the press radio and television and 5 of these were mentioned in national public ations The Director made 6 radio interviews 3 television appear ances and prepared 4 radio scripts on mental health subjects for pre sentation by staff members and others The department also assisted in the preparation of 2 research papers by members of the medical staff for later publication in professional journals No small credit for any achievement must go to the employees and staff of MSH for ready and willing cooperation with department pro grams to Dr IH MacKinnon Superintendent for wise counsel and advice as well as complete freedom of operation in the organization of a new and unique program in a state mental hospital to Dr John Venable director of the Georgia Department of Public Health to Tom Gibson Director of the Division of Health Education Training and Information and to Dave Humphries and Diane Stephenson Adminis trative Assistants to Dr Venable all of whom have been invaluable in cooperative planning and as resource persons Due to the inability to secure qualified professional Directors of Religious Services and Music Therapy the Public Relations Director at the request of the Superintendent has assumed these added re sponsibilities during the past fiscal year Activities of these two departments are reported elsewhere 829 DEPARTMENT OF VOLUNTEER SERVICES A Director of Volunteer Services was appointed on February 16 1961 Her primary duties were the correlation and expansion of volunteer services into all areas of the hospital where overworked prof essional staff could thereby be relieved of minor duties which trained volun teers could perform just as well To aid in these objectives a Volun teer Service Committee was set up composed of the Directors of Volun teer Services Public Relations Occupational Therapy Recreation Music Therapy and the Horticulturist These departments have worked closely togeather during the year making possible an expansion of existing volunteer programs and the organization of new activities The greatest number of volunteers participating in a program within the hospital are those working in the Garden Therapy Program spon sored by the Garden Clubs of Georgia Inc and conducted by the members of the Milledgeville Garden Clubs under the leadership of Mrs TM Hines More than 80 volunteers and 600 patients work in the 15 hospital garden clubs which have been organized since 1959 when the project was started under the leadership of the hospital Horti culturist Mr Edgar Newsome This program has resulted in the beautification of the hospital with flower gardens planted by the club members through funds provided by the Garden Clubs of Georgia Inc and more than 6000 has been spent in this program since its inception These funds are also used for the purchase of refreshments for the patients working in the clubs materials for rainy day programs and tools Many organizations over the state have also provided caps aprons and bonnets for use by club members in their gardening activities The Milledgeville program received national recognition when the the Garden Clubs of Georgia were presented with a citation at the national convention of Garden Clubs for the outstanding Garden Ther apy program in the country The Garden Clubs of Georgia Inc also received a Certificate of Appreciation from Dr IH MacKinnonSuper intendent of the hospital at the state convention and the hospital Horticulturist Edgar T Newsome was honored by the Garden Clubs of Georgia Inc for his vision and resourcefulness in getting the30 program started The Milledgeville Garden Clubs received the state Garden Therapy Award for the outstanding therapy program in Georgia Further details of this program will be found in the report of the Horti culturist s A volunteer program in Music Therapy was started in the spring of 1961 and has now expanded to the point where volunteers are being used in weekly sessions with regressed patients in the Allen and Freeman buildings A weekly square dance session is held in the Powell building to which all patients are invited This program will be expanded in the near future to the chronic services A standard orientation course for volunteers has been set up and all new volunteers are required to take this before participating in ward programs Volunteers already working in the hospital have also taken the course Five volunteers are working in the Jones Hospital providing per sonal services to physically ill mental patients under the supervision of the nursing service Ten colored volunteers in three groups are providing recreation and personal services on two wards in the Wash ington building A Volunteer instructor in oil painting meets with 10 patients in the Occupational Therapy Department Also in this depart ment the Pilot Clubs of Georgia are financing an instructional program in ceramics for both patients and personnel The instructor meets week ly with a class of 12 Members of this class attended a recent cerami cs show in Macon at the invitation of the Middle Georgia Ceramics Guild Perhaps the outstanding example of what an interested volunteer organization can do is the Day Room Project of the United Church Women of Georgia Under the enthusiastic leadership of Mrs L L Austin of Atlanta 33 day rooms at the hospital have been furnished with strong lightweight aluminum sofas and chairs in beautiful colors as well as with lamps tables and pictures The hospital provides attractive draperies and all day rooms now have television sets the first of which were supplied by the United Church Women 31 The Federated Womens Clubs of Georgia have provided funds for the purchase of 2 portable electric sewing machines as well as drap eries and materials for 2 day rooms A Forgotten Patients program has been sponsored by the Pilot Clubs of Georgia Numbers are as signed to indigent patients and club members send gifts for distri bution to these patients by the Volunteer Services Department This plan has now been made available to members of other organizations desiring to make contributions to individual patients Alcoholics Anonymous conducts weekly meetings with an average attendance of 65 patients The meetings are conducted by groups from Valdosta Macon Statesboro and Dublin During the year the first anniversary meeting was held at the hospital with a large attendance from all over the state and a special speaker from Washington DC Patients have participated in parties and picnics sponsored by local church groups have attended local concerts at the Womans College and have enjoyed numerous other offcampus activities Audi torium entertainment programs have been presented by local high school and college music and physical education groups as well as those from numbers of other organizations Other contributions have consisted of library books and magazines used clothing and 8 pedestal fans for the childrens ward in the Boone building DEPARTMENT OF OCCUPATIONAL THERAPY The present staff of the department consists of the Director Mrs Maude L Boone and 49 aides of which 9 are men This is one of the most active departments in the hospital and a total of 13863 patients have participated in Occupational Therapy projects during the fiscal year of which number 12245 are registered as improved More patients have participated during 1961 than ever before Occupational therapy patients engage in a variety of activities including crafts of various kinds framing patient art work to be hung throughout the hospital up holstering and repairing furniture constructing smoke stands magazine racks tables desks and keeping all wheel chairs in repair Women patients have spent a considerable number of hours making draperies and curtains for the childrens wards and the various other wards in the hospital which need such service32 During the year two new Occupational Therapy aides and one craft instructor have been added to the staff A china painting class financed by the Pilot Clubs of Georgia is turning out some beautiful work in ceramics e Patient field days have been very successful particularly for those patients not participating in Occupational Therapy One day a week has been devoted to this program and several thousand patients have attended each session and enjoyed the refreshments games music and other entertainment provided Total paid invoices for the year amounted to 20811 Receipts from sales of patient work amounted to 20601 There is an inventory of 8000 worth of materials on hand The Occupational Therapy Aides have also rendered an outstanding service to the Public Relations Department by serving as guides for the various hospital tours arranged for visiting groups The department has also engaged in a number of cooperative activities with other hospital departments in which both staff and patients have partici pated DEPARTMENT OF MUSIC THERAPY The present staff of the department consists of the Acting Director 1 registered music therapist and 3 music therapy technicians The present staff is completely inadequate for the needs of this huge insti tution and the demand for music therapy programs is rapidly increasing At the request of the Chiefs of Service of the reception wards the department has offered additional ward programming plus partici pation in the hospital choral and instrumental groups to these patients These activities were previously confined to the chronic buildings Though programming in the chronic wards has been considered no less important lack of departmental personnel has made the schedule of music activities a serious and time consuming problem In an effort to cope with this situation regular contact has been made with these buildings and transfers from the receiving wards previously active in music therapy have been enabled to continue this activity 33 The chapel choir composed of 55 patients rehearses twice weekly and furnishes the music for the religious services on Sunday At vary ing times during the past year this group has presented concerts in the local community as well as a Christmas cantata The Miracle of Bethelehem and an Easter cantata He Lives Again to the pa tients herein the hospital Patients participating in music therapy were taken to the locally sponsored Symphony Guild Community Concert series held at the Womans College of Georgia This was made possi ble by the association allowing patient groups free admission Forty patients attended the college presentation of Handels masterpiece The Messiah Smaller choral groups including ensembles trio duets also function both within the hospital and the community settings y The hospital radio program provides a vehicle for hospital music organizations to function at a high level of proficiency The string band composed of approximately 12 to 15 patients has presented more than 350 programs on the hospital wards and has also played additional programs for birthday parties general hospital entertainments and dances Two units consisting of elementary or beginners bands enable patients assigned to music therapy by ward psychiatrists to learn to play various band instruments The first such group assembled consi sted of some 35 chroaic patients of which only 4 remain in the hospital today One of these is now being processed through Vocational Reha bilitation for permant discharge after 20 years of hospitalization The other instrumental unit the dance combo is smaller and presents an opportunity for advanced musicians with music education backgrounds and instrumental experience with dance music to utilize this freedom of expression Music appreciation classes are held twice weekly in the Music Therapy Office A recent program which included a study of American jazz created a considerable amount of interest and a large number of patients parti cipated The department has no regular budget and operates an funds received from the Patients Benefit Fund which provided a total of 1313 for records sheet music refreshments and other such items34 6 An innovation was the commencement of a Volunteer program in Music Therapy which began on the twentyfirst of March when four local residents met with the Acting Director Ray Brown and Miss Saralyn Ivey Music Therapist An outline was set up and after an evening of orientation and ward programming on the reception service these four people formed the first volunteer team On March 23 forty eight patients selected by the medical and nursing staffs met for the first of the weekly Music Therapy sessionsjn the Allen building Since this initial meeting 42 volunteers are registered and are working on various teams throughout the hospital Another team is working in the Freeman building and a square and round dancing class has been organized under the leadership of Mr and Mrs Carrol Sirmans Approxi mately 70 patients engage in this activity This has created such interest that an additional group will be scheduled for the chronic services on Wednesday afternoon A eurhythmies class has been formed on the female intensive treat ment ward A weekly period of instruction in ballroom dancing is sched uled to begin in September and a team of local men will start work in the near future on the male intensive treatment ward offering the same type of program now used by other volunteer teams In the five month period it has been established nearly 400 patients now participate regularly in volunteer Music Therapy groups The additional teams now being scheduled will raise this total to around 700 The string band plays for approximately 400 patients per week and ward programming involves around 600 weekly Other activities engage a total number of 400 patients Thus the department with four thera pists is working with 1400 patients weekly and the volunteers with approximately 700 more This however leaves nearly 10000 patients not included in these activities The only answer to this situation is additional staffing and wider volunteer participation DEPARTMENT OF RELIGIOUS SERVICES Over the years Milledgeville State Hospital has been fortunate in the unselfish service rendered by pastors of local churches both white and colored who have given unstintingly of their time to strengthen the spiritual resources of the patients These devoted men in addition to the responsibility for their own congregations have also rotated a 35 two week duty period at which time they have been on call for any religious services needed by patients at the hospital While such volun teer participation has made impossible an intensive program of reli gious services on the wards it has brought to the patients regular Sunday services counseling in emergency situations and spiritual guidance where needed The duty periods have been set up at an annual meeting of all chaplains held at the first of the year and the entire schedule for the year has been worked out When Dr John Hughston Pastor of the First Baptist Church of Milledgeville and Chief of Chaplins at Milledgeville State Hospital accepted a call to the Northside Baptist Church in Atlanta a program was already underway to set up classifications in the Georgia Merit System for resident clinically trained chaplains who meet national accreditation requirements for clinical pastoral training These classi fications have now been established and applications are being receiv ed with the hope that accredited clinical chaplains will be functioning at the hospital during the next fiscal year on a resident basis Much credit for this development should go to local pastors who have relized the need for such a service from their own personal ex perience at the hospital as well as to the various religious groups church organizations councils of churches theological schools and other organizations in the state who have given freely of their advice and counsel in setting up an adequate program Special mention should be made of the work done by the chaplaincy committee of the Georgia Association for Mental Health and its Chairman Reverend Charles Gerkin for special service rendered the hospital and the Merit System in the development of acceptable standards for a program of clinical pastoral training The special committee set up by Governor Ernest Vandiver to raise funds for the construction of Chapels of All Faiths under the Chair manship of Dr Louie Newton is actively at work to secure funds for the construction of necessary physical facilities for an adequate re ligious program at the State Hospital It is hoped that the foundation for the first of these chapels can be laid during the coming fiscal year Plans have been drawn and the site has been selected for the first of these units L 36 Chaplains participating in the present program include Dr William McLeod First Presbyterian Dr Joe Holiday First Baptist Reverend Ewell Blackburn First Methodist Reverend Howard Sims Hardwick Methodist Reverend James Nipper Hardwick Christian and Reverend Quentin Lockwood Hardwick 3aptist and the Reverends JA Jones TL Mincey WA Pearson Harold C Turner and Thomas Farmer 6 Religious services are held every Sunday morning in the auditorium for Protestant patients and in addition many of the buildings conduct their own Sunday School classes Episcopal services are held at the Arnall Chapel Friday at 930 am conducted by Rodger M Hill Lay Reader The Episcopal Church has been without a pastor for some time Jewish services are held weekly on Saturday at 930 am super vised by Mrs Hannah Bell Koppel and once a month Rabbi Harold F Gelfman conducts the services Roman Catholic services are held Monday at 930 am in the Arnall 3uilding Chapel with the Reverend Father Joseph Ware officiating We cannot commend too highly the services rendered by these men and women of God who have served the hospital over a long period of time 9 The widespread recognition now given to the part played by reli gious therapy in the treatment of psychiatric patients makes it impers tive that this program be supervised by especially trained clinical pastors who have completed their seminary work had several years pastoral experience and have had at least a years internship in a mental hospital under accredited supervisory training The value of the trained clinical chaplain on the psychiatric treatment team is now accepted without question in all modern mental hospitalsObviously the training of these men and the demand for their services make them almost impossible to find The only answer is the establishment of a residency program within the hospital where theological students who find themselves called to minister to mental patients can receive the necessary supervision and training This at the same time provides the hospital with a man power pool which it could not secure in any other way The establishment of such a program at Milledgeville State Hospital will be a big step forward in securing for the patients trained spiritual counseling and adequate religious ministry v M37 DEPARTMENT OF VOCATIONAL REHABILITATION After mutual agreement on the part of both Dr IH MacKinnon Super intendent of Milledgeville State Hospital and Dr AP JarrellDirector of Georgia Division of Vocational Rehabilitation that there were a certain percentage of patients at the Milledgeville State Hospital who were in the need of Vocational Rehabilitation services a Vocational Rehabilitation Counselor was placed in the hospital on September 1 1950 Objectives of the program were to establish standard referral ai i report procedures provide adequate evaluation by the team ap proach on those referred provide needed Vocational Rehabilitation services for those determined to be feasible and to provide for a closer working relationship between the two agencies During the course of the fiscal year the Vocational Rehabilitation Counselor directed his efforts towards identifying and filling his role as a member of screening evaluation advisory and treatment teams He gave vocational guidance and counseling to patients and form ulated vocational evaluations with patients employing data and con sulations gathered from other team members as well as his own tech niques involving the interview interest and aptitude testing and observation of client activity For the purpose of evaluation the form ation of postive work habits attitudes work tolerance and work con ditioning he supervised clients in trial work experiences Through these work experiences much was learned about the clients readiness for work or training At the time the client was judged ready to leave the hospital he was referred to the Vocational Rehabilitation Counselor serving the community to which he returned Each referral was accompied by a complete vocational evaluation with emphasis upon the clients poten tial for adjustment and particular needs to be met during this period of adjustment During the year the Counselor and other Vocational Re habilitation personnel devoted a great deal of time in relating closely to resource groups over the state and in urging these groups to mobi lize to meet the transitional needs of returning discharged patients As of June 30 1961 the Counselor had accepted 55 patients as referrals Eighteen of these patients had been placed either in training 38 or employment outside the hospital Eight of them had been deemed nonfeasible for services at that time The remaining 29 were still hospitalized and receiving Vocational Rehabilitation counseling in the hospital t During the course of the year a great deal of time was spent in formulating and projecting plans for the future A Federal research and demonstration grant was obtained which makes possible an expanded and more comprehensive rehabilitation program in the hospital This expanded program which will become effective July 1 1961 is to initially involve a staff consisting of a supervisor four special coun selors the equivalent of a fulltime consulting psychologist a one eight time consulting psychiatrist a onefourth time research psychol ogist and a full time psychiatric social worker Some of the specific objectives of the expanded program are 1 To confirm and extend the major factors which promote success in rehabilitation of the hospitalized ill through the comprehensive team approach involving total psychiatric care 2 To test extend and improve the rehabilitation services necessary for preparation of the hospitalized mental patient for permanent adjustment and remunerative employment in a competitive society More specifically these services include a Evaluation of person ality assets and liabilities as they pertain to job demands and satis factions b Identification of vocational interests and potential c Stimulation of motivation for adjustment d Stimulation for formation of work tolerance work attitudes work habits and interpersonal re lationships conducive to training job placement and adjustment e Vocational apprenticeship training concurrent with other therapies 3 Mobilization and preparation of community resources for the recep tion and intergration into society of the posthbspitalized client who has been or is receiving total psychiatric care including comprehen sive vocational rehabilitation services A recent development which considerably brightens the future out look of this project is a Federal grant of rehabilitation funds which the hospital has received on a matching basis for equipping the YH Yarbrough Rehabilitation Center now under construction This will be a five hundred bed facility devoted to the psychiatric social and vo cational rehabilitation of patients The vocational section is to be 39 equipped for prevocational evaluations using the job sample tech nique of evaluation as well as for work conditioning and vocational training in a wide variety of occupations Clients experiences in this setting will be supplemented through apprenticeship training in the various trades and industries of the hospital These new developments hold much promise of increasing substan tially and more effectively the number of mentally ill persons being prepared and taking their places in remunerative employment in Geor gia DEPARTMENT OF EDUCATION Ideally the Department of Education is responsible for all hospital activities pertaining to education of staff and personnel as well as cooperative programs with educational institutions throughout the state The Assistant Superintendent Dr James D Craig is responsible for this department as well as his other duties A full time Director of Education is urgently needed since contacts with educational insti tutions over the state are pointing up more and more the value of ori entation programs in mental illness conducted within the hospital setting The responsibility for setting up seminar programs for college stu dent groups is jointly shared by the Departments of Psychology and Public Relations More than 700 college students during fiscal 1961 have participated in one day programs which included a general brief ing on the hospital program attendance at a diagnostic clinic a patient presentation illustrating basic types of mental illness and conducted tours of the hospital While this program has not yet been researched the Department of Psychology is now setting up a questionnaire which it is hoped will give an evaluation of this type of presentation to college students and the influence it may have on their selection of a profession in the mental health career field The Psychiatric Residency Program conducted jointly with Emory University is functioning exceptionally well and providing the hospital with a pool of trained personnel not otherwise obtainable40 t Some 350 nurses pass through the affiliate nursing program each year and some of these eventually take positions on the hospital staff The recently inaugurated Psychiatric Aide Training Program is gradually bringing the attendant staff to a high level of competence This will be continued as funds permit An inservice training program for foreign medical staff members studying for the ECFMG examination was instituted in an effort to provide all foreign doctors with instructional material which will en able them to pass the examination A number have done so Orientation programs for public health nurses are continuing under the supervision of the Director of Social Work Residency programs in Clinical Psychology and Ophthalmology are expected to reach fruition during the coming fiscal year Also during this period it is planned to expand the inservice training pro gram both for professional and nonprofessional personnel incorporat ing new trends in hospital administration and treatment processes as they occur Appointments to faculties of two state universities for several mem bers of the medical staff are in the offing and should be approved by the Board of Regents during the coming fiscal year It is planned to continue the High School Careers Day program under the cosponsership of the Georgia Health Department the Geor gia Mental Health Association and the hospital whereby 300 high school seniors who have expressed an interest in specific professions in the mental health field are brought to the hospital for a one day orientation period at which time they receive practical instruction in the functioning of each particular profession in the mental hospital setting The importance of trained professional people in the mental health field makes it mandatory that the hospital take a leading part in initi ating educational programs which will attract Georgia boys and girls into the professions of psychiatry psychiatric nursing clincal psy chology psychiatric social work and the adjuntive therapies if an adequate staff for the hospital is ever to be achieved in the future 41 DEPARTMENT OF RECREATION A diversified program of recreation activities is carried on by the Recreational Department in order that all patients have an opportunity to participate in some form Activities such as dances movies pic nics wemer roasts and fish fries are eagerly awaited and partici pated in by the patients The recreational program for regressed patients has been expanded and there has been increased activity for patients on the receiving wards The most urgently needed facility at present is a recreational center for the colored patients The department has cooperated with other hospital departments in Open House activities when the public is invited to go on an organized tour of the hospital as well as in the MDay Christmas program which is held in December DEPARTMENT OF BIOSTATISTICS The Biostatistics Department came into being on September 1 I960 with the appointment of Wayne Daniel as Biostatistical Analyst The first major undertaking was to develop an IBM Punch Card System for basic patient statistical data The punching of cards on active patients was completed in March 1961 and the system went into full operation at that time It has since demonstrated its value as a means of keeping track of patients as they are admitted discharged furloughed and sepa rated through other means as well as in providing current statistical data on patients as needed for administrative or informational purposes In April 1961 a regular monthly statistical report was initiated by the department which gives a summary of the current months statis tics and comparative statistics with the preceding month and the same month a year ago and has been welcomed with much favorable comment by individuals and agencies concerned with and interested in the prog ress of the hospital The report is also used widely by the Public Relations Department in distributing information to the various news media regarding the trends in hospital admissions treatment and dis charges 42 PATIENTS LIBRARY A total of 19709 volumes are now available for the use of patients in the library building This figure does not include a large number of duplicate books which have been used to start a reading room for the colored division and will also be used to start small libraries in the various 2000 bed units into which the hospital will be divided during the coming fiscal year A large number of new books and magazines have been furnished by civic and religious organizations throughout the state as well as by individuals The library is widely used by those patients able to make personal visits but there still remains a need for ward coverage for those pa tients unable to leave their buildings Projected planning for the six units will include library service and a readjustment in the library program to meet this need DEPARTMENT OF PERSONNEL No element is more basic to success of an organization than the quality of its employees Therefore the employment and retention of qualified capable personnel is of primary concern to this hospital It must be remembered that the accomplishment of this goal cannot be solely the result of the efforts of the Personnel Office but requires the participation of every segment of the organization as well as the State Department of Public Health and the State Personnel Board A large part of the total personnel program is carried on by the several divi sions of the hospital and the Personnel Office is grateful for the excel lent cooperation received from them during the year i Since the Milledgeville State Hospital is striving for greater and greater improvement in the treatment and care of its patients the Per sonnel Office has concentrated on raising standards of employment to provide better qualified employees With the cooperation of the person nel program of the State Department of Public Health and the State Personnel Board some notable progress was made in this direction 43 during the fiscal year ending June 30 1961 The most important event due to the large number of positions affected was a major revision of the Attendant classification series by the State Personnel Board which went into effect on October I 1960 This revision greatly simplified the series by the merger of a number of classes and provided a slightly higher entrance salary It also provided a minium standard of high school graduation or its proven equivalent as the basic requirement for most of the positions in this field The following month the Person nel Board adopted a revised series for criminal ward attendants with higher qualifications and pay and also raised the salary range for most of the supervisory and administrative classes in the Attendant Series Another change affecting a large number of positions was the adop tion of a new Security Officer Series on July 1 1960 to include fire men patrolmen and prison guards and matrons High school graduation was adopted as the basic requirement for persons entering this field As a continuation of efforts to meet nationally accepted profes sional standards the Clinical Psychology and Social Work Series were revised and qualifications adopted in line with the requirements of the professional organizations in these two fields In addition new series were established by the State Personnel Board for professional Occupational Therapists and Clinical Chaplains to meet the needs of this hospital and other Public Health programs As a result of a reorganization in the Engineering Division the series for institutional engineers was revised and greatly simplified Another event worthy of note was the adoption by the Superintend ent of policies recommended by the Hospital Uniform Committee con cerning proper dress ot employees while on duty This policy estab lished specifically the uniform to be worn by employees in regular contact with patients and other personnel An important project during the year was the establishment and filling of twentysix building maintenance positions to be assigned toKM s LO7 44 the large domiciliary buildings to provide prompt repair and preven tive maintenance in patient care areas In cooperation with the Busi ness Division all twentysix positions were filled within approxi mately a month of their establishment L The Personnel Office experienced considerable activity during the year due in large part to a sizeable increase in the number of employ ees There were two hundred and forty more employees of the Hospital on June 30 1961 than on the same date in 1960 The following is a tabulation of personnel actions during the year Appointments 635 Transfers 359 Promotions 219 Demotions 35 Separations 390 including 276 resignations 62 dismissals 37 retirements 15 deaths Rate of Turnover 16 The tabulation of personnel actions includes those affecting con sultants and others paid on a fee basic Therefore substracting sepa rations from appointments will produce a slightly different figure than that shown for increase in employment which is based on regular em ployees only i There is a marked increase in physicians 27 and attendant and related personnel 132 during the year but the shortage of graduate nurses remains acute In view of the nationwide demand and our location far from population centers difficulties in recruiting an adequate number of nurses can be expected to present serious problems for many years to come Continued difficulty is also to be expected in obtaining qualified psychiatrists psychologists social workers and other professional personnel A tabulation of personnel of the hospital by type is shown in the statistical section of this report 45 DEPARTMENT OF BUSINESS ADMINISTRATION Under the direction of Institutional Business Administrator W R Crittenden a reorganization of the Engineering Department into five units was completed in January 1961 The units are Construction Engineering Civil Engineering Mechanical Engineering Electrical Engineering and Building Maintenance As a part of this reorganization a maintenance man was assigned to each domiciliary building under the direct supervision of the Chief of Building Maintenance The heads of the new engineering units report directly to the Business Adminis trator Considerable improvement in the efficiency of operation and the dispatch with which problems in the various engineering areas are dealt with has resulted from this reorganization The majority of increased appropriations received during the past ten years has gone for additional personnel expenditures and we are still woefully short in operating funds This department could do a far better job if we could know in advance approximately what our budgets would be for the next five years as suggested in previous annual reports Reorganization of the farm program is continuing and plans are now complete for the use of the major portion of the farm acreage The number of acres to be put in grass will be increased according to the recommendation of the Soil Conservation Service and the Commissioner of Agricultures farm advisors The hospital administration program in the Jones and Powell Build ings is operating nicely Some problems dealing with the administration in various units remain to be solved Certain additional changes must be made in the organizational structure of these units however pro gress is being made in the right direction Your attention is called to the following reports of the various divisions of the administrative department DEPARTMENT OF ENGINEERING With the reorganization of the Engineering Department into five divisions closer overall supervision of the various services of the department has been an immediate and satisfactory result All four engineering departments are now headedHHHBB 46 by a graduate engineer and the building maintenance department by a skilled craftsman These men are responsible for the overall planning and supervision of the work done by their individual sections There are however many overlapping responsibilities in all areas and these responsibilities are coordinated through Mr Levi Swinger Administra tive Officer of the Engineering Department Each group cooperates with the other in scheduling work Maintenance work requests are routed through the administrative officer for distribution and comp letion Weekly staff meetings are held to establish work priorities plan projects and keep within budgetary limitations The reorgani zation has been a big factor in bringing to the Department of Engineer ing and Building Maintenance more efficient operation closer cooper ation between units and more rapid completion of work projects CONSTRUCTION ENGINEERING This division is responsible for work done by the carpenter shop paint shop wood working shop sheet metal shop and five construction crews using prison labor The depart ment is also responsible for new construction and is at present en grossed with the 6500000 building program initiated under Governor Vandivers administration as well as with major building maintenance for the entire hospital During the year three brick veener personnel dwellings were com pleted a residence for the superintendent was completed and a resi dence for the assistant superintendent was completed Nine garbage can washing pits were completed for the Green Walker Binion Arnall Holly Bostick Washington Allen and the Lawrence Building Cannery These pits were connected with hot water supply and all drains were connected to a sanitary sewerage system The Colony Farm dining room and kitchen were completely refloored with 6000 feet of quarry tile as well as was the serving area in the dish washing room of the Washington Building The dining area floor in this building was replaced with new asphalt floor tile The dining room of the colored female prison was remodeled to include a new dish washing room and a storage room The dish washing room was equipped with stainless steel tables and sinks and a stainless steel steam serving counter was installed to permit cafeteria type meal distri bution 47 Forced air heating systems replacing dangerous radiant type non vented gas heaters were installed in four personnel dwellings The sawmill processed 220000 board feet of lumber which was used in the maintenance and construction program An extensive painting program included the auditorium the Ingram Cabiness Whittle Bostick and Boland buildings M 10th and 14th wards seven wards in the Howell building all kitchens and dining rooms and the exterior painting of 48 personnel dwellings Offices in the Powell Building renovated included those for the assistant superintendent public relations director hospital admini strator statistical analyst and vocational rehabilitation counselor as well as a class room for the psychiatric aide training class Remodeling in the Jones building included the second floor east offices for the director of medical services doctors and clerical staff four additional rooms for examining rooms the construction of a new nursing station as well as two fourbed air conditioned intensive the rapy units The heating system was also completely checked Also in the Jones building a medical library a prison ward and a lounge for nursing personnel were included in the remodeling of the first floor east south end A clinical laboratory conference room and eye depart ment were designed for the first floor east north end and the initial rough construction phase completed including rewiring and plumbing changes A central supply was designed and most of the initial rough construction completed Exit lights were installed throughout the en tire building The division has participated in the patient therapy work program with the assignment of patients to the carpenter shop wood working shop concrete products shop and a patient paint crew CIVIL ENGINEERING This department includes the roads mainte nance section the heavy equipment section grade crew and the water works The roads maintenance section has been extremely busy due to the construction of a new system of steam tunnels Many streets side walks and curbs were damaged or destroyed and have been replaced 48 A bridge over Fishing Creek was extensively damaged by flood and has now been repaired Current construction of new buildings has greatly damaged many of the paved streets within the hospital grounds The present streets are totally inadequate for the amount of traffic now carried and it is recommended that a complete rebuilding of all streets be done at the completion of the current building program The heavy equipment section is responsible for earth moving heavy grading and drainage for the hospital This department has during the fiscal year built two lakes for farm irrigation one of five acres and the other of ten acres A road has been constructed east of the Powell building to serve the construction crews working on the new 500 bed intensive treatment building The excavation of 30000 cubic yards of dirt from the site of the new central kitchen into a ravine west of the Lawrence building has been completed Twentyfive acres of bottom land liave been stumped and ditched The old hog pen concrete floors have been demolished and graded for new pens The road from the Wash ington building to the egglaying project has been improved and wide ned and the construction of a large lake on the Colony Farm has been commenced In the planning stage are a new oxidation pond at the Colony Farm the leveling and obliterating of old terraces leveling and ditching of considerable farm land and landscaping of hospital grounds ELECTRICAL ENGINEERING This section staffed by one foreman four electricians and four apprentice electricians is responsible for the maintenance of the 4160 volt primary distribution system and all related equipment as well as for the maintenance of all electrical equipment and interior wiring system in all buildings except those that house patients L During the past year the Georgia Power Company made plans to bring into the hospital two 110 KV feeders and construct a substation It is expected to have this finished by the latter part of January 1962 All present distribution lines will be connected to this substation which will give the hospital a more stable voltage and power system sectionalize the distribution and eliminate faults without affecting a large number of buildings at any one time A not inconsiderable by product of the new substation will be a reduction in the present power bill due to the elimination of a 15 per cent line loss because of the present long distribution lines Jf49 The communication section has the responsibility of maintaining twentyfour hour telephone service to the hospital This unit consists of eight operators one supervisor an apprentice electrician and two white male prisoners The responsibility of this department is the complete maintenance and operation of the switch board automatic dial equipment key telephone system cable and pole lines instal lation and repair of all stations public address system shock therapy machines and the shortwave radio paging system At the present time the telephone exchange has 600 main stations with approximately 200 extensions Additional equipment has been ordered for the installation of 100 additional main stations for the fiscal 1962 MECHANICAL ENGINEERINGThe past winter placed a considerable burden on the heating system and considerably more standby fuel was used The contract for the steam distribution system was completed and a new contract to remodel the steam distribution control rooms was put into effect The plumbing section has taken full responsibility for new con struction and remodeling of the various buildings and dwellings The garage section is considerably understaffed and at present time it is very difficult to maintain the hospital vehicles in operating condition Due to the overwhelming work load a complete preventive maintenance program cannot be instituted at the present time The ice plant was shut down for repairs during March and April Since the repairs have been completed ice making capacity has been increased and a three weeks supply of stored ice is available at all times The department has cooperated with the other engineering divisions in relocating utilities in the four building sites for the new buildings Future plans are for the demolition of the unloading shute at the new steam plant and the erection of a new building to house water treat ment supplies boiler tubes and a welding shop The extension of the bridge from the old steam plant a distance of some 200 additional feet is necessary in order that trailer trucks will be able to make deliveries to both steam plants50 The greatest shortage of personnel exists in the vehicle and farm equipment maintenance section Additional personnel are vitally neces sary to perform maintenance functions which will prevent costly break downs of operating equipment One additional person for relief pur poses is needed to carry on the various twentyfour hour services whenever a person becomes ill or desires time off Additional person nel should also be added at the steam plant to institute a fortyeight work week BUILDING MAINTENANCE This department came into existence on February 16 1961 and since that time the following work has been completed a new air conditioning unit in the Boland Building com plete wiring and plumbing jobs in the buildings housing the Credit Union Patients Benefit Fund the Occupational Therapy Sales Room and the Patient Library New air conditioning units were also in stalled in these areas as well as in the Personnel Offices Fiftythree new tables were built for the various hospital buildings also kitchen and dining room fixtures were relocated at the Washington building and the Colony Farm and a new steam kettle was installed in the Washington building Sanitary milk dispensers were installed in the various hospital buildings Dish washing equipment throughout the hospital was rebuilt and new stainless steel machines were installed to replace worn out units The colored female prison was equipped with a new heating system new stainless steel sinks and serving counters A complete new chickenprocessing plant was installed at the abbatoir To insure an adequate supply of ice for patients eighty three ice making machines having the capacity of 22950 pounds of ice per day were installed throughout the institution These machines were necessary to releive the tremendous pressure upon the central ice plant The new program of building maintenance now includes a crew of twentyeight qualified maintenance men The improvement of general building maintenance as a result of this innovation is extremely gratifying to all concerned During the first month of the new operation high waters enundated the motors at the river pumping station Night and day work was neces sary to disconnect transport and rewind all motors serving this plant They were reinstalled in a minium of time Engineering data indicates that as a result of closer supervision and maintenance an average of 10000000 gallons of water have been saved per month This repre sents a 15 per cent savings in volume of production during the maxi mum consumption period of the year 51 DIVISION OF BUSINESS MANGEMENT The units comprising the Division of Business Mangement are functionally service units es tablished for the purpose of performing a service for the operating divisions of the institution They include the accounting department clothing issue motor dispatch unit laundry mattress factory post office print shop sewing room shoe shop procurement and property office receiving department telephone exchange and warehouse Most of the services rendered by the above units are routine but special requests and seasonal duties must be performedThese units are under continous study and observation and minor changes in methods schedules and personnel are constantly being made in an effort to improve and increase these services to the institution Sever al long range plans for improving operations have been discussed but lack of funds and plans for projects with higher priority have prevent ed any major changes at the present time DIVISION OF ENVIRONMENTAL SANITATION This department is responsible for sanitation throughout the entire institution and neces sarily cooperates with other departments in plans and projects in this area A sanitation survey was conducted to determine the progress being made in the food program A numerical rating indicated that while considerable progress has been made it will be necessary to stress certain features of the program in order to bring all units up to standard requirements Some of the physical improvements completed during the year in clude installation and repair of steam tables dish washing machines and coffee urns all table tops covered walls and ceilings painted dish washing rooms constructed laboratories provided for food hand ling personnel and the provision of attractive safe and easilyhandled plastic utensils for about onehalf of the patients Additional features of the food sanitation improvement program include the installation of steam boosters on dish washing machines for sanitizing dishes and utensils and the discontinuation of several of the kitchens that were poorly equipped and antiquated The waste collection system for the dining room and kitchen at Colony Farm No 1 has been revamped and a sewerage stabilization pond for providing a safe water supply will be completed in the near future The completion of these projects will give the entire hospital area completely protected water supply Considerable progress has52 been made in the disposal of refuse and garbage and the insect and rodent control program All dairy barns have been painted and worn equipment replaced Milking practices have been improved and cross connections eliminated Milking rooms have been screened and drain age improved 6 i DIVISION OF FARMS AND DAIRIES The breakdown of the land use of the farm system of Milledgeville State Hospital is as follows Building and campus areas 850 acres Crop land irrigable 514 acres Crop land Nonirrigable 1875 acres Pasture 2009 acres Woodland 2630 acres Ponds 66 acres Waste land 78 acres All irrigable crop land is being used for the production of vege tables and most of the nonirrigable land is being used to promote the livestock program by growing feed stuffs The remaining portion of this acreage is used for vegetable growing Two irrigation ponds con sisting of 13 acres were constructed thereby adding 170 acres of irri gable land In cooperation with the Soil Conservation Service 304 acres of land were converted to strip cropping Fortythree acres of grassed waterways and 400 idditional acres of coastal bermuda were estab lished in order to keep our feed acreage just ahead of our livestock expansion program The installation of one and onehalf miles of drain age ditches made available 35 additional acres of bottom land The broiler project is now producing 3800 broilers weekly an in crease of approximately onethird over last year The egg project has been stepped up from 7500 to 8000 hens per house which has resulted in an increase in average production of approximately 400 dozen eggs per day Construction of new feed lots for the swine project will not only provide improved conditions of sanitation and feeding but will raise the capacity of present facilities from 1200 to 2100 hogs The continued improvement in the beef cattle and the dairy herd is gratifying While the number of dairy cattle did not increase the aver53 age production per cow was considerably stepped up The state hospi tal was made a charter member of the 104 Dairy Club sponsored by the Agricultural Extension Service in which herds are honored for maintaining an average of 10000 pounds of milk and 400 pounds of butter fat The beef cattle herd is continuing to increase The con stant improvements in the breeding and feeding program gives us hope that in the near future we may come very close to meeting our needs for beef in the hospital The abbatoir is now turning out 300 hams and sides each ten days High praise has been given to the state hospital by meat processing specialists from the Agricultural Extension Service for the program now being carried out at the abbatoir The feed mill is completely building all feeds consumed by the animal production units of the institution If necessary the present feed mill could double its capacity The department has worked closely with the farm coordinators of the Department of Agriculture the Soil Conservation Service and the Agricultural Extension Service of the University of Georgia DIVISION OF HORTICULTURE Work performed by this division in cludes green house production landscaping and maintenance of gro unds fruit production gardening and horticulture and garden therapy The three greenhouse units cover 8800 square feet under glass There are twelve outside hotbeds with a length of 100 feet each Much of the work at the greenhouse is performed by patients who are assigned to the production of cut flowers pot plants and soil preparation as well as to disease and pest control During the year 50000 chrysanthemums were cut from one unit and 30000 snapdragons from a portion of another Delivered to various wards and offices were 3500 pot plants and 867 floral arrangements All bedding plants used in the garden therapy program are produced at the greenhouse In addition 1300 plants and 22000 bulbs were planted on the grounds around the hospital buildings and residences Main tenance of the grounds around the various hospital buildings is the responsibility of ten details of patients who are supervised by the horticulturist The garden therapy program is now in its second year of operation and includes fifteen separate garden clubs twelve for women and 54 three for men with a total membership of more than 600 patients The supervisor of each of these clubs is an active member of the Milledge ville Garden Clubs and is assisted by three to six volunteers The entire program is sponsored and financed by the Garden Clubs of Georgia Incorporated who last year contributed some 6000 to this program The project is spearheaded by the garden clubs of Mill edgeville headed by Mrs TM Hines who is chairman of the board comprising the sponsors of each of the fifteen clubs at the hospital as well as Mr Raymond Brown Director of Public Relations Miss Jane Haddock Director of Volunteer Services and Mr Edgar T Newsome Horticulturist Patients participate in plantingcultivation fertilization watering and other work incident to the propagation of flowers and shrubs in their gardens around the buildings in which they live This type of therapy has proved most beneficial in their recovery and progress Volunteers supervise and assist the patients and much valuable aid is rendered by hospital nurses and attendants Frequent visits are made to the greenhouse and log cabin picnic areas as well as the fruit orchard where the patients participate in the gathering of peaches grapes apples and pears More than 18000 bedding plants have been planted by the patients garden clubs The horticulturist and staff direct and supervise the technical activities of the fifteen garden clubs and the preparation of the beds The fruit production involves 210 acres which includes 120 acres in peaches 40 acres in grapes 40 acres in blackberries 5 acres in pears and 5 acres in apples Patient labor is a major factor in culti vation fertilization pruning and harvesting of the fruit which is made into jellies preserves and similar products for use in the patient dining rooms Approximately 10000 bushels of peaches will be har vested this year The log cabin picnic area provides an attractive meeting place for patients and their families and is furnished with rustic tables and chairs There is also an outdoor garden which includes roses chrysan themums and dahlias A number of dahlias grown here received blue ribbon awards at the Middle Georgia State Fair in Macon Shading systems for the Boland building patio as well as for the twelve outside hotbeds at the greenhouse will be installed during the fiscal year The continued development of the garden therapy program has received national attention and its results in the improvment and progress shown by patients who participated has been outstanding 55 STATISTICAL am FINANCIAL INFORMATION56 PERSONNEL BY TYPE MILLEDGEVILLE STATE HOSPITAL AS OF JUNE 30 I960 and JUNE 30 1961 3 Total Activity Therapies Administrative and Fiscal Agricultural Clerical Culinary Housekeeping Personal Services Custodial and Protective Dental Professional Technical Aides Dietary Engineering and Related Maintenance and Trades Medical Nursing Graduate SubProfessional and Aides Pharmacy Psychological Services Social Services Technical Summer Employees 19i 1261 2306 2546 51 56 9 12 73 72 137 138 211 225 105 110 5 7 6 7 6 10 2 2 4 6 184 218 45 72 79 1324 1 73 456 3 3 4 6 5 8 26 38 26 26 657 ADMISSION RATES PER 100000 ESTIMATED CIVIL POPULATION BY COUNTY OF ATMISSION LEGEND 0 659 660 1309 JBJJMI 1310 1959 196 0 And Over 58 AVERAGE DAILY RESIDENT POPULATION ADMISSIONS NET RELEASES and DEATHS DURING THE YEAR FISCAL YEARS ENDING JUNE 30 1952 THROUGH 1961 tf V Number of Patients 20000 12000 10000 A 000 3000 2000 1500 1000 800 600 Resident Population Admissions Net Releases Deaths 19I2 19531 wU is55 ib i4v i4 kfo 19I1 igli 6 YEAR Net Releases equal live removals from the hospital minus returns from furlough and escape 6NUMBER OF PATIENTS PERCENT CHANGE FROM PREVIOUS YEAR and RATES PER 1000 AVERAGE DAILY RESIDENT PATIENT POPULATION SELECTED MOVEMENT CATEGORIES 19521961 Fiscal MOVEMENT CATEGORY Year Ending ADMISSIONS NET RETEASKS DEATHS AVERAGE DAILY June 30 RESIDENT POPULATION Percent Percent Percent Percent Rate Chance Number Rate Chanee Number Rate Chanee Number Rate Chang 1961 4618 1189 224 2750 2316 21 866 729 80 11873 3057 001 1960 3772 964 10 2809 2366 01 941 793 77 11872 3035 02 1959 3810 987 19 2811 2363 61 874 735 237 11897 3081 13 1958 3740 986 63 2650 2256 40 1145 975 188 11748 3096 07 1957 3519 946 40 2547 2153 104 964 815 32 11828 3180 08 1956 3383 925 50 2306 1964 67 934 796 89 11738 3209 13 1955 3562 996 21 2471 2133 18 858 741 A7 11582 3237 28 1954 3639 1033 64 2428 2155 194 900 799 56 11267 3197 38 1953 3419 986 238 2033 1872 237 852 785 104 10858 3132 37 1952 2762 795 38 1644 1569 19 772 737 00 10475 3015 39 Net releases equal live removals from the hospital minus returns from furlough and escape Rate per 100000 Georgia Civilian Population60 TOTAL ADMISSIONS BY TYPE OF ADMISSIONS AND COUNTY OF ADMISSION i 6 6 COUNTY OF ADMISSION TYPE OF ADMISSION VOLUNTARY 1960 LAW ALL OTHERS TOTAL Appling 1 6 5 12 Atkinson 1 9 3 13 Bacon 2 5 3 10 Baker 0 2 0 2 Baldwin 16 32 20 68 Banks 2 0 11 13 Barrow 9 3 4 16 Bartow 9 2 37 48 Ben Kill 3 6 9 18 Berrien 0 0 18 18 Bibb 14 115 17 146 Bleokley 0 7 1 8 Brantley 0 0 11 11 Brooks 2 0 11 13 Bryan 0 0 3 3 Bulloch 0 0 36 36 Burke 0 0 17 17 Butts 1 12 7 20 Calhoun 0 0 3 3 Camden 0 0 7 7 Candler 1 2 4 7 Carroll 0 76 7 83 Catoosa 9 4 0 13 Charlton 0 0 0 0 Chatham 4 42 65 111 Chattahoochee 0 0 0 0 Chattooga 6 0 15 21 Cherokee 4 10 33 47 Clarke 10 0 49 59 Clay 2 0 1 3 Clayton 16 16 9 41 Clinch 1 0 8 9 Cobb 29 51 65 M5 Coffee 0 4 36 40 Colquitt 17 0 55 72 Columbia 5 0 2 7 Cook 1 12 0 13 Coweta 2 36 6 44 Crawford 1 1 9 11 Crisp 2 3 13 18 Dade 1 0 4 5 Dawson 1 0 1 2 Decatur 2 1 27 30 DeKalb 47 89 65 201 Dodge 7 13 4 24 Dooly 1 10 3 14 Dougherty 8 22 21 51 Douglas 2 4 20 26 Early 1 10 0 11 Echols 0 0 2 2 Effingham 0 1 2 3 Elbert 5 0 44 49 Eraanuel 1 0 22 23 Evans 0 7 0 7 Fannin 0 5 U 19 Fayette 2 8 3 13 Floyd 10 1 75 86 Forsyth 2 0 4 6 Franklin 1 0 15 16 Fulton 93 472 218 783 Gilmer 0 7 16 23 Glascock 0 4 0 4 Glynn 2 39 8 49 Gordon 0 1 24 25 Grady 5 4 28 37 Greene 5 0 12 17 61 TYPE OF ADMISSION COUNTY OF ADMISSION TOTAL VOLUNTARY 1960 LAW ALL CITHERS Gwinnett 13 26 6 45 Habersham 5 18 4 27 Hall 10 7 35 52 Hancock 0 0 11 11 Haralson 6 0 26 32 Harris 1 2 1 4 Hart 3 0 17 20 Heard 1 0 10 11 Henry 6 8 4 18 Houston 4 2 27 33 Irwin 0 1 13 14 Jackson 9 1 23 33 Jasper 2 0 5 7 Jeff Davis 1 2 2 5 Jefferson 3 0 16 19 Jenkins 1 7 2 10 Johnson 2 9 1 12 Jones 1 2 13 16 Lamar 1 0 10 11 Lanier 1 8 2 11 Laurens 1 24 13 38 Lee 0 0 2 2 Liberty 3 7 1 11 Lincoln 0 0 5 5 Long 0 0 1 1 Lowndes 9 15 6 30 Luntpkin 0 8 1 9 Macon 0 0 8 8 Madison 2 0 9 11 Marion 1 0 0 1 McDuffie 2 0 12 14 Mclntosh 1 2 1 4 Meriwether 2 0 21 23 Miller 0 0 3 3 Mitchell 1 0 15 16 Monroe 5 0 25 30 Montgomery 0 6 2 8 Morgan 7 8 2 17 Murray 3 2 3 8 Muscogee 6 0 92 98 Newton 13 5 21 39 Oconee 3 4 6 13 Oglethorpe 0 0 8 8 Paul ding 8 9 5 22 Peach 2 8 1 11 Pickens 0 8 1 9 Pierce 2 0 11 13 Pike 0 0 17 17 Polk 15 7 17 39 Pulaski 1 0 12 13 Putnam 5 11 3 19 Quitman 1 0 0 1 Rabun 0 1 4 5 Randolph 0 0 10 10 Richmond 4 61 37 102 Rock dale 0 6 3 9 Schley 0 0 2 2 Screven 3 0 21 24 Seminole 0 3 0 3 Spalding 13 29 15 57 Stephens 3 0 17 20 Stewart 2 4 7 13 Sumter 4 0 20 24 Talbot 2 2 0 4 Taliaferro 0 0 3 3 Tattnall 1 16 13 30 62 TYPE of admission COUNTY OF ADMISSION TOTAL VOLUNTARY 1960 LAW ALL OTHERS Taylor 0 0 5 5 Telfair 1 6 5 12 Terrell 0 0 9 9 Thomas 10 55 7 72 Tlft 6 0 22 28 Toombs 1 0 37 38 Towns 2 4 7 13 Treutlen 5 1 3 9 Troup 3 0 56 59 Turner 0 9 3 12 Twiggs 0 0 14 14 Union 1 10 0 11 Upson 4 2 23 29 Walker 4 25 20 49 Walton 6 2 24 32 Ware 3 49 5 57 Warren 1 4 2 7 Washington 4 6 22 32 Wayne 1 0 25 26 Webster 0 2 0 2 Wheeler 0 0 9 9 White 0 5 1 6 Whitfield 9 22 8 39 Wilcox 2 6 0 8 Wilies 1 0 14 15 Wilkinson 1 9 9 19 Worth 1 0 15 16 TOTAL 627 1710 2281 4618 PERCENT 136 370 494 1000 MOVEMENT OF PATIENT POPULATION BY RACE AND SEX MOVEMENT CATEGORY TOTAL WHITE COLORED MALE FEMALE MALE FEJJE On Books July 1 1960 In Hospital On Furlough 14484 11944 2540 4137 3343 794 5092 3988 1104 2428 2164 264 2827 2449 378 Total Gains Admissions Returns From Furlough 7647 4618 3029 2892 1948 944 3395 1599 1796 657 546 111 703 525 178 Total Losses Direct Discharges Furloughs and Deaths Direct Discharges and Furloughs Deaths 7645 6779 866 2901 2580 321 3403 3111 292 644 123 697 567 130 On Books June 30 1961 In Hospital On Furlough 15247 11946 3301 4337 3334 1003 5477 3980 1497 2532 2177 355 2901 2455 446 Net Change 2 9 8 13 2 Average Daily Population 11873 c63 TOTAL ADMISSIONS BY RACE SEX COUNTY OF ADMISSION and RATES PER 100000 CIVIL POPULATION R A C E A N D S E X RATE XUNTY OF ADMISSION TOTAL W M W F C M C F TOTAL WHITE N0NWHITE Appling 12 5 4 1 2 902 882 968 Atkinson 13 8 4 0 1 2097 2727 556 Bacon 10 6 4 0 0 1190 1370 0 Baker 2 0 0 1 1 435 0 741 Baldwin 68 38 15 6 9 3063 3955 1705 Banks 13 7 6 0 0 2000 2131 0 Barrow 16 12 3 0 1 1096 1250 385 Bartow 48 18 20 5 5 1696 1583 2326 Ben Hill 18 3 8 6 1 1324 1209 1556 Berrien 18 6 10 1 1 1500 1569 1111 Bibb 146 61 48 25 12 1029 1152 782 Bleckley 8 3 1 2 2 833 580 1481 Brantley 11 5 6 0 0 1864 2157 0 Brooks 13 4 4 3 2 855 1026 676 Bryan 3 2 1 0 0 484 769 0 Bulloch 36 24 7 4 1 1488 2026 562 Burke 17 4 4 3 6 829 1159 662 Butts 20 11 3 4 2 2222 2917 1429 Calhoun 3 1 1 1 0 405 769 208 Camden 7 2 1 2 2 700 500 1000 Candler 7 2 4 1 0 1045 1395 417 Carroll 83 50 23 4 6 2274 2475 1429 Gatoosa 13 4 9 0 0 613 622 0 Charlton 0 0 0 0 0 0 0 0 Chatham 111 28 37 22 24 602 539 723 Chattahoochee 0 0 0 0 0 0 0 0 Chattooga 21 9 10 1 1 1050 1050 1053 Cherokee 47 25 21 0 1 2043 2081 1111 Clarke 59 24 17 8 10 1294 1209 1538 Clay 3 0 2 0 1 667 1176 357 Clayton 41 19 21 1 0 878 955 208 Clinch 9 4 3 0 2 1364 1707 800 Cobb 145 74 64 2 5 1273 1302 886 Coffee 40 26 11 0 3 1826 2327 500 Colquitt 72 30 33 3 6 2136 2471 1098 Columbia 7 1 5 0 1 519 690 208 Cook 13 3 8 1 1 1102 1325 571 Coweta 44 17 17 5 5 1517 1838 952 Crawford 11 5 1 4 1 1864 2400 1471 Crisp 18 6 5 5 2 1011 1078 921 Dade 5 4 1 0 0 575 581 0 Daws on 2 0 2 0 0 556 556 0 Decatur 30 7 15 1 7 1210 1528 769 DeKalb 201 83 96 12 10 774 754 978 Dodge 24 13 8 2 1 1455 1765 652 Dooly 14 11 1 2 0 1228 2222 333 Dougherty 51 14 21 11 5 704 748 625 Douglas 26 15 10 1 0 1548 1748 400 Early 11 4 4 3 0 840 1270 441 Echols 2 2 0 0 0 1111 1538 0 Effingham 3 0 2 1 0 297 303 286 Elbert 49 27 16 2 4 2753 3675 984 Emanuel 23 7 7 5 4 1292 1176 1525 Evans 7 3 0 2 2 1000 682 1538 Fannin 19 11 8 0 0 1407 1407 0 Fayette 13 8 4 1 0 1585 2069 417 Floyd 86 39 33 7 7 1257 1222 L474 Forsyth 6 3 3 0 0 492 492 0 Franklin 16 10 3 2 1 1212 1111 2000 Fulton 783 292 263 115 113 1410 1538 1173 Gilmer 23 13 10 0 0 2584 2584 0 Glaseock 4 2 1 1 0 1481 1579 1250 Glynn 49 20 13 8 8 1158 1078 1368 Gordon 25 10 12 9 3 1302 1222 2500 Grady 37 13 12 9 3 2056 2212 1791 i Greene 1 17 3 5 3 6 1518 1509 1525 64 1 c R A C E A N D S E X RAlf COUNTY OF ADMISSION TOTAL W M W F C M C F TOTAL WHITE N0NWHITE Gwinnett 45 23 21 0 1 1027 1092 286 Habersham 27 19 7 1 0 1492 1512 1111 Hall 52 27 17 4 4 1040 987 1481 Hancock 11 1 2 4 4 1111 1200 1081 Haralson 32 19 10 2 1 2207 2180 2500 Harris 4 1 0 1 2 357 196 492 Hart 20 7 8 5 0 1316 1304 1351 Heard 11 7 3 0 1 2075 2439 833 Henry 18 5 7 1 5 1023 682 800 Houston 33 12 14 4 3 902 922 833 Irwin L4 6 4 3 1 1538 1754 1176 Jackson 33 17 14 1 1 1784 1925 833 Jasper 7 4 1 1 1 1148 1786 606 Jeff Davis 5 3 2 0 0 562 704 0 Jefferson 19 8 6 2 3 10S6 1840 505 Jenkins 10 6 3 0 1 1099 1957 222 Johnson 12 3 2 2 5 1500 943 2593 Jones 16 8 2 5 1 1882 2381 1395 Lamar 11 5 4 1 1 1078 1452 500 Lanier 11 4 3 4 0 2157 1944 2667 Laurens 38 17 13 5 3 1176 1478 667 Lee 2 0 0 1 1 323 0 513 Liberty 11 1 1 5 4 917 323 1552 Line oln 5 4 1 0 0 847 1667 0 Long 1 1 0 0 0 256 385 0 Lowndes 30 13 10 3 4 638 732 449 Lumpkin 9 4 5 0 0 1250 1268 0 Macon 8 2 1 0 5 606 612 602 Madison 11 5 4 0 2 982 989 952 Marian 1 0 1 0 0 182 455 0 McDuffie 14 8 2 1 3 1102 1370 741 Mclntosh 4 1 1 0 2 625 741 541 Meriwether 23 7 8 3 5 1168 1515 816 Miller 3 2 1 0 0 441 625 0 Mitchell 16 8 3 3 2 816 1146 500 Monroe 30 10 11 8 1 2857 3889 1765 Montgomery 8 1 1 4 2 1290 541 2400 Morgan 17 8 6 2 1 1667 2642 612 Murray 8 5 3 0 0 762 769 0 Muscogee 98 29 39 15 15 717 670 855 Newton 39 17 14 3 5 1857 2263 1096 Oconee 13 4 6 2 1 2063 2041 2143 Oglethorpe 8 1 2 2 3 1026 698 1429 Paulding 22 12 10 0 0 1679 1849 0 Peach 11 3 1 3 4 791 702 854 Pickens 9 2 6 1 0 1011 941 2500 Pierce 13 6 5 2 0 1354 1467 952 Pike 17 8 3 2 4 2394 2821 1875 Polk 39 17 18 2 2 1398 1489 909 Pulaski 13 3 2 4 4 1605 1087 2286 Putnam 19 3 5 6 5 2436 2222 2619 Quitman 1 1 0 0 0 417 1111 0 Rabun 5 2 3 0 0 667 676 0 Randolph 10 4 1 2 3 909 1190 735 Richmond 102 31 41 9 21 848 909 730 Rockdale 9 7 2 0 0 849 1169 0 Schley 2 1 0 1 0 625 714 556 Screven 24 7 7 4 6 1611 1972 1282 Seminole 3 1 2 0 0 441 714 0 Spalding 57 20 27 6 4 1606 1843 1000 Stephens 20 9 6 2 3 1087 949 1923 Stewart 13 3 2 5 3 1757 2273 1538 Sumter 24 8 6 6 4 972 1197 769 Talbot 4 3 0 0 1 556 1364 200 Taliaferro 3 0 0 2 1 882 0 1429 Tattnall 30 16 8 2 4 2239 2500 1579 65 COUNTY OF ADMISSION TOTAL R A C E A N D S E X RATE W M W F C M C F TOTAL WHITE mnaiTE Taylor 5 2 2 0 1 602 930 250 Telfair 12 4 6 1 1 1026 1299 500 Terrell 9 2 5 1 1 709 1556 244 Thomas 72 27 26 9 10 2099 2637 1338 Tift 28 9 9 8 2 1191 1091 1429 Toombs 38 23 9 3 3 2262 2645 1277 Towns 13 7 6 0 0 2889 2889 0 Treutlen 9 4 1 1 3 1552 1282 2105 Troup 59 30 12 7 10 1250 1338 1076 Turner 12 7 3 1 1 U29 1887 645 Tvdggs u 2 6 3 3 1750 2500 1250 Union 11 8 3 0 0 1692 1692 0 Upson 29 13 8 5 3 1218 1228 1194 Walker 49 31 16 1 1 1079 1093 833 Walton 32 15 7 4 6 1569 1538 1639 Ware 57 29 16 7 5 1662 1744 1412 Warren 7 2 1 1 3 959 1111 870 Washington 32 11 10 7 4 1693 2593 1019 Wayne 26 10 11 3 2 1444 1479 1316 Webster 2 1 0 0 1 606 833 476 Wheeler 9 5 3 1 0 1698 2222 588 White 6 1 4 0 1 857 746 3333 Whitfield 39 20 17 1 1 920 916 1000 Wilcox 8 4 2 0 2 1026 1154 769 Wilies 15 4 4 5 2 1376 1509 1250 Wilkinson 19 10 3 4 2 2043 2708 1333 Worth 16 6 0 5 5 964 698 1250 TOTAL 4618 1948 1599 546 525 1189 1282 959 Population estimate as of July 1 I960 66 RESIDENT PATIENT POPULATION ON JUNE 30 1961 BY RACE SEX AND MENTAL DISORDER RARE AND SEX MENTAL DISORDER White White Nonwhite Nonwhite Total Male Female Male Female ACUTE BRAIN SYNDROME ASSOCIATED WITH Alcohol Intoxication 54 46 3 4 1 Drug or Poison Intoxication 9 5 3 0 1 All Other Acute Brain Syndromes 13 2 4 6 1 Total Acute Brain Syndromes 76 53 10 10 3 CHRONIC BRAIN SYNDROMES ASSOCIATED WITH Diseases and Conditions Due To Prenatal Influence 36 15 20 0 1 Meningoencephalitic Syphilis 363 128 64 113 58 Other CNS Syphilis 17 4 3 3 7 Epidemic Encephalitis 36 16 15 2 3 Other Intracranial Infections 29 7 13 7 2 Alcohol Intoxication 40 29 7 4 0 Drug or Poison Intoxication 6 0 4 0 2 Birth Trauma 117 53 17 37 10 Other Trauma 65 40 11 11 3 Cerebral Arteriosclerosis 1122 416 253 199 254 Other Circulatory Disturbance 63 19 16 20 8 Convulsive Disorder 625 174 215 142 94 Senile Brain Disease 531 68 398 16 49 Other Disturbance of Metabolism Growth and Nutrition 27 9 9 2 7 Intracranial Neoplasm 2 0 2 0 0 Diseases of Unknown and Uncertain Cause 52 18 23 3 8 Chronic Brain Syndromes of Unknown Cause 62 22 22 8 10 Total Chronic Brain Syndromes 3193 1018 1092 567 516 PSYCHOTIC DISORDERS Involutional Psychotic Reaction 202 13 73 8 108 Manic Depressive Reactions 955 136 228 218 373 Psychotic Depressive Reaction 77 13 57 1 6 Schizophrenic Reactions 5219 1283 1915 886 1135 Paranoid Reactions 23 0 5 5 13 Total Psychotic Disorders 6476 1445 2278 1118 1635 PERSONALITY DISORDERS Psychophysiologic Autonomic and Visceral Disorders 3 1 0 2 0 Psychoneurotic Reactions 74 21 48 4 1 Personality Pattern Disturbance 1 1 0 0 0 Personality Trait Disturbance 2 1 1 0 0 Antisocial Reaction 38 12 13 8 5 Dyssocial Reactions 4 1 3 0 o Sexual Deviation 1 0 0 1 o Alcoholism Addiction 60 40 5 11 4 Drug Addiction 8 3 5 0 0 Total Personality Disorders 191 80 75 26 10 TRANSIENT SITUATIONAL PERSONALITY DISTURBANCE 10 4 1 5 0 MENTAL DEFICIENCY 1981 730 518 445 288 MENTAL DISORDER UNDIAGNOSED 17 3 6 5 3 WITHOUT MENTAL DISORDER 2 1 0 1 0 TOTAL ALL MENTAL DISORDERS 11946 3334 3980 2177 2455 6 1 ADMISSIONS BY AGE AT ADMISSION AIMISSION CLASSIFICATION EACE SEX AND MENTAL DISORDER I 1 MENTAL DISORDER AGE In Years RACESEX Under 15 25 35 45 55 65 75 85 and Total 15 24 14 44 54 64 74 84 over Unknown Total 4618 38 471 966 1051 823 565 346 279 39 100 White Male 1948 16 185 374 489 343 234 155 122 19 11 White Female 1599 11 116 308 358 334 210 124 112 12 14 Nonwhite Male 546 5 103 111 89 81 53 32 27 5 40 Nonwhite Female 525 6 67 113 115 65 68 35 18 3 35 Total 3509 33 412 695 737 543 418 288 265 38 80 White Male 1417 13 159 268 335 211 167 126 113 19 6 White Female 1200 10 99 244 245 217 151 100 109 12 13 Nonwhite Male 459 4 95 93 64 65 45 30 26 5 32 Nonwhite Female 433 6 59 90 93 50 55 32 17 2 29 Total 1109 5 59 211 314 280 147 58 14 1 20 White Male 531 3 26 106 154 132 67 29 9 0 5 White Female 399 1 17 64 113 117 59 24 3 0 1 Nonwhite Male 87 1 8 18 25 16 8 2 1 0 8 Nonwhite Female 92 0 8 23 22 15 13 3 1 1 6 Total 233 0 4 43 91 72 20 3 0 0 0 White Male 207 0 2 36 82 67 17 3 0 0 0 White Female 7 0 0 1 2 2 2 0 0 0 0 Nonwhite Male 15 0 2 5 2 2 1 0 0 0 0 Nonwhite Female 0 0 1 2 1 0 0 0 0 0 Total 169 0 4 32 61 50 19 3 0 0 0 White Male MJ 0 2 26 53 45 16 3 0 0 0 White Female 7 0 0 1 2 2 2 0 0 0 0 Nonwhite Male 13 0 2 4 4 2 1 0 0 0 0 Nonwhite Female 4 0 0 1 2 1 0 0 0 0 0 Total 64 0 0 11 30 22 1 0 0 0 0 White Male 62 0 0 10 29 22 1 0 0 0 0 White Female 0 0 0 0 0 0 0 0 0 0 0 Nonwhite Male 2 0 0 1 1 0 0 0 0 0 0 Nonwhite Female 0 0 0 0 0 0 0 0 0 0 0 ALL MENTAL DISORDERS All Admissions First Admissions Readmissions ACUTE BRAIN SYNDROME ASSOCIATED WITH ALCOHOL INTOXICATION All Admissions First Admissions ReadmissionsO rO r O MENTAL DISORDER RACESEX Under 15 25 35 34 44 45 2 55 65 J2A 75 85 and QYSrUnknown DRUG OR POISON INFECTION All Admissions First Admissions Readmissions ALL OTHER ACUTE BRAIN SYNDROMES All Admissions First Admissions Readmissions Total White Male White Female Nonwhite Male Nonwhite Female Total White Male White Female Nonwhite Male Nonwhite Female Total White Male White Female Nonwhite Male Nonwhite Female Total White Male White Female Nonwhite Male Nonwhite Female Total White Male White Female Nonwhite Male Nonwhite Female Total White Male White Female Nonwhite Male Nonwhite Female 31 0 1 4 12 10 3 1 0 0 17 0 1 1 7 6 1 1 0 0 12 0 0 2 4 4 2 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 1 1 0 0 0 0 0 19 0 1 3 6 8 0 1 0 0 9 0 1 0 3 4 0 1 0 0 8 0 0 2 2 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 1 1 0 0 0 0 0 12 0 0 1 6 2 3 0 0 0 8 0 0 1 4 2 1 0 0 0 4 0 0 0 2 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 2 3 3 4 2 0 0 c 2 0 0 1 1 0 0 0 0 0 8 0 1 1 2 2 2 0 0 0 4 0 1 0 0 2 0 0 0 0 1 0 0 1 0 0 0 0 0 0 13 0 2 3 2 4 1 0 0 0 1 0 0 1 0 0 0 0 0 0 7 0 1 1 2 2 1 0 0 0 4 0 1 0 0 2 0 0 0 0 1 0 0 1 0 0 0 0 0 0 2 0 0 0 1 0 1 0 0 0 1 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 MENTAL DISORDER RACESEX AGE In Years Total Under 15 25 152k2i 35 45 51 55 U 65 7A 75 85 and over Unknown TOTAL ACUTE BRAIN SYNDROMES All Admissions First Admissions Readmissions Total White Male White Female Nonwhite Male Nonwhite Female Total White Male White Female Nonwhite Male Nonwhite Female Total White Male White Female Nonwhite Male Nonwhite Female CHRONIC BRAIN SYNDROME ASSOCIATED WITH PISCES AHP CQNDIIIQHS DUE 10 fRENftlAi ITOVBNCE Total White Male All Admissions White Female Nonwhite Male Nonwhite Female First Admissions Readmissions Total White Male White Female Nonwhite Male Nonwhite Female Total White Male White Female Nonwhite Male Nonwhite Female 279 0 7 50 106 86 25 4 0 0 226 0 3 38 90 73 18 4 0 0 27 0 1 4 8 8 6 0 0 0 19 0 3 5 5 4 1 0 0 0 7 0 0 3 3 1 0 0 0 0 201 0 7 38 69 62 20 4 0 0 155 0 3 27 56 49 16 4 0 0 22 0 1 4 6 8 3 0 0 0 17 0 3 4 4 4 1 0 0 0 7 0 0 3 3 1 0 0 0 0 78 0 0 12 37 24 5 0 0 0 71 0 0 11 34 24 2 0 0 0 5 0 0 0 2 0 3 0 0 0 2 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 b r O MENTAL DISORDER RACESEX Total Under 15 152i 25 MENINGOENCEPHALITIC SYPHITTS All Admissions First Admissions Readmissions All Admissions First Admissions Readmissians 35 45 55 64 65 2L Total White Male White Female Nonwhite Male Nomvhite Female Total White Male White Female Nonwhite Male Nonwhite Female Total White Male White Female Nonwhite Male Nonrchite Female Total White Male White Female Nonwhite Male Nonwhite Female Total White Male White Female Nonwhite Male Nonwhite Female Total White Male White Female Ncnwhite Male Nomrtiite Female 18 0 0 1 5 6 4 2 0 0 3 0 0 0 2 0 1 0 0 0 1 0 0 0 1 0 0 0 0 0 11 0 0 1 1 5 2 2 0 0 3 0 0 0 1 1 1 0 0 0 17 0 0 0 5 6 4 2 0 0 3 0 0 0 2 0 1 0 0 0 1 0 0 0 1 0 0 0 0 n 10 0 0 0 1 5 2 2 0 0 3 0 0 0 1 1 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 1 1 1 0 1 0 2 0 0 0 1 0 1 0 0 0 2 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 1 1 1 0 1 0 2 0 0 0 1 0 1 0 0 0 2 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 75 85 and SASXSiUnknoim 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 MENTAL DISORDER RACESEX AGE In Years OTHER INTRACKANTAL INFECTIONS All Admissions First Admissions Readmissions TotflJ Total White Male White Female Nonwhite Male Nomihite Female Total White Male White Female Nonnhite Male Nomihite Female Total White Male White Female Nomihite Male Nomihite Female Under 15 25 15 24 35 45 55 65 24 75 85 and iU over IMmown ALCOHOL INTOXICATION All Admissions First Admissions Readmissions Total White Male White Female Nomhite Male Nonwhite Female Total White Male White Female Nonwhite Male Nomihite Female Total White Male White Female Nonwhite Male Namthlte Female 70 56 7 2 5 57 44 7 2 4 13 12 0 0 1 0 6 0 3 0 2 0 0 0 1 22 17 1 1 3 18 14 l l 2 4 3 0 0 1 23 18 4 1 0 15 10 4 1 0 18 17 0 0 1 17 16 0 0 1 1 1 0 0 0rv rQ o r 4 o MENTAL DISORDER RAOESEX AGE In Years Total Under 15 24 25 JBL 35 4A 45 54 55 65 Z4 75 24 85 and over Unknown DRUG OR POISONINTOXICATION All Admissions BIRTH TRAUMA First Admissions Readmissions All Admissions First Admissions Readmissions Total White Male White Female Nonwhite Male Nonwhite Female Total White Male White Female Nonwhite Male Nonwhite Female Total White Male White Female Nonwhite Male Nonwhite Female Total White Male White Female Nonwhite Male Nonwhite Female Total White Male White Female Nonwhite Male Nonwhite Female Total White Male White Female Nonwhite Male Nonwhite Female 5 2 3 0 0 3 1 2 0 0 2 1 1 0 0 33 27 5 0 1 27 22 4 0 1 6 5 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 9 2 8 0 1 0 0 1 0 1 0 1 0 0 1 0 1 0 0 0 0 0 0 0 14 12 2 0 0 10 9 1 0 0 4 3 1 0 0 1 0 1 0 0 0 0 0 0 0 1 0 1 0 0 1 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0MENTAL DISORDER RACESEX AGE In Years Total Under 1S 15 JiL 25 24 35 45 54 55 64 65 75 85 and 8Z over Unknown OTHER TRAUMA All Admissions First Admissions Readmissions CEREBRAL ARTERIOSCLEROSIS All Admissions First Admissions Readmissions Total White Male White Female Nonwhite Male Nonwhite Female Total White Male White Female Nonwhite Male Nonwhite Female Total White Male White Female Nonwhite Male Nonwhite Female Total White Male White Female Nonwhite Male Nonwhite Female Total White Male White Female Nonwhite Male Nonwhite Female Total White Male White Female Nonwhite Male Nonwhite Female 36 28 2 4 2 26 18 2 4 2 10 10 0 0 0 568 248 153 83 84 501 209 137 79 76 67 39 16 4 8 9 5 8 3 1 0 0 1 0 1 14 6 3 5 0 2 2 0 0 0 135 55 29 22 29 20 11 5 1 3 16 155 232 130 8 66 102 65 3 34 70 41 5 23 28 15 0 32 32 9 198 120 83 58 60 40 26 14 29 8 34 10 19 7 10 1 2 1 3 1 26 2 3 12 9 26 2 3 12 9 0 0 0 0 0Mr fr rv O MENTAL DISORDER RACESEX AGE In Years OTHER CIRCULATORY DISTURBANCE All Admissions First Admissions Readmissions CONVULSIVE DISORDER All Admissions First Admissions Readmissions laai Under 15 25 152k24 Total White Male White Female Nonwhite Male Nonwhite Female Total White Male White Female NonvAiite Male Nonwhite Female Total Vhite Male White Female Nonwhite Male Nonwhite Female Total White Male White Female Nonwhite Male Nonwhite Female Total White Male White Female Nonwhite Male Nonwhite Female Total White Male Vhite Female Nonwhite Male Nonwhite Female 35 45 JtL 55 65 Z4 75 84 85 and over Unknown 34 0 0 0 3 11 10 5 2 1 2 13 0 0 0 0 0 7 5 1 0 0 5 0 0 0 1 2 2 0 0 0 0 10 0 0 0 2 5 1 0 0 0 6 0 0 0 0 4 0 0 1 1 0 27 0 0 0 1 8 9 4 2 1 11 0 0 0 0 0 6 4 1 0 0 3 0 0 0 0 1 2 0 0 0 0 8 0 0 0 1 4 1 0 0 0 5 0 0 0 0 3 0 0 1 1 0 7 0 0 0 2 3 1 1 0 0 0 2 0 0 0 0 0 1 1 0 0 0 2 0 0 0 1 1 0 0 0 0 0 2 0 0 0 1 1 0 0 0 0 n 1 0 0 0 0 1 0 0 0 0 0 143 9 36 40 30 14 8 2 0 0 4 54 2 16 16 12 5 2 1 0 0 0 44 6 5 13 12 2 4 1 0 0 1 27 0 8 8 4 5 1 0 0 0 1 18 1 7 3 2 2 1 0 0 0 2 1X4 8 30 37 20 11 4 1 0 0 3 45 2 13 15 7 5 2 1 0 0 0 32 5 5 13 8 0 1 0 0 0 0 23 0 6 7 4 5 0 0 0 0 1 u 1 6 2 1 1 1 0 0 0 2 29 1 6 3 10 3 4 1 0 0 1 9 0 3 1 5 0 0 0 0 0 0 12 1 0 0 4 2 3 1 0 0 1 4 0 2 1 0 0 1 0 0 0 0 4 0 1 1 1 1 0 0 0 0 0 MENIAL DISORDER RACESEX AGE In Years IajBl Under 15 l22 25 35 44 45 5k 55 64 65 74 75 84 85 and over Unknown SIMM BRAJH PISEASE All Admissions First Admissions Readmissions Total White Male White Female Nonwhite Male Nonwhite Female Total White Male White Female Nonwhite Male Nonwhite Female Total White Male White Female Nonwhite Male Nonwhite Female OTHER DISTURBANCE OF METAB0LI3Jr GROWTH AND NUTRITION Total White Male All Admissions White Female Nonwhite Male Nonwhite Female First Admissions Readmissions Total White Male White Female Nonwhite Male Nonwhite Female Total White Male Whit Female Nonwhite Male Nonwhite Female 242 0 0 2 1 2 12 54 130 96 0 0 0 0 1 2 29 49 113 0 0 2 0 1 7 23 64 15 0 0 0 0 0 0 0 9 18 0 0 0 1 0 3 2 8 230 0 0 2 1 1 10 47 128 92 0 0 0 0 1 1 26 49 105 0 0 2 0 0 6 19 62 15 0 0 0 0 0 0 0 9 18 0 0 0 1 0 3 2 8 12 0 0 0 0 1 2 7 2 4 0 0 0 0 0 1 3 0 8 0 0 0 0 1 1 4 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 3 2 1 3 0 5 5 0 0 3 1 0 0 0 1 5 0 0 0 0 1 3 0 1 5 0 0 0 0 0 0 0 3 1 0 0 0 1 0 0 0 0 u 0 0 2 1 1 3 0 5 4 0 0 2 1 0 0 0 1 5 0 0 0 0 1 3 0 1 5 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 2 0 0 1 1 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 30 11 15 0 11 5 3 3 1 3 30 15 11 3 1 0 0 0 0 0 11 0 5 3 3 0 0 0 0 0I ICV rG 4h o MENTAL DISORDER RACESEX AGE In Years total Under 15 15 U 25 U 35 45 55 6 65 INTRACRANIAL NEOPLASM All Admissions First Admissions Readraissions DISEASES OF UNKNOWN Aim UNCERTAIN CAUSE All Admissions First Admissions Readmissions Total White Male White Female Nonwhite Male Nonwhite Female Total White Male White Female Nonwhite Male Nonwhite Female Total White Male White Female Nonwhite Male Nonwhite Female Total White Male White Female Nonwhite Male Nonwhite Female Total White Male White Female Nonwhite Male Nonwhite Female Total White Male White Female Nonwhite Male Nonwhite Female 3 3 0 0 0 3 3 0 0 0 0 0 0 0 0 13 6 7 0 0 10 i 6 0 0 3 2 1 0 0 1 1 0 0 0 1 1 0 0 0 0 0 0 0 0 1 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 o o o o 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 2 3 0 0 3 1 2 0 o 2 1 1 0 0 1 1 0 0 0 1 1 0 0 0 0 0 0 0 0 3 1 2 0 0 3 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 1 0 1 0 0 0 0 0 0 0 75 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 85 and over Unknown 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 MENTAL DISORDER RACESEX AGE In Years CHROMIC BRAIN SYNDROMES OF UNKNOWN CAUSE All Admissions First Admissions Readnissions Total White Male White Female Nonwhite Male Nonwhite Female Total White Male Vhite Female Nonwhite Male Nonwhite Female Total White Male White Female NonvAiite Male Nonwhite Female Iaiai Under XI 15 25 2434 35 45 24 55 65 JZA 75 84 85 and over Untaom TOTAL CHRONIC BRAIN SYNDROMES All Admissions First Admissions Readmissions Total White Male White Female Nonwhite Male Nonwhite Female Total White Male White Female Nonwhite Male Nonwhite Female Total White Male White Female Namrtiite Male Noniihite Female 1193 545 351 158 139 1040 459 310 147 124 153 86 41 11 15 12 3 7 1 1 11 3 6 1 1 1 0 1 0 0 44 72 23 40 5 19 8 9 8 4 36 18 5 6 7 S 5 0 2 1 64 35 19 7 89 51 19 9 10 65 37 13 8 7 24 14 6 1 3 98 44 22 23 9 75 29 17 22 7 222 103 54 27 38 192 88 44 25 35 23 30 15 15 5 10 1 2 2 3 301 141 96 30 34 257 117 81 28 31 44 24 15 2 3 272 119 108 27 18 259 111 105 26 17 13 8 3 1 1 38 19 12 4 3 37 19 12 4 2 1 0 0 0 1 45 2 9 20 14 44 2 8 20 14 1 0 1 0 0 G 4h o MENTAL DISORDER RACESEX AGE In Years Total Under 15 1524 25 34 35 44 45 54 55 64 65 74 75 8i 85 and over Unknown PSYCHOTIC DISORDERS INVOLUTION PSYCHOTIC REATION All Admissions First Admissions Readmissions MANIC DEPRESSIVE REACTIONS All Admissions First Admissions Readmissions Total White Male White Female Nonwhite Male Nonwhite Female Total White Male White Female Nonwhite Male Nonwhite Female Total White Male White Female Nomvhite Male Nonwhite Female Total White Male White Female Nonwhite Male Nonwhite Female Total White Male White Female Nonwhite Male Nonwhite Female Total White Male White Female Nonwhite Male Nonwhite Female 156 27 95 0 34 122 20 78 0 24 34 7 17 0 10 235 60 76 47 52 130 25 41 28 36 105 35 35 19 16 1 1 0 0 0 0 0 0 0 0 1 1 0 0 0 40 6 11 26 6 6 6 8 14 0 5 2 7 39 1 29 0 9 31 1 24 0 49 13 16 7 13 32 7 11 4 10 17 6 5 3 3 78 11 51 0 16 64 9 43 0 12 14 2 8 0 4 62 17 18 15 12 30 4 7 10 9 32 13 11 5 3 34 14 13 0 7 24 9 10 0 5 10 5 3 0 2 64 20 27 31 6 15 4 6 33 14 12 4 3 MENTAL DISORDER RACESEX AGE In Years Total Under 15 25 152424 35 45 24 55 6A 65 Z4 75 84 85 and over Unknown PSYCHOTIC DEPRESSIVE REACTION All Admissions First Admissions Readmissions scjffZQPHRfflic BBLCnflHS All Admissions First Admissions Readmissions Total 178 1 13 55 43 27 27 10 1 0 1 White Male 20 0 0 3 11 4 0 1 0 0 1 White Female U7 1 12 50 27 23 24 9 1 0 0 Nonwhite Male 0 0 0 0 0 0 0 0 0 0 0 Nonwhite Female 11 0 1 2 5 0 3 0 0 0 0 Total 160 1 11 53 40 22 24 8 1 0 0 White Male 17 0 0 3 11 2 0 1 0 0 0 White Female 132 1 10 48 24 20 21 7 1 0 0 Nonvhite Male 0 0 0 0 0 0 0 0 0 0 0 Norovhite Female 11 0 1 2 5 0 3 0 0 0 0 Total 18 0 2 2 3 5 3 2 0 0 1 White Male 3 0 0 0 0 2 0 0 0 0 1 White Female 15 0 2 2 3 3 3 2 0 0 0 Nonwhite Male 0 0 0 0 0 0 0 0 0 0 0 Nonwhite Female 0 0 0 0 0 0 0 0 0 0 0 Total 1451 9 245 419 408 254 87 6 1 0 22 White Male 478 5 89 148 139 66 25 3 1 0 2 White Female 548 0 55 137 166 140 46 2 0 0 2 Nonwhite Male 192 2 54 59 37 24 9 1 0 0 6 Nonwhite Female 233 2 47 75 66 24 7 0 0 0 12 Total 999 8 211 300 276 136 51 2 1 0 14 White Male 308 4 75 91 96 29 10 1 1 0 1 White Female 344 0 45 95 101 71 30 0 0 0 2 Nonwhite Male 154 2 50 49 25 17 7 1 0 0 3 Nonwhite Female 193 2 41 65 54 19 4 0 0 0 8 Total 452 1 34 119 132 118 36 4 0 0 8 White Male 170 1 14 57 43 37 15 2 0 0 1 White Female 204 0 10 42 65 69 16 2 0 0 0 Nonwhite Male 38 0 4 10 12 7 2 0 0 0 3 Nonwhite Female 40 0 6 10 12 5 3 0 0 0 4 rO fn o MENTAL DISORDER RAGESEX AGE In Years Total Under 15 25 35 45 55 64 65 74 75 84 85 and pYsr jjnjaagm PARANOID REACTIONS All Admissions First Admissions Readmissions TOTAL PSYCHOTIC DISORDERS All Admissions First Admissions Readmissions Total 13 0 1 1 4 1 1 5 0 0 0 White Male 3 0 0 1 2 0 0 0 0 0 0 White Female 9 0 1 0 2 1 1 4 0 0 0 Nonwhite Male 0 0 0 0 0 0 0 0 0 0 0 Nonwhite Female 1 0 0 0 0 0 0 1 0 0 0 Total 13 0 1 1 4 1 1 5 0 0 0 White Male 3 0 0 1 2 0 0 0 0 0 0 White Female 9 0 1 0 2 1 1 4 0 0 0 Nonwhite Male 0 0 0 0 0 0 0 0 0 0 0 Nonwhite Female 1 0 0 0 0 0 0 1 0 0 0 Total 0 0 0 0 0 0 0 0 0 0 0 White Male 0 0 0 0 0 0 0 0 0 0 0 White Female 0 0 0 0 0 0 0 0 0 0 0 Nonwhite Male 0 0 0 0 0 0 0 0 0 0 0 Nonwhite Female 0 0 0 0 0 0 0 0 0 0 0 Total 2033 11 267 516 543 422 213 26 3 0 32 White Male 588 6 91 158 166 98 59 5 2 0 3 White Female 875 1 69 199 240 233 111 19 1 0 2 Nonwhite Male 239 2 56 67 44 39 17 1 0 0 13 Nonwhite Female 331 2 51 92 93 52 26 1 0 0 14 Total 1169 7 188 313 308 213 113 16 2 0 9 White Male 373 A 77 101 117 44 25 3 1 0 1 White Female 604 1 57 150 162 U2 77 12 1 0 2 Nonwhite Male 182 2 52 55 29 27 11 1 0 0 5 Nonwhite Female 265 2 45 75 75 40 18 1 0 0 9 Total 609 2 36 135 160 169 82 9 1 0 15 White Male 215 2 u 57 49 54 34 2 1 0 2 White Female 271 0 12 49 78 91 34 7 0 0 0 Nonwhite Male 57 0 4 12 15 12 6 0 0 0 8 Nonwhite Female 66 0 6 17 18 12 8 0 0 0 5 MENTAL DISORDER RACESEX AGE In Years PERSONALITY DISORDERS PSYCHnPHYSTOLOGTR AirroHrtnc AND VISCERAL DISORDERS Total White Male All Admissions White Female Nonwhite Male Nonwhite Female Total White Male White Female Nomvhite Male Nonwhite Female First Admissions Readmissions PSYCHONEUROTIR REACTIONS All Admissions First Admissions Readmissions Total White Male White Female Nomvhite Male Nomvhite Female Total White Male White Female Nonwhite Male Nonwhite Female Total White Male White Female Nonwhite Male Nonwhite Female Total White Male White Female Nonwhite Male Nonwhite Female Mai Under 15 25 15 2424 35 44 45 55 JiL 65 74 75 85 and over TJnlmown 1 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 323 3 28 84 85 69 41 10 2 0 1 120 2 9 34 32 28 12 2 0 0 1 191 1 18 46 49 39 28 8 2 0 0 11 0 1 4 4 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 248 2 25 73 63 46 31 6 2 0 0 91 1 8 29 25 17 11 0 0 0 0 146 1 16 40 34 27 20 6 2 0 0 11 0 1 4 4 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 75 1 3 11 22 23 10 4 0 0 1 29 1 1 5 7 11 1 2 0 0 1 45 0 2 6 15 12 8 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 I rrsi i TGV O o MEHTAL DISORDER RACESEX AGE In Years Under 15 25 35 45 55 65 75 85 and Total 15 A 34 44 54 64 74 84 over Unknown Total 8 0 1 3 3 1 0 0 0 0 0 White Male 5 0 1 2 1 1 0 0 0 0 0 White Female 2 0 0 1 1 0 0 0 0 0 0 Nonwhite Male 1 0 0 0 1 0 0 0 0 0 0 Nonwhite Female 0 0 0 0 0 0 0 0 0 0 0 Total 8 0 1 3 3 1 0 0 0 0 0 White Male 5 0 1 2 1 1 0 0 0 0 0 Vhite Female 2 0 0 1 1 0 0 0 0 0 0 Nonvhite Male 1 0 0 0 1 0 0 0 0 0 0 Nonwhite Female 0 0 0 0 0 0 0 0 0 0 0 Total 0 0 0 0 0 0 0 0 0 0 0 White Male 0 0 0 0 0 0 0 0 0 0 0 Vhlte Female 0 0 0 0 0 0 0 0 0 0 0 Nonwhite Male 0 0 0 0 0 0 0 0 0 0 0 Nonwhite Female 0 0 0 0 0 0 0 0 0 0 0 Total 23 0 11 7 A 1 0 0 0 0 0 White Male 11 0 5 3 3 0 0 0 0 0 0 White Female 12 0 6 4 1 1 0 0 0 0 0 Nonwhite Male 0 0 0 0 0 0 0 0 0 0 0 Nonwhite Female 0 0 0 0 0 0 0 0 0 0 0 Total 22 0 11 6 4 1 0 0 0 0 0 White Male 11 0 5 3 3 0 0 0 0 0 0 White Female 11 0 6 3 1 1 0 0 0 0 0 Nonwhite Male 0 0 0 0 0 0 0 0 0 0 0 Nonwhite Female 0 0 0 0 0 0 0 0 0 0 0 Total 1 0 0 1 0 0 0 0 0 0 0 Vhite Male 0 0 0 0 0 0 0 0 0 0 0 White Female 1 0 0 1 0 0 0 0 0 0 0 Nonwhite Male 0 0 0 0 0 0 0 0 0 0 0 Nonwhite Female 0 0 0 0 0 0 0 0 0 0 0 PERSOIIALITY PATTER DISTURBANCE All Admissions First Admissions Roacliriissions PERflOHALITY TRAIT DISTTmittHCK All Admissions Firot Admisoione RoadmiosioneMENTAL DISORDER ANTISOCIAL REACTION All Admissions First Admissions Readmissions RACESEX AGE In Years Total White Male White Female Nonwhite Male Nonwhite Female Total White Male White Female Nonwhite Male Nonwhite Female Total White Male White Female Nonwhite Male Nonwhite Female Total 59 38 9 7 5 42 26 7 5 4 17 12 2 2 1 Under 13 15 25 242i 35 45 54 55 6i 65 2i 75 84 85 and over Unknown 17 23 12 12 13 8 2 2 3 2 4 1 14 0 13 15 9 8 1 1 2 3 l 3 10 7 3 0 0 4 8 2 3 5 1 11 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 ACTION All Admissions First Admissions Readmissions Total White Male White Female Nonwhite Male Nonwhite Female Total White Male White Female Nonwhite Male Nonwhite Female Total White Male White Female Nonwhite Male Nonwhite Female 2 5 1 0 1 5 0 0 0 0iCV rO 4h o MENTAL DISORDER RACESEX AGE In Years Total Under 15 25 15 35 44 45 4 55 64 65 74 75 2A 85 and over Unknown SgftlAL PCTIATION All Admissions First Admissions Readmissions Total Vhite Male White Female Nonwhite Male Nonwhite Female Total White Male Vhite Female Nonwhite Male Nonwhite Female Total Vhite Male Vhite Female Nonwhite Male Nonwhite Female 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 ALCOHOLISM ADDICTION All Admissions First Admissions Readmissions Total Vhite Male White Female Nonwhite Male Nonwhite Female Total Vhite Male Vhite Female Nonwhite Male Nonwhite Female Total White Male Vhite Female Nonwhite Male Nonwhite Female 331 240 38 45 250 174 32 38 6 81 66 6 7 2 1 17 79 1 7 56 0 0 10 0 9 8 0 15 1 17 65 1 7 44 0 0 10 0 9 7 0 14 0 14 0 12 0 0 0 1 0 1 127 76 22 97 58 16 13 11 3 17 6 3 0 10 85 56 17 63 41 13 11 9 1 11 6 3 0 0 0 42 20 5 34 17 3 2 2 2 6 0 0 0 10 2 2 0 0 0 2 2 0 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 2 1 2 1 6 2 1 2 1 0 0 0 0 0MENTAL DISORDER RACESEX AGE In Years Total Under 15 25 15 24 34 35 A4 45 Pi 55 64 65 74 75 84 85 and over Unknown PfflfG AJKCIIOM All Admissions First Admissions Readmissions TOTAL PERSONALITY DISORDERS All Admissions First Admissions Readmissions Total 48 0 1 J 15 15 11 1 0 0 0 White Male 26 0 1 4 5 8 7 1 0 0 0 White Female 22 0 0 1 10 7 4 0 0 0 0 Nonwhite Male 0 0 0 0 0 0 0 0 0 0 0 Nonwhite Female 0 0 0 0 0 0 0 0 0 0 0 Total 22 0 1 2 6 8 5 0 0 0 0 White Male 14 0 1 2 3 5 3 0 0 0 0 Vhite Female 8 0 0 0 3 3 2 0 0 0 0 Nonwhite Male 0 0 0 0 0 0 0 0 0 0 0 Nonwhite Female 0 0 0 0 0 0 0 0 0 0 0 Total 26 0 0 3 9 7 6 1 0 0 0 White Male 12 0 0 2 2 3 4 1 0 0 0 White Female 14 0 0 1 7 4 2 0 0 0 0 Nonwhite Male 0 0 0 0 0 0 0 0 0 0 0 Nonwhite Female 0 0 0 0 0 0 0 0 0 0 0 Total 806 4 78 208 248 169 76 13 3 0 7 White Male 444 3 37 113 147 99 36 5 1 0 3 White Female 282 1 27 69 78 61 35 8 2 0 1 Nonwhite Male 66 0 12 17 23 8 4 0 0 0 2 Nonwhite Female 14 0 2 9 0 1 1 0 0 0 1 Total 604 3 71 170 172 116 55 8 3 0 6 White Male 324 2 33 89 102 65 28 2 1 0 2 White Female 213 1 24 59 54 43 23 6 2 0 1 Nonwhite Male 57 0 12 15 16 8 4 0 0 0 2 Nonwhite Female 10 0 2 7 0 0 0 0 0 0 1 Total 202 1 7 38 76 53 21 5 0 0 1 White Male 120 1 4 24 45 34 8 3 0 0 1 White Female 69 0 3 10 24 18 12 2 0 0 0 Nonwhite Male 9 0 0 2 7 0 0 0 0 0 0 Nonwhite Female 4 0 0 2 0 1 1 0 0 0 0 rCV fa o MENTAL DISORDER RACESEX AGE In Years l2iai Under 15 25 JJ2242i 35 45 5L 55 65 75 84 85 and over Unknown OTHER DISORDERS TRANSIENT SITUATIONAL PERSONALITY piSTURpAgE All Admissions First Admissions Readmissions memiai Btaatjuag All Admissions First Admissions Readmissions Total 18 1 12 3 1 1 0 0 0 0 0 White Male 7 1 5 1 0 0 0 0 0 0 0 White Female 2 0 2 0 0 0 0 0 0 0 0 Nonwhite Male 9 0 5 2 1 1 0 0 0 0 0 Nonwhite Female 0 0 0 0 0 0 0 0 0 0 0 Total 18 1 12 3 1 1 0 0 0 0 0 White Male 7 1 5 1 0 0 0 0 0 0 0 Vhite Female 2 0 2 e 0 0 0 0 0 0 0 Nonwhite Male 9 0 5 2 1 1 0 0 0 0 0 Nonwhite Female 0 0 0 0 0 0 0 0 0 0 0 Total 0 0 0 0 0 0 0 0 0 0 0 Vhite Male 0 0 0 0 0 0 0 0 0 0 0 Vhite Female 0 0 0 0 0 0 0 0 0 0 0 Nonwhite Male 0 0 0 0 0 0 0 0 0 0 0 Nonwhite Female 0 0 0 0 0 0 0 0 0 0 0 Total 234 10 56 49 49 37 21 1 0 0 11 White Male 117 3 23 21 26 23 18 0 0 0 3 White Female 55 2 11 16 11 10 2 1 0 0 2 Nonwhite Male 37 2 16 8 4 4 0 0 0 0 3 Nonwhite Female 25 3 6 4 8 0 1 0 0 0 3 Total 172 9 50 31 34 27 12 1 0 0 8 White Male 82 3 21 12 16 19 10 0 0 0 1 White Female 42 2 9 11 8 7 2 1 0 0 2 Nonwhite Male 30 1 15 7 3 1 0 0 0 0 3 Nonwhite Female 18 3 5 1 7 0 0 0 0 0 2 Total 62 1 6 18 15 10 9 0 0 0 3 White Male 35 0 2 9 10 4 8 0 0 0 2 White Female 13 0 2 5 3 3 0 0 0 0 0 Nonwhite Male 7 1 1 1 1 3 0 0 0 0 0 Nonwhite Female 7 0 1 3 1 0 1 0 0 0 1 MENTAL DISORDER RACESEX AGE In Years ItfW Under 12 15 25 2424 35 45 55 65 74 75 85 and over IMmown WITHOUT MENTAL DISORDER All Admissions First Admissions Readmissions MENTAL DISORDER UNDIAONOSED All Admissions First Admissions Readmissians Total 6 0 2 1 1 0 2 0 0 0 0 White Male 0 0 0 0 0 0 0 0 0 0 0 White Female 0 0 0 0 0 0 0 0 0 0 0 Nonwhite Male 5 0 2 1 1 0 i 0 0 0 0 Nonwhite Female 1 0 0 0 0 0 l 0 0 0 0 Total 6 0 2 1 1 0 2 0 0 0 0 White Male 0 0 0 0 0 0 0 0 0 0 0 White Female 0 0 0 0 0 0 0 0 0 0 0 Nonwhite Male 5 0 2 1 1 0 1 0 0 0 0 Nonwhite Female 1 0 0 0 0 0 1 0 0 0 0 Total 0 0 0 0 0 0 0 0 0 0 0 White Male 0 0 0 0 0 0 0 0 0 0 0 White Female 0 0 0 0 0 0 0 0 0 0 0 Nonwhite Male 0 0 0 0 0 0 0 0 0 0 0 Nonwhite Female 0 0 0 0 0 0 0 0 0 0 0 Total 49 0 5 7 u 10 6 1 1 1 4 White Male 21 0 3 3 9 6 0 0 0 0 0 White Female 7 0 1 1 2 0 2 0 1 0 0 Nonwhite Male 13 0 1 2 2 2 3 1 0 1 1 Nonwhite Female S 0 0 1 1 2 1 0 0 0 3 Total 44 0 3 7 12 9 6 1 1 1 4 White Male 17 0 2 3 7 5 0 0 0 0 0 White Female 7 0 1 1 2 0 2 0 1 0 0 Nonwhite Male 12 0 0 2 2 2 3 1 0 1 1 Nonwhite Female 8 0 0 1 1 2 1 0 0 0 3 Total 5 0 2 0 2 1 0 0 0 0 0 White Male 4 0 1 0 2 1 0 0 0 0 0 White Female 0 0 0 0 0 0 0 0 0 0 0 Nonwhite Male 1 0 1 0 0 0 0 0 0 0 0 Nonwhite Female 0 0 0 0 0 0 0 0 0 0 0 Mr rO DEATHS IN THE HOSPITAL BY AGE AT DEATH ADMISSION CLASSIFICATION RACE AND SEX TIME ON BOCKS ADMISSION CLASSIFICATION RACESEX Under 35 611 1 2 3 4 59 1014 1519 2024 2529 30 yrs Total 3 mos mos mos yr yrs yrs yrs yrs yrs yrs yrs yrs and over Total 866 181 60 103 106 71 68 44 73 40 32 26 17 45 White Male 3a 84 a 38 40 20 23 15 26 15 10 9 8 12 All Admissions White Female 292 56 22 35 30 26 27 15 21 10 H 12 4 20 Nonwhite Male 123 26 10 12 22 16 9 8 9 4 3 0 0 4 Nonwhite Female 130 15 7 18 14 9 9 6 17 11 5 5 5 9 Total 766 171 57 94 96 65 63 35 60 29 25 19 15 37 White Male 270 77 19 32 35 17 22 9 20 9 8 6 6 10 First Admissions White Female 259 54 22 32 26 a 26 13 19 6 9 8 4 16 Nonwhite Male 116 26 9 12 22 16 7 7 8 3 3 0 0 3 Noroshite Female 121 M 7 18 13 8 8 6 13 11 5 5 5 8 Total 100 10 3 9 10 6 5 9 13 11 7 7 2 8 White Male 51 7 2 6 5 3 1 6 6 6 2 3 2 2 Readmissions White Female 33 2 0 3 4 2 1 2 2 4 5 4 0 4 Nonwhite Male 7 0 1 0 0 0 2 1 1 1 0 0 0 1 Nonwhite Female 9 1 0 0 1 1 1 0 4 0 0 0 0 1 DEATHS IN THE HOSPITAL BY AGE AT DEATH AIMSSION CLASSIFICATION RACE AND SEX AGE In Years ADMISSION RACESEX Under 15 25 35 45 55 65 75 Over Age Total 15 24 44 54 64 74 84 85 Unknown Total 866 2 7 18 41 98 133 228 250 72 17 White Male 321 1 3 5 8 34 55 76 107 30 2 All Admissions White Female 292 1 0 5 14 22 37 80 93 35 5 Nonwhite Male 123 0 2 5 10 22 20 32 25 2 5 Nonwhite Female 130 0 2 3 9 2U 21 40 25 5 5 Total 766 2 6 17 34 90 118 192 224 67 16 White Male 270 1 2 4 5 29 48 56 96 28 1 First Admissions White Female 259 1 0 5 11 21 31 70 83 32 5 Nonwhite Male 116 0 2 5 9 21 18 30 24 2 5 Nonwhite Female 121 0 2 3 9 19 21 36 21 5 5 Total 100 0 1 1 7 8 15 36 26 5 1 White Male 51 0 1 1 3 5 7 20 11 2 1 Readmissions White Female 33 0 0 0 3 1 6 10 10 3 0 Nonwhite Male 7 0 0 0 1 1 2 2 1 0 0 Nonwhite Female 9 0 0 0 0 1 0 4 4 0 0 1 rQ 4h o DISCHARGES BY TIME ON BOOKS ADMISSION CLASSIFICATION RACE AND SEX ADMISSION OLASSIFIGATION RACESEX All Admissions Total White Male White Female Nonwhite Male Nonwhite Female Total Under 3 mos 35 mos 611 mos 1 yr 2 yrs 3 yrs 4 yrs 59 yrs 1014 yrs 1519 yrs 2024 yrs 2529 30 yrs yrs and over 2989 1365 1427 811 922 415 319 90 321 49 271 122 34 35 374 145 132 47 50 367 281 128 117 126 89 54 35 59 40 137 49 27 23 38 47 16 9 8 14 99 27 29 22 21 13 2 6 1 4 4 3 6 2 0 0 0 13 10 0 12 3 First Admissions Readmissions Total White Male Yhite Female Nonwhite Male Nonwhite Female Total White Male White Female Nonwhite Male Nonwhite Female 2148 1041 1055 627 597 299 261 74 235 41 841 324 372 184 325 116 58 16 186 87 46 29 24 85 35 34 5 11 219 90 56 39 34 155 55 76 8 16 256 209 89 86 85 65 44 26 38 32 111 39 41 10 21 72 31 24 107 40 15 21 31 30 9 12 2 7 37 u 6 10 2 3 2 3 53 11 14 17 11 46 16 15 5 10 19 7 5 3 4 3 1 0 1 1 11 2 4 1DISCHARGES BY AGE AT DISCHARGE ADMISSION CLASSIFICATION RACE AND SEX RACE AND SEX AGE In Years Under 15 25 35 45 55 65 75 85 and Total 15 A 34 44 54 64 74 84 over Unknown 2989 11 246 770 840 557 308 U2 63 11 41 1427 6 100 350 441 259 154 67 33 5 12 922 4 58 236 236 188 103 52 24 5 16 319 1 64 90 88 33 25 11 1 0 6 221 0 24 94 75 77 26 12 5 1 7 2H8 10 210 596 567 357 209 106 53 11 29 1055 5 82 280 310 161 126 50 28 5 8 597 4 48 177 138 111 48 36 20 5 10 261 1 59 70 70 24 20 11 1 0 5 235 0 21 69 49 61 15 9 4 1 6 841 1 36 174 273 200 99 36 10 0 12 372 1 18 70 131 98 28 17 5 0 4 325 0 10 59 98 77 55 16 4 0 6 58 0 5 20 18 9 5 0 0 0 1 86 0 3 25 26 16 11 3 1 0 1 All Admissions First Admissions Readmissions Total White Male White Female Nonwhite Male Nomtfiite Female Total White Male White Female Nonwhite Male NonYihite Female Total White Male White Female Nomihite Male Nomihite Female 92 DEPARTMENT OF ACCOUNTING June 30 1961 i The State Department of Public Health allotted to Milledgeville State Hospital 12500000 for maintenance operations and 650000 for Outlay Improvement Operations making a total allotment of 13150000 This amount was supplemented by 51i6U0890 in food commodities donated by the Federal Government and 38116809 institutional income making total receipts for the fiscal year 1U07757699 AVAILABLE FUNDS Available Funds 63060 Revenue buate Funds Institutional Income Less Cash Expenditures Less Accounts Payable AVAILABLE FUNDS MATNTBiiKCK IHPB0YB1BHS 8265582 15878039 1250000000 38058309 65000000 585QQ TOTAL 98533868 1315000000 38116809 13707Ujl38 80936539 li5l650677 1270825880 99655620 tS290728 356li5811 1316116608 135301631 232U38 232lt38 Institutional income in the amount of 38116809 includes 181965 W from Veterans Home Commission of Georgia 6679573 refund for architect fees previously paid from main tenance fund for Central Kitchen and Storage and 21000 for research program OUTLAY raPaOVBMEMT ALIOCATIOMS BY PROJECT DURING PERIOD PROJECT Steal Distribution System Steam Equipment Room Water Main Intake Facilities Engineering and Contingencies PHOJECT EQUIPMENT New Building Under Construction Electrical Distribution System Water Main Apartment Building and Dormitory AtCUNT 22500000 8978000 1155000 AMOUNT 1967000 25000000 2U00000 65000000 93 OUTLAY IMPROVEMENT EXPENDITURES Eg PROJECTS PROJECTS CASH PAYMENTS THRU 63060 CASH PAYMENTS THRU 63061 ACCOUNTS PAYABLE TOTAL APPROVED Feedmlll Farrowing Barn Colony Farm Prison Building Personnel Dwellings Honor Dormitory Repairs Alterations Steam Distribution System Recondition Improve Electrical Distribution System 36SUU57 879753 2399U893 51t20509 750000 38859131 220017 2273990 I 32230151 81 07039 250000 3U603Ul 16592961 36SUU57 879753 21211910 769lU99 1000000 71519626 25000000 EQUIPMENT PURCHASES Buildings Under Mental Health Construction Prograir LANDS BUILDINGS PERMANENT IMPROVEMENTS 1967000 1967000 HATER HEM Apartment Building Dormitory Water Main Intake Facilities Engineering Contingencies Cleaning Existing Water Main 2159531 212509 7698000 1155000 1280000 21j02Ol0 7698000 1155000 1280000 73558716 15290728 35615811 l51t95285 GRAND TOTAL In addition to the 1107757609 income receipts the Hospitals Productive Units provided consumable commodity items at a net profit of 78733882 This amount reflects a net savings to the State on commodities produced if purchases had been made on the open market at producers prices Current market bulletins vere used to establish sales at the time of production PRODUCTIVE UNITS Abattoir Packing House Cannery Farm Dairy Broiler Project Egg Project Bakery Feed Mill TOTALS DONATED COMMODITIES Butter Powdered Milk Flour Com Meal Rice Lard Navy Beans Poultry Canned Lamb Frozen TOTAL PRODUCTIVE NET VALUE SAVINGS 55697705 68697282 t 12999577 6803926 10ij88780 368U85U 16891335 3ll330l2 175U1707 12712613 26506U37 1376379U 6021165 69UH35 919970 20126783 31212780 11115997 15200322 26096118 10895796 20189276 28001U63 7812187 153673U55 232U07337 78733882 quantity VALUE 316228 lbs 15811350 638128 lbs 111 863 OU 1795000 lbs 9732903 780975 lbs 3717UU1 207173 lbs 185337U 296556 lbs 56292U8 9800 lbs 98000 19020 lbs 3921600 79779 lbs 2390670 5U6U0890 94 The daily average population for the year ended was 11873 and the daily per capita cost based on accrued expenditures of L258614i90 was 21 After deducting donated commodities the net per capita cost to the State was 278 c Total Expenditures Less Outlay Expenditures Maintenance Expenditures Lessi Net Profit Productive Units Net Maintenance Expenditures Less Donated Commodities NET COST TO STATE AMOUNT 1382610700 145232228 FEB CAPITA 116U50 3809 PER DHH 315 10 1337378U72 78733882 11261a 6631 5 309 18 i 12586UU590 5U6lt0890 106010 U603 291 13 12011003700 iml07 278 Inventories increased J23052772 over the previous fiscal year from 93828617 to 11688138U 4 INVEHTORIES Livestock for Slaughter Packing House Cold Storage Forage Supplies Dairy Forage Supplies Farm Forage Supplies Egg Project Forage Supplies Broiler Project Cannery Fruits Vegetables Coal and Coke Engineering Supplies Dry Goods Clothing Food Sewing Room Katerials in Manufacture Medical and Surgical Supplies Feed Mill Bakery TOTAL I960 3035667 850307 17322USO 1111761 1655U1U 2568519 372692 635050 180000 122U5395 33206735 1022667 18U37330 272066 9Q956U 93828617 I 626812 179UU3 U36U622 710509 30156U7 8213 108560 2559U56 67500 507877 13005871 1U2197 8SOU259 2011118 1882U6 t 23052772 Accounts Receivable at June 30 1961 Mounted to 6128806 Of this amount 122U0 represents uncollectible accounts of long standing The remaining balance is current and in process of collection Patients1 Deposits Account increased 63170U9 over the year ended June 30 I960 from 26336685 to 3265373U During the fiscal year Patients Statistics Program was initiated on IBM punch cards thereby providing various statistical information as requested TEAR ENDED JUNE 30 1961 2U0885S 1029750 12957828 U0U2S2 U671061 2560306 U81252 319US06 112500 11737518 U6212601 116U86U 269U1S89 228318U 721318 11688138U IN EMPLOYEE HAT3D Number of Employees June 30 Daily Average Patient Population 1959 2201 11897 I960 2336 11872 Ratio of Employees to Population 1 to 5U1 1 to 508 Tour attention is invited to detail financial statements as indexed Respectfully submitted HLLEDGEVLLLE STATE HOSPITAL 1961 2561 11873 1 to U63 C n T C Brantley I Accounts Executive95 INDEX Statement of Income and Expenditures 96 Analysis of Per Diem Cost 99 Analysis of Per Capita Per Diem Expenditures by Cost Units 100 Profit and Loss Statement Productive Units Abattoir Packinghouse 102 Farm 103 Dairy 105 Broiler Project 106 Egg Project 107 Cannery 108 Bakery 109 Feed Mill 110 Slaughter Reports Abattoir Cattle 111 Hogs 112 Chicken 113 Fish Dressed 113 Feeder Hogs 114 Statement of Donated Commodities by Federal Goverment 115 4 96 OOHPARATIVB STAT3CBIT OF BIGOMB AND EXPBKDITUBBS Tear Bnded June 30 1961 IHTOMB Revenue State Funds Maintenance Revenue State Funds Outlay CASH MOOHB Board Officers and Bnployees Exchange Federal Govemaent Federal Government Veterans Home Hospitaliiation Insuranoe Donations Miscellaneous Income Pay Patients Patients Deposit Receipts Pay Patients Maintenance Receipts Rents Sales Abattoir Hides and Grease Sales Dairy Calves Sales Farm Sales Dental Sales Optical Services Sales Water Sales Miscellaneous DEPARTMENTAL SALES Abattoir Dairy Farm Cannery Broiler Project Sgg Project Bakery Feed Kill D0HATBP OOMMODITIB Food Supplies total aoan I960 1070000000 t 1070000000 502712 28887 17U75 23991506 700710 U85960 30000 62200 2055U59 U13278 1U7000 1382616 137700 72U25 902823 6UU558 233U25 32U5816U 623167 U6 27775732 37631906 951731U 7687U77 2U8U6272 23076U01 26772365 21962U213 U5370588 1367952965 1961 I 1250000000 65000000 I 1315000000 1230251 4 27828 20211 18211573 658650 6905U 9500 231221 116U17 1213608 52900 807007 617286 187701 638591 327UU6l 27369259 68697282 26506U37 3UU330U2 10U88780 69U1U3S 312U2780 26096118 28O0lU63 232U07337 t 5U6U0890 i 1629U17U86 KrPHtDITlTRBS BETS FMAIJ5 SBR7ICS Personal Services Supplies Squipment Miscellaneous 119073792 9UU601U9 5JU9318 179713 12916U123 100U7953U U99095U 111392 218962972 23U7U6003 a maui affiTia Personal Services Supplies gquipaent Miscellaneous 9385H28 83956085 303U051 239U99 101519U20 89UU8187 U7UlS08 1UU018 181081063 19585313397 EiPEminoaBs wd COLORED FEMALE SSR7ICB Personal Services Supplies Equipment Miscellaneous COLORED MALE SERVICE Personal Services Supplies Equipment Miscellaneous T B SERVICE Personal Services Supplies Bquipoent Miscellaneous MEDICAL AND SORGICAL SERVICE Personal Services Supplies Equipment Miscellaneous gpgtjit insane Personal Services Supplies Equipment Miscellaneous Personal Services Supplies Equipment Miscellaneous TOTAL MEDICAL HDBSTOO DTETABJ BPPSBKBEPINQ SPECIAL SERVICES MEDICAL Dental Laboratory Mortuary Research IRay Optical Psychology Therapy Recreational Occupational Education Religious TOTAL SPECIAL SERVICES SRRVK35 m Engineering Regular Maintenance Personnel Duellings Central Kitchen Steam Plant Distribution Colony Farm Prison Building I960 52903082 U726S99S 17U3876 13120U 1561 S80S7O2li 51721772 38U6UU9 11360 1020UU157 11373885U UB78U205 6U27U678 2593390 131857 52952818 68229768 2122887 190778 t ll578ljl30 l23i9625l 33860221 33621129 1298529 61763 688lil6l2 53U31933 23581291 liUl282 296650 7855U156 2090U336 89U26lU 213510 3033 30063U93 16522087 92557 US 90893 25868730 82ia003U3 11897593 12923756 5UU8798 30U2U05 19US8588 3807566 81602U 6363U560 356275 3508073 33601 3637719U 32196661 1921188 5830U 70553357 6ll5SU30 22180U81 1528UU8 250382 8SllU7Jll 228UU262 92U2572 100021 U8UQ 32191695 20003020 20063156 1177121 2597 U6 U15030U3 897197077 12273U79 160760U1 1333279 U231520 9S1269 3UU2U19 21620878 10U6O92O U08229 7393UUU7 356062k 3U75573 Or 117306 U6332898 4 EXPENDITURES ODMTD SERVICE UNITS 03HTD I960 1961 Garage and Motor Transport t 18632791 t 270S8876 Security 8UUlU98 97905OU Horticulture S81W53 6S33217 Power Plant 60032313 60662313 Sanitation 5126726 318U1U2 Laundry 13737008 11588951 Industrial Therapy 10926318 U260927 Food Service Administration 7769611 102UU018 Bnployee Food Service 21303935 196U1893 Employees Housekeeping Service 2871595 1962875 New Equipment 20977319 TOTAL SERVICE UNITS 2U3166006 2295278U8 ADMINISTRATION Medical 21lS61i56 t U0925596 Dm toe 16621923 18555015 Communication 60162US 7260755 Personnel Office 2938656 2853621 Indemnities 159879U 1685852 Transfer Funds 3902U97 3912005 Pensions 5US62U72 6U597231 Insurance and Bonding 7500 65UU7 TOTAL ATKDnSTRATIDN J 11017USU3 t 139855522 OUTLAY Personnel Dwellings t 3327568 t 2273990 Colony Farm Prison Building 2669626 161517 Steam Plant Distribution 38l8Ul3U 32230151 Water Main Apartment Building and Dormitory 2159531 Electrical System 8U07039 Feed Hill 12500 Farrowing Barn 8O6U UU201892 TOTAL OUTLAY t 232228 PRODUCTIVE UNITS Abattoir U8561511 I 55697705 Dairy 1U809568 127U26U3 Farm Uj223U23 16891335 Cannery U622038 6803926 Broiler Project 67UU727 6021U65 Egg Project 16566873 20126783 Bakery 13835767 15200322 Feed Mill 20276598 20189276 TOTAL PRODUCTIVE UNITS 1396U050S 1U15778019 153673U55 GRAND TOTAL EXPENDITURES 153628U155 o9we a ue i m ii lit I COMPARATIVE ANALYSIS OF PER CAPITA PER DISM EXPLANATORY Consuming Units Special Services Medical Service Units Administration Outlay TOTAL EXPENDITURES Less Outlay MAINTENANCE EXPENDITURES Tigifi PRODUCTIVE OPERATINO UNITS NET SAVINGS Abattoir Dairy Farm Cannery Broiler Projeot Egg Project Bakery Feed Mill Dally Average Population June 30 I960 Daily Average Population June 30 1961 11872 11873 AMOUNT I960 8212003ii3 5739U730 213166006 11017U5U3 14201892 1276l375lU lUt20l892 1231935622 13755235 12J6616U 23U08U83 U895276 9U2750 8279399 92U063U 6U9S767 79983708 NET COST MAINTENANCE EXPENDITURES 11519519lU Lessi Value of Commodities donated by Federal Government U5870588 1961 897197077 70798025 2295278U8 139855522 U5232228 1382610700 U523222B 1337378U72 12999577 1376379U 175U1707 368U85U 919970 11115997 10895796 78ia87 78733882 12586UUS90 5U6U0690 PBS CAPITA I960 69171 U83U 20U82 9281 3723 107U91 3723 t 103768 1158 1092 1972 U13 79 697 779 5U7 6737 97031 386U 75566 5963 19333 11779 3809 116U50 3809 1126U1 1095 1159 1U78 310 77 936 918 658 6631 t 106010 U603 1961 I960 1961 18951 13 2U 5612 25U3 1020 t 29USO 1020 28U30 i 0317 0299 0SU0 0113 0022 0191 OZLU 0150 18U6 2658U 1059 t 20702 163U 5297 3227 lOllU t 3190U 10UU 30860 0300 0318 olios 0085 0021 0256 0252 0180 1817 290U3 1261 NET 033T MAINTENANCE EXPENDITURES FROM STATE FUNDB 1106081326 12OU003700 93167 I 101U07 t 25525 t 27762rO tfo r STATEMENT OF EXPENDITURES BY COST ONIT WITH INDIRECT HOBOES PRORATED Inr Ended June 30 INDIRECT CONSUMING UNITS DIRBCT CHARGES PERSONAL SERVICES SUPPLIES BJJIPMBNT MISCELLANEOUS CHARGES PRORATED MEDICAL NURSING DIETARY HOUSEKEEPING White Female White Hale Colored Female Colored Hale Tubercular Medical and Surgical Criminal Insane Prisoners 1291614123 10151SU20 58057021i 52952818 3637719lt 6ll55U30 228UU262 20003020 l00lt7953U 89liU8l87 51721772 68229768 32196661 221801481 92142572 20063156 U99095U i U7Ul508 38U6UU9 2122887 1921188 1528UU8 100021 1177121 t 111392 1UU018 113609 190778 5831U 250382 U8U0 2597U6 t 1269U8318 102166099 79760868 68008025 27379283 6382630 937586U 20160308 TOTAL i 1482073291 393562131 2QU28576 J i 1133079 UU0181395 INDIRECT CHARGES PRORATED Special Services Medical Service Units Administration 57099593 94666873 572993U2 7U50573 101965350 1701716 1836392 l5lUio55 5668151 UU11U67 1775U570 75186313 707980252295278Jt8139855522 TOTAL INDIRECT CHARGES OUTLAY Personnel Dwellings Colony Farm Prison Steam Plant Distribution Water Main Relocation Electrical System Jones Building Feed Mill Farrowing Bam TOTAL 209065808 111117639 226U5598 97352350 UUoi81395 38850 8U0582 2161726 86611 69090 t 7U906 20138U7 1U568U U32U 31389569 8I407039 TOTAL 1961 36l69U321 298019232 193U99722 19150U276 979326U0 91U97371 U567559 61663351 TOTAL 15160 337U19026 2763716U8 176U69390 179201657 9U389376 8UU687UU 38935375 UU680U06 S 1337378U72 1231935622 2273990 3327568 161517 2669626 32230151 38l8Ul3U 2159531 8U07039 12500 806U 879U32 U26218U 289680 39800932 U5232228 t UU201892PRODUCTIVE UNITS Abattoir Dairy Fan Cannery Broiler Project Egg Project Bakery Feed Mill TOTAL STATEMENT OF EXPENDITURES BY COST UNIT HUH INDIRECT CHARGES PRORATED CONTD INDIRECT PERSONAL CHARGES SERVICES SUPPLIES EQUIPMENT MISCELLANEOUS PRORATED 3397812 I8lt59ll U186S89 712137 710563 9U7350 lU283U5 29520O 5009723lt 103313ltl 6l3lt71t9 5615155 U75876 17lt68382 13515308 19521571 1033306 1386U8 1 1030705 86958 193633 281t800 2102771 127U16 li339810 150368 657 lit 230552 106719U 22 67810 lit 79815 681t 230552 25955 162 230552 1228 5105 366172 TOTAL 1961 55697705 127lt261i3 16891335 6803926 60211t65 20126783 15200322 20189276 TOTAL I960 Ii856l511 Ht809568 1U223U23 U622038 67UU727 16566873 13835767 20276598 13553907 i 126859616 59lt7595 S 53138U 6780953 lS3673l55 139610505 GRAND TOTAL 705572lt38 635801570 t It93lllilt9 1388177It t 1536281155 lit15778019 COMPARATIVE ANALYSIS OF PER CAPITA PER DIEM BY SERVICES White Female ttiite Male Colored Female Colored Male Tubercular Medical and Surgical Criminal Insane Prisoners TOTAL Year Ended June 30 AM3UNT I960 337lt19026 2763716U8 l76li69390 179201657 9lt389376 81ilt 687lilt 38935375 ltlt680ttQ6 1961 36169U321 298019232 193U99722 I9l50lt276 979326ltO 91U97371 10567559 61663351 1231935622 t 1337378U72 AVERAGE POPULATION PER CAPITA PER DISK 1560 1961 I960 1961 I960 l6l 3599 358 t 9375U 10077 S 25686 27610 2890 2888 95630 103192 26200 28271 2228 2255 79205 8580 21700 2350 19U2 1922 92277 638 25281 2728 75 77U 12U360 126528 3U071 3U665 175 180 U82679 50831 1322UO 1326S 27 265 139553 156859 38233 U2975 296 2 1509U7 108181 lt1355 29638 11872 11873 103768 1126 ltl 28U30 30860 fcAIIR Wl Ult 1 102 C0KPAHATI7E PROFIT AND IOSS STATEMENT ABATTOIR ifJi c i EXPLANATORY StTWS PORING PERIOD CASH SALES AND INOOHS Hides Lbs Grease Lbs DEPARTMENTAL SALES Beef Lbs Beef Liver Lbs Beef Brains Lbs Oxtail Lbs Pork Lbs Pork Liver Lbs Bog Heads Lbs Ham Lbs Bacon Lbs Fat Back Lbs Beef Loaf Lbs Bologna Lbs Hamburger Lbs Souse Heat Lbs Heat Loaf Lbs Hired Sausage Lbs Pork Sausage Lbs Smoked Sausage Lbs Lard Lbs tfeiners Lbs Chicken Lbs Tallow Lbs Tankage Lbs Fish Lbs Crackers Lbs TOTAL SALS3 Deduct Operating Expenses NET PROFIT Year Ended June 30 1961 QUANTITY VAIIJE I960 1961 I960 1961 72707 6lltl7 1090l30 921621 73U05 72997 292186 291987 t 1382616 1213608 320835 169691 10838985 5395067 12360 12115 363070 310350 990 956 13215 10811 2l10 17U8 51800 37585 555060 U79991 13617630 lU312089 16500 17170 370110 378385 1295 8120 20720 119880 277814 1389200 16600 91U80 751620 2213570 80625 90850 1270085 1387610 39255 119616 1766U75 522569U 29005 23972 1297385 1226750 1200 51000 71390 71377 21 08575 2675855 11380 512100 112010 229127 5280555 9893UU 2U75U0 19152 9586972 8618UU5 31970 385 113la 00 17325 35960 36117 1 88018 611777 19370 70222 2281820 3370201 357035 106868 10033696 10180680 uiss 180 51130 U320 25100 700 162300 2625 38326 76167 16818S 756828 896 1656U 62316716 t 68697182 18561511 55697705 15137851 1U213085 OPERATING EXPENSES Personal Services Supplies Equipment Hiscellaneous Automotive Equipment Cost Employees Maintenance 3127336 UUU32611 U873 96887 711753 188051 3397812 50097231 1033306 1386U8 86980U 160901 U856lgll 55697705 o9103 EXPLANATORY SALES DURING PER3DD CASH SALES Pulpwood Mules COMPARATIVE PROFIT AND LOSS STATEMENT FAHM Tear Ended June 30 1961 QUANT HI I960 1961 DEPARTMENTAL SALES FRUITS Aid VEGETABLES Beans Snap Bu Beans Lima Bu Blackberries Qt Cabbage Lbs Carrotts Bo Collards Bu Egg Plant Bu Cucumbers Bu Grapes Lbs Kale Bu Mustard Bu Okra Bu Onions Lbs Peas English Bu Peaches Bu Peas Green Field B Peas Dry Bu Potatoes Sweet Bu Pepper Bu Roasting Ears Doz Rape Bu Rutabagas Bu Squash Bu Spinach Bu Sugar Cane Stalk Syrup No 10 Cans Tomatoes Bu Turnip Greens Bu Turnip Roots Bu Cantaloupes Ea Watermelons Ea FORAGB SUPPLIES Corn Bu Ensilage Tons Hay Alfalfa Tons Hay Bermuda Tons Hay laspediza Tons Hay Mixed Tons Hay Oat Tons Hay Peavine Tons Milo Tons Oats Bu Peanuts Lbs Pecans Lbs Blue Lupine Lbs Velvet Beans Tons Green Oats Tons Green Rye Tons 3917 5U6U 4532 21168U 151UU 2lt68 4109 357U80 79 39572 31133 159 3l4l 1485 577 4453 2586 3212 2901 5206 7630 863 66818 lli809 1223 829 194 7121 13628 16235 20 15890 6965 31 56107 70208 1062 3408 10 15399 5SU2 661 50000 60000 287U 2556 3WO 7U73 2U362 647U8 2519 276 2172 1076 11438 8991 57120 16165 1009 15 283 2300 352 3 S09 255 22 SO U6 83 2826 8200 855 lt685 865 2000 56 VALUE I960 1961 t 807007 t 7Zlk2 810325 13698UO 75681 725051 5115160 27SUO U26J9 11510 261296 328520 1018460 200516 293568 23280 1801160 1200 3089110 6180 1876631 106200 426077 189U948 52700 13000 Z18500 10321 75 2501100 353080 50781 USU20 2432261 519290 96399 728738 19699 3502617 311520 62312 278820 U52205 2 021 00 69336 165800 981780 195U976 1518131 28USSU7 37216 972100 ISO 00 773250 li 81000 SU92180 U97O0 U86UU 18162U 2U6807S7 t 25252575 12 7635757 1513500 38188 710000 8U38 1272500 SSooo 115000 U039U2 U83593 68U0 192085 10900 U01196 t 2158332 3U5oooo 880000 637500 125000 1652210 38925 225250 13250 128U6939 9180U67104 LoC COMPARATIVE PROFIT AND LOSS STATEMENT FARM OONTD QPANTITI OTHER I960 1961 Hogs Lbs 8230 TOTAL SALES Deduct Operating Expenses NET PROFIT VALUE I960 l6l 101210 t 38353331 352U00U9 1U223U23 16691335 t 2U129908 183U871U 4 OPERATING EXPENSES Personal Services Supplies Equipment Miscellaneous Automotive Equipment Cost Employees Maintenance TOTAL OPERATING EXPENSES 2SU3U85 8231201 50595 160881 2992500 2UU761 Ul86589 6l3U7U 2102771 127U16 Ul11237 228573 1U223U23 16891335105 COMPARATIVE PROFIT AND LOSS STATEMENT DAIHI Tear Ended June 30 1961 EXPLANATORY SALES DURING PERIOD CASH SALES AND INCOME Bull Calves DEPARTMENTAL SALES Sweet Milk Gals Cows Slaughtered Lbs TOTAL SALES Deduct Operating Expenses BEt PROFIT QUANT HI I960 1961 329 102 375303 35U95U 92925 86030 VALUE I960 1961 137700 t 52900 26271210 25256700 15OI4522 12li9737 27913U32 26559337 1U80956B 127U26U3 1310386U 1381669U OPERATING EXPENSES Personal Services Supplies Equipment Miscellaneous Automotive Equipment Cost Employees Maintenance TOTAL 0PERATIM3 2U38607 10286222 1588282 227U89 203358 65610 t 18U5911 103313U1 86958 193633 228968 55832 1U809568 127U26U3 MEMORANDUM Daily Average in Production Head Daily Average Production Gallons Daily Average Per Cow Gallons Cost Per Gallon 391 3U6 1028 972 2629 2808 39U6 3589 Hi HERD JUNE 30 Milk Cow Dry Cows Calves Bulls 370 367 155 168 1UU 280 3 2Si 106 COMPARATIVE PBDFIT AND LOSS STATEMENT BROILER PROJECT Year Bided June 30 1961 EXPLANATORY SATKS DURING PSRTOD DEPARTMENTAL SALES Broilers Lbs Deductt Operating Expenses NET PROFIT qCANTCTY 1360 1961 lt0i06S lo5025 VALUE I960 1961 76871477 69U1U35 67ljt727 60211t65 912750 919970 OPERATING EXPENSES Personal Services Supplies Equipment His cellaneous Automotive Equipment Cost Employees Maintenance TOTAL OPERATING EXPENSES 661600 5987210 13827 89 20810 58161 710563 1175876 106719U 22 22997 Ul813 6711727 t 6021165 Average Sales Price Per Pound USDA Atlanta Georgia Quotation Cost Per Pound NET PROFIT PER POUND 19167 16817 02350 17138 11867 02271 c107 COMPARATIVE PH07IT AND LOSS STATEMENT EGG PROJECT Tear Ended Jime 30 1961 EXPLANATORY SALES DURING PERIOD Hens Lbs Eggs Doz Compost Loads TOTAl SALES Deductt Operating Expenses NET PROFIT 2JANTITY I960 1961 101650 10961t6 5921W 682276 38U VALUE I960 1361 t 1688538 t 1888686 2315773U 2916209U 192000 2U8U6272 312U2780 16566873 20126783 I 8279399 11115997 OPERATINO EXPENSES Personal Services Supplies Equipment His cellaneous Automotive Equipment Costs TOTAL OPERATING EXPENSES 919600 15U57602 36125 1027 152519 917350 17U68382 1U7981S 68U 230552 t 16566873 t 20126783 Average Sales Price Per Dozen USDA Atlanta Georgia Quotation Other Sales Cost Per Dozen Nt Profit Per Dozen 39108 02851 10959 27977 13982 U27U2 030U9 U5791 29U99 16292108 a e r COMPARATIVE PROFIT AND LOSS STATEMENT Tear Ended June 30 1961 CANNERY J EXPLANATORY SALES DURING PERIOD Blackberry Jan No 10 Cans Beans Snap No 10 Cans Turnip Greens No 10 Cane Turnip Greens Frozen 30 Lb Cans Turnip Greens Frozen Bags Kale Frozen Bags Mustard Greens Frozen Bags Grape Jam Gal Pear Syrup Gal Peach Pickle Gal Peaches Pie N0 10 Cans Peaches Frozen Bags Squash No 10 Cans Beans Butter Frozen Bags Com Frozen Bags CoUards Frozen 30 Lb Cans Peaches Dessert No 10 Cans Potatoes Sweet No 10 Cans Grape Jelly No 10 Cans Peach Jam No 10 Cans Tomatoes No 10 Cans TOTAL SALES Deductt Operating Expenses NET PROFIT QUANTITY VALUE I960 1961 I960 1961 U03U 5585 721810 UU6800 17632 15U3995 1282 312560 307 9118 138150 2081250 2203 550750 205 51250 225 56250 6199 5U88U5 68 17U00 205 15375 322 lii902 32200 1266670 901 133800 12869 836U85 ius 79750 1361 3120 1020750 1896750 1097 526560 183U8 183l80O 19900 UU91000 996 8U660 1055 l23i35 7619 8278 5U09U9 620850 951731U t 1QU88780 U622038 6803926 U895276 368U85U i OPERATING EXPENSES Personal Services Supplies Equipment Miscellaneous Automotive Equipment Cost Employees Maintenance TOTAL OPERATING EXPENSES 671900 3670815 27327 22U06 152519 77071 7U2137 5615155 150368 6571U 16223U 68318 U622038 t 6603926109 COMPARATIVE PROFIT ADD LOSS STATHKENT Tear Ended June 30 1961 explanatory sales during period BAKSHI CASH SALES Bread Lvs DEPARTMENTAL SAL3S Bread Loaf Lvs Cake Sheets Sh Cookies Doz Corn Bread Sheets Sh Rolls 18 to Package Pkg Rolls Parkerhouse Pkg TOTAL SALES Deduct Operating Expenses NET PROFIT QUANTITT I960 1961 71 008 785888 758235 17536 168U6 3l7 U89 1U67U 695073 70U252 10533 1391 VALUE I960 1961 t 296032 11002U32 11355370 3507200 3369200 13790 11670 2881987 8U21108 8U5lO26 131871 20865 23076U01 26096118 13835767 15200322 92U063U m9xe29 OPERATING EXPENSES Personal Services Supplies Equipment Miscellaneous Automotive Equipment Cost Employees Maintenance TOTAL OPERATING EXPENSES U67528 12U01768 35U 8526 152519 105072 1U283U5 13515308 25955 162 13U201 96351 13835767 15200322 MEMORANDUM COST OF PRODUCTION Bread Loaf Ea Rolls 18 to Package Pkg Cake Sheet Sh Cornbread Sheet Sh Bolls Parkerhouse Pkg 0835 1037 0823 1002 12356 12580 10151 1689 1776 no COMPARATIVE PROFIT AND IBSS STATEMENT FEED HILL Year Ended June 30 1961 J EXPLANATORY QUANTITY SALES DURING PSRKID 5516O 1961 DEPARTMENTAL SALES Calf Starter Tons Dairy Feed Tons Broiler Hash Tons Growing Mash Laying Mash Starting Mash Tons Swine Feed Tons 101 1100 5U3 302 1570 25 U 51 1250 6U 166 1675 178 1 TOTAL SALES Deduct Operating Expenses NET PROFIT OPERATING EXPENSES VALUE Personal Services Supplies Equipment Miscellaneous Automotive Equipment Cost Employees Maintenance TOTAL OPERATING EXPENSES 1961 8S61SB 6279387 1667611 2518511 12217681 170651 32000 1 155915 6772250 5281803 li27838 12536105 1515223 12325 26772365 280OU63 20276598 20189276 6t95767 7812187 118200 19816101 21178 5310 251309 28170 20276598 295200 15521571 1228 5105 316282 19890 20189276 cCOMPARATIVE CATTLE SLAUGHTER REPORT Year Ended June 30 1961 EXPLANATORY Slaughtered During Period billing Cost DEDUCT BY PRODUCTS Liver Lbs Hearts Lbs Tongue Lbs Oxtail Lbs Cheek Meat Lbs Brains Lbs Hides Lbs Cost Per Pound Percentage of Yield DISPOSITION In Cooler July 1 Transferred in During Period Transferred Outi Cold Storage Prooesaing Room Shrinkage BALANCE IN COOLER JUNE 30 NO HEAD I960 1961 1101 1115 LITE WEIGHT I960 1961 1005810 917010 12750 2835 3020 2120 6365 990 31 650 12115 2935 3010 1718 6015 956 10339 LIVE COST 1S60 1961 16986313 16278196 936201 1359125 i 17921i5Hi 17637321 3763140 55618 81005 5W5c 202815 13215 713830 310350 62375 93771 37585 187853 108U 781808 161 21181 16152738 DRESSED HEIGHT I960 1961 518915 512557 3165 5160 3151 5112 POUNDS 850 1272 518915 512557 320835 169691 182813 31791it LU815 U103 1272 121211 VaV rv Cv n ro COMPARATIVE HOG SLADOHTHt REPORT Year Ended June 30 1961 HO HEAD LIVE WEIGHT LIVE COST DRESSED HETCHT EXPLANATORY I960 1961 I960 1961 I960 1961 1960 1961 Slaughtered During Period Addi 7087 6681 1236101 1151143 23679873 t 18221663 1067655 1087997 Gain In Live Height Feeder Hogs Killing Cost ld012l 177225 1U07301 25087171 1359125 19583788 DEDUCT BY PRODUCTS 1676225 1628668 1067655 1087997 Livers Lbs Hearts Lbs Leaf Fat Lbs Heads Lbs Trimmings Lbs 16815 17170 2705 2295 38375 12135 70595 66810 3155 2855 362180 50030 122950 961830 81A85 378385 19265 1 ltl600 1291890 96860 NET COST 23202699 I 17325788 Cost Per Found Percentage of Yield 2172 6789 1592 6680 DISPOSITION POUNDS In Cooler July 1 Transferred In During Period Deduct Transferred Out 13110 1067655 7870 1087997 Cold Storage Processing Room Curing Room 555060 370610 117225 179991 112717 203129 BALANCE IN COOLER JUNE 30 7870 00 COMPARATIVE CHICKEN SLAUGHTER REPORT Tear Endea June 30 1961 EXPLANATORY Slaughtered During Period Killing Cost Cost Per Found Percentage of Yield LITE WgEHT I960 1961 512715 56U671 COST DRESSED WEIGHT i960 1961 I960 1961 9376015 78183U 8830121 679562 357035 406868 101578U9 9509683 28US 0900 2337 7005 F3SH Fiah Dressed Daring Period Cost Per Pound 90600 0827 7W1UU 76167 097Um rv O o EXPLANATORY On Hand July 1 Purchased During Period DEDUCT l Died During Period Inventory Adjustment July 31 i960 Slaughtered During Period Weight and Value When Slaughtered Value Cost Basis Weight and Value When Purchased Averape Weight and Value Per Head When Slaughtered Value Cost Basis Average Weight and Value When Purchased GAIN PER HEAD COMPARATIVE FEEDER HOG REPORT Tear Ended June 30 1961 NO HEAD LIVE WEIGHT nvE DOST I960 1961 I960 196l i960 1961 1397 lt876 6273 1768 U936 6701 169069 610715 779781 225521 612650 868171 2917811 8218159 11196270 3035667 10891177 13929814 609 3896 703 321 u51A 75287 U78976 91915 32968 596695 1093210 7067393 1505282 2U3U83 9772221 1768 1136 225521 116593 3035667 21088S5 WEIGHT COST PER POUND VAUJE 919100 1073920 11756 t 16377 13562210 17587588 V78976 596695 11756 16377 7067393 9772221 140121 li77225 11756 16377 6h9h6h7 t 7815361 NO POUNDS d 23591 23631 I 3U81 3871 12272 13131 1811 2151 11319 10503 1667 1720 115 OOMMODITI Beans Navy Batter Lbs Bggs Dried Lbs Flour Bakery Lbs Lamb Frozen Lbs Lard Lbs Meal Corn Lbs Milk Dried Lbs Poultry Frozen Lbs Rice Lbs TOTAL COMPARATIVE DONATED COMMODITIES Tear Ended June 30 1961 JUANTITX VAJ jje I960 19L I960 1961 9800 S 98000 6U68U 316228 323U200 15811350 19U850 181859W 1U10700 1795000 80U1U12 9732903 79779 2390670 162792 296556 2360U8U 56292U8 6U2650 780975 3051A92 3717UU1 U88636 638128 8797068 11U8630U U9020 3921600 2U5200 207173 2i96992 1B5337U t U5870588 5U6U0890 fi J 4 LS One Hundred and Nineteenth ANNUAL REPORT of the Milledgeville State Hospital ot Milledgeville Georgia FOR THE YEAR ENDING JUNE 30 1962 One Hundred and Nineteenth ANNUAL REPORT of the Milledgeville State Hospital at Milledgeville Georgia FOR THE YEAR ENDING JUNE 30 1962Si J 4 GOVERNOR S ERNEST VAN DIVER IRVILLE H MacKINNON M D SUPERINTENDENT OF THE HOSPITAL JOHN H VENABLE M D DIRECTOR GEORGIA DEPARTMENT OF PUBLIC HEALTHDIRECTORY c i 1 HONORABLE S ERNEST VANDIVER Governor State of Georgia JOHN H VENABLE M D Director State Department of Public Health STATE BOARD OF HEALTH DR JAMES M BYNE JR Waynesboro First District DR ALDWIN G FUNDERBURK Moultrie Second District DR MAURICE F ARNOLD Hawkinsville Third District DR VIRGIL B WILLIAMS Griffin Fourth District DR HAROLD P McDONALD Atlanta Fifth District DR A M PHILLIPS Macon Sixth District DR FRED H SIMONTON Chickamauga Seventh District DR ALEX LITTLE JR Valdosta Eight District DR BEN K LOOPER Canton Ninth District5 DR D M THOMPSON Elberton Tenth District DR J M HAWLEY Columbus State at Large ROBERT H HOGG Macon State at Large DR BERNARD HOLLAND Atlanta State at Large TYRE WATSON JR Decatur State at Large DR J G WILLIAMS Chairman Atlanta State at Large THE GOVERNOR ExOfficio Member MEDICAL DEPARTMENT IRVILLE H MACKINNON MD Superintendent J JAMES B CRAIG M D Assistant Superintendent PSYCHIATRY 4 O Allen Edwin W Sr MD Chief of Service Smith WT MD Assistant Chief of Service Castedo NF MD Assistant Chief of Service Bailey Lucius A MD Clinical Director Fidler AK MD Clinical Director Rubio Victor MD Senior Staff Physician Sinats Reinis MD Senior Staff Physician Chance Francis S MD Staff Physician Hires Mary K MDStaff Physician Jacobs Jerry MD Staff Physician Kramer Stephen MD Staff Physician Monroe William D MD Staff Physician Ring HH MD Staff Physician Smith ME MDStaff Physician Stewart Mark MDStaff Physician Word JJ MDStaff Physician Ambrose Mario MD Assistant Staff Physician Azzi Giovani MD Assistant Staff Physician Balbona Jose L MD Assistant Staff Physician Curtis Edwin D MD Assistant Staff Physician Dzirkalis Marta L MDAssistant Staff Physician Estrada Manuel MD Assistant Staff Physician Freeman Leon MD Assistant Staff Physician Gomez Julian MD Assistant Staff Physician Jones Phillip MD Assistant Staff PhysicianMekis Peter MD Assistant Staff Physician Mendoza Jose MD Assistant Staff Physician Mendez Salvador A MD Assistant Staff Physician Munoz Juana MD Assistant Staff Physician Ozolins Zelma MD Assistant Staff Physician Pallares Enrique MD Assistant Staff Physician Sarma Adolph MD Assistant Staff Physician Schuberth Albert MDAssistant Staff Physician Tornya Margaret MD Assistant Staff Physician West Maxwell MD Assistant Staff Physician Zakitis Vilis MD Assistant Staff Physician Diplomate American Board of Psychiatry and Neurology PHYSICAL TREATMENT Bohorfoush JG MD Chief of Service Jordon Raymond MD Assistant Chief of Service Johnston HD MDChief of Surgical Service MajanovicMahmud MDDirector of TB Service Martinez Alberto MDStaff Physician Rice JF MD Staff Physician Triana Carlos MD Staff Physician Alvarez Frank MD Assistant Staff Physician Amodea Jose MD Assistant Staff Physician AlvarezMena Sergio MD Assistant Staff Physician Asteinza JS MD Assistant Staff Physician Benito Jose MD Assistant Staff Physician Comas Gaston MD Assistant Staff Physician Franco Jaime MD Assistant Staff Physician Gomez Frank MDAssistant Staff Physician Maruri Carlos MD Assistant Staff Physician Mellinger Theodore MD Assistant Staff Physician Nodal Ronaldo MD Assistant Staff Physician Ortega Hernando MD Assistant Staff Physician i Pessino Helena MDAssistant Staff Physician Piedra Joachin MD Assistant Staff Physician Ponce de Leon Adolfo MD Assistant Staff Physician Rivero Paul MDAssistant Staff Physician Saule Edward MD Assistant Staff Physician Schroeder Gerd MDAssistant Staff Physician Steinhards A MD Assistant Staff Physician Soto Emilio MD Assistant Staff Physician Trelles Julio MD Assistant Staff Physician Vigil Ramon MD Assistant Staff Physician Mir Juan MD Neuropathologist Courtney George MD Optometrist Keeler Clyde Medical Geneticist Taylor George Pharmacist Keeler Mrs Clyde Medical Librarian PSYCHOLOGY Wildman Robert W Ph D Chief Clinical Psychologist Cook Murray Ph D Clinical Psychologist Caston William F Ph D Clinical Psychologist Madison Francis L M A Psychologist Primac Daniel W M A Psychologist Stewart Horace F M A Psychologist Young Florene M PhDConsultant Holt Robert R PhD Consultant CONSULTING STAFF Barton William L M D Ear nose and throat Bazemore J Malcolm M D Dermatology Clark Robert M D Neurology Flanagin WS MD Plastic Surgery Hall John I M D Orthopedic warnHatcher Milford B M D Surgery Hooper R James M D Ophthalmology Jarratt Devereux MD Ophthalmology Lucus WT MD Urology Moretz William D MD Surgery Mullins DeWitt F Jr MDPathology Rinker John Robert MD Urology Robinson Joe S MD Thoracic Surgery Smith George MD Neurology Stewart J Benham MD Surgery Wilds PL MD Obstetrics Gynecology Williams David Jr MDUrology Zuspan FP MD Obstetrics Gynecology DENTAL STAFF Watson Robert C DDS Director Dental Services Arnold Joe DDS Dentist Cockarell Bailey DDSDentist Dorris Mack W DDSLDentist Dreyfus Areal DDS Dentist Luker Jack DDS Dentist Luton James G DDS Dentist McGaughey John DDSDentist McLean Omer DDSDentist Sasser Robert DDS Dentist Vickers Thomas H DDS Dentist Warren Howard DDS Dentist ADMINISTRATIVE OFFICERS Bonner Myra S RN Director of Nurses and Nursing Services Bonner MM Supervisor Colored Male Service Boone Maude L Chief Occupational Therapy Brown Raymond DDirector Public Relations10 c Carey Tap M Director Division of Business Mangement Carpenter Nan D Dietician Cook Mary F Registrar Crittenden William R Institutional Business Administrator Daniel Wayne W Biostatistical Analyst Fowler Charles P Institutional Engineer Electrical Engineering Goldsmith Herbert RMT Director Music Therapy Haddock Jane Director Volunteer Services Harrington Mary R Medical Records Librarian Hartley A L Director Environmental Sanitation Knowles Vera RN Supervisor Colored Female Service Madden Fred Director of Personnel Maddox Woodson Hospital Administrative Assistant and Secretary to Superintendent McDade A C Director of Food Service McGowan John E Director of Farms and Dairies McHan W N Director of Security Division McMillan Robert W Ill Institutional Engineer Construction Engineering Newsome Edgar T Horticulturist Pennington Alice H Dietician Petty W C Director of Vocational Rehabilitation Prosser Bruce R Director Recreational Therapy Reeves Fred Supervisor White Male Service Ricketts Ina Principal Stenographer Stewart Charles ADirector Social Work Smith Edward S Institutional Engineer Mechanical Engineering Spivey Woodrow T Chief of Building Maintenance Teague James D JrInstitutional Engineer Civil Engineering Turley Douglas C Jr Director chaplaincy Service 11 July 1 1962 Dr John Venable Director State Department of Public Health 12 Capitol Square Atlanta 3 Georgia SUBJECT 119th Annual Report Milledgeville State Hospital Dear Doctor Venable Complying with custom and statute the annual report of Milledge ville State Hospital for the fiscal year ending June 30 1962 is here with respectfully submitted Milledgeville State Hospital continued to improve and expand its therapy program and to develop better physical facilities for patient care and treatment during 1962 In retrospect we have many things for which to be thankful not the least ot these being the sympathetic understanding that we have received from you and members of your staff as well as the positive approach to the treatment of the mentally ill evidenced by the state administration under Governor Ernest Van diver After three years operation under the Department of Public Health the institution is now beginning to emerge as a treatment facility e qual to any state mental hospital in the country The entire staff is taking new pride in the institution New admissions have increased 44 per cent in the last two years We are now admitting approximately 500 new patients monthly 6 out of 10 of which are being discharged within 90 days and 8 out of 10 within the year At the date of this re port all professional departments with the exception of one are meet ing the accreditation standards of the National Associations and are headed by competent and fully accredited individuals12 i It should be emphasized that the tremendous increase in new pa tients entering the institution on voluntary commitments as well as under the I960 Law is a criterion of increased confidence on the par of the people of Georgia in the hospitals treatment program and is also evidence of a better understanding of the needs of the mentally ill resulting from our intensive public relations program of the last two years Georgia has received national recognition at the Mental Hospitals Institute of the American Psychiatric Association as well as at the National Association of Mental Health Conference for prog ress made in this field particularly the hospitals recruitment pro gram in cooperation with the high schools and colleges of the state Detailed reports of each department will follow however there are several items of progress which should receive general mention here UNIT SYSTEM i 19 A start was made in January on the division of the institution into 2000 bed units by the organization of a geriatric unit which includes the Boone and Boland buildings and is under the direction of Milledge villes beloved DrEdwin Allen Experience gained in the creation of this initial unit will be of tremendous value in the organization of the seven additional units to be completed during the coming year The organization of Unit 6 the geriatric unit has clearly demonstrated that the unit plan is entirely feasible in this institution and will fur thermore result in a more cohesive administrative pattern better care and treatment for the patients a closer working relationship between the members of the treatment teams as well as the general employee staff better maintenance of the physical plant and equip ment and more rapid elimination of trouble spots and areas of difficulty when these arise The plan also permits a certain flexibility in the therapy program since each unit director will operate his unit as a therapy hospital within the framework of the general policy laid down by the superintendent while at the same time maintaining high standards of medical practice There are many problems in this area the solution to which will require time and patience and some adjustments in the original plan will have to be made however we believe that with adequate staffing and budgeting the unit system will prove the answer to many of the problems that have faced this institution over the past 120 years13 NEW BUILDINGS See pages no 17 18 Some construction difficulties have arisen in the 6500000 build ing program however these have been ironed out and we expect all of these buildings to be completed and ready for use by approximately January 1 1963 As of this date the 500 bed Yarbrough Rehabilitation Center is threefourths completed as is the 660 bed addition to the Arnall building and the central kitchen The staff dormitory and apart ment building is now complete and personnel will begin moving into the new quarters within the next several months Relocation of the shops and garages back of the Powell building is in the planning stage and will be effected as rapidly as possible With the completion of these buildings the institution will be on a par with any state mental hospital of its size in the country NEW MEDICAL STAFF During the year a number of exceptionally qualified individuals have been added to the medical staff Eight new physicians joined the staff since July 1 1961 as follows NF Castedo Victor Rubio Manuel Estrada Salvador A Mendez Reinis Sinats JS Asteinza HD Johnston and Juan Mir These additions however were balanced by physicians who left the staff because of illness and for other reasons The following doctors leftthe medical staff during the year H HRing Mark Stewart Jose L Balbona Edwin D Curtis Pedro Garcia Robert McCandliss Carlos Triana Jose Amodea Hernando Ortega and Emilio Soto We are still far below the American Psychiatric Association recom mendation in the number of physicians necessary to provide an effec tive program of therapy throughout the hospital It is our hope that additional funds will be made available by the General Assembly during the coming biennium so that some of these positions so vitally needed may be filled We are still in desperate need of outstanding men to fill the positions of Director of Education Director of Psychiatry Director of Unit Operations Chief of Neurology Director of Ancillary Services and14 c several other positions In addition we badly need competent Board Eligible or Board Certified psychiatrists with administrative experi ence to head up the six units which will be organized within the next year If the unit system is to function as originally planned competent men must be secured for these positions NEW DEPARTMENTS The creation of a Department of Religious Services has been held up pending the employment of a fully accredited clinical chaplain to head up this department We are happy to report that such a man has now been secured in the person of Reverend Douglas C Turley Jr who comes to us from the Longview State Hospital in Cincinnati Ohio and who is exceptionally qualified in this field from the stand point of administration academic training and practical experience With the successful completion of the drive for funds to build five chapels in the institution we are looking forward to a virile and effective program of spiritual enrichment for the patients in this insti tution during the year to come i l We were also fortunate in securing the services of Mr Herbert Goldsmith to head up the Department of Music Therapy Mr Gold smith has served on several state and national committees in his field and came to us from Madison State Hospital in Indiana where he was Director of Music Therapy for a number of years The addition of a few more men of like caliber will place the medical and paramedical staffs on a sound professional footing and enable us to meet the requirements for accreditation by the American Medical Associations Committee on the Accreditation of Hospitals We are hopeful that during the next fiscal year this objective will be achieved COST OF OPERATION The per diem cost to the state for the operation of Milledgeville State Hospital for fiscal year 1962 has risen to 329 as compared to a per diem cost of 278 for fiscal year 1961 In round figures the15 total cost of operation of this institution for the past year was 15 867000 or a per diem cost for the total operation of 365 per patient per day While we are gradually approaching the national average of 5 per patient per day we have not yet arrived at this minimum fig ure To do so will take a budget approximately 21000000 EMPLOYEE RELATIONSHIPS Our sincere thanks must go to the staff members and employees of this hospital for their cooperation and dedicated service during the many years that some of them have served the mentally ill of this state Any institution is only as good as its staff and if the patient care and treatment program in this institution has improved and is to continue to improve final credit must go to the employees of the in stitution for loyal and efficient service Employeepatient ratio is now 1462 It is possible that with the creation of the unit system and the need for the staffing of additional positions resulting therefrom there will be some discrepancy in this figure however we are still below the ideal standard of 11 Addi tional positions are badly needed throughout the entire institution The Employees Association has been active in bringing about better communication between the various hospital departments and disciplines as well as provided for some of the recreational needs of the employee staff however the creation of recreational facilities for the employees and members of their families is a continuing need VOLUNTEERS A complete detailed program of the volunteer projects at the hos pital will be found elsewhere however we must extend personal thanks to members of the Garden Clubs of Georgia the United Church Women the volunteers in Music Therapy and Recreation the many church groups mental health groups and other civic organizations who have contributed so much in time and material benefits toward making the lives of the patients here happier in so many ways16 c Special mention must go to Mrs Betty Vandiver who spearheaded the chapel drive as well as the M Day Christmas program con ducted by the Georgia Municipal Association and has been active in many areas of hospital service We owe her a debt of gratitude that would indeed be hard to pay As we look back over the last two years we cannot help but marvel at the progress which has been made toward bringing the hospital up to a level of accomplishment that will equal other leading state men tal institutions in the country Our basic purpose of course is to get patients well and back into their home communities We pledge you our continued effort to improve all aspects of our treatment program so that we may operate more and more efficiently toward this end i 10 We now call your attention to the detailed reports of the various departments Respectfully submitted I H MacKinnon M D Superintendent 17 500 HF1 TREATMENT BTJUDIKG UllLEDtiEVIlLE STATE BOSPITAL 1 IN I It VI1ZED kin H 1 N Mil I 1 i ttlll IK SIM I MHMi M Mil I flXl VII I t18 J APARTMENTS AND DORMITORIES FOR PROFESSIONAL PERSONNEL 4 c ARNAlI BUILDING ADDITION MHII IK I VILlf SI U K MIISIITM19 DEPARTMENT OF CLINICAL PSYCHIATRY The Department of Clinical Psychiatry has basic responsibility for the effectiveness of the therapy program in any mental hospital The caliber of patient care is on ly as good as the caliber of the psychia tric staff therefore the problem of any large state mental hospital in improving the patient care and treatment program depends upon the acquisition of a sufficient number of competent psychiatrists These men are not easy to find In an institution such as this where the patient load per physician is extremely heavy special credit must go to those men and women who labor so magnificently and with such selfless devotion to meet the needs of their patients They have maintained high standards of per formance and dedication to duty in spite of many difficulties such as shortage of equipment lack of adequate physical facilities an insuf ficient number of nurses and a 22 per cent increase in new admis sions during the fiscal year We cannot praise them too highly Some indication of the efficiency with which they have operated is revealed in the following statistics The average daily population for the year ending June 30 1962 was 11888 or a net change of 16 more patients per day than in 1961 New admissions rose an additional 22per cent over the previous year or a total of 44 per cent increase in the past two years A total of 5505 new patients entered the institution during 1962 With the return from furlough of 2884 patients the hospital gained a total of 8389 pa tients during 1962 To balance this 1202 patients were discharged direct from the hospital and 6047 were placed on furlough Since 1957 the number of patients on furlough has increased steadily through 1960 and markedly since then On June 30 1957 there were 2127 patients on furlough On June 30 1962 there were 4491 or an increase of 111 per cent At the close of the 1957 fiscal year patients on furlough constituted 152 per cent of the total on books hospital population At the close of 1962 fiscal year patients on furlough ac counted for 272 per cent of the on books population Since 1960 there has been an 11 per cent increase in the percentage of on books population on furlough which is a tribute to the efficacy of the therapy program As of July 1 1961 there were 15247 patients on the books of which 11946 were in the hospital20 4 19 The creation of the geriatric unit has necessitated some realign ment in the top psychiatric staff however this has been done with out weakening the treatment program in the other areas of the hospital and it is hoped that during the coming year additional psychiatrists may be secured with administrative experience to serve as unit direc tors as the new units are organized The buildup of the paramedical departments such as psychology psychiatric social work religion music therapy occupational therapy and recreation has resulted in an expansion of the psychiatric teams and a more flexible and resourceful therapy program The four basic treatment procedures used at Milledgeville continue to be the use of electroshock therapy medication through psycho tropic drugs and individual and group psychotherapy Some consider able success has been achieved by the expanded use of the two latter methods Through its research program the hospital is keeping abreast of the latest trends in the various treatment procedures and as research continues to give additional information and new methods of treatment are indicated the therapy program here will be modified accordingly Continued screening in the chronic buildings has resulted in about 15 per cent of the patients being discharged or furloughed Screening teams have now interviewed some 2500 chronic patients The problem of chronicity is one that is increasingly occupying the evaluation and research facilities of the large hospitals Continued advances in medical and psychiatric techniques are making gradual but steady in roads on the number of custodial patients still in mental institutions Only as communities become aware of the need for facilities to care for many of these people who could function acceptably outside the hospital can a solution to this problem be found Furthermore any appreciable impact on the problem of chronic patients can only be made through the use of adequate psychiatric and medical staff in the hospital and until these are available a large number of chronic pa tients will continue to be a problem at Milledgeville C21 DEPARTMENT OF MEDICINE AND SURGERY During the past year medical services to the inmate patient increased 500 per cent Further increase within the limits of the present budget and staff is impossible Medical care like any other commodity costs money and like any other commodity one gets what one pays for With the tremendous increase in patients being admitted to this hospital medical care will deteriorate rapidly if no further budgetary increases are provided The medical wards of the hospital continue to be overcrowded This can be remedied by the completion of the remodeling and equip ping of the Jones building and the addition of adequate personnel to staff the new servicesAn urgent needed isolation ward which is ready for occupancy remains idle because funds are inadequate for staff The remodeling of areas begun last year has been completed how ever except for one floor in the east wing and the ophthalmology clinic no new remodeling has been started this year The increase in the number of patients seen in the outpatient clinic renders this area inadequate as to space and personnel Only the most urgent sur gery is done because of lack of operating rooms and staff The work of the xray department has doubled without increase in space equip ment or staff To adequately treat the physically ill the operating suites the obstetrical and gynecological areas the outpatient de partment the pathology department xray department and two wards in the east wing must be remodeled as soon as possible and funds for an adequate staff and equipment be authorized Inadequate secretarial help results in high salaried physicians doing clerical work which is dubious economy The record room hand led many thousands of records with a single librarian and no perma nent clerical help resulting in delay in handling charts correspond ence and other necessary functions of that department The housekeeping program is inadequate and should be improved with the addition of competent personnel and a reorganization of the program to a twentyfour hour basis One of the methods by which the medical care of patients could be improved is through centralization of the medical care of all patients including those in the psychiatric area If this were done the medical staff could supervise care of all patients and effectively channel the flow of patients to the Jones hospital resulting in the immediate ad 22 c mission of those in greatest need This would also result in assuring adequate care for those patients in the psychiatric areas with medical problems for whom beds are not available in the general hospital The physicians rendering medical care in the psychiatric areas could be rotated to the Jones building for continued training in the most mod ern techniques of diagnosis and treatment The following statistical summary when compared with the medical services of previous years reveals an enormous increase This was accomplished without a concomitant increase in personnel or equip ment Some of these increases are shown in the following tables io 4 Admissions to Jones Hospital Year Inmates Otners Total 1961Ia3H5721575 1962 2126 853 2979 Increasellj03 Patient DaysJones Hospital 1960 10lili61 1961 155197 1962 167101 Out Patients and Clinic Year Inmates Others Bnployees Dependents Students Prisoners BIS Total 1959 1802 8088 9908 I960 61i09 83U 11723 1961 5173 8820 6I429 307 3501 1186 25779 1962 31129 11301 16285 350 8U23 233U 63822 XRay Department No of Cases i960 11529 1961 15229 1962 19020 Laboratory Procedures Tear Tests 1960 10Uli61 1961 155197 1962 167101 O The services to the inmate patients account for the bulk of increas ed medical services The admission of inmate patients to the hospital more than doubled and the overall increase was ninety percent This was accomplished with an increase of patient days of only seven and seven tenths percent This rapid turnover indicates a marked increase in the intensity of care and treatment on the ward and was done with only an increase of approximately four dollars a day per patient Out patient and clinic care more than doubled23 PATHOLOGY The Department of Pathology is staffed with three physicians and two tissue technicians The present cancer survey among female pa tients has reached 2000 individuals and is overloading this depart ment A screening cytologist is needed Substantial progress has been made in this department and with further additions it is expected it will soon reach a high peak of efficiency The department performed 279 autopsies with 3218 slides Other services performed included 900 gross surgical specimens 2095 sur gical slides 15 frozen sections 1908 pap smear slides The autopsy rate was 27 per cent of 1057 deaths CLINICAL LABORATORY During the year there were several changes in Laboratory Service that increased efficiency First and most significant was the remod eling of the quarters in the Jones building thereby bringing all labora tories on one floor under the same roof First a ward on Jones 1 was remodeled and the Rivers laboratory and Jones laboratory were moved into it temporarily Then the old laboratory in the Jones building was remodeled and hematology chemistry and blood banking were moved into this space leaving microbiology urinalysis and the staphylo coccus laboratory together All laboratories are now closely grouped in modern air conditioned quarters The number of examinations increased from 145197 in 196061 to 167101 for this year Although this is an increase of 151 per cent it does not show the true picture because during this time changes in technic were made in order that the accuracy of the analyses would be increased Although the laboratories are located in the Jones building only 24 per cent of the work comes from this building and with the acti vation of the other seven units it is anticipated that more and more work will come from them In January the technical coordinator resigned to accept a position in Nevada and so far we have been unable to find a replacement at 24 the salary offered The laboratory staff totals 29 employees including the chief of service 3 supervisory technicians 13 technicians 7 assistants 2 clerks and 2 institutional workers One technician one institutional worker are assigned to pathology This leaves one less worker than on June 30 1961 There has been a sizeable increase in clinical laboratory exami nations but the number of microbiological examinations shows a slight decrease This decrease is caused by the method of counting rather than an actual decrease in examinations Screening of all patients by hemoglobin hematocrit prophyrin urinalysis and stool examination was suspended during remodeling and will be begun again in August This will materially add to the number of examinations i 4 RADIOLOGY A total of 19020 patients were seen by the xray department dur ing 1962 These included 15798 patients 1561 employees 634 de pendents 24 student nurses 903 prisoners and 150 members of the Boys Training School The work load of the xTray department contin ues to pyramid without increase in additional staff It has now reach ed the saturation point where additional staff and equipment are es sential in order that the radiological needs of the patients may be adequately cared for MEDICAL LIBRARY e The Medical Library of the Milledgeville State Hospital was moved on November 13 1961 to the southeast side of the Jones building The reading room furnished anew is most pleasant for reading and research The books arranged according to the classification of the National Library of Medicine are easily located on the open shelves Including collections in the department of Psychology Research Tu berculosis Division Dental department and the laboratory 971 books have been acquired The Medical Library subscribed to 55 journals one year ago At the present time our subscriptions include 101 jour nals A few gifts were received25 Through interlibrary loans from the National Library of Medicine the most extensive source of medical literature in the world becomes available to the physicians here Hundreds of photostatic copies of journal articles have been obtained from this source Additions in the past were selected to provide a balance among the several dici plines of medicine It is planned in the future additions to the library to maintain this balance as well as to keep the books current During the coming year membership in the Medical Library Associ ation should be accomplished This will provide prompt information concerning professional developments in medical library science The standards of the Medical Library surpass most of those of comparable SURGERY During the year Dr HD Johnston accepted an appointment as Chief of Surgery for the hospital An exceptionally qualified surgeon Dr Johnston has already instituted methods and procedures which will result in more efficient operation of this department however of vital importance is the addition of new operating suites to care for the surgical load resulting from the large number of new patients en tering the hospital During the past year the department performed a total of 1198 surgical functions which included 810 major operations and 388 minor operations Of these 542 were in the area of general surgery 144 orthopedic 292 urological 160 gynecological 53 EENT 7 thoracic and 68 obstetrical TUBERCULOSIS SERVICE At the end of the year there were 64 active cases of tuberculosis in comparison to 89 at the end of last fiscal year This has been a decrease of 29 per cent There are 497 inactive tuberculosis cases 180 diabetic and 70 others domiciled in the Rivers building The ad mission rate for tuberculosis has been steadily declining and it will probably become very small in the calculations of the medical serv ices Therefore a study contemplating the use of the Rivers building for diabetic and neurological cases as well as tuberculosis is in pro gress26 PREVENTIVE HEALTH SERVICES Influenza vaccine was given to elderly and sick patients All the white patients have been surveyed for blindness and over 200 blind people have had some vision restored The survey of the negro patients has been partially completed and should be finished within a few months Because the inmate patient is unable to coop erate testing for glaucoma is almost impossible It was felt that electronarcosis would have aided us in accomplishing this and efforts will be made to obtain this equipment in the coming year Four months ago a survey for cancer of the uterus among the fe male patients was begun and over 2000 patients have been examined The annual chest xray of all patients and employees was completed The increase in the amount of work from the hospital and outpa tient department made it necessary to abandon the annual laboratory and electrocardiographic tests 4 Lo The patient population should be surveyed for deafness in order that they may be treated or given hearing aids whenever necessary We do not have funds to initiate this project at the present time THE FUTURE The process of remodeling the Jones building must be done more rapidly The budget was inadequate for the number of patients seen The point has now been reached where a fairly accurate prediction can be made and that is that if adequate funds are not available prog ress will not only cease but the quality of medicine will deteriorate With adequate budget and staff the health of the patients through out this institution can be brought up to an acceptable standard with in two years This is contingent on the establishment of a centralized medical service responsible for the physical health of all patients wherever located in the hospital27 One of the important needs of the hospital is a central directory of diagnoses Except for psychiatric diagnoses there is no central ized diagnostic service for all patients in the hospital therefore no way to determine either the number or type of diseases We do know that a large percentage have organic diseases but it is necessary that there be some method for determining the frequency and type present The organization of such centralized diagnostic apparatus should be a consideration for the coming fiscal year PHARMACY Dr George W Taylor Chief Pharmacist reports that the work load of the pharmacy continues to increase as patient admission rates go up and new drugs therapeutic techniques and research projects im prove the treatment program The amount of purchases during the year totaled 507000 as com pared with 440000 last year The inventory remains constant at approximately 270000 The value of drugs dispensed to the wards totaled 551000 The products manufactured in the department during the year in cluded 753 gallons of tinctures 132 gallons of elixirs and tonics 92 gallons of syrups 148 pounds of ointments 520 gallons of liquors lotions and mixtures 287 pounds of medicated powders 110 pounds of liniments and 6400 capsules filled To lighten the load on the pharmacy oxygen equipment and oxygen supplies were transferred to the warehouse during the year DENTISTRY The dental staff continues to improve its clinical program for hospital patients Emergency dental treatment is available for patients em ployees and their dependents on a twentyfour hour sevendayaweek basis Periodical dental examinations are performed for all patients on the various wards Extraction of diseased and infected teeth and dental prophylactic treatment are routinely accomplished as well as operative prosthetic oral surgical periodontal and limited ortho dontic procedures A considerable number of cases of oral surgery have been completed during the year28 i 4 Dr John E Chrietzberg Director of the Dental Health Branch Department of Public Health and the members of his staff continue to be helpful in program recommendations and consultative services A survey was conducted during the past year by the Dental Health Branch to determine the total dental treatment needs of the patients of the hospital The survey was directed by Dr Sidney L Miller Re gional Dental Consultant of the Central Region The hospital administration recommends that four additional den tists be employed This will provide one dentist for every 1000 pa tients which is the ratio recommended by the American Psychiatric Association There is a futher recommendation for the employment of four additional dental assistants and that consultative services from highly qualified specialists in the profession be obtained to deal with difficult or unusual cases and to aid in the training of staff den tists Staff training continues at regular intervals During the past year a total of 39585 operations and treatments and a total of 8556 laboratory procedures were completed by the staff The monthly and annual report forms have been completely revised Treatment has been greatly improved by having ultrahigh speed air turbines readily available for use by the dentists in all operations An additional unit will be added during the year Two of these units are portable and quickcoupling connections have been recently added to all units which did not have them An inventory has been made of all dental instruments and enough additional instru ments have been purchased so that each dentist will have his own set During the coming year the dental laboratory force will be reduced and work that involves cast procedures including denture frameworks and all crown and bridge work will be done by a commercial laborato ry Considerable economy will be effected by this move The hospital laboratory will continue to process all dentures repairs a limited number of wrought or cast dental frameworks and cure teeth on all partial dentures e29 DEPARTMENT OF CLINICAL PSYCHOLOGY A qualified clinical psychologist Dr Thomas Lucik has been added to the department during the year Appointed as consultants were Dr Robert Holt President of the Division of Clinical Psychology of the American Psychological Association and also Consultant to Mennin gers Clinic and Dr Florene Young University of Georgia Psychol ogy Department The hospital psychology department is the official intern agency for the University of Georgia doctoral program in Clini cal Psychology and recently was provisionally approved as an intern ship agency for the University of Florida which is an approved school in Clinical Psychology Full approval is expected during the coming year One University of Georgia intern has been assigned to the hospital during the past year and by the end of the coming year it is expected that at least four interns will be in residence at all times Seven stu dents are on state scholarships in clinical psychology and these individuals will later intern in the hospital and eventually join the professional staff The acquisition of an adequate number of profes sionals in large state hospitals can only come through the training program Department staff members have assumed increased professional responsibility for the diagnosis and treatment of patients during the year Approximately 13447 hours were devoted to psychological treatment in the form of both group and individual psychotherapeutic sessions Diagnostic evaluations numbered 679 research projects consumed 1071 hours and 1061 hours were spent in teaching Teaching and public education programs were considerably ex panded during the year Dr Robert W Wildman Chief Clinical Psy chologist was appointed as assistant professor in Clinical Psy chology at the University of Georgia and instructor in Clinical Psy chology at the Womans College of Georgia Teaching sessions in cluded those with student nurses psychiatric aides public health nurses ministers and thousands of visitors to the hospital during the year Department staff members feel that public education is a most important function as the general public must become acquainted with mental health problems if progress is to be made1 Si i 30 During the year the department assisted in the development of a program of special education for children and adolescent patients The program has been successfully instituted and has proven to be a valuable addition to the therapeutic treatment program of the insti tution At the present time there are three classes staffed by teachers trained in the field of exceptional children who are furnished by the State Department of Education Exceptional Childrens Division Fur ther expansion of this program is planned as staff and facilities be come available A considerable amount of Research was done and is listed under Reasearch elsewhere in this report This department is still grossly understaffed and a continued ef fort is being made to recruit psychologists and assist in training new psychologists within the state of Georgia Factors influencing the success of this program will continue to be higher salaries better personnel housing and a desirable professional atmosphere DEPARTMENT OF NURSING SERVICES Staff members have represented this department at a number of state and national conventions during the year Those held in Atlanta in cluded the Joint Council Meeting on Paramedical Education the Men tal Health Institute the National League for Nursing Survey Visit to the Grady Memorial Hospital the Georgia Conference of Social Work ers Institute in Dynamics of Group Therapy the Georgia State Nurses Association Workshop on Goal III and the Georgia State League for Nursing Leadership Conference in Augusta delegates attended a workshop on Practical Nurse Education and the Statewide Faculty Meeting in Columbus the Institute on Fire Safety Conference on Policies Governing Evaluation of Credit in Paramedical and Nursing Education and the Annual Convention of Georgia State League for Nursing at Jekyll Island the Georgia State Nurses Association Con vention in Detroit The American Nurses Association Biennual Con vention and in Jacksonville the Regional Conference on Nursing Staff Development and Improvement of Patient Care During the year Mrs Beatrice Tribble a clinical instructor at tended an intensive short course at Emory University on the Teach ing and Curriculum Planning and Dynamics of Interpersonal Relation31 ships The course included clinical laboratory experience at Mill edgeville State Hospital While on vacation Mrs Tribble visited Northampton State Hospital Worcester State Hospital and Boston State Hospital in Massachusetts the DC General Hospital and St Elizabeths Hospital in Washington DC obtaining much valuable and informative material which was shared with department nurses Several of the faculty members of the Education department accom panied nonresident patients to their state of legal residence during which time they had an opportunity to visit affiliate schools of nurs ing in other states Those visited were Patton State Hospital Patton California Worcester State Hospital Worcester Massachusetts and South Western State Hospital Marion Virginia Seventyone new books were added to the library and a public ad dress system installed in the classroom in the nurses educational building The hospital now has affiliation contracts with seven Georgia schools of nursing During the year 301 nurses from these schools completed the psychiatric nursing program and were given the Nation al League of Nursing Psychiatric Nursing Achievement Test During the year the Medical Center Hospital School of Nursing at Columbus the Warren A Candler Hospital School of Nursing at Savannah and the Georgia Baptist Hospital School of Nursing in Atlanta were fully accredited by the National League of Nursing thus four of the seven schools with which this hospital has contracts are now nationally accredited The psychiatric nurses affiliation program has provided better patient care at this hospital as well as served as a means of recruiting professional nurses for the staff here There are now 82 professional nurses on the staff at Milledgeville Thirtythree of these graduated from the Milledgeville State Hospital School of Nursing which was closed in September 1947 thirtyone additional nurses are from schools of nursing having affiliation with this hospital nineteen nurses are from schools of nursing not affili ated with this hospital The psychiatric aide program has continued to prove beneficial in the training of competent aides A total of 128 aides have received certificates since the last report32 The orientation program for new nursing personnel set up this year has been most helpful to new employees There were 163 new employ ees oriented through this program last year The nursing staff at Mill edgeville has continued to exhibit an outstanding spirit of cooperation and loyalty in spite of the many organizational changes taking place and the increased work load due to more service and better patient care The staff has exhibited excellent morale during the year Two major problems confronting the nursing department continue to be the acquisition of qualified professional nurses and the urgent need of increased funds for additional nonprofessional personnel This would enable straight work shifts and provide better patient care as well as shorter hours of duty for the attendants 4 19 During the year there were 27 new positions approved for the nurs ing service which included eleven white female fourteen white male one colored female and one colored male Nine positions available for graduate nurses were abolished because of the inability to secure personnel During the year twentyone individuals retired from nurs ing service positions A total of 1637 positions are now allocated to the nursing service of which 82 are RNs 1439 are in the attend ant service as building supervisors assistants and attendants 46 are occupational therapy aides and the balance of the positions are allocated among various nonnursing personnel DEPARTMENT OF PSYCHIATRIC SOCIAL WORK The Social Service Department made substantial gains in services to patients during the past fiscal year an achievement which can be attributed to added personnel in the department The staff was aug mented with the addition of Mrs Anne Y Rollen and Mr EO Melton both certified by the Academy of Certified Social Workers and Mr Bill Warden a recent graduate of a school of social work An especially optimistic developement was the granting of six addi tional stipends to graduate students who are attending twoyear pro fessional schools of social work bringing the total number of stipend holders to ten After receiving Masters degrees each of the ten work ers will return to Milledgeville State Hospital A primary aim of the department is for each patient in the hospital to have convenient access to social workers for assistance with numerous social and interpersonal problems33 The activities of the department may be categorized within four general areas diagnostic casework treatment release planning and followup services 1 Diagnostic Services Information concerning the social mi lieu and past behavior of patients is essential to effective diagnosis and treatment Social histories were obtained through interviews with relatives in 2980 cases representing more than half of the admissions for the year Social data questionnaires numbering 2434 were mailed to family members for completion and were abstracted by personnel of the social work department 2 In the casework treatment realm several members of the department participated in casework treatment during the year Refer rals for counseling included patients with personal and interpersonal problems and family problems Extended social group work was car ried out by one worker and the need for additional group work was indicated 3 Release planning with longterm patients was an area that received considerable attention during the past year A pilot study indicated that casework services were successful in roughly half of all cases in which patients were considered eligible for release but had been retained in the hospital for social rather than psychiatric reasons The study further indicated that new programs ie paid foster care nursing home placements and halfway houses will be required for the other portion of the patients who could be released under suitable circumstances The Georgia Department of Public Welfare has cooperated with the Social Service Department by facilitating public assistance grants for handicapped or aging patients who were released from the hospital but who were in deprived financial circumstances Preliminary work in this area demonstrated the need to expand cooperative efforts with agency and to initiate closer working relationships with other commu nity agencies in efforts to enable additional numbers of patients to be released from the hospital 4 Followup services included referrals of former patients and family members to community agencies for tangible and intangible services The Social Service Department handled voluminous corre pondence regarding former patients when other facilities were attempt ing to assist them in some phase of the rehabilitation process For example 1626 referral forms were completed and sent to local public health departments34 W c A recurring problem in followup planning involves the financial deprivation of many of the hospitals released patients and their re lated problem of continuing to obtain tranquilizing medication Other noteworthy areas of social service activity were varied Six hundred sixtyfour social security forms were executed in efforts to assist patients in obtaining benefits which they had earned in the social security program sixteen nonresident patients were trans ferred to hospitals in other states five patients from our mentally deficient population were transferred to the Gracewood School and thirtyseven addresses to professional and lay groups throughout the state were delivered by the director of social services From the viewpoint of social services the Milledgeville State Hos pitals patient population background is a heterogeneous crosssection of diverse social problems including to name only a few mental re tardation alcoholism narcotics addiction economy dependency fami ly dissolution criminality delinquency sexual pathology and unmet physical health needs The diverse and immense challenge for social services is unique in our society and it is imperative that more effec tive programs be devised at all levels of social planning DEPARTMENT OF PUBLIC RELATIONS The Department of Public Relations continues to present to the public accurate and factual information regarding the treatment programpoli cies procedures activities problems and accomplishments of Mill edgeville State Hospital The department was involved in the Chapels Of All Faiths Drive and the director made eighteen talks in various portions of the state in connection with this program Wide use of the public relations media has continued with a number of reprints of press releases and other articles appearing in national publications C The department continues to assume responsibility for arranging all tours for visiting groups the preparation of seminar programs for college and high school students career day programs arrangements for special events the scheduling of speakers for outside organiza tions and the development of better employee relationships within the institution35 During the year the director served as contact person for the super intendent in the interviewing of applicants for positions as directors of the Department of Music Therapy and Religion and competent men of integrity with professional experience were secured to head up both of these departments More than 700 copies of the 1961 Annual Report were distributed to legislators libraries professional organizations newspapers and other individuals and groups requesting them The scripts for three television and six radio programs were prepared The expansion of the seminar program for college and high school students placed a tremendous teaching load upon the department dur ing the year Orientation talks for all groups were presented by the director and more than 3524 high school students and 1521 college students participated in these seminar programs during the year In addition to the student groups similar programs were offered 122 adult groups comprising a total of 2800 individuals Researching of the high school and college student seminar pro gram has resulted in indication that 80 per cent of the students parti cipating were more certain at the end of the seminar period that they would consider a career in the mental health field and 72 per cent were more certain about the specific career which they had decided to follow There is little doubt that the experience of one year with this type of program will in the long run result in bettering the treat ment program for the mentally ill not only in this institution but throughout the state of Georgia The public relations director followed up many of the student pro grams with visits to the educational institutions on invitation from the students Particularly was this done with psychology and soci ology classes in which talks were given illustrated by color slides on various phases of the hospital program A continuing evaluation of this program and an expansion to the limits of staff capability will be continued during the coming year The program has received national attention at the American Psychi atric Association Mental Hospitals Institute recently conducted at Miami Beach A detail explanation of this program is available to any one interested 36 i DEPARTMENT OF VOLUNTEER SERVICES The volunteer services program is now in its second year of operation and is rapidly expanding into every phase of hospital operation A secretary has been added to the staff and has contributed greatly to the efficiency of the office The garden therapy program appears to be a permanent phase of the program of the Federated Garden Clubs of Georgia Inc A total of 427 clubs have contributed 5909 as well as provided aprons bingo prizes and other material for use in alternate programs when weather conditions prevented outside gardening The program has received national attention and many inquiries have resulted 4 Lo During the year 75 volunteers contributed 1878 hours of service At the State Garden Club Convention Volunteers were awarded certifi cates of merit for their services to the patients and Mrs TM Hines Chairman of the garden therapy program also received an award Six state clubs including 200 individuals visited the hospital garden clubs during the year Negro teachers from the local high school sponsored one club group with outstanding results during the summer The Music Therapy volunteer program now includes 38 volunteers working with four patient music groups and one square dance proup C Volunteers have provided art instruction for three patient groups These include two Atlanta artists Mrs Carley Craig and Mr David Cogland who made two trips per month to the hospital The program will be expanded during the coming year With the cooperation of the Recreation department numerous par ties and picnics sponsored by church groups mental health associ ations and other organizations have been held for the patients A group of students from the Womans College of Georgia spent one eve ing per week in recreational programs with the patients The Wayne County Mental Health Association supplies favors refreshments and decorative materials for birthday remembrances for the patients of the Rivers building Three Alcoholic Anonymous groups continue to work in the hospi tal An average of 65 patients attend these meetings The Statewide37 meeting of Alcoholic Anonymous was held at the hospital during Aug ust with a nationally known speaker from Washington D C Services of negro school teachers were used for visiting and per forming personal services for patients in two wards of the Washington building One hundred and five105 forgotten patients have been adopted by various organizations and individuals and have been remembered with gifts of various kinds The Apparel Shop came into existence in January under the direc tion of the Baldwin County Medical Auxiliary The Georgia Mental Health Association made an appeal for clothing and during the first six months of operation more than 900 patients who had no funds for the purchase of personal clothing have been able to secure clean useable and in some cases new garments which have been of tremen dous therapeutic value to them This has been an outstanding volun teer service Thirtysix volunteers have contributed more than 970 hours of service to this venture Mrs Leon Frohsin President of the Atlanta Mental Health Associ ation staged a fashion show in the auditorium assisted in narration by Mrs Betty Vandiver wife of the Governor of Georgia United Church Women of Georgia furnished five additional day rooms during the year bringing the total to thirtyeight Mrs L L Austin Day Room Chairman for the organization estimates that the cost of the furniture for these rooms ranges from 600 to 1500 per room In addition fourteen large fans were donated for use in the day rooms in the Whittle building adding greatly to the comfort of the men living there The following list of major items have been donated by interested individuals and organizations during the year 1 hydraulic lift with 1 back strap and 7 seat straps 21 hair dryers 14 television sets five ironing boards 5 irons 50 bedspreads 16 card tables 1 floor lamp 24 bedside tables 4 sofas 4 wall clocks 2 playpens and toys 2 pianos 3 record players 1 electric Singer sewing machine 1 treadle type sewing machine 2 chairs 200 yards of drapery material 2 roll about fans 13 large pedestal electric fans 1 clothes dryer 1 washing machine 8 glidders and 4 rocking chairs38 DEPARTMENT OF OCCUPATIONAL THERAPY c An expanded program of occupational therapy has been resulted dur ing the past year with the addition of new equipment to the various occupational therapy shops as well as the employment of additional techniques in craft work and other leisure time activities New occu pational therapy locations have been set up with the hope that more patients will participate The high light of the year was the fashion show in which the pa tients designed and made their own dresses Patients and employees combined in staging a Womanless Wedding an art exhibit and an antique display These were so successful that expansion of these projects is planned for the coming year Occupational Therapy continues to publish the weekly patient newspaper The Builder and cooperates with the Recreation de partment in many of the picnics parties field days and other patient entertainments held during the year 4 Lo d The staff at present consists of the director and 46 aides More than 15000 patients participate in various programs Finished pro ducts of the shops were sold for a total of 22000 The art program conducted by Mrs James Baugh in the Powell O T shop continues to be well attended and various activities avail able to patients include crafts the framing of patient art work which is hung throughout the hospital the upholstering and repairing of fur niture constructing smoke stands magazine racks tables desk and keeping all wheel chairs in repair Women patients spend a consider able number of hours making draperies and curtains for the wards and and other hospital buildings which need such service Occupational therapy aides continue to act as guides for visitors upon the request of the Public Relations department and have per formed this service for more than 5000 individuals during the year 39 DEPARTMENT OF MUSIC THERAPY Appointed as Director of Music Therapy on March 1 1962 was Herbert P Goldsmith RMT who prior to coming to Milledgeville served for nearly nine years as Director of Music Therapy at Madison State Hos pital in Madison Indiana He has served in several capacities in the National Association for Music Therapy is a member of the Executive Committee of that organization and at the time he came to Milledge ville was President of the Great Lakes Regional Chapter of NAMT Herbert F Galloway RMT also joined the staff having completed requirements for the Music Therapy degree at Flordia State University The staff therefore presently consists of the Director of Music Ther apy one registered music therapist one music therapist one tech nician and one aide Additional positions at the professional level are being made available The Music Therapy department is expanding both its program and facilities A new building is presently under construction consisting of a large ensemble room for group activities soundproofed teaching studios practice rooms listening rooms offices and music library all of which will be airconditioned Funds have been made available for a large music library consisting of choral band and orchestra music as well as phonograph records This together with several new instruments has made it possible for the band to be reestabli shed and the chorus enlarged to service more patients The patient mixed chorus draws its members from nearly every ward building in the hospital and presently numbers between 70 and 90 voices This group sings for the chapel service each Sunday and presents concerts for both the hospital community and the public In April the mixed chorus performed The Seven Last Words of Christ by Theodore Dubois and is now working on Handels Messiah as well as preparing to do musical shows in the fall and spring The band numbers approximately 20 patients meeting for rehearsal twice weekly with individual instruction and sectional rehearsals at other times Many more patients can be served through this activity when more instruments are available Individual instruction in nearly all instruments is now available to the patients of the hospital while practice rooms assigned for specific periods enable the student to prepare for his lesson and progress musically40 jS The ward music therapy programs are among the major activities of the department Through this type of activity many patients are brought into contact with the professional staff and with live music Different types of music programs selected for specific therapeutic goals are a regular part of the daily schedule One of the outstanding features of this department at the hospital is its volunteer program Coming principally from the community of Milledgeville some forty volunteers meet weekly in small groups on their assigned wards for music and social programs with the patients It is difficult to estimate the vast amount of good done by these very dedicated people or the number of patients thus reached and thereby helped through this important part of the Music Therapy program Many more people are needed in the volunteer program and it is hoped that many more will come forth within the next year DEPARTMENT OF RELIGIOUS SERVICES 4 w Up until June 1 1962 there has been no resident chaplain on duty at Milledgeville State Hospital The hospital has been fortunate how ever in devoted and unselfish service rendered by a number of pastors of local churches who have served rotating twoweek duty periods at which time they have been on call for any religious services and spiritual counseling required by the patients Effective June 1 Reverend Douglas C Turley Jr accepted a posi tion as Director of Religious Services Chaplain Turley comes to Milledgeville from Longview State Hospital where he was Chief of Chaplains having developed an excellent program of clinical pastoral training at that institution as well as bringing a vital ministry to the patients C Chaplain Turley has in the planning stage a wide variety of reli gious services coupled with accredited programs of clinical pastoral training With the successful completion of the drive to raise funds for the Chapels Of All Faiths at the hospital the religious program at Milledgeville will be one of the best housed in the nation A total of 870000 has been raised and will be used for the construction of five chapels at strategic points on the thousand acre campus so that a chapel will be accessible to each 2000 patients It is hoped that construction of the chapels will get underway no later than December of this year41 The hospital owes a debt of gratitude to the ministers of the Mill edgeville area who have served so unselfishly and so well during the past years and have provided spiritual service to p atients in addition to the duties of their own pastorates Among these men are Dr John Hughston Father Joseph Ware the Reverends JE McElroy Thomas Wheelis Howard B Sims William McLeod Quentin Lockwood Will iam Kirkland Rudy Grantham James Nipper C C Hunter W A Pearson T L Mincy Ewell Blackburn Doyle Middlebrooks William Littleton Edward Douglas Dr Joseph Holiday and Rabbi Harold Gelfman At the present time religious services are held every Sunday morn ing in the auditorium for protestant patients Episcopal services are held in the Arnall Chapel at 930 am on Friday and once a month the Rabbi Harold Gelfman conducts services for Jewish patients The Reverend Father Joseph Ware holds services for Catholic patients Monday at 930 am DEPARTMENT OF VOCATIONAL REHABILITATION The present Vocational Rehabilitation program is the result of the cooperative efforts of the State Hospital State Health Department and the Georgia Division of Vocational Rehabilitation Although the pro gram was initiated during the previous fiscal year with one vocational rehabilitation counselor it was initially launched on July 1 1961 as a Federal Research and Demonstration Project largely supported by funds from the Federal Office of Vocational Rehabilitation The project is designed to demonstrate the therapeutic effectiveness of the provision of comprehensive vocational rehabilitation services to select hospitalized clients concurrently with other therapies With the begining of the fiscal year the staff of this project was expanded to consist of a supervisor three special counselors a part time consultant psychiatrist the equivalent of a full time consultant psychologist and a parttime research psychologist Later in theyear a fourth counselor and prevocational evaluator were addedDuring the year members of this staff have made rapid progress in identifying and filling their roles as members of screening evaluation advisory and treatment teams 42 Primary goals of the program within the hospital are evaluation of each selected patients vocational potential and preparation of the patient for community adjustment including vocational training andor employment C Staff personnel have related closely to community resource groups over the state encouraging these groups to mobilize to meet the tran sitional needs of the returning released patient One special counselor has been assigned to the metropolitan area of Atlanta to work closely with these resource groups in addition to working with individual clients in this area As a result of this effort to provide for a thread of continuity of needed services from the hospital into the community a number of community groups including chapters of the Georgia Mental Health Association county public health department state Jaycee clubs and other organizations have become quite active and effective i At the time each patient participating in this program is judged ready to leave the hospital he is referred to the field vocational reha bilitation counselor serving the community to which he returns along with a comprehensive vocational evaluation with particular emphasis both upon the clients potential for adjustment and his particular needs to be met during this period of adjustment in the community By the end of the year the vocational rehabilitation counselors at the hospital had given consideration to 496 patients A followup study on the first 100 patients leaving the hospital under sponsor ship of the vocational rehabilitation program indicated that only 10 per cent of these patients were readmitted to the hospital This com pares very favorably with the 39 per cent rate of readmissions of the general population of those dismissed At the time of the study 55 percent of those in the study had been successfully placed in employ ment The study also revealed that 35 per cent of this group were successfully functioning in vocational training courses or had success fully completed the training course since leaving the hospital Projected plans for the coming fiscal year include an expansion of the present vocational rehabilitation staff in this program to include additional counselors social workers and prevocational evaluators It is expected that the YH Yarbrough Rehabilitation Center now under construction will be completed and fully equipped and in oper43 ation during the year This center will be a 500bed facility devoted to the psychiatric social and vocational rehabilitation of patients The vocational section is being equipped for prevocational evalu ations using the job sample technique of evaluation and also work conditioning and vocational training in a wide variety of occupations Of paramount importance during this year of progress has been the decided improvement in vocational rehabilitation counselor skills techniques and knowhow of offering rehabilitation services to the psychiatric patient This improvement has been accomplished both through inservice training programs and through closer working relationships with other disciplines in the field of mental health These developments offer promise of more quality and productive re habilitation of the mentally ill DEPARTMENT OF EDUCATION The Department of Education is under the direction of the Assistant Superintendent Dr James B Craig and consists of two main phases the inservice training program which includes the classes and courses conducted with professional staff and personnel affiliate nursing pro gram psychiatric aides training class and other similar inservice training and seminars for college and high school students adult groups of various kinds including ministers peace officers civic groups mental health directors and school guidance counselors Re sponsibility for seminar programs for outside groups is shared jointly by the Departments of Psychology and Public Relations This pro program is reported on fully in the Public Relations Department section of this report The residency program conducted jointly with Emory University is functioning well and providing the hospital with a pool of trained physicians otherwise unobtainable Approximately 350 nurses rotate through the affiliate nursing program during the year and some eventu ally accept positions on the nursing staff The inservice training program for foreign medical staff members studying for the ECFMG Examination is continuing and is available to those doctors who desire to pass this examination which is now a necessary part of the requirements for institutional medical practice in Georgian a c UOV c 44 Orientation programs for public health nurses visiting school teachers from the various counties and other groups related to the aftercare program are continuing under the supervision of the director of social work Residency programs in clinical psychology in cooper ation with the University of Georgia and ophthalmology in cooperation with the U S Air Force Lackland Base in Texas are continuing to provide the hospital with professional personnel in these areas Three staff members have received faculty appointments to state universities during the year These were Dr James B Craig Univer sity of Georgia and Doctors Robert W Wildman and Charles A Stewart at the Womans College of Georgia The expansion of residency and internship programs is a vital necessity in all professional disciplines in order that the hospital may have a continuing number of competent medical and paramedical personnel The recruitment program directed to college and senior level high school students is already bearing fruit in that a number of young people have decided to enter professions in the mental health field as a result of attending orientation and instructional programs at the hospital DEPARTMENT OF RECREATION The present staff consists of the director three recreational techni cians one motion picture projectionist and two recreation aides The present staff is completely inadequate for the needs of the institution the director being the only professionally trained person During the year a total of 1021388 patients participated in the recreation program Two basic types of recreational programs are used in this institution The activation program emphasizes the therapeutic value of the activity the diversional or entertainment phase being secondary The extensive program includes those activities that are available to all patients able to attend and are primarily diversional activities At the present time there are six groups of patients in the activation group which includes approximately forty individuals Th ese groups meet at least twice weekly45 A new activity started this past year is the bridge club which also offers other card games to the fifty or sixty players that participate weekly A volunteer program staffed by five students from the Womans College of Georgia was commenced this past year These volunteers are working in the Freeman building with some thirtyfive chronic regressed patients Other departmental activities include picnics cookouts and other outdoor events Movies have become a vital part of the ward program It has been demonstrated that patients who are inactive will respond to ward movies and more than 1258 of these were used during the past year DEPARTMENT OF BIOSTATISTICS The Medical Records section has undergone some reorganization dur ing the past fiscal year A uniform system of arrangement for the con tents of the medical records has been adopted so that now the physi cal examination the psychiatric examination the social history each laboratory report and all other records will be found in the same rela tive position in each patients folder A new type folder is also being used which permits the contents of the record to be fastened into the folder The purpose of these innovations is to increase the useful ness of the medical record as an aid in the care and treatment of the patients and to increase their potential as source documents for re search and education A new system of filing patient records known as Terminal Digit Filing was also introduced during the past year This is the latest development in filing systems and increases the speed and accuracy of filing and locating files and enables the work load of filing and related activities to be evenly distributed among the filing clerks An inservice training program for employees in the medical records section was begun in January The first phase an orientation program in which the heads of the various departments of the hospital talked to the medical records employees on the role and function of their respective departments in the overall hospital program was com pleted in May9S1 46 J On April 1 the Registrars Office assumed all statistical coding responsibilities and adapted many of its statistical and record keep ing activities to the IBM system This has resulted in the elimination of a great deal of record keeping duplication and machine produced listings have replaced lists which formerly had to be typed The re sult has been a big saving in clerical time In making these changes the Medical Record personnel have re lied heavily on the consultative services of the Biometrics Branch of the National Institute of Mental Health A Medical Records Con sultant and a Statistician from the National Institute of Mental Health spent several days at the hospital on four different occasions study ing and making recommendations regarding the record keeping and statistical systems 4 An important achievement of the Biostatistics Section this year was its acceptance for membership in the National Institute of Mental Healths Model Reporting Area for Mental Hospital Statistics which was organized in 1951 for the purpose of developing a system for the collection of a more uniform comparable and meaningful mental hospital statistics Milledgeville State Hospital was the twentysev enth state mental hospital system to attain membership in the organi zation and was the eleventh of the sixteen states in the Southern Region to receive this distinction Membership to the Model Reporting Area offers many advantages to the hospital It will enable the hospital for the first time to compare accurately the characteristics of its patients with those of patients in other progressive mental hospital systems It will also be possible now for the hospital to participate in special research projects carried on by the Model Reporting Area projects which it is hoped will yield knowledge that will produce further improvement in the care and treatment of Georgias mentally ill C The Biostatiscal Analyst attended a twoweek training institute in Mental Health Statistics which was held at the University of North Carolina in the summer All expenses were paid through a grant from the U S Public Health Service The Biostatistical Analyst also represented the hospital at one national and one regional meetingduring the year serving as chairman47 of a workshop on Statistical Approaches to Studies of the Epidemi ology of Mental Disorders Utilizing Hospital Population Data Sample Surveys and FollowUp Studies at the twelfth annual conference of Mental Hospital Statisticians held in Madison Wisconsin in May In October the Biostatistical Analyst appeared on the program of the fourth annual conference of Southern Region Mental Health Statisti cians held in Louisville Kentucky The monthly statistical report which was started more than a year ago was enlarged during the year and now includes in addition to the regular statistical tables a short study of some characteristics of the patient population It is hoped that such an addition to the monthly report will stimulate more interest in the hospital program and perhaps indicate areas for additional study and research DEPARTMENT OF RESEARCH A comprehensive research program with all professional departments cooperating is in progress at the hospital Projects now under investi gation in the areas of Pharmacology and Medical Genetics include an examination of the chemical structure and activities of phenothiazines an endeavor to ascertain which individual children will develop Hunt ingtons Chorea and a study of albinos that are products of cousin marriages The following clinical research is now underway at Milledgeville State Hospital Dr J G Bohorfoush has completed a study on the mathematical analysis of present day systems of clinical electro cardiography A paper entitled Electrocardiograms Taken With One Terminal at Ground Zero has been written and submitted for publi cation Dr S AlvarezMena and Dr T Tomas are in the mist of a study to determine the risk of ophthalmic surgery in the aged patient One hundred patients over sixty years of age are being studied Dr Al varezMena is also undertaking a survey to determine the incidence of cardiovascular disease at Milledgeville State Hospital using one thousand consecutively admitted patients over forty years of age Dr A C Martinez and Dr H B Johnston are in the midst of a study to determine the nutritional value of intravenous amino acids48 C A number of research projects have been undertaken by the Depart ment of Psychology These include the Validity of Psychological Diagnostic Procedures the Differential Effectiveness of Two Treat ment Orientations the Differential Effectiveness of Two Different Screening Intelligence Test the Differential Diagnosis of Adoles cent Schizophrenics and Sociopaths the Role of Punishment in the Etiology of Mental Illness the Evaluation of Special Education for Emotionally Disturbed Children in a Mental Hospital a study to deter mine what types of individuals hallucinate easily and a project to determine the effectiveness of vocational rehabilitation in a large mental hospital i Lo The Department of Social Work just completed a study of the effecti veness of social work prerelease services at Milledgeville State Hospital A continuing program of research is an absolute necessity for the adequate functioning of a successful treatment program and all Mill edgeville departments are encouraged by the superintendent to under take as much research as is possible with the tremendous work load which the professional staff is now carrying PATIENTS LIBRARY A total of 1275 volumes were added to the Patients Library during the past year The total number of volumes now includes 20 984 not including many duplicated volumes which will be placed in the unit libraries as these are developed Many books and magazines were donated during the year by Baldwin County Library State Health Department and civic and religious organizations DEPARTMENT OF PERSONNEL C The number of employees at the Milledgeville State Hospital was very stable during the year Total employment on June 30 1961 was 2546 and on June 30 1962 it was 2545 a decline of one However regular employment increased slightly while the number of students employed for the summer was about twenty less than in June 196149 The following is a tabulation of personnel actions during the year Appointments 440 Transfers 520 Promotions 186 Demotions 27 Separations 441 including 350 resignations 50 dismissals 25 retirements 11 deaths 5 transfers to other agencies Rate of Turnover 17 The unusually large number of transfers resulted from the estab lishment of Unit Six Boone and Boland buildings as a pilot project for the installation of the unit type organization throughout the hospi tal With a few exceptions transfers associated with Unit Six were of a technical nature incident to changing position numbers and did not involve the actual movement of employees Dismissals declined fromthe previous years total of 62 to 50 This may indicate that higher employment standards and more careful se lection is resulting in fewer disciplinary problems Other factors are improved supervision and much better techniques of dealing with dis ciplinary problems than in the past The most important event of the year for the Personnel Office was the establishment of a health insurance plan for State employees through the Health Insurance Service of the State Merit System An excellent plan including hospitalization surgical major medical and other benefits was offered and was extremely well accepted by the employee group By the effective date of coverage on July 1 1962 approximately ninetyfive per cent of the employees of this hospital had elected membership or were protected as spouses of covered em ployees The fiscal year of 1962 saw the virtual completion of the task be gun in 1959 to bring employment standards for professional positions in line with nationally accepted qualifications requirements for men tal health professions In cooperation with the State Department of Public Health and the State Merit System classification series for50 Si i professional Music Therapists and Recreation Therapists were adopt ed with qualifications based on the standards of the professional organizations in these fields The improvement of professional stand ards accomplished in the last three years is of immense importance to our program and may well prove to be the most significant occur rence in the recent history of the hospital The way is now open for our acceptance as a training agency by a number of mental health professions and recruitment in some professions can be expected to improve materially in the near future 4 All employees of the hospital received a raise in pay on July 1 1961 from the funds appropriated by the State Legislature specifi cally for that purpose Each employee received an increase in salary of one step in the compensation grade applicable to the class of his position in the Merit System pay plan In most cases this amounted to about four per cent This action applied only to persons employed on July 1 1961 and did not change the existing salary schedules for new employees However the State Personnel Board did adjust the pay plan upward by about eight per cent on August 1 1961 Due to budgetary limitations the hospital was unable to participate in this adjustment except in a few cases where adjustments were necessary to comply with Merit System regulations It was also necessary to use a hiring rate below the minimum salary in effect elsewhere under the Merit System At a later date it became possible to adjust to the Pay Plan of August 1 1962 but not during fiscal 1962 The policies concerning payroll deductions and charges for meals were amended effective July 1 1961 and it was necessary to change the maintenance deductions on the majority of the employees This action provided a more equitable system and has proven to be benefi cial to the personel program A tabulation of personnel of the hospital by type is shown in the statistical section of this report It was not possible to compare fig ures for this year to those of the last Annual Report since a new sys tem of grouping by type has gone into effect throughout the State De partment of Public Health and has been used in this tabulation51 DEPARTMENT OF BUSINESS ADMINISTRATION Per diem cost of operation for the Milledgeville State Hospital for the fiscal year has risen from 278 to 329 The total cost of operation increased from 12500000 to 13750000 During the year a considerable amount of money has been spent for renovating steam equipment rooms and plumbing facilities in the build ings This work will be continued during the coming year as extensive renovation work in the Jones Washington and Boland buildings In addition to these projects additional funds have been provided to con vert the Twin building dining room into a dormitory to remodel M ward into a childrens dormitory and to convert the pavilions in front of the Dupree building into colored personnel housing units These projects will be begun as soon as the renovation of the Washington and Boland buildings is completed Plans are underway to establish a new shop area in the vicinity of the broiler project These buildings will be erected under contract and will be constructed of concrete block and metal This will eliminate the unsightly conditions in the area of the Powell building where the shops are now located The reports of the various divisions of the Administrative Depart ment follow DIVISION OF BUSINESS MANGEMENT This division is now com posed of the following units Accounting Department Procurement Office Warehouse and Receiving Department Post Office Telephone Maintenance and Telephone Exchange Laundry Sewing Room Print Shop Shoe Shop Mattress Factory Dispatch Unit and Clothing Issue The garage is now organizationally placed under the Mechani cal Engineer and is no longer a part of Business Management The services rendered by these units are moreorless routine and there have been few changes during the past fiscal year A photgraphic dark room was erected in the Print Shop with the eventual purpose of making this the center of general photographic laboratory work for the institution52 SV The Procurement Office is establishing central requisitioning Sufficient personnel will make it possible to gradually take all this responsibility so that all requisitioning and related matters will be handled at a central point for the entire institution C The Telephone Maintenance service now has 700 main stations with 300 extensions During this fiscal year equipment was installed for 100 additional lines 88 additional stations one ampere battery charger one bank of 24300 ampere lead calcium batteries an inter com system for the Powell building a public address system in the Educational Classroom and new telephone cables to newly construct ed personnel dwellings the new Arnall building addition the new personnel dormitories and apartments the east wings of the Jones building i l The Accounting Office is in the process of adjusting IBM oper ations to tie in with the IBM operations in the Atlanta office of the State Health Department in an effort to eliminate duplication of work and establish more uniform and standard operating records The Division of Business Mangement will continually adjust to serve the institution as organizational changes are made and the dev elopment of the unit system progresses Evaluation and research will continue in all branches to increase efficiency and economy in operation The opening of the central kitchen and establishment of a central shop area will also effect the operation of this division DEPARTMENT OF ENGINEERING The Departmentof Engineering now consists of five divisions including Construction Mechanical Electrical Civil and Building Maintenance Directors of these divi sions report directly to the Business Administrator WR Crittenden and each group cooperates with the other in scheduling work and fur nishing technical service on cooperative projects The reorganization completed in 1961 has proven itself after a year of operation as the most efficient method of accomplishing the many engineering tasks required in an institution of this size particularly with the extensive building program now underway CONSTRUCTION ENGINEERING This division is responsible for performed by the Carpenter Shop Wood Shop Paint Shop Sheet Metal Shop and four construction crews using prison labor 53 A modern garbage swine feeding station was built for 2000 hogs The construction material was concrete slabs and aluminum shade area A three story addition of dishwashingroomsequipped with quarry tile floors and new stainless steel dishwashers and tables was added to the Ingram building A new and larger dishwashing room was reno vated for the Boone building Three four bedroom brick personnel dwellings were constructed with ceramic tile bathrooms and forced air central heating systems One frame three bedroom dwelling was constructed a bath and bed room were added to Howell building apartments 1 2 and 4 and the Lawrence building cafeteria dining area was remodeled for offices for the Procurement and Property Section Remodeling of the Tenth Ward building included replacement of wooden floor with concrete and asphalt tile and new electrical and heating systems Remodeling of the third floor of the Jones building east wing was completed and a large nursing station added The north east wing was renovated and air conditioned for the EKG Department Laboratory and Eye Clinic A central supply service was completed on the second floor east wing of the Jones building Sixteen hay feed ing stations were built on the farm for hay storage The department also took care of all routine maintenance jobs around the institution during the year CIVIL ENGINEERING This division is responsible for the operation of the water filtration plant the pumping plant water and sewer sys tems heavy equipment grading drainage streets and roads and oper ation of a labor pool to support other divisions Some of the major accomplishments of last year included the com pletion of an eight inch water line and the grading of a new three acre oxidation pond at the Colony Farm the grading of sites for a new electrical substation a new garage building a new wood shop building and an engineering warehouse More than 150 acres of land were leveled and reclaimed for the Farm Division Also completed was a new intake and pump house structure located in the Oconee River with a new twentyfour inch raw water supply main to the water plant Work is continuing in the areas of water main sewer street and road improvement and maintenance Three areas of the Tenth Ward building were filled with earth and compacted for concrete floor foundation54 i Utilities streets and site grading has been completed for new dwelling houses constructed Due to the construction of two highway projects and new buildings it has been necessary to lower and move many utility lines as well as construct some new ones Support serv ices to other divisions has been a major task this past year since this division furnishes all heavy equipment ditch digging excavation pipe and conduit laying moving of heavy objects as well as all labor necessary for the operation of facilities normally required by the Civil Engineering Division tv i All the work listed above has been completed with hospital person nel and equipment except in two cases where projects were contract ed These included lowering the water mains on the Elbert Street highway and the building of a new water works intake structure ELECTRICAL ENGINEERING During the year the Georgia Power Company completed and put into operation a 110000 volt substation on hospital property This substation can be fed from two directions in case of emergency The hospital is now served by four feeder lines that can be fed individually or collectively By having this feeder arrangement and the substation centrally located it has been possi ble to improve a low voltage condition that existed as well as to make the system more versatile since it is now possible to cut off one section without affecting the whole institution A switching station and feeder lines were erected by the state under contract Also by contract considerable renovation to the light ing system of the Jones building and the lighting system in the Ingram building was completed The lighting systems of Tenth Ward and the old engineering build ing which has been converted into a Music Therapy building have been renovated with hospital labor as was the rebuilding of the over head lines along the Vinson Highway the wiring of personnel resi dences the rewiring of the heat transfer rooms and numerous changes in the wiring system of the patient domiciliary buildings During the year the Electrical Department requisitioned the materi al and installed the transformer station for the new Arnall building addition Transformer stations at the Central Kitchen and the Yar brough Rehabilitation Center will be installed shortly55 One of the electricians has successfully completed a course in electric motor repairs at the vocational school in Clarksville Georgia and an electric motor repair shop has been set up for the repair of the motors in the institution Plans for the coming year include the rebuilding of the Jones hos pital operating rooms as well as a number of the existing transformer station and distribution lines the conversion of theTwin buildings dining room into a dormitory for patients the conversion of M ward into a childrens dormitory and the conversion of the pavilions in front of the Dupree building to colored personnel housing units MECHANICAL ENGINEERING A major accomplishment of the Ma chanical Engineering Section during the year has been a significant gain in steam plant operations accomplished by the adjustment of boiler controls resulting in more efficient combustion and lower oper ating costs Normal maintenance is being performed at the other boil er rooms and a service contract will keep combustion controls adjust ed for economical operation Additional personnel are badly needed in the Automotive and Farm Equipment Sections to institute a realistic preventive maintenance program Economy of operation could be improved and down time loss could be virtually eliminated A total of 74 vehicles ten years of age or over and presently in operation is the basis for the preventive maintenance program In ad dition approximately eight vehicles less than ten years of age are nearing or have passed the 100000 mile figure A program to replace old vehicles on a mileage age serviceability or onetime repair cost should be instituted Old vehicles require more maintenance and more mechanics are needed to perform the necessary services The Plumbing Section has maintained all personnel dwellings and outlaying buildings as well as completed new construction operations and remodeling operations in the Jones building and the Music Thera py building The Refrigeration Section has installed two 10ton units in the newly established laboratory as well as an exposed oxygen systemc iv i 56 of 43 outlets Additional outlets willbe completed with the renovation of the operation rooms during the coming year The three steam ab sorption units are the first to be installed at the hospital and this new refrigeration concept will present some maintenance problems during the year Satisfactory operation is being achieved at the Cold Storage Plant the Abbatoir the Ice Plant and the Refrigerating Plant DIVISION OF ENVIRONMENTAL SANITATION This division is responsible for general environmental and institutional sanitation at the hospital and necessarily cooperates with all other units in its broad program During the past year the division has cooperated with the State Health Department in the field training of new sanitarians who will work in the various county health departments and cities throughout the state The staff also participated in the psychiatric aide training program One staff member completed a two weeks course in thelnden tification and Biology of Arthropods conducted by the Communicable Disease Center United States Department of Public Health Atlanta Emergency water treatment was necessary in one area of the hos pital when high waters disrupted a main Extending the water main to Colony 1 gave the entire hospital area a protected water supply The sewer system in one of the patient buildings was completely remodeled Disposal of refuse and trashby the sanitary landfill method has reclaimed 12 acres of submarginal land adjacent to the Lawrence building This area has been seeded in grass and will be useful in addition to beautifying the landscape The steam injection systems in two garbage trucks were rebuilt This overhaul facilitates thorough cooking of the garbage prior to feeding to the hogs Construction of a sewage stabilization pond at Colony 1 is under way and will soon be in operation This will provide one segment of the hospital with an approved sewage treatment process i Our insect and rodent control program consists of basic sanitation and the application of chemicals as supplementary measure Termite control work has increased and consists of treating infested build ings pretreatment of new structures and pretreating buildings that were renovated57 The dairy barns and milk rooms have been painted These improve ments coupled with close supervision inspection and laboratory examinations have contributed to an improvement in the milk sani tation program Some of the physical improvements made in the food sanitation program include painting of walls ceilings floor covering provided exhaust hoods installed a number of new dishwashing machines placed in service dish machine rooms constructed in one of the older buildings steam tables repaired soiled and cleandish tables provid ed Practically all of the dining rooms now have facilities for making their own coffee Modifications were made on steam tables potato peelers pots and sinks in order to eliminate cross connections which might contaminate the water supply A number of all metal tables have been constructed and put into use at the cannery BUILDING MAINTENANCE The building maintenance program is now in its second year of operation and has a staff of thirtytwo em ployees Building maintenance personnel are assigned to all of the major buildings and they are able to keep the buildings in good condi tion Where additional help is needed they are able to get it from other units In September 1961 this department was assigned the job of reno vating steam equipment rooms Eight employees were hired for this work This work is progressing satisfactorily and is being done at considerably less expense than those rooms which were renovated by contract DIVISION OF FARMS AND DAIRIES There has been little change in the organizational structure of this division during the past year An additional employee was hired to head the livestock program thus bringing the beef cattleand hogs under one supervisory head A new swine feeding program was initated with the completion of a modern fattening pen to finish off hogs from 130 pounds to killing age With the growth of the beef cattle operation and the expansion of the pas ture program it is anticipated that we will soon be able to fatten out some of out own steers for the use of the hospital The Abbatoir con tinues to process all poultry and meats grown by the institution as well as to cure hams and process balogna weiners and sausage A new Feed Mill Supervisor has been put in charge of the feed building58 program and all feeds are being completely fabricated in the institu tional plant Breakdown of the farm land is as follows C Building and campus areas 852 acres Crop land irrigable 614 acres Crop land nonirritable 1675 acres Pastures 2309 acres Forest land 2630 acres Ponds 86 acres Waste land 78 acres 4 Lo All irrigable crop land is used for the production of vegetables with the remaining land being used for support of the livestock pro gram for pastures hays silages and a limited amount of small grain In cooperation with the Soil Conservation Service additional lands were converted to strip cropping now making approximately 372 acres in rotatable strip crops Twentyfour acres of grassed waterways and 325 acres of Coastal Bermuda were established during the past year These will be kept in balance with the expansion of the livestock and feed programs The broiler project has considerably improved in the conversion of feed to meat Live weight increased from 272 pounds to 296 pounds per bird The birds are killed at a few days less than eight weeks of age Production in the egg project has increased approxi mately 100 dozen eggs per day with improved management conditions resulting in a decrease in the amount of feed consumed per dozen eggs thereby decreasing the cost of production A satisfactory decrease in production per cow with a minor de crease in production cost has resulted in the dairy operation The Agricultural Extension Service again selected the purebred herd for membership in the 104 Dairy Club The division has worked closely with the Farm Coordinator De partment of Agriculture Soil Conservation Service and the Agricul tural Extension Service University of Georgia This cooperation will continue as will the evaluation of our total farm and dairy program to increase efficiency and decrease cost of production59 DIVISION OF HORTICULTURE The primary functions of the Horti culture Department are to furnish pleasant surroundings for the pa tient and provide activities of a therapeutic nature with production taking a secondary role The division is divided into the following sections greenhouse fruit production landscaping and landscaping maintenance teenage boys program garden therapy program and the Log Cabin The three greenhouses provide 88 square feet under glass and an outside area for propogation and growing of shrubbery consis ting of 12 beds 6 feet by 100 feet Annuals and perennials are also produced in this area for the garden therapy program The greenhouse is headquarters for the division From the green house goes soil for planters in the various buildings cut flowers flower arrangements for the infirmaries and the reception areas foli age plants and pot plants for growing on the wards cut flowers for the dining rooms and other ward areas to be arranged by the patients thus giving the patients on the ward an opportunity to work with the flowers Several patients who are trained designers have been as signed to work in the greenhouse and are responsible for the flower arrangements The greenhouse is also headquarters for the garden therapy program provides plants for outside planting cut flowers for use in making arrangements and corsages as well as any needed tech nical information required by the twelve garden clubs operating in the hospital under the garden therapy volunteer program During the year the greenhouse has produced 50000 chrysanthe mums 30000 snapdragons 4000 pot plants for use on the wards and outside growing 30000 plants for flower beds including 4000 roses and 2000 other shrubs All phases of plant growing are done by pa tients under the direction of competent attendant personnel Six pa tients are assigned to the greenhouse at the present time and an ad ditional group of teenage boys is working in the propogation section rooting cuttings and performing other duties under supervision The grounds department is concerned primarily with maintenance the planting of trees the construction of lawns and minor grading During the year Mrs Gene C Goslee of Atlanta provided a beautiful fence for the cemetery which has been planted with climbing roses adding a touch of beauty to an otherwise unprepossessing area60 The fruit growing division includes 100 acres and this year pro duced 14324 bushels of peaches 2100 gallons of blackberries and 27418 pounds of grapes Fruit growing is supervised by a group of men patients selected by doctors for this work All fruit harvesting is also done by patients i Lv i 19 The teenage boys program includes four to twelve boys from the Howell building under the supervision of a charge attendant assigned to the Horticulture department They work primarily in an area around the Howell building helping to maintain and beautify it They have also constructed 125 planters that are now used in the windows of hospital buildings to brighten the wards The outside of the building has been planted with petunias which made a very colorful effect this summer The teenagers have responded very well to gardening and greenhouse operation The garden therapy volunteer program is designed primarily to reach the chronic patients Approximately 600 patients participate under the supervision of garden therapy volunteers from Milledgeville and the surrounding community A total of 85 volunteers participate in the program which consist of gardening around the various build ings a period for social conversation and refreshment and visits to the greenhouse to obtain technical information The Horticulturist provides technical supervision for this program Additional details regarding the garden therapy program are found in the report of the Director of Volunteer Services i The patients at the Log Cabin are chronic male patients from the Boland building who are skilled in woodworking and brick laying These men aid the garden therapy by building brick planters at the entrances of the buildings and other work of a like nature SECURITY DIVISIONThe Security Division includes the police and fire departments There are fourteen policemen who provide protection for the institution on a twentyfour hour basis thirteen trained fire men and twelve voluntary firemen During the past year a twoway radio system has been installed in all patrol cars and these are now in constant communication with the61 central system Additional equipment has been added to the fire sta tion and outdated equipment has been modernized Regular fire in spection of buildings is continued and any fire hazards are immedi ately reported to the building maintenance supervisor for correction The prison population now includes 219 white males 140 colored females and 106 white females Prisoners have been classified ac cording to work potential and at present time are working in the fol lowing units White male are assignedto kitchens the laundrys horti culture department truck repair shops building maintenance depart ment building construction department telephone maintenance ambu lance service cold storagebakery broiler project egg project dair ies farm machinery and heavy equipment Colored females are employed at the laundry Jones medical and surgical hospital kitchen the medical laboratory xray department and are given cleaning duties in the female wards and at the cannery White females are employed in the kitchens dining rooms sewing room EKG department central supply eye clinic pathology depart ment and on wards at the Boone building as help to the attendantsi 62 STATISTICAL and i FINANCIAL INFORMATION c63 PERSONNEL BY TYPE MILLEDGEVILLE STATE HOSPITAL Si AS OF June 30 1962 0 1961 1962 Total 25U6 25U5 Physicians 6k Dentists 5 8 Nurses 83 Therapists 3 Engineers Sanitarians 1 1 Physical Scientists 3 Nutritionists 2 Educational Informational Specialists 2 Psychologists k Social Workers 6 Other Professions 5 SemiProfessional and Technical 1586 Managerial 2U Clerical 1U8 Agricultural 52 Trades Crafts Mechanical 20I4 Service 272 Manual Labor 69 Others 7 64 ADMISSION RATES PER 100000 ESTIMATED CIVIL POPULATION BY COUNTY OF ADMISSION C i 19 i65 AVERAGE DAILY RESIDENT POPULATION AttaSSIONS NET RELEASES and DEATHS JULY 11961 JUNE 301962 NUMBER OF PATIENTS 20000 10000 6000 A 000 3000 2000 1500 1000 800 600 RESIDENT POPULATION ADMISSIONS RELEASES DEATHS 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 YEAR Net Releases equal live removals from the hospital minus returns from furlough and escapeV Jr Ox NUMBER OF PATIENTS PER CENT CHANGE FROM PREVIOUS YEAR and RATES PER 1000 AVERAGE DAILY RESIDENT PATIENT POPULATION SELECTED MOVEMENT CATEGORIES 19531962 Fiscal MOVEMENT CATEGORY Year Ending AVERAGE DAILY June 30 ADMISSION NET RELEASES DEATHS RESIDENT POPULATION Percent Percent Percent Percent Number Rate Chance Number Rate Chancre Number Rate Change Number Rate 1962 5505 1397 192 4365 3672 164 1051 884 214 11888 3017 01 1961 4618 1189 224 3750 3158 335 866 729 80 11873 3057 001 1960 3772 964 10 2809 2366 01 941 793 77 11872 3035 02 1959 3810 987 19 2811 2363 61 874 735 237 11897 3081 13 1958 3740 986 63 2650 2256 40 1M5 975 188 11748 3096 07 1957 3519 946 40 2547 2153 104 964 815 32 11828 3180 08 1956 3383 925 50 2306 1964 67 934 796 89 11738 3209 13 1955 3562 996 21 2471 2133 18 858 741 47 11582 3237 28 1954 3639 1033 64 2428 2155 194 900 799 56 11267 3197 38 1953 3419 986 238 2033 1872 237 852 785 104 10858 3132 37 Net releases equal live removals from the hospital minus returns from furlough and escape Rate per 100000 Georgia civilian population67 ADMISSIONS BY COUNT AND TYPE OF ADMISSION JULY 1 1961JUNE 30 1962 County of Admission Appling Atkinson Bacon Baker Baldwin Banks Barrow Bartow Ben Hill Berrien Bibb Bleckley Brantley Brooks Bryan Bulloch Burke Butts Calhoun Canden Candler Carroll Catoosa Charlton Chatham Chattahoochee Chattooga Cherokee Clarke Clay Clayton Clinch Cobb Coffee Colquitt Columbia Cook Coweta Crawford Crisp Dade Dawson Decatur DeKalb Dodge Dooly Dougherty Douglas Early Echols Effingham Elbert Emanuel Evans Fannin Fayette Floyd Forsyth Franklin Fulton Gilmer Glascock Glynn Gordon Grady Greene TYPE OF ADMISSION 1960 Old Law 20 7 a 3 24 12 21 3 0 0 141 11 0 6 0 0 0 16 4 6 3 87 23 2 74 1 7 37 11 0 29 0 70 32 2 0 11 51 5 16 0 1 0 182 19 19 54 13 9 0 5 0 1 9 22 4 9 0 0 545 15 8 63 0 7 5 Voluntary 0 0 1 0 4 3 0 36 33 17 3 0 11 8 7 29 17 2 0 0 0 0 0 0 30 0 19 11 44 7 0 13 28 7 36 7 0 0 2 1 6 1 a 30 2 1 23 11 2 0 0 41 33 1 0 1 68 20 18 177 0 0 0 28 14 12 3 1 1 0 14 1 0 13 2 3 26 0 0 3 0 1 0 0 0 0 0 1 1 0 4 0 6 9 11 1 15 1 29 2 17 2 2 1 3 2 0 0 0 71 2 0 7 2 0 0 2 10 0 1 0 1 6 3 6 110 0 0 3 2 5 3 Temporary 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Court Order 0 1 0 0 3 0 1 2 0 0 5 0 0 0 0 0 0 0 0 1 0 2 0 0 2 0 0 1 0 1 4 0 3 0 1 0 0 1 0 0 0 0 0 2 0 0 1 1 0 0 0 0 1 0 0 0 3 0 0 19 0 0 2 2 0 0 State Board of Corrections 0 0 1 0 1 0 0 0 0 0 12 0 0 0 1 0 0 1 0 0 0 0 1 0 12 0 0 0 2 0 2 0 4 0 1 0 0 2 0 0 1 0 0 3 0 0 3 0 0 0 0 0 0 0 1 0 2 0 0 46 1 0 0 1 0 0 flfflg 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Total 23 9 24 3 70 16 22 54 35 20 187 11 11 17 8 30 17 20 4 7 3 90 25 2 122 1 32 58 68 9 50 14 134 41 57 9 13 55 10 19 7 2 a 288 23 20 88 27 11 0 7 51 35 11 23 6 108 23 24 897 16 68 33 26 2068 i i i County TYPE OF ABESSION of Admission 1960 Old Court State Board of Law tar Voluntary Tenroorarv Order Corrections Other Total Gwinnett 47 3 8 0 0 0 0 58 Habersham 38 0 3 0 0 0 0 41 Hall 80 0 5 0 0 3 0 B8 Hancock 0 12 4 0 0 0 0 16 Haralson 0 25 3 0 0 0 0 28 Harris 3 0 1 0 1 0 0 5 Hart 2 14 2 0 0 0 0 18 Heard 0 4 1 0 0 0 0 5 Henry 20 0 1 0 1 0 0 22 Houston 0 35 6 0 0 0 0 41 Irwin 1 11 1 0 0 0 0 13 Jackson 16 7 12 0 0 0 0 35 Jasper 5 2 0 0 0 0 0 7 Jeff Davis 16 0 3 0 1 0 0 20 Jefferson 5 15 4 0 1 0 0 25 Jenkins 8 0 0 0 0 0 0 8 Johnson 21 0 0 0 0 0 0 21 Jones 0 8 1 0 0 1 0 10 Tjraur 16 1 2 0 1 0 0 20 Lanier 6 0 1 0 0 0 0 7 Laurens 41 1 5 0 7 3 0 57 Lee 0 3 1 0 0 0 0 4 Liberty 13 0 1 0 0 2 0 16 Lincoln 0 5 0 0 0 0 0 5 Long 0 3 0 0 0 0 0 3 Lovmdes 30 6 15 0 4 1 0 56 Lumpkin 8 1 0 0 0 0 0 9 Macan 1 12 0 0 0 0 0 13 Madison 0 11 4 0 0 0 0 15 Marion 8 0 0 0 0 0 0 8 McDuffie 0 36 2 0 1 0 0 39 Mclntosh 4 0 2 0 0 0 0 6 Me riwether 0 25 1 0 3 0 0 29 Miller 0 6 0 0 0 1 0 7 Mitchell 0 17 2 0 0 1 0 20 Monroe 0 11 0 0 0 1 0 12 Montgomery 5 0 0 0 0 0 0 5 Morgan 9 0 10 0 0 0 0 19 Murray 7 1 3 0 1 0 0 12 Muscogee 30 85 4 0 2 4 0 125 Newton 29 7 15 1 0 0 0 52 Oconee 10 1 4 0 0 0 0 15 Oglethorpe 0 3 1 0 0 0 0 4 Paulding 1 20 11 0 0 0 0 32 Peach 14 0 5 0 0 0 0 19 Pickens 11 0 1 0 0 0 0 12 Pierce 0 13 3 0 0 0 0 16 Pike 5 1 1 0 0 0 0 7 Polk 28 3 12 0 1 1 0 45 Pulaski 0 16 0 0 0 1 0 17 Putnam 9 1 4 1 1 0 0 16 Quitman 0 0 0 0 0 0 0 0 Rabun 6 6 0 0 0 0 0 12 Randolph 0 8 5 0 1 0 0 14 Richmond 73 42 11 0 1 4 4 135 Rockdale 11 2 4 0 0 0 0 17 Schley 2 0 0 0 0 0 0 2 Screven 0 18 4 0 0 0 0 22 Seminole 4 2 0 0 0 0 0 6 Spalding 37 16 13 0 1 0 0 67 Stephens 0 30 0 0 0 1 0 31 Stewart 10 0 2 0 1 0 0 13 Sumter 0 9 5 0 0 1 0 15 Talbpt 4 2 2 0 0 0 0 8 Taliaferro 1 6 0 0 1 0 0 8 Tattnall 9 8 2 0 1 1 0 21 69 County TYPE OF ADMISSION of Admission 1960 Old Court State Board of Voluntary Teirroorarv Order Corrections Other Total Taylor 4 2 3 0 0 0 0 9 Telfair a 0 2 0 1 0 0 24 Terrell i 12 2 0 0 0 0 15 Thomas 52 0 3 0 2 0 0 57 lift 6 17 4 0 0 0 0 27 Toombs 0 34 1 0 0 0 0 35 Towns 5 0 2 0 0 0 0 7 Treutlen 5 0 4 0 0 2 0 11 Troup 0 61 4 0 2 3 0 70 Turner 3 2 0 0 0 0 0 5 Tmiggs 0 7 2 0 0 0 0 9 Union 6 1 1 0 0 1 0 9 Upson 3 36 6 0 1 0 0 46 Walker 36 18 4 0 0 0 0 58 Walton 1 17 22 1 0 1 0 42 Ware 64 0 0 0 0 0 0 64 Warren 7 0 0 0 0 0 0 7 Washington 17 7 2 4 1 0 0 31 Wayne 0 39 0 0 0 0 0 39 Webster 0 0 0 0 0 0 0 0 Wheeler 0 7 0 1 0 0 0 8 White 9 0 2 0 0 0 0 11 Whitfield 34 0 19 0 1 0 0 54 Wilcox 10 0 1 0 0 0 0 11 Wilkes 0 16 1 0 0 0 0 17 Wilkinson 15 1 2 0 0 0 0 18 Worth 2 16 6 0 0 0 0 24 TOTAL 2751 1773 715 33 98 131 4 5505 PERCENT 500 322 130 06 18 24 01 1000 MOVEMENT OF PATIENT POPULATION BY RACE AND SEX JULY 1 1961TUNE 30 1962 MOVEMENT CATEGORY TOTAL WHITE COLORED MALE FEMALE MALE PWJtF On Books July 1 1961 In Hospital On Furlough 15247 11946 3301 4337 3334 1003 5477 3980 1497 2532 2177 355 2901 2455 446 Total Gains Admissions Returns From Furlough 8389 5505 2884 3424 2348 1076 3317 19a 1396 804 607 197 844 629 as Total Losses Discharges Direct From Hospital Placed an Furlough Deaths 8300 1202 6047 1051 3367 752 2234 381 3238 255 2636 347 827 153 497 177 868 42 680 146 Discharges From Furlough 1973 661 765 266 281 On Books June 30 1962 In Hospital On Furlough 16526 12035 4491 4891 3391 1500 6031 4059 1972 2543 2154 389 3061 2431 630 Net Change in Resident Population 89 57 79 23 24 Average Daily Population 11888 3311 4001 a59 2417 70 TOTAL ADMISSIONS BY RACE SEX COUNTY OF ADMISSION AND RATES PER 100000 CIVIL POPULATION JULY 1 1961JUNE 30 1962 i l i NUMBER OF ADMISS IONS County of Admission R A T I TOTAL RACE AND S E X W M w F C M C F TOTAL feres COLORED Appling 23 16 6 0 1 1704 2115 323 Atkinson 9 6 1 1 1 1429 1556 1111 Bacon 24 14 9 1 0 2824 3108 909 Baker 3 0 0 1 2 652 0 1111 Baldwin 70 37 17 12 4 3139 4030 1798 Banks 16 13 3 0 0 2462 2623 0 Barrow 22 9 11 2 0 H97 1653 769 Bartow 54 21 27 1 5 1812 1890 1364 Ben Hill 35 17 13 3 2 2574 3297 1111 Berrien 20 13 4 0 3 1653 1650 1667 Bibb 187 71 62 27 27 1310 1429 1087 Bleckley 11 5 1 2 3 1122 857 1786 Brantley 11 3 7 1 0 1833 1923 1250 Brooks 17 7 7 1 2 1104 1772 400 Bryan 8 5 2 1 0 1270 1750 435 Bulloch 30 12 11 4 3 1230 1494 778 Burke 17 7 0 3 7 825 1000 735 Butts 20 8 4 4 4 2222 2500 1905 Calhoun 4 2 0 1 1 541 769 417 Camden 7 2 2 1 2 693 656 750 Candler 3 2 1 0 0 441 682 0 Carroll 90 54 25 4 7 2356 2557 1507 Catoosa 25 15 9 0 1 1163 1132 3333 Charltcm 2 1 1 0 0 370 541 0 Chatham 122 45 28 22 27 685 631 783 Chattahoochee 1 0 0 0 1 833 0 1667 Chattooga 32 17 15 0 0 1576 1739 0 Cherokee 58 38 20 0 0 2489 2589 0 Clarke 68 24 27 8 9 1501 1509 1478 Clay 9 1 1 2 5 1957 1176 2414 Clayton 50 19 23 7 1 1027 948 1818 Clinch 14 4 4 3 3 2121 1951 2400 Cobb 134 64 65 2 3 1115 1145 667 Coffee 41 17 14 4 6 1847 1914 1667 Colquitt 57 32 20 3 2 1652 1992 595 Columbia 9 4 3 1 1 657 787 417 Cook 13 7 4 0 2 1092 1310 571 Coweta 55 25 16 8 6 1916 2240 1346 Crawford 10 4 2 2 2 1695 2400 1176 Crisp 19 5 6 4 4 1061 1068 1053 Dade 7 2 4 1 0 795 690 10000 Daws on 2 1 1 0 0 541 541 0 Decatur 21 8 7 4 2 882 1145 561 DeKalb 288 110 153 14 11 1065 1060 1126 Dodge 23 10 9 2 2 1386 1583 870 Dooly 20 8 2 6 4 1739 1818 1667 Dougherty 88 32 32 14 10 1176 1317 916 Douglas 27 14 12 0 1 1588 1793 400 Early 11 4 2 1 4 833 952 725 Echols 0 0 0 0 0 0 0 0 Effingham 7 4 0 1 2 680 588 857 Elbert 51 27 13 4 7 2833 3361 1803 Emanuel 35 17 7 2 9 1944 1983 1864 Evans 11 3 5 1 2 1571 1818 1154 Fannin 23 9 14 0 0 1679 1679 0 Fayette 6 4 2 0 0 723 1017 0 Floyd 108 43 48 8 9 1591 1572 1700 Forsyth 23 6 17 0 0 1855 1855 0 Franklin 24 13 10 1 0 1805 1949 667 Fulton 897 334 314 139 110 1597 1801 1234 Gilmor 16 11 5 0 0 1778 1778 0 Glascock 8 4 3 0 1 2963 3684 1250 Glynn 68 26 21 8 13 1659 1599 1810 Gordon 33 20 8 2 3 1692 1530 4167 Grady 26 11 9 2 4 H29 1739 896 Greene 20 1 9 5 5 1786 1887 1695 71 NUMBER 0 F ADMISSI0 N S County of Admission UEt 1 N D SEX RATE TOTAL W M W F 0 M C F TOTAL WHITE COLORED Gwinnett 58 34 23 0 1 1278 1360 286 Habersham 41 26 14 1 0 2a6 2273 1111 Hall 88 49 29 6 4 1709 1699 1786 Hancock 16 8 3 3 2 1600 4400 667 Haralsan 28 16 11 1 0 1905 2000 833 Harris 5 2 1 0 2 446 588 328 Hart 18 7 9 0 2 1176 1379 541 Heard 5 1 3 0 1 926 952 833 Henry 22 8 4 3 7 1229 1165 1316 Houston 41 17 16 3 5 1054 1078 964 Irwin 13 1 7 2 3 1398 1379 1429 Jackson 35 15 17 2 1 1862 1951 1250 Jasper 7 5 1 0 1 1148 2143 303 Jeff Davis 20 16 2 0 2 2222 2500 1111 Jefferson 25 9 7 4 5 1429 2105 909 Jenkins 8 2 0 2 4 860 426 1304 Johnson 21 10 7 2 2 2593 3148 1481 Jones 10 4 0 5 1 1163 930 1395 Laraar 20 10 5 2 3 1961 2419 1250 Lanier 7 5 1 0 1 1373 1667 667 Laurens 57 23 13 8 13 1821 1800 1858 Lee 4 1 1 2 0 645 870 513 Liberty 16 5 6 3 2 1333 1746 877 Lincoln 5 4 0 0 1 847 1333 345 Long Lowndes 3 1 1 0 1 769 769 769 56 22 26 3 5 1189 1500 530 Luirrpkin Macon 9 13 5 3 3 6 1 1 0 3 1216 985 1096 1837 10000 482 Madison 15 7 6 0 2 1316 1398 952 Clarion 8 4 4 0 0 1455 3636 0 McDuffie 39 11 11 9 8 3047 2973 3148 Mclntosh 6 1 3 0 2 938 1481 541 Meri wether 29 14 4 5 6 1465 1800 1122 Miller 7 4 3 0 0 986 1400 0 Mitchell 20 12 3 3 2 1010 1546 495 Monroe 12 4 5 2 1 1143 1636 600 Montgomery Morgan 5 19 2 7 2 7 0 1 1 4 781 1845 1053 2593 385 1020 Murray 12 7 5 0 0 1132 1143 0 Muscogee 125 53 43 13 16 865 902 761 Newton 52 19 20 9 4 2464 2806 1806 Oconee 15 6 7 1 1 2381 2653 1429 Oglethorpe Paulding 4 32 2 23 1 8 0 1 1 0 506 2406 682 2562 286 833 Peach 19 5 3 3 8 1357 1379 1341 Pickens 12 11 1 0 0 1319 1379 0 Pierce 16 9 6 1 0 1649 1974 476 Pike 7 3 1 2 1 972 1000 938 Polk 45 22 19 4 0 1568 1701 870 Pulaski 17 4 5 2 6 2048 1915 2222 Putnam 16 5 6 4 1 2051 3056 1190 Quitman 0 0 0 0 0 0 0 0 Rabun 12 8 4 0 0 1579 1600 0 Randolph Richmond 14 135 2 54 2 45 6 11 4 25 1273 1125 952 1248 1471 885 Rockdale 17 9 4 0 4 1589 1667 1379 Schley Screven 2 22 1 3 0 10 1 1 0 8 625 1477 714 1831 556 1154 Seminole 6 2 2 0 2 882 952 769 Spalding Stephens Stewart 67 22 24 11 10 1841 1742 2100 31 13 16 3 10 4 4 2 1 4 1667 1781 1615 3333 2000 1154 Sumter 15 3 6 2 4 607 769 462 Talbot 8 1 0 6 1 1143 476 1429 Taliaferro 8 1 1 2 4 2353 1538 2857 Tattnall 21 12 5 2 2 1556 1735 1081 72 C tv 4 County of Admission NUMBER OF ADMISSI 0 H S RATE I21AL RACE A N D S E X w at S F C 11 C F TOTAL WHITE COLORED Taylor 9 1 4 3 1 108 4 1163 1000 Telfalr 24 11 10 3 0 2034 2692 750 Terrell 15 4 4 3 4 1172 1778 643 Thomas 57 18 17 11 11 1638 1699 1549 Tift 27 11 10 2 4 1134 1250 857 Toombc 35 14 17 2 2 2047 2520 833 Toms 7 6 1 0 0 1522 1522 0 Treutlen 11 8 3 0 0 1864 2750 0 Troup 70 19 24 16 11 1468 1335 1742 Turner 5 2 3 0 0 588 926 0 Twlggs 9 2 2 4 1 1125 1250 1042 Union 9 6 3 0 0 1364 1364 0 Upson 46 19 13 9 5 1909 1839 2090 Baler 58 32 24 0 2 1198 1223 769 Walton 42 17 20 2 3 2019 2534 806 Van 64 30 18 8 8 1877 1875 1882 Carres 7 4 0 2 1 959 1481 652 Washington 31 9 8 11 3 1640 2099 1296 Wayne 39 25 11 2 1 2120 2483 769 Webster 0 0 0 0 0 0 0 0 Wheeler e 4 2 2 0 1509 1667 1176 White u 9 2 0 0 1549 1618 0 ShitfleM 54 29 21 2 2 1227 1188 2105 Vileox 11 3 2 3 3 1392 943 2308 Mikes 17 3 7 3 4 1545 1852 1250 Wilkinson IS 9 4 1 4 1935 2708 1111 Worth 24 4 7 5 8 1420 1250 1605 TOTAL 5505 2348 19a 607 629 1397 1519 1095 Jopulation estimate as of July 1 1961 Lo i73 RESIDENT PATIENT POPULATION ON JUNE 30 1962 BY RACE SEX AND MENTAL DISORDER MENTAL DISORDER RACE AND SEX ACUTE BRAIN SYNDROME ASSOCIATED WITH Alcohol Intoxication Drug or Poison Intoxication All Other Conditions Total Acute Brain Syndromes CHRONIC BRAIN SYNDROME ASSOCIATED WITH Diseases and Conditions Due To Prenatal Influence Meningoencephalitic Syphilis Other CNS Syphilis Epidemic Encephalitis Other Intracranial Infections Alcohol Intoxication Drug or Poison Intoxication Birth Trauma Other Trauma Cerebral Arteriosclerosis Other Circulatory Disturbance Convulsive Disorder Senile Brain Disease Other Disturbance of Metabolism Groirth and Nutrition Intracranial Neoplasm Diseases of Unknoroi and Uncertain Cause Chronic Brain Syndromes of Unknown Cause Total Chronic Brain Syndromes PSYCHOTIC DISORDERS Involutional Psychotic Reaction Manic Depressive Reactions Psychotic Depressive Reaction Schizophrenic Reactions Paranoid Reactions Total Psychotic Reactions PERSONALITY DISORDERS Psychophysiologic Autonondc and Visceral Disorders Psychoneurotic Reactions Personality Pattern Disturbance Personality Trait Disturbance Antisocial Reaction Dyssocial Reaction Sexual Deviation Alcoholism addiction Drug Addiction Total Personality Disorders TRANSIENT SITUATIONAL PERSONALITY DISTURBANCE MENTAL DEFICIENCY MENTAL DISORDER UNDIAGNOSED WITHOUT MENTAL DISORDER TOTAL ALL MENTAL DISORDERS 53 5 13 71 41 327 15 30 30 52 6 134 77 1093 68 617 580 3 52 84 3237 White Male 37 3 2 42 17 117 4 12 4 36 1 62 50 380 25 162 98 ID 2 18 31 1029 White Nonwhite Nonwhite Female Male Female 188 5 890 128 73 17 5219 130S 23 4 6393 1462 2 0 121 35 5 2 11 7 43 20 5 2 5 2 99 73 10 3 301 M4 15 9 1997 700 16 4 5 1 12035 3391 6 2 5 13 23 55 3 15 15 10 3 18 12 269 17 225 387 10 1 23 30 1116 77 211 46 1896 3 2233 0 82 1 3 13 3 1 15 7 125 3 562 7 0 4059 0 104 2 1 9 3 0 43 11 170 16 145 32 2 0 4 14 556 8 199 5 912 5 1129 2 3 1 1 6 0 1 7 0 21 3 431 3 3 2154 1 51 6 2 2 3 2 11 4 274 10 85 63 6 0 7 9 536 98 352 5 1103 11 1569 0 1 1 0 4 0 1 4 0 11 0 304 2 1 2431 o ADMISSIONS BY AGE AT ADMISSION ADMISSION CLASSIFICATION RACE SEX AND MENTAL DISORDER MENTAL DISORDER RACESEX AGE In Years Total Under 15 1524 2534 3544 4554 5564 6574 7584 85 and over Unknown ALL MENTAL DISORDERS All Admissions Total White Male White Female Nonwhite Male Nonwhite Female 5505 2348 1921 607 629 60 29 16 9 6 665 281 189 128 67 1042 432 364 120 126 1189 544 437 87 121 971 435 358 77 101 616 260 238 59 59 423 170 158 40 55 277 111 110 30 26 69 35 22 9 3 193 51 29 48 65 First Admissions Total White Male White Female Nonwhite Male Nonwhite Female 4582 1967 1584 511 520 57 28 16 7 6 612 253 180 116 63 876 353 308 105 110 917 426 337 62 92 755 350 270 53 82 480 212 169 51 48 390 158 148 37 47 266 107 109 28 22 67 35 22 8 2 162 45 25 44 48 Readmissions Previously admitted to MSH Total White Male White Female Nonwhite Male Nonwhite Female 793 311 303 82 97 2 1 0 1 0 46 23 7 12 4 138 61 48 13 16 232 93 92 21 26 190 74 79 21 16 118 40 63 6 9 25 9 9 2 5 9 4 1 1 3 2 0 0 1 1 31 6 4 4 17 1 Readmissions Previously admitted to other psychiatric facility Total White Male White Female Nonwhite Male Nonwhite Female 130 70 34 14 12 1 0 0 1 0 7 5 2 0 0 28 18 8 2 0 40 25 8 4 3 26 11 9 3 3 18 8 6 2 2 8 3 1 1 3 2 0 0 1 1 0 0 0 0 0 0 0 0 0 0 ACUTE BRAIN SYNDROME ASSOCIATED WITH ALCQHQJ INTOXJCATJON All Admissions Total White Male White Female Nonwhite Male Nonwhite Female 315 253 26 25 11 0 0 0 0 0 5 4 0 1 0 64 46 5 8 5 114 95 14 2 3 95 80 4 8 3 28 23 1 4 0 1 1 0 0 0 1 1 0 0 0 0 0 0 0 0 7 3 2 2 0 First Admissions Total White Male White Female Nonwhite Male Nonwhite Female 264 209 23 21 11 0 0 0 0 0 4 4 0 0 0 56 40 5 6 5 97 79 13 2 3 79 65 3 8 3 22 18 1 3 0 1 1 0 0 0 1 1 0 0 0 0 0 0 0 0 4 1 1 2 0 RACESEX AGE In Years Total Under 15 1524 254 3544 4554 55 6554 74 7584 85 and over Unknown Readmissians Previously admitted to MSH Total White Male White Female Nonwhite Male Nonwhite Female 45 39 3 3 0 0 0 0 0 0 1 0 0 1 0 8 6 0 2 0 14 13 1 0 0 15 14 1 0 0 4 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 2 1 0 0 Rea omissions Previously admitted to other psychiatric facility Total White Male White Female Nonwhite Male Nonwhite Female 6 5 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3 0 0 0 1 1 0 0 0 2 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 mm pmsoN tntoxiration All Admissions Total White Male White Female Nonwhite Male Nonwhite Female 43 31 11 0 1 0 0 0 0 0 2 2 0 0 0 6 5 1 0 0 12 11 1 0 0 11 7 4 0 0 4 3 1 2 3 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 3 1 0 1 First Admissions Total White Male White Female Nonwhite Male Nonwhite Female 33 25 7 0 1 0 0 0 0 0 2 2 0 0 0 4 4 0 0 0 7 6 1 0 0 10 7 3 0 0 3 3 1 2 2 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 3 0 0 1 Readmissians Previously admitted to MSH Total White Male White Female Nonwhite Male Nonwhite Female 9 5 4 0 0 0 0 0 0 0 0 0 0 0 0 2 1 1 0 0 4 4 0 0 0 1 0 1 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 Readmissians Previously admitted to other psychiatric facility Total White Male White Female Nonwhite Male Nonwhite Female 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 o o o o o o o o o o 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 MENTAL DISORDER RACESEX AGE In Years Under 15 25 35 45 55 65 75 85and Total 15 24 34 44 54 64 74 84 over Unlmown ALL OTHER ACUTE BRAIN SYNDROMES Total 9 0 0 1 4 0 2 1 0 0 1 White Male 2 0 0 0 1 0 0 0 0 0 1 All Admissions White Female 4 0 0 0 1 0 2 1 0 0 0 Nonwhite Male 3 0 0 1 2 0 0 0 0 0 0 Nonwhite Female 0 0 0 0 0 0 0 0 0 0 0 Total 9 0 0 1 4 0 2 1 0 0 1 White Male 2 0 0 0 1 0 0 0 0 0 1 First Admissions White Female 4 0 0 0 1 0 2 1 0 0 0 Nonwhite Male 3 0 0 1 2 0 0 0 0 0 0 Nonwhite Female 0 0 0 0 0 0 0 0 0 0 0 Total 0 0 0 0 0 0 0 0 0 0 0 White Male 0 0 0 0 0 0 0 0 0 0 0 Readmissions White Female 0 0 0 0 0 0 0 0 0 0 0 Previously admitted to MSH Nonwhite Male 0 0 0 0 0 0 0 0 0 0 0 Nonwhite Female 0 0 0 0 0 0 0 0 0 0 0 Total 0 0 0 0 0 0 0 0 0 0 0 White Male 0 0 0 0 0 0 0 0 0 0 0 Readmissions White Female 0 0 0 0 0 0 0 0 0 0 0 Previously admitted to other Nonwhite Male 0 0 0 0 0 0 0 0 0 0 0 psychiatric facility Nonwhite Female 0 0 0 0 0 0 0 0 0 0 0 TOTAL ACUTE BRAIN SYMDRClES Total 367 0 7 71 130 106 34 5 1 0 13 White Male 286 0 6 51 107 87 24 3 1 0 7 All Admissions white Female 41 0 0 6 16 8 6 2 0 0 3 Nonwhite Male 28 0 1 9 4 8 4 0 0 0 2 Nonwhite Female 12 0 0 5 3 3 0 0 0 0 1 Total 306 0 6 61 108 89 27 5 1 0 9 White Male 236 0 6 44 86 72 19 3 1 0 5 First Admissions White Female 34 0 0 5 15 6 5 2 0 0 1 Nonwhite Male 24 0 0 7 4 8 3 0 0 0 2 Nonwhite Female 12 0 0 5 3 3 0 0 0 0 1 MENTAL DISORDER RACESEX AGE In Years Under 15 25 35 45 55 65 75 B5 and Total 15 24 34 44 54 64 74 84 over Unicnown Total 54 0 1 10 18 16 5 0 0 0 4 White Male 44 0 0 7 17 14 4 0 0 0 2 Readmissians White Female 7 0 0 1 1 2 1 0 0 0 2 Previously admitted to MSH Nonwhite Male 3 0 1 2 0 0 0 0 0 0 0 Nonwhite Female 0 0 0 0 0 0 0 0 0 0 0 Total 7 0 0 0 4 1 2 0 0 0 0 White Male 6 0 0 0 4 1 1 0 0 0 0 Readmissions White Female 0 0 0 0 0 0 0 0 0 0 0 Previously admitted to other Nonwhite Male 1 0 0 0 0 0 1 0 0 0 0 psychiatric facility Nonwhite Female 0 0 0 0 0 0 0 0 0 0 0 CHRONIC BRAIN SYNDROME ASSOCIATED WITH DISEASES AND CONDITIONS DUE TO PRENATAL INFLUENCE 14 2 8 1 3 0 0 0 0 0 Total 0 White Male 9 2 5 0 2 0 0 0 0 0 0 All Admissions White Female 4 0 3 0 1 0 0 0 0 0 0 Nonwhite Male 1 0 0 1 0 0 0 0 0 0 0 Nonwhite Female 0 0 0 0 0 0 0 0 0 0 0 Total 13 2 8 1 2 0 0 0 0 0 0 White Male 9 2 5 0 2 0 0 0 0 0 0 First Admissions White Female 3 0 3 0 0 0 0 0 0 0 0 Nonwhite Male 1 0 0 1 0 0 0 0 0 0 0 Nonwhite Female 0 0 0 0 0 0 0 0 0 0 0 Total 1 0 0 0 1 0 0 0 0 0 0 White Male 0 0 0 0 0 0 0 0 0 0 0 Readmissions White Female 1 0 0 0 1 0 0 0 0 0 0 Previously admitted to MSH Nonwhite Male 0 0 0 0 0 0 0 0 0 0 0 Nonwhite Female 0 0 0 0 0 0 0 0 0 0 0 Total 0 0 0 0 0 0 0 0 0 0 0 White Male 0 0 0 0 0 0 0 0 0 0 0 Readmissions White Female 0 0 0 0 0 0 0 0 0 0 0 Previously admitted to other Nonwhite Male 0 0 0 0 0 0 0 0 0 0 0 psychiatric facility Nonwhite Female 0 0 0 0 0 0 0 0 0 0 0 MENTAL DISORDER RACESEX AGE In Years Under 15 25 35 45 55 65 75 85 and Total 15 24 34 44 54 64 74 84 over Unknown MENINGOENCEPHALITIC SYPHILIS Total 17 0 0 1 5 5 3 1 0 0 2 White Male 3 0 0 0 2 1 0 0 0 0 0 All Admissions White Female 0 0 0 0 0 0 0 0 0 0 0 Nonwhite Male 10 0 0 1 1 4 2 1 0 0 1 Nonwhite Female A 0 0 0 2 0 1 0 0 0 1 Total 12 0 0 1 3 2 3 1 0 0 2 White Male 1 0 0 0 1 0 0 0 0 0 0 First Admissions White Female 0 0 0 0 0 0 0 0 0 0 0 Nonwhite Male 8 0 0 1 1 2 2 1 0 0 1 Nonwhite Female 3 0 0 0 1 0 1 0 0 0 1 Total 3 0 0 0 2 1 0 0 0 0 0 White Male 2 0 0 0 1 1 0 0 0 0 0 Readmissions White Female 0 0 0 0 0 0 0 0 0 0 0 Previously admitted to MSH Nonwhite Male 0 0 0 0 0 0 0 0 0 0 0 Nonwhite Female 1 0 0 0 1 0 0 0 0 0 0 Total 2 0 0 0 0 2 0 0 0 0 0 White Male 0 0 0 0 0 0 0 0 0 0 0 Readmissions White Female 0 0 0 0 0 0 0 0 0 0 0 Previously admitted to other Nonwhite Male 2 0 0 0 0 2 0 0 0 0 0 psychiatric facility Nonwhite Female 0 0 0 0 0 0 0 0 0 0 0 OTHER CHS SYPHILIS Total 4 0 0 0 1 1 2 0 0 0 0 White Male 1 0 0 0 1 0 0 0 0 0 0 All Admissions White Female 0 0 0 0 0 0 0 0 0 0 0 Nonwhite Male 2 0 0 0 0 1 1 0 0 0 0 Nonwhite Female 1 0 0 0 0 0 1 0 0 0 0 Total 4 0 0 0 1 1 2 0 0 0 0 White Male 1 0 0 0 1 0 0 0 0 0 0 First Admissions White Female 0 0 0 0 0 0 0 0 0 0 0 Nonwhite Male 2 0 0 0 0 1 1 0 0 0 0 Nonwhite Female 1 0 0 0 0 0 1 0 0 0 0 RAGESEX AGE In Years Total Under 15 1524 2534 35u 4554 55 6564 74 7584 85 and over Unknown Readmissions Previously admitted to MSH Total White Male White Female Nonwhite Male Nonwhite Female 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Readmissions Previously admitted to other psychiatric facility Total White Stole White Female Nonwhite Male Nonwhite Female 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 EPIPBttv ENvERIWJUS All Admissions Total White Male White Female Nonwhite Male Nonwhite Female 3 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 First Admissions Total White Male White Female Nonwhite Male Nonwhite Female 3 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 Readmissions Previously admitted to MSH Total Vhite Male White Female Nonwhite Male Nonwhite Female 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Readmissions Previously admitted to other psychiatric facility Total White Male White Female Nonwhite Male Nonwhite Female 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 r MENTAL DISORDER RACESEX AGE In Years Under 15 25 35 45 55 65 75 85 and Total 15 24 34 44 54 64 74 84 over Untaiown OTHER INTRACRANIAL INFECTIONS Total 5 2 0 0 0 1 2 0 0 0 0 White Male 1 0 0 0 0 1 0 0 0 0 0 All Admissions White Female 3 1 0 0 0 0 2 0 0 0 0 Nonwhite Male 1 1 0 0 0 0 0 0 0 0 0 Nonwhite Female 0 0 0 0 0 0 0 0 0 0 0 Total 5 2 0 0 0 1 2 0 0 0 0 White Male 1 0 0 0 0 1 0 0 0 0 0 First Admissions White Female 3 1 0 0 0 0 2 0 0 0 0 Nonwhite Male 1 1 0 0 0 0 0 0 0 0 0 Nonwhite Female 0 0 0 0 0 0 0 0 0 0 0 Total 0 0 0 0 0 0 0 0 0 0 0 White Male 0 0 0 0 0 0 0 0 0 0 0 Readmissions White Female 0 0 0 0 0 0 0 0 0 0 0 Previously admitted to MSH Nonwhite Male 0 0 0 0 0 0 0 0 0 0 0 Nonwhite Female 0 0 0 0 0 0 0 0 0 0 0 Total 0 0 0 0 0 0 0 0 0 0 0 White Male 0 0 0 0 0 0 0 0 0 0 0 Readmissions White Female 0 0 0 0 0 0 0 0 0 0 0 Previously admitted to other Nonwhite Male 0 0 0 0 0 0 0 0 0 0 0 psychiatric facility Nonwhite Female 0 0 0 0 0 0 0 0 0 0 0 ALCOHOL INTOXICATION Total 55 0 0 5 9 23 13 1 1 0 3 White Male 41 0 0 2 4 18 12 1 1 0 3 All Admissions White Female 5 0 0 1 2 1 1 0 0 0 0 Nonwhite Male 3 0 0 0 1 2 0 0 0 0 0 Nonwhite Female 6 0 0 2 2 2 0 0 0 0 0 Total 45 0 0 3 Q 19 11 0 1 0 3 White Male 34 0 0 2 4 14 10 0 1 0 3 First Admissions Vhite Female 4 0 0 0 2 1 1 0 0 0 0 Nonwhite Male 3 0 0 0 1 2 0 0 0 0 0 Nonwhite Female 4 0 0 1 1 2 0 0 0 0 0 RACESEX AGE In fears MENTAL DISORDER 15 25 w 45 55 65 75 Total 15 2 34 44 54 64 74 4 over Unlaiown Readmissions Total White Male White Female 9 6 1 0 0 0 0 0 0 0 0 2 0 1 0 1 1 0 0 0 1 3 3 0 2 2 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Previously admitted to MSH Nonwhite Male Nonwhite Female 2 0 0 0 0 0 0 0 Readmissions Total White Male White Female 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Previously admitted to other psychiatric facility Nonwhite Male Nonwhite Female 0 0 0 0 0 0 0 0 rflnr rR poTSON INTOXICATION Total White Male White Female 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 All Admissions 0 0 0 Nonwhite Male Nonwhite Female 0 0 0 0 0 0 0 0 First Admissions Total Vhite Male White Female 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Nonwhite Male Nonwhite Female 0 0 0 0 0 0 0 0 Readmissions Total White Male White Female 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Previously admitted to MSH Nonwhite Male Nonwhite Female 0 0 0 0 0 0 0 Total White Male 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Readmissions White Female 0 0 0 0 0 0 0 0 0 0 0 Previously admitted to other Nonwhite Male 0 0 0 0 0 psychiatric facility Nonwhite Female MENTAL DISORDER RAGESEX AGE fn Years Under 15 25 35 45 55 65 t5 85 and Total 15 24 34 44 54 64 74 84 over I hVmrwrn BIRTH TRAUMA Total 44 7 12 7 11 4 0 0 0 0 3 White Male 31 5 10 5 7 4 0 0 0 0 0 All Admissions White Female 2 0 0 0 1 0 0 0 0 0 1 Nonwhite Male g 2 1 2 3 0 0 0 0 0 1 Nonwhite Female 2 0 1 0 0 0 0 0 0 0 1 Total 38 6 12 7 6 4 0 0 0 0 3 White Male 29 5 10 5 5 4 0 0 0 0 0 First Admissions White Female 1 0 0 0 0 0 0 0 0 0 1 Nonwhite Male 1 1 2 1 0 0 0 0 0 1 Nonwhite Female 2 0 1 0 0 0 0 0 0 0 1 Total 5 0 0 0 5 0 0 0 0 0 0 White Male 2 0 0 0 2 0 0 0 0 0 0 Readmi ssions White Female 1 0 0 0 1 0 0 0 0 0 0 Previously admitted to MSK Nonwhite Male 2 0 0 0 2 0 0 0 0 0 0 Nonwhite Female 0 0 0 0 0 0 0 0 0 0 0 Total 1 1 0 0 0 0 0 0 0 0 0 White Male 0 0 0 0 0 0 0 0 0 0 0 Readmissions White Female 0 0 0 0 0 0 0 0 0 0 0 Previously admitted to other Nonwhite Male 1 1 0 0 0 0 0 0 0 0 0 psychiatric facility Nonwhite Female 0 0 0 0 0 0 0 0 0 0 0 OTHER TRAUMA Total 42 2 9 8 10 3 4 4 1 0 1 White Male 34 2 7 6 8 2 4 3 1 0 1 All Admissions White Female 5 0 2 0 2 0 0 1 0 0 0 Nonwhite Male 1 0 0 1 0 0 0 0 0 0 0 Nonwhite Female 2 0 0 1 0 1 0 0 0 0 0 Total 40 2 9 7 9 3 4 4 1 0 1 White Male 32 2 7 5 7 2 4 3 1 0 1 First Admissions White Female 5 0 2 0 2 0 0 1 0 0 0 Nonwhite Male 1 0 0 1 0 0 0 0 0 0 0 Nonwhite Female 2 0 0 1 0 1 0 0 0 0 0 RACESEX AGE In Years 15 5 35 45 55 65 75 85 and Total 15 24 34 44 54 64 74 84 over Unknown Readmissions Total White Male Vhite Female 1 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Previously admitted to MSH Nonwhite Male Nonwhite Female 0 0 0 0 0 0 0 0 0 Total Vhite Male 1 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Readmissions White Female 0 0 0 0 0 0 0 0 0 0 0 0 0 Previously admitted to other Nonwhite Male 0 0 0 psychiatric facility Nonwhite Female 0 COTPR WTjngrLERQSis Total White Male 579 0 0 0 1 33 176 230 91 17 31 262 0 0 0 1 18 82 105 39 13 4 All Admissions White Female Nonwhite Male us 71 0 0 0 0 0 0 0 0 4 3 41 28 27 37 5 0 8 18 Nonwhite Female 98 0 0 0 0 8 25 37 Total 533 0 0 0 1 28 158 213 88 17 28 White Male 236 0 0 0 1 13 70 97 38 13 1 8 First Admissions Vhite Female 140 0 0 0 0 0 4 3 38 27 56 25 37 5 8 4 Nonwhite Male 68 0 0 15 Nonwhite Female 89 0 0 0 0 8 U 35 Total 39 0 0 0 0 4 16 13 3 0 3 0 0 0 Vhite Male 22 0 0 0 0 4 11 6 0 Readmissions Vhite Female 7 0 0 0 0 0 0 0 0 0 3 1 1 4 1 2 Previously admitted to MSH Nonwhite Male Nonwhite Female 2 8 0 0 0 2 0 3 Total 7 0 0 0 0 1 2 4 0 0 0 0 0 0 White Male 4 0 0 0 0 1 1 2 0 Readmissions Vhite Female 1 0 0 0 0 0 0 0 0 0 0 0 1 Previously admitted to other Nonwhite Male 1 0 0 0 0 psychiatric facility Nonwhite Female S4r MENIAL DISORDER RACESEX AGE In Years Under 15 25 35 45 55 65 75 85 and Total 15 24 34 44 54 64 74 84 over Unl3lOTn OTIiER CIRCULATORY DISTURBANCE Total 49 0 0 1 1 12 IS S 8 0 1 White Male 24 0 0 0 1 5 10 2 6 0 0 All Admissions White Female 4 0 0 0 0 0 2 1 1 0 0 Nonwhite Male 12 0 0 1 0 4 2 3 1 0 1 Nonwhite Female 9 0 0 0 0 3 4 2 0 0 0 Total 42 0 0 1 1 10 15 7 7 0 1 White Male 22 0 0 0 1 4 9 2 6 0 0 First Admissions White Female 2 0 0 0 0 0 0 1 1 0 0 Nonwhite Male 10 0 0 1 0 3 2 3 0 0 1 Nonwhite Female S 0 0 0 0 3 4 1 0 0 0 Total 4 0 0 0 0 2 2 0 0 0 0 White Male 2 0 0 0 0 1 1 0 0 0 0 Readmission8 White Female 1 0 0 0 0 0 1 0 0 0 0 Previously admitted to MSH Nonwhite Male 1 0 0 0 0 1 0 0 0 0 0 Nonwhite Female 0 0 0 0 0 0 0 0 0 0 0 Total 3 0 0 0 0 0 1 1 1 0 0 White Male 0 0 0 0 0 0 0 0 0 0 0 Readoissions White Female 1 0 0 0 0 0 1 0 0 0 0 Previously admitted to other Nonwhite Male 1 0 0 0 0 0 0 0 1 0 0 psychiatric facility Nonwhite Female 1 0 0 0 0 0 0 1 0 0 0 CONVULSIVE DISORDER Total 135 10 31 33 24 20 9 3 0 0 5 White Male 39 5 7 10 10 4 2 1 0 0 0 All Admissions White Female 63 2 16 18 7 11 6 2 0 0 1 Nonwhite Male 28 3 7 5 5 4 1 0 0 0 3 Nonwhite Female 5 0 1 0 2 1 0 0 0 0 1 Total 109 10 28 23 17 16 7 3 0 0 5 White Male 31 5 5 6 8 4 2 1 0 0 0 First Admissions White Female 52 2 16 13 5 9 4 2 0 0 1 Nonwhite Male 24 3 7 4 3 3 1 0 0 0 3 Nonwhite Female 2 0 0 0 1 0 0 0 0 0 1 MENTAL DISORDER RACESEX AGE In Years Under 15 15 24 25 34 35 44 45 54 55 65 64 74 75 84 85 and over Readmissions Previously admitted to MSII Readmissions Previously admitted to other psychiatric facility W RRAT DISEASE All Admissions First Admissions Readmissions Previously admitted to MSII Readmissions Previously admitted to other psychiatric facility Total White Male White Female Nonwhite Male Nonwhite Female Total White Male White Female Nonwhite Male Nonwhite Female Total White Male White Female Nonwhite Male Nonwhite Female Total White Male White Female Nonvhite Male Nonwhite Female Total White Male White Female Nonwhite Male Nonwhite Female Total White Male White Female Nonwhite Male Nonwhite Female 11 4 3 0 0 0 0 0 342 119 141 43 39 330 116 141 41 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 4 5 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 6 102 161 0 2 32 55 0 2 53 67 0 1 6 21 1 1 11 15 1 5 99 155 0 2 32 55 0 2 53 67 0 1 6 20 1 0 8 13 1 5 0 3 0 0 0 1 1 1 51 21 18 9 3 49 21 18 8 2 2 0 0 1 1 0 0 0 0 0 21 6 21 6 1 6r MENTAL DISORDER RACESEX AGE In Years Under 15 25 35 45 55 65 75 85 and Total 15 24 34 44 54 64 74 84 over Unknown OTHER DISTURBANCE OF METABOLISM GROWTH AND WTRJTIQN Total 16 0 1 3 3 2 6 0 1 0 0 White Male 8 0 1 1 3 1 1 0 1 0 0 All Admissions White Female 5 0 0 0 0 1 4 0 0 0 0 Nonwhite Male 2 0 0 2 0 0 0 0 0 0 0 Nonwhite Female 1 0 0 0 0 0 1 0 0 0 0 Total 12 0 0 2 3 2 4 0 1 0 0 White Male 7 0 0 1 3 1 1 0 1 0 0 First Admissions White Female 3 0 0 0 0 1 2 0 0 0 0 Nonwhite Male 1 0 0 1 0 0 0 0 0 0 0 Nonwhite Female 1 0 0 0 0 0 1 0 0 0 0 Total 4 0 1 1 0 0 2 0 0 0 0 White Male 1 0 1 0 0 0 0 0 0 0 0 Readmissions White Female 2 0 0 0 0 0 2 0 0 0 0 Previously admitted to MSH Nonwhite Male 1 0 0 1 0 0 0 0 0 0 0 Nonwhite Female 0 0 0 0 0 0 0 0 0 0 0 Total 0 0 0 0 0 0 0 0 0 0 0 White Male 0 0 0 0 0 0 0 0 0 0 0 Rgadmissions White Female 0 0 0 0 0 0 0 0 0 0 0 Previously admitted to other Nonwhite Male 0 0 0 0 0 0 0 0 0 0 0 psychiatric facility Nonwhite Female 0 0 0 0 0 0 0 0 0 0 0 INTRACRANIAL neoplasm Total 1 0 0 0 1 0 0 0 0 0 0 White Male 1 0 0 0 1 0 0 0 0 0 0 All Admissions White Female 0 0 0 0 0 0 0 0 0 0 0 Nonwhite Male 0 0 0 0 0 0 0 0 0 0 0 Nonwhite Female 0 0 0 0 0 0 0 0 0 0 0 Total 0 0 0 0 0 0 0 0 0 0 0 White Male 0 0 0 0 0 0 0 0 0 0 0 First Admissions White Female 0 0 0 0 0 0 0 0 0 0 0 Nonwhite Male 0 0 0 0 0 0 0 0 0 0 0 Nonwhite Female 0 0 0 0 0 0 0 0 0 0 0 MENTAL DISORDER RACESEX AGE In Years Total Under 15 1524 2534 35u 4554 55 6564 74 7584 85 and over Unknown Readmissione Previously admitted to MSH Total White Male White Female Nonwhite Male Nonwhite Female 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Readmissions Previously admitted to other psychiatric facility Total Vhite Male Yhite Female Nonwhite Male Nonwhite Female 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 DISEASES 0F N0WN ANn WCERTAIN CAUSE Total White Male White Female Nonwhite Male Nonwhite Female 13 2 7 3 1 0 0 0 0 0 0 0 0 0 0 3 0 2 1 0 5 1 3 1 0 3 0 2 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 All Admissions 0 0 1 0 First Admissions Total White Male White Female Nonwhite Male Nonwhite Female 12 2 7 2 1 0 0 0 0 0 0 0 0 0 0 3 0 2 1 0 5 1 3 1 0 3 0 2 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 Readmissions Previously admitted to MSH Total White Male White Female Nonwhite Male Nonwhite Female 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 Readmissions Previously admitted to other psychiatric facility Total 7hite Male White Female Nonwhite Male Nonvhite Female 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 c 0 fc4r MENTAL DISORDER RACESEX AGE In Years Under 15 25 35 45 55 65 75 85 and Total 15 24 34 44 54 64 74 84 over Unknown cmorac brain syndromes of unkncmn cause Total 53 1 10 4 10 9 9 4 1 0 5 White Male 21 1 4 1 7 2 3 1 0 0 2 All Admissions White Female 20 0 0 2 2 6 5 2 1 0 2 Nonwhite Male 12 0 6 1 1 1 1 1 0 0 1 Nonvhite Female 0 0 0 0 0 0 0 0 0 0 0 Total 48 1 10 2 9 9 7 4 1 0 5 White Male 20 1 4 1 6 2 3 1 0 0 2 First Admissions White Female 17 0 0 1 2 6 3 2 1 0 2 Nonvrfiite Male 11 0 6 0 1 1 1 1 0 0 1 Nonvhite Female 0 0 0 0 0 0 0 0 0 0 0 Total 5 0 0 2 1 0 2 0 0 0 0 White Male 1 0 0 0 1 0 0 0 0 0 0 Readmissions White Female 3 0 0 1 0 0 2 0 0 0 o Previously admitted to HSH Nonvhite Male 1 0 0 1 0 0 0 0 0 0 0 Nonvhite Female 0 0 0 0 0 0 0 0 0 0 0 Total 0 0 0 0 0 0 0 0 0 0 0 White Male 0 0 0 0 0 0 0 0 0 0 0 Readmissions White Female 0 0 0 0 0 0 0 0 0 0 0 Previously admitted to other Nonvhite Male 0 0 0 0 0 0 0 0 0 0 0 pGycliiatric facility Nonvhite Female 0 0 0 0 0 0 0 0 0 0 0 TOTAL CHROMIC BRAIN SYNDROMES Total 1374 24 71 66 86 118 250 353 264 68 74 White Male 599 15 34 25 49 57 118 145 106 34 16 All Admissions White Female 408 3 21 23 19 25 63 120 106 22 6 Nonvhite Male 199 6 14 15 12 19 36 38 27 9 23 Nonvhite Female 168 0 2 3 6 17 33 50 25 3 29 Total 1248 23 67 50 67 100 220 331 254 66 70 White Male 544 15 31 20 41 46 103 136 102 34 16 First Admissions White Female 379 3 21 16 15 23 52 115 106 22 6 Nonvhite Male 180 5 14 12 8 15 35 36 25 S 22 Nonwhite Female 145 0 1 2 3 16 30 44 21 2 26 mental disorder RACESEX ACE In Years Under 15 25 35 45 55 65 75 85 and Total 15 24 34 44 54 64 74 84 over Unknowi Total 107 0 4 15 19 14 26 15 8 2 4 0 o White Male 49 0 3 4 e 9 14 10 1 1 7 4 1 3 4 0 1 0 0 1 Reedoissions White Female 27 0 0 7 4 4 3 2 2 1 1 Previously admitted to KS1 Homhite Mole omhite Female U 17 0 0 0 1 3 1 3 1 3 Total 19 1 0 1 0 4 4 7 2 0 0 0 0 0 White Male 6 0 0 1 0 2 1 2 0 0 0 o Readmlasions White Female 2 0 0 0 0 0 0 0 2 0 1 0 2 1 1 3 0 1 Previously admitted to other psychiatric facility Homhite Male Homhite Female 5 6 1 0 0 0 0 0 1 0 0 PSTCiiOTIC DISORDERS 0 0 2 0 23 1 112 20 51 19 1 o 0 2 Total White Male 191 41 0 0 0 0 0 1 1 o All Admissions White Female 115 0 0 2 19 67 25 1 1 0 0 0 0 0 00 Homhite Hale 1 0 0 0 0 0 0 o Homhite Female 34 0 0 0 3 25 6 0 0 0 Total 162 0 0 2 21 96 40 1 0 0 2 White Male 35 0 0 0 1 16 17 0 0 0 1 1 0 0 First Admissions White Fenale Homhite little 99 0 0 0 0 0 2 0 17 0 60 0 16 0 1 0 0 0 0 0 0 Homhite Female 28 0 0 0 3 20 5 0 0 Total 26 0 0 0 2 15 9 0 0 0 0 0 0 o White Male 6 0 0 0 0 4 2 0 0 0 0 0 0 Readmissions White Female 13 0 0 0 2 6 0 5 5 1 1 0 0 0 0 0 0 Previously admitted to HSH Homhite Male Homhite Female 1 6 0 0 0 0 0 0 0 0 0 Total 3 0 0 0 0 1 2 0 0 0 0 White Male 0 0 0 0 0 0 0 0 0 0 0 0 0 0 o 0 0 0 Readmissions Vhite Female 3 0 0 0 0 0 1 0 0 2 0 0 0 0 0 Previously admitted to other Homhite Male 0 0 0 0 o o psychiatric facility Homhite Female 0 0 0 0 0 CJJr MENTAL DISORDER RACESEX AGE In Years Under 15 25 35 45 55 65 75 85 and Total 15 24 34 44 54 64 74 84 over Unknown MANIC DEPRESSIVE REACTIONS Total 175 0 6 19 38 45 46 10 2 0 o Yfliite Ilale 49 0 0 0 7 19 16 2 2 0 3 All Admissions Yhite Female 55 0 0 8 11 10 18 7 0 0 1 Nonwhite Male 26 0 3 3 6 8 5 1 0 0 0 Nonwhite Female 45 0 3 8 14 8 7 0 0 0 5 Total 104 0 6 16 21 25 22 6 2 0 6 White Male 32 0 0 0 4 13 9 1 2 0 3 First Admissions Yhite Female 30 0 0 6 7 4 8 4 0 0 1 Nonwhite Male 16 0 3 3 3 3 3 1 0 0 0 NonThite Female 26 0 3 7 7 5 2 0 0 0 2 Total 63 0 0 2 14 18 22 4 0 0 3 Vhite Male U 0 0 0 2 5 6 1 0 0 0 Readmissions Vhite Female 22 0 0 1 3 5 10 3 0 0 0 Previously admitted to M3H Nonyhite Male 8 0 0 0 2 5 1 0 0 0 0 Nonwhite Female 19 0 0 1 7 3 5 0 0 0 3 Total 8 0 0 1 3 2 2 0 0 0 0 Vhite Ilale 3 0 0 0 1 1 1 0 0 0 0 Readmissions Vhite Female 3 0 0 1 1 1 0 0 0 0 0 Previously admitted to other Nonwhite Male 2 0 0 0 1 0 1 0 0 0 0 psychiatric facility Nonwhite Female 0 0 0 0 0 0 0 0 0 0 0 PSYCHOTIC DEPRESSIVE REACTION Total 166 0 21 53 41 31 17 2 0 0 1 Vhite Hale 22 0 1 2 6 8 4 1 0 0 0 All Admissions Vftiite Female 129 0 17 48 33 18 12 1 0 0 0 Nonwhite Male 4 0 0 0 0 3 1 0 0 0 0 Nonwhite Female 11 0 3 3 2 2 0 0 0 0 1 Total 156 0 20 51 38 28 16 2 0 0 1 Vhite Male 21 0 1 2 6 7 4 1 0 0 0 First Admissions Vhite Female 121 0 16 46 31 16 11 1 0 0 0 Nonwhite Male 4 0 0 0 0 3 1 0 0 0 0 Nonwhite Female 10 0 3 3 1 2 0 0 0 0 1 MENTAL DISORDER RACESEX AGE In Years 15 25 35 45 55 65 75 85 and Total 15 24 34 44 54 64 74 84 over UnlJiown Total 9 0 1 2 2 3 1 0 0 0 0 White Male 1 0 0 0 0 1 0 0 0 0 Readmissians White Female 7 0 1 2 1 2 0 0 1 0 0 0 0 0 0 Previously admitted to MSH Nonwhite Male Nonwhite Female 0 1 0 0 0 0 1 0 0 Total 1 0 0 0 1 0 0 0 0 0 0 White Male 0 0 0 0 0 0 0 0 0 0 Readmissians Vhite Female 1 0 0 0 1 0 0 0 0 0 0 0 0 Previously admitted to other Nonwhite Male 0 0 0 0 0 0 psychiatric facility Nonwhite Female 0 WPPIWWC REACTIONS Total 1732 14 316 495 453 279 97 16 3 1 58 Vhite Male 576 6 122 180 131 90 32 3 1 1 Vhite Female 616 4 66 160 189 125 51 10 2 0 17 Nonwhite Male 248 1 78 67 46 32 Nonwhite Female 292 3 50 88 87 32 8 2 Total 1344 13 290 412 320 188 62 11 3 1 44 Vhite Male 453 5 110 143 90 69 23 3 1 8 First Admissions White Female 449 4 63 131 126 77 30 3 8 0 2 0 0 Nonwhite Male 204 1 70 34 Nonwhite Female 23S 3 47 77 70 23 6 0 0 Total 335 1 23 72 110 77 33 5 0 0 14 White Male 98 1 10 31 29 17 8 0 0 1 1 10 White Female 149 0 2 25 57 42 20 2 1 2 0 0 0 0 Previously admitted to MSH Nonwhite Male Nonwhite Female 40 48 0 0 8 3 5 11 14 6 3 2 Total 53 0 3 11 23 14 2 0 0 0 0 Vhite Male 25 0 2 6 12 4 1 0 0 0 0 Readmissions White Female 18 0 1 4 6 6 1 0 0 0 0 0 0 0 0 0 Previously admitted to other Nonwhite Male 4 0 0 3 psychiatric facility Nonwhite Female 6 0 3 MENTAL DISORDER RACESEX AGE In Years Under 15 25 35 45 55 65 75 85 and Total 15 24 34 44 54 64 74 84 over Unlonown PAJWIoip REACTIONS Total 18 0 0 2 2 6 3 3 0 0 2 White Male 5 0 0 0 0 2 0 1 0 0 2 All Admissions White Female 7 0 0 2 2 2 1 0 0 0 0 Nonwhite Male 0 0 0 0 0 0 0 0 0 0 0 Nonwhite Female 6 0 0 0 0 2 2 2 0 0 0 Total 16 0 0 2 2 5 3 2 0 0 2 White Male 4 0 0 0 0 2 0 0 0 0 2 First Admissions White Female 6 0 0 2 2 1 1 0 0 0 0 Nonwhite Male 0 0 0 0 0 0 0 0 0 0 0 Nonwhite Female 6 0 0 0 0 2 2 2 0 0 0 Total 2 0 0 0 0 1 0 1 0 0 0 White Male 1 0 0 0 0 0 0 1 0 0 0 Rea omissions White Female 1 0 0 0 0 1 0 0 0 0 0 Previously admitted to MSH Nonwhite Male 0 0 0 0 0 0 0 0 0 0 0 Nonwhite Female 0 0 0 0 0 0 0 0 0 0 0 Total 0 0 0 0 0 0 0 0 0 0 0 White Male 0 0 0 0 0 0 0 0 0 0 0 Readmissions White Female 0 0 0 0 0 0 0 0 0 0 0 Previously admitted to other Nonwhite Male 0 0 0 0 0 0 0 0 0 0 0 psychiatric facility Nonvmite Female 0 0 0 0 0 0 0 0 0 0 0 TOTAL PSYCHOTIC DISORDERS Total 2282 14 343 571 557 473 214 32 5 1 72 White Male 693 6 123 182 145 139 71 7 3 1 16 All Admissions White Female 922 4 83 220 254 222 107 19 2 0 11 Nonwhite Male 279 1 81 70 52 43 13 2 0 0 17 Nonwhite Female 388 3 56 99 106 69 23 4 0 0 28 Total 1782 13 316 483 402 342 143 22 5 1 55 White Male 545 5 111 145 101 107 53 5 3 1 14 First Admissions White Female 705 4 79 167 183 156 68 14 2 0 10 Nonwhite Male 224 1 73 64 37 25 7 1 0 0 16 Nonwhite Female 308 3 53 87 81 52 15 2 0 0 15 MENTAL DISORDER RACESEX AGE In Years Readmissions Previously admitted to MS1I Readmissions Previously admitted to other psychiatric facility Total White Male White Female Nonvhite Male Nonvhite Female Total White Male White Female Nonvhite Male Nonvhite Female PERSONALITY DISORDERS PSYiOPJIYSIOLOGIC AIITOIMO AND VISCERAL DISORDERS Total White Male All Admissions White Female Nonvhite Male Nonvhite Female First Admissions Readmissions Previously admitted to MSH Readmissions Previously admitted to other psychiatric facility Total White Male tfhite Female Nonvhite Male Nonvhite Female Total White Male White Female Nonvhite Male Nonvhite Female Total White Male White Female Nonvhite Male Nonvhite Female 435 120 192 49 74 65 28 25 6 Under 15 15 24 25 34 35 44 45 54 55 64 65 74 75 84 85 and over Unljiovn 24 10 3 76 31 28 12 6 5 1 0 128 31 63 12 22 114 27 56 17 14 65 16 36 5 6 10 0 2 0 5 0 1 0 2 0 27 17 6 0 0 13 5 2 0 0 8 8 3 0 0 3 110 0 5 0 0 1 2 2 0 0 0 0 4 0 0 0 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 u 0 0 0 0 0 0 0 0 0 0 0 0 1 2 2 0 0 0 0 4 0 0 0 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 u 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 n 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 n 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 2 1 1 13 0 0 0 0 0rQ r MENTAL DISORDER RACESEX AOE In Years Under 15 25 35 45 55 65 75 85 and Total 15 24 34 44 54 64 74 64 over Unknown PSYCHOMEUROTIC REACTIONS Total 525 1 55 146 141 94 57 24 2 0 5 White Male 183 1 8 53 54 38 13 10 0 0 1 All Admissions Vhite Female 328 0 43 83 84 54 44 14 2 0 4 Nonvhite Male 12 0 3 4 3 2 0 0 0 0 0 Monvhite Female 2 0 1 1 0 0 0 0 0 0 0 Total 452 1 54 126 121 80 41 23 1 0 5 Vhite Male 150 1 8 47 43 32 9 9 0 0 1 First Admissions White Female 291 0 42 75 76 47 32 14 1 0 4 Nonvhite Male 9 0 3 3 2 1 0 0 0 0 0 Nonvhite Female 2 0 1 1 0 0 0 0 0 0 0 Total 56 0 0 11 18 14 12 0 1 0 0 White Male 20 0 0 4 C 6 1 0 0 0 c Readraissions Vhite Female 33 0 0 6 8 7 11 0 1 0 0 Previously admitted to M5H Nonvhite Male 3 0 0 1 1 1 0 0 0 0 0 Nonvhite Female 0 0 0 0 0 0 0 c 0 0 0 Total 17 0 1 o 2 0 4 1 0 0 0 Vhite Male 13 0 0 7 2 0 3 1 0 0 0 Readmissions Vihite Female 4 0 1 2 0 0 1 0 0 0 0 Previously admitted to other Nonvhite Male 0 0 0 0 0 0 0 0 0 0 0 psychiatric facility Nonvhite Female 0 0 0 0 0 0 0 0 0 0 0 PERSONALITY PATTERN DISTURBANCE Total 12 0 3 3 5 0 1 0 0 0 0 White Male 9 0 2 2 4 0 1 0 0 0 0 All Admissions Vhite Female 1 0 0 0 1 0 0 0 0 0 0 Nonvhite Male 1 0 1 0 0 0 0 0 0 0 0 Nonvhite Female 1 0 0 1 0 0 0 0 0 0 0 Total 10 0 3 3 4 0 0 0 0 0 0 White Male 7 0 2 2 3 0 0 0 0 0 0 First Admissions Vnite Female 1 0 0 0 1 0 0 0 0 0 0 Nonvhite Male 1 0 1 0 0 0 0 0 0 0 0 Nonvhite Female 1 0 0 1 0 0 0 0 0 0 0 MENTAL DISORDER RAGESEX AGE In Years Under 15 25 35 45 55 65 75 C5 and Total 15 24 34 44 54 64 74 84 over UnlmoTn 1 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 61 1 23 16 14 4 1 0 0 0 2 47 0 18 13 12 2 1 0 0 0 1 12 1 4 3 2 1 0 0 0 0 1 2 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 54 1 20 15 13 4 1 0 0 0 0 41 0 15 12 11 2 1 0 0 0 0 11 1 4 3 2 1 0 0 0 0 0 2 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 2 0 1 0 0 0 0 0 2 4 0 2 0 1 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 c 0 0 0 0 0 0 0 0 0 0 0 2 0 1 1 0 0 0 0 0 0 0 2 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Readrnissicms Previously admitted to MSII Readmissions Previously admitted to other psychiatric facility PERSONALITY TRAIT DISTURBANCE All Admissions First Admissions Readmissions Previously admitted to MSII Readmissions Previously admitted to other psychiatric facility Total White Male White Female Nonvhite Male Nonvhite Female Total White Male White Female Nonvhite Male Nonvhite Female Total White Male White Female Nonvhite Male Nonvhite Female Total White Male White Female Nonvhite Male Nonvhite Female Total White Male White Female Nonwhite Male Nonwhite Female Total White Male White Female Nonvhite Male Nonvhite Female tc Oj MENTAL DISORDER RACESEX AGE In Years Under 15 25 35 45 55 65 75 85 and Total 15 24 u 44 54 64 74 over Itooiovm ANTISOCIAL REACTION Total 81 1 36 25 17 2 0 0 0 0 0 White Male 60 1 27 20 12 0 0 0 0 0 0 All Admissions Vhite Female 13 0 7 3 2 1 0 0 0 0 0 Nonwhite Male 5 0 2 1 2 0 0 0 0 0 0 Nonvhite Female 3 0 0 1 1 1 0 0 0 0 0 Total 60 1 28 18 12 1 0 0 0 0 0 Vhite Male 44 1 21 13 9 0 0 0 0 0 0 First Admissions White Female 9 0 5 3 1 0 0 0 0 0 0 Nonwhite Male 4 0 2 1 1 0 0 0 0 0 0 Nonwhite Feiiale 3 0 0 1 1 1 0 0 0 0 0 Total 18 0 7 7 3 1 0 0 0 0 0 Yhite Male M 0 5 7 2 0 0 0 0 0 0 Readmissions Vhite Female 4 0 2 0 1 1 0 0 0 0 0 Previously admitted to MSH Nonvhite Male 0 0 0 0 0 0 0 0 0 0 0 Nonwhite Female 0 0 0 0 0 0 0 0 0 0 0 Total 3 0 1 0 2 0 0 0 0 0 0 Vhite Male 2 0 1 0 1 0 0 0 0 0 0 Readmissions Vhite Female 0 0 0 0 0 0 0 0 0 0 0 Previously admitted to other Nonwhite Male 1 0 0 0 1 0 0 0 0 0 0 psychiatric facility Nonwhite Female 0 0 0 0 0 0 0 0 0 0 0 BMS0C1AL REACTION Total H 1 7 4 0 1 0 0 0 0 1 Vhite Male 5 0 2 2 0 1 0 0 0 0 0 All Admissions White Female 9 1 5 2 0 0 0 0 0 0 1 Nonwhite Male 0 0 0 0 0 0 0 0 0 0 0 Nonwhite Female 0 0 0 0 0 0 0 0 0 0 0 Total 12 1 6 3 0 1 0 0 0 0 1 Vhite Male 4 0 1 2 0 1 0 0 0 0 0 First Admissions Yhito Female 8 1 5 1 0 0 0 0 0 0 1 Nonwhite Male 0 0 0 0 0 0 0 0 0 0 0 Nonvhite Female 0 0 0 0 0 0 0 0 0 0 0 MENIAL DISORDER AGE In Years Under 15 25 35 45 55 65 75 S5 and Total 15 24 34 44 54 64 74 S4 over Unlmovm Total 2 0 1 1 0 0 0 0 c 0 0 Vhite Iale 1 0 1 0 0 0 0 0 0 0 0 Yhite Female 1 0 0 1 0 0 0 0 0 0 0 Nonvhitc Male 0 0 0 0 0 0 0 0 0 0 C Nonwhite Female 0 0 0 0 0 0 0 0 0 0 C Total 0 0 0 0 0 0 0 c 0 0 0 Vhite Male 0 0 0 0 0 0 0 0 Q 0 0 White Female 0 0 0 0 0 0 0 0 0 c 0 Nonwhite Male 0 0 0 0 0 0 0 0 0 0 C Nonwhite Female 0 0 0 0 0 0 0 0 0 0 0 Total 13 0 4 5 1 2 0 0 0 0 1 White Male 9 0 2 4 1 1 0 0 0 0 1 Vhite Female 2 0 1 1 0 0 0 0 0 0 0 Nonwhite Male 1 0 1 0 0 0 0 0 0 0 0 Nonwhite Female 1 0 0 0 0 1 0 0 0 0 0 Total 12 0 4 4 1 2 0 0 0 0 1 V7hite Male 8 0 2 3 1 1 0 0 0 0 1 White Female 2 0 1 1 0 0 0 0 0 0 0 Nonwhite Male 1 0 1 0 0 0 0 0 0 0 0 Nonwhite Female 1 0 0 0 0 1 0 c 0 0 0 Total 1 0 0 1 0 0 0 0 0 0 0 Vhite Male 1 0 0 1 0 0 0 0 0 0 0 Vhite Female 0 0 0 0 0 0 0 0 0 0 0 Nonwhite Male 0 0 0 0 0 0 0 0 0 0 0 Nonwhite Female 0 0 0 0 0 0 0 0 0 0 c Total 0 0 0 0 0 0 0 0 0 0 0 Vhite Male 0 0 0 0 0 0 0 0 0 0 0 White Female 0 0 0 0 0 0 0 0 0 0 c Nonwhite Mile 0 0 0 0 0 0 0 0 0 0 0 Nomhite Female 0 0 0 0 0 0 0 0 0 0 0 Readmissions Previously admitted to MSH Readmissions Previously admitted to other psychiatric facility SEXUAL DILATION All Admissions First Admissions Readmissions Previously admitted to MSIE Readmissions Previously admitted to other psychiatric facility ro MENTAL DISORDER RACESEX AGE In Years Total Under 15 1524 2534 3544 45 55 6554 64 74 7584 65 and over Unknown ALCOHOLISM f ADDICTION All Admissions First Admissions Iteadmissions Previously admitted to MSH Iteadmissions Previously admitted to other psychiatric facility PHUG AJDICTQi All Admissions First Admissions Total 421 0 14 68 181 119 27 3 1 0 White Male 324 0 8 52 143 92 21 3 1 0 White Female 69 0 4 7 30 22 4 0 0 0 MonT7hite Male 23 0 2 7 8 2 2 0 0 0 Nonwhite Female 5 0 0 2 0 3 0 0 0 0 Total 339 0 13 55 144 93 23 3 1 0 White Male 267 0 8 45 114 74 18 3 1 0 White Female 53 0 4 4 25 15 3 0 0 0 Nonwhite Male 16 0 1 5 5 2 2 0 0 0 Nonwhite Female 3 0 0 1 0 2 0 0 0 0 Total 69 0 1 10 32 22 3 0 0 0 White Male 46 0 0 4 24 15 3 0 0 0 White Female H 0 0 3 5 6 0 0 0 0 Nonwhite Male 7 0 1 2 3 0 0 0 0 0 Nonwhite Female 2 0 0 1 0 1 0 0 0 0 Total 13 0 0 3 5 4 1 0 0 0 White Male 11 0 0 3 5 3 0 0 0 0 White Female 2 0 0 0 0 1 1 0 0 0 Nonwhite Male 0 0 0 0 0 0 0 0 0 0 Nonwhite Female 0 0 0 0 0 0 0 0 0 0 Total 40 0 1 9 13 8 6 2 0 0 White Male 19 0 1 9 3 3 2 0 0 0 White Female 21 0 0 0 10 5 4 2 0 0 Nonwhite Male 0 0 0 0 0 0 0 0 0 0 Nonwhite Female 0 0 0 0 0 0 0 0 0 0 Total 27 0 1 8 5 6 4 2 0 0 White Male 1G 0 1 8 3 3 2 0 0 0 Vftiite Female 9 0 0 0 2 3 2 2 0 0 Nonvhite Male 0 0 0 0 0 0 0 0 0 0 Nonwhite Female 0 0 0 0 0 0 0 0 0 0 MENTAL DISORDER RACESEX AGE In Years Total Under 15 1524 2534 3544 4554 5564 6574 7584 85 and over Unlmovn Readmissions Previously admitted to I1SII Total White Male White Female Nonvhite Male Nonvhite Female 13 1 12 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 8 0 3 0 0 2 0 2 0 0 2 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Readmissions Previously admitted to other psychiatric facility Total White Male White Female Nonvhite Male Nonvhite Female 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 70TLL PERSONALITY DISORDERS Total White Male White Female Nonvhite Male Nonvhite Female 1172 660 455 43 12 4 2 2 0 0 143 68 64 10 1 277 160 99 13 5 374 231 129 13 1 232 139 S3 5 5 92 38 52 2 0 29 13 16 0 0 3 1 2 0 0 0 0 0 0 0 18 8 8 2 0 All Admissions First Admissions Total White Male White Female Nonvhite Male Nonvhite Female 971 543 384 34 10 4 2 2 0 0 129 58 61 9 1 233 132 87 10 4 302 186 107 8 1 189 115 66 4 4 69 30 37 2 0 28 12 16 0 0 2 1 1 0 0 0 0 0 0 0 15 7 7 1 0 Readmissions Previously admitted to MSH Total White Male White Female Nonvhite Male Nonvhite Female 165 88 65 10 2 0 0 0 0 0 11 8 2 1 0 31 17 10 3 1 63 37 22 4 0 39 21 16 1 1 17 4 13 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 3 1 1 1 0 Readmissions Previously admitted to other psychiatric facility Total White Male White Female Nonvhite Male Nonvhite Female 36 29 6 1 0 0 0 0 0 0 3 2 1 0 0 13 11 2 0 0 9 8 0 1 0 4 3 1 0 0 6 4 2 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 MENIAL DISORDER RACESEX AGE In Years Under 15 15 24 25 34 35 44 45 54 55 64 65 74 75 84 85 and over Unknown TRANSIENT SITUATIONAL PERSONALITY DISTURBANCE All Admissions First Admissions Readmissions Previously admitted to MSJI Readmissions Previously admitted to other psychiatric facility ental DEFICIENCY All Admissions First Admissions Total 41 1 29 8 3 0 0 0 0 0 White Male 24 1 20 2 1 0 0 0 0 0 White Female 3 0 2 1 0 0 0 0 0 0 Nonwhite Male 14 0 7 5 2 0 0 0 0 0 Nonwhite Female 0 0 0 0 0 0 0 0 0 0 Total 41 1 29 8 3 0 0 0 0 0 White Male 24 1 20 2 1 0 0 0 0 0 White Female 3 0 2 1 c 0 0 0 0 0 Nonwhite Male 14 0 7 5 2 0 0 0 0 0 Nonvhite Female 0 0 0 0 0 0 0 0 0 0 Total 0 0 0 0 0 0 0 0 0 0 White Male 0 0 0 0 0 0 0 0 0 0 White Female 0 0 0 0 0 0 0 0 0 0 Nonwhite Male 0 0 0 0 0 0 0 0 0 0 Nonwhite Female 0 0 0 0 0 0 0 c 0 0 Total 0 0 0 0 0 0 0 c 0 0 White Male 0 0 0 0 0 0 0 c 0 0 White Female 0 0 0 0 0 0 0 0 0 0 Nonwhite Male 0 0 0 0 0 0 0 0 0 0 Nonwhite Female 0 0 0 0 0 0 0 0 0 0 Total 223 16 61 43 3 36 18 2 0 c White Male 75 5 25 11 11 10 8 1 0 0 White Female 81 6 17 12 17 19 8 1 0 0 Nonwhite Male 27 2 12 7 2 2 1 c 0 0 Nonwhite Female 40 3 7 13 4 5 1 0 0 0 Total 190 15 54 36 30 30 13 2 0 0 White Male 65 5 22 9 11 8 6 1 0 0 White Fenale 69 6 15 10 15 16 5 1 0 0 Nonwhite Male 20 1 10 6 1 1 1 0 0 0 Nonvhite Female 36 3 7 11 3 5 1 0 0 0 13 4 1 10 3 1 0 6MENTAL DISORDER RACESEX AOE In Years Under Total 15 15 34 25 34 35 44 45 54 55 64 65 74 75 84 Readrnissions Previously admitted to MSil Readrnissions Previously admitted to other psychiatric facility WITHOUT KEHTAL DISORDER All Admissions First Admissions Readrnissions Previously admitted to MSH Readrnissions Previously admitted to other psychiatric facility Total White Hale Vhite Female Honvhite Male ilonvhite Female Total Vhite Male White Female Homvhite Male Homvhite Female Total White Hale Vhite Female Momhi te Male Nonwhite Female Total White Male White Female Momhate Male Honwhite Female Total Vhite Male White Female Nonuhite Male Nonwhite Female Total Vhite Male Vhite Female Honviiite Male Nomvhite Female 30 9 11 6 4 3 0 1 0 1 0 1 0 0 0 MENTAL DISORDER RACESEX AGE In Years Under 15 25 35 45 55 65 75 35 and Total 15 24 34 44 54 64 74 84 over Unknown IOSUTAL DISORDER UNDIAGNOSED Total 37 1 s 5 3 6 7 2 4 0 1 White Male 11 0 5 1 0 3 1 1 0 0 0 All Admissions Vhite Female 11 1 2 3 2 1 2 0 0 0 0 Nonwhite Male 8 0 0 0 1 0 3 0 3 0 1 Nonwhite Female 7 0 1 1 0 2 1 1 1 0 0 Total 35 1 8 4 3 5 7 2 4 0 1 Vhite Male 10 0 5 1 0 2 1 1 0 0 0 First Admissions White Female 10 1 2 2 2 1 2 0 0 0 0 Nonwhite Male 8 0 0 0 1 0 3 0 3 0 1 Nonwhite Female 7 0 1 1 0 2 1 1 1 0 0 Total 2 0 0 1 0 1 0 0 0 0 0 Vhite Male 1 0 0 0 0 1 0 0 0 0 0 Rcadnissions Vhite Female 1 0 0 1 0 0 0 0 0 0 0 Previously admitted to HSH Nonwhite Male 0 0 0 0 0 0 0 0 0 0 0 Nonwhite Female 0 0 0 0 0 0 0 0 0 0 0 Total 0 0 0 0 0 0 0 0 0 0 0 Vhite Male 0 0 0 0 0 0 0 0 0 0 0 Readmissions Vhite Female 0 0 0 0 0 0 0 0 0 0 0 Previously admitted to other Nonwhite Maie 0 0 0 0 0 0 c 0 0 0 0 psychiatric facility Nonwhite Female 0 0 0 0 0 0 0 0 0 0 0 DEATHS IN TIE HOSPITAL BY TIME ON BOOKS ADMISSION CLASSIFICATION RACE AND SEX ADMISSION CLASSIFICATION RACESEX TIME ON BOOKS Under 35 611 1 2 3 4 59 1014 1519 2024 2529 30 yrs Total 3 mos mos mos yr yrs ITS yrs yrs yrs yrs yrs yrs and over Total 1051 296 68 101 58 77 58 43 100 82 30 40 26 72 White Male 381 130 28 40 18 27 27 15 27 28 S 8 7 18 All Admissions White Female 347 79 22 33 23 26 19 13 39 28 8 13 16 28 6 O CO Nonwhite Male 177 51 13 18 9 16 4 8 22 16 5 3 Nonwhite Female I46 36 5 10 8 8 8 7 12 10 8 14 0 20 Total 907 282 64 95 47 65 52 38 81 55 22 31 16 59 White Mai e 328 121 27 39 15 25 24 13 20 15 7 7 3 12 First Admissions White Female 254 77 20 30 20 19 16 11 30 16 3 9 10 23 Nonwhite hlale 165 50 12 17 7 14 4 8 20 15 6 4 3 5 Nonwhite Female 130 34 5 9 5 7 S 6 11 9 6 11 0 19 Total 144 14 4 6 11 12 6 5 19 27 8 9 10 13 Yhite Mole 53 9 1 1 3 2 3 2 7 13 1 1 4 6 Readoissions White Female 63 2 2 3 3 7 3 2 9 12 5 4 6 5 Nonwhite Male 12 1 1 1 2 2 0 0 2 1 0 1 0 Nonwhite Female 16 2 0 1 3 1 0 1 1 1 2 3 0 1 DEATHS IN THE HOSPITAL BY AGE AT DEATH ADMISSION CLASSIFICATION RACE AND SEX ADMISSION CLASSIFICATION KAC2SEX ACE In Years Under 15 25 35 45 55 65 75 85 and Total 15 24 34 44 54 64 74 84 over Unlinovjn Total 1051 2 9 16 35 93 156 250 314 143 33 Vhite Male 381 1 1 4 10 33 55 99 108 60 10 White Female 347 1 3 3 9 20 43 72 136 57 3 Nommite Male 177 0 4 4 6 24 36 39 38 15 11 Nonwhite Female U6 0 1 5 10 16 22 40 32 11 9 Total 907 2 8 12 31 71 130 220 270 131 32 Vhite Iale 328 1 1 3 9 23 41 89 94 57 10 Yhite Female 284 1 3 3 8 14 33 58 110 51 3 Nonvhite Male 165 0 3 3 6 21 35 36 37 13 11 Nonwhite Female 130 0 1 3 8 13 21 37 29 10 8 Total 144 0 1 4 4 22 26 30 44 12 1 Yhite Male 53 0 0 1 1 10 14 10 14 3 0 Tnite Female 63 0 0 0 1 6 10 U 26 6 0 Nonwhite Male 12 0 1 1 0 3 1 3 1 2 0 Nonwhite Female 16 0 0 2 2 3 1 t 3 1 1 All Admissions First Admissions ReadmissionsDISCHARGES BY TIME ON BOOKS AtttlSSION CLASSIFICATION MCE AND SEX AETaSSION CLASSIFICATION RACESEX Til S ON BOOKS Under 35 611 1 2 3 4 59 1014 1519 2024 2529 3C yrs Total 3 mos mos mos yr yrs yrs yrs yrs yrs yrs yrs yrs Total 3175 1524 363 377 413 180 87 53 113 38 13 6 7 1 1 0 0 0 White Male 1413 829 162 150 143 49 25 12 29 10 All Admissions White Female 1020 419 512 114 96 61 105 80 168 52 59 33 21 23 18 12 22 33 13 4 3 2 2 Nonwhite Female 323 69 44 42 50 39 18 11 29 11 2 Total 2256 1163 249 235 303 119 48 30 58 26 12 5 7 1 1 0 0 0 996 634 109 86 100 26 10 8 10 9 1 First Admissions White Female Nonwhite Male 682 333 377 97 61 48 54 61 122 42 3b 30 7 IS 4 9 10 18 5 3 2 3 2 2 1 Nonwhite Female 245 55 31 34 39 27 13 9 20 9 Total 919 361 114 142 110 61 39 23 55 12 1 1 0 0 White Male 417 195 53 64 43 23 15 I 19 1 0 0 0 0 Readmissions White Female Nonwhite Male 333 86 135 17 35 13 51 19 4b 10 23 3 H 5 14 3 12 15 8 1 0 0 0 Nonwhite Female 78 14 13 8 11 12 5 2 9 2 IS I o DISCHARGES BY AGE AT DISCHARGE ABQSSION CLASSIFICATION RACE AND SEX AIMSSION CLASSIFICATION RACESEX AGE In Years Under 15 15 24 25 35 u 45 54 55 64 65 74 75 84 85 and over All Admissions First Admissions Readmissions Total 3175 8 306 683 875 661 369 143 72 19 39 White Male LU3 4 143 305 398 304 150 54 32 6 17 White Female 1020 3 77 187 288 223 148 59 27 5 3 Nonwhite Male 419 0 59 116 97 74 33 16 5 5 14 Nonwhite Female 323 1 27 75 92 60 38 u 8 3 5 Total 2256 7 273 5M 591 4a 239 103 60 18 30 White Male 996 4 122 216 279 193 98 37 28 5 U White Female 682 2 68 142 176 134 91 41 a 5 2 Nonwhite Male 333 0 56 94 71 54 24 12 5 5 12 Nonwhite Female 245 1 27 62 65 40 26 13 6 3 2 Total 919 1 33 169 264 240 130 40 12 1 9 White Male 417 0 21 89 119 111 52 17 4 1 3 White Female 338 1 9 45 112 89 57 18 6 0 1 Nonwhite Male 86 0 3 22 26 20 9 4 0 0 2 Nonwhite Female 78 0 0 13 27 20 12 1 2 0 3 107 DEPARTMENT OF ACCOUNTING FINANCIAL REPORT Revenue from State Funds made available to the Mill edge ville State Hospital by the Department of Public Health amounted to lhlj85U56lil for the fiscal year ended June 30 1962 ALLOTMENTS Regular Maintenance MAINTENANCE OUTLAY OPERATION PROJECTS Equipment New Buildings under Construction Remodel Old Twin Building Dining Room Jones Building Renovation K Ward Renovation Washington Building Renovation Boland Building Renovation Renovate Pavilions Master Key System OUTLAY IMPROVEMENTS OPERATIONS Equipment New Buildings under Construction TOTAL AVAILABLE STATE REVENUE Revenue from State Funds was supplemented by cash income and donated commodities as tabulated belowi 1375600000 29liS611t 11800000 2000000 2700000 10000000 10000000 7500000 6000000 529i561i 20000000 UiJU85Jii56i p CASH RECEIPTS AND DONATED 00MM3DITIES Pay Patients For Research and Training Only Veterans Home Commission of Georgia Institutional Sales Fees and Other Sources Donated Commodities TOTAL CASH RECEIPTS AND DONATED COMMODITIES 26316585 19399i88 175221i58 llilt6651tO 107735071 1556280685108 The Hospitals ProductiYe Units produced consumable commodities at a net profit of 79190lu98 Current market bulletins were used to establish sales prices at the tJn of production i uv w Abattoir Farm Dairy Cannery Broiler Project Egg Project Bakery Feed Mill TOTALS DEPARTMENTAL SALES 55832197 293261W 35l01t290 20061750 66831145 32196169 25977U18 37015330 2U2196UU7 POST 398U875U 12035689 20922522 160338la 592131i3 22053909 15723826 30t466065 163005919 NET PROFIT 159 831 I43 172901459 lUl81768 UO27909 761802 101U2260 10253592 6519265 79190U98 791901498 GRAND TOTAL AVAILABLE INCOME AND RECEIPTS I6351i71183 ANALYSIS OF AVAILABLE FUNDS AND CASH PAYMENTS Year Ended June 30 1962 Available Funds June 30 1961 Revenue State Funds Other Funds Not from Treasurer Total Avail able for Fiscal Periods Less Cash Payments Less Accounts Payable 63062 Available Funds June 30 1962 Based on Expenditures of 112761014 329 Daily average population for Total Expenditures Less Outlay Expenditures Maintenance Expenditures Less Net Profit Productive Units TOTAL Less Donated Commodities NET MAINTENANCE EXPENDITURES FROM STATE FUNDS MAINTENANCE IMPROVEMENT TOTAL t 99888258 356145811 f l3553lt069 1U285U561U 20000000 1UU85U56LU 63268531 63268531 1591702103 556li5811 i 16U73U821U 1M9967358 3539961414 170167300 202l46l67 15677 ItS 89 the per capita per diem cost to the period ended June 30 1962 was 11455367002 l90lt13U67 15677 the State was 11888 EXPEND ITU RES PER CAPITA PER DIEM t 1586667171 1331468 353996Ul4 2978 1551267527 130U90 791901498 b66l 11472077029 S 123829 I4I4I4665I4Q 37 UO ll427610U89 t 120089 36566 0816 35750 1825 33925 O02U 32901 i109 The Hospital had 111779275 invested in inventories June 30 1962 a decrease of 5102109 as compared with ll68813eU June 30 1961 Tabulation reflects fluctuation of various classified stock control INVENTORIES Livestock for Slaughter Dairy Forage Supplies Farm Forage Supplies Cannery Coal and Coke Engineering Materials Dry Goods Food Clothing Packing House Products Drugs Chemicals Etc Cold Storage Food Supplies Broiler Project Egg Project Bakery Sewing Room Feed Mill TOTALS ANALYSIS OF RESEARCH AND TRAINING PAYMENTS From Beginning of Program March 1 1961 through June 30 1962 TRAINING 1961 2U08855 UOU252 1671061 319U506 112500 11737518 U6212601 1029750 26957828 12910589 U81252 2560306 721318 11611861 228313U 1962 U8S13147 li86903 1593030 2556952 125000 11821318 U5637285 937lil6 21131613 12556952 392101 26UU689 871098 67U20U 2U96367 DIFFERENCE 211121192 82651 78031 63755U 125C0 83800 575316 9233U 5823215 38U637 89151 81i383 119780 U9060 213183 11688l3eij 111779275 5102109 Personal Services Travel Supplies June 30 1961 Supplies June 30 1962 Total Supplies RESEARCH 2225819 2lt6025 319838 565863 12623 108133U 3591932 U673266 PROGRAM 16897013 11371 19122832 11371 Printing Equipment June 30 1961 Equipment June 30 1962 Total Equipment Miscellaneous Payments Tuition Social Security 4 Retirement Allotment Balance Less Accounts Payable June 30 1962 UNEXPENDED BALANCE JUNE 30 1562 Includes Social Work Psychiatric Residency Psychology Psychiatric Affiliate Nurses Radiology 510 186272 7661353 8680195 1015812 717538 288100 13001 65 18U969U 19766390 1269ltl4l 565863 12623 U673266 510 288100 1U86737 26161302 28UU6585 2285283 717538 29830U 1269UU1 15677U5 V Aidesno ANALYSIS OF MAINTENANCE OUTLAY COST PAYMENTS BY PROJECTS Year Ended June 30 1962 PROJECTS MATERIALS PRINTING ALTERATIONS E3JIFMSKT ODNTRACTS TOTAL Personnel Dwellings t 22SlS9h 9U8 261308 t 2160 Ill 27293914 Water Main Sewer Lines 1068076 1068076 Pover Sub Station 1461877 U61i877 REPAIRS AND ALTERATIONS Electrical System Ingram Building U53u593 145314593 Jonea Building Surgical Suite 5600214 103522 663516 Equipment Steam Rooms TOTALS 50157eu 30351 17609lii 6807019 t 8895o78 t 918 291659 S 25u5357 14531593 16268035 uo 4 ANALYSIS OF OUTLAI IMPROVEMENT PAYMENTS BY PROJECTS Year Ended June 30 1962 PERSONAL PROJECTS SERVICES CONTRACTS TOTAL Repairs and Alterations Water Main Rerouting 75CO 1600000 1607500 Jones Building Surgical Suite 218811 218811 Steam Plant Improvements 15000 1181262U 11827621 Recondition Electrical System ll88996 15103965 16592961 Lands Buildings Permanent Improvements Oconee River Water Intake 15000 1671000 1689000 Central Kitchen and Storage 1225896 1225896 Nev Treatment Building 2237819 2237819 TOTAL 5209055 30190589 3539961J Accounts Receivable at June 30 1962 amounted to 7270802 Of this amount 122li0 represents uncollectible accounts of long standing The remaining balance is current and in process of collection Patients Deposits Account increased 9683237 over the year ended June 30 1961 from 32653731 to 12336971 There are approximately seven thousand open accounts in this Trust Fund ledger C 1962 2572 11888 Ratio of Employee to Population 1 to 163 1 to 162 Financial statements and statistical reports are submitted for reviev as indexed EMPLOYEE RATH Number of Employees June 30 Daily Average Patient Population 1961 2561 11673gggg 111 INDEX Statement of Income and Expenditures 112 Analysis of Per Diem Cost 115 Analysis of Per Capita Per Diem Expenditures by Cost Units 116 Profit and Loss Statement Productive Units Abattoir Packinghouse 118 Farm 119 Dairy 121 Broiler Project 122 Egg Project 123 Cannery 124 Bakery 125 Feed Mill 126 Slaughter Reports Abattoir Cattle 127 Hogs 128 Chicken 129 Feeder Hogs 130 Statement of Donated Commodities by Federal Goverment 131 01112 OOMPARATIVE STATEMENT OF INOOME AND EXPENDITURES Tear Ended June 30 1962 HVy 4 Ug IK POME Revenue State Funds Maintenance Revenue State Funds Research Training Revenue State Funds Outlay Improvements CASH INCOME Board Officers and Employees Exchange Federal Government Federal Government Hospit aliz at ion Insurance Donations Miscellaneous Income Rent Sales Abattoir Hides Grease Sales Dairy Calves Sales Farm Sales Dental Sales Optical Sales Equipment Sales Water Sales Miscellaneous DEPARTMENTAL SALES Abattoir Dairy Farm Cannery Broiler Project Egg Project Bakery Feed Mill DONATED COMMODITIES Food Supplies TOTAL INCOME EXPENDITURES WHITE FEMALE SERVICE Personal Services Supplies Equipment Miscellaneous WHITE MALE SERVICE Personal Services Supplies Equipment Miscellaneous 1961 1962 s 1250000000 Ht285li56lJj 263li6585 65000000 20000000 1 1315000000 1U7U692199 1230251 5765115 27828 8629 20211 23U7U9 18211573 21U91019 658650 60U6CO 6905U 9500 23U221 285883 116U17 12313 1213606 1380670 52900 123378 807007 193850 617286 65U125 187701 U92UU6 1193756 638591 687060 32710j61 883396 27369259 3UO11021 1 68697282 t 55632197 26506U37 351OU290 3UU330U2 29326lU8 101je87eo 20061750 69Ulli35 66831U5 312i2780 32196169 26096116 25977U18 280011 63 37015330 s 2321i07337 2U2196UU7 51i6l40890 UUU665U0 I l629li17li86 1795566207 12916U123 100U7953U U99095U 111392 23U7U6003 101519U20 89UU8187 U7U1508 lUliQ16 195853133 169096U75 1061U7996 5086698 217052 2805U8221 129226637 91637265 U2785U7 10839 PI 26226U30 i113 EXPENDITURES CONTD COLORED FEMALE SERVICE Personal Services Supplies Equipment Miscellaneous CQIORED MALE SERVICE Personal Services Supplies Equipment Miscellaneous T B SERVICE Personal Services Supplies Equipment Miscellaneous MEDICAL AND SURGICAL SERVICE Personal Services Supplies Equipment Miscellaneous CRIMINAL INSANE Personal Services Supplies Equipment Miscellaneous PRISONERS Personal Services Supplies Equipment Miscellaneous 1961 580570U 51721772 38U6hU lt136C9 113738851 i 52952818 68229768 2122887 190778 123U96251 3637719U 32196661 1921188 583Jh t 70553357 61l55U3C 22l80U61 1528UU8 250382 851lU7Ul 228liU262 92U2572 100021 U8U0 32191695 20003020 20063156 1177121 2597U6 TOTAL MEDICAL NURSING OTETART HOUSEKEEPING SPECIAL SERVICES MEDICAL Dental Laboratory Mortuary Research Training XRay Optical Psychology Therapy Recreational 4 Occupational Educational Religious TOTAL SPECIAL SERVICES 1962 7296Uill 58713U15 3186L76 U6277 3 13U910579 703liU888 663U3139 2U738U6 205228 139367101 U3296U7U 3U322159 115U999 7280 788U8912 76521839 23332788 2U29813 2j319jol1 1025163Mi Ul5030Ji3 697197077 12273U79 160760U1 1333270 U231520 951269 3UU2U19 21620878 10U60920 U0822y 25li91251 987U950 1U8291 5U83 35519975 2136lU33 20690379 553758 316805 U2922375 10U0o59937 12230560 1986U858 U82U997 35U7000 U715UC1 lloBhCO U77U779 25690213 87U2572 U50156 1 86038938 01114 SERVICE OMITS Engineering Regular Maintenance Water Main Sevage New Building Personnel Dwellings Jones Building Surgical Suite Central Kitchen Electrical System Renovation Steam Plant Distribution Equipment Steam Rooms Colony Farm Prison Building Power SubStation Garage and Motor Transport Security Horticulture Power Plant Sanitation Laundry Industrial Therapy Food Service Administration Employees Food Service Employees Housekeeping Service TOTAL SERVICE UNITS 1961 7393UUU7 35606JU 3U75573 Cr 117306 lt63328 27058876 9790501 6533217 60662313 318UlU2 11588951 U260927 102UUOl8 196lil893 1962875 1962 91028658 1068076 U3897C1 896991 U53US93 7815979 U6U877 2609U679 8003020 78U8919 56622U68 310397U 12U17821 UUU9755 10592122 17113291 1938936 t 2295278U3 258383860 ADMIN BTRATIDN Medical Business Communication Personnel Office Indemnities Transfer Funds Pensions Insurance and Bonding TOTAL ADMINETRATEN U0925596 18555015 7260755 2853621 1685852 3912005 6U597231 65UU7 U9U33658 22076135 7720UOO 3266753 1965932 U3255U3 76767155 U29216 139855522 16593U792 l OUTLAT Personnel Dwellings Central Kitchen Colony Farm Prison Building Steam Plant Distribution Water Main Apartment Building and Dormitory Electrical System Water Main Rerouting Oconee River Intake New Treatment Building Jones Building Surgical Suite TOTAL OUTLAY 2273990 161517 32230151 2159531 8U07039 U523222S 1225896 U82762U 16592961 1607500 1689000 22378U9 21881U 353996UU i PRODUCTIVE UNITS Abattoir Dairy Farm Cannery Broiler Project Egg Project Bakery Feed Mill Swine Project Beef Cattle Project TOTAL PRODUCTIVE UNITS GRAND TOTAL EXPENDITURES 55697705 398U875U 127U26U3 20922522 16891335 12035639 6803926 160338U1 6021U65 59213U3 20126783 22053909 15200322 15723826 20189276 30U 66065 1918531 95963 153673U55 165020UU3 t 153628U155 175168761U ACOMPARATIVE ANALTSIS OF PER CAPITA PER DIEM Dally Average Population June 30 1961 11873 Dally Averaga Population June 30 1962 11888 EXPLANATORY Consulting Units Special Services Medical Service Units Administration Outlay TOTAL EXPENDITURES Least Outlay MAINTENANCE EXPENDITURES LESS PRODUCTIVE OPERATING UNITS Abattoir Dairy Fan Cannery Broiler Project Egg Project Bakery Feed Mill NET SAVINGS PER CAPITA 1961 897197077 70798025 229527818 139855522 U5232226 t 1382610700 15232228 13373781i72 12999577 1376379U 175la707 368U851i 919970 11115997 10895796 7812187 78733882 NET ODST MAINTENANCE EXPENDITURES I 12586UU590 Less i Value of Cmeaodltles Donated by Federal Government 5U6U0890 1362 1010859937 86038938 258383860 1659817 92 353996ltU 1586667171 353996UU t 1551267527 15983UU3 1U181768 17290U59 UO27909 761802 101U2260 10253592 65U9265 79190U98 t 1U72077029 UUa66SUO 1961 75566 5963 19333 11779 3809 I 116U50 3809 ii26ui 1095 1159 1U78 310 77 936 91B 658 66731 106010 U603 1962 87556 7237 21735 13962 2978 t 133U68 2976 130U90 13UU 1193 ll5k 339 6U 853 863 551 123829 37 UO PER DIEM NET COST MAINTENANCE EXPENDITURES FROM STATE FUND 12QUO03700 Ut27610U89 101UO7 12008 1961 t 20702 163U 5297 3227 10UU 3190U 10UU 30860 0300 0318 0U05 0085 0021 0256 0252 0180 1817 v 290U3 1261 27782 1962 t 23988 1983 595U 3825 0816 36566 0816 t 35750 J 0368 0327 0398 0093 0018 823U 0236 0151 7182 t 33925 102U 32901 vo JV VOfir CONSUMING DNITS DIRECT CHARGES MEDICAL NURSING DIETARY HOUSEKEEPING Whit Female Whit Male Colored Female Colored Male Tubercular Medical and Surgical Criminal Insane Prisoner TOTAL INDIRECT CHARGES PRORATED Special Services Medical Service Units Administration TOTAL INDIRECT CHARGES OUTLAI Central Kitchen Personnel Dwellings Colony Farm Prison Steam Plant Distribution Water Main Relocation Electrical System Jones Gliding Water Main Rerouting Oconee River Water Intake New Treatment Building Jones Building Surgical Suite TOTAL STATEMENT OF EXPENDITURES BI COST UNIT WITH INDIRECT CHARGES PRORATED Year Ended June 30 1962 INDIRECT PERSONAL CHARGES SERVICES SUPPLIES EQUIPMENT MISCELLANEOUS PRORATED 169096U75 129226637 7296Uill 703UU888 U3296b7U 76521839 2SU91251 2U6lU33 l06lU7996 91637265 58713U15 663U3139 3U322159 23332738 987U950 20690379 5086698 U2785U7 3186U76 2U738U6 115U999 2U298U 1U8291 553758 217052 1083981 U6277 205228 75280 23190U 5U83 316805 1U801C7S6 118911159 91906928 78619180 31660932 75871U0 11032097 22679398 TOTAL 1962 U28558977 3U5137589 226817507 217986231 1105098UU 110103U3U U6552072 65601773 TOTAL 1961 36169U321 298019232 193U99722 19150U276 979326UO 91U97371 a567S59 61663351 608303U08 U11062091 19312U28 2182010 8 510U07590 8 1551267527 8 1337378U72 S 6U815186 8 11915801 UU0663U 8 U90U17 8 86038938 12386U908 65300808 lU963370 5U25U77U 258383860 73UUU6U5 3298613 1051003 88190531 16598U792 8 262l2U739 8 80515222 8 2OU21007 8 1U73U6622 8 510U07590 8 1225896 U82762U 16592961 1607500 1639000 22378U9 21881U 8 353996UU 1225896 U82762U 165929Si 1607500 1689000 22378U9 21881U 8 353996UU 8 U5232228 2273990 161517 32230151 2159531 8U07039PRODUCTIVE UNITS Abattoir Dairy Fana Cannery Broiler Project Egg Project Bakery Feed Mill Swine Project Beef Cattle Project TOTAL GRAND TOTAL STATEMENT OF EXPENDITURES BY COST UNIT WITH INDIRECT CHARGES PRORATED CONTD INDIRECT PERSONAL CHARGES SERVICES 2875256 3567850 U7U7580 657521 705556 1085269 185U920 368U0O yy 15862UC2 110U93876 2592987 231066 56U01J2 t 8862905U9 632071189 U2326U22 8 1851593U2 j 58U0112 SUPPLIES EQUIPMENT MISCELLANEOUS PRORATED 3596l8U9 30576 135539 8U5U7U 17109533 22U55 6031 216653 2979687 277367 U1U73 3989532 151U0772 61020 U2U23 132105 U17U251 1019233 70 22193 19665886 1090969 U17 211368 137U6053 17169 l056eu 30069751 7U198 5063 317053 1550131 95963 TOTAL 1962 398U875U 20922522 12035689 160338Ul 5921313 22053909 15723826 30U66065 1918531 95963 TOTAL 1961 55697705 127U26U3 16891335 6803926 6021U65 20126763 15200322 20189276 165020UU3 153673U55 17516876111 15362BhlfS White Female White Male Colored Female Colored Male Tubercular Medical and Surgical Criminal Insane Prisoners TOTAL COMPARATIVE ANALYSIS OF PER CAPITA PER DIEM BY SERVICES Tear Ended June 30 1962 DAILY AMOUNT AVERAGE POPULATION PER CAPITA PER DTEM 1961 1962 1961 1962 1961 1962 1961 1962 36169U321 U 28558977 3589 3609 t 100779 118775 27610 325U1 298019232 3U5137589 2888 2895 103192 119218 26271 32662 193U99722 226817507 2255 22U1 85809 101212 23509 27729 19150U276 217966281 1922 1917 99638 113712 27298 31153 979326UO 1105098 Uli 77U 772 126528 1U31U8 3U665 39218 li97371 110103U8U 180 185 508319 595153 139265 163555 UlS67559 U6552072 265 269 156859 173056 U2975 U7U12 61663351 65601773 570 553 108181 118628 29638 32500 1337378U72 1551267527 11873 11888 3 1126U1 ljOji90 30860 35750 Oi vv Mf118 4 EXPLANATORY COMPARATIVE PROFIT AMD LOSS STATEMENT ABATTOIR Tear Ended June 30 1962 QUANTITY SALES WRING PERIOD 1961 1962 1961 1962 CASH SALES AND INCOME Hides Lbs 61117 36161 921621 721100 Grease Lbs 72997 139675 291987 1213608 656570 1380670 DEPARTMENTAL SALES Beef Lbs 169691 159270 5395067 5731681 Beef Liver Lbs 12115 9880 31050 257300 Beef Brains Lbs 956 685 108U 8905 Oxtail Lbs 17U8 1127 37585 32807 Pork Lbs 179991 182031 11312089 1U59211 Pork Liver Lbs 17170 18291 378385 382131 Hog Heads Lbs 8120 119880 Ham Lbs 27781 91 313 1389200 1715650 Bacon Lbso 91180 1U2085 2213570 1121760 Fat Back Lbs 90850 82526 1387610 11 168 72 Beef Loaf Lbs 119616 3271 5225691 98130 Bologna Lbs 23972 35510 1226750 1528072 Souse Meat Lbs 71377 56328 2675855 2616520 Meat Loaf Lbs 11380 512100 Mixed Sausage Lbs 229W7 210206 9893lll 8723339 Pork Sausage Lbs 191521 8618U5 Smoked Sausage Lbs 385 17325 Lard Lbsl 36117 33220 611777 531911 Weiners Lbs 70222 51877 3370201 253l681j Chicken Lbs 106868 395311 10180680 8182288 Tallow Lbs 180 1350 1320 12150 Tankage Lbs 700 1200 2625 1500 Fish Lbs 76167 756828 Cracklins Lbs 896 2103 16561 68697182 38320 55832197 Deduct Operating Expenses 55697705 398187 5U NET PROFIT 11213085 17361113 OPERATING EXPENSES Personal Services 3397812 2875266 Supplies 5009723 35961819 Equipment 1033306 30576 Miscellaneous 138613 135589 Automotive Equipment Cost 869301 8l57l Employees Maintenance 160901 55697705 TOTAL OPERATING EXPENSES 39818751 iH IHBBBiB 119 explanatory sales during period COMPARATIVE PBOFIT AND LOSS STATEMENT FABH Tear Ended June 30 1962 gl AMITY 1961 1962 VAUIE 1561 1962 CASH SALES Pulpvood Equipment DEPARTMENTAL SALES FRUITS AND VEGETABLES Beans Snap Bu Beans Lima Bu Blackberries Qt Cabbage Lbs Carrotts Bu Collards Bu Cucumbers Bu Grapes Lbs Kale Bu Mustard Bu Okra Bu Onions Lbs Peas English Bu Peaches Bu Pears Bu Peas Green Field Bu Potatoes Sweet Bu Roasting Ears Doi Rutabagas Bu Squash Bu Sugar Cane Stalk Swiss Chard Bu Syrup No 10 Cans Tomatoes Bu Turnip Greens Bu Turnip Roots Bu Cantaloupes Ea Watermelons Ea TOTAL SALES FRUITS AND VEGETABLES FORAGE SUPPLIES Alfalfa Green Tons Bermuda Green Tons Corn Bu Corn Green Chopped Tons Ensilage Tons Hay Alfalfa Tons Hay Bermuda Tons Hay Mixed Tons Hay Oat Tons Millet Tons Oats Bu Pecans Lbs Green Oats Tons Green Rye Tons TOTAL SALES FORAGE SUPPLIES TOTAL SALES Deducts Operating Expenses NET PBDFH 15111 2168 U109 3S7W0 79 31133 1185 UKS3 3212 5206 863 lit 809 829 7b21 16235 6965 70208 119 5512 60000 2556 7173 6U7U8 276 1076 8991 16165 2300 352 255 50 8200 865 t l923 6212 8106 19306 15 27118 1656 588 17960 U318 U321 25 3951 9052 16516 9100 8682 156 869 U186 26106 967 12235 12267 U2 2 17301 7 950 17 2158 31 9 2163 5390 807007 2l32261 519290 96399 728738 19699 3502617 311520 623 12 278820 U52205 2O2U0O 69336 165800 981760 1951976 1518131 28hS5J7 372J6 972100 15000 773250 11 81000 5b92180 19700 l86ult 181621 2158332 31 50000 880000 637500 125000 1652210 38925 225250 13250 9180U67 352100 Jj9 16891335 163187 H 193850 787680 1397802 181976 22025 J0 10269 322161 2223 Ul 182970 383665 690860 1935036 5000 538680 2172586 595626 816000 138905k 16920 217250 10017 15 368U770 119258 219618 215310 25252575 19l051W 63000 3750 2301033 10500 llt25000 10375 5395000 77625 13500 311675 212550 9921008 29519998 12035689 171 BU3 09 r iluv no 4 120 COMPARATIVE PROFIT AMD LOSS STATEMENT FARM CONTD QUANTITY VAUJE 1961 1962 1961 1962 OPERATING EXPENSES Personal Services Supplies Equipment Miscellaneous Automotive Equipment Cost Employees Maintenance TOTAL OPERATING EXPENSES Ul86589 t U7U7580 613U7U9 2102771 127U16 Ul11237 228573 2979687 277367 UlU73 3989582 16891335 12035689 i tmammmammma 121 EXPLANATORY SALES DURING PERIOD COMPARATIVE PBDFTT AND LOSS STATEMENT Tear Ended June 30 1962 QUANTITY DAIRY CASH SALES AND INCOME Bull Calves DEPARTMENTAL SALES Sweet Milk Gals Cows Slaughtered Lbs TOTAL SALES Dedueti Operating Expenses NET PROFIT OPERATING EXPENSES Personal Serrlces Supplies Equipment Miscellaneous Automotive Equipment Cost Employees Maintenance TOTAL OPERATING 1961 102 1962 123 35U95U W5118 86030 75370 VALUE 1961 1962 52900 123378 25256700 12U9737 3U133850 970UUO 26559337 35227668 127U26U3 20922522 t 1381669U 1U3051U6 18U5911 103313 Ja 86958 193633 228968 55832 3567850 17109533 22U55 6031 216653 HBCRAinWM Daily Average in Production Head Daily Average Production Gallons Daily Average Per Cow Gallons Cost Per Gallon IN HERD JUNE 30 Milk Cows Dry Oowe Calves Bulls 3U6 U10 972 12U7 2808 30U1 3589 U197 367 168 280 2 388 225 265 9 122 EXPLANATORY aDHPJUUTOTE PROFIT AND LOSS STATEMENT BROILER PROJECT Tear Ended June 30 1962 QUANTITY VALUE SALES PORING PERIOD DEPARTMENTAL SALES Broilers Lbs Deduct Operating Expenses NET PROFIT 1961 196 1961 1962 UOS025 US026O 6910i35 66831U5 602lU65 59213U3 919970 761802 uv OPERATING K1FEHSBS Personal Services Supplies Equipment Miscellaneous Automotive Equipment Cost Employees Maintenance TOTAL OPERATING EXPENSES Average Sales Price Per Pound USDA Atlanta Georgia Quotation Cost Per Pound NET PROFIT PER POUND 710563 705596 1175876 106719U 22 22997 UU813 lil7li251 1019233 70 22193 6o2lU65 t 59213U3 17138 1U867 t 1U8U2 13150 02271 t 01692 i123 EXPLANATORY SALES DURING PERIOD Hens Lbs Eggs Doz Compost Loads Deducti Operating Expenses NET PROFIT COMPARATIVE PROFIT AND LOSS STATEMENT EGG PROJECT Tear Ended June 30 1962 gOANTITT VALUE 1961 1962 1961 1962 OPERATING EXPENSES Personal Services Supplies Equipment Miscellaneous Automotive Equipment Costs TOTAL OPESATMS EXPENSES 1096U6 99U50 682276 772U25 38U 90 1888686 2916209lt 192000 312U2780 20126763 i 1111S997 9U7350 17U68382 1U79815 66U 230552 1392230 30758939 lt5000 32196169 22053909 101U2260 1085269 19665886 1090969 U17 211368 20126783 t 22053909 Average Sales Price Per Dozen USDA Atlanta Georgia quotation Other Sales Cost Per Dozen NET PROFIT PER DOZEN U27U2 39821 030U9 01860 U5791 Ulool 29U99 28551 16292 13130 124 C uy L EXPLANATORY SALES SPRING PERIOD Blackberries Frozen 30 Lb Cans Blackberry Jan No 10 Cans Blackberry Jam Gal Jars Beans Snap No 10 Cans Beans Frozen Bags Turnip Greens No 10 Cans Turnip Greens Frozen 30 Lb Cans Turnip Greens Frozen Bags Kale Frozen Bags Mustard Greens Frozen Bags Grape Jan Gal Grape Jam Gal Jars Pear Syrup Gal Pear Preserves Gal Jars Peach Pickle Gal Peaches Pie No 10 Cans Peaches Frozen 30 Lb Cans Peaches Frozen Bags Squash No 10 Cans Beans Butter Frozen Bags Beans Butter Frozen 30 Lb Cans Corn Frozen Bags Corn Frozen 30 Lb Cans Collards Frozen 30 Lb Cans Cranberry Sauce No 10 Cans Cranberries Frozen Bags Cranberries Frozen 15 Lb Cans Potatoes Sweet No 10 Cans Grape Jelly No 10 Cans Peach Preserves Gal Jars Tomatoes No 10 Cans Tomato Puree No 10 Cans TOTAL SALES Deduct Operating Expenses NET PROFIT COMPARATIVE PROFIT AND IDSS STATEMENT CANNERT Tear Ended June 30 1962 QUANTITY VALUE 1961 1962 1961 1962 U20 111000 5585 1570 lili6800 117550 2951 110775 17832 5U899 1513995 U666115 1183 259525 t282 312560 9108 1850 2081250 878750 2203 3531 550750 8831 10 205 51250 225 56250 6199 518815 11136 501120 68 171 00 113 16950 205 15375 111 902 21715 1266670 1853625 902 267900 901 133800 12869 11110 836U85 5li7950 1U5 17U 79750 1511800 286 91875 3120 1896750 1980 721500 263 105200 633 98115 509 203600 5959 1810090 27861 1712070 62 1650 8278 2100 620850 121500 U5338 3l00350 10U6fi780 f 20061750 6803926 I60338ia t 3681j851i 1027909 OPBRATIKO EXPENSES Personal Services Supplies Equipment Miscellaneous Automotive Equipment Cost Employees Maintenance TOTAL OPERATING EXPENSES 712137 5615155 150368 657 11 l6223i 68318 657521 15110772 61020 U2U23 132105 6803926 16033811 i rrmwnm bh 125 EXPLANATORY SALES DURING PERIOD CASH SALES Bread Lvs DEPARTMENTAL SALES Bread Loaf Lvs Cake Sheets Sh Cookaes Doz Com Bread Sheets Sh Rolls 18 to Package Pkg Rolls Parkerhouse Pkg TOTAL SALES Deducti Operating Expenses NET PROFIT OPERATING EXPENSES Personal Services Supplies Equipment Miscellaneous Automotive Equipment Cost Employees Maintenance TOTAL OPERATING EXPENSES COMPARATIVE PROFIT AND LOSS STATEMENT BAKERY Year Ended June 30 1962 QUANTITY VALUE 1961 1962 1961 1962 7U008 51200 296032 20U8O0 758235 168U6 U89 1U67U 70U252 1391 765123 16819 615 1U20U 709123 1315 11355370 3369200 lli670 2881j987 8U5lO26 20665 11223722 3363800 16295 28U0800 8513076 19725 26096118 26182218 15200322 15723826 11191828 10US8392 1U283U5 13515308 25955 18SU920 137U6053 17169 162 13U201 96351 10568U 15200322 t 15723826 P MEMORANDUM COST OF PR0DUCTID1I Breed Loaf Ea Rolls 18 to Package Pkg Cake Sheet Sh Combread Sheet Sh Rolls Parkerhouse Pkg 1037 1065 0 1002 1080 12580 12635 10151 10178 1776 1783 126 19 c EXPLANATORY SALES DURING PERIOD COMPARATIVE PROFIT AND LOSS STATEMENT FEED MILL Tear Ended June 30 1962 qPANTITT 1961 1962 VALUE 1961 1962 DEPARTMENTAL SALES Beef Brood Feed Tons Calf Starter Tons Dairy Feed Tons Broiler Mash Tons Growing Mash Laying Mash Starting Mash Swdjie Feed Tons TOTAL SALES Deduct Operating Expenses WT PROFIT 11 88920 5U 11th li55919 1221538 1250 1998 6772250 10829316 6ll 8U2 5281803 72W65 166 206 lii27838 1770llii 1675 1897 12536105 lla99118 178 U8 1515223 U0896li 1 156 12325 12561w05 280OlU63 37015330 20189276 30li66065 7812187 6519265 OPERATING EXPENSES Personal Services Supplies Equipment Miscellaieous Automotive Equipment Cost Employees Maintenance TOTAL OPERATING EXPENSES 295200 19521571 1228 5105 3h6282 19890 30069751 71098 5063 317053 20189276 3OU66065 EXPLANATORY Slaughtered During Period Killing Cost DEDUCT BY PRODUCTS Liver Lbs Hearts Lbs Tongue Lbs Oxtail Lbs Cheek Meat Lbs Brains Lbs Hides Lbs Coot Per Pound Percentage of Yield DISPOSITION In Cooler July 1 Transferred in During Period Transferred Outi Cold Storage Processing Room Shrinkage BALANCE IN COOLER June 30 COMPARATIVE CATTLE SLAUGHTER REPORT Year Enosd June 30 1962 NO HEAD LIVE WEIGHT 1961 1962 1961 1962 1115 7XU 9b7010 729890 1961 1962 16278196 102308U2 1359U2g Ug016h iinZTrrvt S 11381006 12115 9880 t 310350 257300 2935 1850 62375 U6700 30U0 2085 93771 67766 l7h8 1127 37585 32807 645 3765 187853 126130 956 685 108 to 8905 1jO339 25231t 7j 81808 U10118 t 16152738 t 101t31280 DRESSED WEKHT 1961 1962 518915 35Ulho 3151 5102 29U6 U852 1272 12121 518915 35MW 169691 159270 317911i 178U25 20U61 Di166 12121 Ihhoo Ox F Si Op CJOb EXPLANATORY Slaughtered During Period Addl Gain In Live Weight Feeder Hog Killing Cost DEDUCT BT PRODUCTS Liver Lbs Hearts Lbs Leaf Fat Lbs Heads Lbs Trimmings Lbs NET COST Cost Per Pound Percentage of Yield COMPARATIVE HOG SLAUGHTER REPORT Tear Ended June 30 1962 NO HEAD LIVE WEIGHT LIVE OOST DRESSED WEIGHT 1961 1962 1961 1962 1961 1962 1961 1962 6681 6730 1151 Ul3 936197 I822li663 162992U5 1087997 981j696 U77225 50U523 1359125 8 19583788 1150161 t 17liU9li09 1628668 lUlO720 1087997 98U696 17170 2295 U2U35 66810 2855 1829lt 2670 37li95 67300 3050 376365 U9265 Util600 1291890 96860 t 17325788 38213U 65955 29lUi51i lli95630 122000 t 15089236 1592 6680 1532 6835 DISPOSITION In Cooler July 1 Transferred in During Period Deductt Transferred Out Cold Storage Processing Roan Curing Room BALANCE IN COOLER June 30 7870 00 1087997 98li696 U79991 li82031t la271j7 268582 203129 21L080 00 00OOMPARATIVg CHICKEN SLUJOHTKH REPORT Tear Ended June 30 1962 LIVE WEKHT EXPLANATORY 1961 1962 Slaughtered During Period Killing Cost 561671 509710 COST 1961 1962 8830121 t 8075375 679562 571938 9509683 8650303 DRESSED WEIGHT 1961 1962 106868 395311 Cost Per Pound Percentage of Yield 2337 2188 7005 7755 MSH Fish Dressed During Period Cost Per Pound 90600 0827 791Jdt 76167 097U Oa v Op V Oi JOa EXPLANATORY On Hand July 1 Purchased During Period Transferred from Farm DEDUCT Died During Period Inventory Adjustment Transferred to Farm Slaughtered During Period Height and Value When Slaughtered Value Cost Basis Weight and Value When Purchased COMPARATIVE leaf Bided NO HEAD 1962 1961 1768 U936 7063 U21 670li 8620 703 321 ItSUi 1136 881 357 SU3U lli8 1073920 1118870 59669 U77225 6lli31i7 50U523 Average Weight and Value Per Head When Slaughtered Value Cost Basis Average Weight and Value When Purchased QAM PER HEAD H00 REPORT June 30 1962 LIVE WEIGHT 1961 1962 225521 lii6593 61i2650 77910 3U689 956192 868171 91915 32968 997li8 596695 1U6S93 353li9 61U3U7 2067U8 ODST PER POUND 16377 179UO 16377 16377 179UO 179UO NO POUNDS 23631 20590 13131 11305 1961 1962 10503 9235 3035667 2li08855 1089kl77 13953867 657192 t 139298Ui 170199lli 1505282 1806328 2i3ti33 669lt02 977222U 1102Ui37 2li08855 352277 VALUE t 17537538 20072528 977222lt 110211i37 t 7815361i 9051091 3871 369U 2151 2028 1720 1666131 COMPARATIVE DONATED COMM3DITIES Year Ended June 30 1962 ooMMoorrx Beans Navy Beans Pea Butter Lbs Cranberries Lbs Cheese Lbs Eggs Dried Lbs Flour Bakery Lbs Lamb Frozen Lbs Lard Lbs Meal Corn Lbs0 Milk Dried Lbs Peaches Fresh Bu Potatoes Irish Lbs Peanut Butter3 Gal Poultry Frozen Lbs Rice Lbs Wheat Rolled Lbs TOTAL QUANTITY V 1961 1962 1961 9800 156900 98000 316226 190752 130575 130536 51780 15811350 1795000 1U6UU90 9732903 79779 2390670 296556 106896 56292U8 780975 911000 3717UU1 638128 312007 730 186700 Ill 863 OU 1050 19020 3921600 207173 27U950 59loo 185337U 5U6U0890 VAIDX 1962 UU7200 9537600 2U80925 522lUU0 U81072U 8U59093 15U9992 2087260 5626079 91250 U20075 2UU650 2U63552 326700 t UUU665UQ ft h74 i s 1 2a 9 H J V V c 5r BBMBMBBmBBMrnimnmiffliMMii k 8 iS