jry o i Kir II X se b i 4 t 8One Hundred and Twentieth ANNUAL REPORT of the Milledgeville State Hospital Milledgeville Georgia FOR THE YEAR ENDING JUNE 30 1963 Ur 4 ras A One Hundred and Twentieth ANNUAL REPORT f th ot the Milledgeville State Hospital Milledgeville Georgia FOR THE YEAR ENDING JUNE 30 1963 LIBRARS OF GEORCAri 1 i i GOVERNOR CARL E SANDERS IRVILLE H MacKINNON M D SUPERINTENDENT OF THE HOSPITAL JOHN H VENABLE M D DIRECTOR GEORGIA DEPARTMENT OF PUBLIC HEALTHi 7 A 4 DIRECTORY HONORABLE CARL E SANDERS Governor State of Georgia JOHN H VENABLE M D Director State Department of Public Health STATE BOARD OF HEALTH JAMES BYNE JR M D CHAIRMAN Waynesboro First District ALDWIN G FUNDERBURK MD MoultrieSecond District MAURICE F ARNOLD M D Hawkinsville Third District VIRGIL B WILLIAMS M D GriffinFourth District T STERLING CLAIBORNE M D AtlantaFifth District B W FORESTER M D Macon Sixth District FRED H SIMONTON M D Chickamauga Seventh District ALEX LITTLE JR M D ValdostaEighth District BEN K LOOPER M D Canton Ninth District5 M C ADAIR M D Washington Tenth District TYRE WATSON JR Ph G Decatur State at Large BERNARD HOLLAND M D Atlanta State at Large J G WILLIAMS DDS Atlanta State at Large J M HAWLEY DDS Columbus State at Large J V RILEY Ph G Atlanta State at Large THE GOVERNOR ExOfficio Memberi MEDICAL DEPARTMENT IRVILLE H MACKINNON MD Superintendent JAMES B CRAIG M D Assistant Superintendent PSYCHIATRY 7 Allen Edwin W Sr M D Chief of Service Smith W T M D Chief of Service Smith Carl MDAssistant Chief of Service Castedo Nicanor F MDAssistant Chief of Service Bailey L A MDClinical Director Fidler A K MDClinical Director West Maxwell J MD Senior Staff Physician Sinats Reinis MDSenior Staff Physician Jacobs Louis J MDSenior Staff Physician Kramer Stephen E MD Senior Staff Physician Portuondo JuanM MD Senior Staff Physician Rubio Victor H MDSenior Staff Physician Smith M E MDStaff Physician Chance Francis S MDStaff Physician Monroe William D MDStaff Physician Word J J MDStaff Physician Hires Mary K MDStaff Physician Ambros Mario MDAssistant Staff Physician Azzi Giovanni MDAssistant Staff Physician Gomez Julian MDAssistant Staff Physician Mendoza Jose MD Assistant Staff Physician Ozolins Zelma MDAssistant Staff Physiciai Peidra Joaquin MD Assistant Staff Physiciai Ponce de Leon Adolfo MDAssistant Staff Physiciai Mendez Salvador A MDAssistant Staff Physiciai7 Pallares Enrique MDAssistant Staff Physician Sarma Adolph MDAssistant Staff Physician Pereira Isabel MD Assistant Staff Physician Zakitis Vilis MDAssistant Staff Physician Freeman Leon MDAssistant Staff Physician Munoz Juana L MD Assistant Staff Physician Schubert Albert MD Assistant Staff Physician Mekis Peter MD Assistant Staff Physician Jones Phillip C MDAssistant Staff Physician del Portillo Lorenzo A MDAssistant Staff Physician Remy Henry MD Assistant Staff Physician Estrada Manuel MDAssistant Staff Physician Rivero Raul MDAssistant Staff Physician Maruri Carlos MDAssistant Staff Physician Balbona Jose MDAssistant Staff Physician Montane Jose Gabriel MDAssistant Staff Physician Bosch Miguel A MDAssistant Staff Physician Gutierrez Armando I MD Assistant Staff Physician Zapatero Odilia Aurea MDAssistant Staff Physician Garnica Tomas S MDAssistant Staff Physician Rozas Jose R MDAssistant Staff Physician Carrodeguas Luis MDAssistant Staff Physician Necuze Crescendo MDAssistant Staff Physician Anton Blanca Mendez MDAssistant Staff Physician Anton Manuel Patricio MDAssistant Staff Physician Rodriques Guillermo MDAssistant Staff Physician Tornya Margaret M MDAssistant Staff Physician Diplomate American Board of Psychiatry and Neurology 7 i PHYSICAL TREATMENT Bohorfoush JG MDChief of Service Jordan Raymond H MDAssistant Chief of Service Johnston Harry B MDChief of Surgical Service Majanovic Mahmud MDMedical Director Tuberculosis Service Tomas Teofilo MDSenior Staff Physician Gomez Frank MDSenior Staff Physician Miller Richard MDSenior Staff Physician Cardoso David MD Senior Staff Physician Nutt Richard L MDSenior Staff Physician Martinez Alberto MDSenior Staff Physician Nodal Ronaldo MD Senior Staff Physician Pessino Helena MDStaff Physician Benito Jose MDStaff Physician James Lillas MD Staff Physician Rice JF MDStaff Physician Beets Earl R MDStaff Physician AlvarezMena Sergio MDAssistant Staff Physician Franco Jaime MDAssistant Staff Physician Goicoechea Pilar MDAssistant Staff Physician Alvarez Frank MDAssistant Staff Physician Boudet Fernando MDAssistant Staff Physician Yero Emilio MDAssistant Staff Physician Toca Ruben Lopez MDAssistant Staff Physician San Martin Julio MDAssistant Staff Physician Pascual Rafael MDAssistant Staff Physician Novoa Ralph R MDAssistant Staff Physician Lopez Orlando 0 MDAssistant Staff Physician Hernandez Julio MDAssistant Staff Physician Frau Adelfa MD Assistant Staff Physician Saule Eduard MD Assistant Staff Physician Schroeder GR MD Assistant Staff Physician Steinhards A MD Assistant Staff Physician Madrid Francisco MDAssistant Staff Physician 9 MellingerTheodore J MD Assistant Staff Physician Trelles Julio MDAssistant Staff Physician Rauco Jose MDAssistant Staff Physician Montero Rene Enrique MDAssistant Staff Physician Bofill Jose J MDAssistant Staff Physician Mir Juan MD NeuroPathologist Asteinza Jenaro MD NeuroPathologist Courtney George R OD Optometrist Headley William M MDSurgeon Vigil Ramon MD Anesthesiologist Mencher Edward MDAnesthesiologist Taylor George W Phar D Pharmacist Keeler Clyde ScD PhD Medical Geneticist Keeler Mrs Clyde PhD Medical Librarian PSYCHOLOGY Wildman Robert W PhDChief Clinical Psychologist Alper Arthur E PhDDirector Professional Training Bernard John L PhD Director Education Hannon John E PhDDirector Services for Children and Adolescents Harsch O Henry PhDClinical Psychologist Lucik Thomas W PhDDirector Professional Standards Madison Francis L MA Staff Psychologist Primac Daniel W MA Staff Psychologist Stewart Horace F PhD Director Research Brown Earl C PhD Consultant Dixon James C PhDConsultant Holt Robert R PhD Consultant Pascal Gerald R PhDConsultant Wechsler David PhDConsultant Young FloreneM PhDConsultant b X 10 CONSULTING STAFF Barton William L MDOtolaryngology Bazemore Malcom J MDDermatology Bliven Floyd MDSurgery Brackney Edwin MDSurgery Bryans Charles I Jr MDObstetrics Gynecology Clark Robert A Jr MDNeurosurgery Collings Harold MDNeurology Ellison Robert MD Surgery Engler Harold S MDSurgery Finley Thomas MD Internal Medicine Flanagin WS MDPlastic Surgery Hall David P MDThoracic Surgery Hall John I MD Orthopedics Harkess James MDSurgery Hatcher Milford MDSurgery Hooper James MDOpthalmology Hopkins Enon MD Internal Medicine Jarratt Devereaux MDOpthalmology Kemble John W MDNeurology Lange Robert D MDInternal Medicine Lucas William MD Urology Moore Victor A MD Internal Medicine Moretz William H MD Surgery Nelson Homer MD Opthalmology Rinker John R MD Urology Robinson Joe S MDSurgery Smith George W MDNeurosurgery Stewart J Benham MDSurgery Volpitto PP MD Anesthesiology Wigh Russell MDRadiology Wilds P L MDObstetrics Gynecology Williams David MDUrology Withan A Calhoun MDinternal Medicine Zuspan Fredrick P MD Obstetrics Gynecology 11 DENTAL STAFF Watson Robert DDS Director Dental Services Arnold Joe F DDS Dentist Campbell Joe S DDSDentist Cardosi Edward DDSDentist Crockarell Bailey DDSDentist Johnson Reichert DDS Dentist Luton James DDSDentist Markette Ronald DDS Dentist Parish John Gil DDSDentist Wagner Fred O DDSDentist Warren Howard DDS Dentist Willmuth Harold DDSDentist RELIGIOUS SERVICES Turley Douglas C Jr ThM Chief Clinical Chaplain Close Henry T ThMClinical Chaplain Summers Thomas A BD Clinical Chaplain Wilson Chappell BDClinical Chaplain Gelfman Harold L DD Rabbi Ware Joseph F STBPriest Hand Quentin L PhD Consultant McDill Thomas H PhD Consultant Southard Samuel ThD Consultant MUSIC THERAPY Goldsmith Herbert P RMT Director Galloway Herbert F Jr RMT Supervising Instructor Music Therapy Education Ivey Saralyn Supervisor Music Therapy Volunteers 12 4 DEPARTMENT OF SOCIAL WORK Stewart Charles A PhD ACSW Director Jasnau Kenneth MSS ACSW Chief Social Worker Melton EO MSW ACSW Senior Social Worker Cason Mary LMedical Social Worker Powell Louise H Medical Social Worker Brown Barbara MSW Social Worker Giddings Margaret MSSWSocial Worker Kingston Mary E MSWSocial Worker Mills Ray MSWSocial Worker Roberts Ralph MSWSocial Worker Warden Bill MSSW Social Worker Wise JT MSW Social Worker DEPARTMENT OF VOCATIONAL REHABILITATION 4 x Petty WCDirector Bernard Asa VR Specialist Brown Gerald M Jr Evaluator Cribb William P JrCounselor Freeman Edwin R Evaluator Hargrove William ACounselor Miller James H Counselor Mitzner Henry WEvaluator Tomlinson W L VR Specialist Marshall L F MDConsultant Psychiatrist 13 ADMINISTRATIVE OFFICERS Billue Mary Will RN Director Psychiatric OutPatient Clinic Bonner Myra S RNDirector of Nurses and Nursing Service Bonner MM Administrative Supervisor Psychiatric Service Brown Raymond D Director Public Relations Carey Tap M Director Division of Business Mangement Carpenter Nan D Dietician Clarke Dorothy Director Occupational Therapy Cook Mary F Registrar Crittenden William RInstitutional Business Administrator Daniel Wayne W Biostatistical Analyst Fowler Charles PInstitutional Engineer Electrical Engineering Haddock Jane Director Volunteer Services Harrington Mary R Medical Records Librarian Hartley AL Director Environmental Sanitation King Bernice H RN Deputy Director of Nursing Knowles Vera RN Assistant Director of Nursing Madden Fred Director of Personnel Maddox Woodson Hospital Administrative Assistant and Secretary to Superintendent McDade AC Director of Food Service McHan WNDirector of Security Division McMillian Robert W Ill Institutional Engineer Construction Engineering Newsome Edgar T Horticulturist Pennington Alice H Dietician Prosser Bruce RDirector Recreational Therapy Reeves Fred Administrative Supervisor Psychiatric Service Rutland Lolita G RN PhD Supervising Instructor of Psychiatric Aide Training Smith Edward SInstitutional Engineer Mechanical Engineering Spivey Woodrow TChief of Building Maintencance Teague James D JrInstitutional Engineer Civil Engineering u July 1 1963 11W 7 Dr John Venable Director State Department of Public Health 12 Capitol Square Atlanta 3 Georgia SUBJECT 120th Annual Report Milledgeville State Hospital Dear Doctor Venable The conclusion of fiscal year 1963 marks the fourth year that Milledgeville State Hospital has operated under the Georgia Depart ment of Public Health and in many respects this has been one of the outstanding years in the history of the institution ss 4 New patients continue to be admitted at a rate of more than 500 a month however the average length of stay has now been decreased to 82 days so that the hospital population remains approximately the same as last year An encouraging sign is the number of new patients now entering the institution on voluntary admissions as well as an in creased use of the 1960 Law by the county Courts of Ordinary The resultant confidence in the effectiveness of the hospitals treatment program indicates that Georgians as a whole are becoming more aware of the need of the mentally ill for early hospitalization as well as supportive services in the community as a factor in continued treat ment X A total of 10 new physicians were added to the staff during the fiscal year Accredited residencies and internships are now available in psychiatry clinical psychology opthalmology social work hospi tal administration clinical chaplaincy music therapy and recreation The hospital program is becoming nationally known with the result that the number of applicants for residencies and internships has increased to the point where selection of the best candidates can now be made15 Completion of the Unit System organization has created consider able interest around the country and inquiries have been received from many states regarding the organizational structure and operating and administrative procedures The new staff dormitory and apartment complex was completed and is almost fully occupied Additional housing for top level personnel is essential The Yarbrough Rehabili tation Center the central kitchen and the Arnall building addition are almost complete and will be dedicated this fall National accreditation was received during the year from the American Psychological Association National Association of Music Therapy Inc and the National Association for Schools of Music The Department of Chaplaincy Services has received full accreditation by one national accreditation agency and provisional accreditation by another representing the first such multiple accreditation received by a state hospital The five chapels will be completed by December 1963 and will put the religious program in this institution on a par with that in any mental hospital in the United States Four accredited clinical chaplains were added to the staff during the fiscal year A registered music therapist an instrumental consultant a psy chiatric aide and a negro musician with a degree in music education were added to the Music Therapy staff Vocational Rehabilitation division has developed from a staff of one rehabilitation counselor in 1960 to a present staff of nine and now includes five rehabilitation counselors three vocational evaluators and a supervisor of vocational training With the opening of the Yarbrough building this division will be one of the best staffed and most complete in the country and the program offered will be unique in the state mental hospital field The per diem cost for the fiscal year has risen from 329 to 368 The total income for the institution for fiscal 1963 was 18607 230 of which 14702640 came from state funds the balance from institutional income of various kinds departmental sales of farm pro ducts and estimated value of donated commodities This marks an increase in state appropriations of 1716441 over the previous yearI s 16 The employeepatient ratio is now 1441 so this is gradually improving but there is still a long way to go to get this figure within the 11 recommendation of the American Psychiatric Association The Department of Social Services added one chief social worker and seven MSWs as well as eight social work aides and nine volun teers The Volunteer Services Department supervised a total of 388 volunteers in 7288 hours of service A 7 4 X The Department of Physical Health was organized into a separate unit as part of the Unit System and included a complete remodeling job on the operating rooms however this section still needs inten sive remodeling and renovation The Blood Bank was approved by the American Association of Blood Banks Pathological techniques were surveyed by the College of American Pathologist and all results were very good to excellent The Department of Public Relations continues to sponsor seminar programs with high school and college students and some 8000 of these visited the institution during the year in addition to numerous other groups The hospital received mention in a number of national magazines among these being Time Readers Digest and the Saturday Evening Post An article of major proportion is now awaiting pub lication in the American Psychiatric Associations Mental Hospitals Several television documentaries were completed and scripts for a number of radio programs were prepared With the acquisition of a complete photographic laboratory in the Yarbrough building it will be possible to expand this department of the hospitals public relations program next year We now call your attention to the detailed reports of the various departments Respectfully submitted I H MacKinnon MD Superintendent17 DEPARTMENT OF CLINICAL PSYCHIATRY The competency of the Department of Clinical Psychiatry in many large state mental hospitals is dependent on a number of factors among these being the ability to obtain top level board men efficient psychiatric residency training programs opportunities for individual physicians to increase their skills and knowledge by means of facili ties for research the availability of information on uptodate ad vances in techniques of treatment and through visits from outstanding practitioners in the various fields of psychiatry Not the least of these requirements is availability of adequate housing and a reward ing community and social life for themselves and their families That Milledgeville State Hospital is becoming increasingly at tractive to competent psychiatric specialists is evidenced by the steady flow of applications for employment and the addition of 10 physicians to the staff during the past year The availability of several new and exciting programs such as the Yarbrough Rehabili tation Center which is almost complete as well as the projected new childrens center together with a general upgrading of performance in competency in all of the hospitals professional areashas resulted in the institution becoming nationally known as one of the most pro gressive state mental hospitals in the country The average daily population ending June 30 1963 shows a net decrease of 10 patients per day over the previous year or 11878 as against 11888 for fiscal 1962 New admissions continue to rise however with a total of 6054 patients being admitted as against 5505 last year With the return of 3579 patients from furlough the hospital gained a total of 9633 patients as against 8389 last year To balance this figure 1201 patients were discharged direct from the hospital and 7304 were placed on furlough Adding the 1149 patients who died total losses reached 9654 which means that the hospital removed from the rolls 21 more patients than was added during fiscal 1963 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 At the close of that fiscal year patients on furlough consituted 152 per cent of the total on books hospital population At the close of fiscal 1962 patients on furloughs t 18 accounted for 272 per cent of the on books population This year fiscal 1963 with 5669 patients on furlough against an on books population of 17683 the percentage of patients on furlough is 32 per cent These figures area tribute to the efficiency of the therapy pro gram and also show that the hospital medical staff is doing a tremen dous job in meeting the increased load of new admissions resulting from a change in attitude of the people of Georgia toward receiving treatment at the state hospital 7 While the members of the hospital staff have every right to be proud of the record they have achieved in this respect it must be emphasized that there is still a long way to go in achieving effective treatment in this huge institution Only with a materially increased number of physicians and supporting professionals as well as ad ditional funds to make available an adequate supply of drugs neces sary changes in environmental and ward milieu treatment situations and a reduction in resident population through materially expanded community resources can the goal of really effective treatment be realized i A step toward the realization of this longsoughtfor goal has already been accomplished with the installation of the unit system and the division of the institution into seven psychiatric units and a physical treatment unit These are now headed by competent psychia trists supported by an assistant director of nursing and a hospital administrator This in effect creates within the large institution eight small hospitals Psychiatric units average approximately 1700 with the exception of one unit for veterans and the physical treatment unit which is a 300 bed hospital A realignment of the organizational and functional responsibilities of the institution has resulted in much closer administrative rapport and better communication all the way down the line t X The treatment program continues to utilize all modern methods for the alleviation of emotional disturbance as well as newer methods which have been developed through research for the approach to the treatment of chronic longtime patients An encouraging feature re vealed by a recent study of 2054 patients discharged during the first nine months of last year shows that the average length of stay of these patients has been cut to 82 days against one year and nineteen days for a similar number of patients discharged in 1959 Included in 19 the 2054 patients discharged last year were some 35 who had been in the institution for periods ranging from 10 to 25 years Arecent check on these patients who have now been out of the institution approxi mately six months showed that with but three exceptions all of them were making an adequate adjustment in the local communties The four basic treatment methods continue to be electroshock therapy drugs and individual and group psychotherapy A widespread program in remotivation has created new interest among the attendant staff resulting in better rapport with the patients and closer and more effective use of the psychiatric aide as a member of the psychiatric team Patient government has become an effective therapeutic tool on some wards This hospital effectively uses the talents of other pro fessionals such as psychologists social workers vocational reha bilitation counselors clinical chaplains and qualified music and occupational therapists in group therapy situations The establish ment of the school for the academic programs for teenagers has created an additional resource for the psychiatrists treatment of adolescent adjustment problems effecting a large number of these young people The great numbers of chronic patients at Milledgeville who have become wards of the state over a period of years are now being reduced by new approaches in therapy social work prerelease planning and community cooperation however not until commonities in this state become aware of the need for local resources both for prehospitali zation and afercare of the mentally disturbed individual will dramatic new inroads be made upon this particular problem While we are now expending most of our efforts in intensive treatment on the newly admitted patient it must be recognized that where such techniques have been applied to small numbers of chronic patients some rather startling results have been achieved This is not possible however without further considerable increases in medical and paramedical staff The Department of Clinical Psychiatry at Milledgeville State Hospital will continue to seek for the answer to these perplexing problems with the hope that adequate staffing and the availability of the necessary financial support will bring new hope to these unfortu nate individuals 20 4 7 DEPARTMENT OF PHYSICAL HEALTH The department of physical health was created during the past year to supervise the care for the physical health of all patients in the Milledgeville State Hospital The composition of the patient load is such that 1 in a large percentage the mental condition is second ary to an organic condition and they are more in need of physical treatment than psychiatric for example brain disease secondary to arteriosclerosis is only one manifestation of an extensive circulatory disorder 2 Many have organic brain defects secondary to genetic defects such as mongolism and Huntingtons Chorea and are subject to physical diseases and need medical care throughout the duration of their illness 3 A large group of patients needing only medical care are sent to the Milledgeville State Hospital because there is no other place to send them A large segment of the psychiatric patients are incurable and spend most of their lives here These require medical care throughout the years This requires not only a large medical establishment for caring for these patients but an elaborate system to prevent these people from developing incapacitating conditions finding them when they exist and remedying them A number of patients over fifty years of age results in a large number of degenerative dis eases increasing the difficulty of diagnoses This coupled with the inability of many patients to give a history of their illness creates an excessive load on the xray service and the laboratory HOSPITALS i X The Jones Hospital for medical and surgical care and the Rivers building for the care of tuberculosis and diabetes are assigned to the Department of Physical Health The Jones Hospital three years ago was unorganized for a medical and surgical service and had only a few medical and surgical beds the majority of the patients having chronic psychiatric conditions Since that time some remodeling has been completed The operating rooms were recently remodeled and are in operation The west wing remains in a state unfit for patients The Outpatient Department Xray Department and the Pathology Department need complete remodeling and additional equipment This will be noted under each service During the past year despite the marked need for rapid improvement in the Jones building only the work on the operating rooms was finished The antiquated elevators in the Jones building cause delay in transportation of patients are dangerous and should be replaced 21 DIVISION OF CLINICAL SERVICES A Medical Services The medical wards are always overcrowded At one time thirty nine patients occupied an area designed for twenty eight patients Only the most severely ill patients are admitted to the Jones Hospital and as a result there are too many patients per phy sician on this service The need for beds result in premature dis charge of many patients resulting in incomplete diagnosis and in adequate treatment Many patients who should be admitted for medical evaluation cannot be admitted because there is no space for them No equipment of any significant amount has been added to the medical service for the past two years Equipment is urgently needed to do cardiac dynamic studies and gastroscopy These items cost approxi mately 8000 In addition a radioisotope laboratory is urgently need ed This will be included in the budget for the department of roentgen ology B Surgical Service During the past year the surgical service was divided along more conventional lines into the following Surgical Service Obstetrics and Gynecology and Anesthesiology Throughout the year there was a shortage of surgeons however this was remedied in July and at the present time we have a minimally adequate staff but with the expansion and remodeling of the building it will be in adequate During the past year the surgical suite was remodeled curtailing the work in this department for six months During this period only emergency operations were performed Three months of this delay was due to a contractor failing to comply with his bids and furnishing parts within ninety days General surgery urology and ophthalmology are staffed by specialists in these disciplines Tho racie orthopedic and EENT surgery is handled by the general surgeons with the aid of consultants At the present time the surgical service is adequately equipped except for two fracture beds which cost 740 C Obstetrics and Gynecology This newly created department was understaffed for the past year and needed the addition of one more gynecologist The operation of seven clinics and the cancer survey program leaves very little time for operative procedures This and the remodeling of the surgical suite seriously curtailed the number of operations performed There are no delivery rooms existent at the3 22 present time Plans are in progress to remedy this defect When the obstetrical suite is completed equipment to furnish a second delivery room will be needed at a cost of 8000 D Pathology The work load in the Pathology Department is excessive for the number of pathologists The need for a cytologist to screen cancer slides in this department is urgent The following new equip ment is needed in this department MonoAutotechnicon 1300 Cut ing table and instrument tray 200 MicroProjector Speedamatic 1500 Cryotome complete with rotary microtome 1465 Mortuary Refrigerator 6385 7 E Laboratory The number of examinations increased from 167101 for 196162 to 199102 for 196263 This increase of 32001 exami nations or 191 Again the increase in number does not truly reflect the increase in work because protein bound iodines were not done in this laboratory until August 1962 This of course is a fairly complex procedure and requires a considerable portion of one persons time Also electrophoresis and catecholamine tests were instituted and they are time consuming techniques The method of counting examinations in microbiology was changed so that each examination is counted rather than counting as multiple several simultaneous examinations For instance slides for GCare counted as one examination although GC trichomonas fungus and Vincents infection may be observed Previously such a slide might have been counted as four exami nations i 0 V In the categories of examinations there was relatively no change in blood chemistry and electrocardiograms There were slight de creases in blood for transfusion and cerebrospihal fluidsHematology syphilis serology routine urines special urines and parasitology showed definite increases As explained above microbiology showed a decrease due to the method of counting rather than a decrease in work New techniques added were protein bound iodine serum and hemo globin electrophoresis catecholamine and ketosteroids There were changes in many of the tests to keep them in line with the newer knowledge A constant surveillance is made of all techniques in order to determine that each technician is following our prescribed routine and to minimize variation in results23 The most important single item was approval of our blood bank by the Amercian Association of Blood Banks May 1 We also entered numerous of our techniques in surveys by the College of American Pathologists and other than for the cholesterol technique all results were very good to excellent We have the same number of personnel that we had in 196162 although there have been several leaves of absence during the year We have not been able to secure a replacement for our Technical Co ordinator due to the salary nor have we been successful in securing promotions for several of our personnel who are definitely due pro motions F Radiological Service The radiological service is completely in adequate there being only one diagnostic machine one machine to take xrays of the chest and one old outmoded therapeutic unit During the past year there was no radiologist capable of doing therapy in the hospital however we have under contract a radiologist who will report July 1 1963 to do this work The following equipment is urgently needed in the XRay Department Diagnostic XRay Machine complete 28000 Cobalt Bomb for radiotherapy 35000 Radio isotope equipment with scanner 25000 Automatic Film Processor 14000 Poloroid Cassette complete 2500 and 2 Cassette Pass Box 800 This is the minimum amount of equipment needed to bring this department up to minimal standards G Rivers Building At the end of the year there were 61 active cases of tuberculosis in comparison to 64 at the end of the last fiscal year There are 479 inactive cases of tuberculosis 177 diabetics and 36 other domiciled in the Rivers building It is interesting to note that of active tuberculosis cases 21 are white male but only 12 have positive sputum2 white females both withpositive sputum 15 colored males 8 with positive sputum 24 colored females 12 withpositive sputum a total of 61 active cases but only 34 with positive sputum There has been a marked increase in the number of diabetics admitted to the Milledgeville State Hospital and as a result many of these are having to be held in the Jones building where the space is needed for other acute diseases As special diets are available only in the Rivers and Jones buildings the cases of inactive tuberculosis should be sent to one of the units but kept as a group there for better con trol The beds now occupied by cases of inactive tuberculosis could 5 24 be occupied by diabetics and other patients needing special diets Consideration should be given to placing all the patients with tubercu losis in one building of the Rivers Complex and the other two used for metabolic diseases and neurological conditions The Rivers build ing is so understaffed that it has been impossible to place the em ployees on a forty hour week In order to staff this complex of build ings one hundred more people will be needed in the nursing depart ment To go on a forty hour week a minimum of forty people must be assigned to the nursing division This will not meet the minimal standards for good care of these people but it can be made to function on a basis similar to the care being given at the present time The buildings in the Rivers complex need painting A 7 H Consultants During the past year arrangements have been made with the Medical College of Georgia to furnish consultants to the medical staff These with our previous consultants are adequate They stimulate the staff and increase the efficiency of care to the patients Some of the comments made by the consultants from the Medical College of Georgia in their reports follows It is obvious to me that at least a half million dollars must be poured into the Jones building if it is to become a decent place for patients and doctors alike I also support your contention that the per diem must be in creased by at least 50 if minimal standards of medical care are to be achieved 4 I admire the work youve already done and your plans for the future I am sure you realize as well as any that much remains to be done before any residency training program can win approval Thomas Findley MD Professor and Chairman Department of Medi cine Medical College of Georgia In spite of the number of cases needing investigation in my opinion you have been laboring with totally inadequate facilites I feel that as a minimum you should have a small special hematology laboratory with a technician assigned to this laboratory A system for storing blood films is badly needed as is a phase microscope for performing platelet counts A hematology technician could be responsi ble for iron stains and serum iron determinations as well as such special stains as the Leukocytic Alkaline Phophatase stain useful in the diagnosis of chronic granulocytic leukemia At a later date the technician could perform serum B12 and Folic Acid determinations25 Inviewofthe prevalence of macrocytic anemias in the institution facilities for performing Schilling tests for Vitamin B12 absorption studies should be available Radioactive counting equipment would be essential for these studies Robert D Lange MD Associate Professor of Medicine Consultant in Hematology Medical College of Georgia 1 Staffing 5 to 6000 female patients which include an in patient service outpatient services adequate cancer screening consultations et cetera dictate that more than two specialists are needed Currently the addition of a third trained obgyn specialist is urgently needed and we hope that this can be included in the fiscal years budget Possible future needs may dictate additional staffing 2 Structural Changes The construction of the new obstetrical unit in accordance with the revised plans of May 1963 should have high priority It is mandatory that air conditioning of this unit is essential as for the operating room suite Nursery and newborn in fections should be minimized with an air conditioning unit Outpatient DepartmentThe outpatient department facilities are totally inadequate for handling the current outpatient load A more efficient utilization of physicians time could be accomplished by having a minimum of three offices for consultation and at least four fully equipped gynecologic exam rooms If thoughts are projected that residents will ever be at Milledgeville these would be minimum requirements ElevatorsThe elevator system in the Jones building needs little discussion as to its antiquation I consider this inefficient and ex tremely and potentially dangerous to patients 3 Hospital bedsNew beds are urgently needed and should con sist of the highlow adjustment type so that safe handling of aged and debilitated patients will be facilitated It should be kept in mind that the Jones building is an acute care unit and equipment should be appropriate3 26 4 4 Radiotherapy This heading is similar to the staffing previ ously mentioned in that adequate cancer screeningof all inpatients at Milledgeville should be done at periodic intervals There is no excuse for far advanced carcinoma developing at this institution Once diag nosis is made the psychiatric disorders preclude them from being transferred to another hospital for adequate radiotherapy The majori ty of pelvic cancers require deep therapy as well as interstitual therapy as part of their treatment whether it is in conjunction with surgery or not This obviously would also mean that a radiotherapist would be high on the list for staffing needs Some patients now with pelvic malignancies are not being treated because facilities are not available This is neither a pleasant situation for the physician nor the patient DIVISION OF NURSING SERVICES 1 X The staff of the nursing service is inadequate in both the Jones and Rivers buildings The number of personnel is approximately sixty per cent of that needed The wards are insufficiently staffed to take care of twentyeight patients on the medical service while the census is usually between thirty and forty thus overloading an already over loaded nursing staff The ward equipment is inadequate for the proper nursing of the patients for example on one floor it was necessary to tape crutches to the bed in order to give intravenous fluids there being a lack of intravenous stands In order to function properly the following equipment is needed 12 portolifts with scales 2712 10 stretchers 1250 8 suction pumps 1200 5 oxygen tents 4000 8 dressing carriages 2400 8 wheel chairs 5600 Because of the nature of our population the patients are continually injuring them selves attempting to get out of the high hospital beds These beds are of an ancient vintage and all that can be said of them is that they are high The entire Jones building should be equipped with electric highlow beds This would reduce the number of injuries to the patients and practically do away with the necessity for restraint It is desirable that we have 250 of these at the cost of 112500 This investment is for such a long time it is my opinion the expense would be justifiable Also needed are 250 hospital mattresses which cost 9500 Some plan to increase the number of nurses for ward duties and nursing education is urgently needed An inservice training program for nurs ing personnel and a school for practical nurses is dependent on our obtaining the proper personnel for these functions 27 GENERAL SERVICES A Housekeeping Department In order to institute and maintain an effective housekeeping program a complete reorganization of the department is needed Housekeeping personnel is needed in the building on a 24 hour basis to provide the type of cleanliness and sanitation that is con ducive to good patient care and hospital operation Needed equip ment 12 floor scrubbing machines 3600 27 brushes 300 8 water pickup machines 2600 2 vacuum cleaners 300 B Maintenance and Modernization The present elevator system of the Jones building consists of two passenger and one freight elevator One of the passenger elevators does not have automatic door closing and neither have automatic selector switch This causes long delays in transporting patients from one area to another for clinics and treatments In an emergency situation a long delay waiting for an elevator could mean the difference between life and death for a patient Replacing the outdated and antiquated passenger elevators with modern equipment is urgently needed C Admissions and Records Department The admissions and records departments work load increased when the group insurance went into effect with the handling of claim forms in conjunction with accounts office This department is inadequately staffed with one medical records librarian and one patient helper to process all the inpatient and outpatient records of the Jones Hospital Two more full time paid employees and additional office equipment is needed to take care of the work load and increase the efficiency of the Department D Communication and Information Department During the past year A Secretarial Pool has been created and organized to handle the secre tarial work from several of the hospital departments and wards This Department is functioning very well and has proven effective in the amount of work produced ONmomfi 28 SUMMARY While itis necessaryto make long range programs it is wise to do that which we can do now The budget for the Department of Physical Health was inadequate in each and every department To make matters worse the budget was made inflexible and any money saved in person nel could not be used to buy much needed equipment 1 4 We have been fortunate in that due to the Cuban crises we have been able to employ physicians cheaply If that were not so we would have very few physicians in this hospital However the time is now coming where these people who have passed theECFMG exami nations and are specialists are being offered substantial increases in their salaries from other sources To obtain the type of physician that we desire we must realize that we are in competition with two medical schools Itis only prudent to assume that if the salary offered is less than that of the medical school the type of man that we want is employed by the medical college and we lose them A marked in crease in the salaries of all grades of physicians should be contem plated and if this is not done we will soon find ourselves in a very precarious position for lack of professional help Our marked turnover of physicians is due to this one factor It will be necessary to either double the number of beds assigned to the medical and surgical hospital or make adequate provisions for them to be cared for in the units Our recommendation is that an in firmary be established in each unit and put under the care of the medical and surgical division This will permit the treatment of minor illnesses within the unit and a continuity of treatment between the time the patient is prematurely discharged from the Jones building and can safely return to his unit The amount of transportation involved bringing thirty thousand patients a year to the Jones building is enormous The Outpatient Department is crowded and it is important that this condition be amelorated It is recommended that a Unit Health Building in the center of the unit be built In this unit all the health functions eg examinations screening etc could be done efficiently Most of the dental care could be accomplished in this unit without transferring the patient to the dental department EENT Ophthalmology and cancer screening examinations could be performed in this unit 29 The lack of proper facilities and adequate equipment is de pressing Unless this situation improves drastically and soon many of our most able physicians will leave to an environment less frus trating permitting them to practice excellent medicine RECOMMENDATIONS 1 That the operating budget of the Physical Health Division be immediately increased from 2500000 to 14500000 2 The remodeling air conditioning and equipping of the Jones building be accomplished immediately That new automatic elevators be given high priority 3 That some plans be evolved by which more well trained nurses can be obtained to better care for the patient to begin an inservice training program and start a school of practical nursing 4 That physicianssalaries be raised to meet the growing demand for trained physicians in this department and to hold the present staff Report of services in the Physical Health Division for the past fiscal year included 2766 admissions comprising 55746 days of patient care autopsies performed totaled 200 electrocardiograms 4485 laboratory procedures 176109 there were 1282 emergency night visits made out patient visits totaled 29695 pathological procedures numbered 13220 and radiological procedures 18387 surgical procedures included 8 ENT 110 orthopedic 254 urological 266 general 117 OBGYN 466 ophthalmology 3 thoracic 3 neurosurgery and 3 plastic surgery PHARMACY During the year the department filled 112799 prescriptions The total amount of medicine dispensed to the wards amounted to 568410 The department produced 748 gallons of tinctures spirits and ex tracts 115 gallons of elixir and tonics 94 gallons of syrups 169 pounds ointments 419 gallons liquors lotions 165 pounds medicated powders 94 gallons liniments and filled 5600 assorted capsules30 DENTISTRY 4 1 i During the past year more dental care has been rendered to the patients of the Hospital than in any previous year and this is parti ally due to the fact that the employees treatment program has been limited to prophylaxes and emergency care Within recent months the Dental Department has emphasized dental prothetics At the present time we are in the process of provid ing every longterm cooperative patient with a partial or full denture if needed This type of treatment has already been completed for all the indicated patients in several of the buildings The Dental Depart ment continues to follow normal procedure in rendering routine dental care for the patients Examinations prophylaxes and removal of dental pathoses are accomplished at regular intervals Emergency dental treatment is available 24 hours daily and our program for ren dering operative procedures and other types of dental treatments has been accelerated The patients within the Rivers building have received more dental care than in any previous year One or two wards within the building have been assigned to each of our Dentists for dental care Plans are being made to establish a dental operatory in this building for our convenience in seeing these patients most of whom are dia betic tubercular or inactive tubercular patients A full staff of eight Dentists have been maintained during the past year The dental staff performed 53717 operations and treat ments Plans are being made to extend our program for attendantedu cation in ward dental care One of our staff Dentists has lectured on Oral Health to the children who are enrolled in the Special Education Classes and he has directed the Dental Hygienists in rendering top ical applications of stannous fluoride to the iteeth of these students Within the past year the dental department has succeeded in obtaining vital information from the medical histories of most of the patients who have appointments with us Many of the records within the dental department have been revised to more accurately serve our needs 31 There are four licensed Dental Hygienists on our staff and one of our dental assistants is in training so that she will become eligible In lake the Hygienists examination The staff Dentists closely super vise the Dental Hygienists in their performance of their dutiesThe Hygienists continue to render home care instructions in oral hygiene to the patients they treat and they have been instructed to give any of these patients a toothbrush if he does not have one These brushes are purchased by our department at a very low cost The average amount of work that our laboratory should accom plish has been specified for the purpose of maintaining the laboratory on an economically feasible basis All laboratory work involving cast procedures is sent out to a commercial laboratory for processing due to the fact that we have found it is economically unsound for us to employ a full time technician for this phase of laboratory work Further consideration should be given to the enlargement of the dental staff so that the patients will receive more nearly complete dental care Plans are being made to expand our facilities by placing dental equipment in each unit of the Hospital for rendering exami nations and limited treatments DEPARTMENT OF CLINICAL PSYCHOLOGY During this fiscal year the Clinical Psychology Department has become the largest in the south and its greatest accomplishment has been the receiving of national accreditation at the highest level by the American Psychological Association This accreditation places the department in a small and select group on a national basis In the last listing of accredited departments there were only 4 or 5 state hospitals listed out of 279 and only a total of 44 departments in the entire country A good organizational system has been developed in order to promote future growth Dr Thomas W Lucik has the responsibility for professional standards in clinical psychology Dr Arthur E Alper for professional training Dr Horace Stewart in research Dr JL Bernard in Education and Dr John Hannon in services for children and adolescents Many outstanding psychologists in the country visit nim Is 32 lb 1 1 4 the department regularly to offer their advice and guidance to the program The department is constantly attempting to innovate new programs improve existing programs and expects to become one of the top 10 in the country during the next fiscal year The department now has a welldeveloped internship program and is affiliated with the University of Georgia Florida Tennessee and Alabama There are currently 13 interns from southern universities Supervising psychologists are highly qualified and provide high level training to the interns by way of special seminars held each week and many hours of individual supervision The good physical facilities in the training unit along with a good representation of other disciplines on the staff provide an ideal learning situation for students The department has actively increased its emphasis on psycho logical research during the past year Every staff member and intern is engaged in ongoing research and a number of articles were publish ed by the staff during the year Active support has been given to any university or student doing psychological research and cooperative research is being done with the New York University Research Center for Mental Health and the University of Tennessee A psychological laboratory will open shortly and the basic experimental equipment has already been ordered The department will continue to expand its research efforts as part of an active program to provide basic knowl edge to increase diagnostic and therapeutic skills Professional standards have received much attention during the year and all diagnostic and treatment procedures have been reviewed and checked regularly High level functioning throughout the hospital has been required wherever psychologists perform their duties and continuous effort is expended in order to realize all the contributions which can be made by clinical psychologists in a mental hospital setting Education in clinical psychology is another major function of the department InService education is providing a highly diversified program of instruction to psychiatric residents student nurses psy chiatric aides public health nurses and chaplaincy students Public Relations closely coordinated with Mr Browns department has pro vided seminar programs designed to modify the publics attitude to ward the hospital the patients and mental health as a profession 33 This program has reached many college students high school stu dents teachers medical students and civic organizations Attitude surveys indicate that the program has been enthusiastically received and that opinions and prejudice has been often profoundly altered in a desirable direction A program is now being designed which will attempt to add to the hospital treatment program by way of education al procedures The clinical psychology department has played an important role in the development of the school program for children and adolescents There are now 3 classrooms and 2 more will be added in September of 1963 All children are screened upon admission and periodically evaluated as to progress The children and the classrooms have been centralized in one building and close coordination has been achieved between the school program and the hospital treatment program The program has been very successful and most of the students have now left the hospital and are functioning well in their home communities The clinical psychology department performed intensive psy chological treatment with approximately 1000 patients and 2000 add itional patients received some assistance Approximately 1700 psy chological diagnostic evaluations were completed during the year 700 hours were spent in teaching and 500 hours in research The depart mental staff members also contributed more than 1000 extra hours to the hospital over and above the number of working hours required of themjrfnM ttC06ft 5 t 1 34 DEPARTMENT OF NURSING SERVICES Staff members have represented the Department of Nursing Services at a number of state and national conferences during the past year Those held in Atlanta included American Red Cross workshops on disaster nursing the Georgia State Nurses Association Convention Supervisors Conference of the Nursing Division of the Georgia Depart ment of Public Health a committee to consider revision of classifi cations of nursing positions in public health Planning Committee meeting for annual Supervisors Conferences of the Public Health De partment conferences with directors of nursing education and the Board of Examiners of Nurses for Georgia a committee on recruitment of nurses and therapists at Milledgeville State Hospital workshop on test construction sponsored jointly by the Georgia State Nurses As sociation the Georgia League for Nursing and the Board of Examin ers for Nurses for Georgia Meetings at Milledgeville included the annual faculty meeting of the hospital faculty with directors of nursing and educational staff members of hospitals under contract for psychiatric nursing affili ation at Milledgeville State Hospital In addition faculty members participated in the work conference in supervision in nursing spon sored by the University of North Carolina School of Nursing at Chapel Hill an institute on Nursing Staff Patterns at the University of Florida and a remotivation course sponsored by the American Psy chiatric Association Mental Health Service for the Southeastern States at the VA Hospital in Tuscaloosa Alabama i DEPARTMENT OF NURSING EDUCATION 0 7 Throughout the year members of the Education Department have led many discussions on the Role of the Psychiatric Nurse and the Student Nurse in the Basic Course in Psychiatric Nursing for the benefit of various groups who were interested in Mental Health careers or to those already employed in the field Such groups included Milledgeville State Hospital doctors in the Psychiatric Residency Program the groups of Vocational Rehabilitation Counselors and approximately ninety groups of students who came to visit the hospi tal for High School Career Days 35 Mrs Maidana K Nunn RN BS Supervising Instructor for the Psychiatric Affiliation Program was granted a leave and atrainee ship to continue her education for the Masters Degree in Psychiatric Nursing at the University of Maryland in Baltimore Mrs Beatrice Tribble RN AB has assumed the duties as Supervising Instructor during Mrs Nunns absence Mrs Vivetta H Kramer RN BS received a scholarship from Catholic University in Washington DC and was granted a leave to pursue the Masters Degree in Psychiatric Nursing The Education Building has been made more comfortable by the installation of a much needed air conditioning unit and beautified by foundation plantings of azaleas Burfori holly and other shrubs We are grateful for th ese improvements A total of fortyeight new books have been added to our library during the past year In addition fifty to sixty books have been do nated for the use of students and instructors We still have contracts with seven Georgia Schools of Nursing which sent a total of 306 students to our department for their affili ation in basic Psychiatric Nursing All of these students were given the Psychiatric Nursing Achievement Test NLN on completion of the course These students and schools are listed below Georgia Baptist Hospital Atlanta Georgia Southwestern College Americus Grady Memorial Hospital Atlanta Macon Hospital Macon Medical Center Columbus Piedmont Hospital Atlanta Warren A Candler Savannah 115 Students 17 Students 63 Students 31 Students 20 Students 45 Students 15 Students The Psychiatric Aide Program continues with Mrs Roselyn T Kelly RN and Mrs Mattie Lou Pennington RN as instructors During the year 117 employees were awarded Psychiatric Aide Certifi cates and 137 employees received Civil DefenseMedical Self Help Training Certificatess t 36 In December we were pleased to have Lolita G Rutland RN MA PhD Ed join our staff as Supervising Nursing Instructor for InService Education Under Dr Rutlands leadership two new pro grams are getting underway in the Units as leaders are available to help initiate the programs We regret that expansion is hampered by lack of adequate personnel to carry out these programs effectively o The OnGoing InService program is designed to keep the non professional personnel well informed to meet the nursing needs in the units by presenting enriched factual data on subjects related to nurs ing service and information pertinent to the operation of the units The Remotivation Program a phase on the OnGoing In Service Program is being accepted enthusiastically as it gains momentum in spreading to the various units of the hospital This technique of simple group interaction introduced by the late Mrs Dorothy Hoskins Smith an educator who tried and trained aides at the Philadelphia State Hospital is based on five simple steps and can be modified to test the creative ability of the aides This program in the hands of qualified personnel has unlimited potential for reaching into the un touched areas of many patients personalities by sharing with them many of the little every day things that make up the world of reality which the aide can share with patients Mrs Mary Will Billue RN a graduate of our hospital joined the staff in January as Charge Nurse of the new Psychiatric OutPa tient Clinic which was opened in temporary quarters in the Boone Build ing prior to moving in the future to permanent quarters in theVocation alRehabilitation Building The work of this clinic has greatly in creased and a Staff Nurse was added in June The end of this fiscal year marked the end of our first year of operation under the Unit Division We have held regular monthly meet ings with the Nursing Directors of the Units to help coordinate nurs ing service Many changes have been made and new problems present ed but these have been met with understanding and patience on the part of Administration and personnel Nursing Directors and Super visors are laboring in an attempt to stretch the services of the unit personnel to meet the unending demands made upon them as in crease in auxiliary personnel has not kept pace with the growth and expansion of our hospital and its services 37 MEDICAL LIBRARY The book collection of the Medical Library was increased during the past year by two hundred eighty six professional and reference books One hundred and nine journals are being received at the pre sent time as compared with one hundred and one journals a year ago A considerable number of books are constantly in circulation On the other hand the library is used to a greater extent for reading The reading room was equipped with air conditioning at the middle of June 1963 and its pleasant setting and refreshing coolness attract the doctors and permanent staff to use the resources of the library as well as the students who are at MSH for summer training in various departments especially Psychology Social Service and Religious Services Our tape recorder is also in daily use The foreign doctors problem of acquiring an English vocabulary along with more precise English pronunciation and better knowledge of the English language in general is a very urgent one and listening to tapes is one way to improvement The librarian has been requested to secure an English teacher for interested foreign doctors Because the Medical Library is a member of the Medical Library Association the librarian attended the 2nd International Congress on Medical Librarianship and the 62nd Annual Meeting of the Medical Library Association in Washington from June 15 to June 19 With the opening of the Yarbrough Rehabilitation Building a new specialized psychiatric library comes into existence The books for this library have been ordered and will be processed by the Medical Library in the Jones Building the records of the journals for the new psychiatric library in the Yarbrough Building will also be kept by the Medical Library in the Jones Building This setup means that the work in the Medical Library will in the future be doubled38 W DEPARTMENT OF PSYCHIATRIC SOCIAL WORK Important personnel additions augmented the social work de partment during the past year Mr Kenneth F Jasnau ACSW was recruited from the faculty of Florida State University of School of Social Work and appointed as Chief Social Worker and given primary responsibilities in the realm of supervising graduate students and administering the social work program in Unit IV Seven stipend holders returned from graduate schools consti tuting a major addition to the professional staff The newly graduated workers included Mary Kingston from Smith College Margaret Giddings from Tennessee Harmon Adams Barbara Brown Ray Mills Ralph Roberts and Tom Wise from Florida State Four Case Aides were awarded stipends for graduate study at graduate schools and eight social work aides were employed for a period of work and study in preparation for graduate school Nine volunteer social workers were trained in interviewing tech niques hospital procedures and confidentiality prior to their assign ment as case history interviewers Their later work added to the number of histories available to psychiatric teams in their diagnostic and treatment tasks i t Training personnel for community agencies became a project for the staff during the year Nine visiting teachers came to the hospital on alternate Fridays for nine months to complete a course in social casework with emphasis on social aspects of childhood behavior disorders Public health nurses were also provided with orientation in relation to their aftercare duties with patients and families An extensive manual of social work policies and procedures was published and distributed for use by departmental workers This publi cation is useful to new employees and students in providing stepby step procedures for completing circumscribed social work tasks 39 The most significant obstacle to implementing more effective social services was the shortage of experienced supervisors The ratio of case aides and new graduates to certified workers has been too high and will probably remain so until the new gradutes attain the necessary experience which will enable them to perform supervisory duties STATISTICS REGARDING SERVICES TO PATIENTS The following statistical presentation indicates a portion of the social services which were extended to patients during the year 12698 interviews were conducted 5510 with patients 2732 with relatives and 4456 with others 3892 letters were written 1416 reports and abstracts were prepared for other agencies who were working with patients in aftercare programs or with families during the patients hospitalization 1308 reports for social security or public assistance 0AAAD grants were completed 2598 social histories were taken DEPARTMENT OF PUBLIC RELATIONS The function of the Department of Public Relations is twofold 1 presentation of factual uptodate information regarding the hospi tals treatment program policies procedures activities problems and accomplishments and 2 a program of orientation and recruit ment with college and high school groups throughout the state Excellent cooperation has been received from various mass media in presenting the hospital story to the public The efficacy of the public relations program can best be determined in the attitude of pa tients entering the institution on voluntary admissions as well as the willingness of discharged patients to identify their recovery with the Milledgeville program A definite change of attitude is evidenced in this respect The director made approximately 150 talks to various civic groups around the state including womens clubs high school and college groups civic clubs church groups PTA workshops on mental health and workshops for teachers on mental health 40 t 4 i The response to the hospital story has been demonstrated through the marked change in attitude of the public throughout the state to ward the discharged patient returning to the community as well as a more knowledgeable attitude regarding mental illness in general A number of national publications featured the state hospital The department continues to assume responsibility for arranging tours by visiting groups as well as the preparation of seminar pro grams for college and high school students career day programs arrangements for special events scheduling of speakers for outside organizations and development of better employee relationships with in the institution During the year the director was elected as vice president of the National Association of State Psychiatric Information Specialists as well as vice president of the Mental Health Division of the Georgia Public Health Association The rapid expansion of the seminar programs for college and high school students operated in conjunction with the Department of Clinical Psychology has become almost a fivedayaweek program Nearly 8000 students participated in the seminar and career day pro gram last year In addition 145 similar programs were offered to other groups With the addition of a number of psychology technicians the guide service on the tour part of this program is now much more efficiently conducted than in the past It would seem to be indicated that if the recruitment program is to be really effective it should have some type of followup service by which young people who express a definite interest in a mental health career might be kept aware of de velopments and contacted personally from time to time as their edu cational program progresses While some followup work is done by the director in connection with his speaking tours visits to ordi naries etcetera around the state many young peoplewho should be contacted periodically were bypassed for lack of time Continuing evaluation of the public relations program and ex pansion into areas not now covered can only be achieved through the addition of professional staff members to the department With the growth of the hospital the expansion of new programs and personnel 41 the division into the unit system and the tremendous size of the over all institution the production of news stories of merit could easily provide a fulltime job for one person When the time necessary for the production of technical bro hures for the departments the annual report photographic coverage and a promotion and production of visual aide material is considered it is hopeless to attempt to cover the field adequately with the present staff Several exhibits of the hospitals program were produced and shown at state and national meetings during the year These created no little interest and inquiries have been received from a number of states particularly regarding the unit system the pilot study in vocational rehabilitation the high school and college seminar and career programs the department of religious services the Chapels of All Faiths campaign and others DEPARTMENT OF VOLUNTEER SERVICES Staff The first Director of Volunteer Services for the Milledgeville State Hospital was appointed February 16 1961 The primary function of the department is to promote and direct the effective utilization of volunteer services and donations Four objectives were immediately established ie 1 to supplement services of staff 2 to provide patients with community contacts 3 to aid in educating the public regarding mental health 4 to guide community organizations in selection of worthwhile hospital projects In April 1962 approval was granted for employment of an inter mediate stenographer This greatly facilitated the duties of the di rector and made for more efficient operation of the department The Apparel Shop developed to such proportions after one and one half years operation under volunteer leadership that it became necessary to employ a Storekeeper to work with the volunteers and to supervise the operation of the Shop on a fulltime basis42 Program The effective use of volunteers supplements the program which the staff is able to provide in such fields as RecreationMusic Therapy Occupational Therapy Social Service and Horticulture Selected serv ices of members of Civil Clubs Mental Health organizations church groups fraternal orders student organizations womens clubs and interested individuals are utilized Numerous organizations perform a tremendous service to the patients by providing them with many of the essentials that make their hospitalization more pleasant and treatment more beneficial Through association the patients fail to lose contact with the outside which is a major factor in their return to society Many volunteers have expressed gratitude for the privilege of working with the patients and becoming more informed regarding the problems of mental illness i Recruitment and Training The most effective method of recruitment has been referrals to the volunteer recruitment chairman by volunteers already serving in the hospital However the medium of the press radio and television has not been eliminated Interviewing of prospective volunteers is done by the recruitment chairman Director of Volunteer Services and finally by the department head to which the volunteer will be assigned An application form is completed by the prospective volunteer When groups are sufficiently large a formal training program is scheduled with various department heads lecturing on their role in the hospital Following this emphasis is placed on detailed instructions regarding services of the particular department to which the volunteer is assigned The remainder of the training is concentrated through the inservice program t Donations The Director of Volunteer Services has acted as liaison between the hospital and organizations desiring to contribute articles for the patients benefit The ward personnel have kept the Volunteer Services office currently informed of their needs The generosity of the people of Georgia has been demonstrated in their response S43 Numerous expendable items have been received and dispensed for the use of indigent patients Nonexpendable donated items include bedspreads card tables carts rocking chairs clocks drapery material washing machines and dryers fans glidders hair dryers hydraulic lifts irons ironing boards lamps pianos ping pong tables radios record players refrigerators rugs electric sewing machines treadle sewing machines shampoo chairs sofas bedside tables television and plastic wastepaper baskets Apparel Shop The Apparel Shop is designed to provide good used clothing to indigent patients who work throughout the hospital attend recreational activities religious services and other functions where hospital sup plied apparel is not desirable In the fall of 1961 the Georgia Mental Health Association accept ed this as one of their projects and provided the necessary publicity to make the project a reality Contributors were requested to screen cloth ing for its usefulness and cleanliness and to label all garments for size The hospital was extremely fortunate in having the Baldwin County Medical Auxiliary to sponsor this project and in January 1962 began their untiring efforts of establishing the shop and making it ready for patients to be served They have also utilized the services of other individuals and organizations in the operation of the shop The public response to this project has been overwhelming and literally tons of good used clothing have been received To commem orate the opening of this shop Mrs Leon Frohsin President of the Atlanta Mental Health Association arranged for the Leon Frohsin Shoppes of Atlanta to present a fashion show using the models and apparel from the Frohsin Shoppes with Mrs Betty Vandiver the then Georgias First Lady assisting Mrs Frohsin in the narration The Apparel Shop has offered much to the patients that they could not have obtained through any other source The feeling of being well dressed has given them confidence that they could not have obtained by any other means44 b 4 b Those patients who work in the offices and other areas are not recognizable as patients since they are not outfitted in State Hospital clothing Their pride and self confidence is restored to a great extent through this means There has been cooperation with Vocational Rehabilitation by providing a change of clothing for patients going into outside employment under their sponsorship This is their only means of a partial wardrobe until they can get their first pay check A great contribution has been made to the teenagers who are attending the classes for exceptional children Both boys and girls have been given sufficient clothing to make them presentable for the classroom and also to attend functions away from the hospital grounds It has been possible for them to have formal dances by lending evening dresses and shoes to them The patients are referred for routine service by the building super visors in order that the needs of the patients may be adequately met Both the men and women patients have enjoyed the experience of once again being able to shop and to feel welldressed and they have expressed their gratitude for this opportunity afforded them This project increased beyond the scope of being handled entirely by volunteers so in April 1963 a full time employee was added to the staff This will continue as a volunteer activity on an expanded basis under the leadership of the Storekeeper Day Rooms The project of replacing uncomfortable wooden benches with com fortable and attractive furnishings and literally transforming drab and unsightly day rooms into pleasant and comfortable areas was under taken by the United Church Women of Georgia the latter part of 1956 Their Day Room Chairman has done an outstanding job during these past six years and as a result of her untiring efforts 54 day rooms have been furnished The cost of furnishings for the day rooms has ranged from 600 to 1500 with an actual discount of 4060 being allowed by the factory from which the furniture is purchased In a letter to the United Church Women the hospital superintendent wrote Barren cold drab day rooms do not contribute an atmosphere t45 conducive to a happy satisfying state of mind Fears anxieties and insecurities are relieved by the kind of background that has been furnished by the United Church Women of Georgia This provides a foundation so necessary in preparing the patient to psychologically benefit from the available therapeutic procedures Staff members have also realized the benefits of this service and have made many requests for additional day rooms to be furnishedThere are still many areas yet to be provided with furniture but with the tre mendous progress already made it is evident that they will accomplish their goal of having all patients in more pleasant surroundings within a few years Christmas Program Because of the vastness of the Christmas Program for Georgias 12000 mentally ill patients at the Milledgeville State Hospital it necessarily becomes a cooperative affair with a number of departments taking an active part The thousands of gifts contributed on MDay Mayors Daythrough mental health associations church civic and social organizations and individuals are received by the Patients Benefit Fund personnel acknowledged by the Business Office gift distribution is made by the Nursing Department programs printed through Public Relations and the church parties are arranged for by the Recreation Department and Volunteer Services office The patients look forward to the many activities planned for this season and are grateful to all who make these affairs possible Forgotten Patient Program The Forgotten Patient Program was inaugurated as a means to provide with gifts and remembrances those patients who do not have friends or relatives to give them the extras which the hospital does not supply The names of patients cannot legally be released to individuals or organizations for this purpose so a system was devised to assign numbers to these patients the key to which is kept in the Volunteer46 b Services Office All mail is directed to the Director of Volunteer Services and is then forwarded to the intended individual Pertinent information such as the sex age birthdate height weight apparel sizes and the patients interest is relayed to those desiring to adopt patients The Jaycettes Pilot Clubs Quota Clubs church organizations and interested individuals have accepted this project as their service to the hospital program This has been a meaningful project for the recipients and for the first time in many years they had the privilege of such remembrances The patients have expressed their appreciation verbally and in letters to their benefactors 2 Alcoholics Anonymous In the spring of 1960 a unit of Alcoholics Anonymous was organ ized at the Milledgeville State Hospital Since its inception volunteers from units of six middle Georgia towns have alternated visiting the hospital and conducting the evenings program The physicians have cooperated in these activities by referring patients with an alcoholic problem Since the hospital does not have designated alcoholic wards it is necessary to provide escort service throughout the hospital for the 8085 patients who attend these ses sions This is ably done by the Occupational Therapy staff members These workers also assist in serving refreshments furnished cooper atively by the hospital and visitors A followup program is being initiated with various AA groups being given the names of alcoholic patients when they are released from the institution so they can make immediate contact with them upon their return home Plans have been completed for statewide anniversary celebrations of this unit to be held at the Milledgeville State Hospital on each second Sunday in August Three anniversaries have been observed with the hospital personnel and choir taking a prominent part The interest and enthusiasm of the volunteer organization insures the hospital of its continued support and assistance to this group of patients 47 Social Service In the spring of 1963 the director of the Social Service Department requested volunteer assistance for taking case histories from families of patients admitted to the hospital for use in diagnostic study The volunteers would relieve the professional staff of this duty so that they would have more time for work with the patients An ABS or AB degree was a prerequisite for volunteersOther qualifications requested to consider in screening were 1 objectivity 2 verbal abilities articulate 3 relate well to people in interviews 4 not dominant or authoritarian 5 accepting permissive facilitating Ten people were recruited and underwent an extensive training course planned by the Director of Social Services The quality of their work has been outstanding and it is anticipated that these volunteers will make a great contribution to the hospital program Recreation Volunteer Services has assisted in the Recreation programs by arranging for auditorium and ward entertainment groups picnics and church parties Of particular interest has been the excellent co operation with the Womans College of Georgia Three groups of stu dents regularly visit the hospital for a bridge club and outdoor activi ties The patient response to these young enthusiastic people has been outstanding Many church groups have parties and picnics for the patients of their faiths throughout the year A special note should be made regard ing the picnics planned by Mental Health Associations for patients from their counties Some of these groups will bring patients relatives for these events These affairs have been gratifying to both the pa tients and sponsors Occupational Therapy The most valuable contribution made to this department has been services of artists who have volunteered their assistance48 Q For several years a local artist has conducted an oil painting class for those patients expressing a desire to learn this phase of art Occupational Therapy workers and others of the medical staff through out the hospital made referrals for this service In addition to the above class for referred patients art classes have been organized in five buildings utilizing the services of four artists from Atlanta a distance of 100 miles who visit the hospital on a weekly and bimonthly basis At the patients suggestion each has organized into an art club Of particular interest also is the art in struction that has been provided for the students of the Exceptional Classes for teenagers who have an IQ of average and above The response and display of talent were most gratifying The program is progressing satisfactorily and is a beginning toward the goal of having art classes available to patients in every building within the hospital The hospital is indeed proud of the collection of paintings donated by the Artists Associates of Atlanta Georgia in memory of David Logland one of the volunteer artists who perished in the plane crash in Paris France along with other cultural leaders of Atlanta These have been placed throughout the building recently constructed for use as a rehabilitation center Music Therapy The Music Therapy Volunteer Program began in March 1961 with a group of four volunteers organizing a music club in one building Pa tients originally selected were those who had little interest in any activity Rhythm band instruments marching and simple music games were employed The interest and response quickly indicated the need tor program expansion Th niber of volunteers gradually increased and additional clubs were organized in other buildings Included in the new croups were a music appreciation class and folk dance class that is under the direction of the local county agent who is well trained in a special type of western style of dancing All of the clubs meet weekly in the evenings Monday through Thursday During each of these sessions a music therapy department staff member s present Where possible each volunteer team is so 49 organized that there are at least five to six members participating in each group with one being a pianist another a song leader and so forth The Music Therapy volunteers now number 40 Shortly after the inception of the volunteer program in the Music Therapy Department it became evident that the group needed to be organized so the fourth Monday evenings were set aside for the purpose of group meetings at which time problems and program planning are discussed The volun teers have found these meetings to be quite beneficial to them in their work with the patients Garden Therapy The purpose of the Garden Therapy Program at the Milledgeville State Hospital is to use gardening as a therapy for the benefit of the mentally ill patients who need the exercise renewed interest a warm feeling of achievement the tomorrow look and a new interest and hobby The program was organized in December 1959 with the endorsement and support of the superintendent and hospital staff The five Milledge ville Garden Glubs accepted this project readily There are presently twelve patient garden clubs in operation with 500 patients partici pating weekly under the capable leadership of ninety volunteers The horticultural work is planned and supervised under the direction of the horticulturist and director of Volunteer Services The program is fi nanced by the Garden Clubs of Georgia Inc This materialized through the efforts of a number of dedicated volunteers who made many trips throughout the state presenting therapy programs to Garden Clubs A number of Garden Club groups have also made visits to the hospital and have received firsthand knowledge of Garden Therapy and the hospital The Executive Board composed of the chairman secretary treas urer chairmen of each garden club chairman of alternate programs horticulturist and director of Volunteer Services meets monthly to plan the work coordinate the activities with the hospital program and sanction all expenditure of funds These are very purposeful meetings and help to keep the program unified The activities are varied and planned to include weekly events regardless of weather conditions making the alternate program a most50 t important phase Crafts games and movies are the most common of these activities In addition to the planting cultivating and fertilizing of flower borders around the buildings activities consist of flower arrangements for the dining room tables monthly birthday parties picnics teas visiting the hospital orchards sightseeing trips on hospital buses and working in the greenhouse 4 Q A number of awards have been made to those associated with Garden Therapy and are listed below 1 A certificate of merit was presented by the State Health Depart ment and the staff of the Milledgeville State Hospital to the Garden Clubs of Georgia Inc in recognition of the services rendered the Mental Health Program by the garden therapy work 2 A certificate of merit was presented to Mr ET Newsome Horticulturist Milledgeville State Hospital by the Garden Clubs of Georgia Inc for outstanding achievement in horticulture 3 The 196061 Garden Therapy award was presented to the Milledgeville Garden Therapy workers by Garden Clubs of Georgia Inc 4 196061 National Garden Therapy award was presented to the Garden Clubs of Georgia Inc in recognition of outstanding garden therapy program at the Milledgeville State Hospital t 5 At the 196162 State Garden Club convention a certificate of merit was presented to Mrs TM Hines Chairman of Garden Therapy for her outstanding service to the Garden Therapy program 6 Also at the 196162 State Garden Club convention a certificate of merit was presented to the Garden Therapy volunteer workers of the Milledgeville State Hospital for the outstanding service performed in their work with the patient garden club groups 7 During the 196263 State Garden Club Convention the Garden Therapy Board of the Milledgeville garden clubs was given the Achieve ment Award The program is definitely deserving of all the recognition it has received during its 34 years of existence Garden Therapy has become entrenched in the hospital program and has become a permanent phase of many of the garden club activities throughout the state 051 Colored Service The negro patients definitely have not been neglected by the people of Georgia Contributions that have been made to the hospital have been shared with the negro service In addition to these donations members of their own race have been encouraged to provide needed material and equipment for their pleasure and comfort The major sources of volunteers have been from among the pro fessional and church people in the Milledgeville area Garden clubs have been formed in each building These groups have expanded their gardening activities to include vegetable gardens as well as flowers and related social activities Volunteers from Home Demonstration Club have assisted in Re creation Activities One of the most valuable contributions has been in the Activation program where they work highly regressed patients in simple exercises and games A unique cub scout troup has been organized and chartered for a group of boys in the Bostick Building The chronological age ranges from 8 to 18 years but the mental age is preschool level The mother of one of the boys is a Milledgeville resident and is a den mother Other women of this area are volunteering with this group Some equip ment and uniforms have been donated for use by this troup The cooperation of the staff in the negro service has been out standing They along with the patients have expressed their gratitude for the privilege of working with the volunteers They have accepted this as a challenge and have exerted much effort toward making the program successful Statistical Information The number of volunteers and hours spent in volunteer service is as follows Garden Therapy 77 volunteers2949 hours Music Therapy 35 volunteers1624 hours Art Therapy 5 volunteers301 hours Social service 10 volunteers427 hours Recreation 23 volunteers153 hours Apparel Shop 38 volunteers628 hours 1700 patients outfitted with apparel Alcoholics Anonymous 150 volunteers750 hours Negro Serv ice 50 volunteers456 hours TOTAL 388 volunteers7288 hours It is interesting to note that 12 of the 50 volunteers in this serv ice are staff members and give voluntarily of their time to make these extra activities available to their patients52 t DEPARTMENT OF OCCUPATIONAL THERAPY DEPARTMENT PROGRESS 4 Q S Staff During this fiscal year five Occupational Therapy Aides have been added to the department bringing the total to 51 aides and one supervisor A Registered Occupational Therapist joined the staff as Director of Occupational Therapy on May 1 1963 Clinic Areas Bostick Building opened a new Occupational Therapy clinic and started a program for female patients with the aide using a diningroom area to work with the patients on craft activities The Occupational Therapy clinic in the Veterans Building was moved to another location and smaller quarters Patients from Whittle Building had been working in a small base ment area in Allen Building This location was not suitable so ar rangements were made to use a hallway area on the first floor of Whittle Building to work with patients from all wards The Allen clinic was released to the Unit for other uses Occupational Therapy service in the Ingram Building was discon tinued due to lack of space for working and for storage The program in Walker 26 is being conducted on a part time basis with personnel from 24 and 25 distributing work and giving a minium amount of help to the patients There is no item presently available for a full time worker on Walker 26 Floor plans were reviewed and suggested changes indicated to renovate the Twin Building Dining Room for an Occupational Therapy store room and a combination clinicinservice area These were ap proved and the work will start in the near future Addition of this area will result in a better program for patients from the Whittle Build ing and will allow patients from other buildings to participate in crafts not available and impratical for their clinic areas 53 Furniture and Equipment New furniture was purchased for Allen Occupational Therapy clinic and the program reorganized so that 24 additional patients can be accommodated in this small area A number of power tools for woodwork was purchased for various clinics and many small tools were added SPECIAL PROGRAMS A number of group activities have been initiated or continued Emphasis during this year has been placed on the socializing activi ties as one of the most important phases of total treatment and reha bilitation A volunteer carries on the art class in Powell Craft for male and female patients from all buildings on a half day per week basis Two patientsnewspapers are published on a weekly basis The Golden Star for colored patients and The Builder for white Newsgathering editing stenciling mimeograph assembly and distri bution are done by patients under Occupational Therapy supervision A style show was held in the spring of 1963 with 30 patients participating by making and modeling their clothes A coffee party marked the opening of this event Refreshments were served to pa tients attending each of the four shows A Fall Festival was held in the auditorium in November with many patients and members of the community attending Patients work was exhibited and many appreciative comments were received Christmas parties were given for the patients in most of the Occupational Therapy clinics with refreshments furnished by the hospital In addition many guests contributed homemade cakes and cookies COOPERATION WITH ALLIED ACTIVITIES Occupational Therapy personnel continue to escort patients to the weekly AA meetings conducted by volunteerst 54 Every afternoon patients were escorted to and from recreation activities by Occupational Therapy personnel thereby closing all clinics onehalf of every day Occupational Therapy personnel also cooperated with the Recreation Therapy Department in giving picnics and holding Field Days Many of the Occupational Therapy personnel work on Sundays in order to escort patients to church This resulted in compensatory time being given during the week thus effecting the treatment program INSERVICE PROGRAMS Monthly staff meetings were established for all Occupational Therapy personnel Two of the Occupational Therapy personnel attended the twelve hour Civil Defense Training Course Two were guest at a remotivation session in Holly Building Orientation lectures on Occupational Therpy were given to members of active departments as follows One Music Therapy Intern One hour lecture one hour tour 34 Social Service personnel one hour lecture 83 Student Nurses one hour lecture 75 Psychiatric Aides onehalf hour lecture COMMUNITY ACTIVITIES The department participated in the Career Day programs for high school students giving them a brief orientation and tour Occupational Therapy personnel acted as guides for groups scheduled by the Publi Relations Department as well as for Emory University student monthly basis c s on a 455 Patients work was entered in the Ceramic Show at Warner Robins Georgia and won four thirdplace ribbons in blind competition Much interest was expressed by members of the public in the program at the hospital Exhibits were set up at the Southeastern Fair for State Hospital Day A meeting was held with officials of the Southeastern Fair to plan our space and program for fall 1963 A television show was taped at WMAZTV in Macon with the Occupational Therapy Director participating This tape will be presented during the next fiscal year as part of a feature series on the hospital PROFESSIONAL ACTIVITIES Eight Occupational Therapy personnel are members of the Georgia Occupational Therapy Association They attended the annual meeting in Pine Mountain Georgia during May Two of the Occupational Therapy personnel were appointed to a committee on accreditation of Occupational Therapy Assistants with the Occupational Therapy Director serving as advisor to this com mittee The Occupational Therapy Director has accepted an appointment as consultant to the Atlanta Occupational Therapy Clinic FINANCIAL STATEMENT Receipts from sales Inventory on hand Total Paid invoices Balance on hand 2334946 962300 3235569 3072455 16311456 t DEPARTMENT OF MUSIC THERAPY One of the major advances in the Music Therapy Program during the past year was the opening of the Music Therapy Building on August 1 1962 Located immediately west of the Auditorium it pro vides easy accessibility to the Auditorium facility and general Hospi tal grounds The building itself a former warehouse and engineering office has been completely remodeled to meet the needs of this pro gram and is airconditioned throughout It contains five patient prac tice rooms three staff teaching studios an ensemble room seating over one hundred for major group activities offices and a specific cally designed music library The use of this building has enabled the Music Therapy Department to expand its program servicing well over a thousand patients weekly in this central unit in addition to the many patients receiving music therapy through regular weekly ward programs There has been a continued expansion of equipment and supplies during the last year The Music Therapy Building has been completely furnished including ten new Story Clark studio pianos five new steel desks over 100 contour chairs and numerous other pieces of necessary equipment The addition of greatly needed new vestments for the patient mixed chorus one hundred cathedral purple cassocks and white cottas has helped to give this group a sense of real im portance and distinctiveness within the Hospital framework In the instrumental division the addition of twenty new Conn band instru ments is enabling us to greatly expand this area of therapeutic ap proach to the patient In late August 1962 a Mason Hamlin concert grand piano was purchased for use in the Auditorium During the past year this has enabled us to present several outstanding programs from the Music School at the University of Georgia two nationally known concert pianists as well as other special music programs including patient groups for the patients of the Hospital Several other acquisitions of needed music equipment have also been added One of the major needs of the Music Therapy Program has been the development of its music library An important factor in a Music Therapy Program is the quality and standard of music which is used in the therapeutic approach to both the group and individual patient A conscious effort to maintain a quality and standard of music which57 is both stimulating and challenging to the adult patient has been uppermost in the selection of the development of this music library To date the choral music library contains over 200 selected works from every phase of choral literature as well as ten oratorios and cantatas The instrumental music library has been developed with a wide selection of outstanding works from which to draw Careful selection of technique books for use in individual therapy has enabled this area of approach to expand rapidly While the present music library has developed rapidly it will necessarily have to be further expanded in order to meet the needs of the growing program in Music Therapy in anticipation of the decentralization of this program to the several Units of the Hospital within the next year On April 1 1963 a Registered Music Therapist joined our staff and again this year we were fortunate in securing the services of an instrumental consultant for a twomonth period to assist in developing this area of the program The addition of aPsychiatric Aide with over two years experience in techniques of patient care in April 1963 has been of significant assistance in patient supervision picking up patients at ward buildings the operation of the music library together with several other detailed areas which function more efficiently A negro musician with a degree in music education was employed as a summer position and has developed an excellent music program for the colored patients of the Hospital It is hoped that we will be able to obtain this person on a permanent basis as a Music Therapy Aide to continue the outstanding work which has thus far been ac complished On May 1 1963 the Clinical Training Program in Music Therapy was finally approved by the National Association for Music Therapy Incorporated and the National Association for the Schools of Music The first intern from Florida State University arrived in midMay to begin the sixmonth training period This program is established for students in music therapy degree programs the curricula of which requires a six months clinical training program in an approved psychi atric music therapy setting We are pleased that this program was accepted and approved so rapidly A system of patient referrals by the psychiatrist has been es tablished in several Units of the Hospital thus creating a more thera peutic approach to the patient through a closer communication th58 t the music therapist and the psychiatrist A greater understanding of the Music Therapy Program its aims and goals for patient care is thus developing between the psychiatric staff and the Music Therapy Department SoV During the past year the patient chorus presented Part I of The Messiah by GF Handel and the Requiem by Gabriel Faure as well as singing regularly for the Sunday Worship Services in the Audi torium On June 27 the patient chorus and band presented a joint program hailed as outstanding by many people who attended One of the outstanding features of the Music Therapy Program 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 program In the coming year a staff growth from the present ten to sixteen fulltime positions in Music Therapy is anticipated and this will enable a marked expansion and development in the total Music Thera py Program 4 DEPARTMENT OF RELIGIOUS SERVICES In this initial year of its existence the Department of Religious Services had three objectives The definition organization and im plementation of services to be provided by the department the re cruitment of a professionally trained staff and the communication of the role and function of this department to the staff of the hospital as well as to the religious community of the state All of these ob jectives have been accomplished in accordance with the plan and schedule The department has been organized to provide the following ser vices to the institution pastoral care of patients and prisoners in terpretation and evaluation of patient religious ideation and behavior therapy educational programs for clinical staff and clergymen re search and contributions to the public relations program of the in stitution 59 An appropriate program of pastoral care including regular wor ship services pastoral visitation counseling and religious education has been initiated in every area of the hospital Chaplains of this department have been integrated into the clinical staffs of the various units of the hospital and a system of referrals to and from other members of the clinical staff has been established Five separate training programs for clergymen ranging from short orientation courses to residency programs have been instituted and fortytwo clergymen have participated in these programs to date Full accreditation by one national accrediting agency has been secured and provisional accreditation has been granted by a second agency This dual accreditation represents the first such multiple accreditation achieved by a state hospital Working agreements have been es tablished with several theological seminaries and consultants from these seminaries have been appointed as members of the staff of this department Several research projects in the field of the pastoral care of the mentally ill are in the initial stages of planning and development The members of this department have participated in numerous community church professional and mental health meetings through out the state as resource persons and representatives of the hospital A staffing schedule utilizing the APA recommended ratio of one chaplain per 500 patients has been established for the depart ment The initiation of this schedule has resulted in the addition of three professionally trained and accredited chaplains to the staff of the department In addition the parttime service of a Catholic Priest has been clarified and placed on a more equitable basis and the parttime service of a Jewish Rabbi has been secured Construction of five chapel facilities housing seven sanctu aries offices and training areas was begun in November Official groundbreaking ceremonies were held in December in conjunction with the annual MDay program This department has provided continu ous counsel and assistance to the Chapel of All Faiths Foundation Inc the charitable organization responsible for the construction of the chapels60 poll at 6 DEPARTMENT OF VOCATIONAL REHABILITATION The Vocational Rehabilitation Program has developed from a staff of one Rehabilitation Counselor in 1960 to a staff now of nine The Program in addition to a general Supervisor includes five Reha bilitation Counselors three Vocational Evaluators and a Supervisor of Vocational Training In addition to the fulltime staff there are consultants in psychiatryclinical psychology and research psycho logy The Program which was officially launched on July 1 1961 is a Research and Demonstration Project largely supported by funds from the Federal Office Vocational Rehabilitation Administration The plan further represents a united cooperative effort on the part of the Milledgeville State Hospital a division of Mental Health in the Geor gia State Department of Public Health and the Georgia Vocational Rehabilitation Agency a Division of the State Department of Edu cation This Program is demonstrating the therapeutic effectiveness of the provision of comprehensive vocational rehabilitation services concurrently with other therapies Primary goals of the Department arel Screening and selection of patients for the VR Program Gener ally only those patients with good prognoses for eventual return to society as productive members will be accepted for services 2 Evaluation of each selected patients vocational potential 3 Reha bilitation counseling and guidance for all Clients on a continuous basis as needed 4 Trial work experiences under supervision and observation in sheltered settings or in real work situations as an evaluative measure of vocational potential primarily as a medium for building work tolerance and positive work attitudes and habits 5 Interaction with other team members in preparation of the patient for release from the hospital and for community adjustment 6 Referral to local rehabilitation counselor serving the area to which the patient will return At the time each patient participating in the Program is judged ready to leave the hospital he is referred to the local rehabili tation counselor who utilizes his own agencys resources and also helps coordinate other community resources for assisting the patient in securing the vocational training andor vocational placement most consistent with the individuals personality needs and abilities A complete realm of aftercare services are provided where resources are available i61 During the 196263 fiscal year this department gave consider ation to 669 patients Combined pilot studies reflect on the relative effectiveness of VR services given to patients here in the hospital as opposed to a similar group that did not receive such services Working or in training Job performance satisfactory Experimental 82 Present job better than job held prior to hospitalization Mental condition better than prior to hospitalization Readmitted or still in hospital 84 51 90 22 Control 35 27 15 37 40 These studies strongly indicate the value of giving vocational rehabilitation services to patients in the State Hospital setting Openingof the Yarbrough Rehabilitation Center has been delayed until September 1963 This Center devoted to the psychosocial and vocational rehabilitation of selected patients will house approxi mately 300 men and women all of whom will be feasible and eligible for VR services Screening teams consisting of representatives from all disciplines will make the selections In addition to other VR services a formal vocational training program will be available for those patients lacking in job skills When a patientstudent is ready for release from the hospital he may return home and have his school credits transferred to the local Area Trade School or other ap propriate training facility Courses now being considered for offering include 1 Automobile Servicing 2 Barbering 3 Carpentry 4 ClerkTypist 5 Cosmetology 6 Custodial Services 7 Distributive Trades 8 Domestic Service62 t 13 Machine Shop Practice 9 Drattmg i c 14 Practical Nursing 10 Electrical Appliance Servicing IT i r i mi 13 Hadio and lelevision Servicing 11 Home and Family Management T lo Secretarial 12 Junior Accounting The majority of VR patientsclients will live in the Center al though only those patients needing refresher or formalized training will actually be enrolled in the training program Some patients who may benefitmost by remaining in their respective units will be worked with there just as in previous years Many patients will receive all of the therapies in their respective buildings while receiving VR services during the day at the Center Plans for the coming year include activation of the Center Pro gram and further departmental expansion which will include the hiring of additional staff for the counseling evaluation work adjustment and training areas Special public relations programs will continue as will the orientation programs at MSH for Georgias local rehabilitation counselors Present staff will continue utilizing scholarships and other stipends to acquire additional professional training DEPARTMENT OF EDUCATION 6 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 program psychiatric aides training class and other similar inservice training and secondly seminars for college and high school students and adult groups of various kinds including ministers peace officers civic groups mental health directors and school guidance counselors Responsibility for seminar programs for outside groups is shared jointly by the Departments of Psychology and Public Relations This program is reported on fully in the Public Relations Department section of this report Residency programs in psychiatry affiliated with Emory Universi ty Department of Psychiatry and the Department of Psychiatry at the Medical College of Georgia continue to be effective in furnishing a corps of trained physicians for the institution The nursing affiliate program continues and is reported in detail under the Department of Nursing Services63 The inservice training program for foreign medical staff members studying for the ECFMG examination continues and a number of medi calmen passed this examination since the last annual report This is now a necessary part of the requirements for institutional medical practice in Georgia Orientation programs for public health nurses visiting school teachers and other groups relating to the aftercare program are con tinuing under the supervision of the director of social work Residency programs in clinical psychology in cooperation with the Universities of Georgia Tennessee Alabama and Florida as well as an ophthal mology residency in cooperation with the US Air Force Base in Lackland Texas are continuing to provide the hospital with profes sional personnel in these areas Residency and training programs in social work music therapy occupational therapy and recreation are detailed under the various departmental reports DEPARTMENT OF RECREATION The Recreation program has two primary aims These are to as sist the doctor in getting his patients well and to make life as mean ingful and as satisfying as possible for the patients who must remain in the hospital These aims are accomplished by providing the pa tients with a variety of activities The Volunteer program was expanded during the year There were three groups which worked with the Recreation Department to provide activities for patients In addition to the group continuing to work in the Freeman Building one group worked with the Arnall Build ing patients and the other group worked with the Green Building day room patients There was an average of 5 volunteers in each group who worked with about 35 patients An IntraMural Softball program was instituted this year Teams composed of male patients from 4 of the mens buildings play once a week This activity has developed team work and morale in addition to the other benefits There are 15 players on each team However the number of patients watching these games average about 40064 t Our ward movie program has increased to 1429 from 1258 These movies are shown to the patients that are not able to come to the auditorium activities i The number of picnics remained about the same with each building having at least one picnic The number of patients has in creased from 130 to 150 per picnic Also our cookouts increased over the past year Each ward and special interest groups benefited from these activities The Card Club has continued to be a weekly function with the membership now being from 69 to 75 patients Our work with the activation groups has continued There are six groups in this program An employee of this department works with each group twice weekly The number of participants in each group will vary but the average is 40 or 45 patients During the past fiscal year a total of 1119327 patients partici pated in the Recreation Department activities This included the participants in each phase of the recreation program This department cooperated and coordinated with other depart ments whenever possible Such as the Volunteer Department in having picnics and ward activities the Music Therapy Department in having special musical programs and the Occupational Therapy Department in displaying and presenting programs This department is also responsible for the physical education program for the hospital This program needs to be enlarged and expanded At the present time the only patients in this program are the special education students DEPARTMENT OF BIOSTATISTICS Several improvements have been made in the past year in a con tinued effort to provide the hospital with adequate and efficient medi cal records and statistical services The central medical record de partment has been moved from the second floor to the first floor of the Powell Building This new location is more convenient for the majori ty of the hospital staff who use the medical records most 465 Beginning with the records of patients admitted on April 1 the correspondence regarding patients is being filed in the same folder with the clinic portion of the record This makes for a complete pa tient record filed in one folder and staff members who must use these records do not have to go to two offices to get the patients complete record All active records are now filed on shelves This has resulted in a great saving of space since records filed on shelves take up con siderably less floor space than when filed in drawertype cabinets Shelf filing also increases the speed and accuracy of pulling and refiling records It is primarily through the utilization of time saving systems and equipment and the streamlining of work procedures that the medical records department has been able to handle an increased work load The work load this yearhas been seventeen per cent above last years as a result of increased patient movement alone An increase in the number of patients carried on the books has made for additional work forthe department Another factor which has placed increased demands on the services of the medical records department has been the ad dition of professional personnelphysicians social workers psycho logists and chaplains As more professional persons become involved in the care and treatment of patients there is a proportional increase in the use of the records During the year approximately 5000 release summaries on dis charged and furloughed patients were prepared These were mailed to the appropriate local health departments for use in followup serv ices to released patients The Biostatistics program continues to provide the hospital with current patient statistics through the publication of the monthly sta tistical report and by providing statistical data and consultation to staff members conducting studies and research projects The Biostatistical Analyst appeared on the program of the Thir teenth Annual Conference of Mental Hospital Statisticians held in Portland Oregon in June reporting on the utilization of patient statistical data routinely collected at this hospital66 t DEPARTMENT OF RESEARCH Research at Milledgeville State Hospital may be divided into two main areas clinical research which is done on the wards by indivi duals and participated in by members of various professional disci plines and medical genetics and pharmacology which operates as a separate division under the Department of Physical Health Organi zationally the Research Division is directly responsible to the super intendent DEPARTMENT OF MEDICAL GENETICS This department now has facilities for tissue culture photomicro graphy electrophoresis and paper chromatography Additional equip ment to be added in the near future includes a Fels Dermometer for measuring sensitivity to the environment a Voice Analyzer for study ing voice changes in patients and a wide range of motion picture and still photographic equipment Research into the causes of Huntingtons Chorea and similar investigations on Mongoloid patients are progressing Tissue cultures have been made on blood from these two types of patients The pa tients with Huntingtons Chorea have shown no chromosomal anoma lies to date The Mongoloids have all been of the triploid21 type All patients examined were tested for bloodgroups AB MN Rh types CDE but without unusual findings 4 Dr Clyde Keeler Medical Geneticist accompanied by Dr Donald Moyer Chief Dermatologist of the Gorgas Hospital studied Moon child albinos in San Bias Panama As a followup of this program six albino Cuna Indians and six controls were brought to Milledgeville State Hospital and studied by eighteen specialists of doctoral rank with a view to discovering if certain types of psychosomatic behavior can be isolated in these individuals A number of differences between the albinos and the controls were verified in the study some of them being purely of genetic origin while others resulted from environ mental factors The project is financed by a grant from NIMH67 DEPARTMENT OF NEUROPSYCHOPHARMACOLOGY The main effort of this laboratory was dedicated to the investigation of phenothiazine tranquilizer drugs Since there were no chemical methods available which were reliable or sensitive enough for the indentification or quantitation of these agents a new spectrophoto fluorometric procedure was developed which proved to be highly sensitive Part of this work was published in Analytical Chemistry 35554 1963 The fate and distribution of various tranquilizers within the body of laboratory animals was studied by means of fluorescence analysis The method proved to be useful for investigating the penetration of the placental barrier in pregnant animals and the uptake of the drugs in the different organs of the fetuses Research papers published included Albinism Xeroderma Pigmen tosum and Skin Cancer by Dr Clyde Keeler who presented a paper on The Incidence of Cuna MoonChildren Through 281Years at the Annual Meeting of the American Academy of Mental Retardation held April 6 1963 at the Kennedy Child Study Center The Research Bulletin containing 26 pages was published in September 1962 and contained reports by nine authors DEPARTMENT OF CLINICAL RESEARCHMEDICALSURGERY Research done in the MedicalSurgical Department during the last fiscal year included a survey on Cardiovascular Study in 1000 Pa tients of MSH and Persantin I V affect on the Electrocardiogram both by Dr Sergio AlvarezMena A Thiosulfate Diluent for Wrights Stain by Dr JG Bohorfoush and Isonizid Prophylactic Study by Dr M Majanovic The latter study included 6959 patients since April 1958 It included 37 white male wards 14 colored male wards 25 white female wards and 16 colored female wards PSYCHIATRY InService Training in State Mental Hospitals and Progress Report of Milledgeville State Hospital by Dr Irville H MacKinnon68 t RELIGIOUS SERVICE Chaplain Douglas C Turley Jr head of the Department of Religious Services has completed a study on Religious Ideologies of Emo tionally Disturbed Persons which is awaiting publication CLINICAL PSYCHOLOGY R5H A wide and varied program of research is carried on by the Depart ment of Clinical Psychology and consist of three phases 1 Staff Researchin which each member of the staff is responsible for at least one research project during the year 2 Active assistance is given to outside researchers which includes a joint project with the New York Center for Research in Mental Health gathering data to compare the reactions of normal people to psychotomimetic drugs in comparison with the reactions of people who have had actual psycho tic experiences In collaboration with the University of Florida data was collected in regard to the incidence of depersonalization in psychotics and making a comparison with normals With the University of Tennessee data was collected on the developmental history of various diagnostic groups 3 Programmatic Research which involves obtaining data regarding behavior indicative of mental pathology as there is evidence that many pathological symptoms are actually not uncommon among normal individuals Papers published during the year included Manipulation of verbal behavior without reinforcement and effects of reinforcement of the defensive denial of paranoid attitude by Dr John L Bernard Etio logical factors in the developments of adult male homosexuality by Dr Harold E Edwards Manipulation of direction of speech in a neuro psychiatric group and The stability of schizophrenic speech in a standardized interview by Dr John E Hannon The use of enforced speech in the production of emergent compliance by Dr OH Harsch The differential effects of stress on blind and seeing people by Dr T W Lucik An heuristic classification of stuttering byFLMadison Repression experimental studies since 1943 and Vocational rehabili tation as a critical point in the rehabilitation of the mentally ill pa tient by Dr H F Stewart and Survey of attitudes in a state psycho logical association by Dr R W Wildman PUBLIC RELATIONS The Milledgeville Story by Ray D Brown69 PATIENTS LIBRARY During the past year 983 books and many magazines have been added to the catalog of the patients library These resulted from donations by the Georgia Department of Public Health the Baldwin County Library and private citizens Several small libraries are being set up in the various hospital units from duplicates The total number of volumes now includes approximately 22000 It is hoped eventually that a small library will be available to the patients of each individual unit DEPARTMENT OF PERSONNEL There was a considerable expansion in employment at Milledge ville State Hospital during the fiscal year ending June 30 1963 The number of regular employees on June 30 1962 was 2545 and on June 30 1963 was 2688 an increase of 143 About twothirds of the increase was among the Attendant classes but there was also improve ment in the recruitment of professional personnel in some categories The number of physicians was raised by ten and the number of both professional psychologists and social workers was exactly doubled The following is a tabulation of personnel actions during the year Appointments 604 Transfers 146 Promotions 100 Demotions Separations 25 426 including 316 65 resignations dismissals 28 retirements 5 transfers to other agencies Dntf n hlPnlU r 17 12 deaths 70 X A figure obtained by subtracting separations from appointments will not balance with the increase in total employment since the latter is based on employees in pay status and does not include those on leave of absence without pay on June 30 1963 An adjustment in salary affecting almost all of the employees of this hospital was made on July 1 1963 This resulted from completing the adjustment to the Merit System pay plan of August 1 1961 which had been delayed due to lack of funds The increase in pay in most cases was about four per cent During the year a major revision of the Dental series was made in cooperation with the State Department of Public Health and the State Merit System This resulted from a detailed study of dental classes in the entire Health Department and the development of a coherent series for use on a departmentwide basis This produced a better classification plan for both dentists and auxiliary dental personnel The Pharmacist series was also revised and adjustments were made in salary levels in an attempt to deal with what has been a very difficult area of recruitment The first year of coverage under the State Employees Health In surance Program was completed with generally excellent results It was necessary for the Personnel Office to assist some employees with their claims but for the most part claims were processed and paid with little difficulty This program has proven to be one of the most important and beneficial fringe benefits ever granted our em ployees A tabulation of personnel of the hospital by type is shown in the statistical section of this report t71 DEPARTMENT OF BUSINESS ADMINISTRATION The per diem cost for the fiscal year for Milledgeville State Hospital has risen from 329 to 368 with an increase of appropriations from the state of Georgia from 13750000 to 14356000 which increased by institutional income resulted in a total of approximately 16000 000 net maintenance expenditures and state funds Major renovation of the Washington and Boland Buildings has been completed and extensive renovation work has been done in the Jones Building The shop area is almost complete and during the next year it will be possible to move maintenance forces to this area We are continuing extensive work on renovation steam lines equip ment rooms and other necessary areas and will renovate the Howell Building as soon as these patients are moved into new quarters This building will then become a part of Unit 3 and will be used to house colored male patients The number of acres in vegetables has been considerably re duced and acreage thus saved has been put into additional pasture and grass land We are presently growing out on hospital pastures approximately 600 beef steers which were purchased for this project or were first calf bulls from HolsteinAngus cross During the fall we will feed out these steers and slaughter this beef in our abattoir Accurate cost records are being maintained on this operation and we are of the opinion that it will be an extremely economical way of providing beef for the institution If the project is successful we hope to double the herd during the next year The central kitchen building has been completed and the equip ment is being installed As soon as installation is complete and food carts are purchased preparation for all the meals of the institution will be begun During the year the number of white male prisoners employed at various places in the institution has been reduced Considerable thought is being given to discontinuing completely the use of white male prisoners and if this is done approximately 300 additional employees will be needed in this department Additional funds will be needed in the operation of the central kitchen to upgrade the quality of food prepared and to furnish as soont I V Vt 72 as possible portion controlled meats and frozen fresh vegetables rather than canned vegetables now being used Reports of the various administrative units follow DEPARTMENT OF BUSINESS MANAGEMENT The Division of Business Mangement is comprised of the follow ing service units Ni Accounting Department Warehouse and Receiving Department Clothing Issue Motor Dispatch Unit Laundries Mattress Factory Post Office Print Shop Sewing Room Shoe Shop Telephone Exchange Procurement and Property Office These units generally render routine services for all other di visions of the institution but many special requests and seasonal requirements must also be performed Continuous study and obser vations help to bring about minor changes in methods schedules and personnel always seeking to improve and increase services to the institution Maintaining effective cooperation and efficient service to the other divisions is the primary objective of the Division of Business Mangement DEPARTMENT OF ENGINEERING Th e department of Engineering under a recent reorganization now consists of five divisions including construction mechanical electrical civil and building maintenance CONSTRUCTION ENGINEERING The Construction Engineering Department has sixty eight 68 em ployees in the Carpenter Shop Wood Shop Paint Shop Sheet Metal Shop and five 5 Construction Crews if73 This department completed four new personnel dwellings These houses are brick veneer 4 bedrooms 2 baths with ceramic tile walls and floors and a central forced air heating system The market prices of these homes are approximately 2000000 each and are built for Staff Personnel at the Milledgeville State Hospital The Jones Building Operating Suite was completely renovated so as to meet the requirements of the National Fire Protection Association and Joint Commission on Accreditation of Hospitals This new suite has three Operating Rooms one Scrub Room one GU Room Recovery Room Nurses Rest Room and Lounge also Doctors Rest Room and Lounge All requirements were met where ceramic tile static con ductive flooring air conditioning and heating were installed The Engineering Department is in the process pf converting the exist ing buildings under a Master Key System This was necessary as several buildings could not be rekeyed under their original system as this hardware was no longer being made During the past year the Cabaniss Bostick Arnall and Ingram Buildings were relocked and rekeyed under the Master Key System to conform with our other new buildings This key system will continue until all buildings are re locked and rekeyed which will require several years before com pletion Funds of 2000000 were made available for capital improvement of the Boland and Washington Buildings These buildings were ex tensively renovated Twenty completely new ceramic tile bathrooms with new fixtures were installed This was urgently needed as the existing bathrooms had plastered walls and concrete floors All wards were completely painted also Dining Rooms Offices and the exterior of both buildings The Washington Building Dining Room ceiling was replaced with a suspended ceiling this area was approximately ten thousand square feet The old Engineering Department Building was completely renovated for the Music Therapy Department This building 109 feet by 26 feet was gutted and rebuilt containing 5 Studios 4 Offices one Music Library and one large group Rehearsal Room Also a forced air heat ing and air conditioning system was installed in this building74 W X NA The following buildings were painted by Hospital Forces Howell Building exterior P Ward Whittle Building six Offices and Dining Room Bostick Building Howell Apartments 23 and 4 Allen Building Basement interior Rivers Laboratory 5 Offices and 4 baths Holly Building Wards 2 and 5 Powell Building Lobby and Dining Room Allen Building interior Dental Clinic Hall and Dining Room Arnall Building House No 31 297 129 13 161 60 100 131 145 153 and 155 Walker Building Wards 24 25 26 and stair wells Fire Station Police Station Ambulance Service Wards 4 5 6 and 7 Boone Build ing also 8 apartments in the Boone Building 446 beds 500 coffins and 71 desks At present the Paint Department has nine 9 Painters This is in adequate as there are twentythree dormitory buildings plus the service building that are constantly in need of painting on the main campus In the coming year funds should be made available for a minimum of twenty 20 painters that are desperately needed Renovation of the Tenth Ward was completed during the year 1962 This building will now house 200 patients with a total square foot age of 25000 square feet Concrete floors were installed through out complete ceramic tile patient bath rooms were furnished with new bath fixtures The Dining Room and Food Preparation Area was rebuilt as well as the Boiler Equipment Room The entire building now has a new lighting and steam heating system In addition to the above work 1529 Maintenance Work Requests were received and completed by this department CIVIL ENGINEERING The Civil Engineering Division is responsible for the preparation of civil engineering plans the operation of the water filtration plant the pumping plant water and sewer systems heavy equipment for grading and materials handling drainage streets and roads and the operation of a labor pool to support other divisions During this fiscal year complete plot plans were prepared for five Chapels and a new childrens building sites Additional plans were prepared for the Shop Central Site and roads75 Some of the major accomplishments of the year were The grading of a new road from near the Bostick Building to the new Shop Center with a large diameter culvert on Finnegans Creek the grading of two equipment arid materials storage areas and a Planing Mill site in the new Shop Center grading and soiling of roads leading to the laying project and the new residential area near the Oconee River grading of the parking area street and lawn area at the new Central Kitchen completed filling in and compacting earth in the Tenth Ward for paving with concrete resloped and grassed tall banks adjacent to the Wash ington Building and the Tenth Ward graded sites and yards of new residences started this year laid water mains from old Shop Road to Lawrence Road completing circumferential main system from Law rence Building to the new Shop Center area and the broiler project to all new major buildings and extended ones in residential area sewers were laid for the Shop Center area the new major buildings from the Colony Farm Dormitory and dairy to the new Oxidation Pond and to the five new Chapels ditch excavation was accomplished for gas mains to the new Shop Area new kitchen and residential areas storm sewers were installed in the Yarbrough Building area the sanitary fill area and in the Boone Building basement areas excavation for telephone underground lines were made to the Yarbrough Building and the Central Kitchen Other normal services have been carried on continuously since this division furnishes heavy equipment ditch digging excavation sewer and water main maintenance water plant support street and road maintenance and movement of heavy objects These accomplishments have been made with the normal personnel and equipment assigned to this division ELECTRICAL ENGINEERING The Electrical Department has one 1 Foreman One 1 Motor winder five 5 Electricians and two 2 helpers It is responsible for the maintenance of the Primary Distribution System the maintenance and repairs of all electric motors all new electric installation on any new or renovation work accomplished by hospital forces and all electrical maintenance on all buildings not housing patients76 t NOi 1 During the past year the major projects accomplished by the Electri cal Department were Wiring of new Surgical Suite of Jones Building wiring 4 new personnel dwellings rewiring 4 old personnel dwellings rewiring bathrooms and offices in both the Washington and Boland Buildings the installation of standby generator and distribution system in the Jones Building and the installation of substations and primary feeders for the new Central Kitchen and the Yarbrough Reha bilitation Center Also during the year there was accomplished by contract the follow ing Rebuilding approximately 1 mile of primary distribution line re building 4 transformer stations and the building of the substation and primary feeders for the Chapels now under construction For the coming year we have plans prepared for the wiring of the buildings at the new Central Shops Plans have also been prepared for the rebuilding of approximately 2 miles of primary distribution lines It is also planned to continue rewiring the older personnel dwellings MECHANICAL ENGINEERING During the past year normal routine maintenance was performed by the various Departments fii 4 The major projects accomplished were the installation of the air con ditioning piped oxygen and heating system in the Jones Building Operating Suite The Plumbing Section installed new lavatories showers wash sinks sterilizers washing machines and other items in the Operating Room Central Supply and the east side of the build The Refrigeration Section undertook the maintenance of three absorp tion units These units are of large capacity and is something new to this Section This Section also installed the piped oxygen system on the east side of the Jones Building Three compressors at the Law rence Building Cold Storage were overhauled One compressor was overhauled at the TB Laboratory A new 15 ton unit was installed in the Educational Building77 The Plumbing Section installed the plumbing in all the new personnel dwellings built during the past year The new sewer line was run in the Cannery which took part of the Cannery off a storm sewer system Various sections of the hospital gas system were replaced Some work was done in the buildings to supplement the Maintenance Men All gas stoves ovens and deep fat fryers are maintained by this Section The Garage Section rebuilt many pieces of heavy equipment in ad dition to the regular vehicle maintenance The unit of the Colony operated with the help of prisoners until they were replaced with patients The Steam Plant operated during the entire heating season without a major breakdown The Winter was an extremely cold one and standby fuel oil usage was above average The boilers in the new plant re quired brick work replacement Several tubes in one of the boilers also need replacing Several valves in the new steam distribution system needed replacing and a new section at the Arnall Building addition is to be rerouted thus completing the steam circuit DIVISION OF ENVIRONMENTAL SANITATION The hospital milkshed has attained an approved milk sanitation rating of 90 plus This rating is the result of physical improvements and continual close supervision inspections and laboratory examinations at the dairy farms and pasteurization plant Some of the physical im provements at the dairy farms were the installation of vacuum breakers for the protection of the water supply the replacement of worn distri bution pipes the resurfacing of the mangers and the painting of the dairy buildings In the pasteurization plant some of the improvements were the sealing of the sweet water tank and installation of a vacuum breaker for the protection of the milk and the water supply Seals have been provided for all milk dispenser cans and a new can washer has been installed in the plant The sewer stabilization pond at Colony 1 has been completed and is in operation This provides one segment of the hospital including the dairy farm patient buildings and dwellings in the area with approved sewage treatment process78 t H Equipment and facilities in food service have been improved One of the major accomplishments was the centralization of the dishwashing area in one of the most populated buildings This dishwashing and cleaning area was completely equipped with stainless steel dish tables sinks automatic peg type dishmachine carts and dish racks for the cleaning and transportation of food service utensils to the wards Other improvements include the installation of coffee urns in five dining rooms the repair and installation of steam tables the re placement of old wooden dishracks with light weight plasticcoated chromesteel racks floor covered walls and ceiling painted a number of new dishmachines put into operation in some dining rooms One dining room was enlarged and renovated throughout The Refuse Collection Service has extended to include the new dormi tories and apartments and new dwellings Three new trucks one for trash collection and two for garbage collection replaced three older trucks The disposal of refuse and trash is by the sanitary landfill method The steam injection system in all the garbage trucks were rebuilt during the year to maintain the thorough cooking of the garbage prior to feeding to the hogs Two garbage stands were repaired and one new one constructed The insect and rodent control work consisting of basic sanitation and the application of USDA approved chemicals has increased due to the renovation construction and addition of new buildings 4 t The division staff has been active in sanitation education and train ing It has participated in the Psychiatric Aide Educational Program during the year The division has cooperated with the State Health Department in its Field Training Program for sanitarians Ten new sanitarian trainees who will work in various county and municipal health departments throughout the state were given one week of realistic field training here at the hospital The length of time spent by the staff on the program is dependent upon the number of trainees Each group of trainees rs kept to a small number so that each trainee may have personal assistance and supervision BUILDING MAINTENANCE The building maintenance program is now in its third year of operation and has a staff of thirtyfive employees Building maintenance person79 nel are assigned to all of the major buildings and they are able to keep the buildings in better condition Where additional help is need ed they are able to get it from other units This department has completed the job of renovating steam equip ment rooms and this work was handled by temporary employees at considerably less expense than previous work of this type which was handled on a contract basis In addition to the above work new hot and cold water lines have been installed in the following buildings by temporary employees Bostick Building and Jones Building The temporary employees have installed complete new bath room equipment in the following buildings Boland Building and Washington Building In the Boone Building on the east side the building maintenance de partment has installed new hot and cold water lines and lavatories The building maintenance department asisted in the remodeling operation of the 10th Ward having installed all of the plumbing facili ties in that structure This department has made the following installations in addition to the above amount of work installed new drinking fountains in various buildings installed new wire guards on porches of Powell No 6 made dining room tables for childrens ward in the Bostick Building installed three serving counters in Ingram Building dining rooms installed new coffee urn in the Boone Building made metal mop racks for all of the buildings installed exhaust fans in Holly Building recreation room installed tank and pump on trailer for sanitation department This department has made and is still making the all metal benches to be used on all of the hospital grounds All of the new kitchen equipment for the Central Kitchen was installed by this department We beleive that this department could operate with greater efficien cy if additional help could be supplied to each of the maintenance men in the various buildings80 NOi i DIVISION OF HORTICULTURE The Horticulture Department is divided into six sections to provide pleasant surroundings for the patients of the hospital as well as to provide programs of theraupeutic value These divisions are as fol lows Greenhouse Orchard Log Cabin area Teenage boys program Garden therapy program and Landscaping and Landscaping mainte nance The entire program with one exception is carried on by pa tients under the supervision of charge attendants The Greenhouse is composed of three buildings of 8800 square feet under glass Also an outside area for the production of shrubbery and bedding plants is used by the teenagers and other men who are as signed to the greenhouse The Orchard is under the direction of a foreman who supervised the operation of 120 acres of peaches 40 acres of muscadine and scup pernong grapes approximately 25 acres of blackberries five acres of apples and five acres of pears The landscaping is under the direction of one foreman and nine charge attendants and three institutional workers The functions of this division are to maintain lawns plant shrub bery plant trees prepare beds for the garden therapy program furnish soil for the greenhouse and the garden therapy projects The new homes are landscaped by this division New soil is hauled in for lawns and shrubbery and trees are planted The Log Cabin area provides a recreation and picnic area for visitors and patients of the hospital This unit is composed of two super visors and approximately ten men patients There is a woodworking shop in this area and general furniture repair is done by the men Also a garden area for flowers is maintained providing roses dahlias and gladioli on an outside production program basis The teenage boys program fluctuates in number because of the other programs that have been initiated at the hospital This is good for the teenage boys program was in the beginnings stop gap solution for boys who had to sit on the wards without adequate program of treatment However there are a number of boys who are still available who do not fit into these programs for some reason or another 81 The teenage program is supported by the Garden Clubs of Georgia This group working through the local garden clubs furnishes refresh ments once each week and whenever possible one of the volunteers visits for a short time and serves the refreshments This is a very good outlet for the boys for many of them have few visitors or outside contacts The Garden Therapy program continues to be an important function of this department providing garden therapy for approximately one thou sand patients Many garden clubs have been established in the Negro buildings with the support of the local citizens The Garden Clubs of Georgia for the most part support the Garden Therapy program providing volunteers and financial aid for tools and refreshments The greenhouse provides the plants that are needed for this endeavor Approximately one hundred volunteers visit with the patients each week and direct the activities of the patients in their gardening work Also the visit from persons on the outside in this instance too provided a needed contact that had been lacking before the advent of garden therapy Because of the use of large numbers of patients in the Horticulture Department production has to play a secondary role However the greenhouse and orchard have provided a good supply of flowers and fruit for the hospital The greenhouse produced approximately 50000 chrysanthemums 25000 snapdragons 4000 pot plants including poinsettias begonias geraniums gloxinias and foliage plants Also in the greenhouse area with the help patients from the Howell Build ing and the teenagers 40000 bedding plants were furnished for the Garden Therapy program The Orchard produced 50 tons of grapes 14000 bushels of peaches and 2000 gallons of blackberries The pears produced 284 pounds but the apples are not in production yet One of the important new projects to the Horticulture Department is the introduction of 1500 rare hybrid azaleas These are the Glen Dale and Gable Hybrids and they are recognized for their beauty and hardi ness They will withstand temperatures ranging down to twenty below zero They will tolerate sun better than the other azaleas From these plants cuttings will be made to provide large plantings of these beautiful plants 82 STATISTICAL and FINANCIAL INFORMATION83 ADMISSION RATES PER 100000 ESTIMATED CIVIL POPULATION BY COUNTY OF ADMISSION NORTH CAROLINA 1100 1539 84 AVERAGE DAILY RESIDENT POPULATION ADMISSIONS NET RELEASES AND DEATHS 1954 1963 it 4 NILiBSR OF PATIENTS 20000 10000 6000 4000 3000 2000 1500 1000 800 600 RESIDENT POPULATION ADMISSIONS DEATHS 1954 1955 1956 1957 1955 lj59 iJfcO 19M ig62 19 1963 YEAR Net Releases equal live removals from the hospital minus returns from furlough and escapeNUMBER OF PATIENTS PER CENT CHANGE FROM PREVIOUS YEAR and RATES PER 1000 AVERAGE DAILY RESIDENT PATIENT POPULATION SELECTED MOVEMENT CATEGORIES 19541963 Fiscal Year Ending June 30 MOVEMENT CATEGORY AVERAGE DAILY ATMTSSTfMS NET RELEASES PMif RESIDENT POPULATION Percent Percent Percent Percent Rate Number Rate Chanee Number Rate Chansre Number Rate Change 1963 6054 1510 100 4926 4147 129 1149 967 93 11878 2963 01 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 2256 61 874 735 237 11897 3081 13 1958 3740 986 63 2650 2153 40 1145 975 188 11748 3096 07 1957 3519 946 40 2547 1964 104 964 815 32 11828 3180 08 1956 3383 925 50 2306 2133 67 934 796 89 11738 3209 13 1955 3562 996 21 2471 2155 18 858 741 17 11582 3237 28 1954 3639 1033 64 2428 194 900 799 56 11267 3197 38 00 en Net releases equal live removals from the hospital minus returns from furlough and escape Rate per 100000 Georgia civilian population86 ADMISSIONS BY COUNTY AND TYPE OF ADMISSION JULY 1 1962JUNE 30 1963 It us 1 County TYPE OF ADMISSION of Admission 1960 Old Court State Board of Law Law Voluntary Teirmorarv Order Corrections Other Total Appling 15 0 4 0 0 0 0 19 Atkinson 5 0 0 0 1 0 0 6 Bacon 7 4 6 0 0 0 0 17 Baker 3 0 0 0 0 0 0 3 Baldwin 28 2 24 12 0 4 0 70 Banks 15 3 6 0 0 0 0 24 Barrow 18 1 9 0 3 0 0 31 Bartow 1 51 10 0 2 1 0 65 Ben Hill 0 26 13 0 0 0 0 39 Berrien 0 18 1 0 0 0 0 19 Bibb 145 4 39 0 3 7 0 198 Bleokley 12 0 2 0 0 0 0 14 Brantley 0 9 0 0 1 0 0 10 Brooks 7 9 3 0 0 1 0 20 Bryan 0 9 0 0 0 0 0 9 Bulloch 0 35 5 0 0 1 0 41 Burke 1 17 4 0 0 0 0 22 Butte u 0 4 2 1 1 0 22 Calhoun 12 0 0 0 0 0 0 12 Camden 2 0 0 0 1 0 0 3 Candler 11 0 0 0 0 0 0 11 Carroll 70 0 2 0 0 0 0 72 Catoosa 8 0 6 0 0 0 0 14 Charlton 1 5 0 0 0 1 0 7 Chatham 92 17 10 0 8 8 0 135 Chattahoochee 0 0 0 0 0 0 0 0 Chattooga 16 12 8 0 0 1 0 37 Cherokee 26 19 9 0 0 0 b 54 Clarke 8 42 16 0 1 2 0 69 Clay 0 3 2 0 0 0 0 5 Clayton 29 0 19 0 1 1 0 50 Clinch 0 7 1 0 0 0 0 8 Cobb 116 25 58 e 2 1 0 202 Coffee 39 4 3 0 0 0 0 46 Colquitt 10 49 14 0 2 2 0 77 Columbia 0 7 3 0 0 0 0 10 Cook 8 1 2 0 1 0 0 12 Coweta 64 1 3 0 0 2 0 70 Crawford 1 3 7 0 0 0 0 11 Crisp 18 0 2 0 0 0 0 20 Dade 0 5 6 0 0 0 0 11 Daws an 1 3 1 0 0 0 0 5 Decatur 22 10 1 0 0 2 0 35 DeKalb 177 33 87 0 2 5 0 303 Dodge 34 1 2 0 0 0 0 37 Dooly 15 0 2 0 0 0 0 17 Dougherty 45 28 5 0 1 1 0 80 Douglas 12 9 9 0 0 0 0 30 Early 13 3 2 0 0 0 0 18 Echolfl 0 0 0 0 0 0 0 0 Effingham 6 0 2 0 0 1 0 9 Elbert 4 23 5 0 0 0 0 32 Emanuel 2 32 2 0 0 1 0 37 Evans 11 0 3 0 0 1 0 15 Faimin 19 0 2 0 0 0 0 a Fayette 5 2 1 0 0 0 0 8 Floyd 14 94 22 0 4 1 0 135 Forsyth 0 11 5 0 0 0 0 16 Franklin 8 11 6 0 0 1 0 26 Fulton 538 155 127 0 26 69 0 915 Gilmer 23 5 5 0 0 0 0 33 Glascock 5 0 3 0 0 0 0 8 Glynn 52 0 6 0 3 0 0 61 Gordon 3 26 2 0 1 0 0 32 87 County of Admission Grady Greene Gwinnett Habersham Hall Hancock Haralson Harris Hart Heard Henry Houston Irwin Jackson Jasper Jeff Davis Jefferson Jenkins Johnson Jones Lamar Lanier Laurens Lee Liberty Lincoln Long Lowndes Lumpkin Macon Madison Marion McDuffie Mclntosh Meri wether Miller Mitchell Monroe Montgomery Morgan Murray Muscogee Newton Oconee Oglethorpe Paulding Peach Pickens Pierce Pike Polk Pulaski Putnam Quitoan Rabun Randolph Richmond Rockdale Schley Screven Seminole Spalding Stephens Stewart Sumter Talbot TYPE OF ADMISSION I960 Law 45 35 93 0 17 9 19 0 19 1 0 28 4 17 28 16 20 0 10 8 53 0 17 0 3 28 5 0 0 9 0 9 0 0 1 0 11 9 9 37 39 6 0 9 17 17 0 1 31 1 16 0 3 1 111 24 2 0 3 43 1 6 0 5 Old Law yoluiitary 14 1 5 3 1 13 12 1 0 4 0 34 8 A 2 0 0 3 0 5 3 0 0 1 0 3 3 9 2 16 13 0 21 0 20 5 34 25 3 0 1 93 2 0 14 14 1 0 6 6 2 11 0 0 7 5 63 0 0 15 1 17 15 0 17 3 15 1 7 2 4 2 1 0 3 10 1 16 1 1 1 4 1 1 1 0 4 0 2 1 0 12 1 1 5 1 1 0 3 0 6 0 3 4 5 8 16 1 1 13 9 1 2 1 21 4 6 2 0 1 15 2 0 6 0 15 4 0 2 0 TViimorarv 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 Court Order 0 0 0 0 3 0 0 0 0 0 1 0 0 0 0 0 1 0 1 1 0 0 2 0 0 0 0 1 0 0 0 0 0 0 2 0 0 0 0 0 1 0 1 0 1 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 2 0 0 0 State Board Corrections 0 0 1 2 1 1 2 0 2 0 0 1 0 0 0 0 1 0 0 1 1 0 2 0 0 0 0 3 0 0 1 0 0 1 0 2 0 1 0 3 0 6 1 0 1 0 0 0 0 0 2 0 0 0 0 0 3 1 0 0 0 2 1 1 2 0 other o o o o o o o o o 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 0 0 0 Total 41 18 66 41 105 16 35 12 22 4 23 46 9 48 7 18 31 23 22 8 15 8 61 1 19 4 6 53 8 17 19 10 22 10 25 7 41 26 17 16 16 144 61 7 17 36 27 18 8 8 56 17 22 2 10 8 193 27 2 21 4 77 23 7 21 X V County TYPE OF AIMISSIOK of Admission 1960 Old Court State Board of Lap Law Volimtarv Temnoraiv Order Other Total Taliaferro 1 5 1 0 0 0 0 7 Tattnall 0 21 2 0 0 0 0 23 Taylor 3 0 0 0 0 1 0 4 Telfair 16 1 3 0 1 0 0 21 Terrell 4 9 0 0 0 0 0 13 Thomas 56 0 5 0 0 1 0 62 lift 27 0 8 0 0 2 0 37 Toombs 16 35 4 0 0 1 0 56 Toians 3 0 0 0 2 0 0 5 Treutlen 8 3 2 0 5 0 0 18 Troup 20 39 8 0 2 1 0 70 Turner 9 0 0 0 0 0 0 9 Tvdggs 0 6 0 0 1 0 0 7 Union 14 0 1 0 0 0 0 15 Upson 2 30 5 0 0 1 0 38 Walker 36 17 8 0 0 1 0 62 Walton 1 27 15 0 0 0 0 43 Ware 52 1 2 0 0 1 0 56 Warren 11 0 0 0 1 0 0 12 Washington 22 7 3 6 0 0 0 38 Wayne 0 37 1 0 0 0 0 38 Vebster 1 0 1 0 0 0 0 Wheeler 0 7 2 0 0 0 0 9 White 6 0 3 0 0 0 0 9 Vftlitfield 55 1 a 0 9 1 0 87 Wilcox 12 1 4 0 0 0 0 17 Wilies 1 9 2 0 0 0 0 12 Wilkinson 9 0 2 0 0 0 0 11 Worth 0 13 2 0 0 0 0 15 TOTAL 3126 1664 967 22 104 171 1 6054 PERCENT 516 275 160 4 17 28 00 1000 MOVEMENT OF PATIENT POPULATION BY RACE AND SEX JULY 1 1962JUNE 30 1963 MOVEMENT CATEGORY TOTAL WHITE COLORED HALE FEMALE BALE FEMALE On Books July 1 1962 In Hospital On Furlough 16526 12035 4491 4891 3391 1500 6031 4059 1972 2543 2154 389 3061 2431 630 Total Gains Admissions Returns From Furlough 9633 6054 3579 4223 2707 1516 3597 2049 1548 923 668 255 890 630 260 Total Losses Discharges Direct From Hospital Placed on Furlough Deaths 9654 1201 7304 1H9 4160 825 2923 412 3511 203 2967 341 994 138 654 202 989 35 760 194 Discharges From Furlough 2547 945 974 253 375 On Books June 30 1963 In Hospital On Furlough 176S3 12014 5669 5416 3454 1962 6562 4145 2417 2618 2083 535 3087 2332 755 Net Change in Resident Population 21 63 86 71 99 Average Daily Population 1187S 3387 4051 2086 2354 89 TOTAL AHaSSIONS BY RACE SEX COU1ITY OF ADMISSION AMD HATES PER 100000 CIVIL POPULATION JULY 1 1962JUNE 30 1963 County N U U B eh of ad I S S I 0 N S RATE of Admission R A C E A H D SEX TOTAL w w f C U C F TOTAL WHITE COLORED Total 3054 2707 2049 668 630 1510 1658 1139 Appling 19 12 5 1 1 1397 1619 645 Atkinson 6 4 2 0 0 952 1333 0 Bacon 17 10 c 1 0 1977 2133 909 Baiter 3 0 0 1 2 652 0 1111 Baldwin 70 33 17 14 6 3111 3676 2247 Banks 24 20 4 0 0 3636 3871 0 Barrow 31 15 14 0 2 2095 2377 769 Bartov 37 18 7 3 2110 2124 2041 3cn Hill 39 15 18 4 2 2847 3587 1333 Berrien 19 14 4 1 0 1545 1714 556 Bibb 19S 87 55 26 30 1352 1461 1136 Bleckley 14 11 1 2 0 1414 1690 714 Brantley 10 6 3 1 0 1667 1731 1250 Brooks 20 6 8 5 1 1307 1772 811 Bryan 9 5 3 0 1 1406 1951 435 Billooh 41 24 9 2 6 1667 2115 889 Burke 22 5 6 3 8 1058 1549 803 Butts 22 12 5 4 1 2444 3542 1190 Calhoun 12 4 2 2 4 1622 2308 1250 Careen 3 2 0 0 1 291 323 244 Candler 11 5 0 0 1618 2500 0 Carroll 72 43 21 4 4 1900 2071 1143 Catoosa 14 7 7 0 0 642 651 0 Chsrlton 7 3 1 2 1 1273 1053 1765 Chathan 135 48 42 25 20 705 718 682 Chattahoochee 0 0 0 0 0 0 0 0 Chattooga 37 17 15 3 2 1796 1711 2632 Cherokee 54 28 22 2 2 2278 2193 4444 Clarke 69 32 19 9 9 1520 1500 1579 Clay 5 0 4 1 0 1111 2353 357 Clayton 50 22 22 4 2 971 938 1304 Clinch S 4 4 0 0 1194 1905 0 Cobb 202 94 89 12 7 1612 1568 2209 Coffee 46 22 13 8 3 2044 2121 1833 Colquitt 77 40 24 7 6 2355 2602 1605 Colunbia 10 3 3 1 3 719 659 833 Cool 12 9 3 0 0 992 1395 0 Coweta 70 34 18 8 10 2373 2694 1765 Crawford 11 4 4 2 1 1864 3200 882 Crisp 20 7 6 2 5 1111 1250 921 Dade 11 2 9 0 0 1236 1250 0 Dawson 5 4 1 0 0 1351 1351 0 Deeatur 35 13 12 2 8 1522 2033 935 DeKalb 303 144 130 12 17 1075 1056 1289 Dodge 37 IS 12 2 5 2216 2479 1522 Dooly 17 5 8 1 3 1466 2364 656 Dougherty 80 29 19 17 15 1017 923 1199 Douglas 30 17 13 0 0 1734 2027 0 Early 18 4 9 4 1 1364 2031 735 Echols 0 0 0 0 0 0 0 0 Effingham 9 1 4 3 1 874 735 1143 Elbert 32 16 8 5 3 1768 2000 1311 Enanuel 37 16 8 6 7 2044 1967 2203 Evans 15 3 6 2 4 2113 2000 2308 Fannin 21 15 6 0 0 1522 1522 0 Fayette 8 5 2 1 0 964 1186 417 Floyd 135 64 58 5 8 1962 2096 1226 Forsyth 16 10 6 0 0 1280 1280 0 Franklin 26 13 11 1 1 1926 2000 1333 Fulton 915 355 315 132 113 1620 1855 1203 Giljaer 33 21 12 0 0 3626 3626 0 Glascock 8 3 3 1 1 2963 3158 2500 Glynn 61 23 23 8 7 1377 1420 1261 90 t til County of Admission NUMBER 0 F ADMISSIONS RATE TOTAL RACE AND SEX W M W F C M C F TOTAL WHITE COLORED Gordon 32 15 15 0 2 1624 1622 1667 Grady 41 18 16 4 3 2240 2931 1045 Greene 18 9 4 3 2 1622 2453 862 Gwinnett 66 26 38 2 0 1432 1502 571 Habersham 41 24 15 2 0 2181 2179 2222 Hall 105 50 45 7 3 2015 2039 1818 Hancock 16 6 2 4 4 1600 3200 1067 Haralson 35 20 10 3 2 2365 2206 4167 Harris 12 5 4 2 1 1071 1765 492 Hart 22 13 7 2 0 1429 1709 541 Heard 4 2 2 0 0 741 952 0 Henry 23 15 6 1 1 1278 2019 263 Houston 46 24 16 5 1 1075 1170 698 Irwin 9 5 4 0 0 968 1552 0 Jackson 48 17 23 5 3 2526 2410 3333 Jasper 7 3 1 1 2 1148 1429 909 Jeff Davis 18 11 5 1 1 1978 2192 1111 Jefferson 31 10 8 9 4 1761 2338 1313 Jenkins 23 11 5 6 1 2473 3404 1522 Johnson 22 12 6 2 2 2716 3333 1481 Jones 8 1 1 5 1 941 465 1429 Lamar 15 8 6 1 0 1442 2222 244 Lanier 8 4 2 2 0 1538 1622 1333 Laurens 61 29 19 6 7 1826 2297 1040 Lee 1 0 0 0 1 159 0 256 Liberty 19 6 7 3 3 1557 2000 1053 Lincoln 4 1 1 1 1 690 667 714 Long 6 2 1 0 3 1500 1111 2308 Lowndes 53 21 17 7 8 1155 1242 980 Lumpkin 8 4 4 0 0 1067 1081 0 Macon 17 1 6 3 7 1278 1400 1205 iladison 19 8 5 3 3 1652 1383 2857 Marian 10 2 1 2 5 1818 1364 2121 HcDuffie 22 8 5 5 4 1705 1733 1667 Mclntosh 10 3 2 4 1 1538 1786 1351 Me ri wether 25 13 3 4 5 1263 1584 928 Miller 7 3 1 3 0 986 800 1429 Mtchell 41 18 15 3 5 2050 3330 792 Monroe 26 11 3 5 7 2476 2545 2400 Montgomery 17 9 6 1 1 2656 3947 769 Morgan 16 4 4 4 4 1538 1455 1633 Murray 16 12 4 0 0 1495 1509 0 Muscogee 144 54 59 12 19 1005 1060 845 Newton 61 31 20 6 4 2850 3617 1370 Oconee 7 4 3 0 0 1094 1400 0 Oglethorpe 17 3 7 4 3 2152 2273 2000 Paulding 36 19 16 0 1 2687 2869 833 Peach 27 10 4 5 8 1915 2373 1585 Pickens 18 12 6 0 0 1957 2045 0 Pierce 8 2 6 0 0 ffl6 1039 0 Pike 8 2 3 1 2 1111 1250 938 Polk 56 26 26 3 1 1979 2194 870 Pulaski 17 9 2 2 4 2048 2340 1667 Putnam 22 14 4 0 4 2785 4865 952 Quitman 2 2 0 0 0 800 2222 0 Rabun 10 6 4 0 0 1299 1316 0 Randolph 8 3 1 4 0 727 952 588 Richmond 193 76 61 25 31 1556 1677 1324 Rockdale 27 11 8 5 3 2477 2375 2759 Schley 2 0 0 0 2 625 0 1111 Screven 21 6 7 4 4 1400 1806 1026 Seminole 4 1 3 0 0 580 930 0 Spalding 77 36 27 6 8 2092 2395 1333 Stephens 23 15 5 3 0 1217 1220 1200 Stewart 7 0 0 3 4 972 0 1373 Sumter 21 7 7 5 2 843 1176 538 Talbot 8 3 1 2 2 1127 1818 816 Taliaferro 7 0 4 2 1 2121 3077 1500 91 County of NUMBER 0 F A D M I S S I 0 N S RATE RACE A N D E X Admission TOTAL W M W F C M C F TOTAL WHITE COLORED Tattnall 23 13 1 3 6 1679 HI 4 2368 Taylor 4 2 0 1 1 476 455 500 Telfair 21 9 6 4 2 1764 1899 1500 Terrell 13 6 2 5 0 1008 1739 602 Thomas 62 29 15 5 13 1761 2146 1224 lift 37 13 16 4 4 1542 1706 1143 Toombs 56 33 16 1 6 3237 3920 1458 Towns 5 3 2 0 0 1087 1087 0 Treutlen 18 10 4 3 1 3000 3500 2000 Troup 70 27 23 5 15 1477 1572 1282 Turner 9 5 2 2 0 1047 1296 625 Twiggs 7 3 0 3 1 875 938 833 Union 15 9 6 0 0 2239 2239 0 Upson 38 12 15 7 4 1570 1543 1642 Walter 62 30 28 3 1 1268 1253 1538 Walton A3 17 20 5 1 2057 2517 968 Ware 56 26 13 11 6 1662 1566 1932 Warren 12 2 2 4 4 1622 1429 1739 Washington 38 12 4 9 13 2000 1951 2037 Wayne 38 23 13 1 1 2043 2449 513 Webster 2 0 0 1 1 606 0 952 Wheeler 9 3 2 3 1 1698 1389 2353 White 9 6 3 0 0 1250 1304 0 Whitfield 87 47 37 2 1 1891 1913 1429 Wilcox 17 8 6 1 2 2152 2642 1154 Wilkes 12 5 1 2 4 1101 1111 1091 Wn VinRnn 11 15 7 5 3 3 1 3 9 4 1170 882 2041 899 222 864 Worth Population estimate as of July 1 196292 It RESIDENT PATIENT POPULATION ON JUNE 30 1963 BY RACE SEX AND MENTAL DISORDER t MENTAL DISORDER RACE AND SEX White White Nonwhite Nonwhite Total Male Female Male Ffflilfle ACUTE BRAIN SYNDROME ASSOCIATED WITH Alcohol Intoxication 45 27 7 10 1 Drug or Poison Intoxication 10 3 7 0 0 Convulsive Disorder 0 0 0 0 0 All Other Conditions 13 3 4 4 2 Total Acute Brain Syndromes 68 33 18 14 3 CHRONIC BRAIN SYNDROME ASSOCIATED WITH Diseases and Conditions Due To Prenatal Influence 42 17 a 1 3 Meningoencephalitic Syphilis 299 109 50 93 47 Other CNS Syphilis 15 3 3 2 7 Epidemic Encephalitis 29 12 15 1 1 Other Intracranial Infections 25 4 12 7 2 Alcohol Intoxication 54 37 12 2 3 Drug or Poison Intoxication 4 0 2 0 2 Birth Trauma 136 58 24 42 12 Other Trauma 73 42 15 12 4 Cerebral Arteriosclerosis 1066 363 287 156 260 Other Circulatory Disturbance 63 a 16 16 10 Convulsive Disorder 606 165 226 136 79 Senile Brain Disease 6a 125 414 a 61 Other Disturbance of Metabolism Growth and Nutrition 31 10 13 2 6 Intracranial Neoplasm 3 1 2 0 0 Diseases of Unknown and Uncertain Cause 49 14 24 4 7 Chronic Brain Syndromes of Unknown Cause 123 33 33 41 16 Total Chronic Brain Syndromes 3239 1014 1169 536 520 PSYCHOTIC DISORDERS Involutional Psychotic Reaction 190 18 80 5 87 Manic Depressive Reactions 860 118 230 192 320 Psychotic Depressive Reaction 74 16 51 3 4 Schizophrenic Reactions 5220 1332 1905 896 1087 Paranoid Reactions 22 3 4 5 10 Other Psychotic Reactions 0 0 0 0 0 Total Psychotic Reactions 6366 1487 2270 1101 1508 PERSONALITY DISORDERS Psychephysiologic Autonomic and Visceral Disorders 4 1 0 2 1 Psychoneurotic Reactions 161 49 105 5 2 Personality Pattern Disturbance 4 2 1 1 0 Personality Trait Disturbance 17 12 5 0 0 Antisocial Reaction 49 28 16 3 2 Dyssocial Reaction 5 2 2 1 0 Sexual Deviation 8 4 0 4 0 Alcoholism addiction 131 106 17 4 4 Drug Addiction 11 6 5 0 0 Special Symptom Reaction 1 1 0 0 0 Total Personality Disorders 391 ai 151 20 9 TRANSIENT SITUATIONAL PERSONALITY DISTURBANCE 23 13 5 4 1 MENTAL DEFICIENCY 19U 694 528 404 288 MENTAL DISORDER UNDIAGNOSED 11 2 4 3 2 WITHOUT MENTAL DISORDER 2 0 0 1 1 TOTAL ALL MENTAL DISORDERS 120U 3454 4H5 2083 2332 93 PATIENTS RESIDENT IN TIE HOSPITAL BY COUNTY OF ADMISSION RACE AND SEX JUNE 30 1963 RACE AND SEX COUNTY TOTAL W M V F C I C F Total 12014 3454 4145 20S3 2332 Appling 46 19 13 6 8 Atkinson 20 S S 2 2 Bacon 31 11 14 4 2 Baker 16 2 4 5 5 Baldwin 155 52 53 28 22 Banks 30 IS 12 0 0 Barrow 55 22 20 s 5 Bartow 89 30 35 12 12 Ben Hill 70 21 26 14 7 Berrien 31 12 10 2 7 Bibb 423 120 121 81 101 Bleokley 38 IS 6 5 9 Brantley 25 10 10 3 2 Brooks 60 u 13 19 14 Bryan 11 4 5 1 l Bulloch 78 20 23 20 15 Burke 79 7 15 20 37 Butts 34 10 14 6 4 Calhoun 25 5 4 10 6 Camden 26 5 S 8 5 Candler 23 7 10 2 4 Carroll 103 41 44 11 7 Catoosa 33 15 18 0 0 Charlton 16 3 7 4 2 Chatham 551 107 152 127 165 Chattahoochee 8 3 3 1 1 Chatooga 52 27 19 5 1 Cherokee 71 29 38 0 4 Clarke 124 32 44 23 25 Clay 17 2 1 6 8 Clayton 55 23 26 2 4 Clinch 13 6 4 0 3 Cobb 225 90 111 12 12 Coffee 64 21 29 3 11 Colquitt 122 46 34 19 23 Columbia 25 7 8 4 6 Cook 33 10 13 5 5 Coweta 117 35 38 20 24 Crawford 22 5 4 10 3 Crisp 58 13 15 16 14 Dade 15 8 7 0 0 Dawson 13 C 8 0 0 Decatur 77 19 20 13 25 DeKalb 434 136 217 35 46 Dodge 76 20 27 12 17 Dooly 44 5 16 7 16 Dougherty 153 31 36 37 49 Douglas 48 15 26 4 3 Early 45 o 14 9 14 Echols 6 1 3 2 0 Effingham 26 7 8 5 6 Elbert 69 19 24 13 13 Emanuel 82 26 15 20 a Evans 24 5 11 3 5 Fannin 59 29 30 0 0 Fayette 26 12 9 4 1 Floyd 194 67 86 19 22 Forsyth 29 11 18 0 0 Franklin 46 18 20 7 1 Fulton 1902 492 698 344 368 Gilmer 32 11 21 0 0 Glascock 13 1 S 2 2 Glynn 95 37 22 14 22 Gordon 62 20 40 0 2 94 COUNTY RACE AND 3EX TOTAL Vr II W F c n C F Grady 69 19 21 14 15 Greene 46 5 17 11 13 Gwinnett 96 35 52 3 6 Hatersham 68 32 34 1 1 Hall 158 55 68 20 15 Hancock 49 8 10 20 11 Haralson 56 23 28 4 1 Harris 34 10 7 6 11 Hart 45 20 18 4 3 Heard 21 8 11 0 2 Henry 49 14 17 4 14 Houston 61 18 17 13 13 Irwin 27 6 9 8 4 Jackson 71 24 33 7 7 Jasper 41 7 9 12 13 Jeff Davis 27 13 6 5 3 Jefferson 52 10 14 13 15 Jenkins 45 12 7 15 11 Johnson 40 9 18 5 8 Jones 34 7 7 13 7 Lamar 42 14 9 11 6 Lanier 15 2 6 4 3 Laurens 111 24 36 21 30 Lee 21 2 3 7 9 Liberty 31 5 5 7 14 Lincoln 19 4 7 4 4 Long 12 1 6 3 2 Lowndes 118 29 35 23 31 Lumpkin 24 10 12 2 0 Ma con 42 5 8 11 18 Madison 43 15 15 6 7 Marion 32 11 9 5 7 LIcDuffie 36 6 12 11 7 Mclntosh 16 1 1 10 4 Meri wether 76 15 20 17 24 Miller 17 7 3 6 1 Mitchell 77 15 24 17 a Monroe 47 12 10 10 15 Montgomery 20 4 5 6 5 Morgan 46 10 11 12 13 Murray 40 20 20 0 0 Muscogee 335 92 110 56 77 Newton 81 25 29 13 14 Oconee 32 6 17 6 3 Oglethorpe 44 9 16 11 8 Paulding 41 16 23 1 1 Peach 53 9 10 17 17 Pickens 30 12 16 1 1 Pierce 25 6 14 4 1 Pike 47 11 10 16 10 Polk 108 45 43 11 9 Pulaski 41 8 10 9 14 Putnam 39 11 8 11 9 Quitman 4 4 0 0 0 Rabun 28 16 12 0 0 Randolph 46 10 7 10 19 Richmond 400 112 113 75 100 Rockdale 38 9 14 7 8 Schley 14 0 3 6 5 Screven 75 u 20 13 28 Seminole 15 5 5 2 3 Spalding 145 45 43 30 27 Stephens 43 15 13 8 7 Stewart 47 7 8 13 19 Sumter 82 15 17 28 22 Talbot 24 2 10 5 7 Taliaferro 16 1 5 7 3 Tattnall 52 18 21 o 7 Taylor 37 8 6 11 12 95 COUNTY Telfair Terrell Thomas Tift Toorabs Tovns Treutlen Troup Turner Twiggs Union Upson Walker Walton Ware Warren Washington Wayne Webster Wheeler White Whitfiela Wilcox Wilies Wilkinson Worth RACE AMD SEX TOTAL 52 43 118 73 56 12 17 164 33 32 18 74 89 81 107 38 72 46 14 14 19 101 27 53 44 57 v M 21 8 26 25 14 8 4 45 9 10 10 28 36 21 40 2 10 15 2 2 10 47 16 18 F 16 11 34 24 24 4 6 53 13 7 8 16 49 29 38 4 15 16 5 6 8 43 9 6 10 10 C LI 8 14 25 10 8 0 4 25 3 10 0 16 2 15 14 14 22 12 6 2 0 5 8 15 9 14 C F 7 10 33 14 10 0 3 41 8 5 0 14 2 16 15 18 25 3 1 4 1 6 2 24 9 15rH ml Gv ADMISSIONS BY AGE AT ADMISSION ADMISSION CLASSIFICATION HACE SEX AND MENTAL DISORDER MENTAL DISORDER RACESEX AGE In Years Under 15 25 35 45 55 65 75 85 and Total 15 9A U U 5 U 7i 8i over Unknown ALL MENTAL DISORDERS Total 6054 74 738 1135 1373 1070 635 475 345 95 114 White Male 2707 33 316 471 660 506 294 197 155 37 38 All Admissions White Female 2049 21 224 369 453 383 223 175 137 42 22 Nonwhite Male 668 13 125 141 119 91 66 46 27 6 34 Nonwhite Female 630 7 73 154 HI 90 52 57 26 10 20 Total 4804 72 643 855 990 765 505 446 343 94 91 White Male 2165 32 268 364 492 362 241 185 155 36 30 First Admissions White Female 1654 21 207 281 335 274 172 171 136 42 15 Nonwhite Male 522 12 105 101 80 65 55 41 27 6 30 Nonwhite Female 463 7 63 109 83 64 37 49 25 10 16 Total 1048 2 74 222 323 260 118 27 2 1 19 White Male 426 1 39 79 125 119 47 10 0 1 5 Readmissions White Female 351 0 13 72 112 95 47 4 1 0 7 Previously admitted to MSH Nonwhite Male 124 1 16 31 36 22 10 5 0 0 3 vo Nonwhite Female 147 0 6 40 50 24 14 8 1 0 4 o Total 202 0 21 58 60 45 12 2 0 0 4 White Male 116 0 9 28 43 25 6 2 0 0 3 Readmissions White Female 44 0 4 16 6 14 4 0 0 0 0 Previously admitted to other psychiatric Nonwhite Male 22 0 4 9 3 4 1 0 0 0 1 facility Nonwhite Female 20 0 4 5 8 2 1 0 0 0 0 ACUTE BRAIN SYNDROME ASSOCIATED WITH ALCOHOL INTOXICATION Total 142 0 3 23 58 43 10 5 0 0 0 White Male 93 0 1 14 37 30 7 4 0 0 0 All Admissions White Female 18 0 1 1 9 5 1 1 0 0 0 Nonwhite Male 26 0 1 6 10 7 2 0 0 0 0 Nonwhite Female 5 0 0 2 2 1 0 0 0 0 0 Total 115 0 3 20 45 35 7 5 0 0 0 White Male 77 0 1 12 31 24 5 4 0 0 0 First Admissions White Female 15 0 1 1 6 5 1 1 0 0 0 Nonwhite Male 18 0 1 5 6 5 1 0 0 0 0 Nonwhite Female 5 0 0 2 2 1 0 0 0 0 0 MENTAL DISORDER RACESEX AGE In Years Readmissions Previously admitted to MSH Readmissions Previously admitted to other psychiatric facility DRUG OR POT SON INTOXICATION All Admissions First Admissions Readmissions Previously admitted to MSH Readmissions Previously admitted to other psychiatric facility Total Under 15 15 2A 25 35 45 55 64 65 2a Total White Male White Female Nonwhite Male Nonwhite Female Total Vhite Male Vhite Female Nonwhite Male Nonwhite Female Total White Male White Female Nonvhite Male Nonwhite Female Total White Male Vhite Female Nonwhite Male Nonwhite Female Total White Male White Female Nonwhite Male Nonwhite Female Total Vhite Male Vhite Female Nonwhite Male Nonwhite Female 22 12 2 16 9 6 1 0 13 7 5 1 0 1 0 1 0 0 2 2 0 0 0 10 4 2 4 0 3 2 1 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 ALL OTHER ACUTE BRAIN SYNDROMES Total 16 0 3 3 3 2 3 2 0 0 0 White Male 4 0 1 1 0 1 1 0 0 0 0 All Admissions White Female 4 0 0 1 1 0 0 2 0 0 0 Nonwhite Male 3 0 0 0 1 0 2 0 0 0 0 Nonwhite Female 5 0 2 1 1 1 0 0 0 0 0 Total 16 0 3 3 3 2 3 2 0 0 0 White Male 4 0 1 1 0 1 1 0 0 0 0 First Admissions Vhite Female 4 0 0 1 1 0 0 2 0 0 0 Nonwhite Male 3 0 0 0 1 0 2 0 0 0 0 Nonwhite Female 5 0 2 1 1 1 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 Readnissions Vhite 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 00 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 White Female 0 0 0 0 0 0 0 0 0 0 0 Previously admitted to other psychiatric Nonwhite Male 0 0 0 0 0 0 0 0 0 0 0 facility Nonwhite Female 0 0 0 0 0 0 0 0 0 0 0 TOTAL ACUTE BRAIN SYNDROMES Total 174 0 6 28 63 49 13 13 2 0 0 Vhite Male 106 0 2 16 39 33 8 8 0 0 0 All Admissions White Female 28 0 1 2 10 7 1 5 2 0 0 Nonwhite Male 30 0 1 7 11 7 4 0 0 0 0 Nonwhite Female 10 0 2 3 3 2 0 0 0 0 0 Total 144 0 6 24 50 39 10 13 2 0 0 White Male 88 0 2 13 33 26 6 8 0 0 0 First Admissions Vhite Female 24 0 1 2 7 6 1 5 2 0 0 Nonwhite Male 22 0 1 6 7 5 3 0 0 0 0 Nonwhite Female 10 0 2 3 3 2 0 0 0 0 0 MENTAL DISORDER RACESEX APE In Years Readmissions Previously admitted to MSH 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 CHRONIC BRAIN SYNDROME ASSOCIATED WITH DISEASES AND CONDITIONS DUB TO PRENATAL INFLUENCE Total White Male All Admissions White Female Nonwhite Male Nonwhite Female First Admissions Readmissions Previously admitted to MSH 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 23 12 3 10 5 2 1 2 10 5 2 1 2 0 0 0 0 0 0 0 0 0 0 Under 15 15 25 34 35 44 45 4 55 64 65 74 75 84 0 3 10 7 3 0 0 0 2 4 4 2 0 0 0 0 2 1 0 0 0 0 1 4 2 1 0 0 0 0 0 0 0 0 0 0 1 3 3 0 0 0 0 1 2 3 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 2 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 0 0 1 0 1 0 0 0 0 2 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 0 0 1 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 85 and over rH fr MENTAL DISORDER MENINGOENCSPHALITIC SYPKILTS All Admissions First Admissions Readmissions Previously admitted to MSH Readmissions Previously admitted to other psychiatric facility RAOESEX OTHER CMS SYPHILIS All Admissions First Admissions 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 Nonvhite Male Nonwhite Female Total White Male Vhite Female Nonvhite Male Nonwhite Female Total Under A5 15 24 AGE In Years 25 3i 35 45 5a 55 4 65 1L 75 8i 85 and over 8 0 0 0 1 2 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 2 0 2 0 0 2 0 0 0 1 0 0 1 0 0 8 0 0 0 1 2 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 2 0 2 0 0 2 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 c 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 c 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 5 0 0 1 0 2 2 0 0 0 i 0 0 1 0 2 0 0 0 0 2 0 0 0 0 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 5 0 0 1 0 2 2 0 0 0 3 0 0 1 0 2 0 0 0 0 2 0 0 0 0 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 Unlgiown o o MENTAL DISORDER RACESEX AGE In Years Total Under 15 15 2534 35 45 5544 54 64 6574 754 85 and over Unknown Readmissions Previously admitted to MSH Total White Male White Female Nonvhite 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 facility psychiatric 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 EPIDEMIC ENCEPHALITIS All Admissions Total White Male White Female Nonwhite Male Nonvhite Female 4 3 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 0 2 0 0 0 1 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 First Admissions Total White Male Yhite Female Nonwhite Male Nonwhite Female 4 3 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 0 2 0 0 0 1 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 P 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 n m O 50 CD CD 33 Readmissions Previously admitted to other facility psychiatric Total White 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 Hir MENTAL disorder OTHER INTRACRANIAL INFECTIONS All Admissions First Admissions Readmissione Previously admitted to MSH Readmissions Previously admitted to other psychiatric facility ALCOHOL IOTOXICATTOH All Admissions First Admissions RACESEX AGE In Years Under 15 25 35 45 55 65 75 85 and Total 15 24 u 44 54 64 TI Total White Male 4 0 0 0 0 0 0 0 1 0 2 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 White Female 4 0 0 0 1 2 1 Nonwhite Male 0 0 0 0 0 0 0 0 0 Nonwhite Female 0 0 0 0 0 0 0 0 Total White Male 2 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 White Female 2 0 0 0 1 0 1 Nonwhite Male 0 0 0 0 0 0 0 Nonwhite Female 0 0 0 0 0 0 0 0 0 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 65 53 9 0 3 50 41 9 0 0 12 4 6 0 2 26 24 2 0 0 19 17 2 0 0 16 15 1 0 0 13 12 1 0 0 oMENIAL DISORDER RACESEX AOE In Years Total Under 15 15 2A 25 35 AL 45 5i 55 64 65 75 85 and over Unknown Readmissions Previously admitted to MSH Readmissions Previously admitted to other psychiatric facility DRUG OR POISON INTOXICATION All Admissions First Admissions Readmissions Previously admitted to MSH 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 Nonwhite Male Nonwhite Female Total White Male White Female Nonwhite Male Nonwhite Female Total White dale White Female Nonvhite Male Nonwhite Female u 11 o 0 3 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 ori rti MENTAL DISORDER RACESEX BIRTH TRAUMA Under Total 15 AGE In Years 15 24 25 J4 35 44 45 55 65 Z4 75 85 and oxerUnlmovm All Admissions First Admissions Readmissians Previously admitted to HSH Readmissions Previously admitted to other psychiatric facility OTHER TRAUMA All Admissions First Admissions Total White Male White Female Nonwhite Male Nonwhite Female Total White Male White Female Nonwhite Male Nonwhite Female Total Vhite Male White Female Nonwhite Male Nonwhite Female Total Vhite Male Vhite Female Nonwhite Male Nonwhite Female Total Vhite Male White Female Nonwhite Male Nonwhite Female Total Vhite Male Vhite Female Nonwhite Male Nonwhite Female U 24 a 9 3 40 22 8 7 3 4 2 0 2 0 0 0 0 0 0 28 16 5 7 0 26 15 5 6 0 11 6 4 1 0 10 6 4 0 0 0 0 0 0 0 0 0 0 0 0 13 6 2 4 1 10 4 2 3 1 4 2 0 2 0 0 0 0 0 0 o RACESEX AGE In Years Total Under 15 1524 2534 3544 45 555i 6A 6574 7584 85 and over Unknown Readmissions Previously admitted to MSH Total White Male White Female Nonwhite Male Nonwhite Female 2 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 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 Headmissions 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 fiRRERRAL ARTERIOSCLEROSIS All Admissions Total White Male White Female Nonwhite Male Nonwhite Female 572 249 137 90 96 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 23 159 11 61 8 31 3 40 1 27 228 99 54 29 46 111 63 35 2 11 17 9 6 0 2 33 5 3 16 9 First Admissions Total White Male White Female Nonwhite Male Nonwhite Female 539 238 132 84 85 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 19 146 9 57 7 28 2 38 1 23 215 95 54 26 40 111 63 35 2 11 17 9 6 0 2 30 4 2 16 8 Readmissions Previously admitted to MSH Total White Male White Female Nonwhite Male Nonwhite Female 29 7 5 6 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 11 2 2 1 3 1 2 0 4 12 3 0 3 6 0 0 0 0 0 0 0 0 0 0 2 0 0 1 Readmissions Previously admitted to other psychiatric facility Total White Male White Female Nonwhite Male Nonwhite Female 4 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 oftf rii MENIAL DISOBDEE RACESEX AGE In Years Total Under 15 1524 2534 3544 45 5554 64 6574 7584 85 and OTHER CIRCULATORY niSTURBANCE over Unknown Total 32 0 1 0 5 8 9 5 4 0 0 White Male 8 0 1 0 0 0 4 2 1 o 0 o All Admissions White Female 4 0 0 0 1 0 0 1 2 0 Nonwhite Male 13 0 0 0 2 6 3 2 0 0 o Nonwhite Female 7 0 0 0 2 2 2 0 1 0 0 Total 30 0 1 0 5 8 7 5 4 0 0 White Male 7 0 1 0 0 0 3 2 1 o o First Admissions White Female 4 0 0 0 1 0 0 1 2 o o Nonwhite Male 13 0 0 0 2 6 3 2 0 0 0 Nonwhite Female 6 0 0 0 2 2 1 0 1 0 0 Total 2 0 0 0 0 1 1 0 0 0 0 White Male 1 0 0 0 0 1 0 0 0 0 o Readmissions White Female 0 0 0 0 0 0 0 o o o 0 o Previously admitted to MSH Nonvhite Male 0 0 0 0 0 0 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 o White Male 0 0 0 0 0 0 0 0 0 o o G Readmissions White Female 0 0 0 0 0 0 0 o Q 0 o 0 o Previously admitted to other psychiatric Nonwhite Male 0 0 0 0 0 0 0 0 0 facility Nonwhite Female 0 0 0 0 0 0 0 0 0 0 0 CONVULSIVE DISORDER Total 128 6 28 37 31 18 5 0 1 0 2 White Male 49 2 13 11 13 5 3 0 1 0 1 All Admissions White Female 50 1 9 16 13 8 2 0 0 0 1 Nonwhite Male 18 2 5 5 4 2 0 0 0 0 0 Nonwhite Female 11 1 1 5 1 3 0 0 0 0 0 Total 93 6 a 27 19 12 5 0 1 0 2 IVhite Male 35 2 8 8 9 3 3 0 1 0 1 First Admissions White Female 37 1 8 12 8 5 2 0 0 0 1 Nonwhite Male 13 2 4 4 2 1 0 0 0 0 0 Nonwhite Female 8 1 1 3 0 3 0 0 0 0 0 MENTAL DISORDER RACESEX AGE In Years Under 15 25 35 45 55 65 75 85 and Total 15 A AA 54 64 74 84 over Unknown 0 Total 29 0 4 8 11 6 0 0 0 0 White Male 10 0 3 2 3 2 0 0 0 0 0 Readmissions White Female 13 0 1 4 5 3 0 0 0 0 0 Previously admitted to MSH Nonwhite Male 3 0 0 0 2 1 0 0 0 0 0 0 Nonwhite Female 3 0 0 2 1 0 0 0 0 0 Total 6 0 3 2 1 0 0 0 0 0 0 White Male 5 0 2 2 1 0 0 0 0 0 0 Readmissions White Female 0 0 0 0 0 0 0 0 0 0 0 Previously admitted to other psychiatric Nonwhite Male 1 0 1 0 0 0 0 0 0 0 0 0 facility Nonwhite Female 0 0 0 0 0 0 0 0 0 0 SENILE BRAIN DISEASE Total 409 0 0 0 1 2 11 103 212 76 4 o White Male 160 0 0 0 1 1 7 38 86 27 0 J All Admissions White Female 183 0 0 0 0 1 4 51 91 36 0 Nonwhite Male 37 0 0 0 0 0 0 7 22 5 3 Nonwhite Female 29 0 0 0 0 0 0 7 13 8 1 Total 406 0 0 0 1 2 10 102 211 76 4 White Male 158 0 0 0 1 1 6 37 86 27 0 First Admissions White Female 182 0 0 0 0 1 4 51 90 36 0 Nonwhite Male 37 0 0 0 0 0 0 7 22 5 3 Nonwhite Female 29 0 0 0 0 0 0 7 13 8 1 Total 3 0 0 0 0 0 1 1 1 0 0 White Male 2 0 0 0 0 0 1 1 0 0 0 Readmissions White Female 1 0 0 0 0 0 0 0 1 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 psychiatric Nonwhite Male 0 0 0 0 0 0 0 0 0 0 0 facility Nonwhite Female 0 0 0 0 0 0 0 0 0 0 0 rfc MENTAL DISORDER RACESEX OTHER DISTURBANCE OF FETABOLISM GROWTH AMD NUTRITION All Admissions First Admissions Readmissions Previously admitted to MSH Readmissions Previously admitted to other psychiatric facility Under I5 AGE In Years 15 2i 25 U 35 45 54 55 6i JZi 75 85 and over JK312WP 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 12 3 7 0 2 11 3 6 0 2 1 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 2 1 1 0 0 2 1 1 0 0 0 0 0 0 0 0 0 0 0 0 2 1 0 0 1 2 1 0 0 1 0 0 0 0 0 0 0 0 0 0 3 0 3 0 0 3 0 3 0 0 0 0 0 0 0 0 0 0 0 0 o oo All Admissions First Admissions Total White Male White Female Nonwhite Male Nonwhite Female Total white Male White Female Nonwhite Male Nonwhite Female MENTAL DISORDER RACESEX AGE In Years Readmissicms Previously admitted to MSH Readmissicms Previously admitted to other psychiatric facility DISEASES OF UNKNOWN AMD 1THRKRTAIN CAHSE All Admissions First Admissions Readmissicms Previously admitted to MSH Readmissions Previously admitted to other psychiatric facility Total Under 15 2i 25 2A 35 45 2 55 64 65 75 85 and over Unknown Total White Male White Female Nanwhite Male Nanwhite Female Total White Male White Female Nonwhite Male Nonwhite Female Total White Male White Female Nonwhite Male Nanwhite 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 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 orft MENTAL DISORDER RACESEX CHRONIC BRAIN SYNDROMES OF UNKNOWN nAlffE All Admissions First Admissions Readmissions Previously admitted to MSH Readmissions Previously admitted to other psychiatric facility TOIAL CHHONIC BRAIN SYNDRflUKS All Admissions First Admissions Total White Male White Female Nonwhite Male Nonwhite Female Total White Mala 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 XQW 75 10 8 42 15 63 9 8 33 13 11 1 1 7 2 1 0 0 1 0 1408 586 427 224 171 1296 540 403 202 151 Under 15 AGE In Years 15 24 5 0 1 3 1 5 0 1 3 1 0 0 0 0 0 0 0 0 0 0 20 7 4 6 3 20 7 4 6 3 20 0 1 13 6 18 0 1 11 6 2 0 0 2 0 0 0 0 0 0 26 16 19 7 58 21 15 15 7 25 11 2 0 7 2 2 1 3 2 3 0 0 3 0 0 0 0 0 0 71 25 20 16 10 53 19 16 11 7 35 44 45 54 55 64 6 14 12 0 3 4 0 3 2 4 6 4 2 2 2 5 12 0 3 0 3 4 5 1 1 74 26 25 15 8 56 20 19 13 4 120 57 28 24 11 96 45 21 20 10 10 3 1 4 2 2 1 1 0 0 0 0 0 0 0 228 99 47 49 33 43 47 28 65 75 3 1 1 1 0 3 1 1 1 0 0 0 0 0 0 0 0 0 0 0 358 152 111 41 54 343 146 111 38 48 1 0 0 1 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 329 151 128 25 25 328 151 127 25 25 85 and over 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 93 36 42 5 10 93 36 42 5 10 Unknown 3 0 0 3 0 1 0 0 1 0 1 0 0 1 0 1 0 0 1 0 47 7 6 24 10 42 6 5 22 9 RACESEX AGE In Years MENTAL DISORDER 15 25 35 45 55 65 75 85 and Total 15 24 34 44 54 64 74 84 over Unknown Total 99 0 7 16 17 23 18 14 1 0 3 0 1 1 White Male 37 0 3 5 5 12 7 5 1 0 Readmissions White Female 23 0 1 4 6 2 4 6 4 4 2 1 5 3 6 Previously admitted to MSH Nonwhite Male Nonwhite Female 19 20 0 0 3 0 4 3 0 0 1 Total 13 0 3 2 1 1 2 2 0 0 0 0 2 1 0 1 White Male 9 0 2 1 1 0 2 0 Readmissions White Female 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 Previously admitted to other facility psychiatric Nonwhite Male Nonwhite Female 3 0 0 0 0 0 0 0 0 PSYCHOTIC DISORDERS INYQfJITTONAL PSYCHOTIC REACTION Total 163 0 0 0 14 86 60 2 0 0 1 White Male 43 0 0 0 1 17 24 1 0 0 1 All Admissions White Female 102 0 0 0 12 52 36 1 0 0 0 1 0 0 Nonwhite Female 17 0 0 0 1 16 0 0 Total 129 0 0 0 u 62 51 2 0 0 0 White Male 37 0 0 0 1 13 22 1 0 0 First Admissions White Female 79 0 0 0 12 37 29 1 0 0 0 0 Nonwhite Male 1 0 0 Nonwhite Female 12 0 0 0 1 11 0 Total 26 0 0 0 0 15 10 0 0 0 1 White Male 4 0 0 0 0 2 2 0 0 White Female 17 0 0 0 0 8 8 0 0 0 0 0 0 0 0 0 Previously admitted to MSH Nonwhite Male Nonwhite Female 0 5 0 0 0 0 0 0 0 5 0 Total 8 0 0 0 0 7 1 0 0 0 0 White Male 2 0 0 0 0 2 0 0 0 0 Readmissions White Female 6 0 0 0 0 5 1 0 0 0 0 0 0 0 0 0 0 Previously admitted to other psychiatric Nonwhite Male 0 0 0 facility Nonwhite Female 0 r MENIAL DISORDER RACESEX AGE In Ye ars Total Under 15 1524 2534 3544 4554 5564 65 75 85 and MANIC DEPRESSIVE REACTIONS Total White Male White Female Nonwhite Male Nonwhite Female 179 49 87 25 18 0 0 0 0 0 6 3 2 1 0 30 4 17 5 4 41 9 18 5 9 36 10 19 6 1 34 15 14 4 1 26 7 15 3 1 2 1 1 0 0 0 0 0 0 0 All Admissions 4 0 1 1 2 First Admissions Total White Male White Female Nonwhite Male Nonwhite Female 111 32 65 7 7 0 0 0 0 0 5 2 2 1 0 26 4 16 3 3 21 5 13 0 3 17 3 11 2 1 21 11 10 0 0 19 6 12 1 0 2 1 1 0 0 0 0 0 0 0 0 0 0 0 0 Readmissions Previously admitted to MSH Total White Male White Female Nonwhite Male Nonwhite Female 63 16 20 16 11 0 0 0 0 0 1 1 0 0 0 4 0 1 2 1 17 3 4 4 6 18 7 8 3 0 13 4 3 4 2 6 1 3 2 0 0 0 0 0 0 0 0 0 0 0 4 0 1 1 2 Readmissions Previously admitted to other psychiatric facility Total White Male White Female Nonwhite Male Nonwhite Female 5 1 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 1 1 1 0 1 0 0 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 PSYCHOTIC DEPRESSIVE REACTION All Admissions Total White Male White Female Nonwhite Male Nonwhite Female 136 24 99 6 7 0 0 0 0 0 17 2 13 0 2 29 4 23 0 2 31 6 25 0 0 27 6 16 2 3 22 5 13 4 0 6 0 6 0 0 1 0 1 0 0 0 0 0 0 0 3 1 2 0 0 First Admissions Total White Male White Female Nonwhite Male Nonwhite Female 114 20 81 6 7 0 0 0 0 0 17 2 13 0 2 23 4 17 0 2 24 3 19 2 0 26 6 13 4 3 14 4 10 0 0 6 0 6 0 0 1 0 1 0 0 0 0 0 0 0 3 1 2 0 0 MENTAL DISORDER RACESEX AGE In Years Readmissions Previously admitted to MSH Readmissions Previously admitted to other psychiatric facility SCHIZOPHRENIC RS All Admissions First Admissions Readmissions Previously admitted to MSH Readmissions Previously admitted to other psychiatric facility Total Yihite 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 Total White Male White Female Nonwhite Male Nonwhite Female Total White Male White Female Nonwhite Male Nonwhite Female 20 3 17 0 0 2 1 1 0 0 1989 683 698 251 357 1386 493 474 183 236 495 141 197 54 103 106 49 27 14 18 Under 12 o 0 0 0 0 0 0 0 0 0 20 10 5 3 2 19 9 5 3 2 1 1 0 0 0 0 0 0 0 0 15 24 0 0 0 0 0 0 0 0 0 0 345 136 86 73 50 283 114 77 52 40 40 IS 12 4 1 3 4 25 507 152 171 59 125 364 113 115 48 11 23 43 15 33 39 16 13 6 4 35 44 45 54 55 64 65 74 75 84 85 and over Nnlmown 8 3 2 0 6 3 0 0 0 0 1 0 1 0 0 0 0 0 0 0 579 203 214 59 103 172 49 69 17 37 344 111 141 41 51 29 23 17 10 4 8 1 3 7 2 4 0 0 10 0 3 0 0 0 0 0 0 0 0 109 45 32 13 50 22 11 2 16 8 24 130 51 8 56 14 6 1 17 1 378 212 80 20 137 69 36 6 HI 83 33 13 41 27 3 1 59 33 8 0 34 11 7 9 7rH MENTAL DISORDER PARANOID REACTIONS All Admissions First Admissions Readmissions Previously admitted to MSH RACESEX Total White Male White Female Nanwhite Male Nanwhite Female Total White Male White Female Nanwhite Male Nanwhite Female Total White Male White Female Nanwhite Male Nanwhite Female Total Under 15 AGE In Years 15 2a 25 35 44 45 2ft 55 13 5 8 0 0 12 5 7 0 0 1 0 1 0 0 65 75 85 and over Unknown Total 0 0 0 0 0 0 0 0 0 Ik White Male 0 0 0 0 0 0 0 0 0 0 0 0 Readmissions White Female 0 0 0 0 0 0 0 0 Previously admitted to other facility psychiatric Nanwhite Male 0 0 0 0 0 0 Nonwhite Female 0 0 0 0 0 0 0 0 0 TOTAL PSYCHOTIC DISORDERS Total 2480 20 358 576 672 497 244 61 10 0 42 White Male 804 10 141 160 220 146 95 17 3 All Admissions White Female 994 5 101 211 273 228 121 38 6 0 Nonwhite Male 283 3 64 74 66 52 10 4 0 0 10 Nonwhite Female 399 2 52 131 113 71 18 2 1 0 9 Total 1752 19 305 413 441 319 168 50 9 0 28 White Male 587 9 118 121 147 93 73 14 3 First Admissions White Female 706 5 92 148 188 144 84 34 6 0 Nonwhite Male 197 3 53 51 43 34 3 2 0 0 8 Nanwhite Female 262 2 42 93 63 48 8 0 0 0 6 RACESEX AGE In Years MENTAL DISORDER Total Under 15 1524 2534 3544 45 5554 64 6574 7584 85 and over Unknown Readmissions Previously admitted to MSH Total White Male White Female Nonwhite Male Nonwhite Female 605 164 252 70 119 1 1 0 0 0 41 19 8 8 6 123 23 49 17 34 198 54 80 21 43 147 69 41 20 71 34 14 6 21 9 11 3 4 2 2 1 0 0 0 1 0 0 0 0 0 14 3 6 2 3 Readmissions Previously admitted to other facility psychiatric Total White Male White Female Nonwhite Male Nonwhite Female 123 53 36 16 18 0 0 0 0 0 12 4 1 3 4 40 16 14 6 4 33 19 5 2 7 31 7 12 2 13 3 4 1 2 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 PERSONALITY DISORDERS PSYCHOPHYSIOLOGICr AUT0NOMICr DISORDERS All Admissions AND VISCERAL Total White Male White Female Nonwhite Male Nonwhite Female 10 5 3 1 1 0 0 0 0 0 1 1 0 0 0 1 1 0 0 0 3 1 1 1 0 4 0 2 0 1 0 0 0 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 First Admissions Total White Male White Female Nonwhite Male Nonwhite Female 10 5 3 1 1 0 0 0 0 0 1 1 0 0 0 1 1 0 0 0 3 1 1 1 0 4 0 2 0 1 0 0 0 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 Readmissians Previously admitted to other facility psychiatric 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 Ml MENTAL DISORDER RACESEX AGE In Years PSYCH0N3JR0TIC REACTIONS All Admissions First Admissions Readmissions Previously admitted to MSH Readmissions Previously admitted to other psychiatric facility PERSONALITY PATTERN DISTURBANCE All Admissions First Admissions 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 Ylhite 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 644 228 395 13 8 562 193 350 11 73 28 43 2 0 9 7 2 0 0 24 H 4 5 1 19 11 2 5 1 Under 15 15 24 25 24 35 AA 45 55 65 74 22 5 5 4 84 20 55 5 4 2 2 0 0 0 0 0 0 0 0 177 64 108 4 1 151 55 92 3 1 22 7 14 1 149 56 91 1 1 129 48 79 1 1 17 131 67 26 49 24 9 77 43 17 3 0 0 2 0 0 111 55 25 40 19 8 67 36 17 2 0 0 2 0 0 19 12 5 8 5 12 10 7 0 10 75 8A 85 and overMENTAL DISORDER RACESEX AGE In Years Total Under 15 154 25u 3544 45 5554 64 6574 7584 85 and over Unknown Readmissions Previously admitted to MSH Total White Male White Female Nonwhite Male Nonwhite Female 5 3 2 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 1 0 1 0 0 1 1 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 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 J 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 PERSONALITY TRAIT DISTURBANCE All Admissions Total White Male White Female Nonwhite Male Nonwhite Female 83 56 26 1 0 0 0 0 0 0 19 10 8 1 0 18 14 4 0 0 28 19 9 0 0 15 1 10 1 5 0 0 0 0 0 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 First Admissions Total White Male White Female Nonwhite Male Nonwhite Female 74 49 24 1 0 0 0 0 0 0 17 9 7 1 0 15 12 3 0 0 25 16 9 0 0 15 1 10 1 5 0 0 0 0 0 1 1 0 0 0 D 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Readmissions Previously admitted to MSH Total White Male White Female Nonwhite Male Nonwhite Female 6 4 2 0 0 0 0 0 0 0 2 1 1 0 0 2 1 1 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 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 3 3 0 0 0 0 0 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 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 rd ml DMUM MENTAL DISORDER AGE In Years ANTISOCIAL REACTION All Admissions First Admissions Readmissions Previously admitted to MSH Readmissions Previously admitted to other psychiatric facility DYSSOCIAL REACTION All Admissions First Admissions Under 15 25 35 45 55 65 75 85 and Total 15 24 34 44 54 64 74 84 over Unknown Total 125 4 60 37 13 9 1 0 0 0 1 White Male 96 4 41 31 11 7 1 0 0 0 1 White Female 17 0 13 2 0 2 0 0 0 0 0 Nonwhite Male 10 0 6 3 1 0 0 0 0 0 0 Nonwhite Female 2 0 0 1 1 0 0 0 0 0 0 Total 92 4 49 26 5 6 1 0 0 0 1 White tele 70 A 33 22 5 4 1 0 0 0 1 White Female 15 0 12 1 0 2 0 0 0 0 0 Nonwhite Male 6 0 A 2 0 0 0 0 0 0 0 Nonwhite Female 1 0 0 1 0 0 0 0 0 0 0 Total 25 0 8 10 5 2 0 0 0 0 0 White Male 20 0 6 8 4 2 0 0 0 0 0 White Female 1 0 0 1 0 0 0 0 0 0 0 Nonwhite Male 4 0 2 1 1 0 0 0 0 0 0 Nonwhite Female 0 0 0 0 0 0 0 0 0 0 0 Total 8 0 3 0 4 1 0 0 0 0 0 White Male 6 0 2 0 3 1 0 0 0 0 0 White Female 1 0 1 0 0 0 0 0 0 0 0 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 17 0 9 2 2 4 0 0 0 0 0 White Male 12 0 6 2 1 3 0 0 0 0 0 White Female 5 0 3 0 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 12 0 8 1 1 2 0 0 0 0 0 White Male 9 0 6 1 1 1 0 0 0 0 0 White Female 3 0 2 0 0 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 RACESEX AGE In Years MENTAL DISORDER Under 15 25 35 45 55 65 75 85 and Total 15 24 u 44 54 64 74 84 over Unknown Total 5 0 1 1 1 2 0 0 0 0 0 White Male 3 0 0 1 0 2 0 0 0 0 0 Readmissions White Female 2 0 1 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 psychiatric Nonwhite Male 0 0 0 0 0 0 0 0 0 0 0 facility Nonwhite Female 0 0 0 0 0 0 0 0 0 0 0 SEXUAL DEVIATION Total 22 0 10 6 4 2 0 0 0 0 0 White Male 18 0 10 4 2 2 0 0 0 0 0 All Admissions White Female 1 0 0 1 0 0 0 0 0 0 0 Nonwhite Male 3 0 0 1 0 0 0 0 0 0 0 Nonwhite Female 0 0 0 0 0 0 0 0 0 0 0 Total 20 0 9 6 3 2 0 0 0 0 0 White Male 17 0 9 4 2 2 0 0 0 0 0 First Admissions White Female 1 0 0 1 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 Total 2 0 1 0 1 0 0 0 0 0 0 White Male 1 0 1 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 MS u 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 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 psychiatric Nonwhite Male 0 0 0 0 0 0 0 0 0 0 0 facility Nonwhite Female 0 0 0 0 0 0 0 0 0 0 0 MENTAL DISORDER RACESEX AGE In Years Under 15 25 35 A5 55 65 75 85 and Total 15 24 3A LL 5A 6A 7A 8A over Unknown ALCOHOLISM ADDICTION Total 689 0 15 133 283 186 60 6 1 0 5 White Male 580 0 8 101 245 162 57 3 0 0 A All Admissions White Female 56 0 3 10 17 19 3 2 1 0 1 Nanwhite Male 40 0 3 19 13 A 0 1 0 0 0 Nanwhite Female 13 0 1 3 8 1 0 0 0 0 0 Total 527 0 13 106 220 131 A7 6 1 0 3 White Male AAO 0 6 79 191 114 A5 3 0 0 2 First Admissions White Female 46 0 3 9 14 14 2 2 1 0 1 Nanwhite Male 31 0 3 16 8 3 0 1 0 0 0 Nanwhite Female 10 0 1 2 7 0 0 0 0 0 0 Total 133 0 1 20 51 AS 11 0 0 0 2 White Male 115 0 1 18 42 Al 11 0 0 0 2 Readmissions White Female 9 0 0 1 3 5 0 0 0 0 0 Previously admitted to MSH Nanwhite Male 7 0 0 1 5 1 0 0 0 0 0 Nanwhite Female 2 0 0 0 1 1 0 0 0 0 0 Total 29 0 1 7 12 7 2 0 0 0 0 White Male 25 0 1 A 12 7 1 0 0 0 0 Readmissions White Female 1 0 0 0 0 0 1 0 0 0 0 Previously admitted to other psychiatric Nanwhite Male 2 0 0 2 0 0 0 0 0 0 0 facility Nanwhite Female 1 0 0 1 0 0 0 0 0 0 0 DRUG ADDICTION Total 67 0 0 20 20 14 8 2 1 1 1 White Male 51 0 0 17 13 13 A 1 1 1 1 All Admissions White Female 15 0 0 3 6 1 A 1 0 0 0 Nanwhite Male 1 0 0 0 1 0 0 0 0 0 0 Nanwhite Female 0 0 0 0 0 0 0 0 0 0 0 Total A3 0 0 10 13 10 7 2 1 0 0 White Male 31 0 0 8 9 9 3 1 1 0 0 First Admissions White Female 11 0 0 2 3 1 A 1 0 0 0 Nanwhite Male 1 0 0 0 1 0 0 0 0 0 0 Nanwhite Female 0 0 0 0 0 0 0 0 0 0 0 RACESEX AGE In Years Total Under 15 1524 2534 3544 45 5554 64 6574 7564 85 and over Unknown Readmissions Previously admitted to M H Total White Male Vhite Female Nanwhite Male Nanwhite Female 20 16 4 0 0 0 0 0 0 0 0 0 0 0 0 8 7 1 0 0 6 3 3 0 0 4 1 4 1 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 Readmissions Previously admitted to other psychiatric facility Total White Male White Female Nanwhite Male Nanwhite Female 4 4 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 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 1 1 0 0 0 SPECIAL SWTCM REACTION All Admissions Total White Male White Female Nanwhite Male Nanwhite Female 1 1 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 0 0 0 0 0 0 0 0 0 0 First Admissions Total White Male White Female Nonwhite Male Nanwhite 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 MSH Total White Male White Female Nonwhite Male Nanwhite Female 1 1 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 0 0 0 0 0 0 0 0 0 0 Readmissions Previously admitted to other facility psychiatric Total White Male White Female Nonwhite Male Nanwhite 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 MENTAL DISORDER RACESEX AGE In Years Total Under 15 1524 2534 3544 45 5554 6i 6574 7584 2 1 1 0 0 85 and over 1 1 0 0 0 UnJcnown 13 10 3 0 0 TOTAL PERSONALITY DISORDERS All Admissions Total White Male Vhite Female Nonwhite Male Nonwhite Female 1682 1061 522 74 25 6 4 2 0 0 208 102 84 17 5 401 238 128 30 5 505 349 126 19 11 371 138 254 87 106 51 7 0 4 0 37 15 21 1 0 First Admissions Total White Male White Female Nonwhite Male Nonwhite Female 1359 825 455 58 21 6 4 2 0 0 188 87 81 15 5 321 184 108 25 4 401 274 106 12 9 286 111 187 69 91 42 5 0 3 0 35 13 21 1 0 2 1 1 0 0 0 0 0 0 0 9 6 3 0 0 Readmissions Previously admitted to MSH Total White Male Vhite Female Nonwhite Male Nonwhite Female 270 191 63 14 2 0 0 0 0 0 15 11 2 2 0 66 45 18 3 0 84 56 20 7 1 76 25 58 17 15 8 2 0 1 0 0 0 0 0 0 1 1 0 0 0 1 1 0 0 0 2 2 0 0 0 Readmissions Previously admitted to other psychiatric facility Total Vhite Male Vhite Female Nonwhite Male Nonwhite Female 53 45 4 2 2 0 0 0 0 0 14 13 1 0 0 24 19 2 2 1 10 9 0 0 1 0 2 0 1 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 TRANSIENT SITUATIONAL PERSONALITY DISTURBANCE All Admissions Total Vhite Male Vhite Female Nonwhite Male Nonwhite Female 75 36 15 21 3 9 3 4 1 1 36 16 9 10 1 16 10 0 6 0 7 3 0 4 0 3 1 1 1 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 2 1 0 0 First Admissions Total White Male White Female Nonwhite Male Nonwhite Female 66 34 14 16 2 9 3 4 1 1 34 16 8 9 1 14 10 0 4 0 3 1 0 2 0 2 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 2 1 0 0 MENTAL DISORDER RACESEX AGE In Years Igtal Under 15 15 2A 25 34 35 44 45 54 55 64 65 74 75 84 85 and over unwrm o o o o o Readmiasions Previously admitted to MSH Readmissicms Previously admitted to other psychiatric facility MENTAL DEFICIENCY All Admissions First Admissions Readmissians Previously admitted to MSH Readmissions Previously admitted to other psychiatric facility Total 7 0 1 2 3 1 0 0 0 0 White Male 2 0 0 0 2 0 0 0 0 0 White Female 4 0 1 2 1 0 0 0 0 0 Nonwhite Male 0 0 0 0 0 0 0 0 0 0 Nonwhite Female 1 0 0 0 0 1 0 0 0 0 Total 2 0 1 0 1 0 0 0 0 0 White Male 0 0 0 0 0 0 0 0 0 0 White Female 1 0 1 0 0 0 0 0 0 0 Nonwhite Male 1 0 0 0 1 0 0 0 0 0 Nonwhite Female 0 0 0 0 0 0 0 0 0 0 Total 209 19 61 43 45 27 6 4 0 0 White Male 103 9 29 22 19 13 3 4 0 0 White Female 60 6 13 8 18 13 2 0 0 0 Nonwhite Male 30 3 13 8 4 1 1 0 0 0 Nonwhite Female 16 1 6 5 4 0 0 0 0 0 Total 166 18 51 30 35 20 4 4 0 0 White Male 83 9 24 17 15 8 2 4 0 0 White Female 50 6 10 7 15 11 1 0 0 0 Nonwhite Male 22 2 11 4 3 1 1 0 0 0 Nonwhite Female 11 1 o 2 2 0 0 0 0 0 Total 41 1 9 13 10 6 2 0 0 0 White Male 19 0 5 5 4 4 1 0 0 0 White Female 9 0 2 1 3 2 1 0 0 0 Nonwhite Male 8 1 2 4 1 0 0 0 0 0 Nonwhite Female 5 0 0 3 2 0 0 0 0 0 Total 2 0 1 0 0 1 0 0 0 0 White Male 1 0 0 0 0 1 0 0 0 0 White Female 1 0 1 0 0 0 0 0 0 0 Nonwhite Male 0 0 0 0 0 0 0 0 0 0 Nonvhite Female 0 0 0 0 0 0 0 0 0 0 rJ MENIAL DISORDER AGE In Years WITHOUT MENTAL DISORDER All Admissions First Admissions Readmissions Previously admitted to MSH Readmissions Previously admitted to other psychiatric facility fIENTAL DISORDER UNDIAGNOSED All Admissions First Admissions Under 15 25 35 45 55 65 75 85 and TotaJ 15 24 34 LL 54 64 74 84 oyep Uninown Total 2 0 0 0 1 0 1 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 2 0 0 0 1 0 1 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 White Female 0 0 0 0 0 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 1 0 0 0 0 0 1 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 1 0 0 0 0 0 1 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 White Female 0 0 0 0 0 0 0 0 0 0 0 Nanwhite 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 24 0 0 0 7 3 4 2 2 1 5 Vhite Male 11 0 0 0 4 2 1 1 0 0 3 Vhite Female 3 0 0 0 1 0 1 0 0 0 1 Nonwhite Male 4 0 0 0 0 0 1 0 2 1 c Nonwhite Female 6 0 0 0 2 1 1 1 0 0 1 Total 20 0 0 0 4 3 4 1 2 1 5 Vhite Male 8 0 0 0 2 2 1 0 0 0 3 White Female 2 0 0 0 0 0 1 0 0 0 1 Nonwhite Male 4 0 0 0 0 0 1 0 2 1 0 Nonwhite Female 6 0 0 0 2 1 1 1 0 0 1 MENTAL DISORDER RACESEX AGE In Years Under 15 25 35 45 55 65 75 85 and Total 15 24 14 44 54 64 74 84 over UnVaiovn Total 2 0 0 0 1 0 0 1 0 0 0 White Male 1 0 0 0 0 0 0 1 0 0 0 Readmissions White Female 1 0 0 0 1 0 0 0 0 0 0 Previously admitted to MSH Nonvfliite 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 2 0 0 0 2 0 0 0 0 0 0 White Male 2 0 0 0 2 0 0 0 0 0 0 Readmissions White Female 0 0 0 0 0 0 0 0 0 0 0 Previously admitted to other psychiatric Nonwhite Male 0 0 0 0 0 0 0 0 0 0 0 facility Nonwhite Female 0 0 0 0 0 0 0 0 0 0 0 DEATHS IN THE HOSPITAL BY TIME ON BOOKS ADMISSION CLASSIFICATION RACE AND SEX ADMISSION CLASSIFICATION RACESEX THE ON BOOKS Under 35 3 mos mos 611 mos 2 3 vrs vrs 4 59 vrs 1014 1519 202 2529 30 yrs vrs vrs vrs vrs Anil Over All Admissions First Admissions Readmissions Total 1149 289 107 97 107 66 50 31 123 73 52 39 35 80 White Male 412 125 49 36 42 23 18 4 40 23 13 12 6 21 White Female 341 62 27 27 28 22 17 19 36 21 24 12 13 33 Nonwhite Male 202 69 15 16 15 13 3 5 26 14 8 6 8 Nonwhite Female 194 33 16 18 22 8 12 3 21 15 7 9 12 18 Total 953 252 100 86 98 54 34 22 91 57 37 28 26 66 White Male 352 118 47 32 38 17 11 3 27 19 11 9 4 16 White Female 266 52 26 27 26 18 10 11 25 12 14 9 7 Nonwhite Male 170 57 14 14 14 11 2 5 20 13 6 3 Nonwhite Female 165 25 13 15 20 8 11 3 19 13 6 7 11 14 Total 196 37 7 9 9 12 16 9 32 16 15 11 9 14 White Male 60 7 2 4 4 6 7 1 13 4 2 3 2 White Female 75 10 1 0 2 4 7 8 11 9 10 3 6 4 Nonwhite Male 32 12 1 2 1 2 1 0 6 1 2 3 0 Nonwhite Female 29 8 3 3 2 0 1 0 2 2 1 2 1 4 DEATHS IN THE HOSPITAL BY AGE AT DEATH ADMISSION CLASSIFICATION RACE AND SEX ADMISSION CLASSIFICATION All Admissions First Admissions Readmissions RACESEX ACE 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 953 352 266 170 165 196 60 75 32 29 Under 15 1149 9 412 2 341 3 202 2 194 2 15 84 25 35 44 45 2i 55 Jj4 65 74 75 84 11 4 2 4 1 19 45 95 4 18 27 2 9 19 7 8 29 6 10 20 16 32 67 3 14 16 1 5 13 7 6 22 5 7 16 191 60 56 37 38 140 49 37 26 28 3 3 13 28 51 0 1 4 11 11 2 1 4 6 19 0 0 2 7 11 11 3 4 10 310 123 89 39 59 262 107 68 33 54 328 138 120 39 31 290 124 103 35 28 48 38 16 14 21 17 6 4 5 3 85 and overUnknoYjn 87 30 31 16 10 79 27 27 15 10 10 21 17 51 6 10 20 15 3 0 0 1 2r ml OH DISCHARGES BY TIKE OH 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 jts Total 3 mos mos nos vr Total 3748 887 176 136 1861 305 116 68 104 47 12 9 5 2 White Male 1770 633 104 80 760 98 29 20 33 5 3 3 2 0 White Female 1177 156 22 32 721 129 34 22 32 12 4 1 2 0 Nonvhite Male 391 67 44 18 158 33 26 13 17 10 2 3 0 0 Nonwhite Female 410 21 6 6 242 45 27 13 22 20 3 2 1 2 Total 2837 634 123 100 1564 198 73 35 62 32 5 5 4 2 White Male 1325 455 77 61 630 56 12 8 18 5 1 0 2 0 White Female 877 115 10 21 598 80 23 10 14 3 1 1 1 0 Nonvhite Male 310 48 31 15 134 26 18 10 14 9 2 3 0 0 Nonvhite Female 325 16 5 3 202 36 20 7 16 15 1 1 1 2 Total 911 253 53 36 317 107 43 33 42 15 7 4 1 0 White Male 445 178 27 19 130 42 17 12 15 0 2 C 0 White Female 300 51 12 11 123 49 11 12 18 9 3 0 1 0 Nonvhite Male 61 19 13 3 24 7 8 3 3 1 0 0 0 0 Nonvjhite Female 85 5 1 3 40 9 7 6 6 5 2 1 0 0 All Admissions First Admissions ReadmissionsDISCHARGES BY AGE AT DISCHARGE ADMISSION CLASSIFICATION RACE AND SEX ADMISSION CLASSIFICATION RACESEX AGE Tn Years 15 25 35 45 55 65 75 85 and Total 15 24 34 44 5i 64 74 84 over Unknown Total 3748 25 438 627 945 741 452 178 62 11 69 1770 15 208 376 455 367 217 69 36 8 16 25 White Female 1177 4 105 249 314 248 153 73 20 3 3 1 391 3 77 103 80 49 44 Nonwhite Female 410 3 48 99 96 77 33 21 3 Total 2837 19 395 658 690 545 275 133 55 11 56 White Male 1325 12 184 292 323 268 139 52 32 8 14 18 White Female 877 3 92 201 233 179 88 53 17 3 1 Nonwhite Male 310 2 73 84 61 38 23 3 Nonwhite Female 325 2 46 81 73 60 25 17 3 Total 911 6 43 169 255 196 177 45 7 0 13 White Male 445 3 24 84 132 99 78 17 4 0 4 White Female 300 1 13 48 81 69 65 20 3 0 2 81 1 4 19 19 11 21 4 Nonwhite Female 85 1 2 18 23 17 13 4 0 130 MTTTmrKVTTTE STATE HOSPITAL FINANCIAL REPORT Fiscal Year Ended June 30 1963 Revenue from State Funds allotted to the Hospital for maintenance operations amounted to 11356000 for the year ended June 30 1963 This amount was supplemented by 3U66j080 Pay Patients receipts 338l159l Veterans Home Commission and 260Ut9l6 sales fees and other sources making a total receipts for the year 1530150590 This 1530150590 income together with 191981212 cash balance at the beginning of the fiscal year made a total of 1722131802 available Of the available funds 1596358772 was expended for maintenance operations and 20216167 for buildings and improvements leaving 105526863 available June 30 1963 These available funds June 30 1963 are held in reserve to satisfy outstanding accounts payable and contracts Cash income of 1530150590 was supplemented by donated surplus commodities valued at 56581200 and consumable commodities produced by the Hospital valued at 262416070 at a cost of production of l7l6l7177 effecting a net saving of 87798893 making a total cash income and receipts of 1671530683 for operations Current market bulletins were used to establish values of home grown commodities at the time of production Had these same donated and produced commodities been purchased on open market additional funds in the amount of 3144380093 would have been needed Values of donated and home grown commodities are not included in per diem cost to the State Based on expenditures in the amount of 1593512719 and daily average population of 11878 the per diem cost to the State for maintenance operations was 368 1 EXPENDITURES PER CAPITA PER DIEM Total Expenditures Less Outlay Expenditures 17583 ua 10 20U51298 1180314 1722 U06 05 Maintenance Expenditures Less I Savings from Productive Units 1737892812 87798893 lh6312 7392 U01 20 Total Less Donated Commodities 1650093919 56581200 138920 1763 381 NET MAINTENANCE EXPENDITURES FROM STATE FUNDS 1593512719 131il57 368 The Hospital had 121678759 invested in inventories at the close of June 30 1963 as follows INVENTORIES Beef Cattle Project Swine Project Dairy Forage Supplies Farm Forage Supplies Cannery Engineering Materials Dry Goods Food Clothing Packinghouse Products Drugs Chemicals Etc Cold Storage Food Supplies Broiler Project Egg Project Bakery Sewing Room Feed Mill TOTAL 1962 1328600 352271j7 186903 1593030 2556952 11916318 15637285 937U16 21131613 12556952 392101 26U689 071098 67l201 2496367 1963 1991268 3682330 612225 1266116 533Ue2 12083087 464 28613 1011695 26070U19 12992617 U 69175 3173557 906217 626168 2000730 DIFFERENCE 3662668 159583 155322 33269 LU 2777530 136769 791328 71279 1935806 435695 77074 528868 351W 48036 495637 111779275 121678759 Accounts Receivable June 30 1963 amounted to 11657639 Of this amount 12210 represents uncollectible accounts of long standing and 116U5399 represents amount due from Veterans Home Commission for services rendered eligible veterans by the Hospital for the quarter ending June 30 1963 JS13 P05 Amount had cash balance of 18071113 June 30 1963 an increase of 5734412 over previous year Beginning July 1 1962 the Hospital was divided into eight psychiatric treatment units opearing m the nature of a general hospital Financial reports for this fiscal year reflect operating costs by established unita instead of oo5 v ard sex as heretofore131 index Statement of Income and Expenditures 132 Analysis of Outlay Maintenance Operations 135 Analysis of Outlay Improvements Operations 136 Statement of Per Diem by Psychiatric Treatment Units 137 Statement of Object of Expenditures by Psychiatric Treatment Units 138 Donated Commodities 10 Recapitulation of Productive Units Cost of Operations11 Cost of Operations Abattoir 142 Cost of Operations Dairy 113 Cost of Operations Farm lijlj Cost of Operations Broiler Project llij Cost of Operations Egg Project 16 Cost of Operations Cannery jj Cost of Operations Bakery g Cost of Operations Feed Mill Ui9 Cost of Operations Swine Project 150 Cost of Operations Beef Cattle Project 151 Cattle Slaughter Report 152 Hog Slaughter Report 153 Chicken Slaughter Report 15k Feeder Hog Report Beef Cattle Project Report 16mm mmmmm 132 1 lii no 1 STATEMENT OF INCOME AND EXPENDITURES Tear Ended June 30 1963 TOTAL STATE APPROPRIATIDNS Revenue State Funds Maintenance Revenue State Funds Research Training Revenue State Funds Federal Grant INSTITUTIONAL HfCOME lU356OO0O0 3U66U0S0 297600 1U70561680 Veterans Home Other Burial Expense Board Exchange Federal Government Federal Government Optical Services Hospitaliz ation Miscellaneous Income Rents Sale of Hides and Grease Sale of Calves Dental Services Sale of Ice Sale of Scrap Metal Sale of Equipment Sale of Water Sale of Rags and Cuttings Sale of Drugs Employees Sale of Cooks Uniform Reimbursement Bus Fare State Prison Educational Supplies Nurses Office Supplies Medical Society Long Distance Telephone Service Employees Electrical Service Stenographic Work Patients Records Repairs to Medical Equipment Lowering Water Main Service on Truck Contract Steam Distribution System Registration Fee Reimbursement Reimbursement Reimbursement Reimbursement Reimbursement Reimbursement Reimbursement Reimbursement Reimbursement Reimbursement Insurance Claim 5175750 9329 U5U 86993 150a0 li286S7 2UU87S 3780 91250 9U73U3 72600 701U90 77250 1U278 1895U 10100U8 357lw66 1312110 6U5 378 2lt7 90 1U67 850676 U7U6U 3000 9716 2lt 25118 2390 928302U 300 27398 7123U309 DEPARTMENTAL SALES Abattoir Dairy Farm Cannery Broiler Project Egg Project Bakery Feed Mill Swine Project Beef Cattle Project DONATED COMMODITIES Food Supplies TOTAL INCOME 608UU712 36006527 23886852 12068005 8068958 3212999U 262559U7 37075690 236368U0 2372295 2623U5820 56561200 1860723009133 STATEMENT OF INCOME AND EXPENDITURES CONTD EXPENDITURES TOTAL UNCT OPERATIONS Unit One Unit Two Unit Three Unit Four Unit Five Unit Six Unit Seven Unit Eight ADMINISTRATION BUSINESS Business Management Communication Patients Benefit Fund Operations Print Shop Telephone Service ADHIHISTRATION MEDICAL Superintendents Office Assistant Superintendents Office Personnel Office Public Relations Records and Statistics Registration Office Volunteer Services ADMINISTRATION OTHER Director of Nurses Office Food Service Administration Engineering Administration ED3CATJ0N AND TRAINING Education Genetics and Pharmacology Psychiatric Aide Training Psychiatric Residency Training Psychology Training Social Work Training Other Training EMPLOYEE SERVICES Brantley Building Lawrence Building Officers Dining Room Superintendents Maintenance Personnel Quarters INDUSTRIAL SERVICES Laundry Mattress Factory Sewing Room Shoe Shop MEDICAL SERVICES Dentistry Pathology Electroencephalograph Medical Library Optical Pharmacy Psychology Research Social Service XRay 153233605 170U5961B 137218U97 1635621U3 12597US68 153515175 180739769 323U2060 1U88U1299 809lU6U 2293128 1103183 Ml69369 6092032 ll688179 3219508 U1S30U 7597195 2966272 986560 6383677 12187989 2902880 6152877 U231227 2251930 U93UU19 1S1119U 323U578 766890 8339197 5323U13 2526033 526898 3U 55103 12605585 2601150 22738U8 360320 1S1S9U77 18189711 675532 581055 2335082 2609799 36n599 U22U517 U2U8258 5823589 n170U5U35 16U798UU3 26665050 2LU7U5U6 t 23U63115 t 201706UU 8 178U0903 t S7U58619134 Ui 1 4 HEAT LIGHT POWER AMI WATER SERVICES Furnishing Heat Furnishing Light Furnishing Power Furnishing Water Water Plant PROPERTY MAINTENANCE Dispatch Building Maintenance Engineering Civil Engineering Construction Engineering Electrical Engineering Mechanical Fire Department Garage Horticulture Police Department Sanitation Security Prison Section SPECIAL PROJECTS Air Condition Jones Building Surgical Suite Boland Building Renovation Central Shops Electrical System Renovation Jones Building Surgical Suite Master Key System Personnel Dwellings Power Substation Steam Equipment Rooms Washington Building Renovation Water Main Sewers THERAPY SERVICES Beauticians Chaplaincy Music Therapy Occupational Therapy Patients Library Recreational Therapy PRODUCTIVE UNITS Administration Abattoir Bakery Beef Cattle Project Broiler Project Cannery Daily Egg Project Farm Feed Mill Swine Project OUTLAY Central Shops Jones Building Surgical Suite Steam Equipment Rooms Water Facilities Water Main Renovating TOTAL EXPENDITURES AMOUNT 27902S5U 15788198 18k22682 273161 3079716 19888212 16291335 5117850 31232130 6162537 26125293 55141561 7129575 8596379 U60276U 3187776 39960113 1511258 7665909 1015U22 1992220 2362000 1753838 3U75U2U 132UlUU 216522U 9760397 156151 2973628 3U8063U 2821013 1650090 38U5J3 U732356 812262 38110313 1U92372U 2309255 71961 U3 8280716 22258206 205U9830 9970577 303513 U9 1988U802 85U9272 266012 128U18U 97100OU 6U1826 TOTAL 65U663il 173865525 33581987 160U223U 17U6U7177 20U51298 1932991287 ANALYSIS OF OUTLAY MAINTENANCE EXPENDITURES BY PROJECTS Year Ended June 30 1963 PERSONAL SERVICES SUPPLIES REPAIRS FREIGHT e EXPRESS EQUTPMEHT BUILDINGS STRUCTURES TOTAL CO Air Condition Jones Building Surgical Suite i61jSSo UU9670 20000 1 f 1277038 t 1911258 Ol Boland Building Renovation 3290500 19U2221 178172U 100 65136U 7665909 Central Shops U8U36U U58658 30000 U2U0O 1015U22 Electrical Renovation 6536 19S366U 1992220 Jones Building Surgical Suite 97636 882317 13820U7 2362000 Master Key System 229125 1505818 18895 1753838 Personnel Dwellings 215221 2750237 30U635 UU5 20U883 3U75U2U Power Substation 138628 1185516 132UlUU Steam Equipment Rooms 1769231 5U931 3U1012 216522U Washington Building Renovation 33U557 1860097 3900203 6585UO 9760397 Water Main Sewers 10568 5U5 1US563 589U858 156151 33581987 TOTAL 7338592 11801777 8503815 U2U0Q Zi Ml HiHHBi ANALYSIS OF OUTLAY IMPROVEMENT EXPENDITURES BY PROJECT Year Ended June 30 1963 ARCHITECT Central Shops Jones Building Surgical Suite Steam Equipment Rooms Water Facilities Water Main Rerouting TOTAL t 5510ol 6ooo SUPPLIES 2608 REPAIRS 4 FREIGHT It ALTERATIONS EXPRESS EQUIPMENT 2033392 235980 265822 190 187435 1096719 633218 5600014 2223U35 199578 190 235980 BUILDINGS STRUCTURES TOTAL t 6279900 t 8Sli9272 266012 1281181 9156000 9710000 611826 20l5129l i51i359oo ON PSYCHIATRIC UNIT OPERATIONS Unit One Unit Two Unit Three Unit Four Unit Five Unit Six Unit Seven Unit Eight TOTAL STATEMENT OF PER CAPITA PER DIEM COST BY UNIT WITS INDIRECT CHARGES PRORATED 11 Tear Ended June 30 1963 J PERSONAL SERVICES TRAVEL SUPPLIES EQUIPMENT OTHER TOTAL PATIENT POPULATION PER CAPITA PER DIEM lOU371626 60267 U78U6737 9U3168 53295276 20651707U 1335 t 15U69U U2U 81773017 20376 8525Ul2U 3U03136 9116U238 26l6lU891 2271 115198 316 80888055 65177 53322087 2933U83 71055U90 20826U292 1770 117663 322 92286592 3372U 69009778 2218369 79U886U3 2U3037106 1980 1227U6 336 7U85U691 59872 U7867303 3179222 65520092 191U81180 1632 117329 321 93077337 1U713 5U32lUU5 6052793 6860596U 222072252 1708 130019 356 130201611 97U79 U5267503 U9U7096 3766U705 21817839U 915 238UU6 653 180U375U 23819 12213323 550537 11516097 U23U7530 267 158605 U35 675U96683 375U27 Ul5l023oo 2U22780U U78310505 4 1593512719 11878 l3Ul57 368 Zi ALfca 15 ANALYSIS OP UNIT COST OPERATIONS 3Y OBJECT OP EXPENDITURE Year Ended June 30 1963 OBJECT OF EXPENDITURE UKIT OWE UNIT TV0 UNIT THREE UNIT FOUR UMIT FIVE UNIT SIX unit SEV3H UNIT EI3HI PRISON SECTION TOTAL ADMINISTRATION Personal Services t 1037727 t 2259150 2836600 i 5733952 S 1272020 1070161 S 5168300 1972500 I 1138200 t 28838910 Travel Expense 16778 7160 9873 30775 603 58769 IS 56309 23819 6614 Educational Supplies Medical Supplies 2338 25ll 3589 1372 6121 Office Supplies 3528 1720 7737 1131 5717 7550 1228 1802 36255 Shop Supplies 370 50 420 6681 epair Furniture Fixtures 5531 200 1250 Registration Fees 200 11 00 4800 Furniture Fixtures Replacement 1133 1759 11732 37720 129 82473 Furniture Fixtures New 10580 39005 1761 2800 84148 Veterans Home Office AdminI Ltion 1501800 1501800 TOTAL ADMINISTRATION 1061775 2272810 2890115 5825930 S 11 15959 t 1110559 t 5229359 5 3499476 1 1417866 J 30782878 DIRECT PATIENT COST Personal Services Travel Expense 100333859 i 79513567 5 13216 1163520 t 86502610 15337i36 73592671 1103 I 89007176 Si 1501366 25033311 51170 1159960 516071254 426748400 t 109842 67Up Sanitary Supplies 1639166 1623219 1401762 306763 582429 11255271 Educational Supplies 607 29215 12420 27293865 138966o5 52271 Food Supplies 35532113 7631790 273850 71009122 38209050 7738791 186352 50710022 37116012 11117293 5091725 115355 513553 9765924 1128691 30544 8578922 322362923 Medical Supplies 6l72S 273227 12815956 228258 536660 5440614 751025 348500 60704997 Office Supplies 133170 188360 551281 1985247 2600139 15708 Shop Supplies 15n10 213277 312681 159371 Laboratory Supplies 15708 Photographing Supplies 16070 16070 25186166 Clothing Supplies 1857863 272735 56276e2 169567 2929967 126813 3520112 2527155 283275 100881 1781725 76553 928374 860310 Building Supplies 323323 50215 109595 13749 32981 1258138 Miscellaneous Supplies 191375 122907 106628 136157 38050 84050 1061202 Printing 2002 105306 2597 4656 Repair Furniture Fixtures 9300 1388 8975 13645 121 80 12856 5230 5339 207559 Repair Prod 4 Const Equip Miscellaneous Rent 35 35 95635 95635 70 1500 Subscriptions Dues 1500 COOBJECT OF EXPENDITURE DIRECT PATIENT COST CONTD Freight Express Return of Escaped Patients Registration Fees Hospital Contracts Bond Premiums Equipment Replacements Furniture Fixtures Medical Surgical Shop Equipment Miscellaneous Equipment New Equipment Furniture Fixtures Medical Surgical TOTAL DIRECT PATIENT COST INDIRECT COST PRORATED Administrative Business Administrative Medical Administrative Other Eduoation Training Employee Services Industrial Services Medical Services Power Plant prison Section Property Maintenance Special Projects Therapy Services Productive Units Savings Ci Donated Commodities Cr TOTAL PRORATED COST TOTAL COST OF OPERATIONS ANALYSIS OF UNIT COST OPERATIONS BY OBJECT OF EXPENDITURE CONTD UtliT TWO UNIT THREE UNIT FOUR UNIT FIVE UNIT SIX UNIT SEVEN UNIT EIGHT PRISON SECTION 1192 1280 869592 21275 650 50518 3296140 M697 6534 2300 3lt56o 13905 720 2836934 20506 2182017 20793 1060 12740 2518156 71326 1550 250 270533 236671 400 4154381 23565 2563 1832800 500 10310 3229153 5360711 512 550 419813 758194 5WO 80 7328 190 19225 5250 170431 2506 512 900 lliSQU 12314 24880 500 10340 5250 19601884 766027 11671 5710 2628730 1036olU 5149171831 1168166606 134328352 5157737213 121558609 149371616 175510110 26842564 38512247 1126222670 98443 65050 21l 74516 68557077 i 3713B625 10005470 39960113 436507171 20651707l 5261611891 5208261292 243037106 1911B1180 5222072252 218178394 jll2347530J 00 51593512719 140 DONATED COMMODITIES ivA foJl FOOD SUPPLIES Bulgar Lbs Rolled Wheat Lbs Dry Skim Milk Lbs Bakery Flour Lbs Biscuit Flour Lbs Corn Meal Lard Lbs Rice Lbs Shortening Lbs Butter Lbs Cheese Lbs Cranberries Lbs Peaches Bu Powdered Eggs Lbs Pea Beans Lbs Pinto Beans Lbs TOTAL QUANTITY VALUE 20000 500000 82268 U52li7l 67U620 12113160 1127850 61 287 15 661 800 3789360 li69850 22361u83 92214 1337538 203550 1823808 131336 2626720 217321 12366200 211916 81j778UO 79700 1511300 700 87500 8U72 7870U9 12100 138023 157200 1572000 56581200 1 RECAPITULATION OF PRODUCTIVE UNITS COST OF OPERATIONS PRODUCTIVE UNIT Abattoir Dairy Farm Broiler Project Egg Project Cannery Bakery Feed Mill Svine Project Beef Cattle Project Administrative Cost TOTAL PRODUCTION 60814712 36006527 23886852 8068958 3212999k 12068005 26255917 37075690 23636810 2l7251l5 COST 38110313 22258206 9970577 71961143 20519830 8280716 11923721 30351319 19881j802 2309255 812262 SAVINGS 22731399 13718321 13916275 872815 11580161 3787289 11332223 67213 ia 3752038 163290 812262 2621ili6070 171617177 3 87798893 142 H COSTS OF OPERATIONS ABATTOIR Tear Ended June 30 1963 1 1 SALES AND INCOME 4 CJSH SALFS Hides Lbs Grease Lbs PRODUCTION Beef Dressed Lbs Brains Beef Lbs Chicken Dressed Lbs Liver Beef Lbs Liver Pork Lbs Oxtail Lbs Pork Dressed Lbs Ham Cured Lbs Meat Dry Salt Lbs Meat Fat Back Lbs Bologna Lbs Crackliiis Lbs Lard Lbs Mixed Sausage Lbs Souse Meat Lbs Weiners Lbs Tankage Lbs TOTAL SALES AND INCOME COST OF PRODUCTION Personal Services Travel Expense Sanitary Supplies Medical Supplies Office Supplies Shop Supplies Clothing Building Supplies Miscellaneous Supplies Dressed Meat Transferred to Cold Storage Dressed Meat Used in Processing Seasoning Il3ed in Processing Casings Used in Processing Hides Lbfl Shrinkage Beef Lbs Jiepoirs Freight and Exproas Equipment Replacements TOTAL COST OF PRODUCTION TIANTITT AMOUNT TOTAL 19722 286955 162160 660388 917313 159221 5891280 615 7315 181522 10968792 9875 261i00U 20600 369250 1595 31795 517127 16173019 110775 5272050 151 820 3862015 125370 1967610 29lil6 1127531 2623 72812 37701 527656 218785 8185935 61 102 2772060 62385 299U80 6000 56875 3113816 107670 116858 3598 159 300907 25910 181 97 5196 60811712 61792055 613523 25105616 188651 7659276 25777 389001 13531 337698 26208 262080 10209 298010 21 00 1756 31533 38110313 OPEUATW SAVINS143 COSTS OF OPERATIONS DAIRY Year Ended June 30 1963 CASH SALES QUANTITY AMOUNT TOTAL Calves ea 70 72600 PRODDCTBN Sweet MIDc Gal 195739 t 31701730 56 Head Cattle Slaughtered Lbs 59030 817297 Transfers to Beef Cattle Project 1 Brood Cow Lbs 800 lltUOO 3 Bred Heifers Lbs 2100 U2000 2 Open Heifers Lbs 800 17600 2 Breed Bulls Lbs 2100 100000 1 Steer Lbs 5oo 12000 181 Calves Lbs 12670 271500 36006527 TOTAL SALES AND INCOME 36079127 COST OF PRODUCTION Personal Services t 2965l3U Travel Expense 1201 Agricultural and Botanical Supplies 10775 Sanitary Supplies 213118 Chewing and Smoking Tobacco for Patients 23912 Medical Supplies 106876 Office Supplies 9797 Shop Supplies 1H3296 Clothing Supplies 216215 Building Supplies 18506 Miscellaneous Supplies 1380 Forage Supplies 172U2658 Repairs 1500 Freight and Express 9000 Subscriptions and Dues 25150 Equipment Replacements 116278 Livestock 978150 Equipment New 111900 TOTAL COST OF OPERATIONS t 22258206 OPERATING SAVINGS t 13820921 MEMO Daily Average in Production Head Daily Average Production Gallons Daily Average Per Cow Gallons Cost Per Gallon IN HERD JDNE 30 Milk Cows Dry Cows Bred Heifers Breed Bulls Calves 162 1358 29397 HU89 U69 161 80 9 372 TOTAL 10911 liv 144 COSTS OF OPERATIONS FARM Year Ended June 30 1963 PRODUCTION VEGETABLES tPANTrrc AMOUNT TOTAL Beans Snap Lbs 81368 6077OU Beans Butter Bu 1539 180833 Collards Bu 1U151 2200U80 Cucumbers Lbs 6650 53200 Mustard Bu 781 72860 Okra Lbs 15290 170080 Onions Lbs Dt750 U6100 Peas English Bu 188 U23O0 Peas Green Field Bu 2671 333875 Potatoes Sweet Bu 8971 2333210 Roasting Ears Doz 13116 U72176 Rutabagas Bu 317 39625 Squash Lbs 221130 17690UO Tomatoes Lbs 60U37 U02185 Turnip Greens Bu 51591 6UU8875 Turnip Roots Lbs 79737 637896 15810U69 1 FRUITS Blackberries Lbs Grapes Lbs Peaches Bu Pears Lbs FORAGE SUPPLIES Corn Bu Ensilage Tons Hay Bermuda Tons Hay Oat Tons 15129 25UUj lilU67 28U 3200 1610 997j 66 1U3658 203312 1808375 1U20 U25600 2U15O0O 2U93750 171600 2156765 5505950 t s Peas Dry Lbs Seed Oats Bu Seed Sweet Potatoes Lbs Sugar Cane Stalks Syrup Gal TOTAL PRODUCTION COST OF PHOHICTIDI Personal Services Seed Fertilizer Sanitary Supplies Chewing and Smoking Tobacco for Patients Forage Supplies Fuel Supplies Medical Supplies Shop Supplies Building Supplies Miscellaneous Supplies Equipment Replacements Equipment New TOTAL COST OF OPERATIONS OPERATING SAVINGS 500 500 16000 60000 3798 12500 U2500 U8000 60000 250668 3682169 U27895 3187U70 U980 38355 U8736 52850 31522 889367 152390 805 83801 93160U U 13 668 23886852 9970577 13916275145 COSTS OF OPERATIONS BROILER PROJECT Year Ended June 30 1963 Broilers Lbs Compost Loads TOTAL PRODUCTION QUANTITY 513915 93 22U58 U6500 TOTAL 8068958 COST OF PRODUCTION Personal Services Travel Expense Agricultural and Botanical Supplies Sanitary Supplies Chewing and Smoking Tobacco for Patients Office Supplies Shop Supplies Clothing Supplies Building Supplies Miscellaneous Supplies Forage Supplies Chickens Slaughtered ea Chickens Died ea TOTAL COST OF PRODUCTION 812510 U02 21j960 5279 1815 83 32376 ll9U 17265 U96 389U966 9285 2320506 6953 80961 7196lto OPERATING SAVINGS 872815 Average Sales Price Per Pound USPA Atlanta Georgia Quotation Cost Per Pound NST GAIN PER POUNDnHHBH 146 1 PRODUCTION Eggs Doz Hens Lbs Compost Loads COSTS OF OPERATIONS BOG PEOJECT Tear Ended June 30 1963 QUANTITY 783920 95000 17U AHODNT 30936llli 1106880 87000 TOTAL PRODUCTION 3212999U COST OF PRODUCTION Personal Services 11871450 Agricultural and Botanical Supplies 31262 Sanitary Supplies 399 i9 Chewing and Smoking Tobacoc for Patients 25729 Forage Supplies 18UU8l Hens Slaughtered ea 20162 63U117 Chicken Died ea U025 12U735 Fuel Supplies 182UO Medical Supplies 1100 Office Supplies 6U Shop Supplies 18U32 Clothing Supplies 2201 Building Supplies 11168 Miscellaneous Supplies 206U Equipment Replacements 5126 TOTAL COST OF PRODUCTION OPERATING SAYINGS 205U9830 1158016U Average Sales Price Per Dozen USDA Atlanta Georgia Quotation Other Sales Cost Per Dozen NET GAIN PER DOZEN t 39U63 1 01522 U0985 262LU 1U771 147 DSTS OF OPERATIONS CANNERT Year Bided June 30 1963 PRODUCTION QUANTITY AMOUNT TOTAL Blackberry Jam Gal Jar 3277 2U5775 Grape Jam i Gal Jar 11065 553250 Pear Preserves Gal Jar 6U H800 Snap Beans No 10 Can 2921 2U8235 Pie Peaches No 10 Can 33565 2685200 Squash No 10 Can 1925 137665 Blackberries Frozen 26 Lb Can 11a 81375 Collards Frozen 30 Lb Can 378 107580 Cranberries Frozen 1U Lb Can 5798 1763750 Peaches Frozen 30 Lb Can 387 6j050 Turnip Greens Frozen 26 Lb Can 118U2 5032850 Snap Beans Frozen 20 Lb Can 3196 1103725 Snap Beans Frozen Plastic Bag li Lb 530 39750 TOTAL PRODUCTKIN 12068005 POST OF PROIXJCTION Personal Services Travel Expense Sanitary Supplies Food Supplies Canning Supplies Office Supplies Shop Supplies Clothing Supplies Building Supplies Miscellaneous Supplies Repairs Equipment Replacements Equipment New TOTAL COST OF PRODUCTION 8506UO 3025 119U98 6U77563 665237 U63 61353 3926 5008 28 8722 U8U5 80U08 8280716 OPERATING SAVINGS r 148 1 PRODUCTION Bread Loaf Cake Sheet Cookies Doz Rolls Package 18 Rollsf Parkerhouse Package Corn Bread Sheet TOTAL PRODUCTION COST OF PRODUCTION Personal Services Sanitary Supplies Chewing and Smoking Tobacco for r Mcdical Supplies Office Supplies Shop Supplies Clothing Supplies Building Supplies Materials Used iji Production Equipment Replacements TOTAL COST OF PRODUCTION OPERATING SAVINGS COSTS OF OPERATIONS BAKERY Year Ended June 30 1963 QUANTITY imoukt 771820 11577300 16651 3332800 9 270 710381 852U572 1227 18U05 1U013 2802600 1726US1 21i9l8 1US07 1280 63 21078 2566 1369 131288UO 2622 262559U7 1U92372U 11332223 POST OF PROMOTION Bread Iaf ea Rolls 18 to Package Pkg Cake Sheet Sht Cornbrad Sheet Sht Rolls Parkerhouse Pkg 1038 1002 12167 10033 1U82 all149 COSTS OF OPERATIONS FEED MILL Year Ended June 30 1963 PRODUCTION Beef Brood Feed Tons Calf Starter Tons Dairy Feed Tons Eroiler Mash Tons Growing Mash Tons Laying Mash Tons Chick Starter Tons Swine Feed Tons TOTAL PRODUCTDN QUANTITY AMOUNT 88 52133U 151 1231i91il 2002 108508j0 819 70li3ljOO 207 1778e 1872 lljO11920 2h 2Olj297 183 lk29997 37075690 COST OF PBOriUCTION Personal Services Sanitary Supplies Chewing and Smoking Tobacco for Patients Medical Supplies Feed Ingredients Office Supplies Shop Supplies Clothing Supplies Building Supplies Equipment Replacements Equipment New TOTAL COST OF OPERATIONS BUO250 8055 U950 6729 29361810 U961 59782 U781 2592 1369 56070 30351319 OPERATING SAVINGS150 liv 6o3 COSTS OF OPERATIONS SWINE PROJECT Year Ended June 30 1963 PRODUCTION 7303 Head Hogs Transferred for Slaughter to Abattoir Actual Live Weight Lbs COST OF PRODUCTION QUANTITY lUJi265 Personal Services lt606oo Agricultural and Botanical Supplies 1326 Sanitary Supplied 3000 Medical Supplies 777580 Office Supplies 288 Shop Supplies 9503 Clothing Supplies 13393 Building Supplies 190 Forage Supplies 2655881 7303 Hogs Purchased Weight Cost Transferred for Slaughter B7H 972 11320030 838 Hogs Died 100Uoi 161j3009 23636810 TOTAL COST OF OPERATIONS 19881i802 1 OPERATING SAVINGS 151 COSTS OF OPERATIONS BEEF CATTLE PROJECT Tear Ended June 30 193 PRODUCTION New Bom Calves Cattle Category Transfers 9 Bred Heifers to Brood Cows 37 Open Heifers to Bred Heifers 69 Calves to Open Heifers 82 Calves to Steers 2 Breed Bulls to Steers Transferred to Abattoir for Slaughter 1 Brood Cow 2 Steers TOTAL PR0HJCT3DN QUANTITY AMOUNT 3010 t 6U5cc 7200 25900 27600 Uiooo 2U00 129600 518000 607200 981tOOO 100000 890 2056 178U5 5ilioo 2U7251i5 COST OF PRODUCTION Personal Services Sanitary Supplies Medical Supplies Office Supplies Shop Supplies Building Supplies Forage Supplies Cost of Cattle Category Transfer 9 Bred Heifers 2 Breed Bulls 37 Open Heifers 151 Calves 1 Brood Cow Transferred to Abattoir 2 Steers Transferred to Abattoir 2 Brood Cows Died 1 Open Heifer Died 2 Steers Died 7 Calves Died Equipment New TOTAL COST OF OPERATIONS 6300 2100 lit 800 10570 800 1000 1600 too 1000 too UU52oo 15709 2I4625 1163 U23U 51251 812253 126000 100000 325600 226500 lhooo 2U000 28800 8800 21000 10500 66620 2309255 OPERATING SAVINGS152 1 Va 1 CATTLE SLAUGHTER REPORT Tear Ended June 30 1963 SLAUGHTERED DURINO PERIOD From Dairy Cows From Beef Cattle Project Brood Cows Steers Purchases Cows 1WE COST OF CATTLE SLAUGHTERED ADD Killing Cost DEDUCT BY PRODUCTS Liver Lbs Hearts Lbs Tongue Lbs Oxtail Lbs Cheek Meat Lbs Brains Lbs Hides Lbs NET COST OF CATTLE SLAUGHTERED Cost Per Pound Percentage of Yield NO LIVE LIVE DRESSED HEAD WEIGHT COST 4EEMT 56 1 2 669 59030 890 2056 677331 5 817297 17875 51L00 10318111 728 739310 11231683 356275 1257526 9875 2230 2195 1595 3710 615 26208 261001 75371 31795 115012 7315 262080 11682515 3279 t Was DISPOSITION In Cooler July 1 1962 Transferred in During Period Transferred Out Cold Storage Processing Room Shrinkage BALANCE IN COOLER JUNE 30 1963 159221 186207 10209 mijoo 356275 c 153 H30 SLAUGHTER REPORT Tear Ended June 30 1963 SLAUGHTERED DURING PERIOD From Swine Project Purchases LIVE OOST OF HOGS SLAUGHTERED ADD Killing Cost DEDUCT BY PRODUCTS Livers Lbs Hearts Lbs Leaf Fat Lbs Heads Lbs Trimmings Lbs NET CDST OF HOGS SLAUGHTERED NO HEAD 7303 115 LIVE WEIGHT lW4li265 3J1607 7108 1U78872 20600 3755 12S05 7U180 lt025 LIVE POST lU317li68 UH533 Ht729001 1571908 369250 90005 299260 1762150 161000 1361921 It DRESSED HEIGHT llijO896 Cost Per Pound Percentage of Yield 119U 701U DISPOSITION In Cooler July 1 1962 Transferred In During Period Transferred Out Cold Storage Curing Room Processing Room BALANCE IN COOLER JUNE 30 1963 MEMO Curing Room Balance July 1 1963 Transferred from Cooler Transferred to Cold Storage BALANCE IN CURING ROOM JUNE 301963 17100 DRY SALT MEAT 7380 l6U51tf I51t820 5U7127 396J115 19765U 17695 118785 125370 11110 00 112790 110775 2015 00 lliiO896 llkO896 00 TOTAL 25075 396115 390965 30225154 1 luo CHICKEN SLAUGHTER REPORT Year Ended June 30 1963 SLAUGHTERED DURING PERIOD LIVE WEIGHT POST DRESSED WEIGHT From Broiler Project From Egg Project Purchases 513915 95000 355Q t 80221tS8 1106880 28UOO LIVE CDST OF CHICKENS SLAUGHTERED 612165 9157738 181522 ADD I Killing Cost 31W82 NET COST OF CHICKENS SLAUGHTERED t 9U72120 1 Cost Per Pound Percentage of Yield 1567 7862155 On Hand July 1 1962 Purchases During Period Died During Period Slaughtered During Period ON HMD JUNE 30 1963 waaiw HOG REPORT Year Ended June 30 1963 NO PURCHASED PURCHASED HEAD WEIGHT COST 1918 8077 2067h8 99l372 35227147 I608119u 838 7303 100101 87U972 I6i3009 Ui32C030 188U 2257u7 36jb0902 GAM M WEIGHT AND YAUJE OF HOGS SLAUGHTERED Weight and Value at Time of Slaughter Weight and Value at Ttae of Purchase NET GAIN WEIGHT VALUE GAIN IN WEIGHT AND VALUE PSR HEAD Net Gain for Period GAM PER HEAD llillll2 87U972 23636810 1U32CO30 569293 9316810 NO HEAD WEIGHT VALUE 7303 569293 9316810 7795 1276 BROOD QMS Beginning Inventory From Bred Heifers From Dairy Died Slaughtered TOTAL BRFEn BUTTS Beginning Inventory From Dairy Purchased To Steers TOTAL CALVES Beginning Inventory Born During Period From Dairy To Open Heifers To Steers Died TOTAL OH HAND JULY 1 1962 HEAD WEIGHT AMOUNT SO 10000 720000 BEEF CATTLE PROJECT REPORT Year Ended June 30 1963 RECEIVED DURING PERIOD DISPOSITION DURING PERIOD BALANCE ON HAND JUNE 30 1963 HEAD WEIGHT AMOUNT HEAD WEIGHT AMOUNT HEAD WEIGHT AMOUNT U8 U8 7200 129600 800 1I1U00 50 110000 720000 1 1200 50000 2lt00 100000 1200 50000 1200 50000 3750 85000 3600 150000 U3 3010 61500 181 12670 271500 2 1600 t 28800 1800 11000 8000 114000 3 2100 12800 57 15600 I 821200 2 2100 100000 2 2100 100000 69 U830 103500 82 5710 123000 7190 10500 2 2100 100000 3750 85000 221 15680 S 336000 158 11060 ft 237000 111 8370 131000 HEIFERS BRED Beginning Inventory From Open Heifers From Dairy To Brood Cows TOTAL HEIFERS OPEN Beginning Inventory From Calves From Dairy To Bred Heifers Died TOTAL STEERS beginning Inventory From Calves From Breed BulLs From Dairy Purchases Slaughtered Died TOTAL ON KAHD JULY 1 1962 HEAD WEIGHT AMOUNT 3 2100 12000 BEEF CATTLE PROJECT REPORT CONTD RECEIVED DURING PERIOD HEAD HEIGHT AMOUNT 37 25900 513000 3 2100 12000 2100 12000 36 1U100 311600 uo 28000 560000 69 27600 607200 2 800 17600 36 ll100 311600 5000 120000 71 28liOO 62h800 82 ld000 991000 2 2U00 100000 1 500 12000 127 7U725 1618318 DISPOSITION DURUM PERIOD BALANCE OH HAND JUNE 30 1963 HEAD WEIGHT AMOUNT HEAD WEIGHT AMOUNT 9 6300 126000 37 1 6300 126000 11 800 325600 100 8800 3U 23800 U76OO0 en 38 15200 33W00 49 27300 602000 2 1000 2U000 2 1000 2li000 10 5000 120000 212 118625 27lU318 U 2000 18000 218 121625 2786318 118 66150 1328600 560 202305 1529118 21 39360 888200 Uli 229095 1969518NOTES 1 liv EoJ 1 asaa Bin NOTESSJsessaamtmmmmBBBm re Moodred and TIoerrKArs ANNUAL REPORT of he M1LLEDGEV1LLE STATE HOSPITAL MILLEDGEV1UE GEORGIA FOR THE YEAR ENDING JUNE 30 llfcm Sol ebBqSETa GOVERNOR CARL E SANDERS IRVILLE H MaeKINNON M D SUPERINTENDENT OF THE HOSPITAL JOHN H VENABLE M D DIRECTOR GEORGIA DEPARTMENT OF PUBLIC HEALTH 1 2 DIRECTORY HONORABLE CARL E SANDERS Governor State of Georgia JOHN H VENABLE M D Director State Department of Public Health ADDISON M DUVAL M D Director Division of Mental Health STATE BOARD OF HEALTH JK QUATTLEBAUM Sr MDFIRST DISTRICT Savannah ALDWIN G FUNDERBURK MDSECOND DISTRICT Moultrie MAURICE F ARNOLD MD ViceChairman THIRD DISTRICT Hawkinsville VIRGIL B WILLIAMS MD Chairman FOURTH DISTRICT Griffin T STERLING CLAIBORNE MD FIFTH DISTRICT Atlanta B W FORESTER MDSIXTH DISTRICT Macon FRED H SIMONTON MD SEVENTH DISTRICT Chickamauga ALEX LITTLE JR MDEIGHTH DISTRICT Valdosta P K DIXON MD NINTH DISTRICT Gainesville M C ADAIR MDTENTH DISTRICT Washington3 BERNARD HOLLAND MD STATE AT LARGE Atlanta J G WILLIAMS DDSSTATE AT LARGE Atlanta J W HAWLEY DDSSTATE AT LARGE Columbus J V RILEY PhGSTATE AT LARGE Atlanta TYRE WATSON JR PhGSTATE AT LARGE Decatur THE GOVERNOR EXOFFICIO MEMBER SHHPHBBBNBHnHHiBBBBBl r n L So 1 MEDICAL DEPARTMENT IRVILLE H MACKINNON MD Superintendent JAMES B CRAIG M D Assistant Superintendent PSYCHIATRY E W Allen Sr MD Chief of Service W T Smith MD Chief of Service J W Heath MDAssistant Chief of Service Louis J Jacobs MDAssistant Chief of Service Luis Ravenet MDAssistant Chief of Service Carl Smith MDAssistant Chief of Service L A Bailey MD Deceased Clinical Director S E Kramer MD Senior Staff Physician Everett Kuglar MDSenior Staff Physician Juan M Portuondo MDSenior Staff Physician Reinis Sinats MDSenior Staff Physician M E Smith MD Deased Senior Staff Physician J J Word MDSenior Staff Physician Robert I Varner MD Senior Staff Physician E J ValdesCastillio MDSenior Staff Physician Olen I Freeman MDSenior Physician Med Spec Kenneth Jones MD Senior Physician Med Spec Mario Ambros MDStaff Physician Jose L Balbona MDStaff Physician F S Chance MDStaff Physician David W Cheshire MDStaff Physician Julian Gomez MDStaff Physician Mary K Hires MDStaff Physician Carlos Maruri MDStaff Physician Jose Mendoza MDStaff Physician Juana L Munoz MDStaff Physician Joaquin Piedra MDStaff Physician Adolfo Ponce de Leon MDStaff Physician Santiago Aguilar MDAssistant Staff Physician5 Blanca Mendez Anton MD Assistant Staff Physician Manuel Anton MDAssistant Staff Physician Giovanni Azzi MDAssistant Staff Physician Miguel A Bosch MDAssistant Staff Physician Fernando R Boudet MDAssistant Staff Physician Ramon A Boza MDAssistant Staff Physician Octavio B Carreno MDAssistant Staff Physician Luis Carrodeguas MDAssistant Staff Physician Hermes Cuervo MDAssistant Staff Physician Marta Dzirkalis MDAssistant Staff Physician Manuel Estrada MDAssistant Staff Physician Manuel D Fernandez MDAssistant Staff Physician Eduardo Guernica MDAssistant Staff Physician Armando I Gutierrez MD Assistant Staff Physician Maria Izquierdo MDAssistant Staff Physician Phillip Jones MDAssistant Staff Physician Julio Junco MDAssistant Staff Physician Mario de Laosa MDAssistant Staff Physician Jorge Lazcano MDAssistant Staff Physician Elfriede Mellinger MDAssistant Staff Physician Salvadore A Mendez MD Assistant Staff Physician Jose G Montane MDAssistant Staff Physician Crescendo Necuze MDAssistant Staff Physician Zelma Ozolins MDAssistant Staff Physician Rafael R Pascual MDAssistant Staff Physician Isabel Pereira MDAssistant Staff Physician Lorenzo Portillo MDAssistant Staff Physician Henry Remy MDAssistant Staff Physician Raul Rivero MDAssistant Staff Physician Jose R Rozas MD Assistant Staff Physician Adolph Sarma MDAssistant Staff Physician Herbert D Smith MDAssistant Staff Physician Elipibio Stincer MDAssistent Staff Physician Luis de la Torre MDAssistant Staff Physician Vilis Zakitis MDAssistant Staff Physician Odelia Zepatero MDAssistant Staff Physician Diplomate American Board of Psychiatry and Neurology1 U Bo3 1 6 PHYSICAL TREATMENT J G Bohorfoush MD Chief of Service Harry B Johnston MDChief of Service Raymond H Jordan MDAssistant Chief of Service Mahmud Majanovic MDAssistant Chief of Service Fredrico Marrero MDChief Physician Med Spec Wilbur Baugh MDSenior Physician Med Spec Sergio AlvarezMena MDSenior Staff Physician Pilar Goicoechea MDSenior Staff Physician Helena Kuglar MDSenior Staff Physician Richard L Nutt MDSenior Staff Physician Helena Pessino MDSenior Staff Physician Ruben Lopez Toca MDSenior Staff Physician T Tomas MDSenior Staff Physician David Cardoso MDSenior Physician Jose Bofill MDStaff Physician Scott Patterson MDStaff Physician A Frau MDAssistant Staff Physician J Hernandez MDAssistant Staff Physician Orlando O Lopez MDAssistant Staff Physician Francisco Madrid MDAssistant Staff Physician Rene Montero MDAssistant Staff Physician Jose Rouco MDAssistant Staff Physician Julio San Martin MDAssistant Staff Physician Ed Saule MDAssistant Staff Physician A Steinhards MDAssistant Staff Physician Emilio Yero MDAssistant Staff Physician Jose Garcia MD Assistant Physician William M Headley MDSurgeon Ralph R Novoa MDMedical Anesthesiologist Ramon Vigil MD Anesthesiologist J Asteinza MDNeuropathologist Juan Mir MDNeuropathologist George R Courtney ODSenior Optometrist Tommy J Byars ODOptometrist George W Taylor Phar DChief PharmacistDurward Poland BS in Pharmacy Pharmacist Johannah Keeler PhDMedical Librarian Diplomate American Board of Internal Medicine CONSULTING STAFF William L Barton MDOtolaryngology Malcom J Bazemore MDDermatology Floyd Bliven MDSurgery Edwin Brackney MDSurgery Mark Brown MDRadiology Charles I Bryans Jr MDObstetrics Gynecology Robert J Clark Jr MDNeurosurgery Harold Collings MDNeurology Robert Ellison MDSurgery Harold S Engler MDSurgery Thomas Findley MDInternal Medicine W S Flanagin MDPlastic Surgery David P Hall MDThoracic Surgery James Harkess MDSurgery Milford Hatcher MDSurgery James Hooper MDOphthalmology Enon C Hopkins MDInternal Medicine Devereaux Jarratt MDOphthalmology John W Kemble MDNeurology R D Lange MDInternal Medicine William Lucas MDUrology Victor Moore MDInternal Medicine William HMoretz MDSurgery Homer Nelson MDOphthalmology John R Rinker MDUrology Joe S Robinson MDSurgery George W Smith MD Neurosurgery J Benham Stewart MDSurgery P L Wilds MDObstetrics Gynecology David WilliamsMD Urology A Calhoun Witham MDInternal Medicine Frederick P Zuspan MDObstetrics Gynecology8 I m 5oi DENTAL STAFF Robert Watson DDSDirector Joe Campbell DDSDentist Reichert Johnson DDSDentist Ronald Markette DDSDentist Fred Wagner DDSDentist Howard Warren DDSDentist Harold Willmuth DDSDentist Howard Lewis DDSDentist Fred A Jabaley DDSDentist Roger D Groves DDSDentist Barton K OBrien DDSDentist NURSING STAFF Myra S Bonner RNDirector of Nursing Bernice H King RNDeputy Director of Nursing Vera W Knowles RNAssistant to Director of Nursing Oreta S Reeves RNAssistant to Director of Nursing Unit I Fay H Fidler RNAssistant to Director of Nursing Unit II Ruth D Mullis RNAssistant to Director of Nursing Unit III Frances Osborne RNAssistant to Director of Nursing Unit IV Lottie T Garland RNAssistant to Director of Nursing Unit V Blanche B McMillin RNAssistant to Director of Nursing Unit VI Irene L Wood RNAssistant to Director of Nursing Unit VII Edna A Ross RNHead Nurse Georgia Veterans Home Janet M Smith RNHead Nurse Yarbrough Rehabilitation Center Mary W Billue RN Charge Nurse Psychiatric OutPatient Clinic Lolita G Rutland RN PhDSupervising Instructor Remotivation and Inservice Education Vivetta Kramer RN MSNursing Instructor Remotivation and Inservice Education Rosalyn T Kelly RN Nursing Instructor Psychiatric Aide Program Mattie L Pennington RNNursing Instructor Psychiatric Aide ProgramMaidana K Nunn RN MS Supervising Instructor Psychiatric Affiliation Program Pauline L Anderson RN Nursing Instructor Psychiatric Affiliation Program Ouida A Couch RNNursing Instructor Psychiatric Affiliation Program Alice K Paschal RN Nursing Instructor Psychiatric Affiliation Program Louise F Spivey RNNursing Instructor Psychiatric Affiliation Program Beatrice M Tribble RN AB Nursing Nursing Instructor Psychiatric Affiliation Program Gloria A Williams RN Nursing Instructor Psychiatric Affiliation Program Marjorie T Wood RN AB Nursing Nursing Instructor Psychiatric Affiliation Program CLINICAL PSYCHOLOGY Robert W Wildman PhD Chief Clinical Psychologist Arthur E Alper PhDDirector Professional Training John L Bernard PhDDirector Education John E Hannon PhDDirector Childrens Services Thomas W Lucik PhDDirector Professional Standards Horace F Stewart PhDDirector Research Harold E Edwards PhD Clinical Psychologist 0 Henry Harsch PhDClinical Psychologist Frederrick W Huff PhDClinical Psychologist Francis L Madison Staff Psychologist Daniel W Primac PhDStaff Psychologist Rosa Adams Special Education Teacher Seenie C Courtney M EdSpecial Education Teacher Mazie Hamlin Dillard M Ed Special Education Teacher Thomas Walter Langston MATSpecial Education Teacher Mary D Murphy Special Education Teacher Audrey C Power M EdSpecial Education Teacher10 Mary Louise Schuyler BS Louis Donald Shell MEd Special Education Teacher Special Education Teacher INTERNS TT George Anderson University of Georgia Ruth Arger University of Tennessee John S Currie University of Flordia Lalla S Darby University of Tennessee Virginia Balbona University of Georgia Russell Eisenman University of Georgia Carroll D Broyles University of Georgia Howard Friedman University of Tennessee Clinton L China University of Tennessee Robert F Heap University of Georgia Spurgeon Cole University of Georgia Richard LaBarba University of Tennessee Wayne Kinzie University of Georgia Carol J Schneider University of Tennessee Constance Lanier University of Georgia John J Meagher University of Georgia Patricia H Shockley University of Tennessee Gary A Tollman University of Georgia John Watkins University of Georgia SCHOLARSHIPS Elizabeth Aderhold University of Georgia Frank Coyle University of Alabama Gail Coyle University of Alabama Robert F Heap University of Georgia11 CONSULTANTS Stanley Ainsworth PhD Chairman Speech Correction and Special Education Depart ment University of Georgia Richard Bartlett Consultant Services for Exceptional Children Atlanta Georgia Richard Blankenship Consultant Services for Exceptional Children Atlanta Georgia Earl C Brown PhD Director Professional Training University of Alabama Herbert Cohen Assistant Supervising Principal Hawthorne Ceder Knolls School Hawthorne New York Joseph G Dawson PhD Director Professional Training Louisiana State University James C Dixon PhD Director Professional Training University of Florida Helen Durkin PhD Faculty Member of the Post Graduate Center for Psychotherapy New York Frances R Hicks PhD Head Psychology Department The Womans College of Georgia Robert R Holt PhD Director Research Center for Mental Health New York University William Lee Jones Superintendent Georgia Academy for the Blind Macon Georgia Sidney M Jourard PhD Professor of Psychology University of Florida Richard Kicklighter PhD Consultant Services for Exceptional Children Atlanta Georgia Mrs Katherine Kirkland Coordinator of Adult Education State Education Dept Atlanta Georgia Malcolm B McCoy PhD Professor Department of Speech and Hearing University of Georgia William C Morris PhD Professor Educational Psychology University of MichiganwamBBBSBBBBBBB 12 Kenneth R Newton PhD Director Professional Training University of Tennessee Florene M Young PhD Director Psychological Clinic University of Georgia Carl N Sipprelle PhD Director Professional Training University of Georgia SOCIAL WORK Kenneth F Jasnau ACSW Director Social Work Charles A Stewart PhDDirector Social Work E 0 Melton MSW ACSW Chief Social Worker Jean Harsch MSWSenior Social Worker Mary E Kingston MSWSenior Social Worker Bill M Warden MSSWSenior Social Worker Harmon H Adams MSWSocial Worker Barbara L Brown MSWSocial Worker Margaret Giddings MSSWSocial Worker James Albert Greene MSWSocial Worker Edward A Mahlin MSWSocial Worker Kathryn H Mahlin MSWSocial Worker Thomas Ray Mills MSWSocial Worker Ralph Roberts MSWSocial Worker Tom Wise MSWSocial Worker SOCIAL WORK TRAINEES Lila W Akin Indiana University School of Social Work Laura Ann Hamilton Florida State University School of Social Welfare E Guynelle Bearden Smith College School of Social Work Kenneth C Hicks Tulane University School of Social Work E Wayne Bland University of Michigan School of Social Work Helen F Hubbard Florida State University School of Social Work13 Clifton DuBois Smith College School for Social Work Lloyd A Mendelson University of California School of Social Work Beverly Garrett University of Tennessee School of Social Work Helen Petkas Columbia University School of Social Work Jane Price Columbia University School of Social Work CLINICAL CHAPLAINS Douglas C Turley Jr ThMChief Clinical Chaplain Charlie Alston BD Clinical Chaplain Henry T Close ThMClinical Chaplain Payton B Cook BDClinical Chaplain Thomas A Summers BDClinical Chaplain James L Travis ThMClinical Chaplain 0 Chappell Wilson Jr BDClinical Chaplain Harold L Gelfman DDRabbi Joseph F Ware STBPriest Ervin R Oermann AB BDChaplain to the Deaf Charles V Gerkin BDConsultant Quentin L Hand PhDConsultant Thomas H McDill PhDConsultant John M Price ThDConsultant Samuel Southard ThDConsultant CHAPLAIN INTERNS R Wayne Johnston AB BD College of the Bible Lexington Kentucky Jasper N Keith Jr AB BD Southern Baptist Theological Seminary Louisville Kentucky Donald C Murphy AB BD Candler School of Theology Emory University J Clark Pafford AB BD Candler School of Theology Emory University14 SCHOLARSHIPS Ebb G Kilpatrick AB BD Southern Baptist Theological Seminary Louisville Kentucky MUSIC THERAPY Herbert P Goldsmith RMT Director of Music Therapy Herbert F Galloway Jr RMT Supervising Instructor of Music Therapy Education Charles L Welsh RMT Chief Instrumental Therapy Joanne C Smaltz RMT Chief Music Therapy Services Unit I Doris L Lee BAChief Music Therapy Services Unit II Saralyn Latham MAChief Music Therapy Services Unit IV Darlene B Welsh RMT Chief Music Therapy Services Unit V Emily A Stevens RMT Music Therapist Unit I INTERNS Ann Leavitt Florida State University William C Janiak Florida State University John Cooper Robert J Kowalczyk Florida State University Florida State University OCCUPATIONAL THERAPY Dorothy Clarke OTR Director Theo E Fisher OTR Occupational Therapist RECREATION THERAPY Bruce Prosser MS Recreation RhRd Director Betty Welch AB Phys EdRecreation Therapist INTERN Purvis Ponder Georgia Southern College15 VOCATIONAL REHABILITATION W C Petty AB NRCA Rehabilitation Program Supervisor C W Aronson MSRC NRCA Rehabilitation Specialist Asa Barnard BS NRCA Rehabilitation Specialist James H Miller MSRC NRCA Rehabilitation Specialist W L Tomlinson BS NRCA Rehabilitation Specialist Jesse P Collette BS NRCA Rehabilitation Counselor William P Cribb BBA NRCA Rehabilitation Counselor William A Hargrove M Ed NRCA Rehabilitation Counselor Gerald M Brown Jr BS NRCA Vocational Evaluator Edwin R Freeman BS NRCA Vocational Evaluator Henry W Mitzner BS NRCA Vocational Evaluator Benny H Davis BS NRCA Work Adjustment Coordinator George W Kinzy MA Shop Supervisor Jewell Boatright Cosmetology Instructor A L Booth Machine Shop Instructor K E Donaszewski Woodworking Instructor Anne B Hamilton BSCommercial Instructor Arthur M Jones Electrical Instructor Virginia Kempa BSHome Family Management Instructor James Lewis Barbering Instructor Jacquelyn Shell BS Homemaking Aide Instructor Marianne S Thompson BS Commercial Instructor L F Marshall MDConsultant Psychiatrist OFFICE OF THE SUPERINTENDENT Woodson Maddox Hospital Administrative Assistant and Secretary to Superintendent PERSONNEL Fred Madden Director Frank Hobby Assistant Director VOLUNTEER SERVICES Jane Haddock DirectorponfiHHnS 16 PUBLIC RELATIONS Raymond D Brown Director Evelyn C Salter Senior Artist hy RESEARCH Clyde Keeler ScD PhDMedical Geneticist Theodore J Mellinger MDNeuropharmacologist Penny Edwards MTHT ASCP Medical Technologist BIOSTATISTICS Wayne W Daniel Biostatistical Analyst Mary F Cook Registrar Mary R Harrington Medical Records Librarian BUSINESS ADMINISTRATION William R Crittenden Institutional Business Administrator Tap M Carey Director Division of Business Management Charles P Fowler Institutional Engineer Electrical Engineering Robert W McMillin III Institutional Engineer Construction Engineering Edward S Smith Institutional Engineer Mechanical Engineering James D Teague JrInstitutional Engineer Civil Engineering Woodrow T Spivey chief of Building Maintenance A C McDade Director of Food Service W N McHan Director of Security Division A L Hartley Director Environmental Sanitation Edgar T Newsome Horticulturist Robert W Peters Chief of Procurement and Property T C Brantley Accounts Executive Levi Swinger Business Administrator Yarbrough Rehabilitation Center James Paschal Business Administrator Unit II R 0 Pennepacker Business Administrator Unit III William Curl Business Administrator Units IV and VIII George Hart Business Administrator Physical Treatment17 July 1 1964 Dr John Venable Director State Department of Public Health 12 Capitol Square Atlanta 3 Georgia SUBJECT 121st Annual Report Milledgeville State Hospital Dear Doctor Venable Fiscal year 1964 was marked by slow but continued progress at Milledgeville State Hospital in the three basic areas of patient care and treatment education and research The budget for the 1964 fiscal year was 16000000 an increase of 1644000 over the previous year In addition to the budget appropriations from the state the hospital had an additional income from various sources of approxi mately 1300000 which was included in the overall operation bring ing the total to 17300000 The average per diem cost rose from 368 per patient per day in 1963 to 4027 in 1964 with 383 being contributed by the state The old problems still exist wards 35 percent overcrowded the hospital 50 percent understaffed and even more than that in some of the vital areas such as nursing outmoded buildings making the appli cation of the new treatment techniques such as milieu therapy almost impossible an inadequate general and surgical hospital inability to recruit competent top level medical nursing and paramedical staff a constantly rising flood of admissions and lack of community based prehospitalization and aftercare facilities In spite of this the hospital is making progress Significant additions have been made in psychiatric general medical nursing and paramedical staffs and we look hopefully to the future when ade quate financing will make possible an effective staffing pattern there by making the utilization of new advances in treatment and patient care available to all patients in this huge institutionMHWfflMMSB 18 601 During the year the hospital admitted a total of 6786 patients Of these 5221 were first admissions and 1565 were readmissions During the year there were 4040 returns from furlough making total gains of 10826 This is an increase of 1193 in the total gain figure over last year The gain figure was balanced by 1580 direct dis charges from the hospital 8049 patients placed on furlough and 1114 deaths During the year 3512 patients were discharged from furlough making a total of 5092 patients discharged during the year The aver age length of stay continues to remain at about 80 days Accredited residencies and internships are now available in psy chiatry clinical psychology social work ophthalmology hospital administration clinical chaplaincy music therapy recreation and occupational therapy A three year accredited residency training pro gram in psychiatry was approved in January 1964 by the American Medical Associations Council on Medical Education and Hospitals This program is now functioning in addition to those in cooperation with Emory University and the Medical College of Georgia There are psychiatrists in training in all three programs The organization of the hospital into the unit system has been completed and inquiries have been received from many states regard ing the organizational structure and operating and administrative pro cedures The new building program is completed and is fully oper ative This includes the staff dormitory and apartment complex the 600 bed Arnall Building addition the central kitchen and the Yar brough Rehabilitation Center which recently played host to a five state conference demonstrating the use of vocational rehabilitation techniques in the treatment of mental illness Seven registered vo cational training teachers are now conducting classes so that pa tients may return to their home communities with adequate skills with which to earn a living National accreditation was received from the American Psycho logical Association the National Association of Music Therapy Inc the National Association for Schools of Music and two of the national accrediting agencies for clinical chaplaincies The new childrens rehabilitation center is rapidly nearing completion and will be open for operation in 1965 Eight teachers have been added in the school for emotionally disturbed children Seven additional classrooms have been made available19 A remotivation program is bringing new enthusiasm and treatment techniques to the psychiatric aide staff A special disability program for the blind deaf and patients with speech defects in cooperation with the University of Georgia Speech Clinic was commenced in March 1964 and is now in operation More than 8000 high school and college students public health nurses school counselors health department directors and other personnel visiting teachers adult groups from churches garden clubs civic clubs womens clubs and similar organizations attended seminar programs at the institution over the past year The department of social work is now accredited by graduate schools at Florida State University Atlanta University and the Uni versity of Georgia as an accredited field training center for graduate students During the year the director of the department left to head up the new School of Social Work at the University of Georgia New programs being developed include a public assistance unit at the hospital a foster home care program for adults and a program to move eligible patients from the hospital into community nursing homes and group care facilities The music therapy department has added five professional music therapists and two music therapy aides With the additions of students in the clinical training program the development of a summer student program and the employment of a consultant in instrumental music for two months has made possible a considerable expansion in the program of the music therapy department Decentralization during the year has resulted in physical facilities for unit music therapy pro prams being made available in Units 1 2 3 4 and 5 In the nursing department 322 student nurses completed the af iliation course in psychiatric nursing and during the year the Hall School of Nursing at Gainesville Georgia was added to the affilia tion program making a total of eight schools of nursing now included One hundred and nine employees received psychiatric aide certifi cates 116 employees received Civil Defense SelfHelp Training cer tificates and 73 received Red Cross certificates Programs of remoti vation and inservice education are now progressing on the unit level There has been a small increase in the professional nursing staff during the year 20 1 The division of physical treatment continues to provide a remark able quality of service considering the lack of staff and the inade quate facilities with which it has to work Seventy three thousand days of patient care were provided in the Jones Hospital and there were 49000 visits to the outpatient department The occupational therapy department added one registered occupa tional therapist six occupational therapy aides and one intermediate stenographer A total of 2671 were under treatment in occupational therapy clinics during the year Evaluations show that approximately 48 percent of these have shown a high degree of improvement Since the hospital has 12097 patients and 30 percent should be candidates for occupational therapy the patient case load was 8 percent under goal A number of new programs have been initiated particularly with selected regressed patients in an attempt to improve them to the point where they can be included in the clinic programs The department of clinical psychology is now one of the largest in the country It is nationally accredited by the American Psycholo gical Association at the highest level and now numbers approximately 70 individuals including psychologists consultants technicians teachers of emotionally disturbed children students on scholarships interns and the clerical staff The department now has a very compre hensive internship program and is affiliated with the universities of Georgia Flordia Tennessee and Alabama At the present time there are 15 students and interns in this program The psychiatric outpatient clinic continues to meet an outstand ing need in the area of aftercare services to discharged patients Since the clinic commenced operation a total of 2442 patients have been admitted to clinic service with 6942 visits Volunteer services has now been housed in a complete suite of offices and the program includes garden therapy recreation music therapy occupational therapy social services alcoholics anonymous junior volunteers day rooms an apparel shop and the forgotten patients program as well as cooperation with the Christmas MDay program21 With the opening of the Yarbrough Building the department of vocational rehabilitation has expanded its staffing considerably and now totals 23 professional staff members Evaluation of a sizeable number of patients who have had VR services and who have been out of the hospital from six months to twoand onehalf years as compared with a similar number of control patients who did not have such serv ices showed that 78 percent of the VR patients were now working or in training as compared with 35 percent of the controls 41 percent now hold a better job than the job held prior to hospitalization as compared with 16 percent of the controls 79 percent showed better restoration as compared with 39 percent of the controls 29 percent of the patients who received vocational rehabilitation services were re admitted to the hospital as against 41 percent who did not At this point the research study strongly indicates the great value of a com prehensive vocational rehabilitation program in a state hospital set ting The department of religious services continues to be character ized by growth and development Personnel was increased from six full time and two parttime staff members to 16 full time and two part time employees The ten new positions included three clinical chap lains two intermediate stenographers four chaplain interns and one housekeeper Recent visitors from the National Institute of Mental Health characterized this program as the best they had seen in the nation Addition of the new staff members has more than doubled the services performed by this department and has reduced the chaplain patient ratio from one chaplain per 3000 patients to one chaplain per 1700 patients Efforts will be continued to further reduce the ratio to the American Psychiatric Associations recommended minimum of one chaplain per 500 patients Thirteen students representing eight the ological seminaries participated in a 12 week accredited program of clinical pastoral education which was the first ever conducted in the history of the hospital Five seminary graduates were accepted in the internship program for a year of study and residence and 24 students participated in two courses of instruction offered in cooperation with the Candler School of Theology at Emory and the Columbia Theo logical Seminary Three workshops for community clergymen were conducted at the hospital during the year The high light of the year was the completion and dedication of the five chapels Multiple serv ices are scheduled each week in each chapel and a daily devotional service is conducted for employees just prior to the start of the work ing day 22 The department of recreation has added two employees during the year and instituted a clinical training program in hospital recreation with the first intern from Georgia Southern College at Statesboro An enlargement of the volunteer program resulted in 30 volunteers pro viding various types of recreation services for small groups of pa tients on assigned wards Expansion of programs to the Holly Build ing where a group of blind patients are in recreation therapy three days a week as well as to Yarbrough Building and the physical edu cation program for the emotionally disturbed children has placed an additional load on the recreation staff The department of business administration has been able to open the central kitchen and the employees cafeteria is now open and operating Approximately 5000 patients are now being fed from the central kitchen It is anticipated that the complete operation will be in force by January 1 1965 The use of white male prisoners was discontinued and they were transferred elsewhere and white and negro female prisoners were moved into the building Eightyfour institution al workers positions were approved for use in the central kitchen and laundries to replace the white male prisoners Transition of the hospital farms from row crops to grass and timber farms has now been completed The central shops have been completed and the garage woodworking shop sanitation and civil engineering departments have been transferred to the new facilities The old garage and woodworking shop building will be remodeled as an annex to the Yarbrough Rehabilitation Center to train patients in the use of heavy woodworking equipment Renovation of the Howell Building has been completed and the male negro patients from the Ingram Building have been moved into the new quarters Negro female patients from the Dupree Building have been transferred to the Ingram Building and the Dupree Building has been demolished Respectfully submitted I H MacKinnon MD Superintendent23 CLINICAL PSYCHIATRY Progress in this department continues to be made in face of many problems the most perplexing being the inability to obtain toplevel board men at present salary levels A number of vacancies in director ships exist and lack of funds has prevented these being filled On the brighter side is an increase in psychiatric residency training programs resulting mainly from accreditation of the hospital s own three year psychiatric residency training program by the American Medical Associations Council on Education and Hospitals At the present time 24 residents are participating in the three residency programs available the other two being cooperative programs with Emory University and the Medical College of Georgia Consolidation of the unit system commenced last year as well as the opening of complete facilities in the Yarbrough Building and the Arnall annex has enabled a number of patient transfers to be made which have materially bettered the treatment program in several areas New programs for patients with speech hearing and sight defects are showing encouraging results The childrens rehabilitation center should be completed in the fall of next year and will add a much needed facility for evaluation diagnosis and treatment as well as giving the hospital a centralized training area for physicans and paramedical professionals interested in working with children The average daily population ending June 30 1964 shows a net increase of 83 patients or 12046 as against 12014 resident patients on the books July 1 1963 New admissions total 6786 as against 6054 Although the hospital discharged 5092 patients as against 3748 last year the tremendous increase in admissions together with the returns from furlough caused the rise in resident patients The number of patients on furlough continues to rise with 8049 this year as against 7304 Close cooperation was maintained between the psychiatric staff and the other professional disciplines in the hospital resulting in excellent rapport as well as a careful evaluation of roles so that most efficient utilization can be made of all staff members RegularHnBHI H 24 monthly meetings with the unit directors and a meeting of the depart mental heads in a coordinating council results in excellent communi cation smooth implementation of policy rapid solution of problems and mutual understanding Despite progress made it must be admitted that lack of funds and personnel continues to be an all absorbing problem in meeting the tremendous needs of this huge institution Only with a materially increased number of physicians supporting professionals nursing staff and the modernization of existing facili ties in building and equipment can adequate treatment for the entire institution be visualized within the near future The four basic methods of treatment continue to be electroshock therapy drugs and individual and group psychotherapy Considerable progress is resulting from the new vocational rehabilitation program as well as the expansion of the academic program for emotionally disturbed children An accredited medical and psychiatric library and visiting lecturers of national reputation are keeping the medical staff aware of new developments in research and treatment In the planning stage is a project to materially reduce the large number of geriatric patients in the institution through effective pre release planning and extension of the hospitals services into the communities around the state however the main problem still remains a lack of awareness in the local communities of the need for pre hospitalization and aftercare services for the mentally disturbed individual It is useless to talk of adequate treatment in the chronic services under the existing staffing pattern If it is true as Dr Carl Menninger says that good treatment can be given in a barn as long as you have an adequate number of therapists then the converse is also true that no matter how fine a building without an adequate number of thera pists there is little treatment The members of the department of clinical psychiatry at Milledge ville State Hospital will continue their best efforts to meet the needs of the patients in this institution as well as seek for answers to the numerous problems which confront them25 bii ii PSYCHIATRIC OUTPATIENT SERVICES This is a cooperative aftercare program designed to coordinate hospital therapy with community therapy through the local health departments This program is carried on under the direction of the Assistant Hospital Superintendent The purpose is to provide treatment on an outpatient basis for patients and families in order that patients may adjust to normal family and community life Patients on furlough as well as those dis charged within a 6 months period and their families are eligible for clinic services The ultimate goal is the vocational and financial rehabilitation of patients and prevention of readmissions tt this hospital The therapy team approach is used the team consisting of a physician psychologist social worker chaplain vocational rehabili tation counselor and two public health nurses The public health nurses are full time permanent clinic staff members Other members of the therapy team are furnished by certain specific hospital units on certain specific days The organization is such that patients appoint ments are scheduled in order that patients and families are seen by the same therapy team which treated the patient while hospitalized Hospital Unit teams serve the clinic in this capacity on a rotating basis Volunteer social service workers have greatly enhanced the clinic program through their participation as members of the team These volunteers have been carefully selected by the Social Service Department and are endowed with empathy for and understanding of patients and their families A thorough orientation is given to all these volunteers Local Health Departments contribute much toward helping pa tients make arrangements to keep clinic appointments A report is furnished the local health department after each patients clinic visit This contains recommendations by therapy team members direct ed to local health department personnel for continued therapy within the community Local health departments in turn make regular reports to this clinic as they contact patients within the community These reports aid the therapy team as they work with patients and families at the clinic Thus there is a continuous interchange of information between the hospital and local health departments26 Several drug firms have been of valuable assistance in this program by donating supplies of psychotherapeutic drugs prescribed in the clinic To date a total of 2442 patients have made a total of 6942 clinic visits Since this program is still in the organizational phase it is im possible at this time to give an accurate evaluation of the results achieved PHYSICAL HEALTH The Department of Physical Health was created during the 1963 64 biennial Its function was 1 the general supervision of the physi cal health of all patients at the Milledgeville State Hospital 2 to direct the medical and surgical hospitals occupying the Jones and Rivers buildings 3 to operate an Outpatient Department to care for the organic diseases of the inmate patients and those employees who wish to make use of these facilities 4 to care for the health of prisoners confined at the hospital and the inmates of the Boys Train ing School 5 to operate a clinical and pathological laboratory for the entire institution 6 to operate a department of Radiology for the entire institution 7 to supervise the Pharmacy and Dental Service At the present time the Director of Physical Health Director of Medical and Surgical Hospitals Director of Clinical Services and the Chief of Medicine are the responsibility of one individual A large percentage of patients in the hospital are more in need of physical treatment than psychiatric For example brain disease secondary to arteriosclerosis is only one manifestation of an exten sive circulatory disorder Many have organic brain defects and need medical care throughout the duration of their illness A large group of patients needing only medical care are sent to the hospital because there is no other place to send them Many of them are incurable and spend most of their lives here These require medical care thoughout the years This requires not only a large medical establishment but an elaborate system to prevent these people from developing incapaci tating conditions as well as finding and remedying them The number of patients over fifty years of age results in a large number of de generative diseases increasing the difficulty of diagnoses This coupled with the inability of many patients to give a history of the illness creates an excessive load on the XRay Service and Labora tory27 HOSPITALS Expanding and modernizing the Jones and Rivers building is imperative No significant new construction or remodeling was ac complished during the past year As a result the Obstetric Department and Nursery are incomplete Patients are being delivered in a large ward which is hazardous from the viewpoint of infections The ele vators in the Jones building are on the verge of collapse One ele vator stops anywhere from 26 inches from the floor level They are so antiquated no parts are available to repair them They constitute a hazard and remedial action is necessary During the past year space was made available for Negro patients in the Hospital The Outpatient Department needs complete remodeling in order to care for the load of patients seen there The need for modernizing the Radiology Department is urgent It is a bottleneck holding up services throughout the Hospital Pathology work has been multi plied fourfold and no adequate expansion to care for this has been made DIVISION OF CLINICAL SERVICES A Medical Service The medical wards are always overcrowded Only the most severely ill patients are admitted to the Jones Hospital As a result there are too many patients per physician on this service The need for beds results in premature discharge of many patients resulting in incomplete diagnosis and inadequate treatment Many pa tients who should be admitted for medical evaluation cannot be admit ted because there is no space for them No equipment of any signifi cant amount has been added to the medical service for the past two years For proper diagnostic studies a radioisotope laboratory is urgently needed B Surgical Services A minimally adequate staff was present through out the past year but this was insufficient to carry on extensive programs of doing elective surgery where it was needed This depart ment at the present is adequately equipped but needs more beds General surgery urology and ophthalmology are staffed by special ists in these disciplines Thoracic orthopedic and EENT surgery is handled by general surgeons with the aid of consultants Unfortu nately our Urologist resigned as of June 30 and it will be impossible to replace him at present salariesHBBoBHHB 28 Ly C Obstetrics and Gynecology In addition to extensive surgery this department operates seven clinics and conducts a cancer survey pro gram There are no delivery rooms existant at the present time For one week work was done on the Obstetrical Suite then the workmen were withdrawn D Pathology The work load in the Pathology Department is exces sive for the number of pathologists The need for a cytologist to screen cancer slides in this department is urgent E Laboratory The numberof tests during the past year exceeded one quarter of a million This is an increase of 50000 tests over the previous year Because of the more complicated tests being done the work load has increased more than indicated by the increase in number of tests The need for more automation is obvious and this will cost approximately 25000 F Radiological Service The Radiological equipment is completely inadequate there being only one diagnostic machine one machine to take xrays of the chest and an old 250 KV therapeutic unit During the last year a radiologist who is capable of doing therapy was added to the staff The following equipment is urgently needed in the XRay Department 2 diagnostic xray machines complete 56000 Cobalt Bomb for radiotherapy 35000 Automatic Film Processor 14000 Poloroid Cassette complete 2500 and 2 Cassette Pass Box 800 This is the least amount of equipment needed to bring this department up to minimal standards G Rivers Building The Rivers Complex is now being used for tu berculosis and metabollic diseases There are 61 active cases of tuberculosis but only 32 have positive sputum There are over 200 cases of diabetes treated in these buildings at the present time All three buildings need renovating H Consultants During the past year consultants from the Medical College of Georgia were active in the following Departments Medi cine Surgery and OBGyn In addition consultants not affiliated with the medical school were active in Dermatology Ophthalmology and Otolaryngology29 DIVISION OF NURSING SERVICE The staff of nursing service is inadequate in both the Jones and Rivers buildings The wards are insufficiently staffed to take care of twentyeight patients on the medical service where the census is usually between thirty and forty This increases the work load that is only approximately sixty per cent of that normally needed The personnel we have are doing an excellent job with the equipment we have available We hope to obtain funds next year for an inservice educational program which we believe will be most beneficial in promoting better nursing care The following equipment is urgently needed to function properly 8 suction pumps 1200 8 wheel chairs 5600 4 dressing carriages 1290 10 stretchers 1259 12 porto lifts with scales 2712 desirable equipment 250 electric high low beds at a cost of 112500 and 250 hospital mattresses at a cost of 9500 GENERAL SERVICES A Housekeeping Department During the past year a Housekeeping Department was organized with the employment of one Housekeeper and six housekeeping personnel As a result the housekeeping in the Jones building has shown a definite improvement in all areas and especially in the patient areas The cleanliness of the building is much better however the housekeeping personnel are only on duty eight hours per day five days per week and additional personnel are needed in order to have the housekeeping duties carried out on the afternoon and night shifts B Maintenance Department The following areas need to be renovated in order to provide the treatment in each department that is necessary to good hospital care 1 Xray Department 2 Outpatient Department 3 Pathology 4 Provide more space at the Nursing Station on Jones 2 West 5 The renovation of the third floor West Building to include a de livery room labor room nursery and provide an area for OBGyn and GU surgical patients was started during the past year but due to lack of necessary funds the completion of this projectwas stoppedHHHHHHHnnHBn 30 The present elevator system of the Jones Building consists of two passenger elevators and one freight elevator The passenger elevators do not have automatic door closers or automatic selector switches This causes long delays in transporting patients from one area of the hospital to another for clinics and treatments This de ficiency wasreported in last years annual report and we are informed that funds are not available to correct this situation which is most urgently needed C Admissions and Records Department The admissions and records departments work load increased when the group insurance went into effect with the handling of claim forms in conjunction with the accounts office This department is inadequately staffed with one medical records librarian and one patient helper to process all the inpatient and outpatient records of the Jones Hospital Two more full time paid employees and additional office equipment is needed to take care of the work load and increase the efficiency of the Department D Communication and Information Department During the past year the secretarial pool has proven very effective in handling secretarial work from several wards and different departments and is functioning very well proving to be an asset to the Jones Building PREVENTIVE MEDICINE Preventive medical services are offered in addition to Hospital Outpatient Department and Clinic services The following examinations are done annually on all patients in the Milledgeville State Hospital 1 Hemoglobin and hematocrit 2 White blood count Differential is done when count is below 4000 or above 10000 3 Urinalysis 4 The entire hospital population was surveyed for PKU and Porphyrinuria The results did not warrant a continuation of this project31 5 A complete survey for parasite was completed and approximately 10 of all patients had parasitic infestations These were treated Spot checks fail to reveal any significant parasitic infestations of the patients at the present time 6 All patients are surveyed by miniature XRay for tuberculosis each year 7 Ophthalmology survey for blindness is continuous The following are needed 1 Tetanus immunization for all patients in the hospital and all patients to be admitted 2 Influenza vaccination yearly for all dibilitated patients and all patients over 50 years of age In epidemic years all patients should be immunized 3 A blood sugar and BUN should be done annually on all pa tients over 40 4 Electrocardiograms should be done routinely every two years on patients over 50 5 Otolaryngology Department should be established and a survey for deafness should be made COMMENTS During the past year while the workload in the Jones Building has increased in some departments from 15 to 20 there was no concomi tant increase in the budget The demands made upon the Hospital increased daily and it is impossible to meet them at the present time The physical structure of the Hospital needs modernization The ele vators are dangerous The remodeling of the Outpatient Department XRay Department and completion of the ObGyn ward and nursery is urgent These conditions have resulted in frustration and lowering the morale of the personnel in this Division A continuous depletion of the medical staff is due to better positions offered elsewhere failure to increase salaries in line with the ability and services rendered by the physicians and the increase in the work load without any apparent forthcoming relief 32 We can no longer expect physicians to remain here or to be able to employ new physicians unless salaries are considerably increased and working conditions markedly improved The nursing personnel is in adequate in both the number of graduate registered nurses and the nursing aides This applies to both the Rivers and Jones buildings The budget does not permit an increase in nursing personnel or the institution of an adequate inservice training program to increase the efficiency of those we already have All attempts made by the Acting Director of Physical Health to improve this situation have been vetoed The failure to institute modern diagnostic apparatus especially in radiology has resulted in delays in diagnoses and inadequate treat ment of patients with cancer It has become imperative that if we are to render medical care of any substantial value the XRay Depart must be modernized There has been no increase in the number of pa tients seen in the XRay Department which is due simply to the fact that no more work can be done on the one diagnostic machine that we have there Approximately 50 of the patients needing radiograms cannot get them This diagnostic machine has been so overworked it is reachingthe pointof delapidation and it too must soon be replaced It is obvious that a new General Hospital of 500 beds is needed for this institution however this does not justify delaying improve ments in the Jones Building RECOMMENDATIONS 1 That the budget of the Physical Health Division be increased to the point where a satisfactory service may be rendered to the pa tients of the Hospital 2 That the purchasing and stocking of Pharmacy items should be done by the business department and the Department of Physical Health should not have to worry about the budget We have control over the use of drugs approved by the drug committee A cost control system should be placed into effect and each unit should be made to budget for its own medical supplies and drugs thereby making them more aware of the necessity of control and economy33 3 Elevators in the Jones building should be immediately re placed before someone is seriously injured on them These elevators would not be tolerated by a safety investigator in any but a State owned building 4 The Jones building be modernized to care for more patients and funds needed to activate and staff these areas be furnished 5 That the Director of Physical Health be allowed more leeway in the application of the budget that those savings made in person nel be utilized in purchasing additional necessary equipment and re modeling the building 6 That physicians salaries be increased 50 Unless this is done we will soon find that we have no physicians in the physical health division to care for patients 7 That a Director of Physical Health be employed and the pre sent acting director be allowed to return to his position as Chief of the Medical Services YEAR ENDING JUNE 30 1964 1961 1962 1963 1964 Admissions to Jones Building 1576 2979 3197 3669 Discharges from Jones Building 1376 2511 2551 2925 Days of Patient Care 44269 56492 62329 72255 Births 88 72 59 66 Deaths 266 482 595 741 Autopsies 76 279 200 233 Laboratory Procedures records inadequate 179236 199102 251293 Emergency Night Visits records inadequate 1452 1282 1566 Outpatient Visits 25779 63822 47242 48740 Pathological Procedures 2911 13046 13220 18934 Radiological Procedures records inadequate 19020 20887 17900 Surgical Procedures 1209 1808 1356 1542 34 MEDICAL LIBRARY Among the more than six hundred and fifty books accessioned and classified during the past year the Yarbrough collection of books in Psychiatry Psychology Social Service and Research holds an important place Also included in the books processed during 1963 64 are those of the old collection in as far as they still are of a more active interest The last part of the budget year saw no considerable increase in book holdings on account of a lack of funds A great number of request for new books and journals are held in abeyance and waiting to be granted In the course of this year the library was thoroughly weeded 1 of duplicate journals or very incoherent series of journals 2 of books which were antiquated and no longer of interest to the doctors The journals were offered to the Medical Library Exchange of which the Medical Library of Milledgeville State Hospital is proud to be a member along with eight other hospital libraries statistically recorded in Georgia Five hundred and nineteen journals were sent to members of this Exchange in all parts of the USA to Canada Panama and via the Smithsonian Institute also to Australia The list of books to be disposed of was sent to various libraries but no interest was expressed in receiving any of these items As a final resort they too will be offered to the Medical Library Exchange A very important service to our doctors was the procurement of books and particularly of photostatic copies of journal articles by Interlibrary Loan More than two hundred and fifty such articles were received during the fiscal year PHARMACY No department at Milledgeville State Hospital has a larger work load than the hospital pharmacy In this hospital of more than 12000 resident patients and nearly 3000 employees the request for service35 from the pharmacy reaches a staggering figure Last year the number of prescriptions filled totaled 30387 Of these 20449 went to the wards for patients 4491 were filled for patients on furlough and 4947 were filled for employees The cost of drugs and medicines per patient per year amounted to 4710 or approximately 13 per patient per day Expenses for the year totaled 618547 For the past two years the pharmacy budget has been insufficient to maintain the floor inventory to meet the hospitals needs through the quarter It is necessary that the inventory should be high enough to carry the demand for drugs for approximately five months Under the present budgeting arrangement this is not possible To meet the increased work load faced by the institution the pharmacy needs at least 230000 per quarter In addition to the prescriptions filled manufactured products in the department totaled 569 gallons of tinc tures spirits and extracts 114 gallons of elixirs and tonics 95 gal lons of syrups 183 pounds of ointment 262 gallons of liquors lotions and mixtures 126 gallons of medicated powders 64 gallons of lini ment Wd 5200 assorted filled capsules Due to the increasing number of prescriptions dispensed to the wards as well as a greatly increased number of prescriptions for pa tients on furlough resulting from the opening of the new psychiatric outpatient clinic the pharmacy personnel is literally swamped with work While the pharmacys staff is presently being enlarged to meet the needs of the institution the number of the technical staff should also be increased to adequately meet the needs of the department Additional space is also needed since there is not room enough to house all the drugs and supplies requisitioned quarter to quarter With the greatly increased dispensing counter space for filling fur loughed and employee prescriptions is not adequate and as a result the work of the pharmacy is held up due to lack of physical facilities DENTISTRY The Dental Department continues to serve the patients of the hospital in a comprehensive manner During the past year 16701 oral examinations were performed by the dental staff and 43803 operations and treatments were rendered These examinations and treatments are rendered on a systematic and routine basis Long term patients have priority in receiving dental attention and any remaining time the dental staff has is used in providing dental care for the short term patients36 OCts Various approaches have been used in motivating the patients to think of their oral health and better oral hygiene Informative pro grams emphasizing oral hygiene dental care and cooperation with the dental staff have been presented to the patients and auxiliary psychiatric personnel Another approach which was implemented during the past year was our sponsoring a poster contest for the pa tients of the various Occupational Therapy clinics in the hospital Dental Health was the subject of these posters The contest was very successful with approximately 100 entries being submitted Toothbrushes and denture brushes were awarded to the patients of the Occupational Therapy clinics that participated Much progress has been made during the past year in treating semicooperative and uncooperative patients In most cases these patients are treated by using adequate premedication procedures A paper describing the use of these procedures entitled Dental Treat ment for the Mentally and Physically Handicapped Institutionalized Patients was presented by the Dental Director at a seminar which was conducted for public health dentists by the Branch of Dental Health of the State Heahh Department This seminar dealt with the problem of dental treatment for handicapped patients in general At the present time plans are being made to institute a formal program of inservice training for dental assistants This program will supplement onthejob training and consequently the Dental Department will be assured that this personnel will be familiar with all basic procedures and will be provided with all information neces sary for efficiency in performance of their duties t The most obvious deficiency that exists within the Dental De partment is an insufficient number of dental operating units and chairs for the dental staff to work with maximal efficiency in regards to timemotion studies It is estimated that the total amount of treat ment that each dentist renders could be increased up to 30 provided the proper number of units and chairs were assigned for him There is adequate room in the downstairs portion of the Dental Clinic for constructing two operatories each large enough for placing three dental units and chairs It is recommended that necessary funds be made available for purchasing this equipment Also our previous annual budget for supplies and replacement or additional equipment is clearly inadequate and should be increased for maximal efficiency37 As has been previously recommended four additional dentists and accompanying auxiliary personnel should be added to our staff to more adequately serve the needs of the patients and operatories should be placed within some of the units of the hospital to accommo date these additional dentists CLINICAL PSYCHOLOGY The Clinical Psychology Department has become one of the larger departments in the country and continues to be nationally accredited at the highest level by the American Psychological Association The departmental staff now numbers approximately 70 which includes psychologists consultants technicians teachers students on scholarship interns and clerical staff The department is very selective in adding staff members continually improves all programs under its direction insists on high standards in every area and is always attempting to initiate new projects which will be of value to the patients and the hospital The successful operation of the department depends upon five directors who have responsibility for different departmental areas of importance Dr Arthur E Alper Professional Training in Clinical Psychology Dr John Hannon Services for Children and Adolescents Dr John L Bernard Education Dr Horace Stewart Research and Dr Thomas W Lucik in Professional Standards TRAINING The department has a very comprehensive internship program and is affiliated with the Universities of Georgia Florida Tennessee and Alabama Customarily 15 students and interns are attached to the department for training in clinical psychology A series of lectures and workshops were sponsored by the department and were directed by nationally prominent psychologists and outstanding individuals in the State of Georgia Additional training in Community Mental Health has been arranged through a cooperative program with the Community Mental Health Center in Macon Supervising psychologists are highly qualified and provide high level training to the interns by way of special seminars held each week and many hours of individual supervision A wide variety of38 patients are available there is a good representation of other disci plines on the staff and a high degree of professional responsibility for patients Because of these assets we can provide an ideal learn ing situation for students SERVICE FOR CHILDREN The program for children and adolescents at Milledgeville State Hospital centers about the school program A total of 141 patients were screened for school and 114 were enrolled in classes in a spe cial education program Thirtysix studentpatients continued in classes from the previous year and 78 new admissions were registered during this past year A total of 53 children were either discharged to their families or transferred for vocational training to the Yarbrough Building The teaching staff now includes ten teachers for the emotionally disturbed one teacher for educationally retarded adults and one principal The Special Education Program functions as part of the local county system This administrative design has resulted in the program being accredited by the State Department of Education and enables the students to earn transferable academic credits while hospitalized Consequently when the patients are discharged they are capable of rejoining their appropriate peer group in their former school setting and thus avoid the additional hurdle of adjusting to a new group All of the children engaged in the school program were involved in psychotherapy The patients ward behavior and classroom behavior were coordinated through meetings between the teachers and the various staff members who carried out therapy These meetings facili tated treatment planning and goals and enabled the school program to become an integral part of the treatment program The continued training of the teachers in specialized methods and approaches needed in working with emotionally disturbed children was carried out at several levels All of the teachers enrolled in two courses dealing with the problems of teaching disturbed children held at the University of Georgia The University has expressed consider able interest in utilizing the Milledgeville program as a laboratory school and sending their teachertrainees here for supervision Dr39 Andrews University of Georgia made several trips to MSH and sat in on the classroom work Her suggestions for improving instructional techniques proved invaluable In addition to formalcourse work a great deal of inservice teaching was carried out This took the form of demonstrating the principles of behavior modification employing as examples individual patients well known to the teachers This approach produced a richer understanding of abnormal behavior and enhanced the teachers ability to interact with the patient During the summer months two of the teachers Mrs Courtney and Mrs Power attended the Hawthorne Cedar Knolls School for emotionally disturbed children in New York This visit was made possible by a grant from the federal government and resulted in an intensive exposure to a longestablished and respected school pro gram It appears probable that the chief benefits to accrue from the summer visit will be improved curriculum planning and greater and more varied instructional aids A number of distinguished consultants visited the school program during this past year These included Professor Morse from the Uni versity of Michigan who spent several days evaluating the program and made a substantial contribution to the teachers philosophy of education In addition he described in detail the procedures and requirements for teachers certification in various states Mr Cohen from the Hawthorne Cedar Knolls School sat in on the classroom activities for several days His principal contribution was in the area of instructional media and curriculum planning Dr Florene Young a Psychologist from the University of Georgia who has had extensive experience with children and adolescents functioned as a regular consultant to the school program The school program was evaluated with varying degrees of in tensity by several different groups from the National Institute of Mental Health and the Georgia Mental Health Association Students partici pated in a number of patientpresentations for different groups visiting the hospital These groups were chiefly college classes in either some phase of teachertraining or child psychology Many interested individuals and groups such as teachers for the emotionally disturbed from other parts of the state school psychologists and high school guidance counselors were visitors Plans for the coming year include a substantial expansion in theLV 40 project It is planned to have classes for elementary school age chil dren a nursery school for children between the ages of 3 and 6 several classes for mental retardates and a junior college program for late adolescents A comprehensive program of extracurricular activity will provide wellsupervised social functions and other enter tainment to fill all the hours between leaving school and bedtime RESEARCH The department has been active during this past year A psycho logical laboratory has been established in the Yarbrough Building and a limited amount of research equipment has been made available for use in psychological research A psychology technician has been assigned to assist in the implementation of research plans Research projects for several agencies outside of the hospital have been car ried out and assistance has been given in cooperative research pro jects with other hospital departments Every member of the staff en gaged in some research program during the year Universities and other agencies have been invited to use hospital facilities for projects pertaining to mental health personality and related areas We aided in the collection of data for 5 of these studies Three members of the department gave papers at Psychological Con ventions Ten papers were published and six were recently submitted for publication There are usually 20 to 30 research projects in prog ress by staff members The department was fortunate this past year to have Dr Sidney Jourard from the University of Florida as Research Consultant He visited every quarter leading stimulating discussions to help in the development of research projects Dr Crumbaugh Dr Heckel and Dr Adams also spoke to the staff on research programs at their insti tutions The use of outside lecturers has been of great value in stimu lating the research program The cooperation of other hospital depart ments has resulted in a facilitation of research efforts and a sharing of ideas which has done much to motivate a more active program The quality of research in progress is good and the interest stimulated has resulted in a communication of new ideas techniques and knowl edge among staff members The value of keeping abreast new tech niques to improve patient care is obvious Research activities of psychologists required less than 10 percent of their time and yet resulted in bringing valuable new ideas into the treatment program41 Solution of the many practical problems here at the hospital and better evaluation of existing programs will be emphasized during the coming year EDUCATION During the past year education in clinical psychology has con tinued to be heavily emphasized Our department played an important role in the seminar programs for approximately 4000 visitors to the hospital This represented a ten percent increase over the preceding year The seminar programs were designed to modify the public s attitude toward the hospital and the patients to interest them in mental health careers to gain support in improving the hospital treat ment program and to improve their attitudes toward mental health in general The overall response to this program when sampled at random has been uniformly enthusiastic Inservice teaching has included lectures to psychiatric resi dents nurses periodic orientation of public health nurses numerous seminars for the chaplains service orientation of OT aides and classes for psychiatric aides A rather extensive study was conducted to assess the effects of teaching the rudiments of good psychological adjustment on a female admissions wardThe results were rewarding and have been submitted to the Journal of Consulting Psychology Attempts will be made in the coming year to reach larger num bers of individuals in the hospital and throughout the State of Geor gia Attempts will also be made to use educational methods to pro vide better treatments for the patients in the hospital PROFESSIONAL STANDARDS During the year the departmental staff evaluated 2154 patients gave intensive therapy to 2192 patients assisted 5820 other pa tients in briefer therapeutic contacts and spent 1191 hours in teach ing and 2188 hours in research The staff contributed 1184 extra hours to the hospital over and above the number of hours required of them All of these figures represent a considerable increase in clini cal service over the previous fiscal year42 RECOMMENDATIONS Although the department has made good progress during the past fiscal year it is still grossly understaffed in terms of the over whelming number of patients at Milledgeville State Hospital A larger budget is needed in order to train more students so that we will have more future professional staff members The recruitment of qualified clinical psychologists is very difficult as there is a national shortage and we must depend upon a training program in order to obtain future staff members Salaries are still not sufficiently competitive to recruit and retain the highly qualified people that are essential for a topquality clinical psychology program Other problem areas include a need for more supplies and equip ment more professional responsibility a larger budget to bring in more consultants and more money for travel expenses so that staff members may take advantage of visiting other programs and attending professional workshops Also needed are higher level positions for the very valuable directors in the department more housing for new staff members and a better administrative system in order to properly coordinate psychological activities on a hospitalwide basis NURSING SERVICES During the past year Mrs Maidana K Nunn and Mrs Vivetta Kramer returned to duty after receiving Master of Science degrees from the University of Maryland and Catholic University A short term intensive course in Dynamics of Interpersonal Re lationships under the auspices of Emory University was held at Milledgeville Instructors were Shirley F Burd and Janice C Manaser of Rutgers University The annual faculty meeting was held in September with repre sentatives of the schools of nursing under contract for affiliation in psychiatric nursing Two Milledgeville State Hospital faculty members represented the hospital in a resurvey visit to Warren Candler hospi tal School of Nursing in Savannah by the National League of Nursing This points up the fact that the Milledgeville affiliation program has not been officially surveyed by a national agency since January 1957 An evaluation of the program here by a competent consultant should be done as soon as possible43 The director of nursing and the supervising instructor met with the State Board of Examiners of Nurses for Georgia to discuss future plans and needs of the affiliate program in psychiatric nursing The director also participated in a workshop in Birmingham Alabama on the topic Utilization of Research for the Improvement of Patient Care The sponsor was the Division of Mental Hygiene of Alabama and cooperating were Mental Health Authorities in Florida Georgia Mississippi South Carolina and Tennessee Other meetings attended by staff representatives included the Nurses Institute at the Macon Hospital the annual convention of the Georgia State League for Nursing in Macon the biennual convention of the American Nurses Association in Atlantic City New Jersey the annual convention of the Georgia State Nurses Association in Augusta and a meeting of the district directors of public nursing in Atlanta During the past fiscal year 322 student nurses completed the affiliation course in psychiatric nursing from the following schools of nursing Atlanta Americus Atlanta Macon Columbus Atlanta Savannah 114 17 67 24 17 58 24 Georgia Baptist Hospital Georgia Southwestern College Grady Memorial Hospital Macon Hospital Medical Center Hospital Piedmont Hospital Warren A Candler Hospital Graduate Nurse from South Carolina Baptist Hospital 1 The Hall School of Nursing Gainesville Georgia began their affiliation on June 29 making a total of eight schools of nursing sending students to Milledgeville for training in psychiatric nursing The education department continues understaffed To meet the national standard there should be one instructor per six to ten stu dents whereas our ratio for the year is approximately one instructor for twelve students Three additional instructors are needed now any expansion of the existing program would require more Qualified in structors are very difficult to secure Salaries need to be raised to44 the levels of other professional disciplines with comparable edu cational preparation in order to attract competent instructors in nurs ing There is also a need for financial assistance for graduate nurses who wish to continue their education at the baccalaureate level Ac quiring this degree is expensive discouraging and timeconsuming but once attained federal funds are available for specialization Thirtyone new books were added to the student library during the year The library facilities are inadequate A full time qualified librarian is needed An inservice education program which includes the unit nursing directors and some of the educational staff is a new project These are one day onceamonth sessions and are focused on subjects con cerned with administration etcetera A resource person or persons is available for these programs and they are proving most helpful We should like to have any available experts in the field of psychiatric nursing as guest speakers here in our hospital and we should also like to be invited to hear key speakers who visit other disciplines As part of the continuous inservice education program a two week workshop should be offered at this institution each summer This would be beneficial to staff members who are restricted to the hospital and unable to travel elsewhere Certificates were awarded to 74 white and to 35 negro psychiatric aides Also 116 employees received Civil Defense Medical SelfHelp Training certificates and 73 received Red Cross certificates The programs of remotivation and inservice education are pro gressing on the unit level with most of the units having programs functioning or in process of development These programs have not moved forward as rapidly as hoped due to a shortage of nursing person nel This is a major problem throughout Nursing Service The hospi tals accelerated programs have added many extra duties to the at tendant position and new personnel in this classification has not kept pace with the growth of the hospital disciplines So many pro grams services and appointments require the presence of the attend ants that all too often ward personnel is deleted beyond the point of45 safety for patients or personnel This fact adds emphasis to the criti cal need for additional personnel Another dire need is that of a pre service training program for attendants The professional nursing staff has been increased somewhat during the fiscal year The present staff is comprised of 98 registered nurses three of whom are on leave of absence Many more are needed especially in the area of supervision PSYCHIATRIC SOCIAL WORK Professional psychiatric social work began in July 1961 when a trained social worker was employed as director of social work By July 1963 seven trainees had completed their Master of Social Work degree and returned to MSH making a total of twelve professional staff members the director two chief social workers and nine recent graduates The number of social work aides had risen to eighteen and there were four persons on stipends attending graduate school The staff composition on June 30 1964 consisted of one Direc tor one Chief Social Worker three Senior Social Workers eight Social Workers eighteen Social Work Aides and nine secretaries In addition there are eleven students on the stipend program enteringtheir second year of graduate study The Director Chief Social Worker and one Senior Social Worker held faculty appointments at the Womans College of Georgia and were responsible for teaching the following upper division courses Introduction to Social Work Social Problems Cultural Change Intro duction to Sociology Criminology and the Family The Department in addition is approved by the Graduate School of Social Work in three Universities Florida State Atlanta University and the University of Georgia as an accredited field training center for graduate students A second type of affiliation was established with the University of Georgia to provide Visiting Teachers a ten week field experience as partial fulfillment of the Universitys sixth year Certification program The two Social Workers responsible for supervising the Visiting Teachers are considered an extension of the University Faculty 46 The Director chaired an interdisciplinary hospital committee preparing a grant for the National Institute of Mental Health to request one million dollars over the next ten years to improve care for the chronic regressed patient Another committee involving State Health Department Personnel was concerned with coordinating activities of the hospital and the Public Health Nurse and the Chronic Disease Investigator A third committee consisted mainly of members from the Department of Family and Children Services and coordinated efforts are being made in three areas 1 The development of a public as sistance unit at the hospital 2 The development of a Foster Home Care Program for Adults and 3 A coordinated program of moving eligible patients from the hospital into nursing homes and group care facilities i The Department sponsored the Chief Social Worker to Florida State University for an Advanced Graduate study program on Super vision and three staff members attended a workshop on Supervision and Staff Development held by the National Association of Social Workers The Social Work Department provided an orientation to the hospi tal for Public Health Nurses three times during the year and the Director chaired the planning committee for a Mental Health Workshop for fifty Georgia School Counselors A lecture series was provided for each new group of student nurses as well as the Psychiatric Aide InService Training pogram Additionally a four hour lecture series was offered the Residency Training Program A number of staff mem bers have contributed to community consultation programs and lec tured to various professional groups across the State The Social Work Department provided an orientation and field training experience of three months for new Chronic Disease Investi gators which includes supervised experience in interviewing as well as a course in beginning interviewing techniques The Department also has a small volunteer program involved in taking social histories and interviewing relatives at the Psychiatric OutPatient Clinic after an appropriate training course The staff development program consists primarily of one total staff meeting each month with a program of special significance to the staff In addition smaller meetings are held including groups of individuals with similar educational background andor similar job47 responsibilities in the department These groups cross Unit lines and provide for interaction and communication There is a special in service training program for the social work aides which orients them to the hospital its structure and function acquaints them with profes sional literature and prepares them for graduate social work training At present there is a staff contest for ideas related to small demon stration projects or research particularly focused on the chronic regressed patient The purpose is to stimulate interest in the area and to apply for small grants for the department The department also published a biweekly newsletter for purposes of communication and public relations The present functions of the Social Work Department may be divided into four categories 1 Diagnostic social history taking which results in a social assessment of the patient s past and present interpersonal functioning 2 Social Casework Treatment a problem solving process which is undertaken individually and in groups by graduate social workers both with patients and family members in responsible relationship to psychiatry This process may involve information providing environmental manipulation support and inter pretation or insight production 3 Release Planning which among other things involves various resocialization efforts and 4 Follow up Services which includes coordinated efforts with community health and welfare agencies RELIGIOUS SERVICES Concluding its second year of existence simultaneously with the completion of fiscal year 1964 the Department of Religious Services continues to be characterized by growth and development Personnel increased from six fulltime and two parttime staff members to sixteen fulltime and two parttime employees The ten new positions include three Clinical Chaplains two Intermediate Stenographers four Chaplain Interns and one Housekeeper The Department continues to utilize an exempt classification for short term pastoral trainees working in the institution without remuneration The additional staff has more than doubled the services performed by this department and has reduced the chaplainpatient ratio from 1 chaplain per 3000 patients to 1 chaplain per 1700 patients Efforts continue to further reduce the chaplainpatient ratio to the APA recommended minimum of 1 chaplain per 500 patients48 During the year a special survey was conducted to determine the number and location of deaf patients in the institution Upon the completion of this survey a special program was developed for a religious ministry to patients with hearing difficulties The depart ment has secured the services of a minister specially trained in this situation and as an additional service to the hospital this minister regularly conducts sign language classes for hospital personnel The past year saw the institution of the first accredited programs of clinical pastoral education ever conducted in the history of this hospital Thirteen students representing eight theological semi naries participated in the twelveweek quarter program Five semi nary graduates ranging in experience from one to thirteen years in the parish ministry were accepted in the internship program and began a year of study in residence at the hospital in September 1963 Additionally twentyfour students participated in two courses of instruction offered in cooperation with the Candler School of Theology of Emory University and the Columbia Theological Seminary Three workshops for community clergymen were conducted at the hospital during the year Each workshop was limited to twelve par ticipants and each was filled to capacity shortly after announcement of the workshop schedule The staff chaplains of this department also participated in or conducted numerous workshops and seminars ranging from one to three days throughout the state and have led similar workshops in Kentucky Tennessee Texas and Arizona The professional training programs are now accredited by two national agencies and academic credit for participation in them is granted by the member seminaries of the AATS The hospital has also become an affiliated institution of The Georgia Association for Pastoral Care and the teaching supervisors of this department com prise part of the faculty of the Association Five consultants repre senting four major theological schools and the GAPC assist this department in its efforts to insure professional excellence in its training program This department continues to provide lectures seminars clini cal and other presentations to training programs conducted by other departments of the hospital including the fields of psychiatry psy chology social work nursing and music therapy49 Assistance is rendered this department by numerous volunteer groups and several programs are conducted by volunteers under the general supervision of staff personnel The Georgia Baptist Con vention annually contributes 500000 in the form of scholarships to the various clinical pastoral training programs The highlight of the year was the completion and dedication of five chapels at the hospital These chapels are located at strategic points on the grounds and house seven sanctuaries fortyone offices and conference rooms and various activity areas The chapels in clude a total of 33000 sq ft of floor space and were constructed at a cost of approximately 900000 by The Chapels of All Faiths Foundation Inc as a gift to the hospital from the people of Georgia Multiple services are scheduled weekly in each chapel The chapels are also used for numerous group activities by patients and staff In addition to the scheduled worship services choir practices and group meetings a devotional service for staff members is conducted daily just prior to the start of the working day A brochure describing the role and function of this department was prepared and distributed at three national meetings during the course of the year Despite serious shortages of personnel and funds this department continues in its efforts to provide the following services to the hospi tal lPastoral Care of Patients Prisoners and Staff 2 Evaluation of Religious Ideation and Behavior of Patients 3 Professional and Community Education 4 Treatment and 5 Research However the continued existence of these shortages will cripple the program and threatens to cost the department its key personnel and its ability to attract new personnel MUSIC THERAPY During the past year the Music Therapy Department has had outstanding growth and development in staff physical facilities and program Five professional music therapist and two music therapy aides have been added to the staff Considerable program expansion has resulted from the increase of students in the Clinical Training Program the development of a summer student program and the employment of a consultant in instrumental music for two monthsBJBimnBBBB MOM wsssm 50 Physical facilities for Unit music therapy programs have been made available in Units I II III IV and V In general these contain offices and a large room for group activity A present Unit music therapy staff includes at least a music therapist and a music therapy aide Inasmuch as each Unit houses approximately two thousand patients it is obvious that two persons could hardly be considered sufficient to carry on an adequate music therapy program however it is an excellent beginning and continued growth in the total Music Therapy Staff is anticipated H The programs at the unit level contain such activities as indi vidual therapy in voice and piano mixed choruses various music appreciation groups various types of dance groups music theory classes and the like The programs are designed to meet the needs of the particular Unit and reflect the thinking of both the chief of music therapy services and the Unit Director The decentralization of the Music Therapy Department has enabled its program to reach nearly three times as many patients as formerly Charles L Welsh RMT joined the staff in January as Chief of Instrumental Therapy Services Under his leadership the instrumental therapy program now contains individual therapy in nearly all instru ments of the orchestra beginning and advanced string classes pre band class beginning and advanced band chamber music groups and other instrumental ensembles In late May the first of several after noon band concerts was presented for the patients in the pecan grove As far as is known Milledgeville State Hospital is the first to develop such a specific and comprehensive program in instrumental music for patients The first intern was graduated from the Clinical Training Program in November and in April the second intern was graduated Both of these interns have been retained on the Staff as registered music therapists In May the Florida University assigned four interns to the Program and applications have been received from other colleges and universities throughout the country The clinical trainees are now assigned for specific periods to the various Unit music therapy pro grams and the central music therapy building for instrumental therapy training The Clinical Training Program is of six months duration and is part of the required curricula for the degree in music therapy At present Milledgeville State Hospital is one of fifteen hospitals in the country to have a Clinical Training Program in Music Therapy51 An extensive production of the Gilbert and Sullivan opera Patience was presented in the auditorium in October as a co operative venture of the Occupational Therapy Recreation and Music Therapy Departments The performance was hailed by many as a milestone in the area of patient productions Several patients sang majorroles and the production was complete in every detail including a pit orchestra Earlier in 1963 the patient chorus had presented the Requiem by Gabriel Faure During the intervening months many patients who had participated in that presentation had been released from the hospital and were no longer members of the group while many other patients had been added to the chorus In November a Memorial Service for the late President John F Kennedy was held in the hospital auditorium at which time the Chief Chaplain requested the patient chorus repeat a performance of the Requiem After only two rehearsals the chorus presented a remarkable rendition of this work at the Memorial Service Several other programs were presented in the auditorium and in the community during the year One of the outstanding events of the year was the dedication of the Chapels of All Faiths The dedication program for the public occured on February 14 From the music standpoint an event worthy of note took place that evening when Virgil Fox Mus D inter nationally known organ recitalist played the Dedicatory Recital on the new 17rank Moller Pipe Organ in Chapel I an event long to be remembered here The Chapels with their fine Allen Electronic Organs provide an excellent opportunity for the choral groups of the music therapy programs to achieve regular performance goals in an authentic church setting On March 6 two Services of Dedication were held in Chapel I and Chapel II for the patients of the hospital In Chapel I the combined choirs of Unit I IV and V together with the patient brass choir assisted in a magnificent service of worship which will be long remembered by the patients who participated In Chapel II the com bined choirs of Unit II and III assisted in an almost identical Service of Dedication Following these services the combined choirs pre sented a performance of The Temple by Joseph W Clokey and on March 15 Cantata No 180 Beautify thyself my spirit by JS Bach as a contribution of the Music Therapy Department in cele bration and thanksgiving of the dedication of the five new chapels so generously given to the patients of Milledgeville State Hospital by the people of Georgia 52 During the past year several concerts given by outside groups and artists were presented for the patients in the Hospital Auditorium Outstanding among these were The University of Georgia Glee Club the High School Band of Sylvester The Rainer Twins pianoduetists Jeannine Romer pianist Albert Lance Travis organist and DC Rhoden organist Members of the staff attended the annual conferences of the National Association for Music Therapy the Georgia Music Educators Association and the Southeastern Regional Conference of the National Association for Music Therapy at Florida State University The South eastern Regional Conference has selected Milledgeville State Hospi tal for the site of their 1965 workshop The Director gave lectures on Music Therapy and the program at Milledgeville State Hospital to numerous groups throughout the year Chief among these were the Columbus Music Teachers Associ ation the Atlanta Womens Club and the Statewide School of Church Music of the Georgia Baptist Convention As the growth of the Music Therapy Department continues its outreach to patients is everincreasing and its effectiveness as a therapeutic medium is clearly evidenced throughout the Hospital It is believed that the Music Therapy Department at present is the largest such program in the country even though its staff is not nearly sufficient to carry on an adequate program at Milledgeville State Hospital at this time OCCUPATIONAL THERAPY DEPARTMENT PROGRESS During this fiscal year one Registered Occupational Therapist 6 Occupational Therapy Aides and 1 Intermediate Stenographer entered the department and 5 Occupational Therapy Aides left The staffing pattern at the end of the year consists of 1 Occupational Therapy Director 1 Registered Occupational Therapist 1 Super vising OT Aide 51 OT Aides 1 Intermediate Stenographer and 1 OT Aide vacancy Total 5653 PATIENT TREATMENT PROGRAM During the year a total of 2671 patients were under treatment in Occupational Therapy clinics 1988 patients were withdrawn for a variety of reasons including 1274 who were furloughed discharged or transferred to industry On the basis of the foregoing figures 48 of the patients under treatment have shown a higher degree of im provement Inhospital census was 12097 patients As 30 of these should be candidates for Occupational Therapy AOTA formula the patient caseload was 8 under goal CLINIC CHANGES The program in Walker 26 was reopened full time Clinics on Powell 4 and Freeman 5 were closed and personnel transferred for more efficient utilization Howell OT was closed due to shift in patient population Personnel and equipment from this area were transferred to Freeman building where two new clinics were set up A new clinic area was opened in the basement of the new Arnall Annex This was later moved to a day hall due to program expansion The clinic in Whittle building moved into a dining room area This represents a marked improvement in facilities and allows for increas ed patientload The Dupree OT Clinic was moved to a former kitch en area in Ingram building as all Dupree patients were moved to Ingram Allen OT was moved from Ward 7 to Ward 3 in preparation for a further move to a kitchen area Much work was done during the year to brighten the clinics and make them more comfortable and efficient Fire extinguishers were put i nto all clinics OCCUPATIONAL THERAPY FUNDS Tools and equipment were purchased from Patients Benefit Fund budget in the amount of 529094 In addition nine Occupational Therapy areas in the Yarbrough building were prepared for program by the expenditure of 1378594 from the HillBurton Fund9DEBB 54 SUPPLIES Patients Benefit Fund Sales Inventory Cost of Operation Purchases Profit SPECIAL PROGRAMS 2066426 1656727 3723153 3038704 684449 A number of new programs have been initiated Emphasis has continued to be on socializing activities The scope has been expand ed to include intensive work on a level with selected regressed pa tients in an attempt to improve them to a point where they can be included in clinic programs Ward programs have been initiated in Boone building Arnall East and Arnall West Publication of the pa tient newspaper was transferred to the Public Relations Department Thirtythree art classes were held in Powell Craft for male and female patients from all buildings 154 patients participated Two movies on art techniques from the Grumbacher Film Library were shown to 64 patients 51 parties were given in 11 clinics for a total of 902 patients 44 Bingo parties were held in 7 buildings for a total of 486 patients 210 patients from 2 clinics were taken on a total of 6 bus rides Patients from 11 clinics were taken on 58 walks around the campus 871 patients were included Shopping trips to Hardwick and to town were a feature of 7 clinics with 450 patients being in cluded in 51 trips Some of these trips included luncheon at one of the the downtown restaurants The hospital Apparel Shop was utilized by 193 patients from 3 clinics Patients were completely outfitted in keeping with our emphasis on personal appearance to help prepare the the patient for return to the community As the beauty school in the Yarbrough building went into oper ation near the end of the fiscal year only a few patients from Occu pational Therapy clinics have had an opportunity to utilize it One clinic took 6 patients for permanents and settings This facility will be utilized greatly in the future55 A total of 246 patients were escorted to the Fairs in Milledge ville Macon and Atlanta 14 patients made dresses and presented a Fashion Show at the Southeastern Fair They were later asked to repeat this show for a patient government meeting in the Allen build ing 65 patients participated in a poster contest sponsored by the Dental Department Winning posters and those receiving honorable mention were shown on TV Seasonal parties and celebrations were given in all Occupational Therapy clinics Of special note were the Halloween customes made by the patients in Holly OT and the Thanksgiving supper in which 46 patients from Boone OT participated Patients in 6 Occupational Therapy clinics participated in making customes and props for the October operetta At Easter patients in all OT clinics dyed eggs and used them for egg hunts or as a basis for Easter parties More patient satisfaction was expressed over this activity than over any other single activity during the year Four patients from Dupree were referred for a special program to release hostility and to encourage social living New clothing was made for these patients and a program of physical activity to release hostility was worked out To date this program is satisfactory in that the patients participating are better able to control their implusive behavior Nineteen patients participated in a special course in ceram ics in Green OT Various methods of hand modeling were taught COOPERATION WITH ALLIED ACTIVITIES Patients from all Occupational Therapy Clinics are now escorted to and from recreation activities two afternoons per week thereby releasing three afternoons for other programs OT personnel also co operate with the Recreation Therapy Department in all special activi ties including picnics ball games variety shows etc Since the opening of the 5 chapels Sunday work for Occupational Therapy personnel has been discontinued Prior to this personnel from 6 OT clinics escorted patients to religious services on Sun days Patients from two clinics attend the Garden Club as a group on a weekly basis Music Therapy activities in which Occupational Therapy patients participated included dances in the Colored Unit the operetta and a piano concert In addition patients from 2 clinics sing in the choirDflanBammntmni EHS9UHM 56 and patients from 3 clinics participate in other Music Therapy activi ties EDUCATIONAL OPPORTUNTIES FOR OCCUPATIONAL THERAPY PERSONNEL lly Eleven departmental staff meetings were held during the year 48 Occupational Therapy personnel attended the 12 hour Civil Defense Training Course and 10 attended a fire safety demonstration in Unit 1 Seven personnel observed Remotivation sessions and one a demon stration in electric shock therapy In addition 3 observed a religious service for the deaf in preparation for an Inservice course in sign language On March 9 a program of Continuing Inservice Education was inaugurated All department personnel participate in 2 hours of theory and 4 hours of craft classes during each 2 week period in addition to special resources Twentyeight personnel attended an 8hour ceramic workshop sponsored by AMACO as well as a 4hour copper enamel demonstration Eight psychiatric movies were made available and 102 attendances were recorded Fourteen personnel monitored three hours of student nurse lectures and six attended one psychiatric lecture in the Education Department All department personnel at tended orientation sessions held by Volunteer Services and by the personnel Office Six personnel participated in a workshop on paper mache Eight were shown a movie on basketry as part of their craft training The Director attended a twoday seminar on Psychiatric Occupational Therapy in Atlanta In addition to Inservice 6 personnel have been regularly attending sewing courses offered in the community and 4 attended a demonstration on Christmas decorations sponsored by the Milledgeville Garden Club Four personnel made a field trip to the Quota Club Bazaar to get ideas for new projects to use in program ORIENTATION AND INSERVICE IN OCCUPATIONAL THERAPY Student nurse workshops were conducted throughout the year 327 student nurses participated Each attended 3 hours of lecture and spent 17 hours in practical experience and observation in OT clinics Eleven other groups totaling 769 persons received orientation to Occupational Therapy These included Attendants Psychiatric Aides Psychiatric Residents Social Service workers Music Therapy interns57 and students Chaplains and students and Remotivation Trainees plus High School Counselors Chronic Disease Investigators Public Health Nurses and volunteers from Garden Clubs of Georgia Orientation and tours were conducted for a number of depart ment visitors including the Executive Director of Mental Health from Augusta Dr Steele of Eastern State Hospital Jackson Louisana Dr Kilabardo of Jugoslavia the Occupational Therapy Director of the Augusta Convalescent Home and 2 Occupational Therapy instructors from Columbia South Carolina COMMUNITY ACTIVITIES Occupational Therapy personnel acted as guides for 12 groups of Emory University students 107 students participating Occupational Therapy personnel continue to escort patients to Alcoholic Anony mous meetings weekly and to assist in Veterans parties on a monthly basis Six personnel acted as guides on M Day and three for the meeting of the Medical Society Exhibits were held at the South eastern Fair and a program presented on State Hospital Day The hospital was also represented at the Macon Fair Our department was requested to furnish an exhibit item to represent the state of Georgia at the meeting in Washington DC of the Presidents Committee on Employment of the Handicapped Occupational Therapy personnel served at the annual cake party in Boland building sponsored by the community of Lyons Georgia Personnel have been involved in numerous activities and organi zations in addition to the above These include Little League base ball and basketball teams Teen Club dances and Baldwin County High Booster Club Membership is held in Eastern Star VFW Auxili ary Boy Scout Master Community Choral groups churches and Sun day Schools One department member serves as publicity chairman for TriCounty Shrine and is Commander of the Legion of Honor of the Al Sihah Shrine temple Many patients as part of their treatment made or repaired items for the public These included monogramming blouses for GMC cheer leaders sewing stripes on football uniforms for the Midget League making a game and sample book bag and painting 9 chairs for Midway School Six chairs were caned for Hardwick Method ist Church and an alter cloth made for the Masonic Lodge 100 items were upholstered 131 quilts finished 11 pictures framed and 2 chairs recaned for the public 58 PROFESSIONAL ACTIVITIES Nine Occupational Therapy personnel are members of the Georgia Occupational Therapy Association with the department director holding office as vicepresident Three personnel serve on the Committee on Accreditation of Occupational Therapy Assistants Our hospital was host at the annual meeting of the Association on May 1964 The Director continues to serve as consultant to the Atlanta Occu pational Therapy Clinic During the year she also accepted an ap pointment as consultant for the Professional Examination Service and had an article on Industrial Therapy published in the Psychiatric Quarterly She is also a member of the hospital Committee on Special Projects the ADHOC Committee and the Christmas Committee Two employees are members of the American Occupational Therapy Association 3 are licensed Practical Nurses and 1 is a member of the American Public Health Association Fortythree administrative staff meetings were each attended by 1 or more personnel throughout the year ITEMS MADE AND ISSUED TO THE HOSPITAL A total of 1082 items were made and 649 items repaired for the hospital during the year Articles made include ash trays picture frames props and costumes parking signs clothing door signs furniture drapes and miscellaneous items Repairs include upholstery work furniture repair refinishing painting and mending RECREATION THERAPY Two new employees Mrs Betty Welch Recreation Therapist and Comer Gheesling Recreation Aide were added to the department during the year The department instituted a clinical training program in Hospital Recreation last year and accepted its first intern from Georgia Southern College at Statesboro who completed a ten week training period The program is available for students in Hospital Recreation and Recreation Therapy programs and requires a clinical training period in an approved hospital setting as part of the degree requirements59 The volunteer progam has enlarged during the year There are now thirty volunteers providing recreation services for small groups of patients on chronic wards One volunteer from Milledgeville gave bridge instruction lessons for ten weeks to members of the Bridge Club An outoftown group comes twice a month to the Green Building pro viding social activities and refreshments for the patients A new program for blind patients has been started in the Holly Building Patients are brought to the recreation room three days a week and talking books are played The sessions last about fortyfive min utes Other new programs commenced this year include a night recre ation program for patients at the Yarbrough Vocational Rehabilitation Center and an expanded physical education program for the school children The department has assisted in cooperative projects with the Volunteer Services the Employees Association the Remotivation program and the Public Relations Department In the case of the latter a number of lectures were given to visiting high school and college groups All recreation programs have been expanded and improved during the year These include cookouts picnics movies intramural Softball ward recreation programs various types of activation groups and bridge clubs It is estimated that there were 1125984 participants in department activities during the year The department vitally needs additional qualified recreation therapists in order to effectively meet the needs of this huge institution VOCATIONAL REHABILITATION The Rehabilitation Program is a joint effort of the Hospital and the Georgia Division of Vocational Rehabilitation The opening of the wellequipped YH Yarbrough Rehabilitation Center late in 1963 augmented the existing Rehabilitation Program by facilitating comprehensive services in all four areas of rehabilitative care Medical Social Psychological and Vocational The building will house approximately 360 patients and is adequately equipped with office space for professional personnel conference rooms social and recreational areas and vocational rehabilitation areas The vocational section occupying in excess of 20000 square feet of floor space is equipped for vocational counseling testing work sample technique evaluation work remotivation work conditioning and vocational training in a wide variety of occupationsDBOOf 60 Generally the patients served in this Program have complicated vocational problems requiring intensive and extensive evaluation and preparation for work This procedure is facilitated through utilization of the work sample technique of vocational evaluation work remoti vation work adjustment services and vocational training The Georgia Division of Vocational Rehabilitation has recently received a grant of Federal funds for the development of two reha bilitation residences in the Atlanta area Such facilities are needed services for many patients ready for release from the State Hospital to the metropolitan area of Atlanta as well as to six or eight other urban areas in the state Since both the Division of Mental Health of the State Department of Health and the Division of Vocational Reha bilitation have common interests and responsibilities for individuals to be served by these facilities these two agencies have entered into a memorandum of agreement for program coordination in develop ment of this phase of the program at the community level A professionally trained specialist has been employed to imple ment this program He is currently working with local resource groups toward this implementation Staff training and development has been intensified during the year The Vocational Training Staff has received special refresher courses For some time the Program has utilized a sixmonth Voca tional Rehabilitation Administrationsponsored rehabilitation intern ship training program in the Department of Psychiatry Medical School Harvard University Three of the departments counselors have completed this program and a fourth is currently at Harvard To assure better followup services for released patients state and district psychiatric rehabilitation training programs have been in tensified for general counselors The Vocational Rehabilitation Department had only four Reha bilitation Counselors for most of the 196364 fiscal year and services were thereby restricted to 605 patients These services included 1 vocational evaluation 2 occupational and personal adjustment counseling 3 work adjustment and conditioning 4 vocational training 5 job placement 6 followup These patients were refer red to the home counselors at the time of their furlough to assure continuity of services and immediate reintegration into community life61 The Vocational Rehabilitation Program was officially initiated on July 1 1961 Three pilot studies designed to evaluate the relative effectiveness of VR services given to patients in the hospital as opposed to a similar group that did not receive such services have now been completed The results are as follows Experimental Controls Working or in training Present job better than job held prior to hospitalization Mental condition better than prior to hospitalization Readmitted or still in hospital 78 41 79 29 35 16 39 41 These results cover a sizeable number of patients who have been out of the hospital from six months to two and onehalf years At this point the research study strongly indicates the great value of giving VR services to patients in a state hospital setting PERSONNEL SERVICES There was an exceptionally large increase in employment at the Milledgeville State Hospital during the fiscal year ending June 30 1964 The number of active regular employees on June 30 1963 was 2688 and on June 30 1964 was 2941 an increase of 253 This expansion was due in part to the opening of the Yarbrough Rehabili tation Center and the partial staffing of the Central Kitchen However the necessity of replacing prisoners transferred from the hospital the decline in the use of patient labor in some areas and the increase in hired housekeeping and food service personnel were major contri buting factors The number of physicians increased by sixteen and the number of activity therapists was doubled but the advance in other profes sions was small For example the number of registered nurses in creased by only six and this remains a very difficult area for recruit ment The increase in Attendant personnel was slight compared to 62 n the size of this category More than half the total increase in person nel was due to expansion in the laboring classes Activity in the Personnel Office was the highest ever due to the rapid increase in employees over the past years The following is a tabulation of personnel actions during the year Appointments 847 Transfers Promotions Demotions Separations 221 128 27 551 including 448 Resignations 51 Dismissals 36 Retirements 1 Transfer to other agency 15 Deaths Rate of turnover 187 A figure obtained by substracting separations from appointments will not balance with the increase in total employment since the lat ter is based on regular employees in pay status and does not include those on leave of absence without pay on June 30 1964 A tabulation of personnel of the hospital by type is shown in the statistical section of this report VOLUNTEER SERVICES The Volunteer Services Department is under the direction of Miss Jane M Haddock The remainder of the staff consists of one assistant storekeeper and secretary For the first three years of operation the Assistant Superintendent shared a section of his office area with Volunteer Services On Feb ruary 20 1964 this office was moved into the newly decorated and spacious area consisting of three offices a storeroom and rest room facilities The space is adequate and the location is ideal for vehi cles to load and unload supplies This department has now been in operation for 3 years and it is a pleasure to report its continued expansion and progress The past years progress report in each area is given under the appropriate heading63 GARDEN THERAPY One new garden club has been organized during the year bringing the total to thirteen clubs This is a mens club in the Freeman Build ing under the leadership of three retired registered nurses two of whom worked in this institution and one from another state psy chiatric hospital Program expansion was possible because of the increased fi nancial assistance from the garden clubs throughout the state of Georgia In October 1963 the garden therapy volunteers entertained the State Directors of the Garden Club of Georgia Inc for a three day meeting with the majority of the events taking place at the Mil ledgeville State Hospital These people had an opportunity to see the total program in operation and the importance of the program to the patients The therapy program is now a major project of the state garden clubs and all are encouraged to include the state hospital therapy programs in their annual budgets In addition to contributions from the individual clubs money has been received from special projects such as benefit dances and flower shows It is interesting to note that in 1960 the first year of operation 282 clubs contributed 334961 and in 1963 600 clubs made contributions totaling 897452 The request for garden therapy information programs over the state has become so numerous that it has been necessary to instruct volunteers in strategic areas over the state and the District therapy chairmen so that they can present programs Sufficient slide sets and other informative materials have been prepared for their use In addi tion to this public relations aspect interested garden club groups have continued to tour the hospital and during this year twelve clubs had an opportunity to see the program in action Numerous groups have continued to provide the patient garden club members with gifts for special occasions Of special note is 500 corsages made from kleenex by one club for the ladies to have for Easter Permanent flowers and containers with a value of 2500 were given by one Atlanta florist Arrangements have been made by the volunteers and placed throughout the hospitalBOB 64 When the state garden club officers and directors met at the hospi tal in October 1963 they were so impressed with the work done by the mens garden club in the Boland Building in the development of their patiothey took up a collection for the purchase of a fountain which has been installed by the hospital personnel RECREATION College students church organizations and county Mental Health Associations have been major resources for volunteer assistance in recreational activities Bridge clubs activation groups birthday parties picnics ward and auditorium programs were most common Special mention should be made of the project sponsored by the AthensClark County Mental Health Association in which a bus load of relatives were brought to visit with the patients This was quite rewarding to the individual patients and a project worthy of recom mendation to other counties MUSIC THERAPY Interest in muscial activities has remained high Programs con ducted on the wards have been most appealing to the patients and participation can be classed as excellent The Folk Dance Group ranks quite well among the programs offered patient groups OCCUPATIONAL THERAPY Patients interested in art have been instructed by two volunteer artists One is from Milledgeville and the other makes a weekly trip from Atlanta via bus on a pass supplied by the bus company The materials needed have been generously supplied by the Patients Benefit Fund One of the original artist volunteers from Atlanta was killed in 1962 in the Paris France plane crash along with other cultural lead ers of Atlanta Georgia In his memory members of the Artists Associ ates of Atlanta gave pictures to the hospital to be placed in the Yar brough Rehabilitation center Many of the pictures came already framed but those that did not frames were made by the Occupational Therapy Department according to instructions given by one of the volunteer artist65 The American Gallery of Contemporary Art which is another Atlanta Art Gallery has given pictures for use in the West Arnall Building another one of the recently constructed patient buildings SOCIAL SERVICES Three volunteers have been active in this service In addition to taking routine case histories they have been engaged in interviewing families returning with patients to the Psychiatric OutPatient Clinic ALCOHOLICS ANONYMOUS The weekly hospitalwide AA meetings sponsored by the Middle Georgia Intergroup have continued to operate in a most satisfactory manner Occupational Therapy personnel have ably provided escort service for this group of patients In August 1963 three additional units were organized within the hospital The Binion Building Group is sponsored by the Macon Group the Georgia Veterans Home by the Greater Atlanta Intergroup and the Freeman Building is sponsored by the Milledgeville Group There was good statewide representation for the Fourth Anniversary Music Therapy Recreation and Occupational Therapy contributed much to the success of this event JUNIOR VOLUNTEERS In the summer of 1964 members of the Allied Medical Careers Club of the Baldwin County High School were recruited and oriented for service in the Jones Building which is the Physical Treatment Center and the Laboratory The ward personnel has accepted them well and in turn the students have proved an asset in helping with some of the routine duties and providing some of the extras that the personnel cannot do because of their heavy schedule DAY ROOMS The United Church Women have steadily worked toward their goal of furnishing all the day rooms in the hospital To date 58 day rooms including the Psychiatric OutPatient waiting roomhave been furnished by this organization Their gifts now total near 100000 66 APPAREL SHOP This has been one of the most outstanding services that has been available to the indigent patients The value of this project increased tremendously when the chapels opened because these people definitely wanted to be suitably attired to attend the serviceslndi viduals and organizations throughout Georgia have generously shared with the MSH patients During the past year 250 letters of acknow ledgement have been sent to donors A total of 2705 patients have been served The Apparel Shop has also been an asset to those patients leav ing the hospital under the auspices of the Vocational Rehabilitation Program The children attending school have also been appropriately attired when personal clothing was not otherwise available FORGOTTEN PATIENT PROGRAM This project has considerable appeal to many organizations and as a result a number of our patients who do not have friends or rela tives have been remembered throughout the year The value of this project cannot be overemphasized and is one that should continue to expand rapidly CHRISTMAS Many departments throughout the hospital have continued to co operate in making available a varied Christmas program for the pa tients MDay sponsored by the Municipal Association Mental Health Associations church organizations womens organizations civic clubs and individuals have generously provided gifts for the 12 000 patients Additional decorations were available for ward use as a result of the van load of decorative materials given by Richs Atlanta Georgia Christmas cards provided through Miss Laura Watson known far and wide as The Christams Card Lady gave patients an opportunity to have cards to mail to friends and relatives The Girl Scouts from the Milledgeville area assisted in this project by putting stamps on these thousand of cards so they could be mailed67 DONATIONS Large quantities of usual gifts of cosmetics toilet articles and material scraps for Occupational Therapy were received throughout the year and proved most beneficial in supplementingpatients needs Among the major donations was a gift of 1200 from the Metho dists of Georgia through a local committee to purchase alter covers and appointments for four chapels Major donated nonexpendable items include washing machines and dryers swing set for negro children televisions electric clocks electric razors plastic waste paper baskets hydraulic lifts sewing machines treadle and electric irons and ironing boards In addition to the items received cash donations amounting to 212900 have been sent for the purchase of school materials eye implants patio furniture electric fans chair tables chair modes remotivation materials and Bibliotherapy Of particular interest is the Eye Implant Project that has been undertaken by the Pilot Club of Atlanta for the Ophthalmology Depart ment This is to be a continuing project and when it is necessary to purchase an implant funds are sent to replace the amount spent It is indeed a pleasure working with the personnel of this insti tution who have been so cooperative in requesting and utilizing volun teer assistance so effectively They have also kept Volunteer Serv ices keenly aware of their needs which has been most beneficial ii providing projects for organizations desiring to be of service to the hospital and patientsHfiBHBBBBBBH mH 68 PUBLIC RELATIONS Continued expansion occurred in all programs in the areas of public information including high school and college informational and recruitment seminar programs as well as similar programs con ducted with other visiting groups such as civic clubs garden clubs Jaycettes and various types of community organizations the pro duction of brochures for various professional departments for use in recruiting personnel the production of printed material for use by educational institutions cooperating in stipend programs The routine preparation of news releases going into more than 400 outlets in the state and nation and the constantly increasing requests from maga zines and professional publications for articles and papers relating to the hospitals progressive and emergent treatment programs is becoming such a burden that it cannot adequately be handled with the staff Photographic coverage in an institution of this size is becom ing more and more of a chore All of this is being done by the present director of public relations Since there is not presently available technical assistance dark room work must be done at night after regular working hours Last year for the first time a five day inservice training pro gram was conducted for high school guidance counselors These were selected by the State Department of Education and the program was developed cooperatively by the hospital the Georgia Association for Mental Health and the Mental Health Division of the Department of Public Health of which the hospital is an operating unit This program was conducted in 1964 and we hope eventually that all guidance counselors will be required to participate as part of their inservice training program Also a program was developed for county school superintendents to acquaint them with the type of teaching experience that high school students were receiving when they visited the hospital The super indendents were so enthusiastic after participating that a number of them returned with their entire teaching staffs so that they also could be exposed to the mental health seminar The result of the education al program with school superintendents and guidance counselors has resulted in the high school and college seminar program becoming almost a year round activity with many of the colleges and high schools who operate during the summer months scheduling their classes69 The Public Relations office still maintains the original contact with these educational institutions however since the director is only one person and has many other duties to fulfill including an ever growing number of speaking engagements around the state PTA and county mental health workshops contacts with ordinaries judges of juvenile courts who are responsible for commitments of patients to the institution and certain contacts with patients and families of pa tients relative to types of treatment available commitment pro cedures and various other matters referred from the superintendent and assistant superintendent it can readily be seen that without additional staff in the Public Relations department much of the teaching load of the seminar programs must be borne by the Depart ment of Psychology which has the available staff to do an exception al job in this area The cooperation that this department has received from Dr Robert W Wildman Head of the Department of Clinical Psychology has been outstanding and the work that his technicians performed in acting as guides as well as the patient interviews conducted by the clinical psychologists have been largely responsible for the growth of this program to the extent that requests for participation are now being received from surrounding states One of the weaknesses in the program for high school and col lege students is the inability to follow up young people who express a particular interest in the hospital and the possibility of becoming a member of one of the stipend programs Our experience over the past four years has been that where the young people can be con tacted from time to time and furnished a flow of informational material recruitment results have been most rewarding An example of this is eight Athens high school students who changed their undergraduate college majors as a result of the hospital program and are now in Clinical Psychology and Social Work programs at the University of Georgia It is our feeling that if further emphasis could be laid on this particular part of the program not only the hospital but the state mental health program would benefit materially in the acquisition of future professionals in the mental health field70 Plans are being instituted for the development of summer work camp programs and other means whereby young people at the senior high school and junior college level can be brought into the insti tution for summer training programs during the school year During the past year the patients paper known as The Builder has been transferred to the Public Relations Department and now operates with an editorial staff of nine patients who have the sole responsibility for publishing and editing this paper The addition of a senior artist to the staff during the past year has made possible the production of various types of commercial art for the departments of the institution as well as furnishing the neces sary layouts and art work for the various professional brochures which are printed in the institution RESEARCH Research at Milledgeville State Hospital may be roughly divided into two basic areas clinical research which is done on the wards by professional members of the various disciplines and medical genetics and neurochemistry which functions in a separate depart ment under the Division of Physical Health MEDICAL GENETICS A recent reorganization in the department includes a research program in Electron Microscopy enzyme electrophoresis autoradio graphy and histochemistry to be supervised by Marco Batali In structor at the Medical College of Georgia The staff of the department at present includes the director a medical and histological technologist and a secretary The basic team for studying medical genetics should include a medical geneti cist a physician a biochemist a chromosome culturist a medical technologist a medical photographer and a secretary Looking at this minimum staffing requirement for a competent Medical Genetics pro gram it can be readily seen that the department is considerably understaffed If the department is to serve the mental health program adequately it should be brought up to standard71 During the past year the Medical Genetics survey of patients has continued with studies of anthropomentry finger prints blood groups hemoglobins and chromosome studies Particluar emphasis is being placed on studies of Huntingtons Chorea Mongolism and the hemo globin anemias Continued studies in albinism are providing an increasing fund of information in relation to behavior both in the State Schools for the Blind in Macon and the Cuna Indians of San Bias Panama which studies have included patients from the three major races of mankind Studies of the red fox as a promising test animal for tranquilizers have been so encouraging that application has been made to the National Institute of Health for financial support for this program It is expected that the department will be housed in its new quarters in the Yarbrough Building during the coming year which will result in expansion of programs dealing with hereditary syndromes affecting the mind in old age Brain tumors and degenerative syn dromes would be given special attention in these studies An in creased budget will be necessary for the maximum effectiveness of the program During the year the department presented five lectures at the Womans College of Georgia two discourses to residents in psychi atry and two lectures to student nurses In October of 1963 a re search paper was read before the American Academy on Mental Retar dation at the Willowbrook State School Staten Island New York and in March 1964 two papers were presented at the Second Annual Con ference on Mental Retardation Research papers published or in press during the year included the following Factors Influencing Spectrofluorometry of Phenothiazine Drugs with Dr Theodore J Mellinger Anal Chem 36 18401847 1964 Albinism Visual Defects of the Caribe Cuna MoonChild with Dr George R Courtney Am J Optometry 41 183292 196472 Albinism and Diet Choice in the Ring Neck Dove J Hered 55289291 1964 Cuna Devil Repellent is Insect Repellent Bull Ga Acad Sci 22 1519 1964 Note on the Culture of Black Piedra for Cosmetic Reasons with Dr Mover Arch Derm 89 436 The Incidence of Cuna MoonChild Albinos J Hered 55 115120 1964 The Incidence of Cuna MoonChild Albinos through three gener ations ProcXI Intl Cong Genet The Hauge 1963 Pigment Gene Pleiotropy in the Cuna Indian MoonChild Mind over Matter 19 3041 1964 A Comparison of the Intelligence and Personality of MoonChild Albino and Control Cuna Indians with Dr Horace F Stewart J Genet Psychol In Press Psychosomatics of Fear in Foxes with Dr Jenaro Asteinza and Edward Fromm Bull Ga Acad Sci 22 In Press Coat Color Gene Synthesis of Tame Behavior in the Rat Mink and Fox Mind over Matter 9 1630 1964 The MSH Research Bulletin published by the Department of Medical Genetics this year included 25 research papers by staff members as compared with three in last years bulletin NEUROPSYCHOPHARMACOLOGY Fluoresence analysis for the recognition of the widely used phenothiazine tranquilizers originally developed in this laboratory was much improved by studying the various factors influencing spectrofluorometry of these drugs This was reported in detail in73 Analytical Chemistry 35 1840 1964 A study to indentify the drug chlorprothixene in urine of patients was carried out by three different methods of fluorometry and reported in the American Journal of Psychiatry 120 1111 1964 A Comparative study of the urinalysis of phenothiazine tranquilizers is reported in the Journal of Neuro Psychiatry The first successful and reliable procedure to recognize and analyse a phenothiazine tranquilizer in human blood was developed in this laboratory Some of the findings are reported in TJ Mellinger Serum Concentrations of Thioridazine after different oral medication forms American Journal of Psychiatry CLINICAL PSYCHOLOGY The Psychology Department places a major emphasis on research The present staff is engaged in ongoing research which covers a wide range of human behavior In order to furnish stimulation and guidance to this program the department has secured the services of a number of outstanding consultants who are listed elsewhere in this report A new psychology laboratory has been located in the Yarbrough Re habilitation Center and basic research equipment is now available to the staff Research publications in Clinical Psychology during the year included the following Webb Robert Bernard John L and NeSmith Clem schedules of reinforcement suggestibility and spontaneous recovery as para meters of verbal conditioning Psychol Rep 1963 12 479482 This is a study of the relation of levels of personal suggesti bility and various aspects of verbal conditioning Edwards Harold E Etiological factors in the developments of adult male homosexuality Dissert Abstr 1963 This was a study comparing the early experiences of 20 homo sexual and 20 normal males Some distinguishing experiences were found Hannon John E The stability of schizophrenic speech in a stan dardized interview J clin Psychol 1963 279282HQBBai BB0BDBC6aHOnR 74 r The interview behavior of chronic hospitalized schizophrenia was found to be stable over one weeks time on most variables measured Hannon John E A note on generalization by schizophrenics Psychol Rep 1963 This study used the regressed subject who failed to generalize verbal behavior in the previous study When the generalization threshold was crowded six of the seven failures showed generalization Huff FW Reliability of clinical psychological judgement as a function of information presentation and response classification Dissertation Abstr 1964 This study dealt with agreement between clinicians when different clinical decisions were asked of them It was possi ble to tell what information provided for highest agreement on particular decisions and to tell how adding new information affected judgements Huff FW Learning and psychopathology Psychol Bull 1964 61 459468 This was a review of studies dealing with the learning proc esses in human subjects with behavior pathology Sipprelle CN Long TE and Lucik TW Qualitative changes in verbal response as a function of stimulus deprivation J Clin Psychol 1963 19 287289 This study experimented with the effects of stimulus depri vation on the verbal behavior produced Stimulus deprivation resulted in fewer environmentdirect responses and more self directed responses Stewart HF A critical point in the rehabilitation of the pa tient with mental illness J Rehabilit 1964 30 1975 This paper deals with the observation that many patients panic on the verge of the first real step toward vocational rehabilitation It is suggested that this is a time for the coun selor to be especially supportive Stewart HF A study of the relationship between certain person ality measures and hallucinoidal visual imagery Dissert Abst 1963 This is a dessertation which seeks the relationship between personality measures and visual imagery as elicited in senso ry deprivation No strong relationships were found BIOSTATISTICS The biostatistical analyst is completing work at the University of Oklahoma for his doctorate The Central Medical Records Depart ment is now operating on the first floor of the Powell Building which is a much more convenient location for the hospital staff who use the medical records Continued improvement in the record keeping system received commendation from visiting NIMH experts The utilization of timesaving systems and equipment as well as the streamlining of work procedures in the medical records depart ment has resulted in increased efficiency in the handling of the tre mendous work load neccessitated by the increased number of pa tients being admitted to the institution An increase in the profession al staff has resulted in an augmented use of the medical records which in itself has laid an added burden on the staff During the year approximately 5500 release summaries on dis charged and furloughed patients were prepared and mailed to the appropriate local health departments for use in followup services to furloughed patients The utilization of the IBM reporting system instituted last year has been increasingly useful in providing uptodate information to the various counties now engaged in state planning for a compre hensive mental health program tJv 76 EDUCATION The Department of Education is under the direction of the Assist ant 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 program psychiatric aides training class and other similar in service training and secondly seminars for college and high school students and adult groups of various kinds including ministers peace officers civic groups mental health directors and school guidance counselors Responsibility for seminar programs for outside groups is shared jointly by the departments of Psychology and Public Relations This program is reported on fully in the Public Relations Department section of this report Residency programs in psychiatry affiliated with Emory University Department of Psychiatry and the Department of Psychiatry at the Medical College of Georgia continue to be effective in furnishing a corps of trained physicians for the institution The nursing affiliate program continues and is reported in detail under the Department of Nursing Services The inservice training program for foreign medical staff members studying for the ECFMG examination continues and a number of medical men passed this examination since the last annual report This is now a necessary part of the requirements for institutional medical practice in Georgia Orientation programs for public health nurses visiting school teachers and other groups relating to the aftercare program are con tinuing under the supervision of the director of social work Resi dency programs in Clinical Psychology in cooperation with the Uni versities of Georgia Tennessee Alabama and Florida as well as an ophthalmology residency in cooperation with the US Air Force Base in Lackland Texas are continuing to provide the hospital with pro fessional personnel in these areas Residency and training programs in social work music therapy occupational therapy and recreation are detailed under the various departmental reports77 PATIENTS LIBRARY Approximately 1000 volumes have been added to the Patients Library during the year The inventory now stands at 22651 books Donations were received from Mary Vinson Library various garden clubs My Family Inc and a number of private individuals Decentralization of the library services into the units is continu ing The latest of these branch libraries is in Unit 2 BUSINESS ADMINISTRATION The budgetforthe 1964fiscal year was 1600000000 an increase of 164400000 over our previous budget In addition to the budget appropriation we had an income of approximately 130000000 which was included in our overall operation The average per diem cost rose from 368 to 4027 During the year the central kitchen equipment was installed and we began preparing meals forthe employees who had formerly taken their meals in the Lawrence Building cafeteria and the Nurses Home dining room and we began serving approximately onethird of the patients This enabled us to close several of our worst kitchens and the space is now converted into other uses We anticipate that we will complete the movement into the central kitchen by January 1 1965 In June of this year we discontinued the use of white male prison ers These prisoners were transferred to other work camps and the white and colored female prisoners were moved into the prison building Eightyfour Institutional Worker positions were approved for use in the central kitchen and the laundries to replace the white male prisoners which had been used or were to be used in those areas We have completed the transition of the State Hospital farms from row crops to grass and timber farms During this year we have grown no vegetables and have only planted small grains for silage Due to favor able weather conditions our corn silage was sufficient to allow us to harvest some fresh corn for use at the institution prior to chopping the remainder of the stalk for silage In the statistical section of the annual report those figures showing vegetable production during this BHnMMBBBEBnn6BBB 78 fiscal year reflect the harvesting and processing of vegetables which had been planted prior to the end of the previous fiscal year The central shops have been completed and we have transferred the garage woodworking shop sanitation department and civil engi neering department to this area As soon as possible we will renovate the old garage and woodworking shop building and it will be used as an annex to the Yarbrough Rehabilitation Center for training patients in the use of heavy woodworking equipment Additional work was done on the renovation of the Jones Build ing however additional funds are needed to complete the renovation Plans have been drawn to convert one ward to an ObGyn Clinic and this work will be done by contract as soon as funds are available We have completed the renovation of the Howell Building and made this building a part of Unit 3 The colored male patients from the Ingram Building have been transferred to the Howell Building and the colored female patients from the Dupree Building have been transferred to the Ingram Building This leaves the Dupree Building vacant and a request has been made to the Director of the State Department of Public Health for permission to demolish this building A contract has been let for the construction of the Rehabilitation Center for Children and work is progressing on this structure At the present time the contractor feels that he will have this building com pleted not later than December 1 1964 The various units of the Business Department continued to serv ice the remainder of the institution We feel that each year as ad ditional personnel and equipment are made available the services will be improved and we are constantly working toward this end Your at tention is invited to the financial statement which is made a part of this report79 STATISTICAL and FINANCIAL INFORMATION80 PERSONNEL BY KPE AS OF JUNE 30 1963 AND JUNE 30 1964 Total 1262 2688 196A 2941 1 Physicians 74 90 2 Dentists 7 8 3 Nurses 83 89 4 Therapists 5 10 5 Engineers 5 5 6 Sanitarians 1 1 7 Physical Scientists 4 5 8 Nutritionists 2 2 9 Educational and Information Specialists 2 3 10 Psychologists 8 11 11 Social Vorlcers 12 12 12 Other Professions 7 12 13 SemiProfessional and Technical 1681 1737 14 Managerial 27 27 15 Clerical 160 177 16 Agricultural 52 50 17 Trades Crafts and Mechanical 208 232 18 Service 274 262 19 Manual Labor 69 204 20 Not Elsewhere Classified 7 4 81 ADMISSION RATES PER 100000 ESTIMATED CIVIL POPULATION BY COUNTY OF ADMISSION LEGEND 0 100 1001 150 1501 200 2001 and over 82 HUKBER OF PATIENTS 6000 llOOO 3000 2000 1500 1000 800 600 AVERAGE DAILY RESIDENT POPULATION ADMISSIONS NET RELEASES AND DEATHS 195111961 RESIDENT POPULATION 195l 1955 1956 1957 1956 1959 I960 1961 1962 1963 196I Net Releases equal live removals from the hospital minus returns from furlough and83 ADMISSIONS BY COUNTY AND TYPE OF ADMISSION TYPE OF ADMISSION County of State Board Transfers Admission 1960 Old Court of in from Law Taw Voluntary Tenmorarv Order Corrections Gracewood TOTAL Appling 18 2 0 0 0 1 0 21 Atkinson 11 0 2 0 0 0 0 13 Bacon 3 15 6 0 0 1 0 25 Baker 5 0 1 0 0 0 0 6 Baldwin 31 5 26 27 0 3 0 92 Banks 18 0 2 0 1 0 0 21 Barrow 39 0 11 0 0 0 0 50 Bartow 7 44 12 0 7 0 0 70 Ben Hill 1 42 10 0 0 0 0 53 Berrien 0 21 3 0 1 0 0 25 Bibb 186 4 47 1 15 5 0 258 Bleckley 12 0 0 0 0 0 0 12 Brantley 1 7 3 0 0 0 0 11 Brooks 4 7 4 0 1 1 0 17 Bryan 0 7 0 0 0 1 0 8 Bulloeh 0 26 6 0 0 2 0 34 Burke 3 11 3 0 0 0 0 17 Butts 11 1 1 0 0 1 0 U Calnoun 7 0 0 0 0 0 0 7 Camden 2 0 0 0 0 0 0 2 Candler 12 0 0 0 2 0 0 U Carroll 74 8 9 0 2 1 0 94 Catoosa 20 0 4 0 0 0 0 24 Charlton 0 4 0 0 0 1 0 5 Chatham 110 33 14 0 6 4 0 167 Chattahoochee 1 0 1 0 0 0 0 2 Chattooga 25 10 8 0 0 0 0 43 Cherokee 51 3 16 0 0 0 0 70 Clarke 17 37 16 0 1 0 0 71 Clay 0 2 0 0 0 0 0 2 Clayton 54 1 14 0 1 1 0 71 Clinch 17 0 5 0 1 0 0 23 Cobb 127 24 61 0 3 2 0 217 Coffee 38 2 5 0 0 1 0 46 Colquitt 20 26 10 0 0 1 0 57 Columbia 0 13 2 0 0 0 0 15 Cook 18 0 4 0 1 1 0 24 Coweta 58 2 4 0 0 0 0 64 Crawford 8 4 2 0 0 0 0 H Crisp 30 0 6 1 0 0 0 37 Dade 6 0 1 0 0 0 0 7 Dawson 5 1 0 0 2 0 0 8 Decatur 22 0 1 0 0 1 0 24 DeKalb 218 38 71 0 2 5 0 334 Dodge 31 2 4 0 1 0 0 38 Dooly 19 0 3 0 0 0 0 22 Dougherty 41 24 6 0 3 1 0 75 Douglas 15 12 9 0 0 0 0 36 Early 20 0 0 0 1 1 0 22 Echols 0 1 1 0 0 0 0 2 Effingham 3 0 1 0 0 0 0 4 Elbert 33 1 10 0 1 0 0 45 Emanuel 5 40 3 4 1 2 0 55 Evans u 0 5 0 0 0 0 19 Fannin 21 1 4 0 0 0 0 26 Fayette 11 0 6 0 0 0 0 17 Floyd 51 67 29 0 5 0 0 152 Forsyth 0 23 3 0 0 0 0 26 Franklin 34 0 4 0 0 0 0 38 Fulton 551 201 172 0 21 26 1 972 Gilmer 21 0 4 0 1 1 0 27 Glascock 6 0 1 0 0 0 0 7 Glynn 54 0 13 0 2 0 0 69 Gordon 5 28 1 0 0 1 0 35 84 County of TYPE OF ADMISSION State Board Transfers Admission 1960 Old Court of in from Law Law Voluntary Temporary Order Corrections Gracewood TOTAL Grady 19 2 1 0 0 0 0 22 Greene H 0 9 0 0 0 0 23 Gwinnett 53 5 14 0 0 0 0 72 Habersham 37 1 1 0 0 0 0 39 Hall 97 1 14 0 0 2 0 114 Hancock 0 u 4 2 0 1 0 21 Haralson 30 4 2 0 0 0 0 36 Harris U 0 0 0 0 0 0 14 Hart 20 0 5 0 0 0 0 25 Heard 1 18 0 0 0 0 0 19 Henry 27 0 3 0 0 0 0 30 Houston 9 39 24 0 0 1 0 73 Irwin 3 3 1 0 0 0 0 7 Jackson 22 1 17 0 0 0 0 40 Jasper 4 1 3 0 0 0 0 8 Jeff Davis 17 1 2 0 1 0 0 21 Jefferson 24 1 5 0 0 0 0 30 Jenkins 18 0 2 0 0 0 0 20 Johnson 22 0 1 0 1 0 0 24 Jones 0 14 2 0 1 0 0 17 TflTnar 20 2 2 0 0 0 0 24 Lanier 10 0 1 0 0 0 0 11 Laurens 54 1 11 1 6 0 0 73 Lee 0 3 0 0 0 1 0 4 Liberty 26 0 3 0 0 0 0 29 Lincoln 0 9 4 0 0 0 0 13 Long 4 0 0 0 0 0 0 4 Lowndes 41 6 9 0 2 4 0 62 Lumpkin 11 6 1 0 0 0 0 18 Macon 0 22 2 0 0 2 0 26 Madison 1 7 5 1 0 0 0 14 Marion 6 0 1 0 0 0 0 7 McDuffie 0 34 2 0 0 0 0 36 Mclntosh 4 0 0 0 0 0 0 4 Meri wether 4 16 9 0 0 0 0 29 Miller 0 11 0 0 0 1 0 12 Mitchell 0 24 3 0 0 2 0 29 Monroe 0 21 1 0 2 1 0 25 Montgomery 9 1 1 0 0 0 0 11 Morgan 9 0 2 0 0 0 0 11 Murray 10 0 3 0 1 1 0 15 Muscogee 47 102 16 0 6 4 0 175 Newton 53 1 12 2 0 1 0 69 Ocanee 10 1 8 2 0 0 0 21 Oglethorpe 1 12 2 0 0 0 0 15 Paulding 4 22 15 0 0 0 0 41 Peach 14 1 3 0 0 0 0 18 Pickens 13 0 3 0 0 1 0 17 Pierce 0 17 2 0 0 0 0 19 Pike 4 4 1 0 0 0 0 9 Polk 31 1 12 0 0 0 0 44 Pulaski 0 17 0 0 0 0 0 17 Putnam 15 0 2 0 0 0 0 17 Quitman 0 3 0 0 0 0 0 3 Rabun 9 9 1 0 0 0 0 19 Randolph 7 12 3 0 0 0 0 22 Richmond 136 54 15 0 1 4 2 212 Rock dale 27 0 5 0 0 1 0 33 Schley 2 0 0 0 0 0 0 2 Screven 1 20 2 0 0 0 0 23 Seminole 6 0 1 0 0 0 0 7 Spalding 38 17 17 0 1 2 0 75 Stephens 0 19 6 0 2 0 0 27 Stewart 8 1 0 0 0 0 0 9 Sumter 0 26 3 0 1 2 0 32 Talbot 9 0 1 0 0 0 0 10 85 TYPE OF AEMISSION County of State Board Transfers Admission 1960 Old Court of in from Law Lam Voluntary Tenroorarv Order Corrections Gracewood TOTAL Taliaferro 3 3 1 0 0 0 0 7 Tattnall 0 28 6 0 0 0 0 34 Taylor 15 0 1 0 0 0 0 16 Telfair 16 0 2 0 0 0 0 IS Terrell 4 10 1 0 0 0 0 15 Thomas 51 0 1 0 3 2 0 57 Tift 22 0 12 0 0 0 0 34 Toomhs 39 9 8 1 0 1 0 58 Towns 8 0 0 0 1 0 0 9 Treutlen 4 0 0 0 0 0 0 4 Troup 58 3 6 0 1 0 0 68 Turner 13 0 1 0 0 0 0 14 Twiggs 0 2 1 0 0 0 0 3 Union 9 7 3 0 1 2 0 22 Upson 3 32 9 0 0 2 0 46 Walker 48 17 15 0 0 1 0 81 Walton 3 21 19 0 0 0 0 43 Ware 59 3 4 0 0 2 0 68 Warren 5 0 4 0 0 0 0 9 Washington 37 4 12 1 2 1 0 57 Wayne 0 44 4 0 1 1 0 50 Webster 2 0 0 0 0 0 0 2 Wheeler 0 1 1 1 0 0 0 3 White 7 0 0 0 0 0 0 7 Whitfield 51 0 14 1 7 0 0 73 Wilcox 9 0 5 0 0 0 0 14 Wilkes 6 7 2 0 0 0 0 15 Wilkinson 15 0 1 0 0 0 0 16 Worth 0 H 5 0 0 0 0 19 TOTAL 3787 1612 1108 45 123 108 3 6786 PERCENT 558 238 163 07 18 16 00 1000 MOVEMENT OF PATIENT POPULATION BY RACE AND SEX MOVEMENT CATEGORY TOTAL WHITE COLORED MALE FEMALE MALE FEMALE On Books July 1 1963 In Hospital On Furlough 17683 12014 5669 5416 3454 1962 6562 4145 2417 2618 2083 535 3087 2332 755 Total Gains Returns from Furlough Tntai tarifiBjaia Not Previously admitted to MSH Previously Admitted to MSH 10826 4040 am 5221 1565 4988 1895 3093 2370 723 3958 1630 2328 1785 543 893 242 m 531 120 987 273 72A 535 179 Total Losses Discharges Direct from Hospital Placed on Furlough Deaths 10743 1580 8049 111 4995 1158 3385 452 3915 284 3247 384 864 123 614 127 969 15 803 151 Discharges From Furlough 3512 1254 1365 372 521 On Books June 30 1964 In Hospital On Furlough 18263 12097 6166 5645 3447 2198 6857 4I88 2669 2647 2112 535 3114 2350 764 Net Change in Resident Population 83 7 43 29 18 Average Daily Population 12046 3455 4174 2102 2315 Tentative Breakdown86 TOTAL ADMISSIONS BY RACE COUNTY OF ADMISSION AND RATES PER 100000 CIVIL POPULATION JULY 1 1963TUNE 301964 County of Admission NUMBER OF AMSSIONS RATS TOTAL WHITE N0MYHITE TOTAL WHITE NONWKITE TOTAL 6786 5421 1365 1665 1676 1151 Appling 21 16 5 1511 15C9 1515 Atkinson 13 12 1 1970 2609 500 Bacon 25 24 1 2841 3158 633 Baker 6 5 1 1277 2632 357 Baldvrin 92 67 25 3948 4655 2632 3anIG 21 21 0 3162 3387 C Barrov 50 49 1 3333 3964 37C Barto 70 60 10 2273 2317 2041 Ben Hill 53 45 37E6 4891 1667 Berrien 25 22 3 2016 2095 1579 Bibb 256 197 61 1604 2160 1178 Bleckley 12 9 3 1188 1268 1000 Brantley 11 10 1 1803 1657 1250 Brooks 17 11 6 1069 1375 759 Bryan 8 5 3 1212 1220 1200 Bulloch 34 19 15 1339 12C3 1563 Burke 17 6 11 787 645 759 Butts 14 11 3 1522 2292 682 Calhoun 7 5 2 909 1923 392 Caden 2 1 1 189 159 233 Candler 14 9 5 2029 2045 2000 Carroll 94 84 10 2410 2642 1389 Catoosa 24 24 0 1081 1096 0 Charlton 5 4 1 877 1053 526 Cliatham 167 106 61 937 952 912 Chattahoochee 2 2 0 1667 3333 0 Chattooga 43 41 2 2057 2169 1000 Cherokee 70 66 4 2917 2870 4000 Clarke 71 49 22 1574 1450 1947 Clay 2 1 1 417 556 333 Clayton 71 67 4 1284 1324 651 Clinch 23 22 1 3286 5116 370 Cobb 217 209 8 1694 1739 1013 Coffee 46 44 2 2000 2651 313 Colquitt 57 45 12 1748 1844 1463 Columbia 15 13 2 1042 1398 392 Cook 24 21 3 1920 2414 789 Coweta 64 56 8 2184 2963 769 Crawford 14 10 4 2295 4000 1111 Crisp 37 29 8 2000 2762 1000 Dade 7 6 1 769 667 10000 Daws on 8 8 0 2162 2162 0 Decatur 24 15 9 1062 1232 826 DeKalb 334 297 37 1117 1074 1637 Dodge 38 30 8 2222 2459 1633 Dooly 22 15 7 1849 2727 1094 Dougherty 75 49 26 927 925 932 Douglas 36 34 2 2034 2267 741 Early 22 15 7 1606 2344 959 Echols 2 2 0 1000 1429 0 Effingham 4 3 1 377 435 270 Elbert 45 37 8 2419 3053 1231 Emanuel 55 47 8 2973 3821 1290 Evans 19 15 4 2603 3333 1429 Fannin 26 26 O 1871 1871 0 Fayette 17 15 2 2000 2542 769 Floyd 152 135 17 2219 2340 1574 Forsyth 26 26 0 2047 2047 0 Franklin 38 32 6 2794 2667 3750 Fulton 972 718 254 1692 1985 1195 Gilmer 27 26 1 2935 2826 0 Glascock 7 6 1 2593 3158 1250 Glynn 69 50 19 1423 1374 1570 87 County of NUMBER OF AUISSIOHS HATE TOTAL WHITE JiONYHITE TOTAL VHITS NONViRTTE Gordon 35 33 2 1741 1755 153 S Grady 22 IS 4 1176 1552 563 Greene 23 16 7 1983 2963 1129 Gwinnett 72 65 7 1475 1438 1944 Habersham 39 37 2 2053 2044 2222 Hall 1X4 103 11 2192 2225 1930 Hancock 21 11 10 2019 4400 1266 Haralson 36 35 1 2400 2536 833 Harris H 10 4 1207 1961 615 Hart 25 17 S 1592 1441 2051 Heard 19 16 3 3455 3810 2308 Henry 30 19 11 1604 1792 1358 Houston 73 64 9 1570 1693 1034 Irwin 7 5 2 729 347 541 Jackson 40 36 4 2073 2156 1538 Jasper 8 4 4 1270 1429 1143 Jeff Davis 21 21 0 2234 2838 0 Jefferson 30 19 11 1639 2436 1048 Jenkins 20 13 7 2062 2708 1429 Johnson 24 17 7 2857 3091 2414 Jones 17 12 5 1932 2791 1111 Tjmny 24 20 4 2264 3175 930 Lanier 11 10 1 2075 2703 625 Laurens 73 59 14 2205 2810 1157 Lee 4 2 2 615 833 488 Liberty 29 21 8 2302 3182 1333 Lincoln 13 8 5 2131 2581 1667 Long 4 3 1 1000 1111 769 Lowndes 62 47 15 1366 1556 987 Lumpkin 18 18 0 2368 2400 0 Macon 26 13 13 1884 2600 1477 Madison 14 13 1 1207 1383 455 Marion 7 5 2 1228 2273 571 McDuffie 36 25 11 2727 3333 1930 Mclntosh 4 3 1 597 1071 256 Meri wether 29 22 7 1415 2157 680 Ifiller 12 10 2 1667 2000 909 Mitchell 29 16 13 1394 1600 1204 Monroe 25 12 13 2315 2182 2453 Montgomery 11 10 1 1692 2632 370 Morgan 11 4 7 1019 714 1346 Murray 15 14 1 1376 1296 10000 Muscogee 175 136 39 1290 1379 1051 Newton 69 49 20 3136 3427 2597 Oconee 21 20 1 3231 4000 667 Oglethorpe 15 12 3 1852 2727 811 Paulding 41 37 4 2993 2984 3077 Peach 18 13 5 1233 2203 575 Pickens 17 16 1 1828 1798 2500 Pierce 19 15 4 1900 1923 1818 Pike 9 7 2 1216 1750 588 Polk 44 42 2 1528 1750 417 Pulaski 17 9 8 1977 1875 2105 Putnam 17 9 8 2073 2432 1778 Quitman 3 1 2 1154 1111 1176 Rabun 19 19 0 2436 2468 0 Randolph 22 10 12 1947 2381 1690 Richmond 212 157 55 1658 1332 1303 Rockdale 33 29 4 2946 3580 1290 Schley 2 1 1 606 714 526 Screven 23 13 10 1494 1806 1220 Seminole 7 6 1 986 1395 357 Spalding 75 59 16 2022 2193 1569 Stephens 27 24 3 1414 1455 1154 Stewart 9 7 2 1184 3182 370 Surater 32 17 15 1245 1417 1095 Talbot 10 3 7 1351 1364 1346 Taliaferro 7 5 2 2000 3S46 909 MttUftH 88 County of Admission NUMBER OF AHnSSIONS RATE TOTAL WHITE I10NWHITE TOTAL WHITE H0NWHITE Tattnall 34 30 4 2429 3000 1000 Taylor 16 9 7 1860 2045 1667 Telfair 18 13 5 H63 1625 1163 Terrell 15 10 5 1119 2174 568 Thonas 57 41 16 1601 2030 1039 Tift 34 29 5 1377 1686 667 Toonibs 58 48 10 3277 3810 1961 Towns 9 9 0 1915 1915 0 Treutlen 4 3 1 656 750 476 Troup 68 52 16 1469 1722 994 Turner 14 9 5 1573 1636 1471 Tniggs 3 1 2 357 303 392 Union 22 22 0 3284 3234 0 Upson 46 34 12 1855 1921 1690 Walier SI 75 6 1667 163 S 2L43 Walton 43 43 0 2009 2905 0 Ware 68 55 13 1979 2148 1477 Warren 9 7 2 1169 2500 408 Washington 57 31 26 2893 3780 2261 Wayne 50 45 5 2632 3020 1220 Webster 2 2 0 588 1667 0 heeler 3 3 0 545 811 0 White 7 7 0 959 1000 0 Whitfield 73 70 3 1557 1570 1304 Wilcox u 13 1 1707 2407 357 Wilies 15 10 5 1339 1852 862 Wilkinson 16 13 3 1649 2653 625 Worth 19 11 S 1080 1236 920 89 RESIDENT PATIENT POPULATION ON JUNE 30 1964 BY RACE SEX AND MENTAL DISORDER RACE AND SEX MENTAL DISORDER TOTAL White Male White Female Nonwhite Male Nonwhite Female ACUTE BRAIN SYNDROME ASSOCIATED WITH Alcohol Intoxication 45 16 5 20 4 Drug or Poison Intoxication 15 3 9 3 0 Convulsive Disorder 0 0 0 0 0 All Other Conditions 17 2 5 6 4 Total Acute Brain Syndromes 77 21 19 29 8 CHRONIC BRAIN SYNDROME ASSOCIATED WITH Diseases and Conditions due to Prenatal Influence 46 17 22 3 4 Meningoencephalitic Syphilis 279 98 47 90 44 Other CNS Syphilis 14 4 3 2 5 Epidemic Encephalitis 31 14 14 1 2 Other Intracranial Infections 32 7 14 9 2 Alcohol Intoxication 66 41 9 8 8 Drug or Poison Intoxication 4 0 2 0 2 Birth Trauma 134 57 28 36 13 Other Trauma 74 41 14 14 5 Cerebral Arteriosclerosis 1049 333 266 159 291 Other Circulatory Disturbance 68 21 16 17 H Convulsive Disorder 585 157 221 136 71 Senile Brain Disease 666 143 421 39 63 Other Disturbance of Metabolism Growth and Nutrition 30 9 12 4 5 Intracranial Neoplasm 1 1 0 0 0 Diseases of Unknown and Uncertain Cause 40 13 16 4 7 Chronic Brain Syndrome of Uruaxmn Cause 193 49 40 74 30 Total Chronic Brain Syndromes 3312 1005 1145 596 566 PSYCHOTIC DISORDERS Involutional Psychotic Reaction 197 23 90 4 80 Manic Depressive Reactions 782 107 206 177 292 Psychotic Depressive Reaction 84 15 65 1 3 Schizophrenic Reactions 5185 1312 1914 870 1089 Paranoid Reactions 25 4 5 7 9 Other Psychotic Reactions 0 0 0 0 0 Total Psychotic Reactions 6273 1461 2280 1059 1573 PERSONALITY DISORDERS Psychophysiologic Autonomic and Visceral Disorders 5 1 1 2 1 Psychoneurotic Reactions 207 69 131 3 4 Personality Pattern Disturbance 8 4 4 0 0 Personality Trait Disturbance 26 20 6 0 0 Antisocial Reaction 48 29 13 4 2 Dyssocial Reaction 0 0 0 0 0 Sexual Deviation 8 3 0 4 1 Alcoholism addiction 154 122 27 1 4 Drug Addiction 19 11 8 0 0 Special Symptom Reaction 0 0 0 0 0 Total Personality Disorders 475 259 190 14 12 TRANSIENT SITUATIONAL PERSONALITY DISTURBANCE 37 19 14 2 2 MENTAL DEFICIENCY 1910 680 534 409 287 MENTAL DISORDER UNDIAGNOSED 13 2 6 3 2 WITHOUT MENTAL DISORDER 0 0 0 0 0 TOTAL ALL MENTAL DISORDERS 12097 3447 4188 2112 2350 HHHHHnUI 90 PATIENTS RESIDENT IN THE HOSPITAL BY COUNTY OF ADMISSION RACE AND SEX RACE AND SEX TOTAL W M W F C M C F 12097 3447 4188 2112 2350 42 15 14 6 7 22 9 8 2 3 30 8 15 4 3 17 3 5 5 4 170 56 60 31 23 33 22 11 0 0 52 22 17 7 6 79 24 32 11 12 65 21 22 15 7 31 10 11 3 7 442 110 136 93 103 45 21 10 7 7 26 12 8 3 3 61 15 15 20 11 15 5 6 2 2 85 15 24 28 18 73 8 12 19 34 30 8 11 7 4 23 4 6 8 5 27 5 8 9 5 26 6 9 6 5 118 46 48 13 11 32 H 18 0 0 18 5 7 3 3 557 109 153 131 I64 7 3 2 1 1 50 23 20 6 1 72 32 35 1 4 122 29 39 23 31 19 2 1 7 9 60 28 26 3 3 16 8 5 0 3 225 97 110 6 12 65 29 25 2 9 125 44 39 19 23 30 9 10 4 7 37 11 15 6 5 113 34 38 20 21 24 7 2 11 4 64 15 20 17 12 12 5 6 1 0 12 5 7 0 0 76 19 17 12 28 447 138 231 38 40 78 23 24 K 17 46 8 15 9 U 140 18 35 38 49 43 12 23 4 4 49 11 11 10 17 7 2 3 2 0 25 6 7 5 7 75 21 29 12 13 74 22 16 17 19 24 5 10 5 4 64 31 33 0 0 30 12 13 4 1 189 66 78 20 25 25 10 15 0 0 46 20 17 7 2 1921 472 733 340 376 32 13 18 1 0 12 2 8 1 1 104 35 25 17 27 66 24 39 1 2 TOTAL Appling Atkinson Bacon Baker Baldwin Banks Barrow Bartow Ben ffill Berrien Bibb Bleckley Brantley Brooks Bryan Bulloch Burke Butts Calhoun Camden Candler Carroll Catoosa Charlton Chatham Chattahoochee Chattooga Cherokee Clarke Clay Clayton Clinch Cobb Coffee Colquitt Columbia Cook Coweta Crawford Crisp Dade Dawsan Decatur DeKalb Dodge Dooly Dougherty Douglas Early Echols Effingham ELbert TftitfrnnQ L Fannin Fayette Floyd Forayth Franklin Fulton Gilmer Glascock Glynn Gordon91 RACE AND SEX Grady Greene Gvdnnett Habersham Hall Hancock Haralson Harris Hart Heard Henry Houston Irwin Jackson Jasper Jeff Davis Jefferson Jenkins Johnson Jones Lamar Larder Laurens Lee Liberty Lincoln Long Lowndes Lumpkin Macon Madison Marion McDuffie Mclntosh Meriwether Miller Mitchell Monroe Montgomery Morgan Murray Mascogee Newton Oconee Oglethorpe Paulding Peach Pickens Pierce Pike Polk Pulaski Putnam Quitman Rabun Randolph Richmond Rockdale Schley Screven Seminole Spalding Stephens Stewait Sumter Talbot Taliaferro Tattnall Taylor 68 19 21 42 6 10 100 40 52 63 30 31 156 58 69 50 5 12 54 26 27 36 8 10 40 15 17 22 9 11 55 17 16 63 21 14 26 6 8 71 20 34 39 8 9 23 10 5 55 9 u 45 14 5 40 9 18 32 7 S 48 14 11 14 5 5 110 27 36 21 2 4 36 8 4 22 7 5 12 1 5 117 28 34 24 10 12 43 7 6 39 15 16 28 12 8 41 9 11 15 1 3 73 16 23 21 9 4 77 15 21 46 11 9 18 2 5 46 10 11 29 14 15 340 88 117 79 20 24 40 10 20 44 7 19 46 22 21 49 7 9 32 13 16 26 5 15 41 11 10 102 39 40 39 6 9 38 11 8 6 4 0 28 13 15 45 9 5 421 122 125 44 12 20 12 0 4 64 7 17 16 6 4 139 41 44 44 15 17 49 9 9 86 17 19 28 1 9 16 1 5 44 14 17 35 8 4 15 12 3 1 15 20 1 6 5 0 9 17 8 10 10 5 16 17 5 10 12 2 15 6 9 6 3 23 2 11 3 4 11 7 13 7 19 12 6 12 0 59 16 6 9 2 15 2 4 13 11 11 9 0 0 10 75 3 6 15 2 31 7 12 27 7 7 7 9 13 u 5 1 14 13 0 12 3 2 13 11 4 7 12 3 16 9 8 7 11 2 32 9 15 4 3 32 0 19 5 4 10 4 21 1 22 14 5 13 0 76 19 4 9 1 18 1 2 7 12 13 10 2 0 21 99 9 2 25 4 23 5 19 23 11 3 6 14mmmmmmmm 92 COUHK RACE AND SEX TOTAL V M W F C M C F Telfair 52 17 19 10 6 Terrell 38 5 10 13 10 Thomas 113 24 37 21 31 Tift 65 22 22 7 14 Toombs 65 13 29 11 12 Towns 10 7 3 0 0 Treutlen u 4 5 2 3 Troup 164 49 50 25 40 Turner 35 8 U 5 8 Twiggs 29 9 6 9 5 Union 20 10 10 0 0 Upson 69 27 IS 13 11 Walker 91 42 44 2 3 Walton 79 20 31 13 15 Ware 107 39 33 16 19 Warren 37 4 2 15 16 Washington 78 13 20 22 23 Wayne 46 16 16 10 4 Webster 16 3 5 7 1 Wheeler 13 2 6 1 4 White 22 12 9 0 1 Whitfield 106 51 44 5 6 Wilcox 22 8 6 6 2 Vilies 52 9 6 14 23 Wilkinson 40 H 8 9 9 Worth 56 17 8 16 15 ADMISSIONS BY AGE AT ADMISSION ADMISSION CLASSIFICATION BACK SEC AND MENTAL DISORDER RACESEX AGE IN YEARS MENTAL DISORDER Under 15 25 35 45 55 65 75 85 and TOTAL 15 24 44 54 64 74 84 over Unknown ALL MENTAL DISORDERS Total 6786 106 827 1267 1567 1301 798 469 330 83 38 White Male 3093 46 337 540 766 666 368 183 139 36 12 All Admissions White Female 2328 20 263 461 536 417 288 179 129 32 3 Nonwhite Male 651 23 137 135 111 92 56 47 29 10 11 Nonwhite Female 7H 17 90 131 154 126 86 60 33 5 12 Total 4906 103 696 887 1021 854 541 391 306 76 31 White Male 2197 43 270 364 496 451 249 154 128 33 9 o First Admissions White Female 1731 20 236 349 357 270 197 145 124 30 3 CO Nonwhite Male 480 23 112 93 69 56 40 43 24 10 10 Nonwhite Female 498 17 78 81 99 77 55 49 30 3 9 Total 1672 3 no 318 483 404 244 76 22 7 5 White Male 776 3 53 146 234 186 110 28 11 3 2 Readmissions White Female 564 0 26 97 169 143 88 34 5 2 0 Previously admitted to MSH Nonwhite Male 136 0 20 33 32 29 15 4 3 0 0 Nonwhite Female 196 0 11 42 48 46 31 10 3 2 3 Total 208 0 21 62 63 43 13 2 2 0 2 White Male 120 0 14 30 36 29 9 1 0 0 1 Readmissians White Female 33 0 1 15 10 4 3 0 0 0 0 Previously admitted to other psy Norrahite Male 35 0 5 9 10 7 1 0 2 0 1 chiatric facility Nonwhite Female 20 0 1 8 7 3 0 1 0 0 0 ACUTE BRAIN SYNDROME ASSOCIATED WITH ATXMir INTOXICATION Total 167 0 9 37 52 48 18 2 0 0 1 White Male 96 0 3 13 31 35 12 2 0 0 0 All Admissions White Female 6 0 0 1 1 1 3 0 0 0 0 Nonwhite Male 54 0 4 19 15 12 3 0 0 0 1 Nonwhite Female 11 0 2 4 5 0 0 0 0 0 0 ro MENIAL DISORDER RACESEX TOTAL AGE IN YEARS Under 15 15A 2534 3544 45 55 6554 64 7 7584 85 and First Admissions Total White Male White Female Nanwhite Male Nanwhite Female 125 70 4 41 10 0 0 0 0 0 9 3 0 4 2 30 10 1 16 3 37 22 0 10 5 35 11 2 25 8 2 12 0 9 10 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 Readmissions Previously admitted to MSH Total White Male White Female Nanwhite Male Nanwhite Female 37 24 2 10 1 0 0 0 0 0 0 0 0 0 0 5 2 0 2 1 13 8 1 4 0 12 7 0 10 4 0 0 10 2 2 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 Nanwhite Male Nanwhite Female 5 2 0 3 0 0 0 0 0 0 0 0 0 0 0 2 1 0 1 0 2 1 0 1 0 10 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 CRVG OR poison INTOXICATION All Admissions Total White Male White Female Nanwhite Male Nonwhite Female 25 9 13 3 0 1 0 0 1 0 0 0 0 0 0 5 4 0 1 0 3 1 2 0 0 643 2 2 0 3 2 3 10 0 0 0 0 2 0 2 0 0 1 0 1 0 0 0 0 0 0 0 fe First Admissions Total White Male White Female Nonwhite Male Nonwhite Female 18 5 11 2 0 1 0 0 1 0 0 0 0 0 0 3 3 0 0 0 2 0 2 0 0 4 2 3 110 2 13 10 0 0 0 0 2 0 2 0 0 1 0 1 0 0 0 0 0 0 0 MENTAL DISORDER RACESEX AGE IN YEARS Readmissions Previously admitted to MSH Readmissions Previously admitted to other psychiatric facility ALL OTHER mm BBAIN SYNDROMES All Admissions First Admissions Readmissions Previously admitted to MSH 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 TPIAL 13 1 4 5 3 13 1 4 5 3 0 0 0 0 0 Under 15 15 2i 25 35 44 45 54 55 64 65 J7A 75 84 G5 and over 0 0 2 1 2 2 0 0 0 0 0 1 1 1 1 0 0 0 0 0 0 0 1 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 n 0 0 0 0 0 0 0 0 n 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 3 3 1 1 4 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 3 1 0 0 0 2 1 1 1 0 0 0 0 0 1 1 0 0 1 0 0 0 0 3 3 1 1 4 1 0 0 n 0 1 0 0 0 0 0 0 0 0 0 0 0 3 1 0 0 0 2 1 1 1 0 0 0 0 0 1 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 Unsown CnMENTAL DISORDER RACESEX AGE IN YEARS Under 15 25 35 45 55 65 75 85 and TOTAL 15 24 34 44 54 64 1L 84 TlTiVnnwn 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 0 0 0 Readmissions White Female 0 0 0 0 0 0 0 0 0 0 0 0 Previously admitted to other psy Nonwhite Male 0 0 0 0 0 0 0 0 0 chiatric facility Nonwhite Female 0 0 0 0 0 0 0 0 0 TOTAL ACUTE BRAIN SYNDROMES Total 205 1 12 45 56 55 26 6 2 1 1 White Male 106 0 3 18 32 37 14 2 0 0 0 All Admissions White Female 24 0 0 1 3 4 8 4 2 1 1 Nonwhite Male 61 1 6 21 16 14 3 0 0 0 0 Nonwhite Female 14 0 3 5 5 0 10 0 0 0 Total 156 1 12 36 40 40 17 6 2 1 1 White Male 76 0 3 14 22 26 9 2 0 0 0 First Admissions White Female 19 0 0 1 2 3 6 4 11 1 0 2 1 0 1 Nonwhite Male 48 1 6 17 11 0 0 Nonwhite Female 13 0 3 4 5 0 10 0 0 0 0 Total 44 0 0 7 H 14 9 0 0 0 0 0 White Male 28 0 0 3 9 11 5 0 0 0 0 Readmlssions White Female 4 0 0 0 1 12 0 0 0 0 0 Previously admitted to MSH Nonwhite Male 11 0 0 3 4 2 2 0 0 0 Nonwhite Female 1 0 0 1 0 0 0 0 0 0 0 Total 5 0 0 0 2 2 10 0 0 0 White Male 2 0 0 0 1 10 0 0 0 0 Readmissians White Female 0 0 0 0 0 0 0 0 0 0 0 Previously admitted to other Nonwhite Male 3 0 0 0 1 110 0 0 0 psychiatric facility Nonwhite Female 0 0 0 0 0 0 0 0 0 0 0 MENTAL DISORDER BA0SSEX TfYIflT AGEIN TEARS Under 15 1571 2534 35AA 45 55 655i bL 1L 7584 85 and over Unknown CHRONIC BRAIN SYUDROME ASSOCIATE WITH DISEASES AND OOMDITIONS DUE TO PRENATAL 16 9 2 4 1 6 3 1 1 1 6 3 0 3 0 2 1 1 0 0 1 1 0 0 0 10 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 TMTJIgfKH All Admissions Total White Male White Female Nomrhite Male Nomrhite Female First Admission Total White Kale White Female Nomhite Male Nomhite Female 15 8 2 4 1 6 3 1 1 1 6 3 0 3 0 2 1 1 0 0 0 0 0 0 0 10 0 10 0 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 Readmissions Previously admitted to MSH Total White Male White Female Nomrhite Hale Nomrhite 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 White Male White Female Nomrhite Male Nomrhite 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 UENINGOENCEPHALITIC SWHILIS Total White Male White Female Nomrhite Male Nomrhite Female 10 2 1 4 3 0 0 0 0 0 1 0 0 1 0 1 0 0 0 1 0 0 0 0 0 13 4 10 1 0 10 0 2 1 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 All Admissions MENTAL DISORDER RACESEX AGE IN mRS xem 12 2i 3k 35 24 55 65 2A JtL G5 and over Unknown First Admissions Readmissions Previously admitted to MSH Readmissions Previously admitted to other psychiatric facility OTHER CMS STtPMLIS All Admissions First Admissions 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 0 1 1 0 1 2 3 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 1 0 0 0 0 1 0 0 0 1 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 1 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 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 1 0 0 0 0 0 0 0 0 0 0 00MENTAL DISORDER RACESEX TOTAL AGE IN YEARS 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 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 EPIDEMIC ENCEPHALITIS Total White Male White Female Nonwhite Male Nonwhite Female 6 3 2 0 1 1 0 0 0 1 3 2 1 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 All Admissions 0 0 0 0 0 First Admissions Total Vftiite Male White Female Nonwhite Male Nonwhite Female 6 3 2 0 1 1 0 0 0 1 3 2 1 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 1 0 1 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 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 vOMENTAL DISORDER RACESEX AGE IN YEARS Under 15 25 35 45 55 65 75 85 and TOTAL 15 24 u u 54 64 74 84 over Unknown 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 OTHER INTRACRANIAL INFECTIONS Total 10 3 2 1 0 2 2 0 0 0 0 White Male i 1 1 0 0 1 1 0 0 0 0 All Admissions White Female 2 1 0 0 0 1 0 0 0 0 0 Nonwhite Male 4 1 1 1 0 0 1 0 0 0 0 Nonwhite Female 0 0 0 0 0 0 0 0 0 0 0 Total 8 3 0 1 0 2 2 0 0 0 0 White Male 3 1 0 0 0 1 1 0 0 0 0 First Admissions White Female 2 1 0 0 0 1 0 0 0 0 0 Nonwhite Male 3 1 0 1 0 0 1 0 0 0 0 Nonwhite Female 0 0 0 0 0 0 0 0 0 0 0 o Total 2 0 2 0 0 0 0 0 0 0 0 o White Male 1 0 1 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 1 0 1 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 AG3 IH XEARS mental nTqnnnEB RAOESEX Under 15 25 35 45 55 65 75 85 and TOTAL 15 A 34 u 54 64 74 84 over Unknown AiWHQL INTfflffWXJOK Total 76 0 0 3 15 32 24 1 0 0 1 White Male 53 0 0 0 11 24 IS 0 0 0 0 All Admissions White Female 6 0 0 0 2 2 1 1 0 0 0 Nonwhite Male 9 0 0 1 1 3 3 0 0 0 1 Nonwhite Female a 0 0 2 1 3 2 0 0 0 0 Total 51 0 0 3 12 20 16 0 0 0 0 White Male 36 0 0 0 8 14 14 0 0 0 0 First Admissions White Female 3 0 0 0 2 1 0 0 0 0 0 Nonwhite Male 5 0 0 1 1 2 1 0 0 0 0 Nonvhite Female 7 0 0 2 1 3 1 0 0 0 0 Total 21 0 0 0 2 10 7 2 0 0 0 White Male 15 0 0 0 2 9 4 0 0 0 0 Readmissions White Female 3 0 0 0 0 1 1 1 0 0 0 Previously admitted to MSH Nonwhite Male 2 0 0 0 0 0 2 0 0 0 0 Nonwhite Female 1 0 0 0 0 0 0 1 0 0 0 Total 4 0 0 0 1 2 0 0 0 0 1 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 other NonThite Male 2 0 0 0 0 1 0 0 c 0 1 psychiatric facility Nonwhite Female 0 0 0 0 0 0 0 0 0 0 0 BIRTH TRAUMA Total 29 5 6 3 3 7 3 2 0 0 0 White Male 19 4 2 3 3 5 2 0 0 0 0 All Admissions White Female 8 1 2 0 0 2 1 2 0 0 0 Nonwhite Male 1 0 1 0 0 0 0 0 0 0 0 Nonwhite Female 1 0 1 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 U 44 54 64 74 84 over lTnVnfiWTi Total 24 5 4 3 2 6 3 1 0 0 0 White Male 15 4 0 3 2 4 2 0 0 0 0 First Admissions White Female 7 1 2 0 0 2 1 1 0 0 0 Nonvhite Male 1 0 1 0 0 0 0 0 0 0 0 Nonvhite Female 1 0 1 0 0 0 0 0 0 0 0 Total 5 0 2 0 1 1 0 1 0 0 0 White Male 4 0 2 0 1 1 0 0 0 0 0 Readmissions White Female 1 0 0 0 0 0 0 1 0 0 0 Previously admitted to MSH Nonvhite 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 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 Vhite 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 Nonvhite Female 0 0 0 0 0 0 0 0 0 0 0 OTHER TRAUMA o Total 51 2 3 12 17 9 5 2 1 0 0 SMt9 Male 2 2 8 9 8 4 0 1 0 0 All Admissions Vhite Female K 0 0 0 2 0 1 1 0 0 0 Nonvhite Male 10 0 1 2 6 0 0 1 0 0 0 Nonvhite Female 3 0 0 2 0 1 0 0 0 0 0 Total 36 2 3 7 11 5 5 2 1 0 0 White Male 24 2 2 5 5 5 4 0 1 0 0 First Admissions White Female 3 0 0 0 1 0 1 1 0 0 0 Nonwhite Male 8 0 1 1 5 0 0 1 0 0 0 Nonvhite Female 1 0 0 1 0 0 0 0 0 0 0 RACESEX TOTAL AGE IN YEARS Under 15 1524 2534 3544 45 55 6554 64 74 7584 85 and over Unknown Readmissions Previously admitted to MSH Total White liale White Female Nonwhite Male Nonwhite Female 14 9 1 2 2 0 0 0 0 0 0 0 0 0 0 4 2 0 1 1 6 4 1 1 0 4 0 0 3 0 0 0 0 0 0 0 0 10 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 1 1 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 0 0 0 0 0 o 00 CEREBRAL ARTERIOSCLEROSIS All Admissions Total White Male White Female Nonwhite Male Nonwhite Female 505 210 123 68 104 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 1 0 1 2 25 138 238 11 47 103 6 33 57 2 20 36 6 38 42 76 41 20 8 7 H 6 6 0 2 10 1 1 1 7 First Admissions Total White Male White Female Nonwhite Male Nonwhite Female 438 183 109 61 85 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 1 0 1 1 22 116 211 8 36 94 6 29 49 2 17 34 6 34 34 69 39 18 6 6 10 4 6 0 0 7 1 1 1 4 Readmissions Previously admitted to MSH Total White Male White Female Nonwhite Male Nonwhite Female 64 25 6 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 3 21 26 3 10 8 0 4 8 0 3 2 0 4 8 6 2 2 1 1 4 2 0 0 2 3 0 0 0 3 Si MENTAL DISORDER RACESEX AGE IN YEARS IQJAL Readmlssians Previously admitted to other psychiatric facility OTHER CIRCULATORY DISTURBANCE All Admissions First Admissions Readmlssians Previously admitted to MSH Readmlssians 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 Nonwhite Male Nonwhite Female Total White Male White Female Nonwhite Male Nonwhite Female 57 24 6 9 18 49 22 3 7 17 7 2 3 1 1 1 0 0 1 0 Under 15 15 2i 25 24 35 45 3L 55 64 65 Z4 75 85 and aver 0 0 0 0 0 1 1 1 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 1 0 0 0 0 0 0 0 0 0 0 0 0 1 6 14 24 6 3 1 0 0 1 3 8 11 1 0 0 0 0 0 0 1 4 1 0 0 0 0 0 0 2 4 1 1 0 0 0 0 3 3 5 3 2 1 0 0 0 6 11 21 5 3 1 0 0 0 3 7 11 1 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 1 3 1 1 0 0 0 0 3 3 4 3 2 1 0 0 0 1 2 3 1 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 IfnVnnwn 2 0 0 1 1 2 0 0 1 1 0 0 0 0 0 0 0 0 0 0 o RACESEX TOTAL AGE IN YEARS MENTAL DISORDER Under 15 1524 2534 354A 45 55 6554 64 74 7584 85 and over Unknown CONVULSIVE DISORDER All Admissions Total White Male White Female Nonwhite Male Nonwhite Female 145 79 34 20 12 A 1 2 1 0 39 17 11 6 5 33 22 4 6 1 32 18 11 2 1 22 6 4 13 4 2 4 0 1 3 10 2 11 1 0 1 0 0 0 0 0 0 0 4 2 0 1 1 First Admissions Total White Male White Female Ncmwhite Male Nonwhite Female 101 56 20 15 10 4 1 2 1 0 36 16 10 5 5 22 15 1 5 1 16 11 4 0 1 12 5 2 7 3 1 2 0 1 2 10 110 0 0 0 0 0 0 0 0 0 0 4 2 0 1 1 O Readmissions Previously admitted to MSH Total White Male White Female Nomvhite Male NonvMte Female 41 21 14 5 1 0 0 0 0 0 3 1 1 1 0 10 6 3 1 0 16 7 7 2 0 9 11 5 11 2 0 0 10 0 10 0 1 0 1 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 Nonwliite Female 3 2 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 10 1 10 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 SENILE BRAIN DISEASE All Admissions Total White Male White Female Nomvhite Male Nonvhite Female 435 166 197 39 33 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 116 0 2 39 0 4 65 0 15 0 0 7 241 95 103 19 24 65 30 23 11 1 6 0 2 3 1 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 Unknown Total 405 0 0 0 0 0 4 104 228 63 6 White Male 153 0 0 0 0 0 0 36 88 29 0 First Admissions White Female 186 0 0 0 0 0 3 57 102 22 2 Nonwhite Male 35 0 0 0 0 0 1 4 16 11 3 Nonwhite Female 31 e 0 0 0 0 0 7 22 1 1 Total 29 0 0 0 0 0 3 12 12 2 0 White Male 13 0 0 0 0 0 2 3 7 1 0 Readmissians White Female 11 0 0 0 0 0 1 8 1 1 0 Previously admitted to MSH Nonwhite Male 3 0 0 0 0 0 0 1 2 0 0 Nonwhite Female 2 0 0 0 0 0 0 0 2 0 0 Total 1 0 0 0 0 0 0 0 1 0 0 White Male 0 0 0 0 0 0 0 0 0 0 0 Headmissions 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 0 0 1 0 0 psychiatric facility Nonwhite Female 0 0 0 0 0 0 0 0 0 0 0 o OTHER DISTURBANCE OF METABOLISM o GROWTH AND NUTRITION Total 10 0 0 0 0 2 4 3 1 0 0 White Male 2 0 0 0 0 1 0 1 0 0 0 All Admissions White Female 5 0 0 0 0 0 3 1 1 0 0 Nonwhite Male 2 0 0 0 0 1 1 0 0 0 0 Nonwhite Female 1 0 0 0 0 0 0 1 0 0 0 Total 9 0 0 0 0 2 3 3 1 0 0 White Male 2 0 0 0 0 1 0 1 0 0 0 First Admissions White Female 5 0 0 0 0 0 3 1 1 0 0 Nonwhite Male 1 0 0 0 0 1 0 0 0 0 0 Nonwhite Female 1 0 0 0 0 0 0 1 0 0 0 MENTAL DISORDER RACESEX AGE IN YEARS Under 15 25 35 45 55 65 75 85 and TOTAL 15 24 34 u 54 64 74 84 over Unknown Total 1 0 0 0 0 0 1 0 0 0 0 White Male 0 0 0 0 0 0 0 0 0 0 0 Readmlssions White Female 0 0 0 0 0 0 0 0 0 0 0 Previously admitted to MSH Nonwhite Male 1 0 0 0 0 0 1 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 C 0 Readmlssions 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 4 0 0 1 1 1 1 0 0 0 0 White Male 3 0 0 0 1 1 1 0 0 0 0 All Admissions White Female 0 0 0 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 4 0 0 1 1 1 1 0 0 0 0 White Male 3 0 0 0 1 1 1 0 0 0 0 First Admissions White Female 0 0 0 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 0 0 0 0 0 0 0 0 0 0 0 White Male 0 0 0 0 0 0 0 0 0 0 0 Readmlssions 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 o 4MENTAL DISORDER RACESEX AGE IN YEARS Under 15 25 35 45 55 65 75 85 and TOTAL 15 2i u LL 5i bi 1L i over Unknown 0 Total 0 0 0 0 0 0 0 0 0 0 White Male 0 0 0 0 0 0 0 0 0 0 0 Readinissions 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 DISEASES OF UNKNOVN AND UNCERTAIN CAUSE Total 12 0 1 1 3 2 3 0 1 0 1 Vhite Male 8 0 1 1 3 0 1 0 1 0 1 All Admissions White Female 4 0 0 0 0 2 2 0 0 0 0 Nonwhite Male 0 0 0 0 0 0 0 0 0 0 0 Nomvhite Female 0 0 0 0 0 0 0 0 0 0 0 Total 8 0 1 1 2 1 2 0 0 0 1 Vhite Male 5 0 1 1 2 0 0 0 0 0 1 First Admissions White Female 3 0 0 0 0 1 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 o 00 Total 4 0 0 0 1 1 1 0 1 0 0 White Male 3 0 0 0 1 0 1 0 1 0 0 Readmissions 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 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 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 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 RACESEX AGE IN YEARS MENTAL DISORDER Under 15 25 35 45 55 65 75 85 and TOTAL 15 24 34 44 U 64 74 64 over Unknown 1 CHRONIC BRAIN SYNDROMES OF IINKNOm 1 Total 132 16 23 15 16 21 33 5 0 2 QtoSB White Male 28 2 0 2 3 3 15 2 0 1 0 All Admissions White Female 19 1 1 2 1 5 3 0 0 1 0 1 Nonwhite Male 62 9 14 9 9 11 8 1 0 0 Nonwhite Female 23 4 8 2 3 2 2 2 0 0 0 Total 107 16 21 10 10 11 24 12 0 2 1 White Male 22 2 0 1 2 2 12 2 0 1 0 O First Admissions White Female 16 1 1 2 0 0 4 7 0 i 0 1 Nonwhite Male 48 9 12 5 6 7 7 1 0 0 Nonwhite Female 21 4 8 2 2 2 12 0 0 0 Total 21 0 1 5 5 5 5 0 0 0 0 White Male 4 0 0 1 1 0 2 0 0 0 0 0 0 0 Readmissions White Female 3 0 0 0 1 110 0 0 0 0 Previously admitted to MSH Nonwhite Male 12 0 1 4 2 4 10 0 0 Nonwhite Female 2 0 0 0 1 0 10 Total 4 0 1 0 1 110 0 0 0 White Male 2 0 0 0 0 110 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 2 0 1 0 1 0 0 0 0 0 0 0 psychiatric facility Nonwhite Female 0 0 0 0 0 0 0 0 TOTAT CHRONIC BRAIN SYNDROMES Total 1502 39 S4 75 99 139 255 381 325 80 25 White Male 645 14 28 38 53 77 103 149 138 36 4 All Admissions White Female 414 6 15 8 17 23 58 129 125 30 3 Nonwhite Male 234 13 27 20 19 22 41 45 29 10 8 Nonwhite Female 209 6 14 9 10 17 48 58 33 4 10 MENTAL DISORDER RAOESEX AGE IN YEARS Under 15 25 35 45 55 65 75 85 and TOTAL 15 24 34 44 iL bi 74 8i Tftilmnwn Total 1273 39 75 54 63 99 209 336 303 74 21 White Male 538 14 24 29 34 52 86 136 128 33 4 3 7 First Admissions White Female 363 6 14 5 8 17 50 110 121 29 Nonwhite Male 193 13 23 U 13 15 32 42 24 10 Nonwhite Female 179 6 14 8 8 15 41 48 30 2 7 Total 211 0 8 19 34 35 43 43 20 6 3 White Male 98 0 4 9 18 22 20 12 10 3 0 Readmissions White Female 51 0 1 3 9 6 8 19 4 3 X 0 0 Previously admitted to MSH Nonwhite Male 33 0 3 6 5 5 8 3 0 Nonwhite Female 29 0 0 1 2 2 7 9 3 2 3 Total 18 0 1 2 2 5 3 2 1 1 1 White Male 9 0 0 2 1 3 2 1 0 0 0 Readmissions White Female 0 0 0 0 0 0 0 0 0 0 0 1 Previously admitted to other Nonwhite Male 8 0 1 0 1 2 1 0 1 1 psychiatric facility Nonwhite Female 1 0 0 0 0 0 0 1 0 0 0 PSYCHOTIC DISORDERS INVOLUTCONAL PSYCHOTIC REACTION Total 247 0 0 1 22 121 99 3 0 0 1 White Male 38 0 0 0 2 17 19 0 0 0 0 All Admissions White Female 183 0 0 0 18 86 76 3 0 0 0 Nonwhite Male 1 0 0 0 0 1 0 0 0 0 0 Nonwhite Female 25 0 0 1 2 17 4 0 0 0 1 Total 198 0 0 0 20 103 71 3 0 0 1 White Male 31 0 0 0 0 15 16 0 0 0 0 First Admissions White Female 144 0 0 0 18 71 52 3 0 0 0 Nonwhite Male 1 0 0 0 0 1 0 0 0 0 0 Nonwhite Female 22 0 0 0 2 16 3 0 0 0 1 RACESEX AGI IN YEARS MENTAL DISORDER Under 15 25 35 45 55 65 75 85 and TOTAL 15 24 34 44 54 64 74 84 over TTnmirw Total 45 0 0 1 0 18 26 0 0 0 0 White Male 5 0 0 0 0 3 2 0 0 0 0 Readmissions White Female 38 0 0 0 0 15 23 0 0 0 0 Previously admitted to MSH Nonwhite Male 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Nonwhite Female 2 0 0 1 0 0 1 0 Total 4 0 0 0 1 1 2 0 0 0 0 White Male 2 0 0 0 1 0 1 0 0 0 0 Readmissions White Female 1 0 0 0 0 0 1 0 0 0 0 0 0 Previously admitted to other Nonwhite Male 0 0 0 0 0 0 0 0 0 0 psychiatric facility Nonwhite Female 1 0 0 0 0 1 0 0 0 0 MANIC DEPRESSIVE REACTIONS Total 149 0 3 24 30 36 37 19 0 0 0 White Male 46 0 1 5 9 8 14 9 0 0 0 All Admissions White Female 68 0 1 14 13 15 15 10 0 0 0 Nonwhite Male 5 0 0 1 0 3 1 0 0 0 0 Nonwhite Female 30 0 1 4 8 10 7 0 0 0 0 Total 61 0 3 17 10 10 10 11 0 0 0 White Male 18 0 1 3 3 2 5 4 0 0 0 First Admissions White Female 35 0 1 12 6 4 5 7 0 0 0 Nonwhite Male 3 0 0 1 0 2 0 0 0 0 0 Nonwhite Female 5 0 1 1 1 2 0 0 0 0 0 Total 82 0 0 6 18 24 26 8 0 0 0 White Male 23 0 0 1 5 4 8 5 0 0 0 Readmissions White Female 32 0 0 2 6 11 10 3 0 0 0 Previously admitted to MSH Nonwhite Male 2 0 0 0 0 1 1 0 0 0 0 Nonwhite Female 25 0 0 3 7 8 7 0 0 0 0 MENTAL DISORDER RACESEX AM IN YEARS Under 15 25 35 45 55 65 75 85 and TOTAL 15 24 u LL 5i 6i 7i 8i n Total 6 0 0 1 2 2 1 0 0 0 o White Male 5 0 0 1 1 2 1 0 0 o 0 0 0 0 Readmissians White Female 1 0 0 o 1 0 0 0 0 0 0 o 0 o Previously admitted to other Nonwhite Male 0 0 0 0 0 0 psychiatric faoility Nonwhite Female 0 0 0 0 0 0 0 0 0 0 PKYnHnmr iianmiini ui RmrrnnN Total 174 2 22 56 48 21 16 9 0 0 0 White Male 37 0 0 10 15 6 4 2 o o 0 o All Admissions White Female 130 2 21 43 31 14 12 7 0 0 Nonwhite Male 1 0 0 0 0 l 0 0 0 0 o Nonwhite Female 6 0 1 3 2 0 0 0 0 0 0 Total 144 2 22 49 38 17 8 8 0 0 0 White Male 27 0 0 7 10 6 2 2 0 o o First Admissions White Female 111 2 21 39 26 11 6 6 0 o o Nomihite Male 0 0 0 0 0 0 0 0 0 0 o Nonwhite Female 6 0 1 3 2 0 0 0 0 0 0 Total 25 0 0 4 9 4 7 1 0 0 0 White Male 6 0 0 0 4 0 2 0 0 o o Readmissians White Female 18 0 0 4 5 3 5 1 o 0 0 0 o Previously admitted to MSH Nonwhite Male 1 0 0 0 0 1 0 0 0 Nonwhite Female 0 0 0 0 0 0 0 0 0 0 0 Total 5 0 0 3 1 0 1 0 0 0 0 White Male 4 0 0 3 1 0 0 0 0 0 0 Readmissians White Female 1 0 0 0 0 0 1 0 o o 0 o Previously admitted to other Nonwhite Male 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 RACESEX TOTAL AGE IN YEARS Under 15 1524 2534 3544 45 55 6554 64 74 7584 85 and over Unknown SCHIZOPHRENIC REACTIONS All Admissions Total White Male White Female Nonwhite Male Nonwhite Female 1986 662 704 262 358 24 10 3 3 8 331 118 90 71 52 513 161 185 74 93 561 175 215 63 108 387 147 18 131 57 7 142 58 10 41 8 1 73 24 0 2 1 1 0 0 0 0 0 0 0 3 2 0 1 0 First Admissions Total White Male White Female Nonwhite Male Nonwhite Female 1190 390 417 167 216 23 9 3 3 8 260 87 76 54 43 312 93 116 49 54 312 93 116 38 65 205 69 7 77 28 2 72 29 5 18 4 0 38 8 0 0 0 0 0 0 0 0 0 0 0 2 1 0 1 0 Readmissions Previously admitted to MSH Total White Male White Female Nonwhite Male Nonwhite Female 698 232 267 73 126 0 0 0 0 0 59 25 13 13 8 164 57 58 17 32 219 70 93 19 37 168 74 11 47 26 5 69 28 5 19 4 1 33 16 0 2 1 1 0 0 0 0 0 0 0 1 1 0 0 0 Readmissions Previously admitted to other psyohiatrio facility Total White Male White Female Nonwhite Male Nonwhite Female 98 40 20 22 16 0 0 0 0 0 13 7 1 4 1 37 11 11 8 7 30 12 6 6 6 M 4 0 7 3 0 110 4 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 PARANOID REACTIONS Total White Male White Female Nonwhite Male Nonwhite Female 25 17 5 3 0 0 0 0 0 0 0 0 0 0 0 4 1 0 3 0 7 7 0 0 0 10 4 0 6 3 0 4 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 All Admissions 0 0 0 0 0 MENTAL DISORDER RACESEX TOTAL AGE IN YEARS Under 15 1524 2534 3544 4554 55 65 75 85 and Total White Male 17 13 0 0 0 2 7 6 5 5 3 0 2 0 1 0 0 0 0 0 0 0 Mann 0 First Admissions White Female 2 0 0 0 0 0 0 0 Namvhite Male Nonwhite Female 2 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 Readmissions Total White Male White Female 6 2 3 0 0 0 0 1 0 0 1 1 1 0 4 1 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Previously admitted to MSH Nonwhite Male 1 0 0 0 0 0 0 0 0 Nonwhite Female 0 0 0 0 0 0 0 Total Vhite Male 2 2 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 Readmissions White Female 0 0 0 0 0 0 Previously admitted to other Nonwhitp MrIp 0 0 0 0 psychiatric facility Nonwhite Female 0 0 0 0 0 0 0 0 TOTAL PSYCHOTIC DISORDERS Total 2581 26 356 598 668 575 303 49 4 2 0 1 1 All Admissions White Male Vhite Female 800 1090 10 5 119 112 177 242 208 277 168 261 97 18 162 30 1 0 Nonvhite Male 272 3 71 78 63 46 9 1 0 0 Nonvhite Female 419 8 54 101 120 100 35 0 0 Total 1610 25 285 380 387 340 161 29 0 3 1 0 1 1 First Admissions Vhite Male White Female 479 709 9 5 88 98 o3 167 112 167 105 158 53 8 93 21 0 0 Nonwhite Male 173 3 54 52 38 21 4 0 Nonwhite Female 249 8 45 5S 70 56 11 0 0 0 MENTAL DISORDER RACESEX AGE IN YEARS Readmissians Previously admitted to MSH 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 PERSONALITY DISORDERS PSYCHOPHYSIOLOGIC AUTONOMC AND VISCERAL DISORDERS All Admissions First Admissions Readmissions Previously admitted to MSH Total White Male White Female Nonwhite Male Nonwhite Female Total White Male Vhite Female Nomvhite Male Nonwhite Female Total White Male Vhite Female Nonwhite Male Nonwhite Female jeqjal 856 268 358 77 153 115 53 23 22 17 28 16 12 0 0 25 U 11 0 0 3 2 1 0 0 Under 12 15 2A 0 59 0 25 0 13 0 13 0 8 25 35 A4 45 54 55 64 65 75 S4 176 58 64 18 36 247 80 104 19 44 218 55 101 21 41 133 38 66 5 24 0 13 41 35 17 0 7 15 16 9 0 1 11 7 1 0 4864 0 17 6 3 20 10 9 1 0 9 0 6 0 3 0 0 0 0 0 65 and over 1 1 9 5 7 4 0 1 0 1 0 6 3 4 2 0 0 0 0 1 3 2 3 2 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 7 5 6 4 0 1 0 1 0 4 3 4 2 0 0 0 0 1 3 2 2 2 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 1 0 0 0 0 0 0 2 0 0 0 0 0 0 n 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 Unknown 1 1 0 0 0 0 0 0 0 0MENTAL DISORDER RACESEX TOTAL AGE IN YEARS Under 15 1524 2534 3544 45 55 65 75 85 and Readmissians 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 Unknown 0 0 Previously admitted to other Nonwhite Male 0 0 0 0 0 0 0 0 0 0 psychiatric facility Nonwhite Female 0 0 0 0 0 0 0 0 PSYCH0NEI1ROTTC RKACTJCINS Total 888 1 116 239 278 162 76 13 2 2 0 All Admissions White Male White Female Nonwhite Male 359 504 7 1 0 0 39 68 2 83 150 112 159 81 78 2 1 39 2 37 11 0 0 0 0 0 0 0 0 0 1 Nonwhite Female 18 0 7 5 5 0 0 Total 719 1 107 197 218 128 58 9 1 1 0 First Admissions White Male White Female 284 4H 1 0 35 63 63 130 87 125 66 60 29 2 0 0 0 0 0 Nonwhite Male 6 0 2 0 0 0 0 0 0 0 Nonwhite Female 15 0 7 4 4 0 0 Readmissians Previously admitted to MSH Total White Male White Female Nonwhite Male 143 56 84 0 0 0 0 0 7 2 5 0 32 14 17 0 53 20 32 0 28 11 17 17 5 9 0 8 4 0 0 0 1 0 0 0 0 0 1 0 1 0 0 0 0 0 Nonwhite Female 3 0 0 1 1 0 0 Total 26 0 2 9 8 5 1 0 0 0 1 White Male 19 0 2 6 5 4 1 0 0 0 0 0 0 0 0 0 0 0 Readmissians White Female 6 0 0 3 0 Previously admitted to other Nonwhite Male 1 0 0 0 0 psychiatric facility Nonwhite Female 0 0 0 0 0 0 0 RACESEX AGE IN YEARS MENTAL DISORDER 15 25 35 45 55 65 75 85 and TOTAL 15 24 34 4A 54 64 74 4 over Unknown PER5nTiATTTy pattern disturbance Total White Male White Female Nonwhite Male 26 17 6 3 0 0 0 0 5 1 1 3 4 2 2 0 10 9 1 0 3 3 0 0 3 2 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 All Admissions 0 0 0 Nonwhite Female 0 0 0 0 0 First Admissions Total White Male White Female 22 13 6 0 0 0 4 0 1 2 0 2 0 9 8 1 0 3 3 0 0 3 2 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 Nonwhite Male 3 0 3 0 0 Nonwhite Female 0 0 0 0 0 Readmissions Total White Male White Female 2 2 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 0 0 0 Previously admitted to MSH Nonwhite Male Nonwhite Female 0 0 0 0 0 0 0 0 Readmissions Total White Male White Female 2 2 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 0 0 0 0 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 0 PERSONALITY TRAJT DISTURBANCE 130 1 22 44 38 20 5 0 0 0 White Male 86 1 11 24 29 17 4 0 0 0 0 0 0 All Admissions White Female Nonwhite Male Nonwhite Female 41 1 2 0 0 0 10 0 1 19 0 1 8 1 0 3 0 0 1 0 0 0 0 0 0 0 0 Total 93 1 20 31 25 13 3 0 0 0 0 White Male 59 1 9 16 21 10 2 0 0 0 0 First Admissions White Female 32 0 10 14 4 0 3 0 0 0 0 Nonwhite Male 0 0 0 Nonwhite Female 2 0 1 1 0 0 0 MENIAL DISORDER RACESEX AGE IN IEARS Under 15 25 35 45 55 65 75 85 and TOTAL 15 24 34 44 54 64 7Z 8 Unknown o Total 32 0 2 13 11 4 2 0 0 o White Male 22 0 2 8 6 4 2 0 o o 0 Readmissions White Female 9 0 0 5 4 1 0 0 0 0 0 0 o 0 o Previously admitted to MSH Nonwhite Male 1 0 0 0 0 0 0 0 Nonwhite Female 0 0 0 0 0 0 0 0 0 0 Total 5 0 0 0 2 3 0 0 0 0 o White Male 5 0 0 0 2 3 0 0 o o 0 0 0 0 Readmissions White Female 0 0 0 0 0 0 0 0 o 0 0 0 Previously admitted to other psychiatric facility Nonwhite Male Nonwhite Female 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 ANTISOCIAL REACTION Total 95 0 48 28 13 3 2 1 0 0 o White Male 73 0 37 23 8 3 1 1 o o 0 0 o All Admissions White Female 13 0 9 2 2 0 0 0 o o Nonwhite Male 8 0 2 2 3 0 1 0 0 o Nonwhite Female 1 0 0 1 0 0 0 0 0 0 0 Total 65 0 33 19 9 2 2 0 0 0 o White Male 49 0 26 15 5 2 1 0 0 o o First Admissions White Female 9 0 5 2 2 0 0 0 o o 0 o Nonwhite Male 7 0 2 2 2 0 1 0 0 o Nonwhite Female 0 0 0 0 0 0 0 0 0 0 0 Total 27 0 14 8 3 1 0 1 0 0 0 White Male 21 0 10 7 2 1 0 1 0 o o Readmissions White Female 4 0 4 0 0 0 0 0 o o 0 o Previously admitted to MSH Nonwhite Male 1 0 0 0 1 0 0 0 0 0 Nonwhite Female 1 0 0 1 0 0 0 0 0 0 0 RACESEX AGE IN YEARS MENTAL DISORDER 15 25 35 45 55 65 75 85 and TOTAL 15 24 44 54 64 74 84 over Unknown Total 3 0 1 1 1 0 0 0 0 0 0 White Male 3 0 1 1 1 0 0 0 0 0 Readmissions White Female 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Previously admitted to other Nonwhite Male 0 psychiatric facility Nonwhite Female 0 aasssut maaau Total 16 0 6 6 1 2 1 0 0 0 0 White Male 10 0 5 3 1 0 1 0 0 0 White Female 6 0 1 3 0 2 0 0 0 0 0 Nonwhite Male 0 0 0 0 0 0 Nonvhite Female 0 0 0 0 0 0 0 0 0 Total 11 0 5 2 1 2 1 0 0 0 0 White Male 6 0 4 0 1 0 1 0 0 0 0 White Female 5 0 1 2 0 2 0 0 0 Nonwhite Male 0 0 0 0 0 0 Nonwhite Female 0 0 0 0 0 0 0 0 Total 5 0 1 4 0 0 0 0 0 0 0 White Male 4 0 1 3 0 0 0 0 0 Readirissians Previously admitted to MSH White Female Nonwhite Male Nonwhite Female 1 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 Total 0 0 0 0 0 0 0 0 0 0 0 White Male 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 0 0 Previously admitted to other Nonwhite Male 0 0 0 0 0 o o psychiatric facility Nonwhite Female 0 0 0 MENTAL DISORDER RACESEX TOTAL AGE IN YEARS Under 15 1524 2534 35U 45 55 6554 64 11 7584 85 and SEXUAL DEVIATION All Admissions Total White Male White Female Nonwhite Male a 18 1 2 2 1 0 1 12 10 1 1 3 3 0 0 2 2 0 110 110 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Nonwhite Female 0 0 0 0 0 0 Total White Male 13 10 1 0 7 2 2 0 0 1 1 0 110 110 0 0 0 0 0 0 0 0 0 0 0 0 First Admissions White Female Nonwhite Male 1 2 0 1 1 1 0 0 0 0 0 0 0 0 Nonwhite Female 0 0 0 0 0 0 Readmissions Total White Male White Female 7 7 0 1 1 4 4 0 0 1 1 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 Previously admitted to MSH Nonwhite Male 0 0 0 0 0 0 0 0 0 Nonwhite Female 0 0 0 0 0 0 k Total 1 0 1 0 0 0 o White Male 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 Readmissions White Female 0 0 Previously admitted to other Nonwhite Male 0 0 0 0 0 0 psychiatric facility Nonwhite Female 0 0 0 0 0 0 0 0 ALCOHOLISM AnDICTinjH Total 810 1 19 145 300 256 78 9 0 2 2 0 0 0 All Admissions White Male White Female 707 83 1 0 17 1 120 18 257 36 229 73 8 23 4 1 4 0 0 0 10 0 0 0 0 0 Nonwhite Male Nonwhite Female 13 7 0 0 0 1 5 2 4 3 0 0 RACESEX AGE IN XEARS MENTAL DISOEDER 15 25 35 45 55 65 75 85 and TOTAL 15 2A 44 54 6A 74 ZL over Unknown 559 0 18 Ill 201 168 54 6 0 0 1 1 0 0 White Male 486 0 16 73 170 151 50 5 0 0 First Admissions White Female 57 0 1 13 27 3 1 12 4 1 3 1 0 0 1 0 Nonwhite Male Nonwhite Female 11 5 0 0 1 4 1 0 0 0 Total 226 1 1 30 87 79 24 3 0 0 1 Readmissions White Male White Female 199 25 1 0 1 0 24 5 1 0 78 9 0 0 68 10 0 1 23 3 1 0 0 0 0 0 0 0 0 0 0 Previously admitted to MSH Nonwhite Male Nonwhite Female 1 1 0 0 0 0 0 Total 25 0 0 4 10 11 0 0 0 0 0 0 0 0 White Male 22 0 0 3 9 10 0 0 0 Readmissions White Female 1 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 Previously admitted to other Nonwhite Male 1 0 1 0 psychiatric facility Nonwhite Female 1 DRUG AppjCTION Total 65 0 4 10 16 18 13 3 0 0 White Male 39 0 4 9 9 9 6 1 0 0 0 0 0 0 0 0 All Admissions Whie Female 25 0 0 0 7 9 0 0 0 Nonwhite Male 0 0 0 0 Nonwhite Female 1 0 0 1 0 0 0 0 Total 43 0 3 7 11 13 8 0 0 0 1 White Male 23 0 3 6 5 6 2 0 0 0 First Admissions White Female 19 0 0 0 6 0 7 0 0 0 0 Nonwhite Male 0 0 0 0 Nonwhite Female 1 0 0 1 0 0 0 0 MENIAL DISORDER RACESEX TOTAT AGE IN YEARS Under 15 1524 2534 3544 45 55 65 75 85 and Total White Male a 15 0 0 0 0 0 0 3 3 0 0 0 5 5 5 3 0 over 0 Unknown 0 Readmissions White Female 6 0 0 0 4 3 4 1 0 0 0 Previously admitted to M8H Nonwhite Male Nonwhite Female 0 0 0 0 2 0 0 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 Total White Male 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Readmissions White Female o 0 0 0 0 0 0 0 0 Previously admitted to other Nonwhite Male 0 0 0 0 0 0 0 0 psychiatric facility Nonwhite Female 0 0 0 0 0 0 0 0 0 0 0 0 TOTAL PERSONALITY nTRflRnflHf All Admissions Total White Male White Female Nonwhite Male Nonwhite Female 2077 1325 690 34 28 6 5 0 1 0 233 124 92 8 9 486 273 196 8 9 663 430 215 10 8 472 347 118 6 1 183 27 129 12 52 15 1 0 1 0 1 0 1 0 0 a 0 i 0 0 5 5 0 0 0 s First Admissions Total White Male White Female Nonwhite Male Nonwhite Female 1548 944 553 29 22 4 3 0 1 0 198 98 83 8 9 376 199 165 6 6 480 301 167 7 5 336 243 86 6 1 134 16 90 7 42 9 1 0 1 0 1 0 1 0 0 0 0 0 0 0 3 3 0 0 0 Readmissions Total White Male White Female 466 328 130 3 5 2 2 0 0 0 29 20 9 0 0 94 63 28 1 2 161 112 46 2 1 118 87 48 12 38 5 0 0 1 0 1 1 Previously admitted to MSH Nonwhite Male Nonwhite Female 30 0 1 10 6 0 0 0 1 0 0 0 1 0 0 0 0 0 MENIAL DISORDER Readmissione Previously admitted to other psychiatric facility RACESEX Total White Male White Female Nonwhite Male Nonwhite Female IQBtt 63 53 7 2 1 AGE IN SEARS Under 15 25 35 45 55 65 75 85 and 15 24 34 LL 54 64 n 84 over Unknown 0 6 15 21 19 1 0 0 0 1 0 6 11 17 17 1 0 0 0 1 0 0 3 2 2 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 TRANSIENT SITUATIONAL PERSONALITY DISTURBANCE All Admissions First Admissions Readmisslons Previously admitted to MSH Readmisslons Previously admitted to other psychiatrio 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 Nonwhite Male Nonwhite Female 87 44 33 7 3 77 39 29 6 3 9 5 3 1 0 1 0 1 0 0 15 54 8 2 3 5 0 0 0 8 25 4 2 3 2 0 0 0 3 25 2 0 0 3 0 0 0 3 3 1 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 15 49 3 2 3 5 0 0 0 ft 23 1 2 3 2 0 0 0 3 22 1 0 0 3 0 0 0 3 3 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 5 4 0 0 0 0 0 0 0 2 3 0 0 0 0 0 0 0 3 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 1 0 0 0 0 0 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 IsiMENTAL DISORDER RACESEX AGE IN YEARS Under 15 25 35 45 55 65 75 85 and TOTAL 15 24 34 IA 54 64 74 84 TT 1 MENTAL DEFICIENCY unknown Total 306 19 88 53 73 46 22 3 0 o 2 1 0 1 White Male 159 9 38 29 36 29 15 2 0 o All Admissions White Female 74 6 19 11 22 10 5 1 0 o Nomvhite Male a 2 22 7 3 4 2 0 0 o Monwhite Female 32 2 9 6 12 3 0 0 0 0 0 Total 218 19 77 34 44 27 13 2 0 0 2 White Male 110 9 34 18 21 18 8 1 0 o 1 0 1 First Admissions White Female 54 6 19 9 12 4 3 1 o o Nonwhite Male 30 2 18 3 1 3 2 0 0 0 Nomvhite Female 24 2 6 4 10 2 0 0 0 0 0 Total 83 0 10 18 27 18 9 1 0 0 o White Male 47 0 3 10 15 11 7 1 0 o o Readmissions White Female 18 0 0 2 9 5 2 0 0 0 0 o 0 o 0 0 0 Previously admitted to MSH Nonwhite Male 11 0 4 4 2 1 Nonwhite Female 7 0 3 2 1 1 0 0 0 0 NJ Total 5 0 1 1 2 1 0 0 0 0 o White Male 2 0 1 1 0 0 0 0 0 o o Readmissions Vhite Female 2 0 0 0 1 1 0 0 o 0 o 0 0 0 Previously admitted to other Nonwhite Male 0 0 0 0 0 0 0 0 o psychiatric facility Nonwhite Female 1 0 0 0 1 0 0 0 0 0 MENTAL DISORDER UNDIAGNOSED Total 28 0 0 2 8 10 4 2 0 1 1 Vhite Male 14 0 0 1 5 5 3 0 0 0 o All Admissions white Female 4 0 0 1 2 1 0 0 0 o o Nonwhite Male 1 0 0 0 0 0 0 1 0 0 o Nonvhite Female 9 0 0 0 1 4 1 1 0 1 1 RACESEX AGE IN YEARS MENTAL EISORDER Under 15 25 35 45 55 65 75 85 and TOTAL 15 24 34 LL 5i 64 74 84 over Unknown Total 24 0 0 2 7 9 2 2 0 1 1 White Male 11 0 0 1 4 5 1 0 0 0 0 White Female 4 0 0 1 2 1 0 0 Nonwhite Male 1 0 0 0 0 0 0 1 Nonwhite Female 8 0 0 0 1 3 1 1 0 1 Total 3 0 0 0 0 1 2 0 0 0 0 White Male 2 0 0 0 0 0 2 0 0 0 0 Readnissions White Female 0 0 0 0 0 0 0 0 0 0 Previously admitted to MSH Nonwhite Male 0 0 0 0 0 0 Nonwhite Female 1 0 0 0 0 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 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 psychiatric facility Nonwhite Female 0 0 0 0 0 0 soDEATHS IN THE HOSPITAL BY TIME ON BOOCS ADMISSION CLASSIFICATION MCE AND SEX ADMISSION CLASSIFICATION RACESEX All Admissions First Admissions Readmissions Total White Male White Female Nonwhite Male Norovhite Female Total Vhite Male White Female Nonwhite Male Nonwhite Female Total Vhite Male White Female Nonvhite Male Nonwhite Female TOIAL 1114 452 384 127 151 937 386 311 111 129 177 66 73 16 22 TIME ON BOOKS Under 35 3 mos mm 611 C1P5 1 yr 2 3 resvrs 4 yrs 59 W8 1014 1519 2024 2529 30 yrs TSysvrs vrs and over 299 94 83 109 64 36 51 120 66 39 48 28 77 158 38 34 45 21 6 21 40 20 13 17 13 26 65 28 32 41 26 20 17 55 22 15 15 11 37 42 12 6 6 6 4 6 11 15 4 7 3 34 16 11 17 11 6 7 14 9 7 9 1 9 262 90 77 101 57 32 39 100 42 25 35 25 52 141 37 33 42 17 3 14 32 u 9 16 11 17 55 28 29 39 25 19 15 45 7 8 6 10 36 11 6 5 6 4 5 11 12 2 6 3 4 6 30 H 9 15 9 6 5 12 9 6 7 1 37 4 6 8 7 4 12 20 24 14 13 3 25 17 1 1 3 4 3 7 8 6 4 1 2 10 0 3 2 1 1 2 10 15 7 9 1 12 6 1 0 1 0 0 1 0 3 2 1 0 ho 4 2 2 2 2 0 2 2 0 1 2 0 3 DEATHS IN THE HOSPITAL BY AGE AT DEATH ADMISSION CLASSIFICATION RACE AND SEX RACESEX AGE IN YEARS J ADMISSION CLASSIFICATION 15 25 35 45 55 65 75 85 and TOTAL 15 24 V 44 5i 64 74 84 over Unknown 1114 3 15 19 49 88 202 269 329 109 31 452 3 6 9 19 37 82 104 142 45 5 9 8 9 All Admissions 384 0 1 0 13 19 69 96 130 47 8 9 127 0 6 5 8 10 33 30 19 38 Nomfcite Female 151 0 2 5 9 22 18 39 937 3 12 H 36 65 147 231 300 101 28 First Admissions White Male White Female 386 311 111 3 0 0 4 1 5 6 0 5 13 8 7 29 58 90 15 46 78 5 29 27 134 113 18 45 42 7 4 8 8 8 Nonwhite Female 129 0 2 3 8 16 14 36 35 Total 177 0 3 5 13 23 55 38 29 8 3 White Male 66 0 2 3 6 8 24 14 8 White Female 73 0 0 0 5 4 23 18 5 4 3 17 1 5 1 Nomihite Male 16 0 1 1 Nanwhite Female 22 0 0 2 1 6 4 3 3 Os DISCHARGES BY TIME ON BOOKS ADMISSION CLASSIFICATION RACE AND SEX ADMISSION CLASSIFICATION RACESEX TOTAL TIME ON BOOKS Under 3 mo 35 moB 611 raos 1 2 3 4 59 1014 1519 2024 2529 30 yrs All Admissions Total White Male White Female Nonwhite Male Nonwhite Female 5092 2412 1649 492 539 1120 839 222 51 8 220 160 38 17 5 205 128 42 30 5 2408 1017 916 207 268 518 127 229 66 96 184 45 71 27 41 113 30 38 17 28 184 42 57 40 45 68 15 17 18 IS 38 4 11 9 14 16 4 4 6 2 ts 12 1 3 3 5 and over 6 0 1 1 4 First Admissions Total White Male White Female Nomvhite Male Nonwhite Female 3776 1757 1245 365 389 816 592 183 37 4 145 98 34 9 4 123 76 26 20 1 1910 820 741 159 190 406 99 177 52 78 117 25 46 19 27 57 14 15 10 IS 100 19 23 27 31 45 S 8 14 15 26 1 7 8 10 15 4 3 6 2 10 1 1 3 5 6 0 1 1 4 Readmissions Total White Male White Female Nonwhite Male Nonwhite Female 1316 655 384 127 150 304 247 39 14 4 75 62 4 8 1 82 52 16 10 4 498 197 175 48 78 112 28 52 14 18 67 20 25 8 14 56 16 23 7 10 84 23 34 13 14 23 7 9 4 3 12 3 4 1 4 1 0 1 0 0 2 0 2 0 0 0 0 0 0 0 DISCHARGES BY AGE AT DISCHARGE ADMISSION CLASSIFICATION RACE AND SEX RACESEX AGE IN YEARS ADMISSION CLASSIFICATION Under 15 25 35 45 55 65 75 85 and TOTAL 15 z 1A IA V 64 74 84 over Ifn known Total 5092 26 556 955 1256 989 729 174 78 9 320 White Male 2412 15 245 437 658 518 320 60 36 6 117 White Female 1649 4 192 311 399 300 252 75 21 3 92 Nonwhite Male 495 6 77 109 93 74 57 20 11 48 Nonwhite Female 536 1 42 98 106 97 100 19 10 0 63 Total 3776 22 486 727 902 703 467 139 73 8 249 White Male 1756 13 201 303 467 363 221 53 35 5 95 White Female 1266 4 176 260 306 213 154 56 20 3 74 368 5 69 83 55 59 38 16 35 Nonwhite Female 386 0 40 81 74 68 54 14 10 0 45 Total 1316 4 70 228 354 286 262 35 5 1 71 White Male 656 2 44 134 191 155 99 7 1 1 22 White Female 383 0 16 51 93 87 98 19 1 0 18 Nonwhite Male 127 1 8 26 38 15 19 4 3 13 Nonwhite Female 150 1 2 17 32 29 46 5 0 0 8130 MILLEDGEVILLE STATE HOSPITAL FINANCIAL REPORT FISCAL YEAR ENDING JUNE 30 1961 Revenue from State Funds Bade available to the Milledgeville State Hospital by the Department of Public Health amounted to 16086170 This amount was supplemented by 36571011 Pay Patient receipts 63658895 Veterans Home Commission and 15681980 sales fees and other sources making a total cash receipts of 1721561889 This 1721561889 income together with 120396825 cash balance at the beginning of the fiscal year made a total of 1811958711 available Of the available funds 1714711150 was expended for maintenance operations and 12238711 for buildings and structures leaving 88005853 available at June 30 1961 to satisfy outstanding obligations In addition to above cash receipts the Federal Government donated commodities valued at 63l19718 making total receipts of 1908378U32 Based on maintenance expenditures amounting to 1770535192 and daily average population of 12016 the per diem cost to the State was lj027 EXPENDITURES Maintenance Donated Food Commodities Used New Buildings and Structures TOTAL ATOUNT 1770535192 61jO761ul7 12238711 18116850320 PER CAPITA lli69812 53193 10160 1533165 lt027 116 028 li201 The Hospital had l1929381il invested in inventories at the close of June 30 196U The Broiler Project was discontinued May 18 1961 The Cannery and Bakery which were previously shown as productive units are discontinued as such since their primary function is food preparation INVENTORIES Cannery Bakery Engineering Materials Dry Goods Food Clothing Cold Storage Food Supplies Sewing Rooms Pharmacy TOTAL Project closed Food Service cost 1963 533Ult82 906217 12083087 16128613 129926U7 626168 26070iiI9 1961 00 00 12930123 17862110 lli805836 1021855 25362781 121678759 119293811 INCREASE DECREASE 533hl82 906217 817036 llt33li97 1813189 398687 707635 Accounts Receivable amounted to 13700653 which Is due by Veterans Home Commission for services rendered eligible veterans by the Hospital for quarter ending June 30 1961 Uncollectible accounts in the amount of 12210 were written off as authorized by Resolution of the General Assembly in 1963 under HR 158U29 Patients Deposit Account had a cash balance of l80711il3 July 1 1963 Activity during this fiscal period shows deposits of 52603196 and withdrawals of U1750378 leavine a balmnoe of 5892131 at June 30 196U B Financial statements as indexed are submitted for review131 INDEX Statement of Income and Expenditures 132 Statement of Per Capita Per Diem Costs 135 Analysis of Special Projects Maintenance Expenditures 136 Per Diem Cost Years Ended June 30 1959 196h137 Analysis of Cost of Food Preparation and Serving Meals 138 Productive Units Operations Dairy139 Broiler Project lilO Egg Project 10 Farm 11 Beef Projectli2 Swine Project13 Feed Mill lUU Abattoir lW Chicken Slaughter Report16 Cattle Slaughter Reportlh6 Hog Slaughter Report 17 Feeder Hog Report18 Beef Cattle Project Report 1U9 Donated Food Commodities 150 fl 1 II 132 MTLIEDGEVTLLE STATE HOSPITAL STATEMENT OF INCOME AND EXPENDITURES FISCAL YEAR ENDING JUNE 30 196U 3 STATE APPROPRIATIONS Revenue State Funds Maintenance Revenue State Funds Prison Maintenance Pay Patient Collections Training Federal Grant Cuna Moon Child Study INSTITUTIONAL INCOME Sales AMOUNT 1600000000 86li7000 3657kOlJ 2U7796 Meals 5030175 Hides Grease and Tallow 1286132 Scrap Metal Rags etc 1026659 Equipment 20000 Water 7U5070 Drugs and Medical Supplies 1236972 Services Federal Government Veterans Home 657llak9 Exchange 9737 Dental 651915 Hospitalization 1772106 Optical k16338 Rents 160380 Reimbursement Maintenance Expense Travel 5905 Shop Supplies 17518 Miscellaneous Supplies 100 Telephone and Telegraph 1197261 Repairs and Alterations 20228 Burial Kxpenses 28060 Registration Fees 300 Freight and Express 200 Social Security 1U782 Reimbursement Training and Research Expenses 1 Travel 30117 Educational Supplies 3UU6U Other Income Insurance Fire Loss I 1616039 Donation Research Laboratory 80000 Miscellaneous 3696 Uncollectible Accounts Receivable Written Of f Hospitalization 61i07 Cr Sale of Tin Cans 5720 Cr Telephone and Telegraph 113 Cr DONATED COMMODITIES Food Supplies TOTAL INCOME TOTAL 16151468810 93U50O8 6872li625 128U35k 6U611 1729735 12210 Cr 63U19718 179002U621133 STATEMENT OF INCOME AND EXPENDITURES CONTD EXPENDITURES mm OPERATIONS Psychiatric Units Unit One Unit Tuo Unit Three Unit Foot Unit Five Geriatrics Unit Veterans Home Unit Eight Rehabilitation Center Yarbrough Building TOTAL UNIT OPERATIONS MEDICAL AND SURGICAL Physical Health Jones Building Division of Nursing Division of General Services Division of Clinical Services Rivers Building Division of Nursing Division of General Services Division of Clinical Services Radiology Service Pathology Service ADMINISTRATION Business Business Administration Business Management 125029661 93265517 102371960 11792U056 97S8UO8l 51657590 21581763 3622U6U2 UO5192O0 6586695 71599 H9 2U98680 8753U0O7 TOTAL 536178275 106766U37 29728652 U9802U8 677653612 2551631 109U63995 5U2658UU 83227US 195036 Ol t 19U107826 90032687 Superintendent Assistant Superintendent EDO CATION AND TRAMMO Social Work Psychology Psychiatric Aide Psychiatric Residency Nurse Music Therapy Chaplaincy Otter Genetic Studies Pharmacology Studies Cuna Moon Child Studies 1357U805 1630U172 5523733 82U7727 27305U5 2U8299U 6961723 U68033 1326609 1830109 236UO60 2050170 255838 29878980 119911667 3U2U15U1134 STATEMENT OF INCOME AND EXPENDITURES OONTD EXPENDITURES OONTD EMPLOYEE BENEFITS Regular Pensions Health Insurance Compensation Service Medical Claims MEDICAL SERVICES Psychiatric OutPatient Clinic Pharmacy Psychology Dental Social Work Nursing THERAPY SERVICES Beauticians Chaplaincy Music Therapy Occupational Therapy Recreational Therapy Patients Library PROPERTY MAINTENANCE Engineering Environmental Sanitation Horticulture AMOUNT 98309702 2l8U2730 255U53U 5719896 liO961j26 1177531 15016153 7587019 586563 3717600 70276u5 518996 3031270 556173 389072 I09l451t706 31i65281 876U99U TOTAL 122706966 U2U626je 21t920283 121681581 Fire Department Police Department Prison Section HEAT LIGHT POWER AND WATER SERVICE Furnishing Heat Furnishing Light Furnishing Power Furnishing Water Water Plant SPECIAL PROJECTS Personnel Dwellings Steam Equipment Rooms Jones Building Surtical Suit Air Conditioning Surgical Suite Jones Building Washington Building Renovation Bolnid Building Renovation Master Key Systea Central Shop Equipment New Buildings FOOD SERVICE Productive Units Inventory July 1 1963 Productive Units Operations Productive Units Inventory June 30 196U Food Service Operations 5521887 U517907 3li886526 29259198 177U8525 218U2172 27313 2933801 3753275 18U713S U7578 U2715 152U87U 998530 1279105 3007295 2U62531 17237096 1030990U6 17308133 Cr 197US1503 UU926320 72056828 15383038 300U79512 OUTLAY LANDS AND BUILDINGS Buildings Structures Sixty 60 Bed Childreno1 Hone TOTAL EXPENDITURES 12238711 1782773903STATEMENT OF PER CAPITA PER DIEM COST BY UHIT WITH INDIRECT CHARGES PRORATED 1IHIT OPERATIONS One Psychiatric Two Psychiatric Three Psychiatric Four Psychiatric Five Psychiatric Six Geriatrics Eight Veterans Ten Rehabilitation Unit Unit Unit Unit Unit Unit Unit Unit Total Unit Operations MEDICAL AND SURGICAL Jones Building Rivers Building INDIRECT CHARGES PRORATED Administration Business Administration Medical Education and Training Employees Benefits Food Service Heat Light Power Water Medical Services Pathology Services Physical Health Productive Unite Property Maintenance Security Special Projects Radiology Therapy Services Total Indirect Charges LANDS AND BUILDINGS Buildings and Structures Donated Food Commodities TOTAL ALL OPERATIONS PERSONAL SERVICES 1109U1796 75U823UU 82108559 99U07952 8UOU7896 93575226 25U70U87 li298681 TRAVEL 126U58 115106 U0575 59993 63U80 13699 27U09 6590 SUPPLIES 12869U27 13975U66 15U00657 15031213 10U2622U 8936191 3922085 607671 EQUIPMENT 1060816 367799U U261592 398180 3039530 U218U62 306771 3623 293 6U 1U607 563577 226718 6951 22859 1900 63683 TOTAL 23676U965 266893251 23573895U 269105912 219300002 2U2135905 52591875 8991195 DAILY AVERAGE PER roPUTLATTON CAPITA iU5o 2251 1729 1960 1578 1755 295 52 S16329U 4 118567 1363UU 137299 138973 137969 178277 172908 PER DIEM UU7 325 37U 376 381 378 U88 U7U t 5753329U1 8 U55310 8116893U 1976696 929U59 853668Ut7 11531522059 11070 1383U9 379 89716512 8 117210 165U81U8 26611U7 8 U9U83U23 17902 39UUOl8 817357 U20978 16U30357 31UU 58852937 12589U352 213 591053 81619 113118781 763 1U8255 U06 U9708752 26U23631 31U95965 U2U39U66 11116628 3Uo5825U 15393735 2U22550 1889U265 8U250528 U129U2U7 3005588 6110618 21771627 15U190 U551U6 239868 228225 1358U 505213 5380 LU728 26362 136U65 108365 267089 I 867U657 1851352 582969 150039785 13162687 67291U5 29712U2 97093 801lU981 13332196 3083099 7852U60 1UU1U00 2031901 J10236U9U 931179 77265 883303 321668 6362U9 1077637 17260 391U77U 3063090 U00952 32U9616 770727 U32299 8 38838585U 9215U61S 829196U967 I26012U93 8 2125859U 217672 18U5U7U 122706966 386072U U7UU226l 533757 55637 77627 20902702 39657 127537U U17367 220633812 90032687 29878980 3U2Ul5U 122706966 197U51503 72056828 U2U62618 19503611 2551631 103028009 12168U981 UU926320 15383038 83227U5 2U920283 9291517U1 12238711 6UO76U17 12238711 6U076U17 120U6 120U6 1016 5319 03 15 CO On 1102918730 827U5037 U57702U6U U9257965 823liV 81816850320 120U6 3153316 8 U20ANALYSIS OF SPECIAL PROJECT MAINTENANCE EXPENDITURES IEAR ENDING JUNE 30 196U Personnel Dwellings Steam Equipment Rooms Jones Building Surgical Suite Air Conditioning Surgical Suite Jones Building Washington Building Renovation Boland Building Renovation Master Key System Central Shops Equipment New Buildings Sixty 60 Bed Childrens Home TOTAL PERSONAL SERVICES 1126025 1098611 380115 18000 382837 REPAIRS SUPPLIES ALTERATIONS 3607302 1U86 121879 277800 U7578 1UU8U 17365 2UU092 582171 232729 385686 12lt81i75 2056826 27910lj 7852l60 1264506 SqUTPHENT 1UUU87 321UU0 10866 12630 567632 2203U27 Bunnmos STRUCTURES 1 122387 Ol 3753175 18U7135 U7578 U271S 192U87U 998530 1279105 3007295 2U82531 12236711 KCOMPARATIVE STATEMENT OF PER DIEM COST YEARS ENDED JUNE 30 1959 THROUGH JUNE 30 196U EXPLANATORY Net Cost to State Maintenance Average Daily Population Cost Per Diera 10lj82O9712 1061206028 120003700 lti27610Uc9 1593512719 1770535192 11897 2 Jaii 11872 2U95 11873 278 118 329 11878 368 120U6 lj027 EMPLOYEE RATIO Number of Employees June 30 Ratio of Employees to Population Medical Administration Employees Business Administration Employees 2216 2319 2559 2556 2703 2975 537 512 llffl U65 h39 U05 1616 1631 1816 l81l 1905 2016 600 688 7U8 7U2 798 95 2j2l6 2319 2559 2556 2703 2975 ANALYSIS OF COST OF FOOD PREPARATION AND SERVING HEALS FISCAL YEAR ENDED JUNE 30 1961 PRODUCTIVE UNITS Dairy Broiler Project Egg Project Farm Abattoir Beef Cattle Project Swine Project Feed Mill Cost of Commodities Produced Cost of Purchased Food Preparation and Serving Meals Total Cost to State FEDERAL GOVERNMENT Donated Food Supplies TOTAL POST OF MEALS SERVED PERSONAL SERVICES SUPPLIES EQUIPMENT OTHER TOTAL COST PER MEAL 5 3390815 779300 1239000 11059150 5LUU02 695870 U79250 1250850 2588U79 510950 17371i8 9210979 19628112 213062 1573386 30502528 165808 162U85l 1872525 23707U 3502377 1015U28U 1U215 13290 26872 16750 8UO8 182UU 6158U22 2915101 U8755U5 20523953 201U251U UU19717 12206920 31785837 19U08667 t 6S961t6Wi 1757113U 8356U 103028009 OO6U8 U2U39U6S 150039785 883303 UO889U9 197U51503 012U1 618lj8133 1 21600UU29 18U5UU37 Ul72513 t 300U79512 01889 6UO76U17 2800808U6 6UO76U17 36U555929 00U03 616U8l33 18U5UU37 Ul72513 t 02292 8 NUMBER OF MEALS SERVED 15908388139 MILLEDGEVILLE STATE HOSPITAL ANALYSIS PRODUCTIVE UNITS OPERATIONS FISCAL YEAR ENDING JUNE 30 196U DAIRY COST OF PRODOCTTPN Inventory July 1 1963 Personal Services Supplies Equipment Others TRANSFERRED FBPM FEED MILL Milk Replacer 17850 lbs Animal Minerals 1U00 lbs Gross Expenditures Inventory June 30 196U NET COST OF OPERATIONS t 33908US 17U6U7lt 165808 13290 6U222J 5316U17 2U9900 5880 255780 t 62LUU22 56000 6158U22 FEED SUPPLIES RECEIVED AND USED FEED MILL Calf Starter 111 Tons Dairy Feed 10U1 Tons DryerFreshner Chow 308 Tons FORAGE SUPPLIES RECEIVED AND USED FARM Bermuda Hay 1016 Tons Ensilage 1661 Tons PRODUCTION Sweet Milk U98066 Gallons Cows for Slaughter 109 Head 117230 Lbs Live Weight IN HERD JUNE 30 196U 606 Milk Cows 12U Dry Cows 278 Heifers 8 Breed Bulls 93 Calves mm 140 PRODUCTIVE UNIT OPERATIONS CONTD BROILER PROJECT POST OF PRODUCTION Inventory July 1 1963 Personal Services Supplies Equipment Baby Chicks Purchased Gross Expenditures Inventory June 30 1961i NET COST OF OPERATIONS 779300 U775 U6601 1576250 1469175 21415926 2935101 00 t 2915101 Broiler Project closed operations May 18 196b MEMO FEED SUPPLIES RECEIVED AND USED FEED MILL Broiler Mash IM Tons PRODUCTION Broilers 165662 each 631i150 Lbs Live Weight I EOG PROJECT COST OF PRODUCTION Inventory July 1 1963 Personal Services Supplies Equipment Baby Chicks Purchased Others Gross Expenditures Inventory June 30 196b NET COST OF OPERATIONS 1239000 610933 51565 1820960 26672 3173557 37U9328 6922885 20l73i0 MEMO FEED SUPPLIES RECEIVED AND USED FEED MILL Broiler Mash 310 Tons Laying Mash l7Uh Tons PRODUCTION Eggs 782b96 Dozen Hens 32212 Each 126586 Lbs Live Weight 141 PRODUCTIVE UNIT OPERATIONS CONTD FARM POST OF PBODUCTION Inventory July 1 1963 Personal Services Supplies Equipment Others Gross Expenditures Inventory June 30 196U NET COST OF OPERATIONS 11059150 88U05u3 23707U 16750 1266116 20153517 211i19633 695680 FORAOE SUPPLIES USED FROM PRODUCTION Bermuda Hay 27 Tons Ear Com 16716 Bushels Oat Hay 3 Tons Mixed Hay 5 Tons PRODUCTION VEGETABLES TABLE USE Snap Beans 29856 Lbs Butter Beans 10800 Lbs Collards 2606u Lbs Green Field Peas ll2850 Lbs Sweet Potatoes 39621 Bu Radishes 8712 Lbs Roasting Ears 22039 Doz Rutabaga Greens 185HlO Lbs Squash 36505 Lbs Turnip Greens lii856 Bu Turnip Roots U31 Bu VEGETABLES CANNED OR FROZEN Snap Beans 93720 Lbs Collards 102000 Lbs Turnip Greens 8516 Bu Corn 2Uli80 Do Squash 17600 Lbs FRUITS CANNED FROZEN JELLIED OR PRESERVED Blackberries 29273 Lbs Grapes 3UI422 Lbs Peaches lli962 Bu Pears 10000 Lbs FORAGE SUPPLIES Berrnds Hay 1810 Tons Mixed Hay 5 Tons Oat Hay 3 Tons Corn 16716 Bu Ensilage 1856 Tons OTHERS Pecans 2230 Lbs Syrup 816H i Gallon Containers142 PRODUCTIVE UNIT OPERATIONS CONTD BEEF PROJECT COST OF PRODUCTION Inventory July 1 1963 Personal Services Travel Supplies Equipment Livestock FEED SUPPLIES RECEIVED FROM FEED MILL Animal Minerals 1260 Lbs Salt 1680 Lbs Cotton Seed Meal 18700 Lbs Gross Expenditures Inventory June 30 196U MET COST OF OPERATIONS U991268 695870 81j08 1311 OH 301 58U0351 667603H 5292 2100 7U566 81958 t 117U9260 73295U3t UU19717 FEED SUPPLIES RECEIVED AND OSED FEED MILL Beef Ration 373 Tons Calf Starter 188 Tons Steer Fattener 303 Tons FORAGE SUPPLIES RECEIVED AND USED FARM Bermuda Hay 767 Tons Ensilage 195 Tons CATTLE FOR SLAUGHTER TO ABATTOIR Brood Cows 3 Head 2U20 Lbs Live Weight Breed Bulls 1 Head 1190 Lbs Live Weight Steers 327 Head 327030 Lbs Live Weight LIVESTOCK ON HAND Brood Cows 87 Head Bred Heifers 5 Head Open Heifers 92 Head Breed Bulls U Head Steers 363 Head Calves 2UU Head143 PRODUCTIVE UNIT OPERATIONS CONTD SWME PROJECT COST OF PRODUCTION Inventory July 1 1963 Personal Services Supplies Hogs Purchased FEED SUPPLIES TRANSFERRED FROM FEED MILL Shelled Corn 5U506U Lbs Gross Expenditures Inventory June 30 196h NET POST OF OPERATIONS U79250 172026 11198261 3682330 11819557 LU01360 16933217 U726327 12206920 MEIO FEED SUPPLIES RECEIVED AND USED FEED MIU Swine Feed 273 Tons PRODUCTION Feeder Hogs for Slaughter 6705 Head 1285795 Lbs Live Weight HOPS ON HAND JUNE 30 196U 1998 Head t U710961POST OF PRODUCTION Inventory July l 1963 Personal Services Travel Supplies Feed Ingredients Equipment Others 144 PRODUCTIVE UNIT OPERATIONS CONTD t 12508 179 26727U 31003005 1A215 290 FEED INGREDIENTS ISSUED TO DAIRY Milk Replacer 17850 Lbs Animal Minerals lUO0 Lbs 7SKP INGREDIENTS ISSUED TO StfTNE PROJECT Shelled Corn 5U506l4 Lbs FEED INGREDIENTS ISSUED TO BEEF CATTLE PROJECT Animal Minerals 1260 Lbs Salt 1680 Lbs Cotton Seed Meal 13700 Lbs Gross Expenditures Inventory June 30 1961 NET COST OF OPERATIONS 29900 Cr 5830 5292 Or 2100 Cr 7li566 Cr 2000730 32553588 255730 Cr 1U01360 Cr 61958 Cr 32815220 1029333 PRODUCTION Calf Starter 299 Tons Dairy Feed l0lj Tons DryerFreshener Chow 308 Tons Broiler Msh 757 Tons Laying Mash l7Ui Tons Beef Ration 373 Tons Steer Fattener 303 Tons Swine Feed 273 Tons 145 PHODHCTIVE DMIT OPSRATJMIS CONTD abattoib cdst of opsratidks Inventory July 1 1963 Supplies Others Livestock for Slaughter Purchases t 51UU02 20U2S 19819852 1011695 2035U679 Gross Expenditures Inventory June 30 196U MET OOST OF OPERATIONS 2136637U 1223860 HKCETYH FHOMi Dairy 109 Cove 117230 Lbs Broiler Project 165662 Broilers 63U150 lbs Egg Project 32212 Hens 126588 lbs Swine Project 6705 Feeder Hogs 1285795 lbs Beef Cattle Project 3 Brood Cow 2U20 Its Beef Cattle Project 1 Breed Bull 1190 lbs Beef Cattle Project 327 Steers 327030 lbs PBDEOCHDN DRESSED MEAT AND MEAT PBDDPCTS Beef 228307 lbs Beef Idrer 13U2U lbs Beef Brains 810 lbs Beef Tails 18U9 Lbs Pork 600557 lie Pork liver 17291 lbs Cared Hea 109U80 lbs Dry Salt Bacon 19U606 Lbs Fat Back 1U0769 lbs Crackllns 22U8 lbs Bologna 3U805 lbs Beef loaf 251816 lbs lard Ul085 Lbs Mixed Sausage 221850 lbs Souse Meat 70365 lbs Weiners 60871 lbs Chicken U13672 lbs CASH SALES Hides and Grease 1286132 146 CHICKEN SLAUGHTER REPORT FISCAL YEAR ENDING JUNE 30 1961 SLAUGHTERED PORING PERIOD Purchases deceived From Broiler Project Received From Egg Project TOTAL SLAUGHTER EACH 1200 165662 32212 WEIGHT 5210 Lbs 63U150 Lbs 126588 Lbs 765978 Lbs DRESSED WEI5HT 19907U U93939 LI PERCENTAGE OF YIELD 7ldl8 CATTLE SLAUGHTER REPORT FISCAL YEAR ENDING JUNE 30 196b SLAUGHTERED DURING PERIOD Purchases Received From Dairy Received From Beef Cattle Project TOTAL SLAUGHTER NO HEAD 625 109 331 WEEHT 703360 Lbs 117230 Lbs 33O61i0 Lbs 1151230 Lbs DRESSED WEIGHT 065 607721 Lb3 FROM SLAUGHTER Dressed Beef Beef Liver Beef Hearts Beef Tongue Oxtail Cheek Meat Brains Hides PERCENTAGE OF YIELD POUNDS 607721 15080 3130 3625 2575 5360 995 38320 5279 DISPOSITION In Cooler July 1 1963 Transferred In During Period Transferred Out To Cold Storage To Processing Room Shrinkage BALANCE Bl COOLER JUNE 30 1961 MEAT PRODUCTS PROCKSSIHG ROOM PRODUCTION Bologna Beef Loaf Mixed Sausage Weiners 15035 607721 622756 276935 325103 18683 620721 2035 POUNDS 35900 253750 22U0O0 63500tsBUUUUBaatm 147 HOG SLAUGHTER REPORT FISCAL YEAR ENDING JUNE 30 196U SLAUGHTERED DURING PERDD Purchases Received from Swine Project TOTAL SLAUGHTER FROM SLAUGHTER Dressed Pork Pork Liver Pork Hearts Leaf Fat Hog Heads Pit Trimmings PERCENT AGE OF YIELD NO DRESSED HEAD WEIGHT WEEHT 38L 6705 91520 Lbs 1702850 Lbs 7089 l79u370 Vas POUNDS 1257533 16U70 3925 U9380 70890 h230 1257533 Lbs 7008 DISPOSITION In Cooler July 1 1963 Transferred In During Period Transferred Out To Cold Storage To Curing Room To Processing Room BALANCE IN COOLER JUNE 30 196U 00 1257533 603616 lilU307 239060 1257533 Lbs 1256983 Lbs 550 Lbs MEAT PRODUCTS PROCESSING ROOM PRODUCTION Cracklins Lard Souse Meat Cured Ham Dry Salt Meat Fat Back BALANCE Bl CURING ROOM Cured Ham Dry Salt Meat Fat Back POUNDS 2300 12250 73 WO 111195 211706 151875 2510 13U00 11600 148 On Hand July 1 1963 Purchases During Period Less Died During Period Slaughtered During Period ON HAW JUNE 30 J9k FEEDER HOG REPORT FISCAL YEAR ENDING JUNE 30 1961 NO HEAD WEIGHT 18811 225717 lbs 775U 1179651 lbs 935 6705 131l219 Lbs 966383 Lbs AMOUNT 3610902 18373156 21llt857 151B82tO 1993 301t796 Lbs U710961 MEMO GAIN IN WEIGHT AND VAUia OF HOGS SLAUGHTERED Weight and Value at Time of Slaughter Weight and Value at Time of Purchase NET GAIN VALUE 1702850 Lbs 26671710 977723 Lbs 153114220 725127 Lbs i 11357520 GAIN IN WEIGHT AND VALUE PER HEAD Net Gain for Period GAIN PER HEAD 6705 725127 11357520 10815 4 169UBeginning Inventory July 1 1963 Add Dropped Purchases From Dairy From Bred Heifer From Calves Deduct i Died Transferred to Abattoir Transferred to Brood Cows Transferred to Open Heifers Transferred to Steers CLOSING INVENTORY JUNE 30 196U BEEF CATTLE PROJECT REPORT FISCAL YEAR ENDING JUNE 30 l6h TOTAL OPEN BREED m rows HEIFERS HEIFERS BULLS STEERS CALVES HERD 57 3U 69 2 It 218 U06 nit U924 lib Uio fc 2 229 233 31 27 72 31 99 14 1 6 1 55 3 1 327 331 31 27 31 27 72 72 92 363 Hii 795 MEMO i Transferred to Abattoir 3 Brood Com 2U20 Lbs 1 Breed Bull 1190 Lbs 327 Steers 327030 Lbs nCBBBH 150 DONATED FOOD COMMODITIES FISCAL YEAR ENDING JUNE 30 1961 DRY FOOD ITEMS Bulgar Rolled Wheat Rice Grits Flour Meal Navy Beans Pinto Beans MEAT DAIRY AND POULTRY PRODUCTS Ground Beef Roast Beef Butter Cheese Powdered Eggs Powdered Milk Lard FRUITS Cranberries Peaches Plums QUANTITY unit AMOUNT 100000 Lbs t 2500000 137000 Lbs 753500 263550 Lbs 236ll08 80000 Lbs lt801O0 1703000 Lbs 9707100 101250 Lbs 19OU950 lmooo Lbs 1110000 65000 Lbs 650000 10h806 Lbs 3111180 63503 Lbs 2222605 307550 Lbs 15377500 27001i Lbs 89h2861 602k 3 Lb Cans 1666825 312050 Lbs 6156900 330510 Lbs U692686 10250 Lbs 191750 2550 Bu h 21850 2290 Crts 1099200 63u197l8 NOTES QJQJE50M5 A