One hundred and twenty-second annual report of the Milledgeville State Hospital, Milledgeville, Georgia for the year ending June 30, 1965

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196465
One Hundred and Twentysecond
ANNUAL REPORT
of the
Milledgeville State Hospital
Milledgeville Georgia
FOR THE YEAR ENDING JUNE 30 1965
GOVERNOR CARL E SANDERS
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JOHN H VENABLE MD DIRECTOR
GEORGIA DEPARTMENT OF PUBLIC HEALTH
ADDISON M DUVAL MD
DIRECTOR DIVISION OF MENTAL HEALTH
IRVILLE H MocKINNON MD
SUPERINTENDENT OF THE HOSPITAL

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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
J K QUATTLEBAUM Sr MDFIRST DISTRICT
Savannah
ALDWIN G FUNDERBURK M DSECOND DISTRICT
Moultrie
ROY L GIBSON Jr M DTHIRD DISTRICT
Columbus
RICHARD H SMOOT M DFOURTH DISTRICT
Decatur
FRED L ALLMAN M DFIFTH DISTRICT
Atlanta
B W FORESTER M DSIXTH DISTRICT
Macon
FRED H SIMONTON M DSEVENTH DISTRICT
Chickamauga
DUNCAN B McRAE M DEIGHT DISTRICT
McRae
P K DIXON M D ViceChairman NINTH DISTRICT
Gainesville

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JOHN M MARTIN M D Chairman TENTH DISTRICT
Augusta
WESLEY A CARR D D SSTATE AT LARGE
Augusta
S LANIER HARDMAN PhGSTATE AT LARGE
Covington
JOE M HAWLEY D D SSTATE AT LARGE
Columbus
ERIN W JOHNSON STATE AT LARGE
Waycross
JOHN D MARSHALL PhGSTATE AT LARGE
Camilla
J T MERCER D V MSTATE AT LARGE
Elberton
J FRANK MYERS Secretary STATE AT LARGE
Adrian
CARL E PRUETT STATE AT LARGE
Griffin
THE GOVERNOREXOFFICIO MEMBER
MEDICAL DEPARTMENT
faffs
IRVILLE H MACKINNON MD
Superintendent

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JAMES B CRAIG M D
Assistant Superintendent
PSYCHIATRY
Louis J Jacobs MD Supervisor Residency Training Program
Luis Ravenet MD Supervisor Residency Training Program
UNIT I
Julian Gomez MDDirector
Mario Ambros MD Senior Physician
Adolfo Ponce de Leon MD Senior Physician
Raul Rivero MD Staff Physician
Manuel Anton MD Assistant Staff Physician
Jose L Balbona MD Assistant Staff Physician
Fernando R Boudet MD Assistant Staff Physician
Zelma Ozolins MD Assistant Staff Physician
Santiago Augilar MD Psychiatric Resident
David W Cheshire MD Psychiatric Resident
Jose G Montane MD Psychiatric Resident
Lorenzo Portillo MD Psychiatric Resident
Juan M Portuondo MD Psychiatric Resident
Elpibio Stincer MD Psychiatric Resident

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UNIT II
Olen I Freeman MD Director
Manuel D Fernandez MD Staff Physician
Vilis J Zakitis MD Staff Physician
Miguel Bosch MD Assistant Staff Physician
Eduardo Guernica MD Assistant Staff Physician
Crescencio Necuze MD Assistant Staff Physician
Isabel Pereira MD Assistant Staff Physician
Adolph Sarma MD Assistant Staff Physician
UNIT III
E J ValdesCastillo MD Director
Rafael R Pascual MD Staff Physician
Odelia Zapatero MD Staff Physician
Armando Gutierrez MDAssistant Staff Physician
Julio Junco MD Assistant Staff Physician
Hermes Cuervo MD Psychiatric Resident
Jose Gelpi MD Psychiatric Resident
Salvador A Mendez MD Psychiatric Resident
William P Sapp MD Psychiatric Resident
UNIT IV
W T Smith MD Director
J J Word MD Senior Staff Physician
F S Chance MD Staff Physician
Elfrieda Mellinger MD Staff Physician
Marta Bosch MDAssistant Staff Physician
Marta Dzirkalis MDAssistant Staff Physician
Maria Izquierdo MD Assistant Staff Physician
Blanca M Anton MD Psychiatric Resident
Jose Mendoza MD Psychiatric Residentm

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UNIT V
Everett Kuglar MD Director
Kenneth Jones MD Senior Physician
Robert I Varner MD Senior Physician
George Grant MD Staff Physician
Jose R Rozas MD Assistant Staff Physician
Henry Remy MD Assistant Staff Physician
Ramon Boza MD Psychiatric Resident
Octavio 0 Carreno MD Psychiatric Resident
Luis de la Torre MD Psychiatric Resident
Mario Landrian MD Psychiatric Resident
Jorge Lazcano MD Psychiatric Resident
UNIT VI
E W Allen Sr MD Director
Helen Freeman MD Assistant Chief of Service
J W Heath MD Assistant Chief of Service
Stephen E Kramer MD Senior Staff Physician
Luis Carrodeguas MD Staff Physician
Manuel Estrada MD Staff Physician
Mary K Hires MD Staff Physician
GEORGIA VETERANS HOME
Carl Smith MD Director
Federico G Perez MD Assistant Staff Physician
Diplomate American Board of Psychiatry and Neurology
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PHYSICAL TREATMENT
J G Bohorfoush MD Acting Director
MEDICAL SERVICE
Raymond H Jordon MD Assistant Chief of Service
Ruben LopezToca MD Acting Assistant Chief of Service
Sergio AlvarezMena MD Cardiologist
Jose Rouco MD Senior Staff Physician and Otolaryngologist
Robert E Rice MD Senior Staff Physician
Enrique Casares MD Senior Staff Physician
Jose Bofill MD Staff Physician
Rene Montero MD Staff Physician
H Scott Patterson MD Staff Physician
Ana Marrero MD Assistant Staff Physician
CONSULTANTS
Consultants
Malcom J Bazemore MD Dermatology
Harold Collings MD Neurology
John W Kemble MD Neurology
John H Edmonds MD Cardiology
A Calhoun Witham MD Cardiology
Victor A Moore MD Gastroenterology
ClaudeStarr Wright MD Hematology
Thomas Findley MDInternal Medicine
Enon C Hopkins MD Internal Medicine

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SURGICAL SERVICE
Julio San Martin MD Assistant Chief of Service
H B Johnston MDChief of Surgery
Federico E Marrero MD Neurosurgery
William S Corley MD Surgeon
Mario de Laosa MD Senior Staff Physician
Carlos PerezAbreu MD Senior Staff Physician
Cenaida Carreno MD Assistant Staff Physician
CONSULTANTS
William H Moretz MD General and Vascular Surgery
Edwin Brackney MD General Surgery
Harold S Engler MD General Surgery
Milford Hatcher MD General Surgery
J Benham Stewart MD General Surgery
Arthur Lee Humphries MD General Surgery
Robert Parrish MD General Surgery
William M Headley MD Surgery
Robert J Clark Jr MD NeuroSurgery
W S Flanagin MD Plastic Surgery
Robert Ellison MD Thoracic Surgery
David P Hall MDThoracic Surgery
Joe S Robinson MD Thoracic Surgery
Floyd Bliven MD Orthopedic Surgery
James Harkess MD Orthopedic Surgery
David Williams MD Urology
John R Rinker MD Urology
William Lucas MD Urology
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OPHTHALMOLOGY
Teofilio Tomas MD Chief of Service
G R Courtney MD Senior Optometrist
Robert Whisnant MD Resident
CONSULTANTS
Devereaux Jarratt MD Ophthalmology
James Hooper MD Ophthalmology
Homer Nelson MD Ophthalmology
OBSTETRICS AND GYNECOLOGY
David Cardoso MD Chief of Service
Helen Kuglar MD Obstetrician and Gynecologist
Emilio Yero MD Assistant Staff Physician
CONSULTANTS
Frederick P Zuspan MD Obstetrics and Gynecology
Charles I Bryans Jr MD Obstetrics and Gynecology
P L Wilds MD Obstetrics and Gynecology
ANESTHESIOLOGY
Jose Garcia MD Assistant Chief of Service
Antonio Ballagas MD Assistant Staff Physician
Ralph R Novoa MD Anesthesiologist
RADIOLOGY
Wilbur Baugh MD Chief of Service
Pilar Goicoechea MD Radiologist
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CONSULTANTS
Mark Brown MD Radiology
Arthur D Dick MD Radiotherapist
Winford H Pool Jr MD Radiology
Hubert F Anthony Jr MD Radiology
PATHOLOGY
Mario P Navarro MD Chief of Service
Dionisio Pinero MD Pathologist
JS Astienza MD Pathologist
Walter M Bowman Director Clinical Laboratories
CONSULTANT
Hans Peters MD Pathology
TUBERCULAR SERVICE
Mahud Majanovic MD Director
Francisco Madrid MD Staff Physician
A Steinhards MD Assistant Staff Physician
Ed Saule MD Assistant Staff Physician
PHARMACY
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George W Taylor PhG
Clarence E Gissenda
Chief Pharmacist
BS in Pharmacy Pharmacist
SCHOLARSHIPS
Durward M Poland
University of Michigan
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Diplomate American Board of Internal Medicine

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DENTAL STAFF
Robert Watson DDS Director
Staci Gaffos DMD Dentist
Roger Groves DDS Dentist
Fred Jabaley DDS Dentist
Reichert N Johnson DDS Dentist
Ronald Markette DDS Dentist
Samuel Mayfield DDS Dentist
Barton OBrien DDS Dentist
Fred Wagner DDS Dentist
Harold Willmuth DDS Dentist
William Willoughby DDS Dentist
NURSING STAFF
Myra S Bonner RN Director of Nursing
Bernice H King RN Deputy Director of Nursing
Vera W Knowles RN Assistant to Director of Nursing
Oreta S Reeves RN Assistant to Director of Nursing Unit I
Fay H Fidler RN Assistant to Director of Nursing Unit II
Ruth D Mullis RN Assistant to Director of Nursing Unit III
Frances Osborne RN Assistant to Director of Nursing Unit IV
Lottie T Garland RN Assistant to Director of Nursing Unit V
Blanche B McMillin RN Assistant to Director of Nursing
Unit VI
Irene L Wood RN Assistant to Director of Nursing Unit VII
Edna A Ross RN Head Nurse Georgia Veterans Home
Janet M Smith RNHead Nurse Yarbrough Rehabilitation Center
Mary W Billue RN Charge Nurse Psychiatric OutPatient Clinic
Vivetta Kramer RN MS Supervising Instructor
InService EducationUs
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Glenda G Ridley RN Nursing Instructor
Psychiatric Aide Program
Mattie L Pennington RN Nursing Instructor
Psychiatric Aide Program
Maidana K Nunn RN MS Supervising Instructor
Psychiatric Affiliation Program
Pauline L Anderson RN Nursing Instructor
Psychiatric Affiliation Program
Ouida A Couch RN Nursing Instructor
Psychiatric Affiliation Program
Alice K Paschal RN Nursing Instructor
Psychiatric Affiliation Program
Louise F Spivey RN Nursing Instructor
Psychiatric Affiliation Program
Beatrice M Tribble RN AB Nursing Instructor
Psychiatric Affiliation Program
Gloria A Williams RN Nursing Instructor
Psychiatric Affiliation Program
Marjorie T Wood RN AB Nursing Instructor
Psychiatric Affiliation Program
CLINICAL PSYCHOLOGY
Robert W Wildman PhD Chief Clinical Psychologist
Arthur E Alper PhD Director Professional Training
John L Bernard PhD Director Training and Research
Spurgeon Cole PhD Clinical Psychologist
Harold E Edwards PhD Clinical Psychologist
John E Hannon PhD Director Childrens Services
0 Henry Harsch PhD Clinical Psychologist
Robert F Heap PhD Director Education
Frederick W Huff PhDClinical Psychologist
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Thomas W Lucik PhD Senior Clinical Psychologist
Francis L Madison MA Staff Psychologist
Robert T Shepherd PhD Clinical Psychologist
Horace F Stewart Jr PhD Senior Clinical Psychologist
SPECIAL EDUCATION PROGRAM
Louis Donald Shell BBA M Ed Principal
Seenie C Courtney M Ed Special Education Teacher
Mazie Hamlin Dillard M Ed Special Education Teacher
Bertha S Eakins BA Special Education Teacher
Glenn L Edmunds BS Special Education Teacher
Mary Allen Edwards BS Special Education Teacher
Antoinett B Ennis AB Special Education Teacher
Sybil Harper BS Special Education Teacher
Jesse W Landers BSSpecial Education Teacher
Thomas W Langston M Ed Special Education Teacher
Martha Marsden BS Special Education Teacher
Johnette McAfee BS Special Education Teacher
William F McGee M Ed Special Education Teacher
Juanda Ponsell AB Special Education Teacher
Audrey C Power M Ed Special Education Teacher
Georgia Prosser BS Special Education Teacher
Mary Louise Schuyler BS Special Education Teacher
Carol Sirmans BA Special Education Teacher
Sue B Thrower AB Special Education Teacher
Charlotte Simmons Whaley AB Special Education Teacher
Thurza Whittaker ABSpecial Education Teacher
Rosa Wood BS Special Education Teacher
Sarah Youmans BS Special Education Teacher
Glenda Young BS Special Education Teacher
Ruth K Todd BS Research Assistant

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Elizabeth C Aderhold
University of Georgia
Clinton L China
University of Tennessee
Gail F Coyle
University of Alabama
Frank A Coyle Jr
University of Alabama
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INTERNS
John S Currie
University of Florida
Lalla S Darby Pascal
University of Tennessee
Russell Eisenman
University of Georgia
Howard R Friedman
University of Tennessee

Richard C LaBarba
University of Tennessee
James C Ascough
University of Georgia
SCHOLARSHIPS
Wayne Kinzie
University of Georgia
Gardner Brooksbank
University of Georgia
Wilburn H Rivenbark III
University of Florida

Roger W Jones
University of Georgia
Wilton L Beasley
University of Georgia
John T Watkins
University of Georgia
TECHNICIANS
Marsha Gail Moore
University of Georgia
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Nancy G Blum
Mercer University
Anne M Cork
Mercer University
Lawrence Ford Quattlebaum
Mercer University
George Redmond
LeGrange College
Suzanne Donehoo
The Womans College of
Georgi
Leo G Salter
Georgia State College

Patricia Ann Edmundson
Georgia State College
Mack Norris Spruell
Auburn University
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Jane Kay Fondren
CarsenNewman College
Edwin Hearon
Furman University
Marie Carolyn Miller
East Carolina College
Bernice W Stevens
Mercer University
Ben C Stewart Jr
University of Georgia
John Daniel Tollerson
Mercer University
Evelyn Patricia Weaver
Mercer University
CONSULTANTS

Henry Adams Ph D
Professor of Psychology
University of Georgia
Stanley H Ainsworth Ph D
Chairman Speech Correction and
Special Education Department
University of Georgia
Mary M Andrews Ph D
Assistant Professor
Program for Exceptional Children
University of Georgia
Richard Bartlett
Consultant Services for Exceptional
Children Mentally Retarded
Atlanta Georgia
Richard Blankenship
Consultant Services for Exceptional
ChildrenEmotionally Disturbed
Atlanta Georgia
Raymond D Fowler Ph D
Associate Professor of Clinical
Psychology
University of Alabama
Mamie Jo Jones Ph D
Coordinator Services for Exception
Children
Atlanta Georgia
Richard Kicklighter Ph D
Consultant Services for Exceptiona
ChildrenCoordinator for Psychol
Examinations
Atlanta Georgia
Malcolm B McCoy Ph D
Professor Department of Speech ant
Hearing
University of Georgia
Kenneth R Newton Ph D
Director Professional Training
University of Tennessee
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Earl C Brown Ph D
Director Professional Training
University of Alabama
Raymond B Cattell Ph D
Research Professor
University of Illinois
J C Dixon Ph D
Director Professional Training
University of Florida
T R Perry
Orientation and Mobility Specialist
Academy for the Blind
Macon Georgia
Carl N Sipprelle Ph D
Director Professional Training
University of Tennessee
Mary Lois Wilson
Consultant Services for Exception
ChildrenMentally Retarded
Atlanta Georgia
Florene Young Ph D
Director Psychological Clinic
University of Georgia
SOCIAL WORK
Kenneth F Jasnau MSS ACSW
E 0 Melton MSW ACSW Chief Soc
Barbara Brown MSW ACSW Senior Soc
Margaret Giddings MSSW ACSW Senior Soc
Jean Harsh MSW Senior Soc
Mary E Kingston MSW ACSW Senior Soc
T Ray Mills MSW ACSW Senior Soc
Allan L Rotter MSW ACSW Senior Soc
Billy M Warden MSSW ACSW Senior Soc
Harmon Adams MSW Soc
Chester C BuBois MSW Soc
J Albert Greene MSSW Soc
Ann Hamilton MSW Soc
Kenneth C Hicks MSW Soc
Director
al Worker
al Worker
al Worker
al Worker
al Worker
al Worker
al Worker
al Worker
al Worker
al Worker
al Worker
al Worker
al Worker
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Helen F Hubbard MSW Social Worker
Edward A Mahlin MSW Social Worker
Kathryn H Mahlin MSW Social Worker
James T Wise MSW Social Worker
Mary Cason BAMedical Social Worker
Louise Powell BA Medical Social Worker
Nick Abel BA Social Work Aide
Jeretha Andrews AB Social Work Aide
Gail Bramlett BA Social Work Aide
Ludwina Bull BS Social Work Aide
Marguerite M Claxton BA Social Work Aide
Phyllis H Davenport BA Social Work Aide
Tommy Earles BA Social Work Aide
Beverly Garrett BA Social Work Aide
Eloise B Harris BA Social Work Aide
R Wayne Johnston BD Social Work Aide
Lois M Kinzie MA Social Work Aide
Jim D Lanier BD Social Work Aide
Mary Elaine Martin BA Social Work Aide
Carol Murphy BA Social Work Aide
Evelyn R Parker BA Social Work Aide
Charlene Pattillo BA Social Work Aide
Jane Price BA Social Work Aide
Joan Rochester BA Social Work Aide
Janet E Scott AB Social Work Aide
Sara A Smith BA Social Work Aide
Susan H Tollerson AB Social Work Aide
TeCoah Tucker SW Cert Social Work Aide
Wayne H Welch BS Social Work Aide
Robert A Willis BS Social Work Aidem

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Lila Akin
Indiana University
Guynelle Bearden
Smith College
Wayne Bland
University of Michigan
Frances Hobbs
University of Tennessee
Allie C Kilpatrick
University of Georgia
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SCHOLARSHIPS
Brenda Moore
Tulane University
Sanford Pentecost
University of Georgia
Suzanne Reynolds
University of Georgia
William Shirk
University of Georgia
Linda Williams
Tulane University

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CLINICAL CHAPLAINS
Douglas C Turley Jr Th M Chief Clinical Chaplain
Charlie Alston BD Clinical Chaplain
Henry T Close Th M Clinical Chaplain
Payton B Cook BD Clinical Chaplain
Jasper N Keith Jr BD Clinical Chaplain
Thomas A Summers BD Clinical Chaplain
James L Travis ThM Clinical Chaplain
0 Chappell Wilson Jr BD Clinical Chaplain
Harold L Gelfman DD Rabbi
Joseph G Cassidy AB Priest
Ervin R Oermann BD Chaplain to the Deaf
Charles B Fanshaw MRE Chaplain to the Deaf
Charles V Gerkin BD Consultant
Quentin L Hand PhD Consultant
Thomas H McDill PhD Consultant
John M Price ThD Consultant
Samuel Southard ThD Consultant
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CHAPLAIN INTERNS
Melton M Bonner Jr AB BD
College of the Bible
Lexington Kentucky
George A Canzoneri AB BD
New Orleans Baptist Theological
Seminary
New Orleans Louisiana
James S Farr AB BD
Candler School of Theology
Emory University
Ebb G Kilpatrick Jr AB BD
Southern Baptist Theological
Seminary
Louisville Kentucky
Harold L Newton AB BD
Southern Baptist Theological Sem
Louisville Kentucky
Donald J Rooney AB BD
Drew Theological Seminary
Madison New Jersey
Francis E Stewart AB BD
Crozer Theological Seminary
Chester Pennsylvania
Herbert A Summers Jr AB BD
Candler School of Theology
Emory University
MUSIC THERAPY
Herbert P Goldsmith RMT tv
Director
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
Robert J Kowalczyk RMT Chief Music Therapy Services Unit II
Doris L Henderson BAChief Music Therapy Services Unit III
Saralyn Latham MA Chief Music Therapy Services Unit IV
Darleen B Welsh RMT Chief Music Therapy Services Unit V
Emily Stevens RMT Music Therapist Unit I
John 0 Cooper RMT Music Therapist Unit IUs

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OCCUPATIONAL THERAPY
Dorothy Clarke OTR Director
Theo E Fisher OTR Occupational Therapist
RECREATION THERAPY
Bruce Prosser MS Recreation RHRD Director
Lyndoll Moore AB Health and Phys Ed Recreation Therapist
Thad Studstill BS Recreation Recreation Therapist
Betty Welch AB Phys EdRecreation Therapist

INTERNS
Jimmy Rainwater
Georgia Southern College
Kay Preston
Georgia Southern College

Ronnie Farmer
Georgia Southern College
VOCATIONAL REHABILITATION

W C Petty AB NRCA Rehabilitation Program Supervisor
Asa Barnard BS NRCA Rehabilitation Specialist
James H Miller MSRC NRCA Rehabilitation Specialist
W L Tomlinson BS NRCA Rehabilitation Specialist
Robert Shearer MSW NRCA Social Worker
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Charles Bishop Jr MSRC NRCA Rehabilitation Counselor
Jesse P Collette BS NRCA Rehabilitation Counselor
John Cooper M Ed NRCA Rehabilitation Counselor
William P Cribb BBA NRCA Rehabilitation Counselor
William A Hargrove MEd NRCA Rehabilitation Counselor
Horace W Sawyer MSRC NRCA Rehabilitation Counselor
Robert Stevens BS NRCA Rehabilitation Counselor
Gerald M Brown 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
Emory Mobley BS NRCA Work Adjustment Coordinator
George W Kinzy Shop Supervisor
Jewell Boatwright Cosmetology Instructor
A L Booth Machine Shop Instructor
Charlene Carpenter Cosmetology Instructor
K E Donazewski Cabinetmaking Instructor
Anne B Hamilton BS Commercial Instructor
Arthur M Jones Electrical Instructor
Kenneth Ryals Barber Shop Instructor
Frances Sanders MSHE Home and Family Management Instructor
Jacquelyn Shell BS Homemaking Aide Instructor
Jeff David Smith Auto Mechanics Instructor
Marianne S Thompson BS Commercial Instructor
James A Johnson MD Consultant Psychiatrist
L F Marshall MD Consultant Psychiatrist
Kai Erickson MD Research Consultant1PHHDM
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OFFICE OF THE SUPERINTENDENT
John J Schuyler Hospital Administrative Assistant
PERSONNEL
Donald F Madden Director
Frank Hobby Assistant Director
VOLUNTEER SERVICES
Jane Haddock Director
PUBLIC RELATIONS
Raymond D Brown Director
RESEARCH
Clyde Keeler ScD PhD Medical Geneticist
Theodore J Mellinger MD Neuropharmacologist
Penny Edwards MTHT ASCP Medical Technologist
BIOSTATISTICS
Mary F Cook Registrar
Mary R Harrington Medical Records Librarian
MEDICAL LIBRARY
Johannah Keeler PhD Medical Librarian

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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 Jr Institutional Engineer Civil Engineering
Woodrow T Spivey Chief of Building Maintenance
Harry C Fussell Director Farms and Dairies
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
James Tate Business Administrator Unit I
Paul Mitchell Business Administrator Unit II
R 0 Pennepacker Business Administrator Unit III
William Curl Business Administrator Unit IV
and Georgia Veterans Home
Tom Simmons Acting Business Administrator Unit V
Bobby Sheppard Acting Business Administrator Unit VI
George Hart Business Administrator Division of Physical Treatment
Levi Swinger Business Administrator
Yarbrough Rehabilitation Center
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Dr Addison Duval Director
Division of Mental Health
Georgia Department of Public Health
Trinity Avenue
Atlanta Georgia
July 1 1965
SUBJECT 122nd Annual Report
Milledgeville State Hospital
Dear Doctor Duval

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Fiscal year 1965 can best be described as a year of evaluation
examination reorganization and consolidation In the fall of 1964
comprehensive surveys were made by the Governors Commission on
Efficiency in Government better known as the Bowdoin Commission
and a survey team from the National Institute of Mental Health which
made the study at the request of the Bowdoin Commission These
two surveys resulted in several excellent reports and provided the
hospital with much valuable information for future planning and im
provement in the areas of patient care and treatment education and
research While both surveys commended advances that have been
made they also pointed out that if the hospital is to maintain minimal
efficiency in its programs there must be considerable reorganization
of the institution equalization of staffing patterns additional pro
fessional staff in all areas and adequate buildings and equipment
One of the major recommendations of the survey committees
was that the present unit system be reorganized so that the units
would be indentified with certain geographical areas Accordingly
this has been done Patients from counties of Fulton DeKalb and
Clayton are assigned to Unit 1 patients from northeastern section
of the state to Unit 5 the northweastern section to Unit 4 the south
western section to Unit 2 and the southeastern section to Unit 3 A
map showing this alignment and the buildings in each unit will be
found elsewhere in this report Assignment to the units is being made
irrespective of race creed or color and resident patients have been
exchanged between the various hospital units and this regional
placement is now complete No further patient exchange is contem
plated
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The individual units are initiating evaluation of programs and
services conducting orientation procedures for new staff and
strengthening identification with primary goals of the hospital as
recommended by the survey committees In addition to the reorgani
zation of the unit system we were faced with the necessity of com
pliance with the Civil Rights Act Integration has been completed
Provision is also being made for separation of the various diagnostic
categories of the patients and arrangements have been made to house
the mentally retarded the children and alcoholics in separate areas
The seven million dollar building program is complete and all
buildings are operative This includes the staff dormitory and apart
ment complex the six hundred bed Arnall Building addition the
central kitchen and the Yarbrough Rehabilitation Center which
recently played host to a five state conference demonstrating the use
of vocational rehabilitation techniques in the treatment of mental
illness
The opening of the new psychiatric outpatient clinic which
has a caseload of some 3000 patients has reduced the readmission
rate Patients are seen at the clinic by the same unit staffs that
treated them while resident in the hospital thereby maintaining conti
nuity of treatment
An increase in the resident staff of clinical chaplains has
developed a religious program second to none in the United States
an expanding remotivation program is bringing new enthusiasm and
treatment techniques to the psychiatric aide staff and new orienta
tion and inservice training programs have been established in
accordance with the recommendations of the survey committees and
financed by NIMH grants A special disability program for the blind
the deaf and patients with speech defects in cooperation with the
University of Georgia Speech Clinic was commenced in March
More than 5000 high school and college students visited the
institution for one day seminars in addition to public health directors
visiting teachers adult groups from churches civic clubs garden
clubs womens clubs and similar organizations
Considerable remodeling and renovation has been done in the
old patient domiciliary buildings and in the Jones Medical Building
Use of white male prisoners has been discontinued and employees0
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have been hired to replace them The institution however badly
needs a new surgical hospital as recommended by the Bowdoin Com
mission Residencies and internships accredited by national organi
zations are now available in psychiatry clinical psychology psy
chiatric social work ophthalmology hospital administration clinical
chaplaincy music therapy recreation and occupational therapy The
first senior resident in ophthalmology from the Mayo Foundation com
menced his training in October
The present program for emotionally disturbed children should
reach not only the group of elementary and high school students now
being served but also those of nursery school age in a play therapy
program and those beyond the high school age in a junior college and
adult education program Plans are underway for expansion in both
these areas

The program operated in conjunction with the Vocational Re
habilitation Division is providing effective and early discharge of
patients and providing them with trade skills and jobs in their local
communities This program should be expanded so that it can be made
available to all patients who can profit thereby Establishment of
additional rehabilitation residences in the community would aid ma
terially in the effectiveness of this operation

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The cooperative arrangement instituted this year between the
Georgia Department of Public Health and the Department of Family
and Childrens Services has resulted in the establishment of a unit of
the Baldwin County Department of Family and Childrens Services in
the Social Service Division of the hospital for the purpose of facili
tating the removal of senile patients who are not psychotic to nursing
home care So far approximately 150 of these patients have been
moved to nursing homes Visits to the patients in the homes show
that they are adjusting well and are welcomed by the home operators
The appropriation for fiscal 196465 was increased from 16
000000 to 17500000 In addition to this a special appropriation of
100000 was granted for fire safety improvements to various buildings
so that certificates of occupancy could be obtained from the fire
marshalls office Based on gross expenditures of 18808762 the
average daily population of 11982 inmates per capita cost this year
amounts to 430 per patient per day as compared to approximately
420 last year29
A substantial increase in employment occurred at Milledgeville
State Hospital during the last fiscal year The number of active regular
employees on June 30 1964 was 2941 and on June 30 1965 was 3120
or an increase of 179 Most of this was in the manual labor category
and accounted for more than half of the total expansion in employ
ment The addition of Colonel John Schuyler as Administrative As
sistant to the Superintendent has enabled much closer supervision of
administrative details as well as lightening the load formerly carried
by the superintendent and assistant superintendent in handling of
matters relative to admissions and patient records
During fiscal 1965 the hospital admitted 6692 patients Of
these 4868 were first admissions and 1824 were readmissions In
addition there were 4072 patients returning from furlough making
total gains of 10764 The losses included 1673 patients discharged
directly from the hospital 8318 placed on furlough and 1046 who
died during the year making total losses of 11037 There was a net
decrease in resident population forthe ear of 274 patients This was
due to a decrease in admissions of 62 patients and an increase in
discharges and furloughs
Since individual departments are reported on in detail elsewhere
in this report we will not attempt to deal with them in this cover
letter
In conclusion we would like to express to you and the members
of the various divisions of the Georgia Department of Public Health
our sincere gratitude for advice and assistance given many times
during the past year and more particularly to the members of the
staff of the Division of Mental Health who were always ready with
support and counsel and with whom we have enjoyed particularly
fruitful working relationships
Respectfully submitted
I H MacKinnon M D
Superintendent
30
CLINICAL PSYCHIATRY

The department has functioned throughout the year at a high
level of efficiency despite the tremendous work load resulting from an
intake of almost 7000 new patients During the year a number of
physicians completed their residency training program and were as
signed to the various psychiatric units thereby materially strengthen
ing the treatment program in these areas Normal losses resulting
from physicians leaving for various reasons were balanced by those
who completed residency training as well as by additional residents
who came into the program in their first year of residency so that the
number of the professional staff remains approximately steady It
must be realized that it will be impossible to staff this institution
adequately with the present resident population supplemented as it is
with the tremendous number of new patients entering the institution
Until the state provides other hospitals for siphoning off new patients
seeking treatment and somewhat reducing the resident population
through the establishment of other state resources the institution
will continue to be overcrowded and understaffed in all professional
areas
7
J

In spite of the difficulties however the professional staff is
working with dedication and competence in meeting the needs of the
patients One of the major problems faced by the medical staff during
the year was compliance with the Civil Rights Act and the geographi
cal alignment of the units which resulted in the transfer of a large
number of patients around the institution creating some anxiety both
in the patient population and the staff Transfer was completed how
ever with a minimum of difficulty and the situation is now stabilized
Close cooperation continued to be 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
A project to reduce the large number of geriatric patients in the
hospital is bearing some fruit as some 150 patients were discharged
into nursing homes Reports from the homes indicate that patients
are all doing well and adjusting with minimum difficulty The new
project in cooperation with the University of Georgia to treat multi
ple handicapped patients in the Yarbrough Rehabilitation Center is
progressing nicely It is hoped that an expansion of this program can
be made during the year
31
The new childrens rehabilitation center will be opened soon and
this will give a central area for evaluation diagnosis and treatment
as well as providing the hospital with facilities for training physicians
and paramedical professionals interested in working with emotionally
disturbed and mentally retarded children Remodeling of the Boland
Building is underway in order to provide centralized services for all
children in the institution
The members of the Department of Clinical Psychiatry at Mill
edgeville 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 them
PHYSICAL HEALTH

The functions of the Department of Physical Health at Milledge
ville State Hospital include supervision of the physical health of all
patients prisoners domiciled at the hospital residents of the Youth
Development Center in Milledgeville and physical examinations for
all new employees Facilities include the medical and surgical hospi
tals occupying the Jones and Rivers Buildings an outpatient depart
ment a clinical and pathological laboratory a department of radi
ology and a wellequipped pharmacy and dental service At the pres
ent time the director of physical health also carries the responsi
bilities of the director of medical and surgical hospital the director
of clinical services and the chief of medicine
Many patients in the hospital need physical treatment more than
they do psychiatric These include patients suffering from chronic
brain disease secondary to arteriosclerosis and often extensive circu
latory disorders are found in these patients A number have organic
brain defects for which there is no known treatment and these require
medical care throughout the duration of their stay in the hospital
Many patients needing only medical care are sent to the hospital
because there is no other place for treatment in their home communi
ties A large number of longterm patients with incurable psychoses
reqire medical care throughout the years To keep these people from
developing incapacitating conditions a large medical establishment
is necessary as well as an elaborate system of preventive medicinec
IN
32
The number of patients over 50 years of age who succumb to degen
erative diseases is considerable Often the patients inability to give
a history of the illness makes diagnoses difficult and creates an
excessive load on the xray and laboratory services

HOSPITALS
Expanding and modernizing the Jones Building is imperative
The bed capacity of the Jones Building is insufficient to care for the
acutely ill An obstetric section and nursery are urgently needed
The elevators in the Jones Building have been improved since the
last report but they are antiquated and should be replaced by modern
automatic ones
i
The outpatient department needs complete remodeling in order
to care for the load of patients seen there The modernization of the
radiology department is urgent It is a bottleneck holding up serv
ices throughout the hospital The work of the pathology department
has been quadrupled and no adequate expansion to care for this has
been made
CLINICAL SERVICES

A Medical Service The medical wards are always overcrowded
and as a result there are too many patients per physician on this serv
ice Only the most severely ill patients are admitted to the Jones
Hospital The need for beds causes premature discharge of many pa
tients resulting in incomplete diagnosis and inadequate treatment
Many patients who should be admitted for medical evaluation cannot
be admitted because there is no space for them No significant equip
ment has been added to the medical service for the past three years
For proper diagnostic studies a radioisotope laboratory is urgently
needed
B Surgical Service Due to a shortage of surgeons during this
year the amount of surgery performed was less than the previous year
but a chief of surgery has been appointed to begin duty on July 1
1965 This department at the present time is adequately equipped but
needs more beds General surgery neurosurgery ophthalmology and
EENT are staffed by specialists in these disciplines Thoracic
and orthopedic surgery is handled by general surgeons with the aid
of consultants

33
C Obstetrics and Gynecology In addition to extensive surgery
this department operates seven clinics and conducts a cancer survey
program There are no delivery rooms at the present time The cysto
scope room is being used for deliveries The remodeling and equipp
ing of the space set aside for Obstetrics and Gynecology should be
completed when funds for staffing and operating it become available
D Pathology The work load in the Pathology Department is
excessive for the number of pathologists There is a need for a cyto
logist to screen cancer slides in this department
E Laboratory The number of tests during the past year was
approximately 300000 This is an increase of approximately 50000
tests over the previous year Automation has been used to the fullest
extent compatible with the budget Two more laboratory technicians
are needed
F Radiological Service The radiological equipment is complete
ly inadequate there being only one diagnostic machine one machine
to take xrays of the chest an old 250 KV therapeutic unit and one
machine for superficial therapy During the last year the radiologist
who was capable of doing therapy resigned his position and he is
now employed on a fee basis The remodeling and equipping of the
Radiology Department will cost about 285000
G Rivers Building The Rivers complex is now being used for
tuberculosis and metabollic diseases During the reorganization in
the past year diabetics kept in other sections were transferred to
these buildings This exchanging patients who need extensive care
for those who previously needed little Six more attendants are needed
for this service
H Consultants During the past year consultants from the Medical
College of Georgia were active in the following departments medi
cine surgery obgyn Consultants not affiliated with the Medical
School were active in dermatology ophthalmology and otolaryn
gology
NURSING SERVICE
The nursing staff is inadequate in both the Jones and Rivers
Buildings The wards are only sixty per cent staffed to take care of34

V

twentyeight patients On the medical service the census is usually
between thirty and forty This excessive workload must of necessity
effect the quality of nursing care The personnel we have are doing
an excellent job with the equipment available They have faced frus
tration with fortitude and dignity An inservice education program
which we believe will be most beneficial in promoting better nursing
care has been recently instituted
GENERAL SERVICES
A Housekeeping Department During the past year another house
keeper and nine additional housekeeping personnel were added to the
Housekeeping Department This has resulted in the Housekeeping
Department of the Jones Building showing a definite improvement in
patient areas and other areas of the building
J
s
i
B Maintenance Department The following areas need to be reno
vated in order to provide good hospital care in each department
1 XRay Department
2 Outpatient Department
3 Pathology
4 Provide more space at the nursing Station on Jones 2
West
5 Completion of the renovation of the third floor west build
ing to include a delivery room labor room nursery and
provide an area for OBGyn and GU surgical patientsThis
was started two 2 years ago but due to lack of necessary
funds the completion of this project was stopped
The elevator system of the Jones Building consists of two pas
senger 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
C Admissions and Records Department The appointment of one
additional person in the Admissions and Records Department has
increased the efficiency in handling the work load of this department

D Communication and Information The secretarial pool con
tinues to be very effective in handling the seretarial work of different
departments of the Jones Building35
PREVENTIVE MEDICINE
Preventive medical services are offered in addition to hospital
outpatient department and clinical services The following examina
tions are done annually on all patients
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
project
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
C

36
DENTISTRY
The Dental Department continues to provide clinical treatment
for the patients of the hospital in a systematic manner Dental exami
nations are made on wards at intervals of from eight to ten months
All newly admitted patients receive oral examinations immediately
after arrival and are then given appointments at the dental department
for prophylaxes removal of dental pathoses operative and prosthetic
procedures and other types of dental treatment as necessary
A full staff of eight dentists have been maintained for most of the
pt year Vacancies have occured however these have been filled
rather rapidly The dental staff has performed 39655 operations and
treatments within the past year

Dr John E Chrietzberg Director Dental Health Branch of the
State Health Department and his staff continue to provide the dental
department with consultation especially in administration Within the
past year the dental department has obtained the services of an oral
surgeon as a clinical consultant to our staff This consultant visits
the dental clinic regularly and in addition to rendering oral surgical
procedures he aids in diagnoses and staff training

Recently new xray equipment has been purchased and placed in
the downstairs section of the dental department A special room was
constructed to accommodate this equipment and an additional dark
room was constructed nearby This xray machine is more convenient
to the dentists working in that area and adjustments on it allow for
taking better more distinct and larger pictures

Members of the dental staff have presented informative programs
stressing oral hygiene and dental care to the patients of the hospital
as well as to some of the auxiliary personnel The dental department
sponsored its second annual poster contest during the 17th National
Childrens Dental Health Week More than a hundred posters empha
sizing better dental health were constructed by patients enrolled in
the various Occupational Therapy clinics throughout the hospital

At the present time four dental hygienists are on the staff and
one dental assistant is in training as dental hygienist During the
past year they rendered approximately 7000 dental prophylaxes The37
dental laboratory processed 619 appliances and 363 additional appli
ances were repaired At the present time one dental laboratory tech
nician and one dental laboratory assistant are employed Rather than
to increase the laboratory staff we find that it is economically feasi
ble to send any excessive cast work to a commercial laboratory for
processing
The following recommendations are made
1 At least four additional dentists should be added to the staff
as soon as possible to provide adequate dental treatment for
the patients This would give us a total of twelve dentists
which is the number that has been previously recommended by
the administration of the hospital and would meet the minimal
requirements of the American Psychiatric Association for in
stitutions Also a corresponding number of additional dental
assistants should be employed and two additional dental hygi
enists are needed
2 As a means of accommodating additional personnel and also
for the purpose of providing additional facilities for our present
staff two operatories each with three chairs should be con
structed as soon as possible in the downstairs portion of the
dental clinic and additional operatories should be constructed
in or adjacent to some of the units of the hospital
3 At least two institutional workers should be provided to aid in
the general cleaning of the dental clinic
4 Improvements necessary to the dental clinic building include
the maintenance of satisfactory heating and air conditioning
throughout the building the placement of acoustical tile on
the upstairs ceilings and the replacement of floor tile which
is badly worn and unsightly
5 In addition to oral surgery the dental department needs con
sultants in some of the other specialties in dentistry especial
ly so in periodontia
6 Present funds budgeted for supplies and new or replacement
equipment are inadequate and should be increased38
J

NURSING SERVICES
The past year was noteworthy for two surveys made by the Bow
doin Commission and the National Institute of Mental Health which
provided the department with objective and critical evaluations by
competent professionals The report coincided with the opinions of
the nursing staff and faculty
During the fiscal year 338 student nurses from the following
schools of nursing completed the affiliate course in psychiatric
nursing
i

J
Georgia Baptist Hospital Atlanta
Grady Memorial Hospital Atlanta
Georgia Southwestern College Americus
Hall County Hospital Gainesville
Macon Hospital Macon
Medical Center Hospital Columbus
Piedmont Hospital Atlanta
Warren A Candler Hospital Savannah
129
62
17
15
42
8
51
14

Several top level changes in nursing staff occurred during the
year Mrs Vivetta H Kramer MS was promoted to the position of
supervising instructor inservice education replacing Lolita G
Rutland PhD who was transferred when the Department of Remotiva
tion was set up as a separate department under Dr Rutlands direc
tion Mrs Rosalyn T Kelly former nursing instructor for the psychia
tric aide program was transferred to a supervisory position in Unit 1
and was replaced by Mrs Glenda G Ridley BS
Two members of the department were specially honored during
the year Dr Lolita G Rutland was requested to present a paper at
the American Psychiatric Associations annual meeting in New York
on the topic The Development of Inservice Training by Creating
Small Centers of Learning as Catalysts for Change In June Mrs
39
Maidana K Nunn Supervising Instructor of NursingEducationattend
ed the International Council of Nurses Congress in Frankfurt Ger
many Members of the department represented the hospital at many
conferences and functions during the year
The psychiatric aide course has been revised and now requires
two and onehalf months of four hundred study hours to complete
Twenty three students have completed the revised course psychiatric
aide certificates were awarded to seventy six employees and eight
een received Civil Defense Medical SelfCare certificates and Red
Cross certificates
This has been an exceptionally busy year in the nursing service
due to the many patient activities transfer of patients between units
and the separation of the specialized diagnostic categories The
units continue to be plagued with the usual problems chief of which
is understaffing It is almost impossible with the present staffing
pattern to meet the demands made upon nursing personnel With the
exception of one unit and the maximum security building all nursing
staff are on an eight hour day which schedule should be extended to
all personnel however the present staffing pattern does not provide
adequate ward coverage for three eight hour tours of duty making
necessary some splitting of duty hours Workers on some shifts are
so thinly spread that they cannot provide adequate care Funds pro
vided for the past fiscal year were not sufficient to allow any appre
ciable increase in personnel requested by the unit directors
This can be better understood by the following example Nursing
service employs 1576 attendants and 96 registered nurses While the
attendantpatient ratio of 18 would seem to compare rather favorably
with the American Psychiatric Associations standard of 15 it actu
ally is misleading in that it does not reveal the true picture that at
tendants are required to participate in a diversity of assignments
other than nursing care such as yard cannery and field details trans
portation and escort services ward clerks and dining room and aide
training classes
A comparison of the RNpatient ratio of 1123 with the APA
recommended ratio of 17 shows a gross and glaring understaffing
Unequal distribution in this category also exists although strategic
placementis attempted Of 96 currently employed professional nurses
three have Bachelors Degrees two have Masters Degrees and one
has a Doctorate in Education40
J
Early this year a small study was attempted to improve lower
extremity ulceration caused by venostasis by positioning methods
s
Inservice education is progressing though not as rapidly or as
efficiently as we would like Sessions for psychiatric aides for con
venience and practicality in covering all tours of duty were held in
individual areas and were conducted by a professional nurse in each
area with advisory guidance and participation of the coordinator of
Inservice Education when indicated Topics discussed were in ac
cordance with the needs of separate units Several of these have
focused on the alcoholic the aged the mentally retarded and placed
emphasis on important aspects of attitudes and interpersonal relation
ships Other disciplines were invited to present their roles and func
tions as part of the treatment team
i

4
Inservice education for the unit nursing directors continues on
a monthly basis with a half day or all day conference led by the di
rector of nursing Appropriate programs are planned by a steering com
mittee composed of the director the deputy director of nursing the
coordinator of Inservice Education and specialists in various disci
plines are invited to either lecture or lead the discussion for the
group Relevant information is in turn communicated in individual or
group conferences down the line to the various levels of ward person
nel Plans are underway to provide regular sessions for other super
visory personnel as a group in addition to what is being done on the
unit level
Integration of patients and personnel is moving forward as rapid
ly as is possible with relative ease and without serious incidents
Integration of personnel in education and in the psychiatric aide
classes is completed In spite of the overwhelming problems the
nursing staff of Milledgeville State Hospital must be commended for
continued loyalty unwavering perseverance and outstanding support
Appreciation must also be expressed to the hospital administration
and the medical staff and the members of various supporting disci
plines for cooperation patience and understanding

In August a reception was given in honor of Miss Dorothy Bar
field Coordinator of Nursing at the Georgia Department of Public
Health and Mrs Rose Cashman Nurse Consultant for the planning
Committee of the Division of Mental Health In September Dr Irville41
H MacKinnon addressed the annuai faculty meeting and three mem
bers of the nursing stafl attended all day programs for five consecu
tive weeks of Inservice Education in Mental Health held at the
Bibb County Health Department in Macon
Following participation in the Workshop Utilization of Re
search for the Improvement of Patient Care in Birmingham Alabama
the director of nursing was appointed to a committee of five members
to study the possibility of employing service supervisors or unit man
agers in order to free nursingpersonnel of numerous timeconsuming
duties thus enabling the nursing staff to spend more time with the
patients and thereby provide better care
In October the director of nursing attended a conference on
Concept of Patient Unit Management at the University Hospital
Ann Arbor Michigan two staff members attended a short term course
on Principles and Techniques of Administration at the Fulton
County Health Department in Atlanta and two members of the educa
tion staff attended a workshop in Atlanta on Parliamentary Proce
dure sponsored by the Georgia State Nurses Association
Also in October the supervising instructor of the affiliation
program served on a temporary advisory committee with a group of
psychiatric nurse specialists in planning for the implementation of
nursing as it applies to psychiatric nursing in programs for community
mental health services The supervising instructor presented a paper
on The Existing Education Resources and the need for Additional
Educational Facilities to Produce more Psychiatric Nurse Special
ists
In November the director and deputy director attended a meeting
of the District Directors of Public Health Institutional Directors of
Nursing and Consultant Nurses in Atlanta Several members of the
nursing staff attended the annual convention of the Georgia State
Nurses Association
In December Miss Mary Liston National League for Nursing
Consultant in Psychiatric Nursing made a survey of the education
program In the first quarter of 1965 faculty members of the Depart
ment represented the hospital in a resurvey by representatives of the
National League of Nursing of the Schools of Nursing at Georgia42
J
fc

Baptist Hospital Grady Memorial Hospital in Atlanta and the Medi
cal Center at Columbus The education faculty also participated in a
critical evaluation of a rough draft of an Achievement Test in Psy
chiatric Nursing prepared by the National League for Nursing The
final draft of this test will be a new test to be administered to all
professional nursing students
In February the director of nursing attended a conference in
New Orleans on Mental Health and Psychiatric Nursing More than
twenty members of the department passed the Civil Defense Oneweek
Course for Instructors in Shelter Management During the first quarter
of the year two staff members represented the hospital at a meeting
in Atlanta on the legal aspects of nursing Members of the depart
ment attended an institute on the aging planned by the hospitals
Social Service Department and the director and deputy director attend
ed a program session sponsored by the Joint Council of Four Georgia
Nursing Organizations on professional standards
Additional meetings at which the department was represented
included the Governors Conference on Mental Health in Athens a
Psychiatric Nursing Workshop at the University of Maryland a con
ference on mental retardation held in Miami and the annual Super
visors Conference held at the State Health Department in Atlanta

With a view to furthering the effectiveness of nursing education
and service the following recommendations are suggested
1 A fulltime qualified librarian should be employed
2 Continued support should be given the offer of financial aid to
nurses desiring to qualify for the Baccalaureate Degree in
Nursing
6
3 In order to meet our need for a continuous Inservice Educa
tion Program consideration should be given to a two week
workshop each summer and psychiatric nurse specialists
should be invited as guest lecturers at least once or twice
annually

4 In the matter of the grading scale of nursing positions in the
Merit System careful study and more recognition should be
given to remuneration taking into consideration the qualifi
cation of higher education43
5 In budget planning priority should be given to funds for pro
viding additional attendant personnel since understaffing in
this classification continues to be a major problem We strong
ly feel that to raise the quota of attendant personnel would
meet a twofold acute need
a It would provide the nursing care patients should receive
in order to regain or maintain their maximum degree of
health
b Such increase in staff would raise the morale of the over
burdened attendants who constitute the largest segment of
employees and without whom we could not operate
6 Continuous effort should be made to establish more super
visory positions in Nursing Service in view of the fact that
good nursing is contingent upon good supervision and em
ployees in many areas have no direct supervision
REMOTIVATION
The remotivation program at Milledgeville State Hospital was
commenced approximately two and a half years ago as a program of
Nursing Services and was organized by LolitaG Rutland RN PhD
In March 1965 the program became an independent service under the
title of Patient Remotivation Service and was placed under the super
vision of the assistant superintendent Dr Rutland became the co
ordinator of this new service and Mrs Mattie L Pennington was
appointed as assistant coordinator
Remotivation was introduced into the Philadelphia State Hos
pital in 1956 and since that time some forty five states have been
covered by the training teams sponsored by the American Psychiatric
Association and financially supported by Smith Kline and French
Laboratories as a service to mental hospitals Remotivation is a tech
nique usually used by a psychiatric aide to provide the patient with
broad opportunities in day to day living and a chance to test his own
ability to relate with others both in structured and unstructured sit
uations The formal education program of the service is presented in
a thirty hour course through teaching stations and strategic areas of
the hospital where the needs are the greatest These are reinforced
by demonstration or learning centers and bimonthly or monthly semi
nars44
J

f
Since the beginning of the program 1158 psychiatric aides have
been oriented in the remotivation program some 414 have been trained
in the technique and 116 of these were recently awarded certificates
by Kenneth Moore Remotivation Project Director of the American
Psychiatric Association Since the beginning of the program 571 pa
tient groups and series have been formed and 100 groups and series
have just completed their work as of June 1965 Patients furloughed
or discharged since the inception of the program total 491
In many areas of the hospital small centers of learning have been
created with both leaders and patient participants learning together
Ongoing educational experiences for the leaders take the form of
seminars observations individual or group projects teaching sta
tions council meetings individual supervision and conferences all
designed to meet their needs and present solutions for the problems
which they face
The program is coordinated by a central council composed of the
administrative staff and a leader from each unit council There are
seven unit councils in all

In August a notification by Dr Robert S Garber Chairman of
the American Psychiatric Associations Committee on Remotivation
informed Dr Irville H MacKinnon Superintendent of the hospital
that Milledgeville had been designated as the 17th Regional Remoti
vation Training Center and would serve the southeastern states The
designation included a grant of 500 for equipment and an annual200
grant for travel expenses of a training team to visit other hospitals or
to attend area or national workshops

In May Dr Rutland presented her research study entitled The
Developmentof Inservice Training by Creating Small Centers of Learn
ing as Catalysts for Change at the American Psychiatric Asso
ciations annual meeting in New York Dr Rutland also teamed with
Mrs Vivetta H Kramer RN in designing a request for an NIMH
grant of 88000for an inservice training project which was approved
and will begin operating in June 1965

At the request of Dr Lucy D Ozarin Program Development
Officer Community Mental Health Facilities Branch of the National
Institute of Mental Health the book Psychiatric Nursing by Ruth
Matheney RN EdD and Mary Topalis RN MA was reviewed
for publication by Dr Rutland in Mental Hospitals magazine45
Articles by other remotivation members and published in The
Correspondent a newsletter for psychiatric aides attendants tech
nicians and pratical nurses published by the National League for
Nursing included Positive Attitudes Help Everyone by Chris
tine T Bentley RN Dining Can Be Therapeutic by Lucy Stiles
Psychiatric Aide and This Is My Creed by Celia Saulsbury
Psychiatric Aide
Appreciation is expressed for the cooperation of other hospital
disciplines who have given interested and sympathetic assistance to
the establishment of the remotivation program
Many outside visiting groups have received orientation during
the year including public health nurses garden therapy volunteers
vocational rehabilitation counselors clinical chaplains social
workers and aides student nurses from other hospitals remotivators
from the Veterans Administration Hospital in Augusta and a number
of others
PHARMACY
The ever increasing work load at the hospital pharmacy continues
to pose a problem for the staff and employees Last year the pharmacy
filled a total of 30387 prescriptions This year the total has risen
to 111157 Last year 20449 prescriptions were filled for patients
on the wards This year the number is 88092 Patients on furlough
received 4491 prescriptions last year This year the total was 21571
The addition of a staff member to the department has provided some
much needed assistance however the department is still not staffed
as well as it should be to meet the demands of this huge institution
The list of products manufactured in the department includes 360
gallons of tinctures spirits and extracts 86 gallons elixirs and
tonics 74 gallons of syrups 140 pounds ointments 278 gallons liq
uors lotions and mixtures 73 pounds of medicated powders 48
gallons of liniment and 3000 assorted capsules The annual per
capita cost of drugs and medicines for the 12253 residents of the
institution amounted to 5638 per person A daily average of 358
prescriptions were filled at an average cost of 1675 each
During the past year the interior of the pharmacy has been re
modeled which has added to the efficiency of operation New ceiling
and lighting fixtures have been installed old wooden shelves have46
i
been replaced with modern metal shelving additional electric re
frigeration has been made available the interior of the pharmacy has
been repainted and the manufacturing section has been made into a
separate room that can be closed off from the rest of the department
The budget is still not adequate to meet the needs of the institution

Establishment of a doctoral program in pharmacy will provide the
hospital with a professional department second to none Pharmacists
joining the staff are requested to make application evidencing willing
ness to enter into graduate work at the University of Michigan at Ann
Arbor or the University of Southern California at Los Angeles If ac
cepted into the program the pharmacist comes on the staff when a
vacancy exists and when the time comes he is sent to his choice of
universities to work for his Doctor in Pharmacy degree Since the
establishment of this program a few months ago one pharmacist train
ee is already in the graduate program at the University of Michigan
and another will enter the program shortly
MEDICAL LIBRARY

While regular funds for the purchase of books and journals were
below the level of previous years it was fortunate that the gap could
be closed by a special contribution of 1000 donated by Smith Kline
and French Laboratories for the purpose of purchasing psychiatric
materials This amount has meanwhile been applied on new acqui
sitions in the respective field and a considerable number of items
were bought at greatly reduced prices based on our recent membership
in the Behavioral Science Book Service
3
Supplementing the holdings of the Medical Library were interlibrary
loan materials from the National Library of Medicine and from uni
versity libraries near and far mainly Xerox copies of journal articles
but also books and microforms The request for such materials ap
proached the 500 mark
With seven new subscriptions added the number of journals in
the Medical Library stands at 105 All the journals have been synchro
nized to end with the calendar year and are ordered directly from the
publisher

The reference work for the staff has included translations of
personal papers and scientific articles from various languages in
cluding Russian and also translations into a foreign language Two47
staff members received foreign language instruction enabling them to
fulfill their foreign language requirements for the PhD in this sub
ject In order to gain more space for new materials we offered to the
Medical Library Exchange duplicate journals and journals sent to us
as advertisements
The resources of the Medical Library have been used extensively
this year by the longer established services as well as by recent
additions such as the Education Department and Childrens Services
PSYCHIATRIC SOCIAL WORK
Staff composition of the Social Work Department on July 1 1964
consisted of one Director one Chief Social Worker three Senior
Social Workers Eight Social Workers eighteen Social Work Aides and
nine Secretaries On June 30 1965 in addition to the Director and
one Chief Social Worker there were five Senior Social Workers seven
Social Workers twenty Social Work Aides and ten Secretaries re
presenting an increase of four staff members during the fiscal year
In addition there were fifteen students on the Stipend program in
various stages of completing their Masters Degree in Social Work
during this fiscal year
The Department continued its affiliation with the Graduate School
of Social Work in three Universities Florida State Atlanta and Geor
gia by providing an accredited field placement experience for their
graduate students In addition two Visiting Teachers completed a
tenweek field training experience as partial fulfillment of the Uni
versity of Georgias sixth year Certification program
The total Social Work staff have participated in a high priority
program for twelve hundred elderly patients whose primary need is for
nursing care rather than the specialized facility of a psychiatric
hospital Staff have participated in screening patients suitable for
nursing homes locating the homes finding resources with which to
pay for such care referring to and coordinating services with the
Department of Family and Children Services where necessary and
placing the patient in the home with the assistance of the family
whenever possible More than one hundred patients had left the hos
pital by the end of the fiscal year through the efforts of Social Work
personnel through this programm
48
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Through the generous assistance and interest of Georgias legis
lature and the cooperation of Baldwin Countys Commissioners the
Milledgeville State Hospital Unit of the Baldwin County Department
of Family and Children Services was established in a suite of offices
at the Hospital on March 16 1965 A Senior Public Welfare Worker
was appointed supervisor whose duties along with two Public Wel
fare Workers have included establishment of eligibility for Old Age
Assistance and subsequent Vendor Payments to nursing homes for
many of the elderly patients A second responsibility has been the
maintenance of relationships with nursing homes throughout the
state At the close of the fiscal year this staff had succeeded in
handling two hundred eightytwo cases and actually obtained funds
in fiftythree of these referrals
i

6
The Social Work Department sponsored an Institute for Nursing
Home Administrators throughout the State on March 5 1965 to facili
tate their understanding of the Nursing Home Placement Program
Participants in the panel describing the Hospitals approach to the
aging patient included various members of the hospital staff State
services were represented by personnel from the State Health Depart
ment the Department of Family and Children Services Public Health
Nursing and nursing home administrators
An Institute on Aging was presented by the Social Work Depart
ment on March 2627 1965 through the sponsorship of a U S Public
Health Service Grant and the Georgia Commission on Aging The first
day was open to all hospital professional staff and speakers included
Wilma Donahue PhD Chairman Division of Gerontology Institute
for Human Adjustment University of Michigan Clark E Tibbitts Ph
D Deputy Director Office of Aging Department of Health Education
and Welfare and E M Holmes Jr MD MS Associate Regional
Representative for Health and Medical Affairs Office of Vocational
Rehabilitation US Department of Health Education and Welfare A
special Seminar for Social Work staff was held the second day with
the above program participants to discuss the implications of theo
retical material about the aging for the development of programs for
the aging at this hospital Additional consultants at this meeting
included Mrs Virginia Smythe ACSW Regional Consultant on Aging
and Miss Elsye McKeown Regional Consultant on Mental Health
both affiliated with the Department of Health Education and Welfare

49
The Department of Social Work is responsible for providing an
orientation to newly employed public health nurses throughout the
state During the past year groups of nurses visited the hospital for
four days in July and December of 1964 and March and June of 1965
During these periods the nurses learned the roles of all members of
the psychiatric team Lectures case presentations discussions
demonstrations ward rounds and tours of various hospital facilities
were all included The nurses on returning to their home community
may thus more effectively help the patients family and the returning
patient through a better understanding of communitybased mental
health and the institutions role in facilitating a rapid return to
community life for the patient
A lecture series was provided for each new group of student
nurses as well as the Psychiatric Aide InService Training Program
A four hour lecture series was offered in the Residency Training Pro
gram and single orientation lectures were provided for Chaplains
Music Therapists Ministers of Music Psychologist Interns and high
school and college students on tour of the hospital facilities A
number of staff members have additionally contributed to community
consultation programs and lectured to various professional groups
across the state
A research assistant was appointed in August of 1964 to aid the
Director of Social Work in planning research and demonstration proj
ects and in fact finding about community resources hospital pro
grams and services and developments in social work and related
fields
A regular InService Training Program was handled by meeting in
small groups which crossed unit lines to promote better communi
cation and understanding within the discipline The Social Work Aides
met regularly each week which assisted them greatly in their prepa
ration for graduate studies
Finally a Central Resource File was developed by the Research
Assistant which is probably the most comprehensive statewide compi
lation of community resources in existencem
50
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On January 1 1965 a new form of statistical measurement of
services in the Department was developed by a committee of social
workers chaired by the Research Assistant A brief review of these
statistics for the last six months of this fiscal year January 1 1965
June 30 1965 with monthly average and a yearly extrapolation are as
follows
6 Month Monthly Yearly
Period Average Extrapolation
Interviews with InPatients 8984 1494 17928
Interviews with OutPatients 4173 695 8340
Total Interviews
13157 2189 26268

Social Group Work Activity 502 83 996
Number of Patients released
through Social Work
Planning 717 120 1062
CLINICAL PSYCHOLOGY
The Clinical Psychology Department continues to be accredited
at the highest level by the American Psychological Association and
continues to establish and maintain high standards for all programs
under its administration
CLINICAL SERVICES

During the year the staff evaluated 3724 patients Intensive
therapy was given to 200 patients monthly and 800 other patients
monthly were assisted in brief therapeutic contacts Staff members
spent 806 hours in teaching and 2107 in research Psychologists
established several new group therapy programs for patients which
resulted in early release
A special ward was activated for the treatment of patients with
sensory defects such as vision hearing and speech Consultants in
these specialized areas visit the hospital regularly Improvement
among the patients is noticeable51
TREATMENTEDUCATION PROGRAM FOR CHILDREN
The program for children and adolescents continued to expand
during this past year A total of 231 new admissions were screened
for the school program and of these 112 were accepted Fortythree
patients continued in school from the previous year bringing the
total number of children enrolled in the program to 155 for the year
Of this number 58 were either discharged to their families or pro
moted to the Yarbrough Building for vocational training The teach
ing staff will expand to 18 teachers in September 1965 This will
include one principal one teacher for the adult academic retardates
5 teachers for the mental retardates and 11 teachers for the emotion
ally disturbed
A new unit for children is scheduled for occupancy in the coming
year and will provide living quarters classrooms recreational facili
ties and centralization of the treatment program of underage patients
for th e first time in the hospitals history
The Special Education Program has continued to function as part
of the local county school system This arrangement has permitted
the accreditation of the school by the State Department of Education
and has facilitated the transfer of academic credits earned while in
the hospital to local school systems following discharge The pa
tientstudent are then allowed to rejoin their peer group at home and
thus avoid the additional hurdle of adjusting to a new group
Psychotherapy is offered to all school children by therapists
from various departmentsThe coordination of the patients behavior
is carried out during meetings in which the various disciplines con
tribute their knowledge of the patients progress These weekly staff
conferences facilitate planning as to the techniques to be employed
in modifying behavior Specialized teacher training is currently of
fered by the University of Georgia All the teachers are enrolled in a
sequence of courses designed to lead to certification in the area of
the emotionally disturbed Several courses will be offered at the
hospital in the near future
EDUCATION AND CLINICAL PSYCHOLOGY
The educational program is under the supervision of the Director
of Education and includes inservice teaching and public education
The inservice teaching program includes classes with psychiatric

52
residents student nurses social work aides attendants and music
therapists Public education operated in conjunction with the Public
Relations Department is designed to inform the public of the hospitals
treatment goals and the importance of understanding the problems of
the mentally ill patient College and university classes high schools
lay organizations schools of practical nursing and others who visit
the hospital are oriented to the functions and practices of the hospi
tal tour wards and talk with the patients The overall goal of this
program is to dispel many erroneous notions held by the public con
cerning the State Hospital and emotionally disturbed individuals
During this past year over 2500 people spent a full day at the hospi
tal under this program In addition special groups such as the Geor
gia Mental Health Association Alcoholic Study groups and Minis
terial Associations visited the hospital for special programs organi
zed to meet their special needs

Intradepartmental teaching has been expanded this year with
the initiation of a special weekly program for psychology technicians

CLINICAL TRAINING

Interns in clinical psychology from the Universities of Alabama
Florida Georgia and Tennessee are now resident in the hospital and
receive supervision from qualified staff clinical psychologists as
well as a series of lectures and seminars pertaining to the technical
aspects of psychological diagnosis and treatmen t A number of pro
minent psychologists visited the hospital in a consultant capacity
or to conduct lectures and workshops for the professional development
of the staff Emphasis during the next year will be on postdoctoral
training for clinical psychologists
CLINICAL RESEARCH
c
A psychological laboratory has been established and uptodate
research equipment is being added periodically During the year the
staff members had 35 research studies accepted for publication in
professional journals and 7 other studies have been submitted but
not yet accepted Approximately 25 research studies dealing with
practical problems in diagnosis and treatment were in progress at any
one time53
RELIGIOUS SERVICES
In its third year of operation The Department of Religious Serv
ices has sought to consolidate its position within the hospital staff
and to expand and improve the services provided by the Department
PERSONNEL
While this department continued to be inadequately staffed the
personnel employed by the department increased from sixteen full
time and two parttime employees to nineteen fulltime and four part
time employees The five new positions included three Chaplain In
terns and two ministers utilized in providing pastoral care for deaf
patients The latter two persons served on a monthly consulting
basis and were reimbursed in cooperation with their denominational
agencies This department continued to use an exempted position for
shortterm pastoral trainees working in the institution without re
muneration
PASTORAL CARE SERVICES
During the course of the year this department conducted 635
formal worship services in the chapels 260 devotional services for
employees 60 funerals and 233 ward andor prison worship services
Fiftytwo worship services were conducted by lay readers of the
Episcopal church as a volunteer service to the hospital Twentyfour
special services and 14 sign language classes were provided for
patients with hearing difficulties
Pastoral visits were made to new admissions and regular visit
ation was scheduled throughout the wards of the hospital
Special attention was given to critically ill and severely dis
turbed patients and in every event of death contact was made with
the deceaseds immediate family
This department regularly provided assistance to parish minis
ters visiting their parishioners confined to the hospital and where
appropriate referrals were made to pastors upon the discharge of a
parishioner
Pastoral counseling was provided to families of patients request
ing same during the course of the yearm
54
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A special concern has been the morale of hospital employees
The chaplains of this department have spent many hours visiting
counseling and assisting employees
s
CLINICAL SERVICES

The clinical services provided by this department center on the
interpretation of religious ideation andor behavior and treatment
Referrals to clinical chaplains from other disciplines increased sig
nificantly Throughout the year chaplains participated in diagnostic
and disposition staff meetings evaluated and interpreted religious
behavior and thought processes involved in patient experiences and
served as individual and group therapists with the various treatment
teams of the hospital
J
EDUCATION
The educational programs for the past year have assumed three
forms Pastoral Interdisciplinary and Community

Three workshops were conducted for parish clergymen These
workshops consisted of four days of seminars and clinical experience
in residence at the hospital Each workshop was limited to twelve
parish ministers Several onetofour day workshops were conducted
in various locales throughout the state as requested by ministerial
and mental health associations
A course entitled Introduction to the Pastoral Care of the
Mentally 111 was offered each quarter of the academic year in co
operation with Columbia Theological Seminary and the Candler School
of Theology A total of 35 seminary students participated in this
program
8
Twentysix students representing 14 seminaries took part in the
full quarter of clinical pastoral training Six pastors participated in
the clinical internship program and completed a years study in resi
dence
This year also saw the initiation of the clinical pastoral residency
program One student was accepted for a second year of advanced
training55
The department continued to participate in the interdisciplinary
educational programs of the hospital and in the past year provided
regular lectures to psychiatric residents nurses and psychiatric
aides Special presentations were also provided to psychologists
social workers music therapists occupational therapists and other
members of the hospital staff
Professional inservice education has been encouraged This
department secured Chaplain Thomas Klink Coordinator of Graduate
Studies in Religion and Psychiatry The Menninger Clinic to conduct
a series of seminars for the staff of the department and the hospital
Other programs in cooperation with the Georgia Association for
Pastoral Care and participating seminaries were utilized to increase
professional proficiency
As in previous years this department experienced a heavy
demand for its members to contribute to various community education
programs Addresses papers lectures and speeches were presented
to churches civic and fraternal groups professional associations
and other groups throughout the state
RESEARCH
Three research projects were initiated in the past year One
three year demonstration project was submitted to the National Insti
tute of Mental Health Secondly a study of training procedures goals
techniques and accomplishments was introduced to evaluate the
effect of shortterm clinical training on the pastors role identity and
ability in ministering to disturbed persons Additionally Chaplain
James Travis in cooperation with personnel fromother disciplines
conducted a study of the effectiveness of a Bible study group as part
of the therapeutic mileau for chronic schizophrenic patients
Various members of the department contributed to projects con
ducted by other departments or jointly with other staff members sub
mitted projects to the National Institute of Mental Health
MUSIC THERAPY
The current fiscal yearhas shown a continuing growth of profes
sional staff subprofessional staff and training programs in the Music
Therapy Department The addition of two registered music therapists
and a music therapy aide have provided opportunity for expansion ofES
56
4
patient services in two major areas of the Hospital Both registered
music therapists completed their clinical training at the Hospital and
have remained as professional staff members During the past three
years the music therapy staff has grown from four fulltime employees
to the present number of eighteen persons including seven registered
music therapists

J

The Unit music therapy treatment areas have continued to develop
according to the needs of the various Units Most Unit areas are now
using a prescription basis for patient assignment and through Unit
team meetings provide a more unified approach of treatment goals
for the patients thus involved Where this has taken place the pro
gram has been more effective as a treatment media With music thera
py programs operating at a Unit level a greater knowledge of this
modality as a treatment medium has been effected among other mem
bers of the professional staff
A two day seminar on music therapy jointly sponsored through
funds from the National Institute of Mental Health and the State of
Georgia was held here in April The principal speaker was The Rev
John H Reinke SJ president of Loyola Academy in Chicago and
chairman of the research committee of the National Association for
Music Therapy Father Reinke holds the Ph D degree in psychology
and has been a music therapist as well as a priest in the Society of
Jesus for many years This two day seminar was most effective in
helping to attain the established goals
Early in 1965 an inservice training program for music therapy
aides was established conducted by the Supervising Instructor of
Music Therapy Education The positive results of this training pro
gram are already being observed in a greater effectiveness on the
part of the music therapy aides
4
The summer student program in 1964 provided clinical experience
for one music therapy student and an opportunity for a music major to
observe music therapy as a potential career The latter student com
pleting her degree in music education this year is now looking for
ward to continuing her studies at some future time to become a regis
tered music therapist The summer student program in 1965 has been
increased to four students thus expanding this important training area

Some years ago Milledgeville State Hospital was the first public
mental hospital to institute a treatment program in Psychedrama
Subsequently this dynamic new concept in the treatment of the57
mentally ill ceased when that director of psychodrama resigned This
year Mr George Morris an engineer at Lockheed Aircraft in Mari
etta Georgia and a trained director of psychodrama offered his
services as a consultant and clinician in this area Dr MacKinnon
Hospital Superintendent has assigned this new area as part of the
total program of the Music Therapy Department This consultant comes
to the Hospital one day per week Appropriate quarters are presently
in the process of reconstruction which will help to give this program
far greater effectiveness in the coming year
In association with the fulltime Ministers of Music of the Geor
gia Baptist Convention the Music Therapy Department is in the
process of establishing a patient referral system between the Hospi
tal and the community The Music Department of the Georgia Baptist
Convention is one of the most highly organized statewide music
groups in Georgia and was eager to participate in this program of
rehabilitation for patients When finally in operation the referral
system will operate in two waysa patient who has participated in
music therapy activities during hospitalization sufficiently pro
ficient in music and who thus is able to confidently take part in such
a program in the community will be referred to the Minister of Music
in his community The Minister of Music will serve as a contact man
and assist in placing this patient in a community music organization
either in the church of his own faith or in a secular music organi
zation At the community level this same Minister of Music will refer
to the Music Therapy Department any person who has been active in
music groups in his community who has found it necessary to be hospi
talized at Milledgeville State Hospital This part of the program has
already taken place in several instances and the Music Therapy
Department was able to make contact and have the patient assigned
early in his hospitalization thus assisting in the patient making a
quicker adjustment to his new environment through the familiar media
of music All such Ministers of Music participating in this program
attend established threeday orientation sessions at the Hospital
prior to their admission into the program
On December 13 1964 the patient choirs of Units 1 4 and 5
combining to form the Milledgeville State Hospital mixed chorus
presented the entire Part I of The Messiah by George Frederick
Handel The chorus contained 112 patient voices several members
of the Music Therapy staff hospital staff and persons from the
general hospital community Twentyeight members of the Atlanta58
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Community Orchestra Mr Joseph Kirschner conductor gave their
time for two Atlanta rehearsals and the trip to Milledgeville on Dec
ember 13 to perform this monumental work with the patient chorus
The performance was conducted by the Director of Music Therapy
and was hailed musically as one of the finest such events ever
accomplished at the Hospital Therapeutically for those patients
who performed and for those who listened the results though diffi
cult to measure were dynamically apparent Definite therapeutic
results were observed through behavioral changes in patients during
the rehearsal period prior to the performance which carried over
beyond the performance

A number of music performances by outstanding music groups
and individuals were presented for the patients during the year
Among these were a performance by Jeannine Romer wellknown
concert pianist and teacher in the Atlanta area and several appear
ances of Allens Rhythm Ramblers from Athens Georgia All such
performances have added greatly to the enjoyment of all the patients
of the Hospital

In late April the Southeastern Conference of the National As
sociation for Music Therapy held its regional meeting at Milledgeville
State Hospital This conference brought music therapists from seven
southeastern states to Milledgeville with representatives of the ex
ecutive committee of the National Association for Music Therapy In
evaluating the Hospitals Music Therapy Department its staff pro
gram and facilities these men stated that this department was the
largest and best equipped music therapy department in the United
States today and praised highly the therapeutic approach of its pro
gram
c
The Director of Music Therapy was guest lecturer on music
therapy at the Statewide School of Church Music of the Georgia
Baptist Convention held in Atlanta in July 1964 as well as present
ing a number of lectures on the Hospital and the Music Therapy
Department to several music clubs teachers associations and service
organizations As a member of the executive committee of the National
Association for Music Therapy he acted in the capacity of chairman
at two sessions during the annual conference of the Association
held at Kanas City Missouri in October
59
The regular purchase of equipment and supplies has helped
build the music therapy department to its present status The music
library now provides real opportunity for the music therapists to
offer the challenge of music to individual patients and patient groups
and is rapidly becoming the finest such music library of any music
therapy program in the country Sufficient music instruments have
been available for the development of the outstanding instrumental
therapy Program
OCCUPATIONAL THERAPY
A new Occupational Therapy job series for subprofessional
personnel approved by the State Merit System removed inequities and
set up promotional opportunities The present staff includes one
director one assistant director 1 registered therapist 12 supervising
aides 35 aides 4 aides in training 1 store keeper and 1 inter
mediate stenographer
New uniform regulations were adopted during the year and all
personnel are in regulation uniform The total number of patients under
treatment in Occupational Therapy clinics represents an increase of
16 per cent over the previous fiscal year Of the patients leaving the
Occupational Therapy program 1266 were furloughed discharged or
transferred to industry On this basis 55 per cent of the total case
load has shown a high degree of improvement New ward programs
were started in six areas each area including from one to six wards
Increased attention paid to highly regressed patients has resulted
in raising the performance level of many of them to a point where they
are now able to participate in clinic programs as well as to help pre
pare projects for others
The hospitals program of transferring mentally retarded patients
into one area has required a radical change in both clinic and ward
programs and the necessity for personnel to review available literature
on mental deficiency in order to coordinate their programs closely
with other services A number of young active children in the Boone
Building have been receiving occupational therapy in two short ses
sions daily Emphasis on all programs continues to be on socializing
activities which bring normal experiences and personal gratification
to the patients60

4
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c
A total of 1806 patients participated in 109 parties given during
the year In addition 25 clinics had Christmas parties for their pa
tients Four hundred forty one patients from three clinics were taken
on a total of 20 bus rides and 72 patients volunteered to pick berries
and grapes at the Colony Farm Four hundred seventy seven patients
participated in 41 shopping trips in the community These included
luncheon at a downtown restaurant Patients from Occupational Thera
py clinics visited the Milledgeville fair the Southeastern Fair in
Atlanta and the Middle Georgia Fair in Vlacon
A new form for referral of patients by the psychiatric teams to
the Occupational Therapy was put into use during the year A new
clinic was opened in the Washington Annex The Cabiness clinic was
moved to an adjacent building which has been remodeled for this
purpose and the Bostick Clinic moved to a new location providing
better supervision and access to facilities Considerable effort was
expanded to make all clinic areas attractive comfortable and effi
cient Several areas were painted and curtains and draperies were
made The total cost of operation for the year was 27042
Departmental personnel worked closely with other hospital depart
ments and programs included remotivation particularly in Unit 2 where
necessary materials and guidance were supplied In addition patients
from the various Occupational Therapy clinics were escorted to pro
grams supplied by recreation music therapy garden therapy Alco
holics Anonymous and others
An outstanding event of the year was the acceptance of a needle
point handbag made by one of the patients as part of the permanent
exhibit of the Presidents Committee on the Employment of the Handi
capped The display was on view in the Department of Labor Build
ing and in the Smithsonian Institute in Washington DC and will later
be included in a traveling exhibit The work done by patients was
also exhibited and sold at the Southeastern Fair in Atlanta and the
Middle Georgia Fair in Macon the AthensBibb County Mental Health
Society the Town and Country Garden Club of Eatonton and the
Milledgeville Quota Clubs
EDUCATION

Inservice education included a total of 1052 hours of theory and
3672 hours of craft instruction All personnel attended 25 educational
movies and 12 instructive sessions with student nurses Eleven depart61
mental staff meetings were held during the year Personnel from the
Occupational Therapy Department attended a sign language course
sponsored by the Department of Religious Services a lecture and
demonstration on fire safety demonstrations of electroshock therapy
a lecture on childhood schizophrenia and a session on remotivation
techniques at the Veterans Administration Hospital in Augusta
Forty four nurses attended an Occupational Therapy Workshop
and 394 student nurses attended lectures given by the Occupational
Therapy director Other groups receiving Occupational Therapy orien
tation included psychiatric aides graduate nurses music therapy
interns public health nurses psychiatric residents ministers of
music chaplains recreation therapists and social workers Visitors
to the department during the year included occupational therapists
from PhoebePutney Hospital in Albany and St Elizabeths Hospital
in Washington DC Individuals visiting included Dr Lackey of the
State Health Department and James Hean of St Elizabeths Hospital
PROFESSIONAL ACTIVITIES
The director is vice president and program chairman of the Geor
gia Occupational Therapy Association and eleven staff members are
affiliated with the same organization Three of Milledgevilles staff
members serve on the Committee for Accreditation of Occupational
Therapy Assistants and one serves as chairman of the Ways and
Means Committee Two staff members are affiliated with the American
Occupational Therapy Association One of these serve on the associ
ations Clinical Advisory Committee to the Consultant in Psychiatric
Rehabilitation and also functions as a consultant for the Professional
Examination Service The director attended the Annual Conference of
the American Occupational Therapy Association in Denver Colorado
and another staff member participated in a five day institute on group
practicies in New Orleans
RECREATION THERAPY
The Recreation Therapy Department has made outstanding growth
and development both in staff and program during the past year Two
accredited recreation therapists were added to the staff which permit
ted the formation of unit teams composed of a recreation therapist
and a recreation technician Teams have been assigned to Units 1 462
J
h
and 5 and it is hoped that the addition of new staff will permit simi
lar expansion to other units during the coming year Unit programs
are designed to meet unique needs of each individual unit and reflect
the thinking of the unit director and the director of recreation therapy
as to a program that will best fit the treatment needs of the patient
Included are such activities as sports and games nature and outdoor
activities movies bus rides various types of social activities and
ward parties
The present plan of the superintendent to set up separate re
creational programs in each unit and the provision of adequate facili
ties will mean that more patients can be contacted and much closer
supervision of recreation therapy programs can be achieved
J
Two interns completed their clinical training program in Sep
tember and an additional intern finished up in June The program is
three months long and is required for a degree in hospital recreation
Interns are assigned to each unit having a recreation therapist and
while in the unit the trainee participates as a member of the treatment
team

In January an inservice training program was initiated for all
members of the department The program included lectures films and
reports on recreation programs structured for the treatment of mental
illness Each new employee attended classes and clinics conducted
by other departments of the hospital Staff meetings for the unit thera
pists were held each week and monthly departmental meetings were
conducted to keep all members informed of current changes and hap
penings

Two new areas of development include the Veterans Building and
the Rivers Building A unit team is assigned to each of these build
ings once a week on a rotating basis
The mens Intramural Softball League was expanded to include
two teams from each unit Each team plays the other teams twice and
a rotating trophy is given to the winner A playoff is held at the end
of the season and the winner also receives a trophy

Volunteers working with the department increased considerably
last year both in number and efficiency Two groups of young men
from the Psychology Club at Georgia Military College visited once63
a week and provided recreational activities for male patients in the
Whittle and Powell Buildings under staff supervision and guidance
Volunteer programs in the Green Allen and Arnall Buildings were
continued The department volunteers gave several outside programs
tor the patients in their units Other volunteer groups provided pic
nics parties and other activities for the patients
A recruiting brochure was prepared and sent to thirty eight col
leges and universities having a recreation curriculum as well as to
selected high school counselors in the state Pamphlets describing
the recreation program were prepared and distributed to colleges and
hospitals with hospital recreation programs
Groups receiving orientation lectures in recreation therapy in
cluded psychiatric aides student nurses social workers music
therapy interns chaplains remotivation trainees public health nurses
and visiting students
The director lectured on recreation therapy to the Wesley Foun
dation and the YWCA at the Womans College of Georgia the Psy
chology Club at Georgia Military College the Recreation Club of
Georgia Southern College and was a participant on the program of
the annual meeting of the Georgia Recreation Society and the South
ern Hospital Institute at Chapel Hill North Carolina
The Recreation Department has also cooperated with other hos
pital departments as requested These include music therapy oc
cupational therapy remotivation public relations the Employees
Association student nurses and volunteer services
Last year a physical fitness program was initiated in each unit
A therapist and assistant goes to selected wards each day for thirty
some areas attendants have been trained to
minutes of exercise In
take over this program leaving the
programs in other wards
therapist free to develop similar
VOCATIONAL REHABILITATION
The Vocational Rehabilitation program at Milledgeville State
Hospital is jointly operated by the Department of Public Health and
the Division of Vocational Rehabilitation of the State Department of
Education Emphasis during 196465 was focused in five major areas64
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1 Intensive work with vocationally handicapped patients 2 getting
the Yarbrough Rehabilitation Center program fully operational 3
developing the Rehabilitation Residence program in Atlanta 4 staff
expansion and 5 research
The patients selected for Vocational Rehabilitation services
have substantial employment handicaps which retard andor preclude
their return to former employment or leave them illprepared for com
petitive work These patients have complicated vocational problems
requiring extensive evaluation in indentifying the major obstacles to
occupational adjustment In planning a rehabilitation program for an
individual patient one or more of the following services is made
available for the resolution of the vocational problem and the begin
ning search for suitable gainful employment l Vocational Evalu
ation 2 Occupational and personal adjustment counseling 3 Work
Adjustment and Work Conditioning 4 Vocational Training 5Job
and residential placement and 6 Followup
The work adjustment service has expanded to include more of
the hospitals trades and industries Vocational training classes are
now available in the following areas 1 Business Education 2
Home and Family Management 3 Cabinetmaking 4 Drafting 5
Welding 6 Domestic Services 7 Food Services 8 Machine Shop
9 Electrical Appliance Repair 10 Barbering and 11 Cosmetology
Other classes may be added during the year if the need exists and if
qualified Instructors can be located Each patient worked with by the
Department is referred to the field or home Rehabilitation
Counselor at the time of furlough to insure continuity of services and
immediate assistance in reentering community life
The Yarbrough Rehabilitation Center has completed its first full
year of operation The Center program attracted nationwide attention
and some foreign visitors during the year as evidenced by the many
meetings seminars and conferences held there and by the vast
number of orientation tours and lectures that were given The effec
tiveness of the Center program seems to be directly related to the
comprehensive services available to its inhabitants Medical Social
Psychological and Vocational Success of the program will continue
to depend on the interdisciplinary working relationships in and be
tween all participating Units
65
A study completed June 30 1965 revealed the high quality of
services being rendered in the Center Of the several hundred patients
who have been furloughed from that facility during its eighteen months
of operation only 8 have had to return to the hospital A review of
these patients rehabilitation programs during their hospitalization
revealed that 47 were primarily involved with work adjustment activi
ties and 43 were enrolled in a formalized vocational training pro
gram At the time of their furlough 77 were recommended to enter
directly into employment whereas 23 were recommended to persue
vocational training in the community before seeking employment It
is inferred that such a high proportion of those furloughed could not
have been recommended to seek immediate employment were it not for
the vocational training and work conditioning experiences they have
received during their hospitalization
During the 196465 fiscal year two rehabilitation residences
were opened in Atlanta A team of Milledgeville State Hospital and
Vocational Rehabilitation personnel made an intensive studytour of
such facilities in other states as part of the planning and establish
ment of the Georgia Rehabilitation Residence program The house for
females 1032 W Peachtree St NW received its first patients in
November of 1964 and the male house 80 Thirteenth St opened in
January of 1965 The operation of the houses and the community plan
ning of similar residences in other cities is a coordinated endeavor
of the State Department of Public Health and the Division of Vocation
al Rehabilitation Statistics are available on the first 38 clients pa
tients enteringthe Rehabilitation Residence program As of June 30
1965 25 were currently in full time employment and two were currently
in full time vocational training Only two had returned to the hospital
The average number of days in a rehabilitation house per patient
was 77 The success rate for these first rehabilitation residence pa
tients was unusually high At the present plans are under way in
other leading communities to establish Rehabilitation Residences
In cooperation with the community work Milledgeville State Hospital
and Vocational Rehabilitation personnel are completing screening
procedures in order to identify patients from the various leading
communities who might possibly need residential facilities Several
communities are prepared to go ahead with their plans for houses if
the need is established66
J
K

The Vocational Rehabilitation staff on June 30 1964 consisted
of one Program Supervisor one Rehabilitation Specialist six Reha
bilitation Counselors three Vocational Evaluators two Work Ad
justment CoOrdinators one Shop Supervisor eleven Vocational In
structors and seven Secretaries This does not include the Atlanta
Rehabilitation Residence Staff Personnel changes during the year
included the transfer of Mr WL Tomlinson to Atlanta where under
Mr WC Pettys supervision he will coordinate the Rehabilitation
Residence program Three trained Rehabilitation Counselors joined
the Milledgeville State Hospital program during the fiscal year
Charles H Bishop Jr MSRC John W Cooper M Ed and
Horace W Sawyer MSRC Mr Emory Mobley was employed as a
Work Adjustment CoOrdinator and Mrs Charlene Carpenter was em
ployed as the second Cosmetology Instructor Two Instructor losses
were balanced out by the hiring of Mr Kenneth Ryals for Barbering
and Mrs Frances Sanders for Home and Family Management
The Rehabilitation Counselors have assumed their assignments
and responsibilities in the hospital consistent with the geographical
Unit divisions As part of our followup program the hospital counse
lors establish and maintain contact with the field counselors in the
geographical areas of the state served by the respective hospital
Units An orientation program for the field counselors will continue
in order to reacquaint them with the Milledgeville State Hospital com
prenhensive treatment program and also to reemphasize the need for
early follow up after the patient is furloughed

The Vocational Rehabilitation Department carried on a research
and demonstration project from June 1 1961 to June 30 1964 The
research design was planned in order to evaluate scientifically the
effectiveness of providing vocational rehabilitation services in a State
mental hospital and to attempt to determine the factors which lead to
failure in rehabilitating patients Patients on admission wards were
rough screened and those selected were randomly assigned to
Experimental and Control groups Both groups received the usual hos
pital care and treatment the Experimental group however also
received Vocational Rehabilitation assistance
67
Three Pilot Studies were made during the three year period the
combined totals of which were reported in the 1964 MSH Annual Re
port On June 30 1964 however an attempt was made to conduct a
final evaluation on all of the patients who had been involved in the
Study All subjects were rated as successful or failures Sub
jects were considered successful if they were currently employed or
in training The failuregroup was not currently working or in train
ing The final evaluation which was conducted on patients who had
been out of the hospital for as long as three years revealed that 70
of the Experimental subjects were successful whereas 46 of the
Control subjects were successful Although there was a trend for the
differences to become less significant in each study the value of
Vocational Rehabilitation assistance prior to and after furlough was
clearly evident Furthermore the results of the Study were statisti
cally significant the critical ratio was 468 well beyond the 01 level
of significance
PERSONNEL SERVICES
A substantial increase in employment occurred at the Milledge
ville State Hospital during the fiscal year ending June 30 1965 The
number of active regular employees on June 30 1964 was 2941 and
on June 30 1965 was 3120 an increase of 179 The increase in the
manual labor category was by far the largest accounting for more
than half of the total expansion in employment This reflects the
continuing replacement of patient labor and the expanding utilization
of hired labor in housekeeping and food service functions The acti
vation of the Central Kitchen was rapidly curtailing patient labor
throughout the year in food preparation as the outlying kitchens were
closed No patient or prisoner labor is used in the Central Kitchen
Total professional employment was essentially static although
there was a modest increase in registered nurses but the number re
mains grossly inadequate to our needs The increase in Attendants
was slight when compared to the size of this category
The major event of the fiscal year for the personnel program was
the adoption by the State Personnel Board of a totally new pay plan
on July 1 1964 The former eleven step grades were replaced by
68

h
eight step grades providing greater salary increments and a shorter
time span for minimum to maximum Because of fiscal limitations the
hospital was forced to make a minimum adjustment to the new plan
As a result most employees received only a small increase in pay
and some none at all However the vast majority will benefit sub
stantially in the future by virtue of the larger salary increments and
the much reduced time interval from minimum to maximum
The State Personnel Board adopted major revisions in four classi
fication series of importance to the hospital These were the Clinical
Psychologist Nursing Laboratory and Occupational Therapy Aide
series This resulted in some moderate adjustments in salary levels
and provided considerably simplified class series with improved in
ternal relationships among classes
J

A new system of preemployment physical examinations was in
stituted during the year in cooperation with the staff of the Jones
Building and in accordance with State law Under the new program
all persons appointed to regular positions must be examined by a
physician in our employ and the physical condition of new employees
must be found adequate by formal standards This is a great improve
ment over the previous system which proved to be of little value in
establishing whether an applicant was physically fit to perform the
required duties
During June 1965 all State agencies were called upon by the
State Merit System to provide current descriptions of all positions or
certify to the correctness of extant descriptions to faciliate a com
plete position classification survey The time allowed was minimal
and as a result this hospital had only about two weeks to complete
this task It was decided to prepare new descriptions for all positions
except for those described after January 1 1965 and still current
By the outstanding cooperation of all officers and employees of this
hospital we accounted for over ninetynine percent of all our positions
by the deadline date and the few remaining were handled within a
few days This is an achievement that can properly be described as
remarkable and great praise is due the employee group for the excel
lence of their performance
r69
Activity in the Personnel Office exceeded all previous years due
to continued expansion in employment and increased complexity of
operation The following is a tabulation of personnel actions during
the year
Appointments 890
Transfers 274
Promotions 99
Demotions 26
Separations 638 including 485 Resignations
111 Dismissals
26 Retirements
6 Transfers to other agencies
10 Deaths
Rate of turnover 204
A figure obtained by subtracting 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 1965
There was a substantial increase in turnover and dismissals dur
ing the year This was due primarily to the great accession of em
ployees in the laboring classes over the past two years In the past
due to the heavy utilization of prisoner and patient labor only a very
small percentage of the hospitals employees were in the manual
labor category and as a result we enjoyed unusal stability in the em
ployee group However rapid turnover is common among groups of
unskilled laborers and the increase in turnover was expected A large
part of the dismissals were technical in nature for abandoning the
job or for failure to report for work and did not represent serious
breaches of discipline
A tabulation of personnel of the hospital by type is shown in the
statistical section of this reportm
70

i

PERSONNEL BT TYPE AS OF JUNE 30 196U AND JUNE 30 1965
Total
1 Physicians
2 Dentists
3 Nurses
h Therapists
5 Engineers
6 Sanitarians
7 Physical Scientists
8 Nutritionists
9 Educational and Information Specialists
10 Psychologists
11 Social Workers
12 Other Professions
13 SmiProfessional and Technical
111 Managerial
15 Clerical
16 Agricultural
17 Trades Crafts Mechanical
18 Service
19 Manual Labor
20 Not Elsewhere Classified
196k 1965
29U1 3120
90 8U
8 6
89 96
10 13
5 6
l 1
5 5
2 2
3 3
11 9
12 111
12 17
1737 1778
27 27
177 191
50 h9
232 210
262 253
20U 323
h 3

71
VOLUNTEER SERVICES
Continued expansion of volunteer services is a most noteworthy
feature of the program during the past year Wholehearted cooperation
by hospital personnel and statewide awareness of the needs of pa
tients by community organizations and individuals has resulted in
broadened participation and increased effectiveness of the program
The present staff consists of the director assistant director and an
intermediate stenographer also a store manager for the Apparel Shop
RECREATION
Sixtyeight students from community educational institutions were
utilized as volunteers by the Recreation Department in a program of
resocialization with regressed patients that has resulted in therapeutic
improvement Other community organizations participating in recre
ational projects for patients included Wayne County Elbert County
Upson County and MaconBibb County Mental Health Associations as
well as the Shriners in the city of Macon The Baldwin County Negro
Home Demonstration Agent provided activities for patients in the
Washington Building
ALCOHOLICS ANONYMOUS
Weekly meetings of the hospital groups continue to be sponsored
by the Middle Georgia Intergroup Council Six groups alternate in
providing the program Seventy five to eighty patients attend During
the summer the fifth anniversary of the hospital group was celebrated
with a special program which resulted in state wide representation
ART THERAPY
A volunteer artist has provided instruction to two groups of
mentally retarded children The MaconBibb County Mental Health
Association secured the services of a volunteer artist to instruct a
class of adult patients She was assisted by a volunteer artist from
Milledgeville The Artists Associates of Atlanta presented 58 pictures
as well as various works in ceramics to the Yarbrough Rehabilitation
Center4
72
SOCIAL SERVICE
Volunteers continue to be active in taking case histories and
interviewing families in the psychiatric outpatient clinic
GARDEN THERAPY

During the year 75 volunteers contributed 2500 hours of service
in the hospital Garden Therapy program The local chairman has now
become a member of the Board of Directors of the Garden Clubs of
Georgia Inc Thirteen groups from various garden clubs toured the
hospital during the year Of special interest was the visit of the new
district directors and the garden therapy district chairman who visited
the hospital for orientation purposes in order to encourage partici
pation by clubs in their district in the Milledgeville program
i
At the recent state convention the state headquarters house in
Athens was presented with a needle point bell pull from the patients
at Milledgeville State Hospital in appreciation of the support given
the hospital garden therapy program by the state organization

The president of the Garden Clubs of Georgia Inc was presented
with a special award from the State Health Department in appreciation
of their support to the hospital program The presentation was made
by Dr Irville H MacKinnon Hospital Superintendent
COSMETOLOGY

The State Hairdressers and Cosmetologists Association set aside
January 25 as a work day at Milledgeville State Hospital as their pro
ject for National Beauty Salon Week Participating were 63 beauticians
from 21 Georgia cities Each beautician furnished supplies for the
days work portable shops were set up and patients received the
following services 40 permanents 106 sets 122 shampoos 94 hair
cuts 11 facials 10 manicures 1 arch 1 trim and 10 scalp tonics
As a culmination of the project each member of each affiliate
association contributed 2 toward the purchase of beauty shop equip
ment for the hospital Sufficient equipment to furnish seven small
beauty shops was purchased with the 3000 obtained in this manner
Each shop contains a booth and mirror a shampoo bowl a swivel
styling chair and two dryers
73
APPAREL SHOP
In March 1965 the Apparel Shop was moved into a remodeled one
story building in a central location The shop provides clothing for
indigent patients transferred to nursing homes needy patients in train
ing under the vocational rehabilitation program as well as any other
patients who do not have adequate clothing During the past year 3233
patients used this facility The therapeutic value of being appropri
ately attired makes this phase of the volunteer services program of
great benefit to the patient population
DAY ROOMS
The United Church Women of Georgia have furnished day rooms
on Allen 4 Rivers 6 Bostick 8 Powell 5 and the Psychiatric Out
Patient Clinic This brings the total to 62 day rooms which have been
furnished at a cost of approximately 100000 through this program
during the last several years Mrs L L Austin is chairman of the
program and for many years has given unselfishly of her time and
effort to improve the living conditions of the patients in this huge
institution
FORGOTTEN PATIENTS
This program which provides sponsorship of patients who do not
have families by community organizations and individuals continues to
expand During the past year 155 patients have been befriended in
this manner There is no direct contact between the patients and his
benefactor and the volunteer services staff act as intermediators
Patients are encouraged to write notes of appreciation to their friends
and the response has been gratifying
CUB SCOUTS
Donated funds were used to charter a negro Cub Scout pack
which is composed of patients ranging in age from 10 to 35 but with
a preschool mental level The mother of one of the children acts as
Den Mother and along with other negro volunteers conducted a most
effective program during the year The troop was outfitted with uni
forms by the Patients Benefit Fund74

tf
CHRISTMAS
Volunteer Services again planned for parties for the patients
conducted by the various church groups and cooperated with the
Recreation Department in the distribution of thousands of gifts from
the M Day program sponsored by the Georgia Municipal Associ
ation Nine church denominations gave parties and gifts to patients
Radio Station WSOK in Savannah brought a group of entertainers and
gifts for the third consecutive year Through the combined efforts of
community and state organizations each patient was remembered at
Christmas time
DONATIONS
i

During the year 5000 in cash donations were contributed
through Volunteer Services for the purchase of supplies and equipment
not available through the regular hospital budget A good portion of
this sum was used for the purchase of books and supplies for special
education classes Other items purchased with donated funds were
two new air conditioning units four rocking chairs one chaise lounge
five chair tables seven electric wall clocks one electric clothes
dryer three washing machines nineteen rollabout and pedestal fans
six electrical hair clippers five portable hair dryers thirteen electric
razors three irons one ironing board one electric sewing machine
one used stove and one new refrigerator for the Recreation Depart
ment one used refrigerator for the Greenhouse one vacuum cleaner
for the Chapel eight radios six record players and one heavy duty
swing set
4
Of special interest is the eye implant project sponsored by the
Pilot Club of Atlanta for the past two years which provides funds
for the purchase of the eye implant when surgery is necessary for
the removal of a patient s eye The implant is necessary to give
mobility to the artificial eye
Volunteer services expresses deep appreciation on behalf of the
patients of Milledgeville State Hospital to the many generous warm
and sympathetic Georgians who have made possible the programs
omtliried in this report
75
PUBLIC RELATIONS
The Public Relations Department continues to provide complete
public informational services on the various phases of the hospitals
treatment research and educational program Continued work is being
done with college and high school students in seminar programs as
well as with visiting groups such as civic clubs garden clubs Jay
cettes and Jaycees practical nurses public health nurses and
various other professional and community organizations The program
however has now reached the point that further expansion cannot be
expected until additional personnel in the department is available
The senior artist attached to the department left during the year
since her husband was transferred to one of the teaching institutions
to complete his doctorate No provision has yet been provided for
adequate photographic coverage of the institution which is still being
done by the public relations director Additional requests for the
preparation of color slides for the Physical Treatment Division and
the other professional departments has resulted in an increase in the
work load of this particular phase of the operation
The high school and college seminar programs developed to the
point where they became a five day a week operation and because of
the involvement of staff time it has been necessary to confine these
to two days a week Accordingly during the coming year we will
endeavor to schedule college groups on Tuesday and high school
groups on Thursday In conferences with the Department of Psy
chology it isrecognizedthat some flexibility in this scheduling will
be necessary particularly where statewide groups are concerned
The annual number of visitors in this particular category continues to
run around 5000 and most of this occurs during the school months
The increasing development of professional staff has required an
increase in the number of orientation lectures provided by the depart
ment for new staff members All hospital departments are now at a
national level of accreditation which makes necessary the production
of recruitment brochures and printed informational material for utili
zation in the educational institutions During the year brochures were
produced for music th erapy psychology religious services recreation
occupational therapy and psychiatric residency training Articles on
76
i
the hospitals ophthalmology program and the garden therapy program
were published in national publications and in press is an article on
the vocational rehabilitation operation in the Yarbrough Building
s
J
The reorganization of the institution made necessary by the
geographical alignment of the units as well as compliance with the
Civil Rights Act has resulted in personal visits to ordinaries around
the state to inform them as to the hospitals policy and program
Thirty five ordinaries were visited during the past year The director
also fulfilled 102 speaking engagements of various kinds Contacts
with the Department of Journalism at the University of Georgia and a
number of individual students at Wesleyan College has resulted in
some interest in the possibility of establishing an undergraduate
program leading to a graduate degree in mental health information
During the year the director was elected vice president of the Nation
al Association of State Psychiatric Information Specialists
Continued cooperation of the Department of Psychology in the
educational program for high school and college students has resulted
in a high level of interest being maintained which has borne fruit in
a number of these young people indi eating an interest in a mental
health career profession

The production of the patients paper continues to be under the
supervision of the Public Relations Department Thirty four patients
are working on the reportorial staff and some twelve additional pa
tients have various responsibilities in the direct editing and publish
ing of the production

Resulting from the development of the Georgia State Plan for
Mental Health and the employment by the Division of Mental Health
of a number of summer community organization specialists the depart
ment furnished eight counties with analyses of patient population and
admissions for use in determining the mental health needs of the
various areas
The hospital continues to receive outstanding cooperation from
the representatives of the various news media and releases continue
to go to approximately 500 national state and local outlets
77
RESEARCH
DEPARTMENT OF MEDICAL GENETICS
Last fall the Research Division moved into new quarters in the
Yarbrough Building which has permitted an attack on problems pre
viously impossible because of the lack of physical facilities and
equipment The new quarters will also make possible increased
emphasis on the recruitment and training of medical genetics person
nel for the state mental health program The staff deficiency in the
department has been improved somewhat with the addition of Laura
Lipscomb MD a patient who has assisted with adrenal dissection
and the study of fingerprints and Federico Marrero MD who has
started cooperative histological studies with Ortega silver and
gold techniques The approved 1965 budget will add a medical ge
netics research trainee Still needed is a medical photographer and
a biochemist
PROGRAMS
The medical genetics survey of patients has continued with
studies of anthropometry fingerprints blood groups hemoglobin and
chromosome studies and in particular studies of Huntingtons Cho
rea Mongolism and the hemoglobin anemias
Studies of albinism in relation to morphology physiology and
behavior at the Schools for the Blind in Macon and in San Bias
Panama are continuing Typical albinistic face shape among the
Cunas has been defined and appears to be characteristics also for
Negro albinos It has been discovered that the sense of smell is not
sharpened in the case of albinism that renders the patient visually
defective The sense of taste has been studied but not yet analyzed
There is a trend toward effeminateness in the personalities of Cuna
albinos and in homosexuality they play the female role Fingerprint
studies of the Cuna albinos revealed no important differences from
the fingerprints of normals
A grant in the amount of 8454 has been received from the Na
tional Institute of Mental Health for a one year study of the behavior
of the red fox and its coatcolor mutants both without and with tran

78
i

quilizers New programs include studies of hereditary diseases af
fecting the mind in old age and degenerative syndromes of the cen
tral nervous system Studies have commenced on the rodless retina of
the mouse a hereditary degeneration of the retina that in various ways
parallels Retinitis pigmentosum and a hereditary absence of the
Corpus callosum Application has been made to the National Insti
tute of Mental Health for a grant supporting these studies
Members of the department have participated in the hospital
teaching program by providing lectures to psychiatric residents
student nurses students at the Womans College and participated
in four committee meetings and two trips in connection with research
4

DEPARTMENT OF NEURO PSYCHO PHARMACOLOGY
After the development of an analytical method for the identifi
cation of phenothiazine tranquilizers in this laboratory the problem
of drug treatment with multiple daily doses versus a single daily dose
was investigated in patients on tranquilizers Mellaril was chosen
for the studies Over 2000 blood analyses were carried out on hospi
talized patients the results showing that one daily oral dose is
sufficient to keep a fairly constant serum drug level day and night
The findings of these experiments are reported in the American
Journal of Psychiatry 121 1119 1965 and in Clinical Pharmacology
and Therapeutics in press
The pathways and tissue distribution of Persantin was studied
in animals and man The animal studies are reported in the Archives
Internationales de Pharmacodynamie et de Therapy TJ Mellinger
and JG Bohorfoush Pathways and Tissue Distribution of Persantin
The clinical studies are to be published separately
i
Due to the current controversy over the value of mood elevators
in the treatment of depressions the metabolism and the rate of
absorption and excretion of Tofranil was studied for comparison with
findings on phenothiazine tranquilizers Special studies were under
taken in regard to the cummulative properties of this drug and the
usefulness of higher doses on initiation of treatment Because of the
79
occurance of suicides with Tofranil in depressed patients the tissue
distribution of this drug after oral intake was studied in laboratory
animals to find better procedures for removing toxic overdoses from
the body
To work out electronic procedures for recording the different
phases of sleep and dream patterns in normals and psychotics simul
taneous studies with electroencephalograms oxygen consumption
respiration pattern muscle potentials and rapid eye movements during
sleep have been carried out The effect of tranquilizers and barbi
turates on the sleep pattern in animals and men is under study
PUBLICATIONS
Research papers published include
a Psychosomatics of Fear in Foxes with Asteinza and Edward
Fromm Bull Ga Acad Sci 22 6469 1964
b A Comparison of the Intelligence and Personality of Moon
Child Albino and ControlCuna Indians with Horace Stewart
J Genet Psychol 106 319324 1965
c Note on the Weakness of Tissues in Aleutian Mink
Bull Ga Acad Sci 23 3638 1965
d Cuna MoonChild Physiognomy Dermatologia Tropica
In press
EDUCATION
The position of Director of Education has not been filled so this
responsibility is still assumed by the Assistant Superintendent Dr
James B Craig It includes
1 The supervision of the inservice training programs among
which are the classes and courses conducted with profession
al staff and personnel the affiliate nursing program psychi80
i
atric aide training class and the various intern programs in
cluding residents in psychiatry and interns in clinical psy
chology social work music therapy occupational therapy
recreation therapy and clinical chaplaincies

2 Seminars and instructional programs for college and high
school students and adult groups of various kinds visiting the
institution during the year such as ministers peace officers
civic clubs Jaycees mental health directors school guid
ance counselors and others Responsibility for the seminar
programs for outside groups is shared jointly by the Depart
ment of Public Relations and the Department of Psychology
The program is reported on fully in the Public Relations
section of this report
i
Residency programs in psychiatry affiliated with the Depart
ments of Psychiatry at Emory University and the Medical College of
Georgia are continuing to furnish a training corps of physicians for
the institution The Emory program however will be discontinued
with the opening of the new Georgia Mental Health Institute in At
lanta

4
The accreditation of Milledgeville State Hospital by the American
Medical Associations Council on Education and Hospitals for a three
years training program in psychiatry has enabled the hospital to fill
its quota of ten residents per year for the last two years At the close
of the fiscal year there were twenty one residents in psychiatry in
cluded in the three programs mentioned above In addition four phy
sicians were on scholarships in medical specialtiesone in pathology
one in anesthesiology one in pediatrics and one in psychiatry In
pharmacy one trainee is completing his doctoral work at the Universi
ty of Michigan The Department of Psychology includes ten trainees
four of these are senior psychology interns six are senior psychology
intern trainees The Social Work Department has eight trainees com
pleting their Masters Degrees at various universities There are six
chaplain interns and three music therapy interns making a total of
fifty three professionals in hospital training programs as of the end of
June The inservice training program for foreign medical staff mem
bers studying for the ECFMG Examination continues

81
A special grant of 88000 from the National Institute of Mental
Health was received during the year for the development of an in
service training program to establish a correlated classroom teaching
and clinical experience program for psychiatric aides The program
will progress toward preservice education and will include basic
fundamentals essential to psychiatric aide treatment for all types
of patients The program will cover four years and the grant is for
22000 per year
PATIENTS LIBRARY
The Patients Library which has been centralized in one build
ing is now being decentralized and separate libraries are being es
tablished in each hospital unit Two of these have already been com
pleted one in the Arnall Building and one in the Allen Building and
as rapidly as possible when space becomes available others will be
organized in the remaining units
The decentralization of the libraries was made necessary in
order that more patients could have access to the books and publica
tions thereby cutting down on transportation and the necessity for
traveling considerable distances to reach the existing library
A special drive to secure books was made during the year by
the Milledgeville Jaycees and a large number of volumes in many
categories were secured
Competent librarians are being employed and cataloguing of the
various material is now underway
BUSINESS ADMINISTRATION
The appropriation for the fiscal year 196465 was increased from
1600000000 to 1750000000 In addition to this appropriation a
special appropriation of 10000000 was granted for improvements to
various buildings so that certificates of occupancy could be obtained
from the Fire Marshals office During the next fiscal year an ad
ditional 10000000 will be appropriated to continue this remodeling
program
82

We have completed the closing of all the kitchens except those
preparing special diets and the kitchens in the Rivers and Jones
Buildings which are under the supervision of the dietary service We
are now preparing daily in the central kitchen approximately 36000
meals and we feel that the quality of the food and the general overall
service has improved The kitchen is staffed by paid employees
throughout and we are using prisoners in the cafeteria serving line
and dishwashing area As soon as possible we would like to elimi
nate the use of patients in all food service areas however this would
involve a large number of additional employees to perform this serv
I
The childrens building has been completed and equipment is
being moved in at this time Due to the pay adjustment for all State
employees it was necessary that we delay the staffing of the chil
drens building until sometime later in the new fiscal year At the
present time we cannot exactly determine when this building will be
completely staffed however the classrooms will be utilized at the
beginning of the fall school term
V
No firm decision has been made concerning the operation of the
farm We are handicapped because of this as we are unwilling to
spend money for equipment and outlay when there is a possibility
that the farm will be turned over to some other state agency It is
hoped that a firm decision will be made concerning this operation
soon We have in the past fiscal year confined our operations to beef
and dairy cattle the operation of the laying farm and the hog feeding
program
It has been suggested that the Milledgeville State Hospital
laundry facilities be closed and that the hospital contract with the
Board of Corrections to have the laundry done at a new State prison
to be located in Butts County This would involve the daily transfer
of approximately 44000 pounds of soiled linen and approximately
40000 pounds of clean linen There will be needed for this operation
six trailer type vans to haul the linen in both directions At the pre
sent time we are using female prisoners in the operation of our laun
dries and if this procedure is adopted I do not feel that we will have
any place we can continue to use this number of female prisoners
83
The employees presently assigned to the laundry will probably con
tinue to be assigned there for the purpose of receiving and distribut
ing linen
In December 1964 Mr W E Walker was appointed Fire Marshal
as part of our overall program to improve the fire department Mr
Walker served for a number of years with the Macon Fire Department
in the capacity of Captain and did an outstanding job He was recom
mended to us by various people connected with fire fighting and was
highly recommended by the State Fire Marshal Mr Walker has done an
outstanding job during the short period of time that he has been with
the Milledgeville State Hospital During the next fiscal year we will
have completed the work necessary to obtain certificates of occu
pancy in those buildings which had not previously been approved
This involves sprinkler systems in certain locations emergency
lights and an overall fire alarm system connected to the presently
existing fire department
During the year we have closed all entrances to the hospital with
the exception of the five major entrances located at Swint Avenue
Rivers Building Broad Street at Vinson Highway Broad Street at
Hardwick and the Thomas Field Road Information booths will be
placed at those entrances and will be manned by hospital personnel
24 hours per day to assist visitors to the hospital
The overall operation of the institution continues to improve
from year to year As more funds are being made available we will
be in a position to hire additional personnel and continue to improve
our services to the patients84
i
h
MILLEDGEVILLE STATE HOSPITAL
FINANCIAL REPORT
The State Department of Public Health allotted to the Milledgeville
State Hospital 17500000 for maintenance operations and 100000
special allotment to provide a fire alarm system making a total of
17600000 revenue from state funds This was supplemented by 49331790
Veterans Home Commission 52370635 donated commodities 59670138
Pay Patients and Institutional Income and 27263833 Federal Grant
Childrens Home making a total of 1948636396 made available for this
fiscal year
In addition to these available funds the Productive Units furnished
consumable food commodities valued at 141743205
Gross expenditures by issues from stock and cash payments for
commodities other than stock amounted to 1880876216 Based on gross
expenditures 1880876216 and daily population of 11982 inmates daily
per capita cost amounts to 430 Donated commodities are issued at no
cost
Outlay expenditures for the following projects amounted to 48964682

PROJECTS
Central Shops
Personnel Dwellings
Equipment
Washington Building Renovation
Fire Alarm System
Veterans Home Renovation
Sixty 60 Bed Childrens Home
TOTAL
AMOUNT
1170977
6633144
2400436
50850
1365658
1177968
361r656A9
SZ8964682
V
Patients deposits at June 30 1965 amount to 67467475 an increase
of 8543244 over June 30 1964 58924231 An amount of 650000 has
been placed on time deposits Interest earned for the year 1965 amounted to
1781250 which was paid to the Patients Benefit Fund
i
Balance on Deposit June 30 1964
Deposits During Year
TOTAL
Less Withdrawals During Year
BALANCE JUNE 30 1965
58924231
56746938
115671169
48203694
67467475
r85
ADMISSION RATES PER 100000 ESTIMATED CIVILIAN POPULATION
BY COUNTY OF ADMISSION FISCAL YEAR ENDING JUNE 30 1965
86
i
AVERAGE DAILY RESIDENT POPULATION ADMISSIONS NET RELEASES
AND DEATHS 19541965

12000
11000
10000
7000
6000
5000
4000
3000
2000
1000
RESIDENT POPULATION
ADMISSIONS
NET RELEASES
DEATHS
1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965
Net releases equal live removals from the hospital minus returns from
furlough and escape87
ADilSSIONS BY COUNTY AND TYPE OF ADMISSION
County of TYPE OF ADMISSION
1 State Board Transfers
Admission 1964 Old Court of in from
Lav Lav Voluntary Temporary t Order Corrections Gracevood TOTAL
Appling IS o 1 1 0 0 0 20
Atkinson 12 0 1 0 0 0 0 13
Bacon 23 0 2 0 0 0 0 25
Baker 3 0 2 0 0 0 0 5
Baldwin 14 0 21 74 1 4 0 114
Banks 10 0 1 0 0 0 0 11
Barrow 53 0 5 0 1 0 0 59
Bartow 54 0 14 0 3 1 0 72
Bon Hill 35 1 6 0 0 0 0 42
Berrien 19 0 1 0 0 0 0 20
Bibb 196 2 5S 1 4 7 0 268
Bleckley 16 0 2 1 0 0 0 19
Brantley S 0 2 0 0 1 0 11
Brooks 19 1 4 0 0 0 1 25
Bryan 12 0 0 0 0 1 0 13
Bulloch 25 0 5 0 0 0 0 30
Burke 21 0 4 0 0 0 0 25
Butts 14 0 4 2 0 0 0 20
Calhoun 8 0 1 0 1 0 0 10
Canden 11 0 4 0 3 0 0 18
Candler 7 0 0 0 1 0 0 8
Carroll 60 0 6 0 0 0 0 74
Catoosa 25 0 6 0 1 1 0 33
Charlton 3 0 2 0 0 0 0 5
Chatham 109 0 17 0 10 5 2 M3
Chattahoochee 2 0 0 0 0 0 0 2
Cliattooga 39 0 6 0 0 0 0 45
Cherokee LI 2 5 0 0 0 0 54
Clarke 59 1 12 5 0 7 0 S4
Clay 4 1 0 0 0 0 0 5
Clayton 49 0 23 4 0 0 0 76
Clinch 11 0 0 0 0 1 0 12
Cobb 155 1 37 o 11 2 0 206
Coffee 35 0 3 0 0 1 0 39
Colquitt 42 o 21 0 o 0 0 63
Columbia 7 0 6 5 0 0 0 18
Cook 22 0 2 0 o 2 0 26
CoTeta 55 3 3 0 0 0 0 61
Cravrford 8 0 2 0 0 0 0 10
Crisp 27 0 6 0 1 0 0 34
Dade G 0 3 0 0 0 0 11
Dawsan 0 0 2 0 0 0 0 2
Decatur 20 0 5 0 1 1 0 27
DeKalb 242 0 84 0 15 8 0 349
Dodge 36 0 2 0 1 0 0 39
Dooly 23 0 6 0 o 0 0 29
Dougherty 74 0 9 0 3 1 0 87
Douglas 25 0 S 0 o o 0 3l
Early 19 0 3 0 0 1 0 23
Echols 0 0 0 0 0 0 0 0
Effingham 4 0 0 0 1 0 0 5
Slbert 44 0 3 0 0 0 0 47
Eranuel 44 3 1 1 0 0 0 49
Evans 15 0 3 0 0 0 0 IS
Fannin 19 0 5 0 0 0 0 24
Fayette 8 1 2 0 0 0 0 11
Floyd 109 s 9 0 11 4 0 141
Forsyth 24 0 6 0 1 0 0 31
Franklin 22 0 2 0 0 0 0 24
Fulton 730 3 155 1 30 37 0 956
Gilmer 19 0 4 0 0 0 0 23
Glascock 7 0 3 0 0 0 0 10
Glynn 47 0 12 0 1 1 0 61
Gordon 27 0 1 0 1 0 0 29

88
i
v
V
m
County of TYPE OF ADMISSION
State Board Transfers
Admission 1964 Did Court of in from
Lav jav Voluntary Temporary Order Corrections Gracevrood TOTAL
Grady 26 0 6 0 0 0 0 32
Greene 11 0 11 0 0 0 0 22
Gvdnnett a 0 29 0 1 0 0 71
Habersham 32 0 0 0 1 2 0 35
Hall 75 0 10 0 3 5 0 93
Hancock 15 0 3 1 0 0 0 19 36
Haralson 32 0 4 0 0 0 0
Karris 9 0 0 0 0 1 0 10
Hart 12 0 3 0 0 0 0 15
Heard 7 1 0 0 0 0 0 8
Henry 23 0 2 0 0 0 0 25
Houston 39 0 16 0 0 1 0 56
Irvdn 6 0 0 0 0 0 0 6
Jackson 27 0 13 0 0 0 0 40
Jasper 5 0 1 0 0 0 0 6
Jeff Davis 15 0 4 0 0 0 0 19
Jefferson 19 0 3 0 0 0 0 22
Jenkins 17 0 1 0 0 0 0 18
Johnson 26 0 4 0 0 0 0 30
Jones u 0 2 0 0 0 0 16
Lamar 20 0 1 0 0 1 0 22
Lanier 11 0 0 0 0 0 0 11
Laurens 63 0 s 0 6 3 0 SO
Lee 2 0 1 0 0 0 0 3
Liberty 27 0 0 0 0 0 0 27
Lincoln 5 0 4 0 0 0 0 9
Long 5 1 0 0 0 0 0 6
Lomides 42 0 9 0 3 0 0 54
Lumpkin 9 0 0 0 0 0 0 9
Macon 22 0 0 0 0 0 0 22
Madison 11 0 4 1 0 0 0 16
Marion 6 1 3 0 0 0 0 10
McDuffie 39 1 0 0 0 0 0 40
Mclntosh 9 0 2 0 0 0 0 11
Meriwether 17 0 6 0 1 2 0 26
Miller 13 0 0 0 0 0 0 13
Mitchell 15 1 2 0 2 1 0 21
Monroe 13 0 3 0 0 2 0 IS
Montgomery 9 0 4 0 0 0 0 13
Morgan 18 0 3 0 0 0 0 21
Murray 6 0 5 0 0 0 0 11
Muscogee 118 5 20 0 2 7 1 153
Newton 47 0 13 4 1 2 0 67
Oconee 13 0 2 0 0 0 0 15
Oglethorpe 6 0 1 0 0 0 0 7
Paulding 38 0 16 0 1 0 0 55
Peach 14 0 8 0 0 0 1 23
Pickens 10 0 5 0 0 1 0 16
Pierce 18 0 1 0 0 0 0 19
Pike 11 0 0 0 0 0 0 11
Poll 36 0 16 0 1 3 0 56
Pulaski 15 0 2 0 0 0 0 17
Putnam 9 0 1 0 0 1 0 11
Quitman 3 0 0 0 0 0 0 3
Rabun 9 0 3 0 0 1 0 13
Randolph 17 0 5 c 0 0 0 22
Richmond 148 1 18 0 1 5 2 175
Rockdale 21 0 4 0 2 0 0 27
Schley 0 0 0 0 0 0 0 0
Screven 17 0 3 0 1 0 0 21
Seminole 8 0 0 0 0 0 0 8
Spalding 63 1 13 0 0 2 0 79
Stephens 20 0 8 0 0 0 0 28
Stewart 13 0 1 0 1 0 0 15
Sumter 25 0 6 0 0 1 0 32
Talbot 6 0 1 0 0 0 0 7
89
County of Admission TYPE OF ADMISSION
1964 Old Court State Board of Transfers in from
La7 Lav Voluntary Tenroorarv Order Corrections Gracevrood TOTAL
Taliaferro 6 0 3 0 0 0 0 9
Tattnall 19 0 4 1 0 0 0 24
Taylor H 0 1 0 0 0 0 15
Telfair 16 0 6 0 0 0 0 22
Terrell 16 0 3 0 0 1 0 20
Thomas 66 0 2 0 0 1 0 69
lift 29 0 7 0 0 0 0 36
Toombs 51 0 10 0 0 2 0 63
Towns 6 0 0 0 0 0 0 6
Treutlen 3 0 5 0 0 0 0 8
Troup 60 0 6 0 2 0 0 68
Turner 13 0 1 0 1 0 0 15
TTiggs 8 0 0 1 1 1 0 11
Union 10 0 1 0 0 2 0 13
Upson 34 1 9 0 0 0 0 44
Walker 59 0 15 0 0 3 0 77
alton 40 1 22 0 2 0 0 65
Ware 05 0 1 0 1 4 0 71
arren 10 1 0 0 0 0 0 11
Washington 28 0 9 3 1 0 0 a
liayne 47 0 3 0 2 0 0 52
Yebster 3 0 0 0 0 0 0 3
Yheeler 2 2 3 0 0 0 0 7
Yhite 11 0 0 0 1 0 0 12
unitfield 60 1 13 7 2 1 0 64
Viicox 13 1 2 0 0 0 0 16
Yilkes 28 0 3 0 1 0 0 32
Wilkinson 25 0 4 0 1 0 0 30
Worth 17 0 2 0 0 0 0 19
TOTAL 5168 46 1072 113 144 142 7 6692
PERCENT 772 07 160 17 22 21 01 1000
MOVEMENT OF PATIENT POPULATION BY RACE AND SEX
MOVEMENT CATEGORY TOTAL WHITE COLORED
MALE FEMALE 1IALE FEMALE
On Boohs July 1 1964 In Hospital On Furlough 18263 12097 6166 5645 3447 219S 6857 4188 2669 2647 2112 535 3114 2350 764
Total Gains Returns From Furlough Total Admissions Not Previously admitted to MSH Previously admitted to MSH 10764 4072 6692 4S6S 1824 4980 1976 3004 2212 792 3778 1573 2205 1574 631 1020 260 760 586 174 986 263 723 496 227
Total Losses Discharges Direct from Furlough Placed on Furlough Deaths 11037 1673 S31S 1046 50S2 107S 347 357 3086 354 3178 354 1008 202 658 148 1061 39 835 187
Discharges From Furlough 3499 1392 1342 339 426
On BooIs June 30 1965 In Hospital On Furlough 1C737 11C23 6914 5622 3345 2477 7012 4079 2933 2718 2124 594 3185 2275 910
Net Change in Resident Population 274 102 109 12 75
Average Daily Population 11962 3408 4155 2108 2311
Tentative Breakdownm
90

TOTAL ADMISSIONS BY RACE COUNTY OF ADMISSION
AND RATES PER 100000 CIVIL POPULATION
V

V
COUNTY OF ADMISSION NUMBER OF ADMISSIONS RATE
TOTAL 1ffiITE NONWHITE TOTAL UiffTE NOHYJHITE
TOTAL 6692 5209 1483 1624 1774 1253
Appling 20 19 1 1460 1792 323
Atkinson 13 10 3 2000 2174 1579
Bacon 25 23 2 2874 3026 1818
Baker 5 4 1 1087 2105 370
Baldwin 114 95 19 4957 6835 2088
Banks 11 11 0 1667 1774 0
Barrow 59 53 6 3933 4274 2308
Bartow 72 56 16 2330 2154 3265
Ben Hill 42 34 8 3066 3696 1778
Berrien 20 18 2 1613 1698 1111
Bibb 268 199 69 1865 2182 1314
Bleckley 19 16 3 1900 2222 1071
Brantley 11 9 2 1803 1698 2500
Brooks 25 15 10 1613 1875 1333
Bryan Bulloch 13 10 3 1970 2381 1250
30 20 10 1200 1266 1087
Burke 25 10 15 1190 1408 1079
Butts 20 17 3 2198 3542 698
Calhoun 10 6 4 1351 2308 833
Camden 18 13 5 1714 2031 1220
Candler 8 7 1 1176 1591 417
Carroll 74 68 6 1912 2166 822
Catoosa 33 33 0 1473 1493 0
Charlton 5 4 1 877 1026 556
Chatham 143 92 51 780 829 704
Chattahoochee 2 2 0 1538 2857 0
Chattooga 45 43 2 2153 2263 1053
Cherokee 54 53 1 2241 2284 1111
Clarke 84 59 25 1810 1720 2066
Clay 5 1 4 1087 588 1379
Clayton 76 68 8 1224 1191 1600
Clinch 12 6 6 1739 1395 2308
Cobb 206 191 15 H84 1466 1765
Coffee 39 35 4 1703 2083 656
Colquitt 63 58 5 1915 2358 602
Columbia 18 15 3 1250 1579 612
Cook 26 19 7 2114 2184 1944
Coweta 61 44 17 2054 2256 1667
Crawford 10 7 3 1667 2800 857
Crisp 34 23 11 1878 2190 L447
Dade 11 11 0 1209 1222 0
Dawson 2 2 0 541 541 0
Decatur 27 17 10 1205 1453 935
DeKalb 349 310 39 1111 1063 1733
Dodge 39 33 6 2321 2705 1304
Dooly 29 13 16 2500 2364 2623
Dougherty 87 59 28 1057 1063 1007
Douglas 33 31 2 1864 2039 800
Early 23 17 6 1716 2656 857
Echols 0 0 0 0 0 0
Effingham 5 4 1 481 580 286
Elbert 47 2C 19 2582 2314 3115
Emanuel 49 35 14 2678 2623 2373
Evans IS 12 6 2466 2609 2222
Fannin 24 24 0 1727 1727 0
Fayette 11 10 1 1310 1667 417
Floyd 141 117 24 2011 1960 2182
Forsyth 31 31 0 2422 2422 0
Franklin 24 21 3 1778 1750 2000
Fulton 956 67S 278 1639 1867 1262
Gilmer 23 23 0 2500 2500 0
Glascock 10 7 3 3704 3684 3750
Glynn 61 45 16 1208 1187 1270
91
COUNTY
OF
ADMISSION
Gordon
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
Lomides
Lumpkin
Macon
Madison
Marion
McDuffie
Mclntosh
Meriwether
Miller
Mitchell
Monroe
Montgomery
Morgan
Murray
Muscogee
Newton
Oconee
Oglethorpe
Paul ding
Peach
Pickens
Pierce
Pike
Polk
Pulaski
Putnam
Quitman
Rabun
Randolph
Richmond
Rockdale
Schley
Screven
Seminole
Spalding
Stephens
Stevrart
Sunter
Talbot
Taliaferro
NUMBER OF ADMISSIONS
TOTAL
29
32
22
71
35
93
19
36
10
15
8
25
56
6
40
6
19
22
18
30
16
22
11
80
3
27
9
6
54
9
22
16
10
40
11
26
13
21
18
13
21
11
153
67
15
7
55
23
16
19
11
56
17
11
3
13
22
175
27
0
21
8
79
28
15
32
7
9
MITE
29
25
16
67
34
84
8
35
7
14
5
20
49
5
32
3
17
13
9
21
10
14
8
64
1
15
7
6
45
8
8
13
6
26
5
20
11
8
7
9
10
11
122
51
13
3
49
12
16
15
4
54
7
9
1
13
14
133
20
0
12
4
62
19
9
23
3
7
NONWHITE
0
7
6
4
1
9
11
1
3
1
3
5
7
1
8
3
2
9
9
9
6
8
3
16
2
12
2
0
9
1
14
3
4
14
6
6
2
13
11
4
11
0
31
16
2
4
6
11
0
4
7
2
10
2
2
0
8
42
7
0
9
4
17
9
6
9
4
2
RATE
TOTAL MITE NONWHITE
1443
1730
1947
1420
1832
1765
1900
2400
885
962
1481
1351
1337
632
2073
984
2021
1236
1895
3614
1839
2095
2075
2462
476
2143
1525
1500
1189
1184
1642
1391
1818
3053
1692
1300
1831
1029
1698
2000
2000
991
1068
3073
2344
886
4044
1608
1702
1919
1507
1892
2024
1375
1200
1646
2000
1340
2411
0
1400
1143
2036
1466
2055
1275
972
2647
1534 0
2137 1029
2963 1017
U38 1176
1868 1111
1783 1607
3200 1467
2536 833
1373 484
1176 270
1190 2500
1869 641
1485 787
847 278
1905 3200
1071 909
2267 1053
1688 891
1875 1915
3818 3214
2273 1395
2188 1951
2162 1875
3122 1333
417 513
2206 2069
2258 714
2222 0
1510 577
1067 10000
1600 1667
1383 1429
2727 1212
3421 2545
1786 1622
1961 612
2200 952
800 1250
1273 2157
2308 1538
1818 2200
1000 0
1170 795
3542 2162
2600 H29
698 1111
3952 5000
2000 1325
1778 0
1923 1905
1000 2121
2195 400
1458 2778
2432 465
1111 1250
1667 0
3333 1176
1527 966
2439 2333
0 0
1667 1154
930 1481
2313 1417
1145 3600
4286 1154
1917 687
1364 800
5385 952

92
ii
h

COUNTY OF NUMBER OF ADMISSIONS TOTAL RATE WHITE N0NYTIITE
AIM SSI OH Tattnall 24 20 4 1739 2000 1053
Taylor Telfair 15 7 8 1765 1591 1951
22 15 7 1818 1875 1707
Terrell 20 14 6 1531 3043 714
Thomas 69 56 13 1906 2679 850
Tift 36 32 4 1469 1850 556
Toombs 63 57 6 3580 4488 1224
Towns 6 6 0 1277 1277 0
Treutlen o 7 1 1311 1707 500
Troup Turner 68 40 28 1501 1375 1728
15 9 6 1724 1667 1818
Twiggs 11 4 7 1341 1212 1429
Union 13 13 0 1912 1912 0
Upson 44 37 7 1803 2090 1045
Walker 77 70 7 1571 1515 2500
Walton 65 60 5 3052 4027 781
Ware 71 59 12 2070 2305 1379
Warren 11 2 9 1467 714 1915
Washington 41 26 15 2135 3171 1364
Wayne 52 45 7 2737 3000 1750
Webster 3 3 0 938 2727 0
Wheeler 7 6 1 1296 1622 588
White 12 9 3 1644 1286 10000
Whitfield 84 77 7 1746 1685 2917
Wilcox 16 9 7 2000 1667 2692
Wilies 32 21 11 2936 3889 2000
Wilkinson 30 20 10 3191 4082 2222
Worth 19 11 8 1098 1222 964
93
RESIDENT PATIENT POPULATION ON JUNE 30 1965
BY RACE SEX AND MENTAL DISORDER
DTCFTAT TYT Cfl3TNTrD RACE AND SEX
MhWlAL LuoUnDAri White White Nonwhite Nonwhite
Total Male Female Male Female
ACUTE BRAIN SYNDROME ASSOCIATED WITH
Alcohol Intoxication 39 20 9 7 3
Drug or Poison Intoxication 13 2 9 2 0
Convulsive Disorder 0 0 0 0 0
All Other Conditions 22 8 5 4 5
Total Acute Brain Syndromes 74 30 23 13 8
CHRONIC BRAIN SYNDROME ASSOCIATED WITH
Diseases and Conditions Due to
Prenatal Influence 51 20 21 6 4
Meningoencephalitic Syphilis 253 89 46 so 38
Other CNS Syphilis 13 3 4 2 4
Epidemic Encephalitis 27 11 13 1 2
Other Intracranial Infections 33 8 15 8 2
Alcohol Intoxication 63 38 13 8 4
Drug or Poison Intoxication 5 1 2 0 2
Birth Trauma 134 56 27 37 14
Other Trauma 73 39 15 12 7
Cerebral Arteriosclerosis 1101 323 317 187 274
Other Circulatory Disturbance 75 22 16 19 18
Convulsive Disorder 586 162 226 132 68
Senile Brain Disease 610 133 371 38 68
Other Disturbance of Metabolism
Growth and Nutrition 31 9 11 4 7
Intracranial Neoplasm 1 1 0 0 0
Diseases of Unlmovn and Uncertain Cause 40 15 15 4 6
Chronic Brain Syndrome of Unknown Cause 231 57 40 101 33
Total Chronic Brain Syndrome 3329 987 1152 639 551
PSYCHOTIC DISORDERS
Involutional Psychotic Reaction 213 25 100 7 81
Manic Depressive Reactions 691 95 182 158 256
Psychotic Depressive Reaction 70 8 57 0 5
Schizophrenic Reactions 4983 1249 1810 870 1054
Paranoid Reaction 17 1 4 5 7
Other Psychotic Reactions 0 0 0 0 0
Total Psychotic Reactions 5974 1378 2153 1040 1403
PERSONALITY DISORDERS
Psychophysiologic Autonomic and
Visceral Disorders 5 0 0 3 2
Psychoneurotic Reactions 241 76 155 2 8
Personality Pattern Disturbance 15 7 5 2 1
Personality Trait Disturbance w 28 11 5 0
Antisocial Reaction 36 23 8 4 1
Dyssocial Reaction 6 4 2 0 0
Sexual Deviation 7 4 0 2 1
Alcoholism Addiction 148 110 16 14 8
Drug Addiction 18 11 6 0 1
Special Symptom Reaction 0 0 0 0 0
Total Personality Disorder 520 263 203 32 22
TRANSIENT SITUATIONAL PERSONALITY
DISTURBANCE 47 20 17 6 4
MENTAL DEFICIENCY 1866 666 525 391 284
MENTAL DISORDER UNDIAGNOSED 13 1 6 3 3
WITHOUT MENTAL DISORDER 0 0 0 0 0
TOTAL ALL MENTAL DISORDERS 11823 3345 4079 2124 2275
94
A
PATIENTS RESIDENT IN THE HOSPITAL BY COUNTY OF ADMISSION RACE AND SEX
1
C

RACE AND SEX
COUI7TY
TOTAL W U j W F j C If C F
TOTAL 11223 3345 1 4079 j 2124 2275
Appling 47 19 i 15 5 8
Atkinson 21 7 11 0 3
Bacon 33 9 16 6 2
Baker 17 4 5 3 5
Baldwin 172 57 66 27 22
Banks 26 16 8 0 0
Barrow 56 23 20 7 6
Bartow 6 27 34 11 14
Ben Hill 66 21 22 15 S
Berrien 26 10 6 3 7
Bibb 426 118 124 86 98
Bleckley A5 22 1 12 4 7
Brantley 21 9 7 3 2
Brooks 63 16 14 20 13
Bryan 16 8 6 2 0
Bulloch 72 17 21 21 13
Burke 70 8 10 19 33
Butts 28 10 11 4 3
Calhoun 24 4 5 9 6
Caraden 31 9 9 9 4
Candler 21 6 8 5 2
Carroll 104 43 41 11 9
Catoosa 30 13 17 0 0
Charlton 19 4 9 2 4
Chatham 522 104 145 122 151
Chattaiioochee o 3 3 1 1
Chattooga 47 21 20 6 0
Cherokee 72 31 37 1 3
Clarke 133 34 41 31 27
Clay 19 1 1 7 10
Clayton 62 22 29 6 5
Clinch 14 3 7 2 2
Cobb 232 89 117 12 14
Coffee 61 20 32 3 6
Colquitt 105 41 j 32 14 18
Columbia 25 9 9 3 4
Cook 36 7 13 11 5
Coveta 103 27 32 21 23
Crawford 20 3 4 9 4
Crisp 63 14 17 18 14
Dade 12 6 5 1 0
Dawson 14 5 9 0 0
Decatur 73 21 19 11 22
DeKalb 473 139 250 46 38
Dodge 78 25 21 12 20
Dooly 55 11 17 13 14
Dougherty 150 28 33 41 48
Douglas 4S 17 24 4 3
Early 45 8 9 13 15
Echols 5 1 2 2 0
Effinghan 26 6 8 5 7
Elbert 77 20 29 15 13
Emanuel SI 27 11 21 22
Evans 2E 9 9 5 5
Fannin 5S 26 32 0 0
Fayette 24 7 12 5 0
Floyd 177 62 67 25 23
Forsyth 34 17 17 0 0
Franklin 42 16 16 s 2
Fulton 1GS8 465 719 349 355
Gilmer 26 10 15 1 1 0
Glascock 11 1 7 2 1
Glynn 93 28 22 22 21
Gordon 61 21 40 0 0
Grady 70 23 18 13 16
Greene 49 7 13 13 16
Gwinnett 99 43 49 3 4
Habersham 63 31 29 2 1
95
PACE AND SEX
COUNTY
TOTAL W M W F C M C F
Hall 145 54 62 16 13
Hancock 41 6 10 IS 7
Haralson 43 18 23 1 1
Harris 39 9 11 7 12
Hart 41 16 18 5 2
Heard 23 9 12 0 2
Henry 51 15 14 5 17
Houston 53 11 16 14 12
Irwin 26 6 9 9 4
Jackson 61 16 28 9 8
Jasper 40 7 8 12 13
Jeff Davis 26 10 6 6 4
Jefferson 49 11 11 13 14
Jenkins 43 15 5 14 9
Johnson 37 10 12 5 10
Jones 35 11 7 11 6
Lamar 42 12 9 10 11
Lanier 12 2 6 3 1
Laurens 113 33 38 16 26
Lee 19 2 4 6 7
Liberty 33 2 4 8 19
Lincoln 22 6 5 7 4
Long 13 2 5 3 3
Lowndes 108 23 33 20 32
Lumpkin 24 9 13 2 0
iMacon 36 5 2 12 17
Madison 38 12 18 3 5
Marion 26 12 7 4 3
McDuffie 43 9 10 11 13
Mclntosh 15 1 2 7 5
Meriwether 78 20 22 15 21
Miller 16 6 5 3 2
Mitchell 69 14 19 17 19
Monroe 51 11 12 11 17
Montgoraery 15 3 2 6 4
Morgan 43 9 13 10 11
Murray 34 17 17 0 0
Muscogee 319 87 104 47 81
Newton 87 21 29 18 19
Oconee 33 8 14 6 5
Oglethorpe 42 6 17 9 10
Paulding 49 20 25 2 2
Peach 54 10 10 16 18
Pickens 30 11 17 1 1
Pierce 30 5 17 5 3
Pike 38 8 9 14 7
Polk 104 41 39 12 12
Pulaski 39 6 12 10 11
Putnan 32 12 7 s 5
Quitman 5 3 0 0 2
Rabun 25 11 14 0 0
Randolph 49 10 6 14 19
Richmond 384 109 109 73 93
Rockdale 38 8 17 5 8
Schley 11 0 3 5 3
Screven 63 9 16 16 22
Seninole 14 4 3 3 4
Spalding 129 39 37 29 24
Stephens 41 11 14 S 8
Steir7art 51 9 9 13 20
Sunter SO 15 IS 24 23
Talbot 28 1 11 6 10
Taliaferro 16 2 5 6 3
Tattnall 51 17 19 8 7
Taylor 36 7 3 12 14
T elf ail 53 19 19 9 6
Terrell 46 11 10 14 11
Thomas 112 21 36 21 34

96
i

COUNTY RACE AND SSX
TOTAL W M W F C ii C F
Tift 59 21 19 6 13
Toombs 65 10 31 11 13
Towns 9 G 1 0 0
Treutlen 13 3 7 2 1
Troup 155 42 49 23 41
Turner 35 S 11 6 10
Trriggs 32 10 7 11 4
Union 16 8 10 0 0
Upson 65 22 19 12 12
Walker 104 44 54 2 4
Walton C2 21 30 15 16
Ware 112 42 33 19 18
Warren 33 3 1 16 13
Washington 68 13 20 20 15
Wayne 49 IS 16 9 6
Webster 14 2 6 6 0
Wheeler 14 3 6 1 4
White IS 3 7 1 2
Whitfield 99 45 40 6 8
Wilcox 29 9 6 C 6
Willies 58 9 8 19 22
Wilkinson 44 16 6 9 13
Worth 52 14 7 18 13
ADMISSIONS BY AGE AT ADMISSION
ADMISSION CLASSIFICATION RACE SEX AND MENTAL DISORDER
MENTAL DISORDER
RACESEX
AGE In Years
ALL MENTAL DISORDERS
All Admissions
First Admissions
Readmissions
Previously admitted to MSH
Readmissions
Previously admitted to other psy
chiatric facility
ACUTE BRAIN SYNDROME ASSOCIATED WITH
ALCOHOL INTOXICATION
All Admissions
First Admissions
Total
White Male
White Female
Nonwhite Male
Nonwhite Female
Total
hite Male
VJhite Female
Nonwhite Male
Nonwhite Female
Total
White Male
Yihite Female
Nonwhite Male
Nonwhite Female
Total
White Male
White Female
Nonwhite Male
Nonwhite Female
Total
White Male
white Female
Nonwhite Male
Nonvhite Female
Total
White Male
White Female
Nonwhite Male
Nonwhite Female
Under
Total 15
6692 64
3004 39
2205 20
760 19
723 6
4735
2114
1568
567
486
1S17
800
614
177
226
212
127
17
49
19
161
87
15
40
19
83
20
19
140 1
90 1
23 0
16 0
11 0
15
2k
25
3k
35
kk
45
5k
870 1230
357 523
265 397
140 158
108 152
715
267
226
114
88
138
60
35
26
17
17
10
4
0
3
845
352
302
99
92
356
153
92
54
57
29
18
3
1545 1327
729 653
517 444
149 111
150 119
999
466
343
101
89
502
235
169
39
59
44
28
5
9
2
45 62
13 28
1 8
IS 20
8 6
36 52
13 22
1 7
14 17
8 6
637
430
270
70
67
455
198
169
39
49
35
25
5
2
3
61
42
6
10
3
43
27
5
55 65
64 74
789
369
275
71
74
516
251
165
56
44
260
111
104
15
30
13
7
6
0
0
476
191
164
63
397
156
129
61
49
79
33
35
2
34 6
33 4
0 2
1 0
0 0
21 5
20 3
0 2
1 0
0 0
280
114
93
37
36
261
106
66
35
34
65 and
9ver
79
25
28
8
IS
72
23
26
8
15
7
2
2
0
3
0
0
0
0
0
Unknorm
12
4
2
4
2
10
3
vw

cS

MENTAL DISORDER
RACESEX
AOE In Years
Readmissions
Previously admitted to MSH
Readmissions
Previously admitted to other psy
chiatric facility
DRUG OR POISON INTOXICATION
All Admissions
First Admissions
Readmissions
Previously admitted to MSH
Readmissions
Previously admitted to other psy
chiatric 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 Hale
White Female
Nonwhite Male
Nonwhite Female
Total
15
15 25
2A2A
35 45
55
65
ML5A64 71
75
85 and
overUnlmown
46 0 0 9 9 15 12 1 n
36 0 0 5 6 12 12 1 0
2 0 0 0 1 1 0 0 0
8 0 0 4 2 2 0 0 n
0 0 0 0 0 0 0 0 0
5 0 0 0 1 3 1 0 0
4 0 0 0 0 3 1 0 n
0 0 0 0 0 0 0 0 n
1 0 0 0 1 0 0 0 0
0 0 0 0 0 0 0 0 0
26 0 1 0 5 3 6 6 5
11 0 1 0 1 0 4 1 4
14 0 0 0 4 2 2 5 1
0 0 0 0 0 0 0 0 0
1 0 0 0 0 1 0 0 0
23 0 1 0 4 2 6 5
11 0 1 0 1 0 4 1
11 0 0 0 3 1 2 4 1
0 0 0 0 0 0 0 0 0
1 0 0 0 0 1 0 0 0
3 0 0 0 1 1 0 1 0
0 0 0 0 0 0 0 0 0
3 0 0 0 1 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 n
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
CO
MENIAL DISORDER
All Admissions
First Admissions
Readmissions
Previously admitted to MSH
Readmissions
Previously admitted to other psy
chiatric facility
TOTAL ACUTE BRAIN SYNDROMES
All Admissions
First Admissions
RACESEX AGE In Y ears
Under 15 25 35 45 55 65 75 85 and
Total IP 24 34 M i4 64 74 84 over Unjavovn
Total 43 0 3 2 4 16 8 3 1 0
unite Male 24 0 0 2 3 6 7 5 1 0 0
Yhite Female 9 0 0 0 0 4 1 1 2 1 0
Monwlilte Male 4 0 2 0 1 1 0 0 0 0 0
Norwhite Female 6 0 1 0 0 5 0 0 0 0 0
Total 38 0 3 2 3 13 S 6 3 0 0
White Male 24 0 0 2 3 6 7 5 1 0 0
White Female 7 0 0 0 0 3 1 1 2 0 0
Nonvhite Male 3 0 2 0 0 1 0 0 0 0 0
Homvhite Female 4 0 1 0 0 3 0 0 0 0 0
Total 4 0 0 0 0 3 0 0 c 1 0
White Male 0 0 0 0 0 0 0 0 0 0 0
Whits Female 2 0 0 0 0 1 0 0 0 1 0 o
NoriYhite Male 0 0 0 0 0 0 0 0 0 0 0 o
Nonnhite Female 2 0 0 0 0 2 0 0 0 0 0
Total 1 0 0 0 1 0 0 0 0 0 0
Y7hite Male 0 0 0 0 0 0 0 0 0 0 0
Wliite Female 0 0 0 0 0 0 0 0 0 0 0
Norovhite Male 1 0 0 0 1 0 0 0 0 0 0
Honvhite Female 0 0 0 0 0 0 0 0 0 0 0
Total 2S1 0 7 47 71 80 48 18 9 1 0
White Male 162 0 2 20 32 48 44 10 6 0 0
White Female 40 0 0 1 12 12 3 8 3 1 0
Nonvhite Male 53 0 2 18 21 11 1 0 0 0 0
Monwhite Female 26 0 3 8 6 9 0 0 0 0 0
Total 222 0 7 36 59 58 35 16 9 0 0
White Male 122 0 2 15 26 33 31 9 6 0 0
White Female 33 0 0 1 10 9 3 7 3 0 0
Ilonvhite Male 43 0 2 14 17 9 1 0 0 0 0
Monwhite Female 24 0 3 8 6 7 0 0 0 0 0
vw

c

MEDIAL DISORDER
RACESEX
AGE In Years
Readmissians
Previously admitted to MSH
Readmissions
Previously admitted to other psy
chiatric facility
CHRONIC BRAIN SYNDROME ASSOCIATED WITH
DISEASES AND CONDITIONS DUE TO PRENATAL
INFLUENCE
All Admissions
First Admissions
Readmissions
Previously admitted to MSH
Readmissions
Previously admitted to other psy
chiatric facility
Total
Under
15
15
2
25
3X
35
45
55
65
242LU
75
85 and
Total 53 0 0 9 10 19 12 2 0 1
Vhite Male 36 0 0 5 6 12 12 1 0 0
White Female 7 0 0 0 2 3 0 1 0 1
Nonivhite Male 8 0 0 4 2 2 0 0 0 0
Nonwhite Female 2 0 0 0 0 2 0 0 0 0
Total 6 0 0 0 2 3 1 0 0 0
Vfliite Male 4 0 0 0 0 3 1 0 0 0
Vhite Female 0 0 0 0 0 0 0 0 0 0
Nonwhite Male 2 0 0 0 2 0 0 0 0 0
Nonwhite Female 0 0 0 0 0 0 0 0 0 0
Total 13 3 8 1 0 1 0 0 0 0
Vfliite Male 6 2 2 1 0 1 0 0 0 0
Vfliite Female 1 0 1 0 0 0 0 0 0 0
Nonvhite Male 5 1 A 0 0 0 0 0 0 0
Honwhite Female 1 0 1 0 0 0 0 0 0 0
Total 12 3 s 0 0 1 0 0 0 0
Vfliite Male 5 2 2 0 0 1 0 0 0 0
Vfliite Female 1 0 1 0 0 0 0 0 0 0
Nonwhite tele 5 1 4 0 0 0 0 0 0 0
Honwhite Female 1 0 1 0 0 0 0 0 0 0
Total 0 0 0 0 0 0 0 0 0 0
Vfliite Male 0 0 0 0 0 0 0 0 0 0
Bfaite Female 0 0 0 0 0 0 0 0 0 0
Nonvhite Male 0 0 0 0 0 0 0 0 0 0
Nonwhite Female 0 0 0 0 0 0 0 0 0 0
Total 1 0 0 1 0 0 0 0 0 0
Vfliite Male 1 0 0 1 0 0 0 0 0 0
White Female 0 0 0 0 0 0 0 0 0 0
Honwhite Iviale 0 0 0 0 0 0 0 0 0 0
Honwhite Female 0 0 0 0 0 0 0 0 0 0
UnJmovTu
O
OMENTAL DISORDER
IvlENIHGOENCEPHALITIC SYPHILIS
All Admissions
First Admissions
Readmissions
Previously admitted to MSH
Readmissions
Previously admitted to other psy
chiatric facility
OTHER CNS SYPHILIS
All Admissions
First Admissions
racesex AGE In Years
Under 15 25 35 45 55 65 75 65 and
Total 15 24 34 4L 54 64 74 8ft over UnlmoYm
Total 10 0 0 2 0 3 1 2 2 0 0
White Male 3 0 0 1 0 0 1 0 1 0 0
White Female 0 0 0 0 0 0 0 0 0 0 0
Honvhite Male 3 0 0 0 0 3 0 0 0 0 0
Monvhite Female 4 0 0 1 0 0 0 2 1 0 0
Total 6 0 0 1 0 1 1 1 2 0 0
White Male 3 0 0 1 0 0 1 0 1 0 0
White Female 0 0 0 0 0 0 0 0 0 0 0
Nonwhite Male 1 0 0 0 0 1 0 0 0 0 0
Nonvjhite Female 2 0 0 0 0 0 u 1 1 0 0
Total 3 0 0 1 0 1 0 1 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 1 0 0 0 0 0
Nonvhite Female 2 0 0 1 0 0 0 1 0 0 0
Total 1 0 0 0 0 1 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 0 1 0 0 0 0 0
Nonvhite Female 0 0 0 0 0 0 0 0 0 0 0
Total 3 0 0 0 1 0 1 0 1 0 0
White Male 0 0 0 0 0 0 0 0 0 0 0
White Female 1 0 0 0 0 0 0 0 1 0 0
Nonwhite Male 2 0 0 0 1 0 1 0 0 0 0
Honwhite Female 0 0 0 0 0 0 0 0 0 0 0
Total 3 0 0 0 1 0 1 0 1 0 0
White Male 0 0 0 0 0 0 0 0 0 0 0
White Female 1 0 0 0 0 0 0 0 1 0 0
NonvMte Male 2 0 0 0 1 0 1 0 0 0 0
Nonvhite Female 0 0 0 0 0 0 0 0 0 0 0

vA
cL

MENTAL DISORDER
RACESEX
AGE In Years
Total
JJ
15 25
2434
35
44
45
S4
55
6jL
65
Z4
75
S4
85 and
over
Readmissions
Previously admitted to MSH
Readmissions
Previously admitted to other psy
chiatric facility
EPIDEMIC ENCEPHALITIS
All Admissions
First Admissions
Readmissions
Previously admitted to MSH
Readmissions
Previously admitted to other psy
chiatric facility
Total
White Male
Yhite Female
Nonvhite Male
Nonvhite Female
Total
White Male
Yhite Female
Nonvhite Male
Nonvhite Female
Total
Yhite Male
Yhite Female
Nonvhite Male
Nonvhite Female
Total
White Male
White Female
Nonwhite Male
Nonvhite Female
Total
Yhite Male
Yhite Female
Nonvhite Male
Nonvhite Female
Total
White Male
Yhite Female
Nonvhite Male
Nonvhite Female
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 n
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
4 1 1 1 0 0 1 0 0
4 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 0 0 0 0 0
4 1 1 1 0 0 1 0 0
4 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 0 0 0 0 0
0 0 0 0 0 0 0 0 n
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
Unknovn
O
IS3MENTAL DISORDER
RACESEX
AGE In Years
Under
Total 15
15
24
25
24
other intracranial infections
All Admissions
First Admissions
Readmissions
Previously admitted to MSH
Readmissions
Previously admitted to other psy
chiatric facility
ALCOHOL INTOXICATION
All Admissions
First Admissions
Total
White Male
White Female
Nonvmite Male
Nonwhite Female
Total
White Male
White Female
Nonvhite Male
Nonvhite Female
Total
White Male
White Female
Nonwhite Male
Nonvhite Female
Total
White Male
White Female
Nonwliite Male
Nonvhite Female
Total
White Male
White Female
Nonvmite Male
Nonvhite Female
Total
White Male
White Female
Nonvhite Male
Nonvhite Female
10
4
3
3
0
9
4
2
3
0
1
0
1
0
0
0
0
0
0
0
81
40
11
22
53
24
6
17
6
35
2
1
0
1
0
2
1
0
1
0
0
0
0
0
0
0
0
0
0
0
16
3
3
5
4
11
1
1
5
4
45
55
J24
65
JZ4
13 0
110
0 2 0
0 0 0
0 0 0
75 85 and
84 over
Unlmovn
0 10
0 0 0
0 10
0 0 0
0 0 0
12 0 0
110 0
0 10 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
32 22 6 1
16 14 5 1
3 4 0 0
11 3 1 0
2 10 0
19 16 5 0
9 10 4 0
2 3 0 0
7 3 10
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 0
0 0
0 0
0 0
0 0
0 0
0 0
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
COVtv
A
e

MENTAL DISORDER
AGE In Years
Readmissions
Previously admitted to MSH
Readmisalons
Previously admitted to other psy
chiatric facility
DRUG OR POISON INTOXICATION
All Admissions
First Admissions
Readmissions
Previously admitted to MSH
Readmissions
Previously admitted to other psy
chiatric facility
Under 15 25 35 45 55 65 75 85 and
Irtal 15 2A u 44 54 64 74 84 over Unknown
Total 27 0 0 2 5 12 6 1 1 0 0
White Male 15 0 0 1 2 6 4 1 1 0 0
White Female 5 0 0 1 2 1 1 0 0 0 0
Nonwhite Male 5 0 0 0 1 4 0 0 0 0 0
Nanwhite Female 2 0 0 0 0 1 1 0 0 0 0
Total 1 0 0 0 0 1 0 0 0 0 0
White Male 1 0 0 0 0 1 0 0 0 0 0
White Female 0 0 0 0 0 0 0 0 0 0 0
Nonwhite Male 0 0 0 0 0 0 0 0 0 0 0
Nanwhite Female 0 0 0 0 0 0 0 0 0 0 0
Total 4 0 0 1 1 0 1 1 0 0 0
White Male 2 0 0 0 1 0 1 0 0 0 0
White Female 2 0 0 1 0 0 0 1 0 0 0
Nanwhite Male 0 0 0 0 0 0 0 0 0 0 0
Nanwhite Female 0 0 0 0 0 0 0 0 0 0 0
Total 2 0 0 1 1 0 0 0 0 0 0
White Male 1 0 0 0 1 0 0 0 0 0 0
White Female 1 0 0 1 0 0 0 0 0 0 0
Nonwhite Male 0 0 0 0 0 0 0 0 0 0 0
Nanwhite Female 0 0 0 0 0 0 0 0 0 0 0
Total 2 0 0 0 0 0 1 1 0 0 0
White Male 1 0 0 0 0 0 1 0 0 0 0
White Female 1 0 0 0 0 0 0 1 0 0 0
Honwhite Male 0 0 0 0 0 0 0 0 0 0 0
Nonwliite 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
White Female 0 0 0 0 0 0 0 0 0 0 0
Nonwhite Male 0 0 0 0 0 0 0 0 0 0 0
Honwhite Female 0 0 0 0 0 0 0 0 0 0 0
oMENTAL DISORDER
BIRTH TRAUMA
All Admissions
First Admissions
Readmissions
Previously admitted to MSH
Readmissions
Previously admitted to other psy
chiatric facility
OTHER TRAUMA
All Admissions
First Admissions
RACESEX
AGE In Years
Total
Under
15
15
24
25
34
35
44
45
54
55
64
65
74
75
8A
85 and
over
Unknowi
Total 33 0 15 2 7 4 5 0 0 0 0
Vhite Male 18 0 8 1 3 2 4 0 0 0 0
Yhite Female 8 0 5 1 2 0 0 0 0 0 0
Nonwhite Ivlale 4 0 1 0 1 1 1 0 0 0 0
Nonvhite Female 3 0 1 0 1 1 0 0 0 0 0
Total 29 0 13 2 5 4 5 0 0 0 0
Vhite Male 15 0 6 1 2 2 4 0 0 0 0
White Female 7 0 5 1 1 0 0 0 0 0 0
Honvhite Male 4 0 1 0 1 1 1 0 0 0 0
Nonwhite Female 3 0 1 0 1 1 0 0 0 0 0
Total 4 0 2 0 2 0 0 0 0 0 0
Vhite Male 3 0 2 0 1 0 0 0 0 0 0
Vhite Female 1 0 0 0 1 0 0 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 0 0 0 0 0 0 0 0 0 0 0
Vhite Male 0 0 0 0 0 0 0 0 0 0 0
Yhite Female 0 0 0 0 0 0 0 0 0 0 0
Nonwhite Male 0 0 0 0 0 0 0 0 0 0 0
Nonwhite Female 0 0 0 0 0 0 0 0 0 0 0
Total 28 3 5 3 5 8 3 1 0 0 0
Vhite Male 18 2 3 2 3 6 2 0 0 0 0
Vhite Female 3 0 0 0 0 2 1 0 0 0 0
Nonwhite Male 4 1 1 1 0 0 0 1 0 0 0
Nonwhite Female 3 0 1 0 2 0 0 0 0 0 0
Total 22 3 4 3 4 6 1 1 0 0 0
Vhite Male 13 2 2 2 2 4 1 0 0 0 0
Vhite Female 2 0 0 0 0 2 0 0 0 0 0
Nonwhite Male 4 1 1 1 0 0 0 1 0 0 0
Nonwhite Female 3 0 1 0 2 0 0 0 0 0 0
o
envtv
v

v

MENIAL DISORDER RACESEX AGE In Years
Under 15 25 35 45 55 65 75 85 and
Total 15 24 34 44 5A 64 74 84 over Unknown
Total 3 0 1 0 0 0 2 0 0 0 0
White Male 2 0 1 0 0 0 1 0 0 0 0
Readmissions White Female 1 0 0 0 0 0 1 0 0 0 0
Previously admitted to MSH Monwhite Male 0 0 0 0 0 0 0 0 0 0 0
Nonvjhite Female 0 0 0 0 0 0 0 0 0 0 0
Total 3 0 0 0 1 2 0 0 0 0 0
White Male 3 0 0 0 1 2 0 0 0 0 0
Readmissions White Female 0 0 0 0 0 0 0 0 0 0 0
Previously admitted to other psy Nonvtfdte Male 0 0 0 0 0 0 0 0 0 0 0
chiatric facility Monrchite Female 0 0 0 0 0 0 0 0 0 0 0
CEREBRAL ARIERIQSCLEROSIS
Total 483 0 0 0 1 44 125 215 77 19 2
White Male 175 0 0 0 1 16 35 80 35 7 1
All Admissions White Female 131 0 0 0 0 10 34 55 25 7 0
Nonvrfftite Male 100 0 0 0 0 U 33 42 8 2 1 I
tlonwhite Female 77 0 0 0 0 4 23 38 9 3 0 o
Total 427 0 0 0 1 36 103 197 70 18 2
White Male 150 0 0 0 1 11 28 72 31 6 1
First Admissions White Female 114 0 0 0 0 9 27 49 22 7 0
Nonvhite Male 96 0 0 0 0 13 30 42 8 2 1
Nonwhite Female 67 0 0 0 0 3 18 34 9 3 0
Total 53 0 0 0 0 8 19 18 7 1 0
White Male 23 0 0 0 0 5 5 8 4 1 0
Readmissions White Female 16 0 0 0 0 1 6 6 3 0 0
Previously admitted to MSH Ijonvhite Male 4 0 0 0 0 1 3 0 0 0 0
Nonvhite Female 10 0 0 0 0 1 5 4 0 0 0
Total 3 0 0 0 0 0 3 0 0 0 0
White Male 2 0 0 0 0 0 2 0 0 0 0
Readmissions White Female 1 0 0 0 0 0 1 0 0 0 0
Previously admitted to other psy NonTihite Male 0 0 0 0 0 0 0 0 0 0 0
chiatric facility Nonvhite Female 0 0 0 0 0 0 0 0 0 0 0
J
MEDIAL DISORDER
RACESEX
AGE In Years
OTHER CIRCULATORY DISTURBANCE
All Admissions
First Admissions
Readmissions
Previously admitted to MSH
Readmissions
Previously admitted to other psy
chiatric facility
CONVULSIVE DISORDER
All Admissions
Total
First Admissions
Total
Yhito Male
Vhite Female
Uomvhite Male
Nonvhite Female
Total
Vhite Male
Vhite Female
Nonwhite Male
Honvhite Female
Total
White Male
Vhite Female
Honvhite Male
Uomvhite Female
Total
Yhite Male
White Female
Nonwhite Male
Nomvhite Female
Total
Vlhite lIale
Yhite Female
Honvjhite Male
Honwhite Female
Total
White Male
Vhite Female
Honvhite Male
Nonvhite Female
43
18
5
6
14
14
5
6
11
6
3
0
0
3
1
1
0
0
0
133
53
39
26
15
92
35
30
17
10
Under
05
15
24
25
11
6
5
3
23
9
6
5
3
25
2L
40
14
11
10
5
22
7
9
4
2
35
44
45
55
J4
65
74
75
0
35
15
10
4
6
26
11
8
3
4
16
6
4
3
3
13
4
4
3
2
1 2
0 1
0 0
0 0
1 1
10
4
2
3
1
17 6 0
9 2 0
10 0
12 0
6 2 0
15 5
8 1
1 0
1 2
5 2
0 10
0 10
0 0 0
0 0 0
0
2 10
110
0 0 0
0 0 0
10 0
15 9 3 2
7 2 2 2
3 6 10
4 10 0
10 0 0
3 2 2
112
2 10
0 0 0
0 0 0
35 and
over
yjtawffi
o
A
c
I
AGE In Years
MENTAL DISORDER RACESEX
Under 15 25 35 45 55 65 75 85 and
Total 15 24 34 LL 54 64 74 84 over Unknovn
Total 38 0 2 18 8 4 5 1 0 0 0
White Male 18 0 2 7 4 3 1 1 0 0 0
Readmissions White Female 7 0 0 2 2 0 3 0 0 0 0
Previously admitted to MSH Nonvhite Male 8 0 0 6 0 1 1 0 0 0 0
Nonvhite Female 5 0 0 3 2 0 0 0 0 0 0
Total 3 0 0 0 1 1 1 0 0 0 0
White Male 0 0 0 0 0 0 0 0 0 0 0
Readmissions White Female 2 0 0 0 0 1 1 0 0 0 0
Previously admitted to other psy Nonvhite Male 1 0 0 0 1 0 0 0 0 0 0
chiatric facility Nonvhite Female 0 0 0 0 0 0 0 0 0 0 0
SENILE BRAIN DISEASE
Total 335 0 0 0 0 2 1 93 179 58 2
White Male 103 0 0 0 0 0 1 23 62 17 0
All Admissions White Female 133 0 0 0 0 2 0 48 63 19 1
Nonvhite Male 47 0 0 0 0 0 0 12 29 6 0
Nonvhite Female 52 0 0 0 0 0 0 10 25 16 1
Total 313 0 0 0 0 1 1 85 170 54 2
White Male 98 0 0 0 0 0 1 21 60 16 0
First Admissions White Female 124 0 0 0 0 1 0 43 60 19 1
NonThite Male 45 0 0 0 0 0 0 12 27 6 0
Nonvhite Female 46 0 0 0 0 0 0 9 23 13 1
Total 22 0 0 0 0 1 0 8 9 4 0
White Male 5 0 0 0 0 0 0 2 2 1 0
Readmissions White Female 9 0 0 0 0 1 0 5 3 0 0
Previously admitted to MSH Nonvhite Male 2 0 0 0 0 0 0 0 2 0 0
Nonvhite Female 6 0 0 0 0 0 0 1 2 3 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 psy Nonvhite Male 0 0 0 0 0 0 0 0 0 0 0
chiatric facility Monvhite Female 0 0 0 0 0 0 0 0 0 0 0
o
COMENIAL DISORDER
RACESEX
AGE In Years
Under
Total15
15
24
25
J4
35
4
45
55
U
65
75
14
ryTHER DISTURBANCE OF METABOLISM GROWTH
Alffi NUTRITION
All Admissions
First Admissions
Readmissions
Previously admitted to MSH
Readmissions
Previously admitted to other psy
chiatric facility
o5 and
over
UrJmovm
Total 11 1 0 0 0 3 1 5 1 0 0
White Male 6 0 0 0 0 2 0 3 1 0 0
White Female 2 0 0 0 0 0 0 2 0 0 0
IJanvfliite Male 1 1 0 0 0 0 0 0 0 0 0
llonwhite Female 2 0 0 0 0 1 1 0 0 0 0
Total 10 1 0 0 0 2 1 5 1 0 0
Vhite Male 6 0 0 0 0 2 0 3 1 0 0
Vhite Female 2 0 0 0 0 0 0 2 0 0 0
Nonwhite Male 1 1 0 0 0 0 0 0 0 0 0
Nonwhite Female 1 0 0 0 0 0 1 0 0 0 0
Total 1 0 0 0 0 1 0 0 0 0 0
White Male 0 0 0 0 0 0 0 0 0 0 0
Vhite Female 0 0 0 0 0 0 0 0 0 0 0
Nomvhite Male 0 0 0 0 0 0 0 0 0 0 0
Nonwhite Female 1 0 0 0 0 1 0 0 0 0 0
Total 0 0 0 0 0 0 0 0 0 0 0
White hlale 0 0 0 0 0 0 0 0 0 0 0
White Female 0 0 0 0 0 0 0 0 0 0 0
Nonwhite Male 0 0 0 0 0 0 0 0 0 0 0
Nonwhite Female 0 0 0 0 0 0 0 0 0 0 0

DISEASES OF UNKNOWN AND UNCERTAIN CAUSE
Total 15 0 1 0 3 b 5 0 0 0 0
White Male 9 0 1 0 2 I 2 0 0 0 0
All Admissions White Female 4 0 0 0 0 2 2 0 0 0 0
Nonwhite Male 1 0 0 0 1 0 0 0 0 0 0
Nonvhite Female 1 0 0 0 0 0 1 0 0 0 0
Total 12 0 1 0 2 4 5 0 0 0 0
White Male 7 0 1 0 1 3 2 0 0 0 0
First Admissions Vhite Female 3 0 0 0 0 1 2 0 0 0 0
Nonwhite Male 1 0 0 0 1 0 0 0 0 0 0
Nonwhite Female 1 0 0 0 0 0 1 0 0 0 0
1 ij 1 iimcfeieK rf o o 1V l
v
v
o

MENIAL DISORDER RACESEX AGE In Years
Under 15 25 35 45 55 65 75 85 and
Total 15 24 34 44 54 4 74 84 over Unlmovn
Total 3 0 0 0 1 2 0 0 0 0 0
White Male 2 0 0 0 1 1 0 0 0 0 0
Readmissions White Female 1 0 0 0 0 1 0 0 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 White Female 0 0 0 0 0 0 0 0 0 0 0
Previously admitted to other psy Nonvhite Male 0 0 0 0 0 0 0 0 0 0 0
chiatric facility Nonvhite Female 0 0 0 0 0 0 0 0 0 0 0
CHRONIC BRAIN SYNDROMES OF UNKNOWN CAUSE
Total 131 10 25 9 13 22 37 13 1 0 1
White Male 52 4 6 3 2 11 19 6 1 0 0
All Admissions White Female 24 1 1 2 5 3 8 4 0 0 0
Nonvhite Male 41 5 13 4 3 6 6 3 0 0 1
Nonvhite Female U 0 5 0 3 2 4 0 0 0 0
Total 113 10 21 8 9 17 34 12 1 0 1
White Male 43 4 3 3 1 7 18 6 1 0 0
First Admissions White Female 20 1 1 2 4 2 6 4 0 0 0
Nonvhite Male 37 5 12 3 2 6 6 2 0 0 1
Nonwhite Female 13 0 5 0 2 2 4 0 0 0 0
Total 17 0 3 1 4 5 3 1 0 0 0
White Male 8 0 2 0 1 4 1 0 0 0 0
Readmissions White Female 4 0 0 0 1 1 2 0 0 0 0
Previously admitted to MSH Nonwhite Male 4 0 1 1 1 0 0 1 0 0 0
Nonvhite Female 1 0 0 0 1 0 0 0 0 0 0
Total 1 0 1 0 0 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 other psy Nonvhite Male 0 0 0 0 0 0 0 0 0 0 0
chiatric facility Nonvliite Female 0 0 0 0 0 0 0 0 0 0 0
MENTAL DISORDER
RACESEX
AGE In Years
IoW
Under
15
15
24
25
35
45
24
55
64
65
74
75
85 and
over
untafflvp
TOTAL CHRONIC BRAIN SYNDROMES
All Admissions
First Admissions
Readmissions
Previously admitted to MSH
Readmissions
Previously admitted to other psy
chiatric facility
PSYCHOTIC DISORDERS
IMVOLUTIONAL PSYCHOTIC REACTION
All Admissions
First Admissions
Total
White Male
White Female
Nomvhite Male
Nonvhite Female
Total
White Male
White Female
Nonvhite Male
Nonwhite Female
Total
White Male
White Female
Nonvhite Male
Ncowhite Female
Total
Vfhite 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
1337
511
367
265
194
1143
422
318
239
164
130
80
46
24
30
14
9
3
2
0
314
80
191
2
41
238
63
144
2
29
26
10
5
11
0
26
10
5
11
0
0
0
0
0
0
0
0
0
0
0
79 64
32 24
11 17
25 16
11 7
70
24
11
24
11
8
7
0
1
0
1
1
0
0
0
41
15
14
9
3
22
8
3
7
4
1
1
0
0
0
32
20
17
19
65
22
14
14
15
41
2
31
1
7
37
1
28
1
7
157
72
29
42
14
115
48
23
34
10
153
33
102
0
18
113
28
72
0
13
232
92
58
46
36
189
76
42
42
29
21 36 39
9 20 14
6 5 14
2 7 4
4 4 7
2 6 4
14 2
0 12
110
0 0 0
345
121
111
61
52
313
108
99
60
46
32
13
12
1
6
264
103
S9
37
35
247
96
83
35
33
17
7
6
2
2
0 0
0 0
0 0
0 0
0 0
110 9 0
38 7 0
56 2 0
10 0
15 0 0
79 8 0
28 6 0
42 2 0
10 0
8 0 0
77
24
26
8
19
72
22
26
8
16
5
2
0
0
3
0
0
0
0
0vw

i

v
MENTAL DISORDER
RACESEX
AGE In Years
Total
Under
15
15
2A
25
24
35
45
5i
Readmissions
Previously admitted to MSH
Readmissions
Previously admitted to other psy
chiatric facility
MANIC DEPRESSIVE REACTIONS
All Admissions
First Admissions
Readmissions
Previously admitted to MSH
Readmissions
Previously admitted to other psy
chiatric facility
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
White Female
Nonvhite Male
Nonwhite Female
Total
White Male
White Female
Nonwhite Male
Nonwhite Female
73
16
46
0
11
3
1
1
0
1
135
37
52
18
28
53
18
6
15
76
20
31
12
13
6
3
3
0
0
17
4
4
5
4
11
1
4
4
2
4
1
0
1
2
2
2
0
0
0
32
8
11
3
10
15
3
6
0
6
16
4
5
3
4
55
Jlk
65
75
85 and
over
37
4
29
0
4
37
10
13
5
9
20
5
31 1
10 1
14 0
0 0
7 0
0 3 0
0 10
0 10
0 0 0
0 10
32
10
16
5
1
16 4 3
5 3 1
4 11
2 0 0
5 0 1
26
7
13
5
1
0 0
0 0
0 0
0 0
8 2
3 1
3 1
0 0
2 0
5 1
2 0
2 1
0 0
1 0
112 0 0
10 0 0 0
0 12 0 0
0 0 0 0 0
0 0 0 0 0
UnknownMENTAL DISORDER
RACESEX
AGE In Years
Total
PSYCHOTIC DEPRESSIVE REACTION
All Admissions
First Admissions
Readmissions
Previously admitted to HSH
Total
White Male
Y1iite Female
Monvrhite Male
Nonwhite Female
Total
White Male
White Female
Nonwhite Male
Wonvhite Female
Total
Yhite Male
Yhite Female
Nonvhite Male
Nonwhite Female
Total
White Male
130
21
107
ZO
77
1
9
22
1
20
1
0
1
0
Under
35
Readmissions Yftiite Female 1
Previously admitted to other psy Nonwhite Male 0
chiatric facility Nonwhite Female 0
SCHIZOPHRENIC REACTIONS
Total 1887
White Male 605
All Admissions White Female 654
NonTdiite Male 279
Nonwhite Female 349
Total 1020
Yhite Male 335
First Admissions White Female 339
Nonwhite Male 164
Nonwhite Female 182
1 O V ionvwik
15
15
2
10
0
3
13
2
8
0
3
2
0
2
0
0
0
0
0
0
0
332
117
81
72
62
250
89
63
54
44
25
35
44
45
S4
55
65
75 85 and
84 over
35
4
27
1
3
31
4
23
1
3
3
0
3
0
0
1
0
1
0
0
493
148
157
7S
110
276
79
96
39
62
43
G
33
0
2
34
7
25
0
2
9
1
0
0
0
0
0
0
0
550
177
200
76
97
282
90
99
46
47
16
2
12
1
1
334
100
140
36
58
16 5 0
3 2 0
13 3 0
0 0 0
0 0 0
13 11 5 0
2 3 2 0
10 S 3 0
0 0 0 0
10 0 0
3 5 0
0 0 0
2 5 0
10 0
0 0 0
130
40
61
11
18
35
17
14
1
3
0 0
0 0
0 0
0 0
0 0
141 47 13 0
49 16 8 0
56 20 4 0
13 7 0 0
23 4 1 0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Untoonn
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0VJ
v
r
MENTAL DISORDER
RACESEX
AGE In Years
Readmissions
Previously admitted to MSH
Readmissions
Previously admitted to other psy
chiatric facility
PARANOID REACTIONS
All Admissions
First Admissions
Readmissions
Previously admitted to MSH
Readmissions
Previously admitted to other psy
chiatric 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 Male
White Female
Nonwhite Male
Nonwhite Female
Under
IpWU
800 0
234 0
303 0
105 0
158 0
67
36
12
10
9
17
2
13
2
0
13
2
9
2
0
4
0
4
0
0
0
0
0
0
0
15
g4
25
Jik
35 45
Mt2i
55
6A
65
2A
73
24
15
18
16
9
4
3
0
2
202
64
59
34
45
15
5
2
5
3
1 7
0 0
1 5
0 2
0 0
243
72
97
26
48
25
15
4
4
2
0
179
42
82
22
33
0
22
40
4
14
14 3 0
9 2 0
2 10
10 0
2 0 0
3 2 10
110 0
2 110
0 0 0 0
0
110 0
0 0 0 0
110 0
0 0 0 0
75
84
22 1
9 1
10 0
1 0
2 0
4 3 10 0
110 0 0
3 2 10 0
0 0 0 0 0
0 0 0 0 0
85 and
over Unknown
1
0
1
0
0
0
0
0
0
0
1
0
1
0
0
0
0
0
0
0

MENTAL DISORDER RACESEX AGE In Years
Total Under 15 1524 2534 3544 4554 5564 6574 758 85 and
TOTAL PSYCHOTIC pTSORpERS Unlnown
Total 2483 9 353 553 670 543 289 57 3 2 4
All Admissions Yhite Male Yhite Female 745 1008 3 1 120 95 156 193 196 278 146 269 91 147 29 22 2 1 1 1 1 1
Nonwhite Male 303 4 72 86 SO 42 17 1 0 0 1
Nonwhite Female 427 1 66 118 116 86 34 5 0 0 1
Total 1431 9 266 325 371 285 142 29 1 1 2
First Admissions Yhito Male Yfiiite Female 434 587 3 1 91 74 84 127 102 160 G5 143 50 72 17 10 1 0 1 0 0 o
Nonwhite Male 175 4 54 46 47 15 8 0 0 0 1
Nonwhite Female 235 1 47 68 62 42 12 2 0 0 1
Total 975 0 78 210 273 240 142 28 2 1 1
Yhite Male 271 0 25 65 78 51 39 12 1 o 0 1 o
Readmissions Previously admitted to MSH White Female Nonwhite Male 404 118 0 0 18 18 63 35 114 29 122 26 72 9 12 1 1 0 1 o
Nonwhite Female 182 0 17 47 52 41 22 3 0 0 0
Total 77 0 9 18 26 18 5 0 0 0 1
Yhite Male 40 0 4 7 16 10 2 0 o o 1 0
Readmissions Yhite Female 17 0 3 3 4 4 2 4 1 3 3 0 0 0 0 0 0 0 0 0
Previously admitted to other psy Nonwhite Male 10 0 0 5
chiatric facility Nonwhite Female 10 0 2 3 0 0 0 0
PERSONALITY DISORDERS
PSYCHOPHYSIOLOGICr AHTONOMIC AND Total 20 0 2 3 7 5 3 0 0 o
VISCERAL DISORDERS 0 0 0 0 0
All Admissions Yhite Male White Female 14 3 0 0 2 0 3 0 5 1 2 2 2 0 0 0 0 o 0 o
Nonwhite Male 2 0 0 0 1 1 0 o o 0 0
Nonwhite Female 1 0 0 0 0 0 1 0 0
Total 17 0 1 3 6 5 2 0 0 o 0
White Male 11 0 1 3 0 4 1 2 2 1 0 0 0 0 o 0 o
First Admissions Yhite Female 3 0 0 0 0 0 0
Nonwhite Male 2 0 0 0 1 1 0 0 o o
Nonwhite Female 1 0 0 0 0 0 1 0 0 0

r
MENTAL DISORDER
RACESEX
AGE In Years
Readmissians
Previously admitted to MSH
Readmissions
Previously admitted to other psy
chiatric facility
PSYCHONEUROTTC REACTIONS
All Admissions
First Admissions
Readmissions
Previously admitted to MSH
Readmissions
Previously admitted to other psy
chiatric facility
Ifljal
Under
15
15
JIL
25
34
35
45
54
55
6fi
65
n
75 85 and
84 over
Total 3 0 1 0 1 0 1 0 0
White Male 3 0 1 0 1 0 1 0 0
White Female 0 0 0 0 0 0 0 0 0
Nonwhite Male 0 0 0 0 0 0 0 0 u
Nanwhite Female 0 0 Q 0 0 0 0 0 0
Total 0 0 0 0 0 0 0 0 0
White Male 0 0 0 0 0 0 0 0 0
White Female 0 0 0 0 0 0 0 0 0
Nominate Male 0 0 0 0 0 0 0 0 0
Nonwhite Female 0 0 0 0 0 0 0 0 0
Total 841 1 114 230 226 158 79 32 1
White Male 349 1 38 87 104 74 32 12 1
White Female 456 0 62 132 119 77 47 19 0
Nomvhite Male 11 0 2 3 2 3 0 1 0
Nomvhite Female 25 0 12 8 1 4 0 0 0
Total 688 1 105 200 180 117 61 23 1
White Male 279 1 32 75 81 53 26 10 1
White Female 376 0 59 116 96 58 35 12 0
NonvAiite Male 11 0 2 3 2 3 0 1 0
Honvhite Female 22 0 12 6 1 3 0 0 u
Total 145 0 8 29 43 38 18 9 0
White Male 63 0 5 11 21 18 6 2 0
White Female 79 0 3 16 22 19 12 7 0
Nonvnite Male 0 0 0 0 0 0 0 0 0
Nonwhite Female 3 0 0 2 0 1 0 0 0
Total 8 0 1 1 3 3 0 0 0
White Male 7 0 1 1 2 3 0 0 0
White Female 1 0 0 0 1 0 0 0 0
Nomvhite Male 0 0 0 0 0 0 0 0 0
Nomvhite Female 0 0 0 0 0 0 0 0 u
Manna
o
o
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0MENTAL DISORDER
RACESEX
AGE In Years
Under
Total 15
85 and
overUknpjm
PERSONALITY PATIERI1 DISTURBANCE
All Admissions
First Admissions
Readmissions
Previously admitted to MSH
Readmissions
Previously admitted to other psy
chiatric facility
PERSONALITY TRAIT DISTURBANCE
All Admissions
First Admissions
Total
White Male
White Female
Nonvhite Male
Nonvhite Female
Total
White Male
White Female
Nonvhite Male
Nonvhite Female
Total
White Male
White Female
Monvhite Male
Nonvhite Female
Total
White Male
White Female
Nonvhite Male
Nonvhite Female
Total
White Male
White Female
Nonvhite Male
Nonvhite Female
Total
White Male
White Female
Nonvhite Male
Nonvhite Female
42
17
19
6
0
32
12
15
5
0
176
109
52
15
0
149
89
46
14
0
14
6
5
3
0
11
5
4
2
0
3
1
1
1
0
0
0
0
0
0
37
13
19
5
0
34
13
17
4
0
51
29
15
7
0
41
23
11
15 1 2 0 0
6 0 0 0 0
8 110 0
1 0 10 0
0 0 0 0 0
9 1
3 0
5 1
1 0
0 0
46
34
10
2
0
39
27
10
2
0
29
20
S
1
0
2 0
0 0
1 0
1 0
0 0
33 S 0 0
24 6 0 0
8 0 0 0
10 0 0
0 0 0 0
5 0
5 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
c
0v

MENIAL DISORDER
RACESEX
AGE In Years
Total Under 15 1524 2534 3544 4554 5564 6574 7584 85 and over Unknown
25 0 3 10 5 4 3 0 0 0 0
18 0 0 6 5 4 3 0 0 0 0
6 0 2 4 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
2 0 0 0 2 0 0 0 0 0 0
2 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 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
99 0 a 29 23 5 1 0 0 0 0
79 0 33 22 18 5 1 0 0 0 0
8 0 3 3 2 0 0 0 0 0 0
12 0 5 4 3 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
69 0 31 22 13 2 1 0 0 0 0
53 0 25 16 9 2 1 0 0 0 0
6 0 2 2 2 0 0 0 0 0 0
10 0 4 4 2 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
27 0 10 5 9 3 0 0 0 0 0
23 0 8 4 8 3 0 0 0 0 0
2 0 1 1 0 0 0 0 0 0 0
2 0 1 0 1 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
3 0 0 2 1 0 0 0 0 0 0
3 0 0 2 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
Readmissions
Previously admitted to MSH
Readmissions
Previously admitted to other psy
chiatric facility
ANTISOCIAL REACTION
All Admissions
First Admissions
Readmissions
Previously admitted to MSH
Readmissions
Previously admitted to other psy
chiatric facility
Total
White Male
White Female
Nonvhite Male
Nonvhite Female
Total
White Male
White Female
Nonvhite Male
Nonvhite Female
Total
White Male
White Female
Nonwhite Male
Nonvhite Female
Total
White Male
White Female
Nonvhite Male
Nonvhite Female
Total
White Male
White Female
Nonvhite Male
Nonvhite Female
Total
White Male
White Female
Nonvhite Male
Nonvhite FemaleMENTAL DISORDER
DYSSOCIAL REACTION
All Admissions
First Admissions
Reaomissions
Previously admitted to MSH
Readmissions
Previously admitted to other psy
chiatric facility
RAGESEX
AGE In Years
Under 15
Total 15 24
25
35
44
45
S4
55
65
74
75
s4
SEXUAL PEVIAI10M
All Admissions
First Admissions
85 and
over Unknown
Total 21 0 9 6 4 0 1 1 0 0 0
White Male 7 0 3 2 2 0 0 0 0 0 0
White Female 14 0 6 4 2 0 1 1 0 0 0
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 17 0 s 4 4 0 1 0 0 0 0
White Male 7 0 3 2 2 0 0 0 0 0 0
Vhite Female 10 0 5 2 2 0 1 0 0 0 0
Honwhite Male 0 0 0 0 0 0 0 0 G 0 0
Nonvhite Female 0 0 0 0 0 0 0 0 0 0 0
Total I 0 1 2 0 0 0 1 0 0 0
White Male 0 0 0 0 0 0 0 0 0 0 0
Vhite Female 4 0 1 2 0 0 0 1 0 0 0
Nonmiite Male 0 0 0 0 0 0 0 0 0 0 0
Nbrashite 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
White Female 0 0 0 0 0 0 0 0 0 0 0
Nonvhite 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 15 0 10 1 3 0 0 0 1 0 0
Vhite Male 13 0 8 1 3 0 0 0 1 0 0
White Female 0 0 0 0 0 0 0 0 0 0 0
Nomvhite Male 0 0 0 0 0 0 0 0 0 0 0
Nonvhite Female 2 0 2 0 0 0 0 0 0 0 0
Total 11 0 7 1 2 0 0 0 1 0 0
Vhite Male 9 0 5 1 2 0 0 0 1 0 0
Vhite Female 0 0 0 0 0 0 0 0 0 0 0
Nonwhite Male 0 0 0 0 0 0 0 0 0 0 0
Nonwhite Female 2 0 2 0 0 0 0 0 0 0 0
Vt
c
MEOTAL DISORDER
ALCOHOLISM ADDICTION
All Admissions
First Admissions
AGE In Years
Readmissions
Previously admitted to MSH
Readmissions
Previously admitted to other psy
chiatric facility
RACESEX Under 15 25 35 45 55 65 75 85 and
Total 15 24 34 AA 54 64 74 84 over Unknown
Total 4 0 3 0 1 0 0 0 0 0 0
White Male 4 0 3 0 1 0 0 0 0 0 0
White Female 0 0 0 0 0 0 0 0 0 0 0
Nonwhite Male 0 0 0 0 0 0 0 0 0 0 0
Namtfiite 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
White Female 0 0 0 0 0 0 0 0 0 0 0
Nonvdiite 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 900 0 32 147 323 289 94 14 0 0 1
White Male 761 0 27 124 266 254 78 11 0 0 1
White Female 96 0 2 12 41 27 12 2 0 0 0
Nonwhite Male 36 0 3 11 12 6 4 0 0 0 0
Nonwhite Female 7 0 0 0 4 2 0 1 0 0 0
Total 598 0 26 101 208 190 61 11 0 0 1
White Male 507 0 21 82 171 171 52 9 0 0 1
White Female 59 0 2 11 26 13 6 1 0 0 0
Nonwhite Male 26 0 3 8 8 4 3 0 0 0 0
flonwhite Female 6 0 0 0 3 2 0 1 0 0 0
O
Total 284 0 5 42 108 95 31 3 0 0 0
White Male 238 0 5 38 90 79 24 2 0 0 0
Readmissions White Female 37 0 0 1 15 14 6 1 0 0 0
Previously admitted to MSH Nonvrhite Male 8 0 0 3 2 2 1 0 0 0 0
Monwhite Female 1 0 0 0 1 0 0 0 0 0 0
Total 18 0 1 4 7 4 2 0 0 0 0
White Male 16 0 1 4 5 4 2 0 0 0 0
Readmissions White Female 0 0 0 0 0 0 0 0 0 0 0
Previously admitted to other psy Nomnhite Male 2 0 0 0 2 0 0 0 0 0 0
chiatric facility Nonwhite Female 0 0 0 0 0 0 0 0 0 0 0

MENTAL DISORDER
RACESEX
AGE In Years
DRUG ADDICTION
All Admissions
First Admissions
Readmissions
Previously admitted to MSH
Readmissions
Previously admitted to other psy
chiatric facility
SPECIAL SYMPTOM REACTION
All Admissions
First Admissions
Total
White Male
White Female
Nonwiiite Male
Nonwhite Female
Total
White Male
White Female
Nonwhite Male
Nonwhite Female
Total
White Male
White Female
Narrwhite Male
Nonwhite Female
Total
Vhite Male
White Female
Nonwhite Male
Nonwhite Female
Total
White Male
Vhite Female
Nonwhite Male
Nonwhite Female
Total
Vhite Male
Vhite Female
Nonwhite Male
Nonwhite Female
Under 15 25 35 45 55 65 75 85 and
Total 15 24 34 44 54 64 74 84 over UnJmovn
78 0 5 19 22 19 10 3 0 0 0
47 0 2 12 15 9 7 2 0 0 0
28 0 2 6 6 10 3 1 0 0 0
2 0 0 1 1 0 0 0 0 0 0
1 0 1 0 0 0 0 0 0 0 0
46 0 5 12 12 11 5 1 0 0 0
24 0 2 5 8 5 3 1 0 0 0
19 0 2 6 3 6 2 0 0 0 0
2 0 0 1 1 0 0 0 0 0 0
1 0 1 0 0 0 0 0 0 0 0
29 0 0 6 9 8 4 2 0 0 0
21 0 0 6 6 4 4 1 0 0 0
3 0 0 0 3 4 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
3 0 0 1 1 0 1 0 0 0 0
2 0 0 1 1 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 0 0 c
1 0 0 1 0 0 0 0 0 0 0
1 0 0 1 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
1 0 0 1 0 0 0 0 0 0 0
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
Vt
r
RACESEX AGE In Years
MENIAL DISORDER Total Under 15 1524 2534 35U 4554 55 6564 74 7584 65 and over Unknown
Readmissions Previously admitted to MSH Total Vfliite 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 00 0 0 0 0 0 o o o o o o o o o o 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Readmissions Previously admitted to other psychiatric facility Total Vfliite 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
TOTAL PERSONALITY DISORDERS All Admissions Total Vfliite Male White Female Nonwhite Male Nonwhite Female 1332 1034 217 71 10 2 2 0 0 0 L48 92 37 16 3 262 194 44 24 0 436 344 69 19 4 347 292 46 7 2 116 18 94 13 17 4 5 0 0 1 1 1 0 0 0 0 0 0 0 0 2 2 0 0 0
First Admissions Total Vfliite Male Vfliite Female Nonwhite Male Nonwhite Female 923 702 155 57 9 2 2 0 0 0 122 74 32 13 3 189 132 36 21 0 287 222 48 14 3 233 198 28 5 2 75 12 61 10 10 1 4 0 0 1 1 1 0 0 0 0 0 0 0 0 2 2 0 0 0
Readmissions Previously admitted to MSH Total Vfliite Male Vfliite Female Nonwhite Male Nonwhite Female 383 309 61 12 1 0 0 0 0 0 25 17 5 3 0 66 55 8 3 0 133 113 21 3 1 110 90 18 2 0 38 6 31 3 6 3 1 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 Vfliite Male Vfliite Female Nonwhite Male Nonwhite Female 26 23 1 2 0 0 0 0 0 0 1 1 0 0 0 7 7 0 0 0 11 9 0 2 0 4 4 0 0 0 3 0 2 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
ts3
toMENIAL DISORDER
RACESEX
AGE In Years
Total
Under
15
24
25
35
45
4
55
65
2A
75
85 and
over
TRANSIENT SITUATIONAL PERSONALITY DISTURBANCE
All Admissions
First Admissions
Readmissions
Previously admitted to MSH
Readmissions
Previously admitted to other psy
chiatric facility
MENTAL DEFICIENCY
All Admissions
First Admissions
Total 106 20 68 6 6 4 1 1 0 0 0
White Male 52 10 28 4 4 4 1 1 0 0 0
White Female 32 5 26 1 0 0 0 0 0 0 0
Nonvhite Male 12 2 8 0 2 0 0 0 0 0 0
Nonwhite Female 10 3 6 1 0 0 0 0 0 0 0
Total 91 20 62 3 3 1 1 1 0 0 0
Shite Male 43 10 26 1 3 1 1 1 0 0 0
Vhite Female 2G 5 22 1 0 0 0 0 0 0 0
llonvhite Male 10 2 8 0 0 0 0 0 0 0 0
Nomvhite Female 10 3 6 1 0 0 0 0 0 0 0
Total 11 0 4 2 3 2 0 0 0 0 0
White Male 5 0 0 2 1 2 0 0 0 0 0
White Female t 0 4 0 0 0 0 0 0 0 0
Nonvjhite Male 2 0 0 0 2 0 0 0 0 0 0
Nonvhite Female 0 0 0 0 0 0 0 0 0 0 0
Total 4 0 2 1 0 1 0 0 0 0 0
White Hale 4 0 2 1 0 1 0 0 0 0 0
White Female 0 0 0 0 0 0 0 0 0 0 0
Nonvhite Male 0 0 0 0 0 0 0 0 0 0 0
Nonwhite Female 0 0 0 0 0 0 0 0 0 0 0
Total 276 25 94 65 39 29 IS 5 1 0 0
White Male 133 13 41 34 12 15 12 5 1 0 0
Yfttite Female 77 9 31 10 16 8 3 0 0 0 0
Nonvhite Male 40 2 15 11 7 3 2 0 0 0 0
Nonvrhite Female 26 1 7 10 4 3 1 0 0 0 0
Total 206 24 77 47 26 20 8 3 1 0 0
White Male 98 12 35 27 6 10 4 3 1 0 0
Vhite Female 63 9 25 8 12 6 3 0 0 0 0
Nonwhite Male 28 2 11 6 6 2 1 0 0 0 0
Nonvhite Female 17 1 6 6 2 2 0 0 0 0 0
vu
o
MENIAL DISORDER
RACESEX
AGE In Years
Readmissions
Previously admitted to MSH
Readmissions
Previously admitted to other psy
chiatric facility
MENIAL DISORDER UNDIAGNOSED
All Admissions
First Admissions
Readmissions
Previously admitted to MSH
Readmissions
Previously admitted to other psy
chiatric facility
Under
Total15
15
24
25
24
35
45
PA
55
65
JZiL
75
A
85 and
over
Total
White Male
Vlhite Female
Nonvhite Male
Nonwhite Female
Total
White Male
White Female
Nonwhite Male
Nonvhite Female
Total
White Male
Vlhite Female
Nonvtfiite Male
Nonvihite Female
Total
Vlhite Male
Vlhite Female
Nonvhite Male
Nonvhite Female
Total
Vlhite Male
Vhite Female
Uomvhite Male
Nonvhite Female
Total
White Male
Vlhite Female
Nonwhite Male
Nonvhite Female
66 0 M 18 13 9 10 2 0
33 0 5 7 6 5 8 2 0
13 0 5 2 A 2 0 0 0
12 0 A 5 1 1 1 0 0
8 0 0 A 2 1 1 0 0
A 1 3 0 0 0 0 0 0
2 1 1 0 0 0 0 0 0
1 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
16 0 A 1 2 A 3 0 1
A 0 2 1 0 0 1 0 0
5 0 2 0 2 1 0 0 0
3 0 0 0 0 2 0 0 0
A 0 0 0 0 1 2 0 1
M 0 A 0 2 3 3 0 1
3 0 2 0 0 0 1 0 0
5 0 2 0 2 1 0 0 0
2 0 0 0 0 1 0 0 0
A 0 0 0 0 1 2 0 1
1 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
1 0 0 0 0 1 0 0 0
0 0 0 0 0 0 0 0 0
1 0 0 1 0 0 0 0 0
1 0 0 1 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
Unknovm
to
DEATHS IN THE HOSPITAL BY TIME ON BOOKS ADMISSION CLASSIFICATION RACE AND SEX
ADMISSION CLASSIFICATION RACESEX
TIME ON BOOKS
TOTAL
Under 35
3 mos mos
vr yvs toe
4 59
yrsyrs
1014 1519 2024 2529 30 yrs
vrs yrp vrs vrs and over
All Admissions
First Admissions
Readmissions
Total 1046
White Male 357
White Female 354
Nonwhite Male 148
Nonwhite Female 187
Total 878
White Male 282
White Female 294
Nonwhite Male 132
Nonwhite Female 170
Total 168
Vhite Male 75
White Female 60
Nonwhite Male 16
Nonvhite Female 17
259
106
60
47
46
74
25
23
11
15
92
32
31
10
19
237 62 76
97 21 25
55 15 25
43 11 8
42 15 18
2 12 16
9 4 7
5 8 6
4 0 2
4 0 1
127
51
45
16
15
112
39
43
16
14
15
12
2
0
1
62
20
26
5
11
57
17
25
5
10
18
20
6
4
41
15
19
4
3
5 7
3 3
1 1
0 2
1 1
33
13
12
5
3
28
10
12
3
3
5
3
0
2
0
111
26
54
14
17
86
15
44
12
15
25
11
10
2
2
64
24
15
11
14
46
15
10
11
10
18
9
5
0
4
41
10
17
5
9
32
6
13
4
9
9
4
4
1
0
32
10
9
6
7
24
8
5
5
21 82
7 15
34
2 10
4 23
11
3
4
1
3
10
4
4
1
1
11
24
9
22
16
4
10
1
1
t3V

DEATHS IN THE HOSPITAL BY AQE AT DEATH ADMISSION CLASSIFICATION RACE AND SEX
ADMISSION CLASSIFICATION
RACESEX
AGE In Years
TOTAL
Under
1S
15
2i
25
35
44
45
55
64
65
74
75
85 and
over
All Admissions
First Admissions
Readmissions
Total
White Male
White Female
Nonwhite Male
Nonwhite Female
Total
White Male
White Female
Nonwhite Male
Nonwhite Female
Total
White Male
White Female
Nonwhite Male
Nonwhite Female
1046
357
354
148
187
878
282
294
132
170
168
75
60
16
17
4 13 19 40 90 183 279 316 95
0 6 8 16 30 73 103 97 22
1 1 3 10 23 47 89 128 49
2 3 6 6 16 33 41 34 6
1 3 2 8 21 30 46 57 18
4 12 14 34 60 141 234 281 91
0 5 6 12 13 54 84 85 21
1 1 3 9 18 31 72 109 47
2 3 3 5 14 30 36 32 6
1 3 2 8 15 26 42 55 17
0 1 5 6 30 42 45 35 4
0 1 2 4 17 19 19 12 1
0 0 0 1 5 16 17 19 2
0 0 3 1 2 3 5 2 0
0 0 0 0 6 4 4 2 1
ONDISCHARGES BY TIME ON BOOKS ADMISSION CLASSIFICATION RACE AND SEX
RACESEX TIME ON BOOKS
ADMISSION CLASSIFICATION Under 35 611 1 2 3 4 59 1014 1519 2024 2529 30 yrs
TOTAL 3 mos mos mos vr yrs yrs VTS vrs yrs yrs vrs vrs and over
Total 5172 1213 185 197 2536 516 197 74 159 56 19 12 3 5
White Male 2470 802 120 118 1111 183 70 12 34 16 3 1 0 0
White Female 1696 283 37 43 962 192 71 29 52 13 8 4 0 2
Nonwhi te Mnl e 541 110 21 29 239 54 23 13 29 11 5 4 0 3
Nonwhite Female 465 18 7 7 224 87 33 20 44 16 3 3 3 0 11 1
Total 3742 886 117 126 1891 374 140 50 95 38 11 7 3 4
White Male 1763 558 73 69 827 144 53 10 16 11 2 0 0 0
First Admissions White Female 1263 224 30 30 737 143 48 16 23 5 4 2 0 1
NonwhitP Male 392 88 9 22 172 36 15 8 25 0 3 3 0 3
Nonwhite Female 324 16 5 5 155 51 24 16 31 14 2 2 3 0
Total 1430 327 63 71 645 142 57 24 64 18 8 5 0 1
White Male 707 244 47 49 284 39 17 2 18 5 1 1 0 0
Readmissions White Female 433 59 7 13 225 49 23 13 29 3 4 2 0 1
Nonwhite Male 149 22 12 7 67 IS 8 5 4 3 2 1 0 0
Nonwhite Female 141 2 2 2 69 36 9 4 13 2 1 1 0 0
vt
o
DISCHARGES BY AGE AT DISCHARGE ADMISSION CLASSIFICATION RACE AND SEX
ADMISSION CLASSIFICATION
All Admissions
First Admissions
Readmissions
RACESEX
TOTAL
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
5172
2470
1696
541
465
3742
1763
1263
392
324
1430
707
433
149
141
AGE In Years
Under 15 25 35 45 55 65 75 85 and
W 24 34 44 54 64 74 84 over Unknown
24 619 1117 1348 1144 560 232 107 16 5
15 279 477 662 610 278 98 42 8 1
5 199 363 432 350 202 94 45 6 0
3 84 159 128 103 40 15 8 1 0
1 57 118 126 81 40 25 12 1 4
24 550 817 921 757 381 185 90 13 4
15 238 335 435 417 195 83 39 6 0
5 187 286 312 225 133 73 37 5 0
3 76 112 90 67 25 12 6 1 0
1 49 84 84 48 28 17 8 1 4
0 69 300 427 387 179 47 17 3 1
0 41 142 227 193 83 15 3 2 1
0 12 77 120 125 69 21 8 1 0
0 8 47 38 36 15 3 2 0 0
0 8 34 42 33 12 8 4 0 0
CO
W

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