ib A E450M5 A1 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 v 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 I I o 4 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 7 n5 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 AS V i 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 k7 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 8 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 tf 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 A 10 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 11 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 id k It 12 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 A i George W Taylor PhG Clarence E Gissenda Chief Pharmacist BS in Pharmacy Pharmacist SCHOLARSHIPS Durward M Poland University of Michigan 7v Diplomate American Board of Internal Medicine 13 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 V 1 A 14 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 tf 15 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 te 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 16 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 i 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 17 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 K 18 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 V V 19 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 7 Lila Akin Indiana University Guynelle Bearden Smith College Wayne Bland University of Michigan Frances Hobbs University of Tennessee Allie C Kilpatrick University of Georgia 20 SCHOLARSHIPS Brenda Moore Tulane University Sanford Pentecost University of Georgia Suzanne Reynolds University of Georgia William Shirk University of Georgia Linda Williams Tulane University A A 7a 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 21 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 22 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 V 23 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 4 X i 24 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 25 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 m mmmmm 26 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 v 1 4 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 27 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 Or IS 28 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 1 0 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 J 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 J i V 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 I4 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 J 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 S 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 i J 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 i re i