S i i One Hundred and Twentyfourth ANNUAL REPORT of th ENTRAL STATE HOSPITAL Milledgeville Georgia FOR THE YEAR ENDING JUNE 30 1967 o LL o 6 o u 111 o z u CO Z o z CO Q Z O CO r i GOVERNOR LESTER MADDOX JOHN H VENABLE MD DIRECTOR ADDISON M DUVAL MD CHARLES K BUSH MD DIRECTOR HOSPITAL SERVICES JAMES B CRAIG MD SUPERINTENDENT OF THE HOSPITAL SfI y 4 DIRECTORY HONORABLE LESTER MADDOX 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 CHARLES K BUSH MD Director Hospital Services Branch STATE BOARD OF HEALTH JULIAN K QUATTLEBAUM JR 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 D ViceChairmanSIXTH DISTRICT Macon FRED H SIMONTON M DSEVENTH DISTRICT Chickamauga WILLIAM A DICK SON MDEIGHTH DISTRICT Hahira F A5 P K DIXON M DChairmanNINTH DISTRICT Gainesville JOHN M MARTIN M DTENTH DISTRICT Augusta HARRISON W BRAY STATE AT LARGE Manchester WESLEY A CARR DDSSTATE AT LARGE Augusta LEE ROY CLAXTON RPhSTATE AT LARGE Griffin JOHN E GARNER JRSTATE AT LARGE Milledgeville JOHN D MARSHALL RPhSTATE AT LARGE Camilla JT MERCER DVM Secretary STATE AT LARGE Elberton LAMAR B PEACOCK MDSTATE AT LARGE Atlanta CARL E PRUETT STATE AT LARGE Griffin ALBERT C TUCK DDSSTATE AT LARGE Thomas ville THE GOVERNOREXOFFICIO MEMBER MEDICAL DEPARTMENT James 3 Craig MD Superintendent E W Allen St MD ActingAssistant Superintendent Rod Clelland BA MA Assistant Superintendent Administrative PSYCHIATRY A y t Olen I Freeman MD Supervisor Residency Training Program Louis J Jacobs MDSupervisor Residency Training Program Luis RevenetMD Supervisor Residency Program Training UNIT I Manuel Anton MDDirector Juan Portuondo MD Chief Physician Elpidio Stincer MDSenior Physician Raul Rivero MDStaff Physician II Zelma Ozolins MDStaff Physician I Evelio Diaz MD Psychiatric Resident Jose Gonzalez MD Psychiatric Resident Heinz Joost MDPsychiatric Resident Humberto Ravelo MDPsychiatric Resident N T Soorya MDPsychiatric Resident UNIT II Blanca Anton MDDirector Salvador Mendez MD Senior Physician Vilis Zakitis MDStaff Physician m Adolph Sarma MD Staff Physician II Muhammed Aslam MDPsychiatric Resident r 7 Humberto Figueras MDPsychiatric Resident George Grant MDPsychiatric Resident Mohammed Karatela MDPsychiatric Resident Isabel Pereira MDPsychiatric Resident Federico Perez MDPsychiatric Resident Juan PerezEnnquez MDPsychiatric Resident UNIT III Jose Mendoza MDDirector Manuel Fernendez MDStaff Physician II Mary K Hires MDStaff Physician II Rafael Pascual MD Staff Physician II Marta Bosch MDPsychiatric Resident Miguel Bosch MDPsychiatric Resident BM Patel MDPsychiatric Resident Roberto Rey MD Psychiatric Resident UNIT IV W T Smith MD Director Mario de Laosa MDStaff Physician III Geraldine Pilcher MDStaff Physician II John Azzi MDStaff Physician I Marta Dzirkalis MDStaff Physician I Ernesto J Giro MD Psychiatric Resident Armando Gutierrez MD Psychiatric Resident Ana Marrero MD Psychiatric Resident Odilia Zapatero MDPsychiatric Resident Cecil D Warren MD Psychiatric Resident 8 UNIT V 4 y Lorenzo del Portillo MDDirector Jorge Lazcano MDSenior Physician Luis Carrodeguas MD Staff Physician III Roberto R Perdomo MD Staff Physician II Kalpana Amin MD Staff Physician I R A Amin MDPsychiatric Resident Elfrieda Mellinger MDPsychiatric Resident Theodore Mellinger MDPsychiatric Resident UNIT VI Helen Freeman MD Director Rene Montero MDChief Physician Eduardo Guernica MDSenior Physician Stephen E KramerMDSenior Physician Manuel Estrada MDStaff Physician II GEORGIA VETERANS HOME Carl Smith MDDirector Santiago Aguilar MDSenior Physician CHILDRENS UNIT Jose L Balbona MD Director Mario Landrian MDSenior Physician NEUROLOGY John W KemblefMDDirector William P Sapp MD Senior Physician JJ Word MDSenior Physician Diplomate American Board of Psychiatry and Neurology 9 PHYSICAL HEALTH DIVISION JG Bohorfoush MDActing Director Physical Health George R HartAdministrative Assistant to Director MEDICAL SERVICE JG Bohorfoush MD Chief of Service Raymond H Jordon MDAsst Chief of Service Ruben LopezToca MDActing Asst Chief of Service Robert L Smith MD Staff Physician III John E Moody MDStaff Physician HI Carlos R Castello MDStaff Physician II Carlos Montalvo MDStaff Physician II Sergio AlvarezMena MD Cardiologist CONSULTANTS AJ Bollet MDInternal Medicine Thomas Findley MDInternal Medicine Claude Starr Wright MDHematology Russell Moores MDHematology Victor A Moore MDGastroenterology William H Chew MDInternal Medicine WV Greenberg MDInternal Medicine Joseph P Bailey MDInternal Medicine A Calhoun Witham MDCardiology John H Edmonds MDCardiology Malcom J Bazemore MD Dermatology4 10 T K SURGICAL SERVICE Bahram Darugar MDChief of Service X Julio San Martin MDAsst Chief of Service Angel F Golderos MD Chief Physician Med Specialty Urology Federico Marrero MDChief Physician Med Specialty Neuro surgery CONSULTANTS William H Moretz MDGeneral Vascular Surgery Robert Ellison MDThoracic Surgery Floyd Bliven MDOrthopedic Edwin Brackney MDGeneral Surgery James Harkess MDOrthopedic Harold S Engler MDGeneral Surgery Charles H Wray MDGeneral Surgery Milford Hatcher MDGeneral Surgery J Benham Steward MDGeneral Surgery Joe S Robinson MD Thoracic Surgery A L Humphries MD General Surgery Robert Parrish MD General Surgery David Williams MDUrology John R Rinker MD Urology W S Flanagin MDPlastic Surgery William L Barton MDOtolaryngology William S Headley MDSurgery Marshall B Allen MDNeurosurgery V V 11 OPHTHALMOLOGY Teofilo Tomas MDChief of Service S H Dillard ODSenior Optometrist RESIDENT Graduates rotate for three month periods from Mayo Gradu ate School CONSULTANTS Devereaux Jarrett MDOphthalmology James Hooper MDOphthalmology OBSTETRICS GYNECOLOGY David Cardoso MDChief of Service Emilio Yero MD Staff Physician II Joseph S Leyva MDChief Physician Med Specialty OBGYN CONSULTANTS W A Scoggins MDObstetrics and gynecology Charles I Bryans Jr MDObstetrics and gynecology P L Wilds MDObstetrics and gynecology ANESTHESIOLOGY E G Allende MDChief of Service Jose Garcia MDAsst Chief of Service Antonio Ballagas MDStaff Physician II s 12 RADIOLOGY Wilbur Baugh MD Halftime Acting Chief of Service Pilar Goicoechea MDRadiologist Helen Pessino MD Radiologist CONSULTANTS Mark Brown MD Radiology Arthur Dick MD Radiotherapist Winford H Pool Jr MDRadiology Hubert F Anthony Jr MD Radiology PATHOLOGY Mario P Navarro MD Chief of Service Dionisio Pinero MD Pathologist Jaime Franco MD Pathologist Walter M Bowman Director Clinical Laboratories 1 V TUBERCULOSIS AND METABOLIC DISEASE Mahmud Majanovic MDDirector TB Service Francisco Madrid MDStaff Physician A Steinhards MDAssistant Staff Physician Ed Saule MD Assistant Staff Physician PHARMACY George W Taylor PhG Chief Pharmacist Durward M Poland Pharm DPharmacist Clarence E Gissendanner BS in Pharmacy Pharmacist 13 DENTAL STAFF Robert C Watson DDSDirector Robert Beals DDSDentist Thomas Brown DDS Dentist Leonard Kulhawik DDSDentist Ronald Markette DDSDentist Samuel B Mayfield DDSDentist Richard Takeshita DDSDentist William Willoughby DDSDentist NURSING STAFF Myra S Bonner RNDirector of Nursing Bernice H King RNDeputy Director of Nursing Vera W Knowles RNDeputy Director of Nursing Juanita C Watson RNAssistant to Director of Nursing Unit I Fay H Fidler RNAssistant to Director of Nursing Unit II Frances Osborne RNAssistant to Director of Nursing Unit III Ruth D Mullis RN Assistant to Director of Nursing Unit IV Mildred Daniels RNAssistant to Director of Nursing Unit V Virginia C Smith RN Assistant to Director of Nursing Unit VI Irene L Wood RNAsst to Director of Nursing Physical Health Edna A Ross RNStaff Nurse IV Georgia Veterans Home Janet M Smith RN Staff Nurse IV Yarbrough Rehabilitation Center 1 i V 14 Mary A Bell RNStaff Nurse IV Childrens Building Mary W Billue RN Staff Nurse IV Psychiatric Outpatient Clinic Lolita G RutlandPhD RNCoordinator Patient Remotivation Mattie Lou Pennington RNNursing Instructor I Remotivation PSYCHIATRIC AFFILIATION PROGRAM Maidana K Nunn RN MSNursing Instructor III Louise F Spivey RNNursing Instructor I Beatrice M Tribble RN ABNursing Instructor I Pauline Anderson RNNursing Instructor I Ouida Couch RNNursing Instructor I Marjorie Wood RN ABNursing Instructor I Gertrude Thigpen RNNursing Instructor I Gloria A Williams RNNursing Instructor I Alice PaschalRN Nursing Instructor I PSYCHIATRIC AIDE PROGRAM AND INSERVICE EDUCATION Vivetta Kramer RN MSNursing Instructor III Clara S Donaszewski RN BS Nursing Instructor II MaryM Cook RN BSNursing Instructor I Glenda G Ridley RN BSNursing Instructor I Christine Brookins RN Nursing Instructor I Mary H Thomas RNStaff Nurse II 15 CLINICAL PSYCHOLOGY STAFF Robert W Wildman PhD Chief Clinical Psychologist John L Bernard PhDDirector Training and Research Bruce I Derman PhDStaff Psychologist John E Hannon PhD Director Childrens Services Robert F Heap PhDClinical Psychologist Wayne B Kinzie PhD Director Education Thomas W Lucik PhDSenior Clinical Psychologist F L Madison MAStaff Psychologist John T Watkins PhD Clinical Psychologist INTERNS James C Ascough MA University of Florida William E Boblitt MA University of Florida Gardner Brooksbank MS University of Georgia Blaine Crum MS University of Georgia Elwin R Davidson MA University of South Carolina Dianne Hamrick MS University of Georgia Olin Hamrick MS University of Georgia James E Hord Jr MA University of South Carolina Roger Jones MS University of Georgia Charles H Moore MSUniversity of Georgia Wilburn H Rivenbark III MA University of Florida Rowland Shank MSUniversity of Georgia Robert D Smith MS University of Tennessee SCHOLARSHIP William E Boblitt MAUniversity of Florida James H Butler MS University of Georgia Blaine C Crum MS University of Georgia Elwin R Davidson MAUniversity of South Carolina16 i v v Bruce I Derman MSUniversity of Georgia Dianne Hamrick MS University of Georgia Olin M Hamrick MSUniversity of Georgia Floyd W Heiney Jr MSUniversity of Georgia James E Hoard Jr MAUniversity of South Carolina Dean G Kilpatrick MSUniversity of Georgia Richard W Mears MSUniversity of Georgia Charles H Moore MSUniversity of Georgia Lawrence F Quattlebaum MSUniversity of Georgia Rowland Shank MSUniversity of Georgia TECHNICIANS Alice Alnutt AB University of Georgia Wilton L Beasley AB University of Georgia Maxine L Bernard MA Parttime University of Alabama Nancy G Blum AB Mercer University Nancy J Carter BA Huntingdon College Lillian L Dawkins B S Florida A M University Ilene Derman Ed M University of Georgia Charles W DeVane BSValdosta State Patricia A Edmundson BA Georgia State College Charles C Mabry AB Shorter College Marie C Millier ABEast Carolina College Lawrence Quattlebaum ABUniversity of Georgia Sarah E Roberts BAHuntingdon College Ben C Stewart Jr BBAUniversity of Georgia William A Werts BAGeorgia Southern College James T Wilkinson AB iValdosta State Karl Wilson ABAllen University Linda Wimberly BA Mercer University i17 SPECIAL EDUCATION PROGRAM John Rawlins M EdPrincipal Juanda Ponsell ABAssistant Principal Glenda Bennett BSSpecial Education Teacher Bessie Burton BSSpecial Education Teacher Dorothy Collins BSAdult Education Teacher Rachel Cox 3 year teachers certificate Adult Education Teacher Bertha S Eakins BASpecial Education Teacher Patricia M Edmonds BASpecial Education Teacher Mary A Edwards BSSpecial Education Teacher Anntoinette B Ennis ABSpecial Education Teacher Judi Faris BSSpecial Education Teacher Buena Flemister BSAdult Education Teacher Shirley Giles BSSpecial Education Teacher Lila Hall MD Special Education Teacher Dorothy Hammond BASpecial Education Teacher Ann Harris BS Special Education Teacher Tally Hodges BSAdult Education Teacher Sarah F Ivey BSSpecial Education Teacher Annielu Johns BSSpecial Education Teacher Marian Johnson ABSpecial Education Teacher Ann King BSCoordinator Adult Education Teacher Amanda Landers MA Special Education Teacher Jesse W Landers BSSpecial Education Teacher Collins Lee BS Special Education Teacher J A Lee BS EdSpecial Education Teacher Benita Lockerman BSSpecial Education Teacher Martha Marsden BSSpecial Education Teacher Miriam J McAfee BSSpecial Education Teacher Mildred S McCook BSSpecial Education Teacher Janet Owens ABAdult Education Teacher Glenda E Parker BS Special Education Teacher David J Peeples ABSpecial Education Teacher Mattie Pennington BSSpecial Education Teacher18 Audrey C Power M EdSpecial Education Teacher Georgia B Prosser BSSpecial Education Teacher Brenda Rainwater BS Special Education Teacher Harriet Roney BSSpecial Education Teacher Mary Simpson MAAdult Education Teacher Sibyl Smith BSSpecial Education Teacher Thurza Strag ABSpecial Education Teacher Dorothy Trawick BSSpecial Education Teacher Betty Jo Veal BSAdult Education Teacher Janice Weathers BSSpecial Education Teacher Glenda A Young BSSpecial Education Teacher Judy Bowen M Ed Speech Trerapist Gail McCall M Ed Speech Trerapist CONSULTANTS 7 Dr Henry Adams Assistant Professor Psychology Department University of Georgia Dr Authur E Alper Associate Professor of Education University of Florida Gainesville Florida Dr James Ascough Assistant Professor Psychology Department University of Georgia Dr Richard Bartlett Consultant Services for Exceptional Children Mentally Retarded Atlanta Georgia Dr William Boardman Associated Professor School of Medicine Emory University Atlanta Georgia Mrs James Clayton Consultant Speech and Hearing University of Georgia Dr JC Dixon Director Professional Training University of Florida Charles Franshaw MRE School for the Deaf Cave Spring Georgia Dr Robert V Heckel Director Professional Training University of Florida 19 Dr Frances R Hicks Head Department of Psychology Georgia College at Milledgeville Dr Carl Insalaco Director Mental Retardates Program University of South Carolina Dr Mamie Jo Jones Coordinator Services for Exceptional Children Atlanta Georgia Dr Richard Kicklighter Coordinator School Psychology Program Atlanta Georgia Dr Malcolm B McCoy Professor Department of Speech and Hearing University of Georgia Mr Herbert Nash MA Consultant Services for Exceptional Children Atlanta Georgia Ervin R Oermann BD Lutheran Minister to the Deaf Birmingham Alabama James L Pate Associate Professor Georgia State College Atlanta Georgia Dr Paul Satz Associate Professor Neuropsychology Laboratory University of Florida Gainesville Florida Dr Carl N Sipprelle Director Professional Training University of Georgia Mrs Myrna Smith Instructor in Speech University of Georgia Mr Alex Wawrzyniak Project Officer Title ESA Department of Education Atlanta Georgia Dr Mary M Wood Assistant Professor Program for Exceptional Children University of Georgia Dr Florene Young Director Psychological Clinic University of Georgia20 SOCIAL WORK STAFF i g f Kenneth F Jasnau MSS ACSWDirector E O Melton MSW ACSWChief Social Worker Margaret Giddings MSSW ACSW Senior Social Worker Lila W Akin MSWSocial Worker Jeretha Andrews MSWSocial Worker Guynelle Bearden MSWSocial Worker E Wayne Bland MSWSocial Worker C Clifton DuBois MSWSocial Worker J Albert Greene MSSWSocial Worker Carol Murphy Holzhalb MSW Social Worker Helen F Hubbard MSW Social Worker Allie C Kilpatrick MSWSocial Worker Lloyd Mendelson MSWSocial Worker Brenda Moore MSWSocial Worker Catherine Nau ABSocial Worker Linda W Pickett MSWSocial Worker N Jane Price MSWSocial Worker Joyce P Sellars MSWSocial Worker Milton E Sellars MSW Social Worker William E Shirk MSWSocial Worker Robert A Willis MSW Social Worker Louise H Powell BAMedical Social Worker Lewis K Anderson BSBA Social Work Aide Lewis S Anderson AB Social Work Aide Joann Blackmon ABSocial Work Aide Renwick Bradley AB Social Work Aide William S Brown BASocial Work Aide Ludwina Bull BSSocial Work Aide David R Burgest BA Social Work Aide Gary Center A BSocial Work Aide Annette Church BA Social Work Aide Joel B Curry ABSocial Work Aide A s21 Jack Daniel BSSocial Work Aide Wanda Dykes ABSocial Work Aide Lynn Feagin BASocial Work Aide Eloise Harris BASocial Work Aide Loretta P Hencely BSSocial Work Aide Magalene Hester BASocial Work Aide Ebb G Kilpatrick Jr BD Social Work Aide Rheba A Jones ABSocial Work Aide Richard L Lyon BASocial Work Aide Ann McGee ABSocial Work Aide Walker McKnight BASocial Work Aide Martha McLaurin BASocial Work Aide Kirk C Minor BASocial Work Aide Mara Ozolins BASocial Work Aide Alice A Parker BASocial Work Aide R Sanford Pentecost BASocial Work Aide Patricia Rowell BASocial Work Aide Janet E Scott ABSocial Work Aide Carrie L Smith Social Work Aide Christine Sumner AB Social Work Aide Doris P Sutton ABSocial Work Aide Gary F Townsend BSSocial Work Aide Jennifer Washington BSSocial Work Aide Janis Weathers BSSocial Work Aide Wayne H Welch BSSocial Work Aide SCHOLARSHIPS Jeretha Andrews MSW University of Georgia Richard L Lyon BA Tulane University David R Burgest BA University of Michigan Carol B Murphy MSW University of Michigan22 R Sanford Pentecost BA University of Georgia Wayne H Welch BS University of Georgia Janet E Scott AB Florida State University Robert A Willis MSW University of Georgia 4 g r Lamar H Watkins AB C Paul Wright Jr BS Atlanta University University of Georpa CLINICAL CHAPLAINS James L Travis Th M Chief Clinical Chaplain Charlie Alston BD Clinical Chaplain Donald H Cabaniss MREClinical Chaplain Baxter P Cochran BD Clinical Chaplain Payton B Cook BDClinical Chaplain Milton P Snyder ThMClinical Chaplain Ronald A Wilkins BDClinical Chaplain 0 Chappell Wilson Jr BDClinical Chaplain Joseph G Cassidy ABCatholic Chaplain Harold L Gelfman DDRabbi Ervin R Oermann BDChaplain to the Deaf Charles B Fanshaw MREChaplain to the Deaf Clarence Y Barton ThM Consultant Quentin L Hand PhD Consultant Thomas H McDill PhDConsultant John M Price ThDConsultant Thomas J Pugh PhD Consultant Samuel Southard ThDConsultant CHAPLAIN RESIDENTS Joe W Clift AB BD John J Gleason AB BD Vanderbilt University Southern Baptist Theological Nashville Tennessee Seminary Louisville Kentucky 23 CHAPLAIN INTERNS J Douglas Fullington AB BD Davis S Hargrove AB BD Southern Baptist Theological Seminary Louisville Kentucky James M Kennedy AB BD Union Theological Seminary Richmond Virginia Columbia Theological Seminary Decatur Georgia Ben F Wright AB BD Candler School of Theology Emory University MUSIC THERAPY STAFF Herbert P Goldsmith RMT Director of Music Therapy Joseph A Castellano RMT Chief Music Therapy Services Unit I Carolyn Warren RMT Chief Music Therapy Services Unit II Mariann H Davis RMT Chief Music Therapy Services Unit III Saralyn Latham MA Chief Music Therapy Services UnitIV Dahlia Toulson acting Chief Music Therapy Services UnitV Cordelia Livermore RMT Chief Music Therapy Services Unit VI Beverly B Smith RMT Chief Music Therapy Services Yarbrough Music Therapy Patricia B Smith RMT Chief Instrumental Therapy OCCUPATIONAL THERAPY STAFF Dorothy M Clarke OTR Director Beverly U Currie BSStaff Therapist INTERNS Nelle K Johnston Nicholette Brown University of Florida University of Florida Karen A Harms Sharon Gallagher University of Florida University of Florida24 kN p RECREATION THERAPY STAFF Bruce R Prosser MS Recreation Director Bob Hall BS Recreation Therapist Jan Landry BS Recreation Recreation Therapist Lyndoll Moore AB Health and Physical Education Recreation Therapist Jimmy Rainwater BS Recreation Recreation Therapist Thad Studstill BS RecreationRecreation Therapist Anna G Warnock BS Recreation Recreation Therapist Betty Welch AB Physical Education Recreation Therapist INTERNS Lee Hughs Ann Shelko University of Florida Florida State University Rick Mendlin Florida State University Sandy Trimble Forida State University Charles Pippins University of Florida W J TarePhD Professor of Recreation Florida State University Terry Weatherman University of Florida CONSULTANTS Roy E Lelich PhD Professor of Recreation University of Florida VOCATIONAL REHABILITATION WC Petty AB NRCA Assistant Director of Special Disabilities Roy B Williams BS MA NRCA Supervisor VR Services CSH Paul P Alston BS MRC NRCA Rehabilitation Counselor Harry D Bates BS MRC NRCA Rehabilitation Counselor Bernice Blalock AB MRCRehabilitation Counselor Jesse P Collette BS NRCA Rehabilitation Counselor John W Cooper BA MEd NRCA Rehabilitation Counselor Homer Lee Corbett BSA MEd NRCA Rehabilitation Counselor 25 G Grady Daniel BS NRCA Rehabilitation Counselor James C Grover ABRehabilitation Counselor Joseph W OHaire BS MEd NRCA Rehabilitation Counselor G Morris Hall BARehabilitation Counselor Jane Kay Markette BA MRC NRCA Rehabilitation Counselor John E Mobley BS NRCARehabilitation Counselor Marvin K Pickett BS NRCARehabilitation Counselor Theodore Riegel Jr BA MA NRCARehabilitation Counselor John P Saxon BS MRC NRCA Rehabilitation Counselor Tom H Tennent Jr BS Rehabilitation Counselor Edwin R Freeman BS NRCA AAWE Chief Evaluator Richard Jones BS AAWE Coordinator of Adjustment Services Faye AdamsAdjustment Evaluator John F Brantley BS Adjustment Evaluator Marsha Fields ABAdjustment Evaluator Linda Ogletree BM Adjustment Evaluator Patricia Sampson BSAdjustment Evaluator Patricia Weerts BSAdjustment Evaluator George W Kinzy BS M EdChief Training Services Wynelle Armstrong RN Nurses Aide instructor Jewell Baumgardner Cosmetology Instructor AL Booth Machine Shop Instructor E M Bradford Shoe Repair Instructor Charlene Carpenter Cosmetology Instructor C Patrick Collins Service Station Attendant Instructor Betty Dooley BS Home Ec Home and Family Management Instructor K E Donaszewski Cabinetmaking and Drafting Instructor Anne B Hamilton Business Education Instructor Arthur M JonesElectrical Instructor Kenneth RyalsBarber Shop Instructor Jacquelyn ShellHomemaking Aides Instructor Jeff David SmithAuto Mechanics Instructor Marianne Thompson BSBusiness Education Instructor CONSULTATIVE SERVICES Lou F Marshall MDConsultant PsychiatristkN p w v r 26 OFFICE OF THE SUPERINTENDENT John J Schuyler LLB Exective Assistant PERSONNEL Donald F Madden ABDirector Frank Hobby ABAssistant Director VOLUNTEER SERVICES Jane Haddock BSDirector Susan Fowler BAAssistant Director PUBLIC RELATIONS Raymond D Brown Director SCHOLARSHIP Mary Bryant Archer BA Syracuse University RESEARCH Clyde Keeler ScD PhD Medical Geneticist Theodore J Mellinger MD Neuropharmacologist Penny Edwards MTHT ASCP Medical Technologist BIOSTATISTICS Thelma Van Norte BBA LLB Administrative Assistant Medical Records Mary F Cook Registrar Mary R Harrington Medical Records Librarian MEDICAL LIBRARY Johannah Keeler PhD Medical Librarian 27 BUSINESS ADMINISTRATION William R Crittenden Institutional Business Administrator Byrd K Lyon BSInstitutional Business Manager III Charles P Fowler BSInstitutional Engineer Electrical Engineering Robert W McMillin III BBC Institutional Engineer Construction Engineering Edward S Smith ME Institutional Engineer Mechanical Engineering James D Teague Jr BS Institutional Engineer Civil Engineering Woodrow T SpiveyChief of Building Maintenance Harry C Fussell BSADirector Farms and Dairies AC McDade Director Food Service WN McHanDirector Security Division AL Hartley Director Environmental Sanitation Edgar T Newsome BSA Horticulturist Robert W PetersProcurement and Services Officer James TateHospital Administrator Unit I Paul MitchellHospital Administrator Unit II RO Pennepacker Hospital Administrator Unit III William CurlHospital Administrator Unit IV Tom Simmons Hospital Administrator Unit V Bobby Sheppard Hospital Administrator Unit VI George Hart Hospital Administrator Division of Physical Treatment Levi Swinger Hospital Administrator Yarbrough Rehabilitation Center and Childrens Rehabilitation Center John A Bass Hospital Administrator Georgia Veterans Home28 9 July 1 1967 Dr Charles K Bush Director Hospital Services Division of Mental Health Georgia Department of Public Health 47 Trinity Avenue SW Atlanta Georgia 30334 SUBJECT 124th Annual Report Central State Hospital L Dear Doctor Bush Perhaps the most encouraging trend at Central State Hospital during the fiscal year ending June 30 1967 was a continued decline in the resident population This resulted in part from the placement of patients in qualified nursing homes and the transfer of 500 pa tients to Southwestern State Hospital causing a decrease of 590 pa tients in the resident population during the year The hospital had total gains of 10991 patients which included 4288 returns from convalescent leave 12 transfers into the hospital and 6691 admissions of which 4905 had not previously been ad mitted to the hospital Losses totaled 11501 and included 1357 discharges direct from the hospital 8838 patients placed on convalescent leave 475 pa tients transferred out of the hospital and 911 deaths During the year 4160 patients were discharged from convalescent leave r The decrease in resident patients however was not matched by a decrease in the case load We found that more patients were treated during 1967 than in the previous year however a marked increase in discharges and patients placed on convalescent leave held the on books figure to about the same as last year Several programs started last year have made significant prog ress The Childrens Rehabilitation Center is now fully staffed and operating effectively The educational section for emotionally dis turbed and mentally retarded children is now centered in the Boland Building with much better facilities The entire area has been air 29 conditioned An increase of 33 in underage patients during the last three years is making mandatory a careful evaluation of this trend with the purpose of providing increased facilities for this age group The appropriation for the fiscal year was increased from 19 million to 20500000 raising the per diem cost to 562 per patient as compared with 463 last year An encouraging note is evidenced by the fact that we are now finding no difficulty in filling available positions for residencies and internships in the various departments Twentyseven physicians are currently taking residency training in psychiatry In clinical psy chology social work music therapy occupational therapy recreation therapy clinical chaplaincyophthalmology hospital administration and vocational rehabilitation the number of trainees is limited only by available funds Seminar programs for high school and college students as well as for other visiting groups are now scheduled only on Tuesdays and Thursdays The demand for these programs continues to be high from all over the state of Georgia as well as from the surrounding states The addition of Assistant Superintendent Rod Clelland has led to an analysis of the hospitals organization and needs with a view to eventual accreditation Organizational changes and careful evalu ation of all hospital departments activities and programs are now being made by Task Force and audit committees A complete policy and procedures manual is in progress of preparation as is an effective organizational chart Psychiatric treatment is effective where an adequate number of practitioners can be secured Staffing continues to be the major prob lem in this institution In the Department of Physical Treatment the patient load is far too heavy for the staff and facilities available During the past year the division ministered to 33594 individuals with a total of 59380 days of patient care The present facilities are adequate in some respects particularly in the areas of surgery ophthalmology obstetrics gynecology anesthesia pathology labora tory services radiological services and the general services how ever much needs to be done None of the departments are fully staffed nor are they operating at peak efficiency30 The Psychology Department continues to be accredited at the highest level by the American Psychological Association and the department is effectively organized It is responsible for a great deal of the new therapy techniques now being employed in the areas of behavioral modification treatment of multiple handicapped patients and the education program for children The development of new programs continues to involve the nurs ing personnel however this department is probably the most poorly staffed area in the hospital The new inservice education program operating under a grant from the National Institute of Mental Health continues to be helpful in providing trained and competent personnel for the wards The staff of the Department of Social Work now includes 45 individuals and during the year the University of Georgia established a field training unit at the hospital centered in the Childrens Build ing The Department of Religious Services now includes eight clinical chaplains a full time Catholic chaplain a parttime Rabbi two chaplains to the deaf two chaplain residents and four interns A significant development has been an increase in the practice of pastoral psychiatry due to increased participation in individual and group counseling resulting from referrals from other staff members A i V The Vocational Rehabilitation section has had a 34 increase in staff making possible two counselors for most of the existing hospital units This department continues to show a significantly lower per centage of returns as compared with the average return rate of the hospital Volunteer Services is involved in many areas including garden clubs patient libraries Alcoholics Anonymous programs the Apparel Shop volunteer art programs Cub Scouts Boy Scouts Girl Scouts and the furnishing of day rooms by the United Church Women This organization during the past year furnished thirteen day rooms costing approximately 1000 each and has now spent well over 100000 over the last ten years in providing this service to the patients 31 The Occupational Therapy Department is now accepting interns from the University of Florida A total of 3004 patients were served during the year Remotivation held 5088 sessions with 4240 patients partici pating in the 424 patient groups This treatment modality also suffers from lack of staff As the regional training center for the southeastern area the department held two institutes one in 1966 and one in 1967 attended by more than 100 participants from surrounding state hospitals and other institutions treating the mentally ill Basic research in medical genetics included chromosome studies of hereditary abnormalities evident in Central State Hospital patients and the study of certain specific problems in the hereditary alteration of behavior trends In the area of psychopharmacology a spectro fluorometric method developed in this hospital for the recognition of phenothiazine tranquilizers in patients under medication provided a high incidence of positive tests With the evaluation and reorganization of the institution now going on 1968 holds much hope for betterment of the treatment pro gram and more effective utilization of facilities and personnel Respectfully submitted James B Craig MD Superintendent32 CLINICAL PSYCHIATRY The most encouraging factor in this department during the past year has been the continued effectiveness of the psychiatric residency training program which now includes twentyseven physicians Appli cations now being received enable a certain selection to be made thereby upgrading the quality of the medical staff An encouraging sign is that a number of those physicians completing their residency programs are remaining on the hospital staff It is still difficult however to find an adequate number of competent physicians to fill the available positions here at the institution The recent reorganization of the medical staff will make possible the provision of certain opportunities which we hope will attract ap plications from competent medical men to serve at the institution One of the factors which needs to be developed in this area is an increase in the availability of adequate housing Treatment procedures continue to be effective Development of new treatment techniques as well as a certain reorganization now going on in the psychiatric units has resulted in a considerable increase in discharge rates over the previous year Modernization of facilities and equipment is necessary to utilize effectively modern techniques and it is just as well to admit that unless additional staff better physical facilities and more modern equipment is made available no great advance can be made in the present treatment program Excellent interdisciplinary relationships has made possible some divergence of psychotherapeutic treatment among members of other disciplines and thus better coverage of the patient population has been achieved We must again pay tribute to the professional dedication compe tence and devotion to duties by the men and women who are members of the psychiatric treatment team in this institution 33 PHYSICAL HEALTH The per diem in the Jones General Hospital is approximately 00 per day The state average in general hospitals over 200 beds is 4688 per day In addition to the physical illness which we must treat we are confronted with many patients who because of their mental state cannot cooperate in their diagnosis and treatment This increases the need for laboratory tests and nursing care Yet we do not have half the number of nursing personnel required in an ordinary general hospital While the physical plant medical staff and equip ment have been improved the nursing staff remains inadequate CLINICAL SERVICES A MEDICAL SERVICE The patient load on this service is too great and only by dedicated service are the physicians able to give adequate treatment to their patients Recruitment is particularly difficult in this section While we have the position vacancies the lack of housing on the grounds has made it extremely difficult to obtain well trained physicians B SURGICAL SERVICE While there was a shortage of phy sicians during the year sufficient well trained surgeons were em ployed to enter this service at the beginning of the next fiscal year Of special note is the continued activity of the Department of Ophthal mology C OBSTETRIC AND GYNECOLOGY SERVICE This service continues to operate at a high degree of efficiency One more phy sician is needed for the cancer control program among female patients At the present level we are examining each female only once in two years and this is done on an area basis hence many women are ad mitted and discharged without this service We feel many lives would be saved and many women spared the ravages of uterine cancer if funds and personnel had been available to conduct this program for maximum results We are making every attempt to recruit another phy sician for the service The proper operation of this program would require the addition of 25000 to our budget or about three dollars per female examined34 D ANESTHESIA SERVICE The Anesthesia Service is well staffed In addition to anesthesia they are responsible for resusci tation E PATHOLOGY SERVICE This department is staffed with three board certified pathologists A cytology technician is needed to screen Papanicolaou smears Renovation of the available space is urgent F LABORATORY SERVICE Again there was a marked increase in the number of tests done Additional tests of a complex nature were added to the list available to the medical staff In order to continue with the past excellence at least four more technicians and an assist ant director are needed V y G RADIOLOGICAL SERVICE At long last money was made available to renovate and reequip this department H RIVERS BUILDING The need for added personnel and equip ment has been acute in this complex for many years I DIETETICS Special diets are available only in the Jones and Rivers buildings We have had only one dietitian on duty for the past year We do not have room in these buildings for all cases need ing special diets Efforts are being made to employ three or four more dietitians The Food Service Department is a separate operationThe food for the Physical Health Division is prepared in the hospital build ings and not in the main kitchen J CONSULTANTS During the past year consultants from the Medical College of Georgia were active in the following departments Medicine Surgery ObGyn Consultants not affiliated with the Medi cal School were active in Dermatology Ophthalmology and Oto laryngology K RESIDENTS By formal agreement a senior resident from the Mayo Graduate School of Medicine Rochester Minnesota serves his last three months in the Ophthalmology Department of the Central State Hospital 35 NURSING SERVICE The size of the Nursing Service in both the Jones and Rivers buildings is grosslyinadequatelt is only the dedicated and unselfish devotion of our nursing staff that stands between the patient and disaster Their numbers need to be increased by fifty per cent At the present time the surgical service is limited to about one half the operations they can perform because of inadequate operating room personnel as well as insufficient ward personnel Even though the personnel of this division have always been in adequate they have been called upon occasion after occasion to carry increasing loads In the Rivers Complex of buildings there is a short age of twelve individuals In the Jones section at least one hundred more are needed GENERAL SERVICES A HOUSEKEEPING DEPARTMENT The Housekeeping Depart ment of the Jones General Hospital is one of the most effective de partments of the hospital in that providing a clean sanitary environ ment for the patients and personnel However this department is understaffed and should have more personnel to carry out a complete housekeeping program B MAINTENANCE DEPARTMENT During the past year the Maintenance Department of the Jones General Hospital improved with several wards being repainted The patient area of Jones 3 West was begun to be replaced in its original form and this work is still in pro gress which should be completed within the next few weeks This will give us additional patient beds which are needed at this time This area had previously been torn out to be renovated for an ObGyn Department However the funds were never made available to complete this project The elevator system of the Jones Hospital has been improved by the addition of one new elevator and overhauling one of the existing elevators The additional elevator has greatly improved the traffic problem that existed36 C ADMISSIONS AND MEDICAL RECORDS DEPARTMENT This department still has only one Medical Records Librarian and with the advent of medicare it will be impossible to carry out the functions of the department The increased workload of medicare in addition to the present workload will require at least two more stenographers in this department X D COMMUNICATIONS AND INFORMATION The Secretarial Pool has done an excellent job in taking care of the medical dictation and other secretarial work of the different departments of the Jones Hospital However when the additional workload of medicare secre tarial needs are funneled into this department here again it will be virtually impossible to take care of the volume of work with the pre sent personnel At least two more secretaries will be needed in the pool and a ward clerk will be needed in each nursing unit plus the XRay and Outpatient Department PREVENTIVE MEDICINE Preventive medical services are offered in addition to hospital outpatient department and clinical services The following exami ations are done 1 Hemoglobin and hematocrit semiannually i 2 White blood count differential is done when count is below 4000 or above 10000 3 Blood sugar and urea nitrogen semiannually 4 Urinalysis semiannually y 5 Special bacteriological studies where necessary to determine bacteria thatmay have become epidemic 6 Determination when necessary where employees and patients might be carriers of epidemic strains of bacteria 7 Screening of new employees by physical examination CBC Urinalysis VDRL and Chest XRay 37 8 CBC Urinalysis VDRL Fasting Blood Sugar BUN and Chest XRay are done on each new admission 9 Papanicolaou smears on each female once each two years This is done on an area basis 10 PKU on newborns and all children in hospital In future on all children admitted 11 Minature chest roentograms annually 12 Ophthalmology survey for blindness A complete medical program for the female prisoners incarcerated here is operational Over 250 clinics were held in the prison A 24 hour emergency service is available Hospitalization is in the Jones building 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 debilitated patients and all patients over fifty years of age In epidemic years all patients should be immunized 3 Electrocardiograms should be done routinely every two years on patients over fifty 4 Otolaryngology Department should be established and a survey for deafness should be held 5 A health program for employees which should include annual CBC Urinalysis Blood Sugar and Urea Nitrogen and Chest XRay 6 All employees should be vaccinated for small pox38 SUMMARY A much needed elevator was put into operation Contracts for the renovation of the Radiology Department were let This will close one of the weakest limbs in our operation The Outpatient Department the Obstetrical suite and the nursery remain to be brought up to ac ceptable standards We suffered no major epidemic and the weather on the whole was salubrious therefore our death rate was exception ally low DENTAL DEPARTMENT X In addition to emergency care the Dental Department provides routine examinations and treatment for the patients at eight month intervals During the past year 40395 operations and treatments were accomplished by the Dental Staff and an additional 22835 oral exami nations were rendered The Dental Laboratory processed 527 appli ances and 221 additional appliances were repaired r The Dental Department stresses the importance of preventive measures Numerous presentations by members of the Dental Staff emphasizing oral hygiene and ward dental care were made to the at tendants and patients of the hospital The Dental Director initiated a comprehensive oral hygiene program in two of the hospital units Recommendations were made to the unit directors and administrative officers of these hospital units for purchasing the correct type and numbers of aids and devices needed by each ward in maintaining an adequate oral hygiene program A comprehensive oral hygiene program on the wards of the other hospital units will be instituted as rapidly as possible Dr Clyde D Marlow is consultant in oral surgery An inservice training program is conducted for the improvement of the staff Our Chief Dental Laboratory Technician took a weeks training course on the use of chrome cobalt alloys and partial denture construction The State Board of Dental Examiners allows us to participate in the pre ceptor training program for dental hygienists Our dental assistants training under this program are qualified to take the state board exami nations to be dental hygienists 39 The Dental Director attended the annual meeting of the American Dental Association the American Association of Hospital Dental Chiefs and the annual meeting of the Georgia Public Health Associ ation Funds have been obtained for expansion of the dental facilities into the units Two operatory facilities are to be placed in the Rivers Binion and the Bostick buildings within the next 12 months A small er dental facility will be installed in many of the other buildings of the hospital for examination and treatment of those patients who can not be conveniently transported to the Dental Clinic The urgent needs of the Dental Department are listed as follows 1 An administrative officer 2 Two institutional workers 3 Consultative services in Prosthodontics Periodontics and Orthodontics 4 There are eight dentists and eight dental assistants on the Dental Department Staff The number of dentists should be increased to one per 1000 patients meeting the minimum requirements of the American Psychiatric Association for mental hospitals 5 Two additional dental assistants are needed 6 A distressing problemisthe inability of some wards to deliver their patients to the Dental Clinic on time 7 Sufficient funds should be included in the individual budgets of the Hospital Units so that aids and devices necessary for comprehensive ward oral hygiene programs could be obtained40 X v NURSING SERVICES As the fiscal year ended there were approximately 1750 persons employed in nursing service positions The department is facing many obstacles in providing effective nursing service to the thousands of patients in this institution While all personnel are working diligently to improve patient care and in many instances are succeeding against great odds it is the general consensus of many nurses who have worked in this institution for a number of years that today there is often less coverage than has been known before While nursing supervisors in the units are making honest efforts to have personnel coverage for all of the programs and patient acti vities these have grown to such an extent that in an attempt to cover pressing appointments and program activities wards are often left with only one attendant We must reiterate that safe patient care is impossible as long as such meager staffing conditions exist Looking at nursing staff patterns throughout the hospital it is noted that the 73 shift is apparently out of proportion to the 311 and 117 shifts however this inequality is an attempt to meet the demands of the heavy work load during the 73 shift It is now becoming ap parent that program activities and patient appointments run well into the early evening hours with the consensusthat the 311 shift is often the most inadequately staffed Staffing is a perennial problem Recruitment for professional nurse positions continues at a low ebb In as much as the beginning salary is considerably below that offered by many general hospitals there has been no appreciable change in recruitment for attendant classification positions Applications continue to be received from female applicants but comparatively few males The new merit classi fication system setting up positions for licensed practical nurses may provide some help in this respect A tribute to the careful attention being given by nursing person nel to the patients is evidenced by the fact that on wards where there are so many chronically ill bedridden and incontinent patients bed sores seldom occur except in cases where patients are on strict bed rest These patients are taken out of bed at least once or twice daily 41 The reorganization of patients records has placed an additional burden on nursing personnel however we recognize that this is an essential to a well organized hospital Emphasis is being placed on the importance of providing detailed nursing notes on all patients at regular intervals in addition to recording any unusal symptoms be havioral problems or changes in the patients as observed daily Two of our registered nurses who have provided many years of service to this institution retired during 1967 Mrs Oreta S Reeves assistant director of nursing in Unit 1 retired in March after 31 years of service and was replaced by Mrs Juanita C Watson RN Mrs Lottie T Garland retired as assistant director of nursing in Unit 5 after 37 years of service and has been succeeded by Mrs Mildred Daniels RN Unit committees continue to plan inservice education programs for the nursing personnel All workers are encouraged to cooperate and the attendance is usually good These programs are planned on a semiannual basis Neighborhood Youth Corps enrollees now number 95 in number and assigned as nurses aides are a great help in providing better nursing service activities Also patients training as nurses aides in the Vocational Rehabilitation Center are very helpful There are 47 women in this program Among the lecturers during the year were Miss Alda Ditchfield assistant director of nursing at the Medical College of Georgia and Dr Toaru Ishiyama who spoke on Collaboration of Nursing Service and Education in the OnGoing Training of Psychiatric Aides Among the obstacles to an effective nursing program at Central State Hospital are wards too populous for good administration inade quate equipment bare necessities in supplies some items not even available linen problems and shortages inadequate staff both in number and quality and demands made on nursing personnel not re lated to patient care Nursing service personnel in the institution will be able to furnish adequate patient care when the following goals have been reached42 1 A sufficient number of well trained personnel are engaged in patient care rather than in duties not so related 2 Additional nursing personnel are preservice trained in the basic principles of their profession thereby relieving ward personnel of discretionary responsibility for early training 3 Inservice education programs are aimed at continuous personal growth and development on the job for every worker l 4 Advanced courses are designed to prepare for leadership roles those employees showing requisite ability or apti tude X y 5 Housekeeping duties are assigned to other than nursing personnel 6 Food service for patients is maintained by Food Service Department 7 Supervisors separate and distinct from office worker or building receptionists are secured for each shift in each patient area whose duties will include membership in the ward staff and availability as a resource person for patients and personnel NURSING EDUCATION The annual faculty meeting was held September 22 with 45 members attending representing seven schools of nursing The faculty envisions a new role of coordinating meaningful clinical experiences for college and junior college nursing students since the pattern of nursing education in Georgia is changing Two of the new junior college programs participated in coordinated clinical experiences These were Abraham Baldwin College in Tifton and Georgia South western at Americus as well as students in the collegiate program of the Medical College of Georgia Albany State Colleges Department of Nursing students received their clinical experience in psychiatric nursing at Central State Instructors at the college were responsible for the education program 43 with members of the Central State Hospital faculty serving as consul tants With the change and emphasis on the education of nurses only four hospital schools will continue to send nursing students here for clinical experience in psychiatric nursing These include Georgia Baptist and Piedmont Hospitals in Atlanta Hall School of Nursing and Macon General Hospital During the past year 323 student nurses completed the course in psychiatric nursing They were from Georgia Baptist Hospital 141 Georgia Southwestern College Americus 73 Hall School of Nursing Gainesville 24 Macon Hospital 43 Medical Center Columbus17 Piedmont Hospital Atlanta 55 and Warren A Candler Hospital Savannah 6 REMOTIVATION Considerable progress has been made through the involvement of more people in the remotivation program by continuous educational activity as well as by the departments role as a regional training center for remotivation in the southeastern area Four hundred twenty four patient groups held 5088 sessions with an estimated 4240 pa tient participants The development of the program within the hospital is being approached on three levels First the technique of remotivation is applied to the individual or a small group of patients in an array of unstructured nonformal approaches concentrating on basic functions inherent to hum an beings in our society such as personal cleanli ness clothing grooming eating communicating physical fitness trips parties and hobbies On the second level a formal groupstructured type of remotiva tion is applied to groups of 1012 patients once or twice weekly On the third level advanced group remotivation involves experi ences in learning the art of conversation and discussion relating to many phases of living art flower arranging styles and other current experiences of every day life such as using the bus public dining shopping entertainment behavior in public use of newspapers telephone etcetera 44 X J y The correct use of cosmetics has developed through collabo ration with Volunteer Services and a cosmetic company which will result in the participation of an estimated 3000 patients during the coming year Conferences with Vocational Rehabilitation are being held with a view to bridging the gap between the two techniques Unit directors voted unanimously to use remotivation therapy on a prescription basis As the regional training center in the southeastern area two institutes were held for more than 100 participants from surrounding hospitals and institutions Twenty eight enrollees of the Neighborhood Youth Corps have undergone training and have conducted 62 patient groups involving an estimated 620 patients The coordinator was lecturer in three grantsponsored courses conducted jointly by the Chronic Disease and Geriatrics Service and Georgia State College and another with the Georgia Center for Continuing Education at the University of Georgia MEDICAL LIBRARY New acquisitions for the medical staff at Central State Hospital have consisted almost exclusively of journals and the two dominant reference works The Cumulative Index Medicus and the catalogs of the National Library of Medicine Funds for the purchase of new books for the library have not been available however two com mercial houses did help fill the gap a little The library has made application for a library resource grant and the benefits from this will be on hand in the coming year In spite of the lack of new book acquisitions the excellent current reference worksand the wealth of specialized journals have made the library very useful to the staff In addition both inter library loans and Medical Library Exchange have served to supply materials as well as to absorb needed duplicates and antiquated materials More than 200 pounds of old journals were sent to a new American library in Iran by way of the Quaker Storage Company in Philadelphia and other materials were sent to other places in the United States and abroad to Hawaii Malta Canada Central America and Japan45 In preparation of the offical recognition of the legal library in the Powell Building an inventory of the holdings of this library was made and catalog cards ordered for these holdings A lecture entitled Introduction to the Medical Library was given to several departmental groups as well as to students of Georgia college at Milledgeville and for a number of weeks lessons in Spanish were given to a few staff members The translation services in the Medical Library proved helpful and more so since there is now a notary public on the library staff to certify the translations of the academic documents of foreignborn doctors PSYCHIATRIC SOCIAL WORK The staff of the Social Work Department on July 1 1966 consisted of the Director one Social Worker III one Social Worker II twelve Social Worker Is twentytwo Social Work Aides and eleven Secretari es for a total of fortyeight On June 30 1967 in addition to the Di rector the staff consisted of one Assistant Director one Social Work er II nine Social Worker Is twentytwo Social Work Aides and eleven Secretaries totalling fortyfive This constitutes a decrease of three with the significant loss or lack of staff on the II and III levelsthose with supervisory and or administrative skills The Department also had eight staff members on educational leave in various stages of completing their Masters Degree in Social Work supported by stipends from the hospital The schools attended include the University of Georgia Florida State University Wayne State University the University of Michigan and Tulane University On September 1 1966 the University of Georgia established a gradu ate student field training unit at the hospital by providing a fulltime faculty member to administrate the unit and supervise the students The University also provides secretarial services The unit is present ly located in the Yarbrough Building with students assigned to various hospital units as required for case assignments The transfer of patients to nursing homes continued as a high priority program in the DepartmentA total of 500 patients were placed during the year Of that number 295 were placed through the sponsor ship of the Baldwin County Unit of the State Department of Family 46 and Children Services located at the hospital Over 50 nursing homes throughout the state are participating Newly added tothe program this year has been the transfer of patients under 65 years of age who qualify for Aid tothe Disabled and subsequent Vendor Payments for nursing care The hospital received national recognition for this pro gram when a study by KF Jasnau ACSW Director of Social Work was published in the March 1967 issue of the Journal of the American Geriatrics Society entitled Individualized Versus Mass Transfer of Nonpsychotic Geriatric Patients from Mental Hospitals to Nursing Homes with Special Reference to the Death Rate X Departmental statistics reveal that a total of 12547 letters were written during the year to relatives community agencies and other interested parties 6140 Social History Questionnaires were mailed and 222 case records were abstracted and sent to community agencies Only 8 of these abstracts were completed during the second six months of this period reflecting the establishment of the Medical Record Librarian Office For this same reason the number of forms completed insurance Social Security Department of Family and Children Serv ices etc was 3467 a decrease of 5901 over the preceding year Finally the Social Work staff held 15651 interviews with in patients andor their families and 6799 interviews with outpatients andor their families 1207 group sessions were conducted with pa tients which varied from orientation of new patients ward government preparation of patients for transfer to social group work treatment As a result of this activity 2035 patients were released from the hospital through social work planning This included placement with relatives independent living arrangements family care nursing home placement or out of state transfer y CLINICAL PSYCHOLOGY CLINICAL SERVICES The Clinical Psychology Department continues to be accredited at the highestlevel by the American Psychological Association Con stant efforts are made to improve psychological services and to initi ate new programs which will be beneficial to the patients and to the hospital 47 During the year the staff evaluated 4089 patients Psycho logical treatment was given to approximately 700 patients monthly Staff members spent many hours in teaching and research In addition to the usual clinical services of evaluations and treatment the department was administratively responsible for a number of special programs including the treatmenteducation program for children the treatment program for patients with multiple handi caps the behavioral modification program the training of interns in clinical psychology clinical research and education in clinical psychology During the year emphasis has been placed on improving psycho logical evaluations and psychological treatment by initiating more scientific and efficient techniques in both of these important areas Also a concerted attempt has been made to greatly increase psycho logical services to all the patients in the hospital by increasing the number of technicians training them to function at more complex levels and carefully directing and supervising their work by qualified doctoral level clinical psychologists A new experimental program is now being established which will increase clinical services by uti lizing University Consultants to provide the required supervision that is not possible due to a lack of permanent professional staff members Added details concerning these specialized programs follow BEHAVIORAL MODIFICATION PROGRAM Much emphasis has been placed on our Behavioral Modification program This program was begun in January 1966 on one ward with 45 patients Since that time six other Behavioral Wards have been established Psychologists and Interns who have been involved with the program participated in a symposium at the Georgia Psychological Association Meetings Currently a monograph is being prepared for publication which will relate the findings secured over an 18 month period To date approximately 200 patients have passed through the initial experimental ward and about 135 of those patients have either been furloughed assigned to Intensive treatment wards or to the Vo cational Rehabilitation Building In order to determine the effective ness of the Behavioral Modification approach the mere furloughing48 of a patient is not a useful criterion However when used in conjunc tion with return from furlough it holds more meaning From in formation gathered from hospital sources it seems that the return from furlough rate for the hospital at large is approximately 50 per year The latest data secured from the Behavioral Modification Ward indicates thatits return from furlough rate is hovering at the 12 level per year The Behavioral Modification program has been successful is expanding and new experimental wards are being planned to increase treatment effectiveness by using new scientifically validated learn ing principles with many different types of patients and psychological problems X PROGRAM FOR MULTIPLE HANDICAP PATIENTS Progress continues to be made in this program which was set up in 1964 originally for those patients suffering from some speech hearing or visual problems in addition to their mental illness In No vember of 1965 the scope of the program was enlarged to include patients suffering from any physical disability The first patient in this category was a man who had suffered a cardiovascular accident and was admitted on November 30 1965 y Since the ward was opened a review of admissions reveals that the percentage of total number of patients admitted fell into the fol lowing categories Totally Blind 14 Partially Blind6 Totally Deaf 18 Partially Deaf 28 Speech Defect 18 Multiple Sensory Handicap 6 Miscellaneous Physical Handicap 10 Screening of the hospital population for suitable candidates for this ward is on a continuous basis and to date more than 1700 patients have been screened Special services in each of the major areas of the handicapped have been enlarged and broadened For those whose dep rivation is in the visual field the program includes in addition to 4 49 psychological treatment training in travel and mobility by a con sultant Talking Book Machines are available and books are pro vided by the Library for the Blind For those who have mastered Braille publications and books in this media are provided For the blind as well as for these patients suffering losses in any of the other major areas corrective surgery is available in the surgical unit of the hospital For those patients whose sensory loss deals with speech speech evaluation and therapy is provided by consultants from the University of Georgia Speech and Hearing Clinic Periodic visits by these con sultants provide the corrective therapy needed by these patients in their effort to learn intelligible speech patterns Special services for the deaf and hard of hearing include periodic visits by teachers skilled in the use and teaching of sign language as well as evaluation by Audiologist from the University of Georgia Speech and Hearing Clinic Recommendations of these Audiologists are followed In some cases it is possible for Vocational Rehabili tation to provide hearing aids that partially alleviate the hearing loss Group Therapy using a sign language interpreter was initiated for the deaf in 1965 Psychological therapy both individual and group is available for all patients as is Occupational Therapy Music Therapy Recre ation Therapy Social Service and other special therapies Since the Multiple Handicap Ward is located in the Yarbrough Rehabilitation Center Vocational Rehabilitation is an integral part of the program The main goals with each patient are to provide psychotherapy special services and vocational rehabilitation so that individuals can function outside of the hospital at a level com patible with their abilities and physical limitations In addition to having mental and physical problemsmany of the patients are chronic and institutionalized Consequently an attempt is made to help them with problems of daily living such as personal grooming budgeting of money taking care of personal belongings and accepting limits and responsibilities so that they will stand a better chance of adjusting to life outside of the hospital A ward government has existed on both the male and female wards since the initiation of this special program50 Each patient is given as much responsibility as he or she is able to handle effectively A concerted effort is made to help each patient learn that his behavior and attitude earn certain privileges on the ward in the building and permit him to go home for visits and to make phone calls Improvement in patients treated on the ward to date can be classi fied as follows Approximately 71 have shown a marked improvement 20 are rated as unimproved with the remaining 9 showing continued regression from their preillness levels CLINICAL TRAINING X This year eight new interns are in residence five from the Uni versity of Georgia two from the University of South Carolina and one from the University of Florida Ten students are on scholarship at Georgia State University University of Georgia and the University of South Carolina who will return as interns next year Professional training has been concentrated in several areas and considerably facilitates training and supervision An observation room has been constructed in one unit allowing close continuing supervision of interviewing and psychotherapy Training is available with both adults and children y Two behavior therapy wards operated on the basis of applied learning theory have been established in the male building of Unit 5 also one in the female building and another female ward in Unit 3 A similar ward for retardates has been established in Unit 6 These wards are administered by psychologists and should provide interns with valuable learning experiences based on proved scientific princi ples of our own profession RESEARCH During the year the departmental staff had eight research studies accepted for publication in professional journals Other studies and grant proposals were submitted Approximately 20 research studies were in progress at any one time Efforts have been made to establish and improve a research laboratory for research in Clinical Psychology51 EDUCATION IN CLINICAL PSYCHOLOGY The educational endeavors of the Psychology Department are divided into inservice teaching and public education The inservice teaching includes brief encounters and formal classroom activities Under the supervision of the Director of Education classes are held with psychiatric residents student nurses social work aides psy chiatric attendants and music therapists covering such topics as history and review of psychology abnormal psychology psycho therapy etc The public education program is carried out in conjunction with the Public Relations Department and is geared toward orienting the public to their state hospital and the importance of mental health problems College and university classes high schools lay organi zations schools of practical nursing etc who visit the hospital are oriented to the functions and practices of the hospital tour wards and participate in verbal interchanges with the patients The over all goal of this program is to dispel many erroneous notions held by the public concerning the State Hospital and emotionally disturbed individuals During this past year over 2900 people spent a full day at the hospital under this program In addition special groups such as the Georgia Mental Health Association Alcoholic Study Groups and Ministerial Associations visited the hospital for special programs organized to meet their special needs SPECIAL EDUCATION PROGRAM This Program would not be possible without the support of the Georgia State Department of Education and the Baldwin County Board of Education The number of patients 18 years of age and under admitted to this institution during the last year increased some forty per cent over the previous year This is a national trend There were 385 underage patients admitted during 1966 and 198 patients admitted during the first five months of 1967 This latter figure would suggest that the total underage admissions for 1967 will be about 525 During May 1967 there were 560 such patients in residence in this insti tution All of these patients received a screening battery of psycho logical tests and the results of these were employed in consideringhSBBKHMBBI 52 X g icj the child for appropriate school placement Complete psychological evaluations are written on patients in response to a formal request from the ward physician An average of twenty such evaluations are completed each month The Special Education Program is divided into several areas Eight teachers currently teach the Educable Mental Retardates and 64 children and adolescents are in these classes Two attendants are conducting classes for 31 Trainable Mental Retardates Two fully certified teachers will be added to this section in September 1967 thus doubling the number of patients served and also increasing the services rendered to this patient group The program for emotionally disturbed patients include 13 teach ers Two of these have classes for children in the 610 age bracket six hold classes for children in the 1015 age bracket and five hold classes for adolescents in the high school age bracket Three staff psychologists two psychology interns and two psychology tech nicians serve the Special Education Program and assist in the be havior management of the patients Three wards in the Boland Building have been allocated to the school program and two of these were renovated and airconditioned in the fall of 1966 Classes were moved from the Childrens Building to this new section in which there are 21 classrooms a library plus office and storage space The third ward is currently used for physi cal education and plans are in progress to renovate this ward and make it a permanent school facility Federal funds under Title I of Public Law 8910 became avail able during the summer of 1967 These funds were employed to pur chase classroom equipment and supplies and for a cultural enrich ment program for the patients Numerous trips were taken and a host of new experiences made available to our patients most of whom come from somewhat impoverished backgrounds All the teachers are involved in additional training at a recog nized university Inservice Training Seminars are held periodically and many outstanding consultants visit to evaluate the program make suggestions for improvement and assist in staff training The program is affiliated with the University of Georgia and University of Florida for training teachers of exceptional children 53 A new experimental ward for mental retardates has been initiated Many of these children are in the school program It is expected that greater coordination between the classroom and the ward where the students live will result in a much more consistent and effective approach to patient improvement A centralized unit for all underage patients which would include both education and treatment should lead to a much more effective treatment program for children It is hoped that such a centralized unit will be established before long RELIGIOUS SERVICES This fiscal year marked the fifth year of existence of the Depart ment of Religious Services Duringthis year the department has stabi lized both in personnel and in services As noted below additions and innovations characterize these two areas However a foundation has been established which gives the Department of Religious Servi ces its unique character both within this hospital and among such departments in other psychiatric institutions PERSONNEL With no loss of personnel this year the Department of Religious Services maintained comprehensive although thinly spread pastoral coverage of the entire hospital One addition to the staff made possi able more adequate pastoral care in the Yarbrough Jones and Kemper Buildings In addition to this new assignment the assignment of the Childrens Unit to the chaplain in Unit Six the Rivers Buildings to the chaplain in Unit Four and the Georgia Veterans Home to the chaplain in Unit Five marks a deviation from assignment by indi vidual units This structure is necessary to provide pastoral coverage for the entire hospital During this year the projected staffing pattern was altered with greater emphasis placed on training personnel ie chaplain interns and residents This was in recognition of the transiency of pro fessional members of the staff The plan is to best utilize budgetary resources by a proportionately greater increase in fulltime trainees with the knowledge that these positions will be newly filled each year This will provide more pastoral care to patients as well as increase the number of clinically trained clergymen throughout the state54 SERVICES X r PASTORAL CARE The Department of Religious Services main tained consistent pastoral visitation to new admissions and to pa tients in acute crises Nearly 8000 pastoral calls were made by chaplains Eight hundred formal worship services were conducted along with over 900 informal religious meetings on the wards Special events in the Christian year were celebrated in festive occasions of worship such as All Saints Day and the Lenten season Chimes were donated and installed in the chapel in Unit Six An additional chapel service designed especially for the children in Unit Six and Seven was begun CLINICAL SERVICES There was a significant increase in the practice of pastoral psychiatry as the chaplains stepped up partici pation in individual and group counseling Referrals from other staff members placed greater demands for more clinical interpretations of religious ideation and for more involvement in the total treatment pro gram With the Department of Religious Services established in the eyes of the other clinical departments chaplains are utilized both in the total treatment program for patients and in consultation with clergymen throughout the state Pastors and church officials have requested consultation in providing supportive resources for patients returning to the communities INSERVICE EDUCATION In addition to programs within the department designed to increase the competence of the staff con sultants were brought in to present papers and to provide current evaluations of the work of the department Specialists in the fields of the mental hospital chaplaincy clinical pastoral education and psychology of religion each spent two days in consultation with the chaplain staff STAFF AND COMMUNITY RELATIONS The Department con tinued to participate in the interdisciplinary educational program of the hospital In the past year chaplains provided regular lectures to psychiatric residents nurses and phychiatric aides Special presen tations were also provided to psychologists social workers music therapists occupational therapists and other members of the hospital staff 55 The same format was followed with workshops for parish clergy men Designed to acquaint ministers of all faiths with resources with in the hospital and the community these workshops involved 17 clergymen during the year In addition to these regular workshops a seminar was conducted overa period of six weeks for local clergymen They presented some of their pastoral situations and received guid ance and consultation within the group of other ministers and one of the staff chaplains Also at the request of the Methodist denomination in the state a workshop was planned with specific attention to the role of the church in community mental health More than fifty pastors and church officials from throughout the state participated in this threeday workshop As a consequence of this workshop many semi nars have been held within churches in the state focusing attention particularly on these specific communities and how the churches may enter into the program for community mental health EDUCATION Programs of training for seminarians and clergy men were in progress this year and involved seminary students who participated in the part time program seminarians and pastors who participated in the clinical quarter program and ministers involved in the clinical internship program Nineteen seminarians were involved in the part time program Introduction to the Pastoral Care of the Mentally 111 This was offered in cooperation with Columbia Theo logical Seminary and the Candler School of Theology A total of eighteen seminarians and pastors joined the staff for varying periods of full time clinical pastoral education Representing twelve theo logical seminaries these ministers remained here from three to twelve months Our department has developed a system of rotation with the Geor gia Mental Health Institute in which chaplain interns are exchanged in order to encountera broader spectrum of training assignments RESEARCH During this year two chaplain residents in consul tation with the Director of the Psychology Department completed and reported on An Objective Comprehensive Evaluation of Re ligious Orientation This research project conducted over a period of nine months was an attempt to produce a reliable valid device for the comprehensive measurement of the religious orientation of both the mentally ill and the mentally healthy This device is de signed for use in the mental hospital and the community as an evalu ative clinical technique56 MUSIC THERAPY The current fiscal year has shown growth and development in the personnel of the Music Therapy staff Two additional positions were created in the budget as of July 1 1967 and were subsequently filled by music therapy interns who remained on the staff following completion of their training During the entire year four interns have remained on the staff at the conclusion of their internship or shortly following thus bringing our professional strength to nine registered music therapists at the conclusion of fiscal 1967 I In October Mrs Patricia Smith a music therapist with several years experience in music education in the area of instrumental music prior to becoming a music therapist and subsequently directing a music therapy program for over three years joined our staff as a Music Therapist II She was assigned to head the instrumental therapy program with a staff of three Music Therapy Aides Almost immedi ately the dramatic results of her program began to be revealed Instrumental ensembles have presented Hospitalwide programs and it is generally felt that the therapeutic results of this program have drastically increased as it has been so extensively developed In April Mrs Cordelia Livermore Music Therapist II joined our staff to develop an extensive program in Unit VI with the mentally retarded Prior to joining our staff Mrs Livermore spent a number of years in music education and then studied music therapy and mental retardation in England and on the continent of Europe Her back ground is varied and her methods unsual but the results in permanent positive carryover to the patients in the program are already shown to be dynamic This indeed promises to become one of the outstan ding programs of the music therapy department On July 1 Crawford Finley was placed on the music therapy staff in the capacity of a Vocational Rehabilitation Trainee Coming from Rome and a former patient at Batty State Hospital Mr Finley developed so well in the role of music therapy aide that we perma nently added him to our staff on January 1 when his initial training period was complete Two other music therapy aides joined our staff during the year57 In coordination with the Department of Religious Services two combined Festal Services were held in Chapel I Worship through the beauty of the liturgical service and challenging music were the key note which provided distinctive inspiration to the patients More such services of Worship are planned for the future Early in the year a 16mm sound projector and screen were pur chased primarily for use of the various music appreciation groups in the Unit music therapy programs Using the films from the Department of Education and Southern Bell Telephone many outstanding music films have come to play a significant role as a visual as well as auditory medium This equipmenthas further been used in one clinical training program and for special psychiatric films for the entire music therapy staff Several music instruments were purchased during the year princi pally guitars to meet the expanding needs of this program The music libraries have also been regularly increased and developed to meet the everbroadening scope of the various music therapy programs at Central State Hospital This area is rapidly becoming beyond the operative scope of one individual The annual performance of Messiah by George Frederick Handel took place in the Hospital Auditorium on December 11 Solo ists for this performance were Jane Murray soprano Laura Hillman contralto Dr Paul McCommon tenor and Dr Max Noah bass Mem bers of the Atlanta Community Orchestra Joseph A Kirschner con ductor traveled from Atlanta to play the performance which was con ducted by the Director of Music Therapy A tape was made and later pressed into 33 13 rpm records and many sold at five dollars 500 each Many complimentary copies were sent to prominent Georgians An outstanding performance by an outside artist was presented for the patients by The Rev Ian Mitchell Playing his guitar and singing folk music with some modern church music scattered through out the program Father Mitchell achieved one of the most significant patient audience responses in the memory of many of the Hospital Staff Several church choirs music clubs and educational music organizations also presented interesting and greatly appreciated programs during the year58 y g X At Christmas one of the music therapists and her husband pre sented a gift of three hundred dollars 30000 to the Patients Benefit Fund for the Music Therapy Department This money has been used for specificareas of need as the occasion arose In October The Director of Music Therapy was named local chairman for arrangements for the 18th Annual Conference of the National Association for Music Therapy to be held in Atlanta at the DinkerPlaza Hotel October 1921 1967 During the year in addition to the administration of the music therapy department he presented several lectures for colleges civic groups and the like At the Georgia Baptist Church Music Conference in November at Jekyll Island the Director of Music Therapy reported on the positive progress of the patient referral system now in operation with many of the Georgia Ministers of Music At this Conference the organization made him an honorary member of its choral group known throughout the State as the Sons of Jubal the only member of this group not a fulltime minister of music During the year he has performed with the Sons of Jubal at Moultrie Tifton and Savannah 7 The coming year appears promising More interns have applied for clinical training than we currently have positions a situation we are hoping to remedy With the addition of several aides with well developed skills we now have a solid nucleus of persons with local connections who are aptto remain on the staff indefintely The coming of the annual conference of the National Association for Music Thera py to our local area of Atlanta should provide a real stimulus for the entire staff and we look toward the coming year with anticipation OCCUPATIONAL THERAPY The present staff of the department includes one director one stenographer one storekeeper and 46 OT aides with seven vacan cies Two University of Florida interns completed their affiliations and two more have succeeded them Professional relations have improved with OT personnel now being included in all unit planning sessions patient screenings etcetera Service pins were received by fifteen department employees for periods of service from 10 to 35 years 59 A number of clinical improvements have been made One was moved to a better location two were combined for better space and personnel utilization air conditioning was installed in one area and sprinkler systems in two other clinics Two clinics were painted and a number of pieces of furniture were reworked and topped with formica During May MWard which served as 0T Clinic for the Veterans Building was destroyed by fire This program has been discontinued pending erection of a new building PROGRAMS The total number of patients under treatment in occupational therapy during 1967 was 3004 Statistics show that 38 of the case load has shown a high degree of improvement Because of clinic moves and program reorganization afternoon programs have decreased and in one ward programs have been discontinued due to problems relative to physical settings Many new crafts have been introduced to add variety to the pro gram These include ballpoint painting rug hooking and hairpin lace Recreation and occupational therapy combined to present four performances of the Christmas program in Unit 6 The department was also responsible for the erection of Christmas scenes throughout the hospital grounds Projects made by the patients as part of treatment were exhibited and sold at meetings of the Athens Womens Medical Auxiliary the Athens Womens Club and the Muscogee County Medical Auxiliary Exhibits were set up in Fellowship Hall for Chamber of Commerce Day and for the annual meeting of the Azalea Garden Club Programs have still not been set up in the Yarbrough Binion Howell and Childrens Building as funds have not yet been budgeted by the units for the necessary positions Patients from the sensory disturbance wards in the Yarbrough Building continue to attend OT sessions in Unit 160 Items made or repaired by the patients and issued to the wards include upholstery picture frames ceramics etcetera Two hundred yards of muslin was issued to Remotivation EDUCATION The inservice training program included four and onehalf hours orientation for each new employee and 18 craft classes with an average attendance of 29 individuals for a total of 923 class hours in crafts l X Nine staff meetings were held during the year Two staff members attended a sign language course sponsored by the Department of Religious Services three attended adult education sewing classes twice weekly and three others are attending elementary classes in reading and writing skills three times weekly Seven staff members attended a ceramics display at Georgia College at Milledgeville and two attended a meeting of the Baldwin County Association for Mental ly Retarded Children The department filled lecture requirements for student nurses psychiatric residents psychiatric aides public health nurses clergy music therapists and interns psychology interns and recreation therapists These included 202 persons who attended from one to three hours PROFESSIONAL ACTIVITIES One of the departments members belongs to the American Occu pational Therapy Association and during the year her term on the AdHoc Clinical Advisory Committee was terminated y The director is president of the Georgia Occupational Therapy Association and conducted four meetings during the year Thirteen staff members are associate members of this organization The director was guest speaker for the Athens Women s Club and partici pated in Chamber of Commerce Day 61 Other department members were extremely active in community organizations Community relations by the department included par ticipation in the Christmas parade providing a gift shop in Monticello with patient items for sale and a sidewalk sale of patient items sponsored by the Baldwin County Sportmens Auxiliary Fifty six pieces of furniture have been reupholstered and 58 quilts finished for the public Donations of fabric and yarn were received from two local firms and one manufacturer dyed the stage curtains for Unit 6 RECREATION THERAPY During the past year the Recreation Therapy Department has expanded and improved its services to patients by assigning recrea tion teams to all units The department continues to be understaffed however some progress was made with the addition of four profession al recreation therapists and an increase in the number of subpro fessional employees EDUCATION The inservice program has continued from last year and a total of 40 educational movies and 25 hours of theory were attended by the personnel of the department Twelve departmental and 50 staff meet ings were held last year and in addition the staff visited Gracewood State School and Hospital to observe the recreation program of that institution The director and staff therapists participated in the annual conference of the Georgia Recreation Society and attended a workshop on recreation for the retarded The director served as consultant to the Georgia Department of Parks on a camp for the 111 and Handicapped One of the staff thera pists served as chairman of the Hospital Section of the Georgia Recreation Society and seven other members of this department are members of the organization The director gave lectures to several groups within the hospital such as psychiatric aides chaplains music therapists ministers of music and student nurses62 Interns are presently at the hospital from Florida State Univer sity and the University of Florida SERVICES Recreation therapists assigned to the six psychiatric units are responsible for the planning of the recreation program for their re spective unit The program usually includes dancing sports and games dramatic activities nature and outdoor programs and social events Each unit had an average attendance of over 800 patients per week at recreation activities Georgia Military College allowed the use of their recreation area at Lake Sinclair for patients and the department utilized this at least twice a week during the summer months X Over 2500 patients participated in the Halloween carnival which was an outstanding event The intramural program was expanded to include more activities for men and women with trophies being given to the winning unit In several of the units special activities are conducted for help patients for the purpose of encouraging more patients to assist with ward work as a therapeutic measure One of the units has an orien tation program for new patients All new patients attend a meeting on the ward at which time all of the adjunctive therapies give a presen tation of their services and the types of programs available y Each new patient admitted last year was interviewed by the recreation therapist assigned to his unit and a recreation preference sheet was filled out This was used as a guide in planning his recreational activities Each patient in the program is carefully observed and any changes in behavior are reported to the physician on a behavior modification form A slimnastics program for women employees attracted some 75 women last year Our files and attendance records indicate that we had at least 250000 participants in the program during 1967 we estimate that with the expansion of the program and additional staff available that this figure will be exceeded during the coming year 63 VOCATIONAL REHABILITATION The cooperative program of Vocational Rehabilitation and the Department of Public Health has resulted in an effective method of rehabilitating the mentally ill This can be clearly demonstrated by increases in many areas of Vocational Rehabilitation at CSH A 34 per cent increase in staff has made it possible to allow dispersion of the VR program throughout the hospital to furnish two counselors for most of the hospital Units This new Unit coverage allows Vo cational Rehabilitation to furnish services for patients from their admission to the hospital throughout their treatment here It also facilitates communication with the hospital staff members to a degree not possible before and provides services to a greater number of patients With an additional counselor in the Unit additional services have been made available to the short term patient assisting him in making a better vocational adjustment upon release from CSH Throughout the entire Vocational Rehabilitation program at CSH the major services offered were 1 Vocational Counseling and Guidance 2 Prevocational and vocational evaluation 3Social Personal and Work Adjustment training 4 Vocational training 5 Job and resi dental placement 6 Followup in the community upon release from CSH each patient on the caseload of a VR counselor is provided additional services by the counselor in the field A further analysis of the efforts of the VR staff shows that approximately 4000 patients were screened for possible VR services during the past fiscal year Of these 1140 were placed on counse lors caseloads for further evaluation and services 732 received one or more services and were followed up by counselors in the patients hometowns 833 were enrolled in vocational training at the Yarbrough Rehabilitation Center627 received psychometric vocational evalu ation 144 received job sample type prevocational evaluations 559 were enrolled in the work adjustment program The work adjustment program has grown increasingly with the hospital staff since it provides a medium for evaluation as well as64 readjustment of the patient to the demands of the world of work Much of the credit for the success of this program is due to work super visors employees of CSH who provide the necessary supervision At the time of this report patient work is coordinated by VR at 150 work stations throughout the hospital The past year saw new vocational training classes begun in the Yarbrough Center Nurses Aide Service Station Attendant Shoe Repair Other new classes were the five new classes in Adult Edu cation assisting patients in learning to read and write to improve their education These classes are furnished through a cooperative agreement with the State Department of Education Division of In struction and they are filling an important gap in comprehensive rehabilitation X Inservice training on a professional level continued during the year Regularly scheduled classes and programs oriented the new counselors and up graded the others New counselors at CSH were also involved in a new seven week orientation program supervised by the counselor training program at the University of Georgia A new rehabilitation residence in Augusta supplemented the efforts of the other four in Atlanta Columbus and Albany to increase the number of patients served through this program to 219 Two ad ditional rehabilitation residences are slated for Savannah and Macon during the coming year y Further dispersion of VR programs and services are planned for the coming year Homemaking classes will be begun in each Unit to help meet the needs of female patients This service for women will be a part of remotivation type program planned for working with chronic patients A cooperative agreement with Public Health Nurses will assist in following the women who utilize this program In cooperative effort with CSH staff a transitional sheltered workshop will be established on the hospital grounds This will increase services to the chronic patient as well as those now being served and will add to the versatility of the VR program 65 PERSONNEL SERVICES Total employment increased substantially during the fiscal year ending June 30 1967 at the Central State Hospital The number of regular active employees on June 30 1966 was 3053 and on June 30 1967 was 3279 an increase of 226 The largest gains were in the maintenance service labor and clerical categories There was a modest increase in the number of Physicians and registered nurses There was also an increase in subprofessional nursing personnel but a moderate one considering the size of this category Effective July 1 1966 the State Personnel Board deleted the first step of each compensation grade in the Pay Plan raising the dollar value of each step except the maximum The Personnel Board also approved the revised classifications and compensation assign ments resulting from the extensive classification and pay studies conducted during the previous fiscal year The result was a raise in pay on July 1 1966 for all but 70 of our employees the majority of such raises being in the amount of five percent By supplementary appropriation by the General Assembly funds were made available to delete two substeps below the minimum step of each grade necessitated here by fiscal limitations The adjustment was made on March 1 1967 raising the recruitment salary for all but a few of our classes of positions by approximately ten percent These funds also made possible a special salary advance ment for employees who did not benefit from a number of class mergers which occurred during 1962 On June 1 1967 responsibility for timekeeping and leave records was decentralized entirely to the operating divisions and units During June the preparation of payrolls was also transferred to the Business Division of the Hospital 66 Activity in the Personnel Office was extremely high during the year with appointments exceeding any previous year The following is a tabulation of personnel actions during the year Appointments 929 Transfers 470 Promotions 120 Demotions 8 Separations 676 including 494 Resignations 108 Dismissals 47 Retirements 18 Transfers to other Agencies 9 Deaths Rate of turnover 206 X A figure obtained by subtracting separations from appointments will not balance with the change in total employment since the latter is based on regular employees in pay status and does not include those on leave of absence without pay on June 30 1967 A tabulation of personnel of the Hospital by type is shown in the statistical section of this report A valid comparison of 1966 totals with 1967 totals in some categories is not possible due to changes in classification by the State Merit System resulting from the previously mentioned studies which caused the assignment of many positions to different categories For example the radical decline in the Managerial and Agricultural categories was not a result of the wholesale departure of such employees nor of changes in category assignment deriving from classification changes V 67 PERSONNEL Blf TYPE AS OP JUNE 30 1966 AND TOTAL 1 Physicians 2 Dentists 3 Nurses k Therapists 5 Engineers 6 Sanitarians 7 Physical Scientists 8 Nutritionists 9 Education Information Specialists 10 Psychologists 11 Social Workers 12 Other Professions 13 SemiProfessional Technical 11 Managerial 15 Clerical 16 Agricultural 17 Trades Crafts Mechanical 18 Service 19 Manual Labor 20 Not Elsewhere Classified JUNE 30 1 67 1966 1967 3053 3279 81 92 8 8 102 109 15 17 6 5 1 2 5 7 l 1 2 2 7 8 15 1U 16 18 1755 1805 2k 17 192 222 w 32 23 296 236 301 299 321 3 2 y 68 VOLUNTEER SERVICES The Department of Volunteer Services has continued to be active in the direct roles of providing additional services and community contacts for the patients and supplementing materials and equipment that could not be obtained through hospital budgets Of utmost im portance is the enthusiastic manner in which existing programs have continued to function and the ready acceptance of proposed new programs X The Director of Volunteer Services is an active member of the American Association of Volunteer Services Coordinators and is presently serving as Representive for Region IV which comprises the states of Alabama Florida Georgia Mississippi South Carolina and Tennessee One of the prime objectives of this organization has been the establishment of a plan for certification of professional Volunteer Services CoordinatorsDirectors This plan was adopted at the National Convention held in conjunction with the Mental Hospital Institute in September 1966 and became effective June 1 1967 and this director has met qualifications for Certification r There are eleven patient garden clubs operating under the sponsorship of the Garden Therapy Program with an average attend ance of thirty patients each These Clubs meet weekly throughout the year with their activities including planting and tending flower borders around the buildings trips to the vineyards and orchards to gather fruit birthday parties watermelon cuttings trips to town picnics and participating inindoor recreation activities when weather conditions do not permit outside projects During the past year 400 garden clubs throughout the state con tributed 6000 in cash donations for the support of this program In addition to funds contributed under the sponsorship of Garden Club of Georgia Inc clubs have made toilet article bags which were given as Christmas gifts to each of the patient garden club members The Garden Therapy volunteers have arranged for displays for and attended each Garden Club District Meeting They have provided ample materials and slides for requested programs on Garden Therapy to the District Garden Therapy Chairmen when the Milledgeville Volunteers were unable to attend personally 69 In October 1966 the Milledgeville Council of Garden Clubs hosted the Azalea District meeting and the hospital cooperated by making its facilities available to the group On this same date the newly renovated fountain in front of the Powell Building valued at 10000 was dedicated Funds for this project were contributed through Garden Therapy and labor was provided by Hospital Mainte ance Division and the three engineering departments The Milledgeville Quota Club nominated the Central State Hospital Garden Therapy Group for one of the two annual Lane Bryant Awards They have been honored with a Citation in recognition of Outstanding Service in 1966 This in itself is an honor since fewer than 20 of the entrants survive this first rigid screening The final ists will not be known until November 30 1967 Funds are continuing to be received for the proposed 8A park being sponsored by the Azalea Garden Club District that is to be constructed in the vicinity of the Rivers Building It is the desire of all concerned thatthe first contract letting will be in the fall of 1967 Four of the eight proposed unit libraries have been established with volunteer assistance and are being operated with patient assist ants It has long been recognized that a full time trained librarian is needed to develop and carry out an adequate program It is a pleasure to report that such a position was approved for the 196768 budget A number of complimentary newspaper subscriptions have been donated for the Unit libraries This will enable many of the patients to be kept currently informed of happenings in their home town areas Books and magazines continue to be donated in large quantities and are distributed to patient areas throughout the hospital Of special interest is the funds that were donated by the Jaycettes to purchase approximately 200 new books for a library for the children in the Special Education Program The Alcoholic Anonymous Program continues to gain momentum as the function of this program becomes more widely known and understood by the professional personnel Over 100 patients partici pate in the weekly meetings The Middle Georgia Intergroup composedt 70 of members from Milledgeville Sandersville Dublin Macon Warner Robins Monticello and Louisville have continued to enthusiastically sponsor this program which has now been in continuous operation for seven years Throughout the history of this program the Occupational Therapy Department has generously provided four OT Aides to assist Volun teer Services with escort service In June 1967 because of the im pending forty hour work week the OT personnel had to discontinue this service in order that they could give forty hours to their clinic duties The Director of the NYC Program selected five of the most capable students in the program to assist Volunteer Services with this evening activity The Dispatch Service has detailed a bus driver so through such cooperation the program has been continued without interruption A y The Apparel Shop provides an invaluable service to the patients in many different areas Indigent patients who remain in the hospital can be referred to obtain suitable personal clothing for church attend ance recreation events and similar occasions Those needing cloth ing who were transferred to the New Mental Health Facility in Thomasville were outfitted Patients who left the hospital for job interviews job placement or to reside in the Rehabilitation Houses under sponsorship of Vocational Rehabilitation were suitably attired through this source A fourth group of patients who have needed and utilized this service have been those who have been placed in nurs ing homes under the Department of Family and Childrens Service This project has been liberally supported by individuals organi zations and business concerns As emphasized most of the used clothing has been screened for usefulness and cleanliness It is worthy to note that one well known manufacturermakes quarterly ship ment of ladies underwear another manufacturer has donated 6000 articles of ladies sportswear and still another company provided 2898 pairs of trousers The Apparel Shop burned on January 28 1967 but the service to the patients has continued This facility was actually too small to handle the volume of goods and customers so a request has been71 made to triple the size of the shop to an area covering 8000 square feet The Vocational Rehabilitation Department utilizes the Apparel Shop as one of its training programs and assigns patients to assist the store manager This has proved to be beneficial to both the participating patients and Volunteer Services One most capable and qualified Volunteer Art instructor conducts an art class weekly in West Arnall The patients have enjoyed the privilege of expressing themselves through the media of art and at the same time develop a talent that can be so meaningful to them Two volunteers have given invaluable assistance to Social Service One conducts interviews with families of patients returning to the Psychiatric OutPatient Clinic The other has worked with a small group of regressed patients for the primary purpose of getting them to relate to each other through personal visitation planned programs and activities The Georgia Hairdressers and Cosmetologists Associations for the third consecutive year had Mental Health as its project for National Beauty Salon Week During their four work days in January 118 hairdressers gave 234 haircuts 232 hair sets 331 shampoos 8 manicures 15 rinses and 101 cold waves It should be noted that the hairdressers provided all of the materials necessary for the above services which in itself represented a sizeable contribution As In dicated in previous reports this group gave basic equipment three years ago consisting of shampoo bowl booth with mirror styling chair and two dryers attached to overstuffed chairs for seven shops In 1966 they added a hydraulic chair for each of these shops and in 1967 they completed equipping the shops when they gave manicure tables and stools In addition to the above the Hairdresser Association had ade quate funds remaining so they purchased an additional complete unit for the Rivers Beauty Shop which now provides facilities to accommo date two beauticians The Cub Scout troop composed of members from Unit 6 has continued to meet regularly with a hospital attendant serving as den mother giving of her services during offduty hours In addition to this troop this same volunteer is working with a Boy Scout Troop in Unit 3 which has also been chartered Two members of a Boy Scout Troop in the Milledgeville area are assisting in this project y S 72 Also in Unit 6 a Girl Scout Troop has been organized and char tered in compliance with the National Organizations regulations The Milledgeville Elks Club gave the original donation necessary to begin the troop and adult leaders in the Milledgeville area have provided training and guidance to personnel assigned to work with this project In addition to the chartered Girl Scout Troop a second group known as the Sister Girl Scouts which is composed of interested retardates who are beyond the age limit set by the Girl Scout Organi zation has received the same attention from a program standpoint as the chartered group in so far as the mental level will permit The Unit Director has taken a very active interest in the Scout Troops and has referred patients who she feels will benefit from such group programs X During the summer of 1967 two students members of the Baldwin County High School Allied Medical Careers Club have worked as volunteers One of these young ladies has worked with Music Therapy under the direction of the Music Therapist in Unit 6 and the other has performed clerical duties in the Special Education School program under the direction of the Psychology Department Varied volunteer groups have assisted Recreation Therapy personnel throughout the year It is particularly gratifying to have the college students participating so actively with the patients From the College of Georgia located in Milledgeville Wesley Foundation students have continued working with the patients in Unit IV and the YWCA Students have assisted in the recreation activities with patients in Unit V Both of these groups have worked with the pa tients for the past six years V For the second year students in the Sociology Department of Mercer University Macon Georgia have worked with patients in Unit 3 and Unit 6 During one quarter the students receive college credit for field work but it is most gratifying to note that these students were so enthusiastic about the services performed that they continued to give their time after completing their course The Macon Chapter of the American Red Cross has cooperated in making this project possible by providing transportation Among other groups that have participated regularly in recreation events have been the Macon Jaycees who bring evening entertainment groups once per month the ladies of the Presbyterian Church in 73 Louisville who work with patients in the Green Building two days per month and a WMU group from the First Baptist Church in Milledgeville who have activities for Allen Building patients once per month The Elbert County Mental Health Association has an annual picnic for the patients from their county Another annual event is a large party for the Allen Building given by a sorority from Columbus In addition to the party and entertainment this group also provided articles and equipment which included fans hairdryers individual gifts for the entire ward and toilet articles During the past year the United Church Women have provided Day Room furniture for Rivers 7 Whittle T Powell 1 and Ingram 1 The average cost per day room is 1000 and this statewide organi zation has now expended well over 100000 for day room furnishings during the ten years they have been participating in this program The total Christmas program is a mammoth undertaking but with the excellent cooperation provided Volunteer Services by many depart ments the varied activities were completed successfully Church groups had parties for patients of their faiths Assistance was provid ed these groups by the Recreation Department and Volunteer Services Radio station WSOK Savannah again provided the patients with a fine program of professional Negro entertainers The Municipal Association working with Public Relations De partment planned the days program for their annual motorcade at which time gifts they had collected were brought to the hospital The Bisiness Office and Patients Benefit Fund received the above gifts and cash donations Gift acknowledgements were made by Public Relations and cash acknowledgements were made by the Business Office There were numerous groups and individuals in addition to the Municipal Association which provided gifts These included Mental Health Associations church groups social service civic and fraternal organizations The Occupational Therapy Department and Nursing Service in cooperation with Volunteer Services assorted and distributed the gifts to the buildings according to the number sex age and type of patient The building personnel assumed the responsi bility of distribution to the individual patients An insufficient number of gifts were received for the men which necessitated 50000 being spent from Patients Benefit Fund to provide gifts for these people74 Patients Benefit Fund provided the Christmas trees and some decorations The Recreation Department and Occupational Therapy Departments decorated the auditorium and personnel from The Builder office decorated the Fellowship Hall of the Central Chapel for the small church parties materials for which were supplied by Patients Benefit Fund Music Therapy Recreation Therapy and Occupational Therapy jointly shared the duties of erecting the outdoor scenes Christmas cards were available again to the patients to send to friends and relatives through the generosity of Miss Laura Watson who has been known through the years as The Christmas Card Lady Stamps were purchased by Patients Benefit Fund and the Girl Scouts from Milledgeville stamped the cards for mailing X In addition to the personnel services provided by the volunteers numerous organizations and individuals have been active in providing materials for the patients A most valuable service has been the Forgotten Patient Program Some 180 patients who do not have friends or relatives to remember them are befriended regularly This has been the kindest thing that could be done for these individuals J A nationally known cosmetic firm selected this hospital as one of the three in the country to be recipient of a very large quantity of items for both men and women These have been distributed in pre arranged quantities to Remotivation Behavioral Modification groups Beauticians Service and Special Education groups A second nation ally known cosmetic firm gave a large number of compacts liquid makeup nail polish face powder and eye makeup Such gifts are treasured by the patients and at the same time these people are afforded the opportunity to improve their personal appearance which in itself can be therapeutic 7 The excellent working relationship which has existed between the hospital personnel and Volunteer Services has indeed provided an opportunity to better serve the patients Through these combined efforts many interested organizations and individuals have provided numerous expendable and nonexpendable items that could not be provided through the regular hospital budget The people of Georgia are to be commended for the active role they have played in befriend ing and meeting the needs of those Georgians who are under treatment at the Central State Hospital 75 PUBLIC INFORMATION The Public Information and Education Department continues to provide informational and educational services to the general public on the various phases of the hospitals treatment research and educational programs as well as cooperating with the mass media in spot and general news coverage During the year a number of feature articles appeared in the state press two of which caused much favorable comment on the progress being made One of these appeared in the magazine section of the Atlanta Journal and dealt with the behavioral modification program now in operation on T Ward in the Whittle Building Another featured tours being made by children from the school program to various points of interest around the state Miss Mary Bryant Archer completed her first year of graduate studies at Syracuse University and is now in her year of internship at the hospital This young lady is competent in all areas of journalism and has been particularly useful in providing photographic coverage as well as assisting in the preparation of exhibits brochures and general news releases She will complete her work for a Masters degree in Mental Health Information in June 1968 Demand for seminar programs for high school and college stu dents continues to increase to the extent that these programs are now confined to Tuesdays and Thursdays and continue throughout the entire year The patients newspaper known as The Builder still functions as part of the public information program and provides therapeutic experience for some forty patients most of which are referred from the Vocational Rehabilitation Section Discharges from this program are above the average hospital discharge rate and the return rate is less than the average hospital return rate Photographic coverage for the institution continues to present a problem While several departments now have photographic equip ment of their own the Public Information Section is required to carry much of the load and this can keep one person busy on a full time basis We have still not been able to secure a competent photo graphic specialist to assume the sole responsibility for this section of the program76 Continued liaison maintained with the Public Information Section of the Georgia Department of Public Health has been helpful in work ing out problems relative to mass media coverage in the Atlanta area as well as in providing cooperation and assistance in special projects which have occurred during the year RESEARCH l X Research at Central State Hospital consists of clinical research carried on by members of various professional disciplines and certain investigations of the Department of Research in the areas of Medical Genetics Project No 2 and Psychopharmacology Project No 1 The prime objective of the Department of Research with office and laboratory rooms in the Yarbrough Rehabilitation Center is to provide a laboratory setting in which patients having some training or being tempermentally suited for laboratory work may become readjust ed and learn laboratory techniques with a view being placed in a laboratory work situation on the outside Teaching is the second responsibility During the year 196667 Dr Keeler gave 20 lectures to Psychiatric Interns Nurses College Students Service Clubs and others Dr Mellinger gave a series of 25 lectures in Clinical Pharmacology at Grady Hospital Consultations have been provided in Medical Genetics for physicians and relatives of patients Basic research in Medical Genetics has included chromosome studies of hereditary abnormalities at CSH and specific problems on the hereditary alteration of behavior trends We have continued our study of special sensitivities both physi ological and behavioristic in Redheads thin skin allergies free bleeding spider markings tendency to blush reduced lung efficiency rheumatic tendency etc The drug sensitivities suggest the advisa bility of caution with regard to drug dosages for Redheads They appear to be hypersensitive to alcohol and may commit more of their share of crimes of passion Critera diagnostic of behavior states were studied in the fearful Red fox and a graded scale of responses for comparing the strength and nature of many tranquilizers in dispelling the symptoms of fear 77 anxiety and phobias in these animals Whereas some tranquilizers require five daysfor adjusting the patient to the medication a certain drug Oxazepam was found to require only two hours to produce the maximum effect On the third trial with this drug an adult wild Red fox recently caught in a trap climbed onto the observers lap to take a piece of meat offered NIH Grant 1107501 A paper on this work by Keeler and Mellinger was presented at the World Congress of Psy chiatry Madrid September 1966 On the basis of our spectacular results with foxes a study of the effects of Oxazepam on schizo phrenic patients was suggested at CSH The mental life of Cuna Indian albinos was studied through dream analysis in cooperation with Dr Van de Castle of U of NC Medical School The dream content differed between more civilized and less civilized islands and the albinos appeared to be slow in maturing mentally NIMH Grant 1016401 In press with the Journal of Heredity are 1 The genetics of adrenal size and tameness in colorphase foxes and 2 Note on Olfac togenes In the area of Psychopharmacology a spectrofluorometric method developed in this laboratory for the recognition of phenothiazine tranquilizers was applied to patients under medication Analyzing the fluorescence spectra of these drugs in urine material was found to be a useful method for the identification of the drug in a patient Those not swallowing their medication could be easily detected Urines of patients on varying dosagesof chlorpromazine thioridazine and chlor prothixene were analyzed by this method and a high incidence of positive tests were found Cholorprothixene which could still be recognized in 10001 mg per milliliter of urine was easiest to identi fy The findings of these experiments are published in the Inter national Journal of Neuropsychiatry 1 466472 1965 Due to the recent discovery of the importance of dopamine in Parkinsons disease and in certain tumors of the nervous system a method of measuring quantitatively the major metabolites of dopamine homovanillic acid in human urine was developed The excretion of homovanillic acid was studied in various animal species as well as in patients of Parkinsons Disease Huntingtons Chorea Von Reck linghausen hypertension and normal volunteers The findings of these studies will be published V 78 MOVEMENT OF PATIENT POPULATION BY PACE AND SEX X MOVEMENT CATEGORY TOTAL WHITE NONWHITE MALE FEMALE MALE FEMALE On Books July 1 1966 In Hospital On Furlough 18990 11240 7750 5894 3285 2609 7033 3784 3249 2816 2037 779 3247 2134 1113 Total Gains Returns From Furlough Transfers Into Hospital Total Admissions Not Previously Admitted to CSH Previously Admitted to CSH 10991 4288 12 6691 4905 1786 5040 2086 4 2950 2146 804 3333 1387 0 1946 1401 545 1376 404 7 965 755 211 1242 411 1 830 603 226 Total Losses Discharges Direct From Hospital Placed on Furlough Transfers Out of Hospital Deaths 11581 1357 8838 475 911 5206 sa 3914 104 347 3598 251 2929 116 302 1477 322 974 129 141 1300 32 1021 126 121 Discharges From Furlough 4160 1582 1586 442 550 On Books June 30 1967 In Hospital On Furlough 18790 10650 8140 5974 3119 2855 6724 3519 3205 2843 1936 907 3249 2076 1173 Net Change in Resident Population 590 166 265 101 58 Average Daily Population 10942 3179 3660 1965 2138 s79 RESIDENT PATIENT POPULATION ON JUNE 30 1967 BY EACE SEX AND MENTAL DISORDER RACE AND SEX MENTAL DISORDER WHITE WHITE N0NWHITE NONWHITE TOTAL MALE FEMALE MMU FEMALE ACUTE BRAIN SYNDROME ASSOCIATED WITH Alcohol Intoxication 45 32 3 8 2 Drug or Poison Intoxication 8 1 6 0 1 Convulsive Disorder 0 0 0 0 0 All Other Conditions 13 4 4 3 2 Total Acute Brain Syndromes 66 37 13 11 5 CHRONIC BRAIN SYNDROME ASSOCIATED WITH Diseases and Conditions Due To Prenatal Influence 86 35 33 9 9 Meningoencephalitic Syphilis 194 64 37 59 34 Other CNS Syphilis 8 2 3 1 2 Epidemic Encephalitis 38 15 19 3 1 Other Intracranial Infections 40 14 16 7 3 Alcohol Intoxication 96 59 K 17 6 Drug or Poison Intoxication 4 1 2 0 1 Birth Trauma 94 43 14 23 14 Other Trauma 95 47 24 18 6 Cerebral Arteriosclerosis 1061 267 368 154 272 Other Circulatory Disturbance 59 22 11 17 9 Convulsive Disorder 484 145 173 108 58 Senile Brain Disease 542 102 290 47 103 Other Disturbance of Metabolism Growth and Nutrition 29 7 12 5 5 Intracranial Neoplasm 2 2 0 0 0 Diseases of Unknown and Uncertain Cause 41 12 17 6 6 Chronic Brain Syndrome of Unknown Cause 224 62 58 82 22 Total Chronic Brain Syndrome 3097 899 1091 556 551 PSYCHOTIC DISORDERS Involutional Psychotic Reaction 169 21 87 7 54 Manic Depressive Reactions 475 63 122 115 175 Psychotic Depressive Reaction 56 12 34 1 9 Schizophrenic Reaction 4406 1157 1512 776 961 Paranoid Reaction 32 8 7 8 9 Other Psychotic Reactions 0 0 0 0 0 Total Psychotic Reactions 5138 1261 1762 907 1208 PSYCH0PHYSIOLOGIC AUTONCtfflC AND VISCERAL DISORDERS 5 2 2 1 0 PSYCHONEUROTIC REACTIONS 198 69 121 1 7 PERSONALITY DISORDERS Personality Pattern Disturbance 13 8 3 1 1 Personality Trait Disturbance 44 18 20 6 0 Antisocial Reaction 27 15 8 4 0 Dyssocial Reaction 6 5 1 0 0 Sexual Deviation 6 5 0 0 1 Alcoholism Addiction 172 140 20 10 2 Drug Addiction 9 3 6 0 0 Special Symptom Reaction 0 0 0 0 0 Total Personality Disorders 277 194 58 21 4 TRANSIENT SITUATIONAL PERSONALITY DISTURBANCE 84 35 20 17 12 MENTAL DEFICIENCY 1777 620 450 419 288 MENTAL DISORDER UNDIAGNOSED 8 2 3 3 0 WITHOUT MENTAL DISORDER 0 0 0 0 0 TOTAL ALL MENTAL DISORDERS 10650 3119 3520 1936 2075 80 7 RESIDENT POPULATION BY COUNTY RACE AND SIX COUNTY TOTAL Appling Atkinson Bacon Baker Baldwin Banks Barrow Bartow Ben Hill Berrien Bibb Bleckley Brantley Brooks Bryan Bulloch Burke Butts Calhoun Camden Candler Carroll Catoosa CharIt on Chatham Chattahoochee Chattooga Cherokee Clarke Clay Clayton Clinch Cobb Coffee Colquitt Columbia Cook Coweta Crawford Crisp Dade Dawson Decatur DeKalb Dodge Dooly Dougherty Douglas Early Echols Effingham Elbert Emanuel Evans Fannin Fayette Floyd Forsyth Franklin Fulton Gilmer Glascock Glynn Gordon Grady RACE AND SEX T0TJtL 10650 34 12 14 12 164 23 53 SI 4S 21 389 38 19 44 17 7 75 25 12 24 17 107 33 14 464 6 50 59 114 8 67 11 219 48 86 28 32 93 17 49 17 9 51 469 65 31 123 62 33 4 22 59 64 17 53 21 182 36 36 1775 23 15 75 55 45 WHITE MALE 3H9 14 4 6 3 63 15 20 28 16 9 111 17 9 13 5 14 8 5 3 11 5 47 15 2 91 1 23 27 28 1 25 3 94 17 30 8 11 25 4 14 12 5 13 140 15 8 23 24 8 0 2 16 23 4 24 9 70 17 14 430 8 3 24 24 11 WHITE FTOAL 3520 8 6 1 4 47 8 20 34 14 8 100 7 5 6 7 20 17 11 0 41 18 8 130 3 20 28 36 2 32 2 99 a 25 13 10 29 2 10 4 4 14 237 22 6 26 27 8 4 10 20 12 4 29 9 75 19 13 618 15 6 17 31 10 NONVJHITE HALS 1936 5 0 6 0 25 0 7 12 11 2 92 2 12 2 19 19 3 11 0 4 105 1 26 2 3 11 17 3 23 10 44 4 4 o 5 12 15 4 0 2 IS 0 34S 0 2 15 0 11 N0NWHTTE FEMALE 2075 7 2 1 5 29 0 6 7 7 2 86 9 3 13 3 14 31 3 3 2 1 8 0 0 138 0 0 3 24 3 2 3 15 5 14 4 3 16 1 16 0 0 16 48 16 8 39 7 13 0 5 11 14 5 0 1 19 0 1 379 0 4 19 0 13 81 COUNTY Greene Gwinnett Habersham Hall Hancock Haralson Harris Heard Henry Houston Irwin Jackson Jasper Jeff Davis Jefferson Jenkins Johnson Jones Lamar Lanier Laurens Lee Liberty Lincoln Long Lowndes Lumpkin Macon Madison Marion McDuffie Mclntosh Meriwether Miller Mitchell Monroe Montgomery Morgan Murray Muscogee Newton RACE AND SEX IQTAL Oglethorpe Paulding Peach Pickens Pierce Pike Polk Pulaski Putnam Quitman Rabun Randolph Richmond Rockdale Schley Screven Seminole Spalding Stephens Stewart Sumter Talbot Taliaferro Tattnall Taylor Telfair a 91 65 lS 47 40 31 22 37 56 17 43 37 24 44 3S 2S 25 45 7 90 9 26 19 11 84 23 32 36 23 30 11 65 14 53 39 15 41 34 329 so 33 36 46 43 26 22 36 111 28 32 3 24 26 381 27 61 7 134 41 43 79 22 11 53 29 46 WHITE MALE 7 39 36 53 5 16 9 10 12 19 5 13 5 10 8 12 8 6 11 2 20 2 3 7 2 28 8 7 15 10 5 3 13 5 10 8 3 11 17 82 20 11 7 17 5 9 3 8 43 4 9 2 10 6 108 7 0 7 2 46 9 7 13 1 0 20 6 14 WHITE FEMALE L 12 46 26 60 7 22 5 9 8 13 3 17 7 6 8 4 8 6 13 1 30 2 3 5 5 25 13 1 11 6 8 0 19 3 12 11 3 13 17 100 29 15 14 23 5 15 11 11 38 7 4 0 14 5 107 12 1 18 2 35 18 10 17 9 4 20 4 15 N0NWHITE IALS N0NIVHITE FEMALE 10 3 1 18 22 1 3 1 4 17 6 7 12 4 13 13 3 11 2 14 0 6 3 3 11 2 9 4 4 10 5 14 4 15 7 5 0 SO IS 4 10 17 1 10 15 9 8 0 0 73 16 1 33 6 11 30 4 12 3 2 17 13 1 H 2 13 7 3 6 13 4 15 9 9 10 2 26 14 4 1 20 0 15 6 3 7 3 19 2 16 13 4 9 0 87 13 3 5 1 16 1 2 7 15 8 11 1 0 10 93 5 2 20 2 20 8 15 19 8 2 4 11 882 s X RACE AND SEX COUNTY WHITE MUTE NONsmra N0NV7HITE TOTAL MAIS FEMALE IBLE FEMALE Terrell 36 5 c 12 11 Thomas 77 14 26 11 26 Tift 3 16 10 5 7 Toorabs 52 15 17 9 11 Toms 11 10 1 0 0 Treutlen 20 5 7 6 2 Troup 138 47 40 19 32 Turner 19 4 6 5 4 Tmggs 25 5 4 11 5 Union 20 12 S 0 0 Upson 70 28 17 14 11 Walker 109 47 54 5 3 Valton 69 16 21 16 16 Ware 88 35 26 14 13 Varren 31 2 3 15 11 Washington 71 11 16 21 23 VaTie 4 21 12 9 4 Vebster 9 1 5 2 1 Vheeler 14 1 7 1 5 White 17 7 7 2 Vhit field 112 50 47 5 10 Yalcox 25 9 5 5 6 Villces 46 3 9 14 20 WilJdnsan 41 20 7 6 S Worth 35 7 5 12 11 l83 FURLOUGHS AS OF JUNE 30 1917 BY COUNTY RACE AND S3C RACE AND SEX COUNTY YJHITE YTnTE HOKIIITE NONWHTTE TOJAL MALE FEMALE iALE F3iALE TOTAL C138 2853 3205 907 1173 Appling 32 19 9 1 3 Atkinson 10 5 3 1 1 Bacon 22 11 10 1 0 Baker 8 2 1 3 2 Baldwin S9 41 27 10 11 Banks 12 6 6 0 0 Barrow 64 34 28 1 1 Bartow 77 25 39 7 6 Ben Hill 35 12 19 2 1 Berrien 26 12 12 0 2 Bibb 354 100 137 52 65 Bleckley 33 19 9 1 4 Brantley 13 7 5 1 0 Brooks 34 9 11 10 4 Bryan 11 6 3 0 2 Bulloch 43 18 10 6 9 Burke 32 10 4 7 11 Butts 26 10 7 2 7 Calhoun 12 4 2 2 4 Camden 17 7 5 3 2 Candler 14 8 3 1 2 Carroll SI 39 38 2 2 Catoosa 34 15 17 2 0 Charlton 5 2 1 0 2 Chatham 186 64 48 3S 36 Chattahoochee i 1 2 0 0 Chattooga 43 20 22 1 0 Cherokee 85 36 44 1 4 Clarke El 27 28 13 13 Clay 14 0 1 7 6 Clayton 9S 29 60 4 5 Clinch 7 2 3 0 2 Cobb 234 86 130 12 Coffee 5S 31 15 s 7 Colquitt 77 36 29 2 10 Columbia 21 8 10 1 2 Cook 23 9 9 3 2 Coweta 93 34 32 O 18 Crawford 13 2 6 i 4 Crisp 39 9 16 4 10 Dade 16 7 9 0 0 Dawson 9 6 3 0 0 Decatur 44 10 20 3 11 DeKalb 3S3 135 189 27 32 Dodge 70 36 20 6 8 Dooly 26 3 10 1 12 Dougherty S2 23 29 11 19 Douglas 42 12 27 2 1 Early 25 5 7 5 8 Echols 2 2 0 0 0 Effingham 12 5 5 0 2 Elbert 56 13 27 10 6 Emanuel 62 32 12 9 9 Evans 23 9 7 3 4 Fannin 34 16 IS 0 0 Fayette 15 4 10 0 1 Floyd 103 37 49 8 9 Forsyth 30 14 16 0 0 Franklin 20 10 11 3 2 Fulton 1094 305 386 181 222 Gilmer IS 6 12 0 0 Glascock 7 3 3 1 0 Glynn 97 33 35 15 14 Gordon 47 21 25 0 1 Grady 2S 8 13 1 4 Pr I v r oy A 84 RACE AND S3 COUNTY TRITE HITS nonviiTE NOWHITS jam MALE FEMALE KALE FEMALE Greene 53 11 12 4 6 Gwinnett 107 50 50 0 7 Habersham og 17 19 1 1 Hall 130 68 43 11 Hancock 25 12 5 5 2 Haralson 30 17 21 1 0 Harris 17 4 7 1 5 Hart 35 18 12 2 3 Heard 13 3 6 2 2 Henry 35 12 11 5 7 Houston 70 29 33 3 Inrin 19 6 9 2 2 Jackson 5G 19 31 5 3 Jasper 13 1 3 2 7 Jeff Davis 36 22 10 2 2 Jefferson 33 12 o 7 8 Jenkins 23 8 5 6 4 Johnson 31 15 10 2 4 Jones 31 8 6 11 6 Lamar 34 10 17 3 4 Lanier 9 4 3 2 0 Laurens 2 32 27 10 13 Lee 8 0 3 3 2 Liberty 33 9 10 5 8 Lincoln 11 3 2 3 3 Long 6 4 1 0 1 Lowndes 75 22 35 7 11 Lumpkin 24 15 9 0 0 Maeon 27 1 9 11 6 Madison 25 13 10 1 1 Marion 19 6 5 5 3 McDuffie 27 6 9 4 8 Mclntosh 12 2 2 4 4 Meri wether 31 9 9 4 9 Miller 12 8 1 2 1 Mitchell 23 6 4 5 8 Monroe 42 10 9 11 12 Montgomery 13 5 5 0 3 Morgan 25 6 5 5 9 Murray 10 5 5 0 0 Muscogee 207 49 101 24 33 Newton 69 27 27 7 8 Oconee 19 8 11 0 0 Oglethorpe 15 3 5 3 4 Paulding 4S 19 23 0 1 Peach 41 8 14 g 11 Pickens 11 7 4 0 0 Pierce a 12 8 0 1 Pike 17 2 4 4 7 Polk 67 29 31 3 4 Pulaski 23 4 6 4 9 Putnam 25 4 g 3 10 Quitman 0 0 0 0 0 Rabun 20 8 11 0 1 Randolph 21 1 9 7 4 Richmond 274 100 103 36 35 Rockdale 42 11 19 3 9 Schley 5 0 2 1 2 Screven 35 7 14 5 9 Seminole 12 2 3 3 4 Spalding 109 45 45 7 12 Stephens 32 17 11 2 2 Stewart 11 2 3 3 3 Sumter 46 4 18 11 13 Talbot 15 3 2 3 7 Taliaferro 10 1 2 1 6 Tattnall 22 8 5 4 5 Taylor 12 0 3 4 5 Telfair 24 7 7 85 DACE AND SEX COUNTY VBITE WHITE NOHKHITE N0NWHITE TOTAL MALE FEMALE Tf FEMALE Terrell 16 5 4 2 Thomas 54 19 16 3 11 Tift 49 19 23 0 7 Toombs 73 33 30 5 5 Towns 10 6 4 0 0 Treutlen 22 8 12 0 2 Troup 101 32 3S 11 20 Turner 17 2 9 3 3 Tudggs 21 2 8 5 6 Union 17 5 12 0 0 Upson 62 15 29 9 9 Valker 79 40 36 0 3 Walton 90 35 35 7 13 Vare C3 46 29 7 1 Warren 15 2 2 2 9 Washington 53 15 14 16 Wayne 40 13 15 5 2 Vebster 3 0 1 i 1 Wheeler 14 3 6 3 2 White g 4 3 1 0 Whitfield 107 43 56 4 4 Wilcox 20 5 7 2 6 Yilkes 35 12 8 g 7 Wilkinson 26 9 8 4 5 Worth 26 9 11 4 2 86 RETURNS FRCM FURLOUGH BY COUNTY RACE AND SEX COUNTY RACE AND SEX lOTO vhite lLE WHITE FEMALE NONWHITE JLJ NONWHITE TOTAL Appling Atkinson Bacon Baker Baldwin Banks Barrow Bartow Ben Hill Berrien Bibb Bleckley Brantley Brooks Bryan Bullooh Burke Butts Calnoun Caraden Candler Carroll Catoosa Charlton Chatham Chattanoochee Chattooga Cherokee Clarke Clay Clayton Clinch Cobb Coffee Colquitt Columbia Cook Coweta Crawford Crisp Dade Dawsan Decatur DeKalb Dodge Dooly Dougherty Douglas Early Echols Effingham Elbert Emanuel Evans Fannin Fayette Floyd Forsyth Franklin Fulton Giljner Glascock Glynn Gordon Grady 4288 25 1 12 5 67 16 36 33 28 20 143 12 1 7 7 31 20 12 2 7 7 42 12 2 93 2 34 41 48 2 39 4 122 28 45 9 10 59 7 12 7 2 22 192 45 13 43 30 7 2 5 23 51 8 29 12 54 31 10 564 5 2 64 24 10 2086 17 1 7 2 34 10 28 15 16 8 84 4 0 3 4 14 4 10 1 1 3 18 9 2 34 1 19 23 28 0 16 1 64 16 26 4 8 36 2 3 2 2 9 80 35 9 17 15 0 0 3 7 28 7 14 5 27 20 8 226 1 0 32 20 3 1387 4 0 5 2 18 6 6 14 8 12 31 3 1 3 2 7 8 0 1 4 3 21 3 0 19 1 15 16 9 0 16 3 49 11 16 5 2 12 5 4 5 0 6 93 7 1 17 12 6 2 2 9 17 0 15 7 21 11 1 172 4 1 17 4 5 404 0 0 0 1 9 0 0 3 3 0 17 0 0 1 0 4 1 0 0 1 1 0 0 0 13 0 0 0 6 0 5 0 4 1 2 0 0 7 0 3 0 0 2 9 1 1 2 2 1 0 0 5 2 1 0 0 3 0 1 91 0 1 5 0 2 411 4 0 0 0 6 0 2 1 1 0 11 5 0 0 1 6 7 2 0 1 0 3 0 0 27 0 0 2 5 2 2 0 5 0 1 0 0 4 0 2 0 0 5 10 2 2 7 1 0 0 0 2 4 0 0 0 3 0 0 75 0 0 10 0 087 COUNTY RACE AND SEX WHITE WHITE NONWHETE N0NWHTE TOTAL MALE irrafflTE MALE FWi Greene 14 6 3 3 2 Gwinnett 46 27 19 0 0 Habersham 20 15 4 1 0 Hall 89 51 28 3 7 Hancock 24 21 2 0 1 Haralsan 16 11 4 1 0 Harris 11 6 4 0 1 Hart 20 13 6 1 0 Heard 4 3 1 0 0 Henry 24 10 7 4 3 Houston 44 24 13 7 0 Irwin 10 5 3 1 1 Jackson 35 21 9 4 1 Jasper 6 1 0 1 4 Jeff Davis 16 7 7 1 1 Jefferson 22 11 3 4 4 Jenkins 10 9 0 1 0 Johnson 24 13 6 0 5 Jones 22 12 7 3 0 Lamar 14 6 5 0 3 Larder 5 4 1 0 0 Laurens 39 14 11 6 8 Lee 5 0 0 5 0 Liberty 4 0 2 2 0 Lincoln 7 2 5 0 0 Long 2 1 1 0 0 Lorodes 39 22 10 2 5 Lumpkin 9 7 2 0 0 Macon 16 8 3 2 3 Madison 10 8 1 1 0 Marion 4 1 1 2 0 MeDuffie 17 11 4 1 1 Mclntosh 3 1 0 1 1 Meri wether 9 5 2 0 2 Miller 8 6 1 0 1 Mitchell 16 8 1 3 4 Monroe 19 4 5 7 3 Montgomery 10 3 6 0 1 Morgan 13 3 2 4 4 Murray 16 7 9 0 0 Muscogee 111 29 51 ZL 10 Newton 43 23 ID 5 5 Oconee 10 5 5 0 0 Oglethorpe 9 2 4 2 1 Paulding 33 15 16 0 2 Peach 12 2 4 3 3 Pickens 2 0 2 0 0 Pierce 9 2 5 2 0 Pike 6 1 3 0 2 Polk 44 18 19 3 4 Pulaski 7 1 0 3 3 Putnam 11 6 1 1 3 yuitman 1 1 0 0 0 Rabun 11 5 6 0 0 Randolph 4 0 1 1 2 Eichmond 189 107 46 14 22 Rockdale 10 5 1 1 3 Schley 1 0 0 0 1 Screven 19 14 2 3 0 Seminole 2 0 1 0 1 Spalding 81 46 22 5 8 Stephens 21 12 6 0 3 Stewart 5 1 0 4 0 Sumter 16 3 7 5 1 Talbot 2 0 1 1 0 Taliaferro 3 0 1 0 2 Tattnall 21 13 7 1 0 Taylor 7 1 4 0 2 Telfair 6 0 3 2 1 88 l X COUNTY BACE AND S3 BITE VBITE HOirVHITE NOWHITE TOTAL MALE FEMALE 1MB F3vftLE Terrell S 1 2 5 0 Thomas 23 12 7 1 3 Tift 23 17 6 0 0 Toombs 42 27 9 2 4 Torais 5 5 0 0 0 Treutlen S 2 5 0 1 Troup 5 17 13 1 4 Turner 10 4 5 0 1 Tiiiegs 6 0 0 1 Union 8 2 0 0 Upson 32 7 16 6 3 Walker 41 21 20 0 0 Walton 44 18 19 3 4 Ware 36 17 16 2 1 Yarren 2 0 0 0 2 ashington a 10 6 14 11 WaTie 33 19 11 2 1 Webster 1 0 1 0 0 feeler 4 1 2 1 0 YMLte 5 2 2 0 0 Whitfield 54 31 20 1 2 Vilcox 10 5 2 0 3 Villies 16 9 3 3 1 Villanson 16 5 2 1 Worth 9 6 1 0 2 i3 1 y89 TOTAL ADMISSIONS BY RCE COUNTY OF ADMISSION AM RATES PER 100000 CIVIL POPULATION COUNTY OF AWTffiTOlI TOTAL Appling Atkinson Bacon Baker Baldwin Banks Barrow Bartow Ben Hill Berrxen Bibb Bleckley Brantley Brooks Bryan Bulloch Burke Butts Calhoun Camden Candler Carroll Catoosa Charlton Chatham Chattahooohee Chattooga Cherokee Clarke Clay Clayton Clinch Cobb Coffee Colquitt Columbia Cook Coweta Crawford Crisp Dade Decatur DeKalb Dodge Dooly Dougherty Douglas Early Echols Effingham Elbert Emanuel Evans Fannin Fayette Floyd Forsyth Franklin Fulton Gilmer Glascock Glynn Gordon Grady NUMBER OF ADMISSIONS 6691 19 7 15 5 119 5 45 61 37 19 256 23 15 24 15 2S 25 27 8 17 6 79 35 7 154 1 30 47 100 3 81 11 196 51 71 22 17 65 5 33 17 7 39 278 43 11 95 40 21 2 13 27 50 18 24 7 106 28 23 987 14 5 70 48 26 vaaia 4896 13 6 12 2 88 5 43 50 25 19 174 19 11 8 11 19 12 16 5 13 4 69 33 5 97 0 28 43 71 0 72 181 39 53 20 11 43 3 19 16 7 26 224 38 4 57 37 13 2 9 19 40 13 24 6 92 28 21 565 14 3 49 48 20 N0NWHITE 1795 6 1 3 3 31 0 2 11 12 0 82 4 4 16 4 9 13 11 3 4 2 10 2 2 57 1 2 4 29 3 9 6 15 12 18 2 6 22 2 H 1 0 13 54 5 7 38 3 8 0 4 8 10 5 0 1 14 0 2 422 0 2 21 0 6 RATE TOTAL 1538 1367 1061 1705 1087 4190 769 3000 1843 2701 1532 1732 2277 2459 1529 2239 1102 1168 2903 1053 1569 870 1990 1549 1207 838 667 1442 1934 2110 638 1131 1549 1202 2198 2113 1084 1360 2083 833 1803 1848 1892 1660 771 2544 932 1124 1762 1533 1000 949 1475 2703 2432 1739 824 1478 2154 1704 1617 1538 1852 1389 2353 1390 TETE HONWHITE 1580 1215 1304 1579 1053 4783 820 3496 1799 2747 1810 1881 2639 2075 1013 2619 1203 1690 3333 1923 2000 909 2150 1480 1282 883 0 14S1 1838 2034 0 1084 1136 1178 2321 2129 1316 1264 2087 1250 1827 1758 1892 2114 666 3140 741 1012 1888 2031 1429 938 1533 3226 2826 1739 1000 1526 2154 1765 1535 1536 1579 1293 2513 1724 1434 1875 500 2500 1111 3100 0 741 2075 2609 0 1483 1379 5000 2051 1600 938 909 2444 600 952 800 1316 6667 1053 771 1429 1053 4444 2320 1000 1731 2222 1579 1875 2069 392 1579 2075 556 1772 10000 0 1161 2231 1042 1094 1348 968 1096 0 976 1270 1639 1786 0 400 1228 0 1250 1742 0 2500 1680 0 845 y 90 COUNTY OF ADMISSION NUUKJR OF ADMISSIONS RATE TOTAL YflETE N0NWHITE TOTAL WHITE N0NWHITE Greene 17 13 4 1504 2453 667 Gwinnett 78 72 6 1393 1385 1500 Habersham 35 33 2 1823 1803 2222 HaU 102 81 21 1838 1643 3387 Hancock 22 9 13 2136 3600 1667 Haralson 31 29 2 2081 2117 1667 Harris 15 8 7 1316 1600 1094 Hart 22 17 5 1410 1429 1351 Heard 16 11 5 2963 2683 3846 Henry 19 14 5 754 903 515 Houston 66 59 7 1384 1561 707 Irwin 16 12 4 1667 2069 1053 Jackson 32 27 5 1649 1607 1923 Jasper 6 2 4 968 714 1176 Jeff Davis 36 30 6 3789 3947 3158 Jefferson 21 12 9 1160 1558 865 Jenkins 17 10 7 1789 2128 1458 Johnson 20 16 4 2381 2909 1379 Jones 20 10 10 1770 1587 2000 Lamar 21 13 8 1981 2063 1860 Lanier 9 5 4 1667 1316 2500 Laurens 54 38 16 1612 1776 1322 Lee 4 3 1 615 1250 244 Liberty 20 13 7 1563 1884 1186 Lincoln 11 7 4 1864 2333 1379 Long 5 3 2 1250 1111 1538 Lowndes 62 54 8 1270 1698 471 Lumpkin 12 12 0 1579 1600 0 Maccm U 4 10 1037 816 1163 Madison 23 22 1 1983 2340 455 Marion 8 5 3 1429 2273 882 McDuffie 21 14 7 1579 1842 1228 Mclntosh 11 3 8 1667 1071 2105 Meri wether 21 13 8 1045 1287 800 Miller 12 9 3 1690 1837 1364 Mitchell 29 16 13 1394 1616 1193 Monroe 25 16 9 2358 2963 1731 Montgomery 7 5 2 1077 1316 741 Morgan 18 14 4 1682 2545 769 Murray 12 12 0 1071 1081 0 Muscogee 196 136 60 1252 1182 U46 Newton 67 49 18 3032 3403 2338 Oconee 10 10 0 1538 2000 0 Oglethorpe 7 5 2 875 1163 541 Paulding 42 39 3 2593 2671 1875 Peach 36 21 15 2466 3500 1744 Pickens 14 13 1 H89 M44 2500 Pierce 13 9 4 1287 1139 1818 Pike 18 9 9 2466 2308 2647 Polk 64 57 7 2169 2327 1400 Pulaski 17 9 8 2000 1875 2162 Putnam 21 13 8 2593 3514 1818 Quitman 2 0 2 800 0 1250 Rabun 13 12 1 1646 1538 10000 Randolph 14 8 6 1261 1951 857 Richmond 241 176 65 1676 1831 1363 Rockdale 26 20 6 1656 1709 1500 Schley 2 0 2 588 0 1053 Screven 28 18 10 1842 2535 1235 Seminole 10 4 6 HO8 930 2143 Spalding 93 77 16 2391 2917 1280 Stephens 35 33 2 1832 1988 800 Stewart 10 7 3 1333 3333 556 Sumter 32 12 20 1245 992 1471 Talbot 8 4 4 1111 1905 784 Taliaferro 5 3 2 1515 2500 952 Tattnall 24 15 9 1714 1500 2250 Taylor 10 5 5 1190 1163 1220 Telfair 26 17 9 2131 2125 2143 91 COUNTY OF admission NUIBER 0 ADMISSIONS SATS TOTAL white N0NWHITE TOTAL vnnTs N0NWHITE Terrell 7 1 4 526 667 455 Thomas 55 36 19 1459 1659 118 S Tift 28 24 4 112C 1379 526 Toombs 53 46 7 297 C 3622 1373 Towns 11 11 0 234C 2340 0 Treutlen 20 15 5 3279 3750 2381 Troup 74 55 19 1564 1839 1092 Turner 13 8 5 1477 146I 1471 Twiggs 11 3 S 1310 909 1569 Union 16 16 0 2353 2353 0 Upson 44 34 10 1781 1921 1429 Walker 92 87 5 1773 1779 1667 Walton 56 42 14 2605 2638 2090 Ware 70 64 6 1977 2397 690 Warren 9 5 1 4 11S4 1352 816 Washington 49 a 28 2513 2593 2456 Wayne 30 26 4 1563 1722 976 Webster 6 4 2 1818 336 909 Wheeler q 7 2 1667 1944 1111 Shite 5 4 1 685 571 3333 Whitfield 96 67 9 1839 1751 3600 Wilcox 11 5 6 1375 943 2222 Wilies 25 13 12 2252 2407 2105 Wilkinson 24 19 5 2500 3878 IO64 Worth 20 12 8 1143 1348 930 92 ADMISSIONS BY COUNTY RACE AND SEX RACE AND SEX COONTY WHITE WHITE N0NWRTTE N0NWHITE TOTAL MALE FEMALE MALE FEMALE TOTAL 6691 2950 1946 966 829 Appling 19 8 5 3 3 Atkinson 7 2 4 0 1 Bacon 15 8 4 3 0 Baker 5 2 0 1 2 Baldwin 119 67 21 22 9 Banks 5 4 1 0 0 Barrow 45 28 15 1 1 Bartow 61 28 22 8 3 Ben Hill 37 11 14 9 3 Berrien 19 12 7 0 0 Bibb 256 100 74 60 22 Bleckley 23 16 3 1 3 Brantley 15 8 3 1 3 Brooks 24 5 3 8 8 Bryan 15 7 4 1 3 Bulloch 28 13 6 5 4 Burke 25 7 5 6 7 Butts 27 12 4 6 5 Calhoun 8 5 0 1 2 Camden 17 9 4 2 2 Candler 6 3 1 1 1 Carroll 79 46 23 5 5 Catoosa 35 16 17 2 0 Charlton 7 3 2 1 1 Chatham 154 58 39 34 23 Chattahoochee 1 0 0 1 0 Chatooga 30 19 9 2 0 Cherokee 47 27 16 2 2 Clarke 100 38 33 23 6 Clay 3 0 0 3 0 Clayton 81 36 36 7 2 Clinch 11 4 1 2 4 Cobb 196 105 76 6 9 Coffee 51 22 17 8 4 Colquitt 71 35 18 10 8 Columbia 22 4 16 2 0 Cook 17 7 4 6 0 Coweta 65 30 13 16 6 Crawford 5 2 1 1 1 Crisp 33 10 9 3 11 Dade 17 11 5 1 0 Dawson 7 5 2 0 0 Decatur 39 13 13 6 7 DeKalb 278 130 94 28 26 Dodge 43 28 10 1 4 Dooly XI 2 2 3 4 Dougherty 95 36 21 24 14 Douglas 40 18 19 0 3 Early 21 7 6 1 7 Echols 2 1 1 0 0 Effingham 13 3 6 2 2 Elbert 27 13 6 7 1 Emanuel 50 29 11 7 3 Evans 18 7 6 2 3 Fannin 24 14 10 0 0 Fayette 7 2 4 0 1 Floyd 106 59 33 7 7 Forsyth 28 14 14 0 0 Franklin 23 12 9 2 0 Fulton 9E7 338 227 222 200 Gilmer 14 8 6 0 0 Glascock 5 3 0 1 1 Glynn 70 26 23 7 14 Gordon 48 34 14 0 0 Grady 26 11 9 3 3 i 93 COUNTY RACE AND SEX WHITE WHITE N0NWHIT3 NONWHITE TOTAL MALE FEMALE MALE FEMALE Greene 17 7 6 o 2 Gwinnett 7S 42 30 2 4 Habershan i 35 21 12 1 1 Hall 102 54 27 12 9 Hancock 22 6 I 3 8 5 Haralson 31 11 18 1 1 Harris 15 5 3 0 7 Hart 22 14 3 2 3 Heard 16 6 5 3 2 Henry 19 10 4 2 3 Houston 66 33 26 5 2 Irwin 16 7 5 3 1 Jackson 32 12 15 4 1 Jasper 6 2 0 0 4 Jeff Davis 36 20 10 2 Jefferson 21 8 4 4 5 Jenkins 17 9 1 4 3 Johnson 20 15 1 1 Jones 20 6 4 4 6 Larnar 21 7 6 5 3 Lanier 9 4 1 2 2 Laurens 54 24 14 8 8 Lee 4 0 3 0 1 Liberty 20 8 5 1 6 Lincoln 11 5 2 1 3 Long 5 2 1 0 2 Lowndes 62 32 22 4 4 Lumpkin 12 9 3 0 0 Macon 14 4 0 8 2 Madison 23 14 8 0 1 Marion 8 1 4 2 1 McDuffie a 10 4 3 4 Melntosh 11 2 1 3 5 Meri wether 21 7 6 3 5 Miller 12 9 0 3 0 Mitchell 29 8 8 8 5 Monroe 25 11 5 5 4 Montgomery 7 3 2 0 2 Morgan 13 8 6 1 3 Murray 12 9 3 0 0 Museogee 196 67 69 32 28 Newton 67 33 16 10 8 Oconee 10 7 3 0 0 Oglethorpe 7 5 0 2 0 Paulding 42 21 18 3 0 Peach 36 12 9 7 8 Pickens u 9 4 1 0 Pierce 13 6 3 2 2 Pike IS 4 5 3 6 Polk 64 35 22 3 4 Pulaski 17 6 3 3 5 Putnam 21 5 8 1 7 Quitman 2 0 0 0 2 Rabun 13 6 6 0 1 Randolph 14 4 4 6 0 Richmond 241 104 72 34 31 Rockdale 26 11 9 3 3 Schley 2 0 0 1 1 Screven 28 5 13 5 5 Seminole 10 1 3 4 2 Spalding 93 55 22 11 5 Stephens 35 19 14 0 2 Stewart 10 2 5 2 1 Sumter 32 7 5 12 8 Talbot O 3 1 0 4 Taliaferro 5 2 1 0 2 Tattnall 24 S 7 5 4 Taylor 10 0 5 3 2 Telfair 26 10 7 3 94 X RACE AND SEX COUNTY WHITE WHITS N0NT7HITE N0NV7HITE TOTAL MME FEMALE HUE FEMALE Terrell 7 2 1 4 0 Thomas 55 25 11 6 13 Tift 2C 13 11 2 2 Toombs 53 31 15 1 6 Towns 11 9 2 0 0 Treutlen 20 6 9 3 2 Troup 74 36 19 10 9 Turner 13 3 5 2 Twiggs 11 1 2 3 5 Union 16 8 8 0 0 Upson 12 21 13 5 Walker oo 56 31 2 3 1 Walton 56 26 16 8 6 Ware 7 42 22 2 Warren 9 3 2 1 3 Washington 49 14 7 13 15 Wayne 30 19 7 5 1 Webster 6 1 3 0 2 Wheeler 9 1 6 c 2 White 5 2 2 1 0 Whltfield 96 47 40 4 5 Wileox 11 4 1 c 5 Wilkes 25 6 7 7 5 Willinson 24 15 4 5 0 Worth 20 6 6 2 1995 DIRECT discharges by county race and sex COUNTY RACE AND SEX WHITE WHITE N0NYIH1TE N0NWHITE V0TAL MALE FEMALE IiALE FEMALE TOTAL 1357 804 252 234 32 Appllng 3 2 0 1 0 Atkinson 0 0 0 0 0 Bacon 2 1 1 0 0 Baker 0 0 0 0 0 Baldwin 64 42 7 12 3 Banks 6 6 0 0 0 Barrow 10 9 1 0 0 Bartow 9 9 0 0 0 Ben Hill 9 2 5 2 0 Berrien 4 3 1 0 0 Bibb 73 41 9 22 1 Bleckley 2 1 0 1 0 Brantley 1 1 0 0 0 Brooks 1 0 0 1 0 Bryan 2 1 0 1 0 Bulloch 8 4 0 3 1 Burke 1 1 0 0 0 Butts 7 5 1 1 0 Calhoun 3 3 0 0 0 Camden 2 0 2 0 0 Candler 0 0 0 0 0 Carroll 16 10 4 1 1 Catoosa 7 5 2 0 0 Charlton 0 0 0 0 0 Chatham 23 13 1 9 0 Chattahoochee 0 0 0 0 0 Chattooga 4 3 0 1 0 Cherokee 6 5 1 0 0 Clarke 46 24 H 6 2 Clay 0 0 0 0 0 Clayton 21 16 4 0 1 Clinch 1 1 0 0 0 Cobb 40 32 6 1 1 Coffee 5 4 0 1 0 Colquitt 15 11 3 1 0 Columbia 11 1 9 1 0 Cook 3 0 1 2 0 Coweta 8 2 1 5 0 Crawford 1 1 0 0 0 Crisp 3 1 1 0 1 Dade 3 2 0 1 0 Dawson 1 1 0 0 0 Decatur 5 5 0 0 0 DeKalb 60 33 17 10 0 Dodge 8 7 1 0 0 Dooly 1 1 0 0 0 Dougherty 23 13 4 6 0 Douglas 8 7 1 0 0 Early 3 0 3 0 0 Echols 0 0 0 0 0 Effingham 3 2 0 1 0 Elbert 4 2 1 1 0 Emanuel 7 3 2 2 0 Evans 2 1 0 1 0 Fannin 4 3 1 0 0 Fayette 1 0 1 0 0 Floyd 23 17 5 1 0 Forsyth 2 2 0 0 0 Franklin 2 2 0 0 0 Fulton 240 105 51 74 11 Gilmer 4 2 1 1 0 Glascock 0 0 0 0 0 Glynn 9 6 0 3 0 Gordon 16 15 1 0 0 Grady 5 2 3 0 0 96 X l RACE AMD COUNTY YHITE WHITE H01HHITE NONBHITE XCIL MALE FEMALE MALE FEMALE Greene 2 0 1 1 C Gvrinnett 14 11 2 1 0 Habersham 4 2 1 1 0 Hall 17 12 3 1 1 Hancock q 0 1 2 0 Haralson 7 3 3 1 0 Harris 3 2 1 C 0 t Hart 5 5 0 0 0 Heard 2 2 0 0 0 Henry L i 1 0 0 Houston 18 11 L 5 0 I ruin 1 1 0 0 0 Jackson rt 2 1 0 0 Jasper 3 2 1 c 0 Jeff Davis 4 1 2 1 0 Jefferson 1 0 1 0 0 Jenkins 1 1 0 0 0 Johnson 4 3 0 1 0 Jones 2 1 0 c 1 Lamar 5 4 0 1 0 Lanier 0 0 0 0 c Laurens 10 7 2 1 0 Lee 0 0 0 0 0 Liberty 0 0 0 0 0 Lincoln 1 1 0 0 0 Long 0 0 c c 0 Lowndes 2C 13 3 1 1 Lumpkin C 0 0 G 0 Macon 2 1 0 1 0 Madison 5 2 3 0 0 Marion 6 0 0 Q 0 McDuffie 8 5 2 0 1 Mclntosh 0 0 0 0 0 Meriwether 3 2 0 0 1 Miller 4 4 0 0 0 Mitchell 9 5 3 1 0 Monroe 2 0 0 2 0 Morgan 3 2 0 1 0 Murray 4 4 0 0 0 Muscogee 38 30 3 5 0 Newton a 11 3 1 4 Oconee 0 0 0 6 0 Oglethorpe 0 0 0 0 0 Paulding 4 3 1 0 0 Peach 9 5 4 0 0 Pickens 4 2 1 1 0 Pierce 3 1 0 2 0 Pike 2 1 0 1 c Polk 12 10 2 0 0 Pulaski 2 1 0 1 0 Putnam 8 4 4 0 0 Quitman 0 0 0 c 0 Rabun 2 2 0 0 0 Randolph 4 2 0 2 0 Richmond 44 33 5 5 0 Rockdale 2 2 0 0 0 Schley 0 0 0 0 0 Screven 2 1 1 c 0 Seminole 0 0 0 0 0 Spalding 1G 18 0 o 0 Stephens s 6 2 0 0 Stewart 3 0 1 2 c Sumter 3 3 0 Q 0 Talbot 1 1 0 0 0 Taliaferro 2 1 0 1 0 Tattnall 4 1 1 1 1 Taylor 1 0 1 n 0 Telfair 7 3 1 3 u 97 RACE AMD SEX COUNTY WHITE WHITE NOEWHITE NONWHITE TOTAL ALE FEMALE MSLE FHKLS Terrell 1 0 1 0 0 Thomas 2 8 0 0 0 Tift 3 1 1 0 Toombs 6 5 1 0 0 Tovns 0 0 0 0 0 Treutlen 0 0 0 0 0 Troup 12 9 1 2 0 Turner 2 2 0 0 0 Twiggs C 0 0 0 0 Union C 0 0 0 0 Upson 5 5 0 0 0 Walker 22 IS i o 0 Walton 9 6 2 1 0 Ware 9 8 1 c 0 Varren 0 0 0 0 0 Washington 9 i 2 1 0 Wayne 2 0 0 0 Webster 0 0 0 0 0 i Wheeler J 1 1 1 o 1 White o 0 c 0 t 0 Whitfield 20 13 6 1 0 Wilcox 0 0 0 Q 0 Wilkes 4 3 0 1 0 Wilkinson A 1 1 0 Worth 3 2 c y 98 DEATHS BY COUKTY BAC3 AND SEX X 1 TOTAL Appling Atkinson Bacon Baker Baldwin Banks Barrow Bartow Ben Hill 3errien Bibb Bleckley Brantley Brooks Bryan Bulloch Burke Butts Calhoun Camden Candler Carroll Catoosa Charlton Chatham Chattahoochee Chattooga Cherokee Clarke Clay Clayton Clinch Cobb Coffee Colquitt Columbia Cook Coweta Crawford Crisp Dade Dawson Decatur DeKalb Dodge Dooly Dougherty Douglas Early Echols Effinghara Elbert Emanuel Evans Fannin Fayette Floyd Forsyth Franklin Fulton Gilner Glascoek Glynn Gordon Grady PACE AND S2X WHITE WHITE noirvUTS NONiVHITE TOTAL MULE FEMALE jJ2 F3AL3 911 347 302 141 121 4 2 i o o 2 2 0 2 0 4 0 3 1 0 c c 0 0 0 12 5 2 4 1 2 1 1 0 0 6 3 1 2 0 6 2 2 0 2 6 3 1 2 0 2 0 2 Q 0 28 5 6 11 6 j 2 0 i i 0 3 1 2 0 0 2 1 0 0 1 0 0 0 0 0 4 1 2 1 0 A 0 0 2 2 3 3 0 0 0 1 0 0 0 1 4 0 0 T 1 1 0 0 0 1 15 s 5 1 1 2 1 1 0 0 3 2 1 0 0 42 10 11 9 12 0 0 0 0 0 A 3 1 0 0 A 2 2 0 0 16 3 7 2 4 1 0 0 1 0 5 1 4 0 0 2 1 1 0 0 19 12 5 1 1 5 2 2 0 1 12 5 5 1 1 3 1 2 0 0 2 0 2 0 0 16 5 5 A 2 1 0 0 0 1 7 0 3 2 2 1 1 0 0 0 1 0 1 0 0 9 5 4 c 0 77 9 21 4 3 5 1 1 1 2 3 0 1 2 0 5 1 1 0 3 4 1 3 0 0 T 3 0 0 0 2 0 0 2 0 3 2 0 0 1 9 3 2 1 3 3 1 1 1 0 1 0 1 0 0 i 2 1 0 0 t 1 2 0 0 24 9 9 5 1 1 2 1 0 0 7 5 2 0 0 11C 47 49 13 9 3 3 0 0 0 1 1 0 0 0 2 o 1 2 6 3 3 0 C 3 2 I 1 0 99 COUNTY RACE AND S3X WHITE WHITE NONHHITE NONWHTE TOTAL MALE FEMALE MALE FEMALE Greene 0 0 0 0 0 Gwinnett 8 4 3 1 0 Habersham 1 3 0 0 Hall 11 5 5 0 1 Hancock 2 0 2 0 0 Haralson 2 1 1 0 0 Harris 5 2 2 1 0 Hart 3 3 0 0 0 Heard 3 2 1 0 0 Henry 7 2 5 0 0 Houston 3 2 1 0 0 Irwin 4 3 1 0 0 Jackson 5 2 3 0 0 Jasper 1 0 1 0 0 Jeff Davis 1 0 1 0 0 Jefferson 7 2 0 3 2 Jenkins 4 4 0 0 0 Johnson 7 4 1 1 1 Jones 1 0 1 0 0 Lamar 3 1 0 2 0 Lanier 2 1 1 0 0 Laurens 7 3 1 2 1 Lee 1 0 0 1 0 Liberty 2 0 0 1 1 Lincoln 6 0 3 2 1 Long 2 0 0 1 1 Lowndes 3 0 1 1 1 Lumpkin 0 0 0 0 0 Macon 5 1 0 4 0 Madison 6 1 5 0 0 Marion 0 0 0 0 0 McDuffie 5 3 0 2 0 Mclntosh 3 0 1 0 2 Meri wether 5 1 2 0 2 Miller 2 1 0 1 0 Mitchell 6 3 2 1 0 Monroe 5 1 1 1 2 Montgomery 0 0 0 0 0 Morgan 1 0 1 0 0 Murray 3 3 0 0 0 Muscogee 18 10 4 3 1 Newton 11 3 5 1 2 Oconee 2 2 0 0 0 Oglethorpe 2 1 1 0 0 Paulding 3 1 2 0 0 Peach 2 2 0 0 0 Pickens 2 2 0 0 Pierce 1 0 0 1 0 Pike 6 3 2 1 0 Polk 5 3 1 0 1 Pulaski 4 1 1 0 2 Putnam 5 1 2 0 2 Quitman 1 1 0 0 0 Rabun 1 0 1 0 0 Randolph 2 0 0 0 2 Richmond 32 13 10 5 4 Rockdale 4 2 1 1 0 Schley 0 0 0 0 0 Screven 3 1 2 0 0 Seminole 2 1 0 1 0 Spalding 8 3 1 3 1 Stephens 6 3 2 0 1 Stewart 2 1 0 0 1 Sumter 4 1 1 1 1 Talbot 0 0 0 0 0 Taliaferro 1 1 0 0 0 Tattnall 6 3 2 0 1 Taylor 3 0 c 3 0 Telfair 5 1 4 0 0 100 X COUNT RACE AND SEX WHITE WHITE NOITVmTE NONWKETE TOTAL MALE FEMALE lALE FEMALE Terrell 2 1 0 1 0 Thomas 12 6 2 2 2 lift 5 3 1 1 0 Toombs 5 1 2 1 1 Towns 3 2 1 C 0 Treutlen 2 0 0 1 1 Troup o 1 A 2 2 Turner 3 1 C 1 1 Twiggs 4 2 0 2 0 Union 3 1 2 0 0 Upson 6 1 2 1 2 Walker 7 5 2 0 0 Walton 5 1 2 C 2 Vare 7 3 1 2 1 Varren 3 1 0 1 1 Washington 0 1 2 3 Wayne 3 2 1 0 0 Webster 1 2 c 0 3 Wheeler 1 0 1 0 0 Shite 5 2 1 0 0 Whitfield 2 2 0 0 0 Wilcox 1 0 0 0 1 Willies 5 2 0 0 3 Wildnson 2 2 0 0 0 Worth 3 2 0 1 0 y101 DISCHARGES FROM FURLOUGH AHD ESCAPE BY COUNTY RACE AMD SE RACE AND SEX COU1TTY 7KLTE WHITE NCWTHITE N0NWHITE TOTAL MALE FWALF MIS FEMALE TOTAL 4161 15S3 1586 442 550 Appling 14 6 4 1 3 Atkinson 5 3 2 0 0 Bacon IS 10 5 3 0 Baler c 2 1 1 1 Baldwin 40 8 17 7 8 Banks 7 3 4 0 0 Barrow 28 IS 8 1 1 Bartow 45 20 17 4 4 Ben Hill 24 10 11 3 0 Berrien 5 1 3 0 1 Bibb 131 48 54 12 17 Bleckley 11 6 4 0 1 Brantley 4 1 3 0 0 Brooks 19 5 8 1 5 Bryan S 3 3 1 1 Bulloch 27 12 6 4 5 Bure 9 1 2 3 3 Butts 16 6 4 2 4 Calhoun 9 5 1 1 2 Camden 12 3 6 3 0 Candler 3 2 1 0 0 Carroll 47 25 16 2 4 Catoosa 23 7 16 0 0 Charlton 4 1 2 0 1 Chatham 112 33 38 19 22 Chattahoochee 2 0 2 0 0 Chattooga 20 11 9 0 0 Cherokee 46 24 20 2 0 Clarke 53 21 14 11 7 Clay 4 0 2 2 0 Clayton 49 23 21 2 3 Clinch 7 3 4 0 0 Cobb 128 49 70 6 3 Coffee 41 19 17 3 2 Colquitt 44 20 19 1 4 Columbia 7 1 4 1 1 Cook 23 6 10 5 2 Coweta 48 24 13 6 Cravrford 5 0 1 2 2 Crisp 17 10 3 2 2 Dade 3 0 2 1 0 Davrson 2 0 2 0 0 Decatur 21 9 7 2 3 DeKalb 196 67 111 11 7 Dodge 28 16 7 2 3 Dooly 13 4 5 1 3 Dougherty 61 20 20 10 11 Douglas 22 12 9 0 1 Early 14 4 3 3 4 Echols 0 0 0 0 0 Effingham 4 1 1 1 1 Elbert 26 9 11 A 2 Emanuel 36 22 9 3 2 Evans 12 5 6 1 0 Fannin 15 7 8 0 0 Fayette 3 0 2 1 0 Floyd 7S 26 41 2 9 Forsyth 12 8 4 0 0 Franklin 13 8 4 o 1 Fulton SCO 176 211 L8Q 113 Gilmer 9 6 0 c Glascock 0 0 0 ft 0 Glyim 44 15 21 3 5 Gordon Grady 24 13 13 6 9 i 7 1 1 4 102 X K COUNTY HAC3 AND S2X VHITE WHITE HONVEITE NONWHTE TOTAL MAXE FEMALE USIE FEMALE Greene 6 0 0 2 4 Gwinnett 44 21 22 1 0 Habershain 20 15 5 0 0 Hall 57 36 17 i 1 Hancock a 1 2 i 5 Haralson 17 7 9 0 1 Harris 12 2 3 2 5 Hart 22 11 4 6 1 Heard 4 1 3 0 0 Henry 19 6 8 2 3 Houston 36 11 12 4 9 Irrdn 5 1 3 1 0 Jackson 2C 6 13 3 Jasper 5 2 1 0 2 Jeff Davis 12 7 3 2 0 Jefferson 15 2 4 1 2 Jenkins 13 6 8 2 2 Johnson 17 7 7 0 3 Jones 18 3 3 3 9 Lamar 8 2 3 2 1 Lanier 10 5 2 1 2 Laurens 54 26 20 4 Lee 3 0 1 6 2 Liberty 22 8 7 2 5 Lincoln 1 0 0 1 0 Long 7 2 2 c 3 Lovndes 23 16 7 2 3 Lumpkin y 6 3 0 0 Macon 13 2 2 5 Madison 11 7 4 Q 0 Marian 9 2 3 2 2 McDuffie 26 A 14 T 5 Mclntosh 7 2 0 i 4 Merivether 20 5 5 4 Miller 8 5 3 0 0 Mitchell 17 3 5 1 Monroe S 1 3 1 3 Montgomery 6 3 1 2 0 Morgan 12 2 6 0 4 Murray 8 3 5 0 0 Muscogee 86 26 34 10 16 Nevrton 36 15 7 6 8 Oconee 14 K 7 1 2 Oglethorpe 8 1 2 1 4 Paulding 35 21 10 3 1 Peach 25 4 7 5 q Pickens 6 A 2 0 0 Pierce 11 5 6 0 0 Pike 7 2 0 3 2 Poll 33 17 14 0 2 Pulaski 6 1 3 1 1 Putnam 7 1 4 2 0 uitman 0 0 0 0 0 Rabun c 3 2 0 0 Randolph 9 4 2 0 3 Richmond 128 45 51 8 24 Rockdale 14 8 3 2 1 Schley 0 0 0 0 0 Screven 16 2 4 4 6 Seminole 7 1 4 1 1 Spalding 4 25 10 9 4 Stephens 13 4 C o 1 Stewart o 2 0 1 6 Sunrter 15 6 5 T 3 Talbot 11 0 4 4 3 Taliaferro T 1 1 0 1 Tattnall 13 9 1 1 2 Taylor 6 2 0 0 4 Telfair 15 6 1 2 103 RACE AND SEX COUNTY YHETE WHITE N0HHHITE NONWHITE TOTAL MALE FEMALE MALE FEMALE Terrell 10 2 3 4 1 Thomas 42 10 22 T 7 Tift 36 14 16 0 6 Toombs 47 16 20 c 5 Torois 3 1 2 0 C Treutlen 11 5 0 0 Troup 39 17 10 5 7 Turner 6 2 3 0 1 Twiggs 3 1 0 0 2 Union 10 6 4 0 0 Upson 34 14 11 5 4 YaLker 50 27 19 0 4 Yalton 20 13 13 1 1 Vare 49 24 15 3 7 Varren 5 3 1 1 0 Vashington 32 8 15 I 5 Yayne 26 13 9 1 3 Yebster 2 1 1 0 0 Yfaeeler 7 4 2 1 0 YMte 11 7 4 c 0 Yhitfield 55 27 24 4 0 Yilcox 4 1 3 0 0 Yilkes 15 4 5 4 2 Wilkinson 11 1 1 6 3 Worth 14 5 3 9 3 ADMISSIONS BY AGE AT ADMISSION ADMISSION CLASSIFICATION RACE SEX AND MENTAL DISORDER MENTAL DISORDER racesex AGE In Years TOTAL Under 15 24 25 34 35 44 45 55 JL 65 JLL 75 84 85 and over Uhknovn ALL MENTAL DISORDERS All Admissions First Admissions Readmissions Previously admitted to CSH Readmissions Previously admitted to other psychiatric facility ACUTE BRAIN SYNDROME ASSOCIATED WITH ALCOHOL INTOXICATION All Admissions Total 6691 254 926 1274 1519 1227 701 437 235 61 57 Vhite Male 2949 96 389 531 692 612 327 160 104 23 15 Vhite Female 1947 58 220 363 476 382 212 142 68 17 9 Nonwhite Male 966 60 190 214 183 119 93 65 21 8 13 Nonwhite Female 829 40 127 166 168 114 69 70 42 13 20 Total 4679 250 760 850 939 758 474 341 211 56 40 Vhite Male 2052 94 315 356 423 389 226 122 94 22 11 Vhite Female 1345 57 196 247 295 231 133 100 63 16 7 Nonwhite Male 687 59 144 138 111 72 72 56 20 8 7 Nonwhite Female 595 40 105 109 110 66 43 63 34 10 15 Total 1845 3 147 389 536 422 220 87 22 4 15 1 0 Vhite Male 812 2 62 I64 243 196 99 33 9 0 4 Vhite Female 553 1 20 104 169 136 77 39 4 1 2 Nonwhite Male 257 0 43 69 69 42 21 8 1 0 4 Nonwhite Female 223 0 22 52 55 48 23 7 c 3 5 Total 167 1 19 35 44 47 7 9 2 1 2 Yhite Male 85 0 12 11 26 27 2 5 1 1 0 Vhite Female 49 0 4 12 12 15 2 3 1 0 C Nonwhite Male 22 1 3 7 3 5 0 1 0 0 2 Nonwhite Female 11 0 0 5 3 0 3 0 0 0 0 Total 154 0 6 37 53 41 15 0 0 0 2 Vhite Male 96 0 4 19 29 28 14 0 0 0 2 Vhite Female 18 0 1 3 6 8 0 0 0 0 0 Nonwhite Male 36 0 1 15 15 4 1 0 0 0 0 Nonwhite Female 4 0 0 0 3 1 0 0 0 0 0 MENTAL DISORDER RACESEX AGE In Years Under 15 25 35 45 55 65 75 85 and Total 15 1U 3i u L 64 1L 8A over Unknown Total 110 0 5 27 39 26 11 0 0 0 2 White Male 68 0 4 11 20 21 10 0 0 0 2 First Admissions Vhite Female 10 0 1 2 4 3 0 0 0 0 0 Nonwhite Male 29 0 0 14 12 2 1 0 0 0 0 Nonwhite Female 3 0 0 0 3 0 0 0 0 0 0 Total 41 0 1 9 14 13 4 0 0 0 0 Vhite Male 27 0 0 8 9 6 4 0 0 0 0 Readmissions White Female 7 0 0 1 2 4 0 0 0 0 0 Previously admitted to CSH Nonwhite Male 6 0 1 0 3 2 0 0 0 0 0 Nonwhite Female 1 0 0 0 0 1 0 0 0 0 0 Total 3 0 0 1 0 2 0 0 0 0 0 White Male 1 0 0 0 0 1 0 0 0 0 0 Readmissions Vhite Female 1 0 0 0 0 1 0 0 0 0 0 Previously admitted to other Nonwhite Male 1 0 0 1 0 0 0 0 0 0 0 1 psychiatric facility Nonwhite Female 0 0 0 0 0 0 0 0 0 0 0 o DRUG OR POISON INTOXICATION Total 11 0 0 1 2 3 2 3 0 0 0 White Male 3 0 0 0 1 1 0 1 0 0 0 All Admissions White Female 7 0 0 1 1 2 2 1 0 0 0 Nonwhite Male 0 0 0 0 0 0 0 0 0 0 0 Nonwhite Female 1 0 0 0 0 0 0 1 0 0 0 Total 6 0 0 1 0 1 2 2 0 0 0 Vhite Male 1 0 0 0 0 1 0 0 0 0 0 First Admissions White Female 4 0 0 1 0 0 2 1 0 0 0 Nonwhite Male 0 0 0 0 0 0 0 0 0 0 0 Nonwhite Female 1 0 0 0 0 0 0 1 0 0 0 Total 4 0 0 0 1 2 0 1 0 0 0 Vhite Male 1 0 0 0 0 0 0 1 0 0 0 Readmissions White Female 3 0 0 0 1 2 0 0 0 0 0 Previously admitted to CSH 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 s MENIAL riSOHDER RACESEX AGE In Years Under 15 25 35 45 55 65 75 85 and Total 15 24 34 44 54 64 74 84 over 0 Unknown 0 Total 1 0 0 0 1 0 0 0 0 White Male 1 0 0 0 1 0 0 0 0 0 0 Readmissions White Female 0 0 0 0 0 0 0 0 0 0 0 Previously admitted to other Nonwhite Male 0 0 0 0 0 0 0 0 0 0 0 psychiatric facility Nonwhite Female 0 0 0 0 0 0 0 0 0 0 0 ALL OTHER ACIITE BRAIN SYNDROMES Total 11 0 1 2 5 1 2 0 0 0 0 White Male 5 0 1 1 3 0 0 0 0 0 0 All Admissions White Female 2 0 0 1 0 0 I 0 0 0 0 Nonwhite Male 2 0 0 0 2 0 0 0 0 0 0 Nonwhite Female 2 0 0 0 0 1 1 0 0 0 0 Total 9 0 1 1 5 1 1 0 0 0 0 White Male 4 0 1 0 3 0 0 0 0 0 0 First Admissions White Female 2 0 0 1 0 0 1 0 0 0 0 Nonwhite Male 2 0 0 0 2 0 0 0 0 0 0 Nonwhite Female 1 0 0 0 0 1 0 0 0 0 0 Total 2 0 0 1 0 0 1 0 0 0 0 White Male 1 0 0 1 0 0 0 0 0 0 0 Readmissions White Female 0 0 0 0 0 0 0 0 0 0 0 Previously admitted to CSH Nomshite Male 0 0 0 0 0 0 0 0 0 0 0 Nonwhite Female 1 0 0 0 0 0 1 0 0 0 0 Total 0 0 0 0 0 0 0 0 0 0 0 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 o Previously admitted to other Nonwhite Male 0 0 0 0 0 0 0 0 0 0 o psychiatric facility Nonwhite Female 0 0 0 0 0 0 0 0 0 0 0 TOTAL ACUTE BRAIN SYNDROMES Total 176 0 7 39 61 45 19 3 0 0 2 White Male 104 0 5 20 33 29 14 1 0 0 2 All Admissions White Female 27 0 1 5 7 10 3 1 0 0 0 Nonwhite Male 38 0 1 14 18 4 1 0 0 0 0 Nonwhite Female 7 0 0 0 3 2 1 1 0 0 0 o MENTAL DISORDER RACESEX AGE In Years Under 15 25 35 45 55 65 75 85 and Total 15 24 34 44 54 64 74 S4 over Unknown Total 125 0 6 2G 45 28 14 2 0 0 2 White Male 73 0 5 11 23 22 10 0 0 0 2 First Admissions White Female 16 0 1 4 4 3 3 1 0 0 0 Narrahite Male 31 0 0 13 15 2 1 0 0 0 0 Nonwhite Female 5 0 0 0 3 1 0 1 0 0 0 Total 47 0 1 10 15 15 5 1 o 0 0 White Male 29 0 0 9 9 6 4 1 0 0 0 Readmissions White Female 10 0 0 1 3 6 0 0 0 0 0 Previously admitted to CSH NonWhite Male 6 0 1 0 3 2 0 0 0 0 0 Nonwhite Female 2 0 0 0 0 1 1 0 0 0 0 Total 4 0 0 1 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 other NonvSiite Male 1 0 0 1 0 0 0 0 0 0 0 psychiatric facility Nonwhite Female 0 0 0 c 0 0 0 0 0 0 0 1 o CHRONIC BRAIN SYNDROME ASSOCIATED WITH DISEASES AND CONDITIONS DUE TO PRENATAL INFLUENCE Total 26 16 4 2 2 0 1 1 0 0 0 White Male 12 7 2 0 1 0 1 1 0 0 0 All Admissions White Female 7 4 0 2 1 0 0 0 0 0 0 Nomhite Male 4 2 2 0 0 0 0 0 0 0 0 Nonwhite Female 3 2 0 0 0 0 0 0 0 0 C Total 23 16 2 1 2 0 1 1 0 0 0 White Male 11 7 1 0 1 0 1 1 0 0 0 First Admissions White Female 6 4 0 1 1 0 0 0 0 0 0 Nonvjhite Male 3 2 1 0 0 0 0 0 0 0 0 Nonwhite Female 3 3 0 0 0 0 0 0 0 0 0 Total 3 0 2 1 0 0 0 0 0 0 0 White Male 1 0 1 0 0 0 0 0 0 0 0 Readmissions White Female 1 0 0 1 0 0 0 0 0 0 0 Previously admitted to CSH Nonwhite Male 1 0 1 0 0 0 0 0 0 0 0 Nonvhite Female 0 0 0 0 0 0 0 0 0 0 0 J MENTAL DISO RDER RACESEX AGE In Years Under 15 25 35 45 55 65 75 85 and Total 15 24 34 44 54 64 74 84 over Uhtaiovjn Total 0 0 0 0 0 0 0 0 0 0 0 White Male 0 0 0 0 0 0 0 0 0 0 0 Readmissions White Female 0 0 0 0 0 0 0 0 0 0 0 Previously admitted to other Nonwhite Male 0 0 0 0 0 0 0 0 0 0 o psychiatric facility Nonwhite Female 0 0 0 0 0 0 0 0 0 0 0 MENINGOENCSPHALITIC SYPHILIS Total Total 6 0 0 0 2 0 3 1 0 0 0 White Male 3 0 0 0 1 0 2 0 0 0 0 All Admissions White Female 1 0 0 0 1 0 0 0 0 0 0 Nonwhite Male 2 0 0 0 0 0 1 1 0 0 0 Nonwhite Female 0 0 0 0 0 0 0 0 0 0 0 Total 2 0 0 0 0 0 2 0 0 0 0 White Male 2 0 0 0 0 0 2 0 0 0 0 First Admissions White Female 0 0 0 0 0 0 0 0 0 0 0 Nonwhite Male 0 0 0 0 0 0 0 0 0 0 0 Nonwhite Female 0 0 0 0 0 0 0 0 0 0 0 Total 4 0 0 0 2 0 1 1 0 0 0 White Male 1 0 0 0 1 0 0 0 0 0 0 Readmissions White Female 1 0 0 0 1 0 0 o o o 0 0 Previously admitted to CSH Nonwhite Male 2 0 0 0 0 0 1 1 0 0 Nonwhite Female 0 0 0 0 0 0 0 0 0 0 0 Total 0 0 0 0 0 0 0 0 0 0 0 White Male 0 0 0 0 0 0 0 0 0 0 0 Readmissions White Female 0 0 0 0 0 0 0 0 0 o o Previously admitted to other Nonwhite Male 0 0 0 0 0 0 0 0 0 o o psychiatric facility Nonwhite Female 0 0 0 0 0 0 0 0 0 0 0 JIDSfflC ENCEPHALITIS Total 6 2 0 1 2 2 1 0 0 0 0 White Male 2 1 0 0 0 0 1 0 0 o o All Admissions White Female 6 1 0 1 2 2 0 0 0 0 o Nonwhite Male 0 0 0 0 0 0 0 0 0 0 0 Nonvhite Female 0 0 0 0 0 0 0 0 0 0 0 o COMENIAL DISORDER RACESEX AGE In Years Under Total 15 15 2k 25 J2L 35 45 54 55 k 65 74 75 85 and over UnknoTjn First Admissions Readmissions Previously admitted to CSH Readmissions Previously admitted to other psychiatric facility OTHER INTRACRANIAL INFECTIONS All Admissions First Admissions Readmissions Previously admitted to CSH Total Yhite Male White Female Nonwhite Male Nonvhite Female Total Yhite Male Yhite Female Nonwhite Male Nonvhite Female Total Yhite Male Yhite Female Nonvihite Male Nonwhite Female Total YJhite Male Yhite Female Nonwhite Male Nonwhite Female Total YJhite Male Yhite Female Nonnhite Male Nonvhite Female Total Yhite Male Yhite Female Namvhite Male Ncarahite Female 8 2 0 1 2 2 1 0 0 0 2 1 0 0 0 0 1 0 0 0 6 1 0 1 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 2 1 0 4 0 0 0 0 0 3 2 1 0 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 2 0 0 0 2 0 0 0 0 0 7 2 1 0 4 0 0 0 0 0 3 2 1 0 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 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 os3 Ho RACESEX AOE In Years MNXAL LIlibUHDJLtt Under 15 25 35 45 55 65 75 85 and Total 15 2i H u 54 64 74 H over Unknown Total 0 0 0 0 0 0 0 0 0 0 0 White Male 0 0 0 0 0 0 0 0 0 0 0 Readmissians White Female 0 0 0 0 0 0 0 0 0 0 0 Previously admitted to other Nonwhite Male 0 0 0 0 0 0 0 0 0 0 0 psychiatric facility Nonwhite Female 0 0 0 0 0 0 0 0 0 0 0 ALCOHOL INTOXICATION Total 93 0 0 3 22 26 28 9 2 0 3 Write Male 55 0 0 1 9 15 20 d 2 0 0 All Admissions White Female 8 0 0 0 1 5 2 0 0 0 0 Nonwhite Male 21 0 0 1 6 4 6 i 0 0 3 Nonwhite Female 9 0 0 1 6 2 0 0 0 0 0 Total 67 0 0 1 16 19 20 7 2 0 2 White Ivfale 38 0 0 1 5 8 16 6 2 0 0 First Admissions White Female 6 0 0 0 0 5 1 0 C 0 0 Nonwhite Male 15 0 0 0 5 4 3 1 0 0 2 Nonwhite Female 8 0 0 0 6 2 0 0 0 0 0 Total 26 0 0 2 6 7 8 2 0 0 1 White Male 17 0 0 0 4 7 4 2 0 0 0 Readmissians White Female 2 0 0 0 1 0 1 0 0 0 0 Previously admitted to CSH Nonwhite Male 6 0 0 1 1 0 3 0 0 0 1 Nonwhite Female 1 0 0 1 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 Readmissians White Female 0 0 0 0 0 0 0 0 0 0 0 Previously admitted to other Nonwhite Male 0 0 0 0 0 0 0 0 0 0 0 psychiatric facility Monvhite Female 0 0 0 0 0 0 0 0 0 0 0 BIRTH TRAUMA Total 16 3 3 1 6 2 0 1 C 0 0 White Male 10 1 2 0 J 1 0 1 0 0 0 All Admissions White Female 3 1 1 0 0 1 0 0 0 0 0 Nonwhite Male 2 0 0 1 1 0 0 0 0 0 0 Nonwhite Female 1 1 0 0 0 0 0 0 0 0 0 AGE In fears MENTAL DISORDER RACESEX Under 15 25 35 45 55 65 75 85 and Total 15 24 34 44 54 64 74 84 over UhtaoYjn Total 10 3 2 0 2 2 0 1 0 0 0 7hite Male 7 1 2 0 2 1 0 1 0 0 0 First Admissions White Female 2 1 0 0 0 1 0 0 0 0 0 Monwhite Male 0 0 0 0 0 0 0 0 0 0 0 Nonvrhite Female 1 1 0 0 0 0 0 0 0 0 0 Total 5 0 1 1 3 0 0 0 0 0 0 Yhite Male 2 0 0 0 2 0 0 0 0 0 0 Readmissions Vhite Female 1 0 1 0 0 0 0 0 0 0 0 Previously admitted to GSH Nomtfiite Male 2 0 0 1 1 0 0 0 0 0 0 Nonwhite Female 0 0 0 0 0 0 0 0 0 0 0 Total 1 0 0 0 1 0 0 0 0 0 0 White Male 1 0 0 0 1 0 0 0 0 0 0 Readmissions VMte Female 0 0 0 0 0 0 0 0 c 0 0 Previously admitted to other Honvrhite Male 0 0 0 0 0 0 0 0 0 0 0 1I psychiatric facility Nonvrhite Female 0 0 0 0 0 0 0 0 0 0 0 1 1 OTHER TRAUMA Total 60 6 11 9 11 10 10 3 0 0 0 White Male 31 5 4 6 5 5 4 2 0 0 0 All Admissions White Female 10 1 3 2 0 2 2 0 0 0 0 Nonwhite Male 17 0 4 0 5 3 4 1 0 0 0 Nonwhite Female 2 0 0 1 1 0 0 0 0 0 0 Total 49 5 11 6 7 8 10 2 0 0 0 White Male 23 4 A 3 3 4 4 1 0 0 0 First Admissions Vhite Female 10 1 3 2 0 2 2 0 0 0 0 Nonnhite Male U 0 A 0 3 2 4 1 0 0 0 Narohite Female 2 0 0 1 1 0 0 0 0 0 0 Total 11 1 0 3 4 2 0 1 0 0 0 Vhite Male 8 1 0 3 2 1 0 1 0 0 0 Readmissions Vhite Female 0 0 0 0 0 0 0 0 0 0 0 Previously admitted to CSH Nonvdrite Male 3 0 0 0 2 1 0 0 0 0 0 Nonwhite Female 0 0 0 0 0 0 0 0 0 0 0 MENTAL DISORDER RACESEX AGE In Years Under 15 25 35 45 55 65 75 85 and Total 15 24 u 44 54 64 74 S4 over Unknown Total 0 0 0 0 0 0 0 0 0 0 0 White Male 0 0 0 0 0 0 0 0 0 0 0 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 Tcrtal 506 0 0 0 5 31 141 212 89 15 13 White Male 200 0 0 0 2 13 54 79 43 5 4 White Female 129 0 0 0 0 5 39 60 19 3 3 Nonwhite Male 98 0 0 0 2 5 33 40 13 4 1 Nonwhite Female 79 0 0 0 1 8 15 33 14 3 5 Total 434 0 0 0 4 25 118 181 79 15 12 White Male 162 0 0 0 1 9 43 62 38 5 4 Vhite Female 112 0 0 0 0 5 31 52 18 3 3 Nonwhite Male 89 0 0 0 2 5 30 36 12 4 0 Nonwhite Female 71 0 0 0 1 6 14 31 11 3 5 Total 65 0 0 0 1 6 21 26 10 0 1 Vhite Male 34 0 0 0 1 4 10 14 5 0 0 Vhite Female 16 0 0 0 0 0 8 7 1 0 0 Nonwhite Male 8 0 0 0 0 0 3 3 1 0 1 Nonwhite Female 7 0 0 0 0 2 0 2 3 0 0 Total 7 0 0 0 0 0 2 5 0 0 0 Vhite Male 4 0 0 0 0 0 1 3 0 0 0 White Female l 0 0 0 0 0 0 1 0 0 0 Nonwhite Male 1 0 0 0 0 0 0 1 0 0 0 Nonwhite Female 1 0 0 0 0 0 1 0 0 0 0 Total 24 1 1 0 2 8 6 4 1 1 0 Vhite Male 15 0 0 0 2 5 5 2 1 0 0 White Female 3 0 0 0 0 1 0 1 0 1 0 Nonwhite Male 3 1 1 0 0 0 1 0 0 0 0 Nonwhite Female 3 0 0 0 0 2 0 1 0 0 0 ReadmisBions Previously admitted to other psychiatric facility CEREBRAL ARTERIOSCLEROSIS All Admissions First Admissions Readmissions Previously admitted to CSH Readmissions Previously admitted to other psychiatric facility OTHER CIRCULATORY DISTURBANCE All AdmissionsMENIAL DISORDER RACESEX AGE In Years First Admissions Readmissions Previously admitted to CSH Readmissions Previously admitted to other psychiatric facility CONVULSIVE DISORDER All Admissions First Admissions Readmissions Previously admitted to CSH 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 Totfrl 21 12 3 3 3 2 2 0 0 0 1 1 0 0 0 166 62 41 48 15 109 44 23 30 12 50 14 15 18 3 Under 15 10 4 2 4 0 10 4 2 4 0 0 0 0 0 0 15 25 J4 35 45 JAik 55 64 65 75 1L U 85 and over UnloioYSi 39 13 9 12 5 30 8 9 9 4 7 3 0 3 1 40 16 11 9 4 28 12 6 6 4 11 4 4 3 0 34 13 7 U 3 0 25 11 9 4 1 16 14 10 7 3 3 2 3 1 1 16 9 2 3 3 5 9 1 13 4 1 0 110 0 110 0 0 0 0 0 0 0 0 0 10 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 1 0 1 2 0 0 0 1 0 1 0 0 0 0 0 0 0 1 0 2 1 0 1 2 0 0 0 0 0Sty AGE In Years MENTAL DISORDER RACESEX Under 15 25 35 45 55 65 75 85 and Total 15 24 34 44 54 64 74 84 over Unknown Total 7 0 2 1 2 2 0 0 0 0 0 White Male 4 0 2 0 1 1 0 0 0 0 0 Readmissions White Female 3 0 0 1 1 1 0 0 0 0 0 Previously admitted to other Nonwhite Male 0 0 0 0 0 0 0 0 0 o 0 psychiatric facility Nonwhite Female 0 0 0 0 0 0 0 0 0 0 0 SENILE BRAIN DISEASE Total 305 0 0 0 2 5 19 100 131 44 4 White Male 100 0 0 0 0 0 1 28 53 18 o All Admissions White Female 106 0 0 0 1 2 9 34 46 13 1 Nonwhite Male 31 0 0 0 1 1 1 16 8 3 1 Nonwhite Female 68 0 0 0 0 2 8 22 24 10 2 Total 277 0 0 0 1 4 18 90 121 39 lt Vhite Male 91 0 0 0 0 0 1 24 32 49 42 17 0 First Admissions Vhite Female 98 0 0 0 1 1 9 12 1 Nonwhite Male 29 0 0 0 0 1 1 15 3 1 Nonwhite Female 59 0 0 0 0 2 7 19 22 7 2 Total 25 0 0 c 1 1 1 10 a 4 0 White Male 7 0 0 o 0 0 0 4 2 1 3 3 0 0 0 0 o Readmissions Vtoite Female 7 0 0 0 0 1 0 1 0 Previously admitted to CSH Nonwhite Male 2 0 0 Q 1 0 0 Nonwhite Female 9 0 0 0 0 0 1 3 2 3 0 Total 3 0 0 0 0 0 0 0 2 1 0 White Male 2 0 0 0 0 0 0 o X 1 0 0 0 0 0 0 0 Readmissions White Female 1 0 0 0 0 0 o o 1 0 0 Previously admitted to other psychiatric facility Nonwhite Male Nonwhite Female 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 OTHER DISTURBANCE OF METABOLISM GROWTH AND NUTRITION Total 11 2 1 0 1 2 3 2 0 0 0 White Male 2 1 1 0 0 0 0 0 o 0 o 0 o All Admissions White Female 3 0 0 0 0 2 1 0 0 Nonwliite Male 2 1 0 0 0 0 0 1 o 0 0 0 Q Nonwhite Female 4 0 0 0 1 0 2 1 0 1DER RACESEX AGE In Years MENTAL DISC Under 15 25 35 45 55 65 75 85 and Total 15 24 34 44 54 64 74 84 over UnknoTOi Total 9 2 1 0 0 2 2 2 0 0 0 White Male 2 1 1 0 0 0 0 0 0 0 0 First Admissions White Female 3 0 0 0 0 2 1 0 0 0 0 Nanwhite Male 2 1 0 0 0 0 0 1 0 0 0 Namhite Female 2 0 0 0 0 0 1 1 0 0 0 Total 2 0 0 0 1 0 1 0 0 0 0 White Male 0 0 0 0 0 0 0 0 0 0 0 Readmissions Vhite Female 0 0 0 0 0 0 0 0 0 0 0 Previously admitted to CSH Nonwhite Male 0 0 0 0 0 0 0 0 0 0 0 Nonwhite Female 2 0 0 0 1 0 1 0 0 0 c 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 Honvhite Male 0 0 0 0 0 0 0 0 0 0 0 i psychiatric facility Nonwhite Female 0 0 0 0 0 0 0 0 0 0 0 i1 J1 INTRACRANIAL NEOPLASM Total 4 0 1 1 1 1 0 0 0 0 0 White Male 3 0 1 1 1 0 0 0 0 0 0 All Admissions White Female 1 0 0 0 0 1 0 0 0 0 0 Nonwhite 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 1 1 1 0 0 0 0 0 0 White Male 3 0 1 1 1 0 0 0 0 0 0 First Admissions White Female 0 0 0 0 0 0 0 0 0 0 0 Nomshite Male 0 0 0 0 0 0 0 0 0 0 0 Namvhite Female 0 0 0 0 0 0 0 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 Readmissions White Female 1 0 0 0 0 1 0 0 0 0 0 Previously admitted to CSH Nomvhite 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 MENTAL DISORDER RACESEX AGE In Years Total Under 15 1524 2534 3544 4554 5564 6574 75 85 and Total 0 0 0 0 0 0 0 0 w 0 0 0 White Male 0 0 0 0 0 0 0 0 o o 0 0 0 0 Readndssions White Female 0 0 0 0 0 o 0 0 o c o 0 0 0 Previously admitted to other Nonwhite Male 0 0 0 0 0 0 0 psychiatric facility Nonwhite Female 0 0 0 0 0 0 0 0 0 DISEASE OF UNKNWN AND UNCERTAIN CAUSE Total 13 1 1 1 2 4 2 1 0 0 1 White Male 4 0 1 0 0 2 1 o o 0 o 0 0 3 All Admissions White Female 4 0 0 1 1 0 1 1 o Nonwhite Male 2 0 0 0 1 0 0 0 0 o Nonwhite Female 3 1 0 0 0 2 0 0 0 0 0 Total 13 1 1 1 2 4 2 1 0 0 1 White Male 4 0 1 0 0 2 1 o Q 0 o 0 0 1 First Admissions White Female 4 0 0 1 1 0 1 1 o Nonwhite Male 2 0 0 0 1 0 0 0 0 o Nonwhite Female 3 1 0 0 0 2 0 0 0 0 0 Total 0 0 0 0 0 0 0 0 0 0 o White Male 0 0 0 0 0 0 0 o o 0 0 Readndssions White Female 0 0 o Q 0 0 0 0 0 0 0 0 Previously admitted to CSH Nonwhite Male 0 0 0 0 0 o 0 o 0 0 0 Nonwhite Female 0 0 0 0 0 0 0 0 0 0 Total 0 0 0 0 0 0 0 0 0 0 o Readndssions Vhite Male Vhite Female 0 0 0 0 0 o 0 o 0 0 o 0 0 o 0 0 0 0 0 0 0 0 0 0 0 Previously admitted to other Nonwhite Male 0 0 0 0 0 0 0 0 0 0 0 psychiatric facility Nonwhite Female 0 0 0 0 0 0 0 0 CHRONIC BRAIN SYNDROME OF UNKNOWN CAUSE Total 53 8 4 4 6 10 17 3 1 o o Vhite Male 20 2 1 2 1 3 5 7 3 o 1 o 0 0 o All Admissions Vhite Female 11 1 0 1 1 3 6 0 0 0 0 Nonwhite Male 17 3 2 1 4 1 0 o Nonwhite Female 5 2 1 0 0 1 1 0 0 0 MENTAL DISORDER AGE In Years First Admissions Readmissions Previously admitted to CSH Readmissions Previously admitted to other psychiatric facility TOTAL CHRONIC BRAIN SYNDROMES All Admissions First Admissions Readmissions Previously admitted to CSH Under 15 25 35 45 55 65 75 85 and Total a 15 24 34 44 54 64 74 84 over UnSmovm Total 3 a 3 9 12 2 1 0 0 White Male 15 2 1 1 0 2 6 2 1 0 0 White Female 9 1 0 1 1 5 1 0 0 0 0 NonThite Male 12 3 1 1 2 1 4 0 0 0 0 NonYAiite Female 5 2 1 0 0 1 1 0 0 0 0 Total 12 0 1 1 3 1 5 1 0 0 0 White Male 5 0 0 1 1 1 1 1 0 0 0 White Female 2 0 0 0 0 0 2 0 0 0 0 Norrohite Male 5 0 1 0 2 0 2 0 0 0 0 Nonynite Female 0 0 0 0 0 0 0 0 0 0 0 Total 0 0 0 0 0 0 0 0 0 0 0 Vhite Male 0 0 0 0 0 0 0 0 0 0 0 Vhite Female 0 0 0 0 0 0 0 0 0 0 0 Monvhite 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 1298 51 66 62 102 126 244 340 225 60 22 White Male 522 23 26 26 40 55 100 124 101 23 4 Vhlte Female 335 10 13 18 17 35 58 98 65 17 4 NonThite Male 247 11 21 12 31 18 60 60 21 7 6 Nonwhite Female 194 7 6 6 14 18 26 58 38 13 8 Total 1073 50 53 43 60 96 200 292 204 55 20 White Male 419 22 20 18 24 37 82 99 91 22 4 Yhite Female 284 10 12 12 11 27 46 66 60 16 4 Nonvhite Male 199 11 16 7 15 16 49 54 20 7 4 Monvhite Female 171 7 5 6 10 16 23 53 33 10 8 Total 206 1 11 18 38 28 42 43 19 4 2 White Male 91 1 4 13 17 17 22 9 0 0 Yhite Female 46 0 1 5 p 7 12 11 4 1 C Nonwhite Mile 47 0 5 5 16 2 11 5 1 0 2 Nonwhite Female 22 0 1 0 4 2 2 5 5 3 0 MENTAL DISC iRDER RACISEX AGE In Years Under 15 25 35 45 55 65 75 85 and Total 15 24 34 44 54 64 1L 84 over 1 Unlnoyn c Total 19 0 2 1 4 2 t 2 ut 5 2 White Male 12 0 2 0 3 1 1 3 1 1 1 0 0 0 0 Readmissions White Female 5 0 0 1 1 1 0 0 0 0 Previously admitted to other Honwhite Male 1 0 0 0 0 0 o 1 0 0 psychiatric facility Normhite Female 1 0 0 0 0 0 1 0 PSYCHOTIC DISORDERS INVOLUTIONAL PSYCHOTIC REACTION Total 227 0 0 1 40 101 71 13 1 0 o White Male 49 0 0 0 2 16 27 4 0 o o All Admissions White Female 151 0 0 1 37 70 35 7 1 0 0 Nonwhite Male 9 0 0 0 0 3 4 2 0 0 0 Nonnhite Female 18 0 0 0 1 12 5 0 0 0 0 Total 178 0 0 1 33 80 55 fi 1 0 0 White Male 39 0 0 0 1 13 22 3 0 o o First Admissions White Female 117 0 0 1 31 56 24 4 1 0 o Nonvjnite Male 8 0 0 0 0 3 4 1 0 o 0 0 Ncnnhite Female 14 0 0 0 1 8 5 0 0 0 Total 46 0 0 0 5 20 16 5 0 0 0 White Male 9 0 0 0 0 3 5 1 0 o 0 0 0 0 Readmissions White Female 32 0 0 0 5 13 11 3 0 0 o Previously admitted to CSH Nonviiite Male 1 0 0 0 0 0 0 0 o Nonwhite Female 4 0 0 0 0 4 0 0 0 0 Total 3 0 0 0 2 1 0 0 0 0 0 White Male 1 0 0 0 1 0 0 0 o o 0 0 0 0 Readmissions White Female 2 0 0 0 1 1 o 0 o 0 0 0 0 0 0 0 0 0 Previously admitted to other Monwhite Male 0 0 0 0 0 psychiatric facility Nonwhite Female 0 0 0 0 0 0 0 MANIC DEPRESSIVE REACTION Total 100 0 1 14 20 25 19 17 1 0 3 0 1 Vhite Male 26 0 0 5 4 8 7 6 4 11 0 0 0 0 All Admissions White Female 49 0 1 4 13 11 Nonwhite Male 7 0 0 1 3 1 1 1 o 0 0 0 2 Nonwhite Female 18 0 0 4 5 4 1 1 1 DER RACESEX AGE In Years MENTAL DISQB Under 15 25 35 45 55 65 75 85 and Total 15 24 34 44 54 64 74 3i over UhlOKCTl Total 29 0 1 g 7 3 3 0 0 1 White Male 9 0 0 3 1 3 1 1 0 0 0 First Admissions White Female 12 0 1 3 2 3 2 1 0 0 0 Nonnhite Male 2 0 0 i 1 0 0 0 0 0 0 Nonohite Female 6 0 0 l 2 1 0 1 0 0 1 Total 70 0 0 6 13 18 16 14 T 0 2 White Male 17 0 0 2 3 4 5 3 C 0 c Readmissions White Female 36 0 0 1 5 10 9 10 0 0 1 Previously admitted to CSH Hamvhite Male 5 0 0 0 2 1 1 1 0 0 0 Nonrhite Female 12 0 0 3 Q 3 1 0 1 0 1 Total 1 0 0 0 1 0 0 0 0 0 0 White Male 0 0 0 0 0 0 0 0 0 0 0 Readmissions White Female 1 0 0 0 1 0 0 0 0 0 0 Previously admitted to other Montfhite Male 0 0 0 0 0 0 0 0 0 0 C psychiatric facility Nomihite Female 0 0 0 0 0 0 0 0 0 0 0 PSYCHOTIC DEPRESSIVE REACTION Total 127 1 15 40 37 19 12 3 0 0 0 White Hale 42 0 8 8 9 11 5 1 0 0 0 All Admissions White Female 73 1 6 25 27 7 5 2 0 0 0 Noirchite Male 3 0 0 2 1 0 0 0 0 0 0 Komtiite Female 9 0 1 5 0 1 2 0 0 0 0 Total 97 1 13 32 28 15 7 1 0 0 0 White Male 33 0 6 7 S 10 2 0 0 0 0 First Admissions White Female 54 1 6 19 19 4 4 1 0 0 0 Nonwhite Male 3 0 0 2 1 0 0 0 0 0 0 Monnhite Female 7 0 1 4 0 1 1 0 0 0 0 Total 27 0 0 7 9 4 5 2 0 0 0 White Male 7 0 0 1 1 1 3 1 0 0 0 Readmissions White Female 18 0 0 5 8 3 1 1 0 0 0 Previously admitted to CSH Nonwhite Male 0 0 0 0 0 0 0 0 0 0 0 Nonwhite Female 2 0 0 1 0 0 1 0 0 0 0 t MENIAL DISO EIDER RACESEX AGE In Years Under 15 25 35 45 55 65 75 85 and Total 15 24 34 44 54 64 74 84 over Unknown Total 3 0 2 1 0 0 0 0 0 0 0 White Male 2 0 2 0 0 0 0 0 0 0 0 Readmissions White Female 1 0 0 1 0 0 0 0 0 0 0 Previously admitted to other Nonwhite Male 0 0 0 0 0 0 0 0 0 0 0 psychiatric facility Nonwhite Female 0 0 0 0 0 0 0 0 0 0 0 SCHIZOPHRENIC REACTIONS Total 2110 23 349 568 5C5 404 137 23 3 0 18 White Male 678 8 117 176 180 140 46 7 0 0 4 All Admissions White Female 584 8 72 138 182 130 42 8 1 0 3 Nonwhite Male 407 5 80 130 99 67 21 1 0 0 4 Nonwhite Female 441 2 80 124 124 67 28 7 2 0 7 Total 1176 23 257 320 314 186 54 12 1 0 9 White Male 372 8 83 97 93 69 16 4 0 0 2 First Admissions White Female 301 8 60 69 92 52 15 2 1 0 2 Nonwhite Male 234 5 51 73 55 31 13 0 0 0 1 Nonwhite Female 269 2 63 76 74 34 10 6 0 0 4 Total 845 0 82 223 249 192 80 9 2 0 8 White Male 270 0 29 71 77 60 29 2 0 0 2 Readmissions White Female 255 0 10 61 84 68 26 5 0 0 1 Previously admitted to CSH Nonwhite Male 156 0 26 47 41 31 8 1 0 0 2 Nonwhite Female 164 0 17 44 47 33 17 1 2 0 3 Total 89 0 10 25 22 26 3 2 0 0 1 White Male 36 0 5 8 10 11 1 1 0 0 0 Readmissions Vhite Female 28 0 2 8 6 10 1 1 0 0 0 Previously admitted to other Nonwhite Male 17 0 3 5 3 5 0 0 0 0 1 psychiatric facility Nonwhite Female 8 0 0 4 3 0 1 0 0 0 0 PARANOID REACTIONS Total 41 0 2 8 9 8 11 2 1 0 0 White Male 19 0 1 4 5 4 4 1 0 0 0 All Admissions White Female 15 0 1 3 3 2 4 1 1 0 0 Nonwhite Male 4 0 0 1 0 1 2 0 0 0 0 Nonwhite Female 3 0 0 0 1 1 1 0 0 0 0 tS3 O DER RAC3SEX AGE In Years MENTAL DISOE Under 15 25 35 45 55 65 75 85 and Total 15 24 44 4 64 74 84 over Unloion Total 30 0 2 6 5 6 8 2 1 0 0 White Male 11 0 1 2 2 3 2 1 0 0 0 First Admissions White Female 13 0 1 3 2 2 3 1 1 0 0 0 Nonwhite Male 3 0 0 1 0 0 2 0 0 0 NonvMte Female 3 0 0 0 1 1 1 0 0 0 0 Total 11 0 0 2 4 2 3 0 0 0 0 White Male S 0 0 2 3 1 2 0 0 0 0 Readmissions White Female 2 0 0 0 1 0 1 0 0 0 0 Previously admitted to CSH Nonvliite Male 1 0 0 0 0 1 0 0 0 0 0 0 Nonvhite Female 0 0 0 0 0 0 0 0 0 0 Total 0 0 0 0 0 0 0 0 0 0 0 White Male 0 0 0 0 0 0 0 0 0 0 0 Readmissions Vhite Female 0 0 0 0 0 0 0 0 0 0 0 Previously admitted to other Nonwhite Male 0 0 0 0 0 0 0 0 0 0 0 psychiatric facility NoniJhite Female 0 0 0 0 0 0 0 0 0 0 0 TOTAL PSYCHOTIC DISORDERS Total 2605 24 367 631 691 557 250 58 6 0 21 Vhite Male 814 8 126 193 200 178 88 17 0 0 4 All Admissions Vhite Female 872 9 so 171 257 222 97 29 3 0 4 Nonwhite Male 430 5 80 134 103 72 28 4 0 0 4 Nonwhite Female 489 2 81 133 131 85 37 8 3 0 9 Total 1510 24 273 367 386 294 127 26 3 0 10 Vhite Male 464 8 90 109 105 98 43 9 0 0 2 First Admissions Vhite Female 497 9 68 95 146 117 48 9 3 0 2 Ncowhite Male 250 5 51 82 57 34 19 1 0 0 1 Noimhite Female 299 2 64 31 78 45 17 7 0 0 5 Total 999 0 82 23S 280 236 120 30 3 0 10 White Male 311 0 29 76 84 69 44 7 0 0 2 Readmissions White Female 343 0 10 67 103 94 48 19 0 0 2 Previously admitted to CSH Nonvjhite Male 163 0 26 47 43 33 9 3 0 0 2 Noroshite Female 182 0 17 48 50 40 19 1 3 0 4 v MENTAL DISORDER RACESEX AGE In Years Total Under 15 1524 2534 3544 4554 55H 6574 7584 85 and Readmissions Previously admitted to psychiatric facility other Total White Male Ylhite Female Nonwhite Male Nonwhite Female 96 39 32 17 8 0 0 0 0 0 12 7 2 3 0 26 8 9 5 4 25 11 8 3 3 27 11 11 5 0 3 1 1 0 1 2 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 PSYCHOPHYSIOLOGIC AOTONCMIC DISORDERS AND VISCERAL AH Admissions Total White Male White Female Nonwhite Male Nonwhite Female 17 8 8 1 0 0 0 0 0 0 3 2 0 1 0 4 1 3 0 0 5 2 3 0 0 3 2 1 0 0 1 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 First Admissions Total White Male White Female Nonwhite Male Nonwhite Female 14 7 6 1 0 0 0 0 0 0 3 2 0 1 0 4 1 3 0 0 5 2 3 0 0 1 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 N3 Readmissions Previously admitted to CSH Total White Male White Female Nonwhite Male Nonwhite Female 3 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 1 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Readmissions Previously admitted to psychiatric facility other Total Whit 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 PSYCHONEUROTIC REACTIONS All Admissions Total White Male White Female Nonwhite Male Nonwhite Female 727 314 370 9 34 8 4 2 0 2 106 44 47 5 10 176 59 104 1 12 215 107 99 2 7 137 69 66 1 1 67 25 41 0 1 16 5 10 0 1 0 0 0 0 0 0 0 0 0 0 2 1 1 0 0 RACESEX AGE In Years MENTAL ULSUHDISK Under 15 25 35 45 55 65 75 85 and Total 15 24 34 U 54 64 V4 84 over Unlmonn Total 584 C 99 151 158 106 53 7 0 0 2 White Male 254 4 39 51 78 55 22 4 0 0 I First Admissions White Female 290 2 45 90 71 49 30 2 0 0 1 Nonivhite Male 9 0 5 1 2 1 0 0 0 0 0 Nonwhite Female 31 2 10 9 7 1 1 1 0 0 0 Total 133 0 6 22 54 29 13 9 0 0 0 White Male 55 0 5 7 27 12 3 1 0 0 0 Readmissions White Female 76 0 1 13 27 17 10 8 0 0 0 Previously admitted to CSH Nonwhite Male 0 0 0 0 0 0 0 0 0 0 0 Nonwhite Female 2 0 0 2 0 0 0 0 0 0 0 Total 10 0 1 3 3 2 1 0 0 0 0 White Male 5 0 0 1 2 2 0 0 0 0 0 Readmissions Vhite Female 4 0 1 1 1 0 1 0 0 0 0 Previously admitted to other Nonwhite Male 0 0 0 0 0 0 0 0 0 0 0 psychiatric facility Nonwhite Female 1 0 0 1 0 0 0 0 0 0 0 PERSONALITY DISORDERS PERSONALITY PATTERN DISTURBANCE Total 37 0 10 18 6 2 0 1 0 0 0 Vhite Male 25 0 6 12 4 2 0 1 0 0 0 All Admissions Vhite Female 8 0 2 5 1 0 0 0 0 0 0 Nonwhite Male 4 0 2 1 1 0 0 0 0 0 0 Nonwhite Female 0 0 0 0 0 0 0 0 0 0 0 Total 30 0 9 15 3 2 0 1 0 0 0 Vfliite Male 20 0 6 10 1 2 0 1 0 0 0 First Admissions White Female 7 0 2 4 1 0 0 0 0 0 0 Nonwhite Male 3 0 1 1 1 0 0 0 0 0 0 Nonwhite Female 0 0 0 0 0 0 0 0 0 0 0 Total 7 0 1 3 3 0 0 0 0 0 0 White Male 5 0 0 2 3 0 0 0 0 0 0 Peadmissions IVhite Female 1 0 0 1 0 0 0 0 0 0 0 Previously admitted to CSH Nonwhite Male 1 0 1 0 0 0 0 0 0 0 0 Nonwhite Female 0 0 0 0 0 0 0 0 0 0 0 ts2 COMENTAL DISOi iJDER RACESEX AGE In Years Under 15 25 35 45 55 65 75 85 and Total 15 24 34 44 54 64 74 84 over TnTnrn Total 0 0 0 0 0 0 0 0 0 0 0 TMte Male 0 0 0 0 0 0 0 0 0 0 o Readmissions White Female 0 0 0 0 0 0 0 0 o o 0 0 0 Previously admitted to other Nonwhite Male 0 0 0 0 0 0 0 o o o psychiatric facility Nonwhite Female 0 0 0 0 0 0 0 0 0 0 PERSONALITY TRAIT DISTURBANCE Total 216 1 46 62 56 41 10 0 0 0 0 Vhite Male 123 1 21 34 34 26 7 0 0 0 o All Admissions Vhite Female 76 0 19 23 22 9 3 0 0 o o Nonwhite Male 17 0 6 5 0 6 0 0 0 0 o Nomrhite Female 0 0 0 0 0 0 0 0 0 0 Total 170 1 43 47 41 31 7 0 0 0 0 White Male 95 1 18 24 27 19 6 0 0 o o First Admissions Vhite Female 59 0 19 19 14 6 1 0 0 0 o Nonwhite Male 16 0 6 4 0 6 0 0 0 0 o Hcnnhite Female 0 0 0 0 0 0 0 0 0 0 0 Total 39 0 2 13 15 6 3 0 0 0 0 White Male 25 0 2 10 7 5 1 0 0 o o Readmissions Whita Female u 0 0 3 8 1 2 o o 0 o 0 o Previously admitted to CSH Ikrrenite Male 0 0 0 0 0 0 0 0 Q Nonwhite Female 0 0 0 0 0 0 0 0 0 0 0 Total 7 0 1 2 0 4 0 0 0 0 0 Vhite Male 3 0 1 0 0 2 0 0 0 o o Readmissions Vhite Female 3 0 0 1 0 2 o o 0 o 0 0 0 0 0 0 Previously admitted to other Nomrhite Male 1 0 0 1 0 0 o o psychiatric facility Nonwhite Female 0 0 0 0 0 0 0 0 0 ANTISOCIAL REACTION Total 96 3 56 20 13 3 0 1 0 0 0 White Male 68 1 38 U 11 3 0 1 0 o o All Admissions Vhite Female 13 1 10 2 0 0 0 0 0 0 o Naroihite Male 15 1 8 4 2 0 0 0 0 0 o Normhite Female 0 0 0 0 0 0 0 0 0 0 0 ts3 1DER RACESEX AGE In fears MENTAL DISOI Under 15 25 35 45 55 65 75 f5 and Total 15 24 44 54 64 74 24 over UnknoTXi Total 70 3 45 13 7 1 0 1 0 0 0 White Male 48 1 31 9 5 1 0 1 0 0 0 First Admissions White Female 10 1 7 2 0 0 0 0 0 0 0 Nonwhite Male 12 1 7 2 2 0 0 0 0 0 0 Nomvhite Female 0 0 0 0 0 0 0 0 0 0 0 Total 25 0 10 7 6 2 0 0 0 0 0 White Male 19 0 6 5 6 2 0 0 0 0 0 Readmissions White Female 3 0 3 0 0 0 0 0 0 0 0 Previously admitted to CSH Nonwhite Male 3 0 1 2 0 0 0 0 0 0 0 Nonvhite Female 0 0 0 0 0 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 Monvmite Male 0 0 0 0 0 0 0 0 0 0 0 psychiatric facility Nomvhite Female 0 0 0 0 0 0 0 0 0 0 0 DYSSOCIAL REACTION Total 17 1 6 3 2 3 2 0 0 0 0 White Male 12 1 1 3 2 3 2 0 0 0 0 All Admissions White Female 3 0 3 0 0 0 0 0 0 0 0 Nonwhite Male 1 0 1 0 0 0 0 0 0 0 0 Nonwhite Female 1 0 1 0 0 0 0 0 0 0 0 Total 15 1 6 2 1 3 2 0 0 0 0 White Male 10 1 1 2 1 3 2 0 0 0 0 First Admissions White Female 3 0 3 0 0 0 0 0 0 0 0 Nonvrhite Male 1 0 1 0 0 0 0 0 0 0 0 Nonwhite Female 1 0 1 0 0 0 0 0 0 0 0 Total 1 0 0 1 0 0 0 0 c 0 0 White Male 1 0 0 1 0 0 0 0 0 0 0 Readmissions Vhite Female 0 0 0 0 0 0 0 0 0 0 0 Previously admitted to CSH 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 is3 AGE In Years TfPVPAT TYTonDnTTD RACESEX Under 15 25 35 45 55 65 75 85 and Total 15 24 34 44 54 64 74 84 over Uhtaiown Total 1 0 0 0 1 0 0 0 0 0 0 Vhite Male 1 0 0 0 1 0 0 0 0 0 0 Readmissions White Female 0 0 0 0 0 0 0 0 0 0 0 Previously admitted to other Nonwhite Male 0 0 0 0 0 0 0 0 0 0 0 psychiatric facility Nonwhite Female 0 0 0 0 0 0 0 0 0 0 0 SEXUAL DEVIATION Total 16 1 9 4 1 1 0 0 0 0 0 Vhite Male 13 0 8 4 0 1 0 0 0 0 0 All Admissions Vhite Female 2 0 1 0 1 0 0 0 0 0 0 Nonwhite Male 1 1 0 0 0 0 0 0 0 0 0 Nomihite Female 0 0 0 0 0 0 0 0 0 0 0 Total 13 1 7 4 1 0 0 0 0 0 0 Vhite Male 10 0 6 4 0 0 0 0 0 0 0 First Admissions Vhite Female 2 0 1 0 1 0 0 0 0 0 0 11 Nonwhite Male 1 1 0 0 0 0 0 0 0 0 0 to Nomihite Female 0 0 0 0 0 0 0 0 0 0 0 Total 3 0 2 0 0 1 0 0 0 0 0 Vhite Male 3 0 2 0 0 1 0 0 0 0 0 Readmissions Vhite Female 0 0 0 0 0 0 0 0 0 0 0 Previously admitted to CSH Nonwhite Male 0 0 0 0 0 0 0 0 0 0 0 Nonwhite Female 0 0 0 0 0 0 0 0 0 0 0 Total 0 0 0 0 0 0 0 0 0 0 0 Vhite Male 0 0 0 0 0 0 0 0 0 0 0 Readmissions Vhite Female 0 0 0 0 0 0 0 0 0 0 0 Previously admitted to other Nonwhite Male 0 0 0 0 0 0 0 0 0 0 0 psychiatric facility Nonwhite Female 0 0 0 0 0 0 0 0 0 0 0 ALCOHOLISM ADDICTION Total 828 0 45 164 278 246 82 10 1 0 2 White Male 680 0 28 127 223 215 76 8 1 0 2 All Admissions White Female 78 0 3 10 36 22 5 2 0 0 0 Nonwhite Male 58 0 11 23 15 8 1 0 0 0 0 Nonwhite Female 12 0 3 4 4 1 0 0 0 0 0 MENTAL DISORDER RACESEX AGE In Fears Under 15 25 35 45 55 65 75 85 and Total 15 24 34 U 54 64 74 84 over Unknown Total 555 0 37 120 174 156 58 8 1 0 1 Yhite Male 445 0 23 93 134 132 55 6 1 0 1 First Admissions White Female 55 0 2 6 26 17 2 2 0 0 0 Nonwhite Male 45 0 9 17 11 7 1 0 0 0 0 Nonwhite Female 10 0 3 4 3 0 0 0 0 0 0 Total 252 0 8 42 96 80 24 1 0 0 1 White Male 215 0 5 32 82 73 21 1 0 0 1 Readmissians Yhite Female 22 0 1 4 9 5 3 0 0 0 0 Previously admitted to CSH Nonwhite Male 13 0 2 6 4 1 0 0 0 0 0 Nonwhite Female 2 0 0 0 1 1 0 0 0 0 0 Total 21 0 0 2 8 10 0 1 0 0 0 White Male 20 0 0 2 7 10 0 1 0 0 0 Readmissians White Female 1 0 0 0 1 0 0 0 0 0 0 Previously admitted to other Nonwhite Male 0 0 0 0 0 0 0 0 0 0 0 psychiatric facility Nonwhite Female 0 0 0 0 0 0 0 0 0 0 0 1 DRUG ADDICTION Total 44 0 5 10 16 9 3 1 0 0 0 White Male 24 0 4 4 7 6 2 1 0 0 0 All Admissions White Female 19 0 1 5 9 3 1 0 0 0 0 Nonwhite Male 1 0 0 1 0 0 0 0 0 0 0 Nonwhite Female 0 0 0 0 0 0 0 0 0 0 0 Total 25 0 5 6 8 4 2 0 0 0 0 Vhite Male 16 0 4 4 4 3 1 0 0 0 0 First Admissions Yhite Female 8 0 1 1 4 1 1 0 0 0 0 Nonwhite Male 1 0 0 1 0 0 0 0 0 0 0 Nonwhite Female 0 0 0 0 0 0 0 0 0 0 0 Total 19 0 0 4 8 5 1 1 0 0 0 White Male 8 0 0 0 3 3 1 1 0 0 0 Readmissions Yhite Female 11 0 0 4 5 2 0 0 0 0 0 Previously admitted to CSH 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 v MENTAL DISORDER RACESEX AGE In Years Under 15 25 35 45 55 65 75 85 and Total 15 24 34 44 54 64 74 G4 over UntaioYJii 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 o Previously admitted to other Nonwhite Male 0 0 0 0 0 0 0 0 0 o o psychiatric facility Nonwhite Female 0 0 0 0 0 0 0 0 0 0 0 TOTAL PERSONALITY DISORDERS Total 1998 14 286 461 593 444 165 30 1 0 4 White Male 1267 7 152 258 390 327 113 16 1 0 3 All Admissions White Female 577 3 86 152 172 100 50 13 0 0 1 Nonwhite Male 107 2 34 35 20 15 1 0 0 0 0 Nonwhite Female 47 2 14 16 11 2 1 1 0 0 0 Total H76 14 254 362 399 303 123 17 1 0 3 White Male 905 7 130 198 252 216 87 12 1 0 2 First Admissions White Female 440 3 80 125 121 72 34 4 0 0 1 Nonwhite Male 89 2 30 26 16 H 1 0 0 0 0 Nonwhite Female 42 2 14 13 10 1 1 1 0 0 0 Total 482 0 29 92 182 125 41 12 0 0 1 White Male 332 0 20 57 128 97 26 3 0 0 1 Readmissions White Female 129 0 5 25 49 26 15 9 o o 0 0 Previously admitted to CSH Nonwhite Male 17 0 4 8 4 1 0 0 0 0 Nonwhite Female 4 0 0 2 1 1 0 0 0 0 0 Total 40 0 3 7 12 16 1 1 0 0 0 White Male 30 0 2 3 10 14 0 1 0 0 o Readmissions White Female 8 0 1 2 2 2 1 0 o o o Previously admitted to other Nonwhite Male 1 0 0 1 0 0 o o o o 0 0 psychiatric facility Nonwhite Female 1 0 0 1 0 0 0 0 0 0 TRANSIENT SITUATIONAL PERSONALITY DISTURBANCE Total 160 52 81 c 5 7 5 1 0 0 0 White Male 68 24 37 1 0 3 3 0 0 o o All Admissions White Female 53 14 23 5 5 4 1 1 0 0 0 Nonwhite Male 25 10 13 1 0 0 1 0 0 0 0 Nonwhite Female M 4 8 2 0 0 0 0 0 0 0 MENTAL DISORDER racesex AGE In Years Total Under 15 15 24 25 34 35 45 54 55 65 MZL 75 85 and over unknown First Admissions Readmissions Previously admitted to CSH Readmissions Previously admitted to other psychiatric facility MENTAL DEFICIENCY All Admissions First Admissions Readmissions Previously admitted to CSH Total 147 52 75 7 3 7 3 0 0 0 White Male 63 24 34 1 0 3 1 0 0 0 White Female 47 14 21 4 3 4 1 0 0 0 Nonwhite Male 23 10 12 0 0 0 1 0 0 0 Nonwhite Female U 4 8 2 0 0 0 0 0 0 Total 11 0 5 2 2 0 2 0 0 0 White Male 4 0 2 0 0 0 2 0 0 0 White Female 5 0 2 1 2 0 0 0 0 0 Nonwhite Male 2 0 1 1 0 0 0 0 0 0 Nonwhite Female 0 0 0 0 0 0 0 0 0 0 Total 2 0 1 0 0 0 0 1 0 0 White Male 1 0 1 0 0 0 0 0 0 0 White Female 1 0 0 0 0 0 0 1 0 0 Nonwhite Male 0 0 0 0 0 0 0 0 0 0 Nonwhite Female 0 0 0 0 0 0 0 0 0 0 Total 430 111 116 67 65 44 15 3 1 0 White Male 160 32 41 31 26 18 8 2 0 0 White Female 79 22 16 11 19 9 2 0 0 0 Nonwhite Male 116 32 a 18 11 10 1 0 0 0 Nonwhite Female 75 25 18 7 9 7 4 1 1 0 Total 327 109 96 40 43 26 5 2 1 0 White Male 116 32 34 18 16 11 2 2 0 0 White Female 58 21 13 6 11 6 1 0 0 0 Nonwhite Male 92 31 35 10 8 6 0 0 0 0 Nonwhite Female 61 25 14 6 8 3 2 0 1 0 Total 97 1 19 27 20 18 9 1 0 0 White Male 43 0 7 13 9 7 6 0 0 0 White Female 19 1 2 5 7 3 1 0 0 0 Nonwhite Male 22 0 6 8 3 4 1 0 0 0 Nonwhite Female 13 0 4 1 1 4 1 1 0 0 S3 AGE In Years IfTTWPAT nTOnDlMTO RACESEX Under 15 25 35 45 55 65 75 85 and Total 15 24 34 44 54 64 74 84 over Unknown Total 6 1 1 0 2 0 1 0 0 0 1 White Male 1 0 0 0 1 0 0 0 0 0 0 Readmissions White Female 2 0 1 0 1 0 0 0 0 0 0 Previously admitted to other Nomihite Male 2 1 0 0 0 0 0 0 0 0 1 psychiatric facility Nonwhite Female 1 0 0 0 0 0 1 0 0 0 0 MENTAL DISORDER ONDIAGNOSED Total 24 2 3 4 4 3 3 2 2 1 0 White Male 15 2 2 3 3 2 1 0 2 0 0 All Admissions White Female 3 0 1 0 0 1 1 0 0 0 0 Nonwhite Male 3 0 0 0 0 0 1 1 0 1 0 Nonwhite Female 3 0 0 1 1 0 0 1 0 0 0 Total 21 1 3 3 4 3 2 2 2 1 0 11 White Male 13 1 2 2 3 2 1 0 2 0 0 o First Admissions White Female 2 0 1 0 0 1 0 0 0 0 0 Nonwhite Male 3 0 0 0 0 0 1 1 0 1 0 Nonwhite Female 3 0 0 1 1 0 0 1 0 0 0 Total 3 1 0 1 0 0 1 0 0 0 0 White Male 2 1 0 1 0 0 0 0 0 0 0 Readmissions White Female 1 0 0 0 0 0 1 0 0 0 0 Previously admitted to CSH Nonwhite Male 0 0 0 0 0 0 0 0 0 0 0 Nonwhite Female 0 0 0 0 0 0 0 0 0 0 0 Total 0 0 0 0 0 0 0 0 0 0 0 White Male 0 0 0 0 0 0 0 0 0 0 0 Readmissions White Female 0 0 0 0 0 0 0 0 0 0 0 Previously admitted to other Nonwhite Male 0 0 0 0 0 0 0 0 0 0 0 psychiatric facility Nonwhite Female 0 0 0 0 0 0 0 0 0 0 0 DISCHARGES BY TIME ON BOOKS ADMISSION CLASSIFICATION RACE AND SEX RACESEX TIME ON BOCKS AMSSION CLASSIFICATION Total Under 3 mos 35 mos 611 mos 1 VT 2 vrs 3 VTS 4 vrs 59 vrs 1014 vrs 1519 vra 2024 vrs 2529 vrs 30 yrs Total 5518 862 217 188 2804 640 276 HO 230 88 35 18 9 11 White Male 2423 546 131 109 1231 202 S3 34 56 16 9 3 1 2 All Admissions White Female 1837 184 25 36 1009 258 118 62 87 31 12 6 4 5 Nonwhite Male 676 108 55 38 272 75 32 18 46 IS 6 6 1 1 Nonwhite Female 582 24 6 5 292 105 43 26 41 23 C 3 3 3 Total 3857 609 134 117 2052 419 182 107 135 52 25 13 6 6 White Male 1680 377 83 67 893 136 54 29 25 8 5 2 0 1 First Admissions White Female 1301 139 16 26 751 173 81 44 44 14 7 3 2 1 Nonwhite Male 475 71 31 22 205 45 19 13 42 14 6 5 1 1 Nonwhite Female 401 22 4 2 203 65 28 21 24 16 7 3 3 3 Total 1661 253 83 71 752 221 94 33 95 36 10 5 3 5 Whit Male 743 169 48 42 338 66 29 5 31 8 4 1 1 1 Readmissions White Female 536 45 9 10 258 35 37 18 43 17 5 3 2 4 Nonwhite Male 201 37 24 16 67 30 13 5 4 4 0 1 0 0 Nonwhite Female 181 2 2 3 89 40 15 5 17 7 1 0 0 0 DISCHARGES BY AGE AT DISCHARGE AMISSION CLASSIFICATION RACE AND SEX V RACESEX AGE In Years AUaSSION CLASJltICAliUN Under 15 25 35 45 55 65 75 85 and Totaj I 24 24 44 54 64 74 84 over Unknown Total 5518 47 775 1123 1367 1112 597 295 137 33 32 White Male 2423 22 342 454 626 505 280 122 53 9 10 All Admissions Vhite Female 1837 9 224 380 441 388 203 113 57 15 7 NonTjnite Male 676 15 130 170 163 97 49 29 12 1 10 Nonwhite Female 5S2 1 79 119 137 122 65 31 15 8 5 Total 3857 45 662 788 885 715 381 a3 112 29 27 Vfliite Male 1680 20 283 311 396 333 195 84 41 9 8 t First Admissions White Female 1301 9 199 284 294 254 113 83 47 13 5 co Nonwhite Male 475 15 110 107 108 60 31 23 11 1 9 to Nonwhite Female 401 1 70 86 87 68 42 23 13 6 5 Total 1493 2 91 294 440 358 201 77 24 3 3 White Male 662 2 51 124 205 151 79 37 12 0 1 Readmissions White Female 483 0 15 89 137 122 83 26 9 1 1 Previously admitted to CSH Nonvihite Male 182 0 17 55 50 34 18 6 1 0 1 Nonwhite Female 166 0 8 26 48 51 21 8 2 2 0 Total 168 0 22 41 42 39 15 5 1 1 2 VMte Male 81 0 8 19 25 21 6 1 0 0 1 Readmissions Vhite Female 53 0 10 7 10 12 7 4 1 1 1 Previously admitted to other Nonwhite Male 19 0 3 8 5 3 0 0 0 0 0 psychiatric facility Nonwhite Female 15 0 l 7 2 3 2 0 0 0 0 DEATHS IN TIE HOSPITAL BY TIME ON BOOKS ADMISSION CLASSIFICATION EACE AND SSX TIME ON BOOKS ADMISSION CLASSIFICATION RACESEX Under 3 mos 35 mos 611 1 mos yr 2 res 3 4 59 1014 1519 2024 2529 yrs yrs rTs yrs res 30 yrs 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 Vhite Male White Female Nonwhite Male Nonwhite Female 911 216 347 98 302 51 141 43 121 24 761 287 237 131 106 150 60 65 10 15 193 89 43 42 19 23 63 19 23 11 10 56 16 19 11 10 7 3 4 0 0 27 27 15 11 72 23 24 14 11 31 27 10 20 78 28 24 8 18 10 3 3 2 2 55 22 20 10 3 47 18 17 9 3 8 4 3 1 0 50 15 21 7 7 47 14 19 7 7 3 1 2 0 0 30 17 8 2 3 27 15 8 2 2 3 2 0 0 1 29 40 7 12 58 18 23 7 10 52 20 17 42 17 11 30 10 11 3 17 6 0 0 2 1 41 35 31 16 14 13 13 11 10 6 6 3 6 4 5 32 12 26 9 22 9 6 3 4 9 9 9 4 5 4 4 3 4 110 0 0 1 34 13 61 19 26 10 6 21 7 3 3 3 CODEATHS IN THE HOSPITAL BY AGE AT DEATH AHHSSION CLASSIFICATION RACE AND SEX AIMISSION CLASSIFICATION All Admissions First Admissions Readmissians Previously admitted to CSH Readmiscions Previously admitted to other psychiatric facility RACESSX AGE In Years Total 15 Under 15 25 2424 35 45 55 JL 5k6i Total Vhite Male Vliite Female Nonwhite Male tfonwhite Female Total White Male Yhite Female Nanwhite Male Nonwhite Female Total Vfliite Male White Female Nonwhite Male Nonwhite Female Total White Male Vliite Female Nonwhite Male Nonvjhite Female 911 7 347 0 302 2 141 2 121 3 761 7 287 0 237 2 131 2 106 3 130 54 52 10 14 20 6 13 0 1 12 23 3 6 3 4 3 4 3 12 3 3 3 17 5 1 4 34 9 12 7 26 5 11 7 42 24 13 67 32 16 12 7 19 10 6 1 2 170 67 49 34 20 127 52 31 31 13 39 14 16 3 6 65 252 94 82 44 32 210 74 67 41 28 35 15 13 3 4 75 229 91 19 23 20 5 11 2 2 0 2 4 7 6 0 0 15 0 0 2 2 2 6 0 0 0 0 0 0 0 10 0 85 and 89 32 35 10 12 203 85 86 29 79 34 17 10 21 12 Unjmpj2X 4135 AUDIT REPORT DEPARTMENT OF PUBLIC HEALTH CENTRAL STATE HOSPITAL YEAR ENDED JUNE 30 I967 136 DEPARTMENT OF PUBLIC HEALTH CENTRAL STATE HOSPITAL TABLE OF CONTENTS LETTER OF TRANSMITTAL AND AUDITORS OPINION COMMENTS CONSOLIDATED BALANCE SHEET STATEMENT OF CASH RECEIPTS AND DISBURSEMENTS OPERATING FUNDS PRIVATE TRUST AND AGENCY FUNDS ANALYSIS OF CASH BALANCE SCHEDULE OF MISCELLANEOUS SALES AND REVENUE SCHEDULE OF GOVERNMENTAL COST BY OBJECT Page 137 138 112 113 115 117 118 119 K137 Ptpartnunt of Anfrtts EB DAVs Atlanta GEoFtaoEc ITATE AUDITOR DEPUTV STATE AUDtTOR December 15 1967 Honorable Lester Maddox Governor Members of the General Assembly and Dr John H Venable Director Department of Public Health Dr James B Craig Superintendent Central State Hospital and Members of the State Board of Health Ladies and Gentlemen We have made an audit of the financial records and accounts of the Central State Hospital for the fiscal year ended June 30 1967 and submit herewith our report with contents enumerated on the preceding page Copy of the report has been filed as a permanent record in the office of the State Auditor and made available to the press of the State as provided by Code Section 401805 Our audit was made in accordance with generally accepted auditing standards and accordingly included such tests of the accounting records and such other auditing procedures as we con sidered necessary in the circumstances in our opinion the accompanying Consolidated Balance Sheet Statement of Cash Receipts and Disbursements and Comments together with supporting schedules present the financial position of the Central State Hospital at June 30 1967 and the departments financial transactions as recorded on a cash basis for the fiscal year then ended in conformity with accounting principles applicable to units of the State Government applied on a basis consistent with that of the preceding year All receipts disclosed by examination have been accounted for and expenditures for the fiscal year ended June 30 1967 were within the limits of budget approvals and supported by proper voucher with exceptions if any shown in the Comments Respectfully submitted Davis State Auditor EBDja Examiner E L MeeksjHlB 138 DEPARTMENT OF PUBLIC HEALTH CENTRAL STATE HOSPITAL COMMENTS X 1 FINANCIAL CONDITION The Central State Hospital formerly Milledgevllle state Hospital ended the fiscal year on June 30 1967 with a deficit of 175 66 after reserving 1 327 075 86 for liquidation of outstanding accounts payable and providing reserves of 277 634 62 for contracts to mature 4 975 29 for patient collection fees 23 888 68 for health training grants 1 685 70 for private grants 1 278 690 66 for inventories and 866 157 28 for Private Trust and Agency Funds The Cash Position Statement as of June 30 1967 filed with the Budget Bureau for Central State Hospital showed an operating surplus of 14 717 34 205 000 00 was shown as being due from the State Treasury when actually this amount was 259 355 62 or 54 355 62 more than reported On order of the Budget Bureau 69 072 96 was lapsed into the States General Fund This included both the 14 717 34 shown In the Cash Position Statement and the 54 355 62 understatement of funds in the State Treasury The Consolidated Balance Sheet included in the annual report of the Department of Public Health showed an operating surplus of 14 709 80 which was 7 54 less than the amount reported to the Budget Bureau Sales tax collected for the month of June 1967 and unremitted to the State Department of Revenue in the amount of 168 12 was not shown on either of these reports The deficit as shown on the within consolidated Balance Sheet is 175 66 the total of the above two items AVAILABLE DEPARTMENTAL REVENUE AND OPERATING COSTS State appropriation for the operation of the Central State Hospital for the fiscal year ended June 30 1967 was 21 607 495 00 less 64 072 96 budget balancing adjustment leaving a net appropriation of 21 543 422 04 In addition to the 21 543 422 04 State appropriation the Hospital received 87 989 00 in grants from the Federal Government 703 173 14 from board and treatment of patients 149 879 97 from employee subsistence 489 156 59 in donated commodities and 206 450 99 from miscellaneous sales and revenue total revenue receipts for the fiscal year 23 180 071 73 The departmental revenue of 23 180 071 73 and the 981 158 60 cash balance on hand at the beginning of the fiscal period made a total of 24 161 230 33 available to cover the cost of operating the Central state Hospital In the fiscal year ended June 30 1967139 DEPARTMENT OF PUBLIC HEALTH CENTRAL STATE HOSPITAL COMMENTS contd 22 453 122 62 of the available funds was expended in the year for budget approved items of expense 87 465 00 was paid for land buildings and Improvements and 1 620 642 71 remained on hand June 30 1967 the end of the fiscal period COMPARISON OF OPERATING COSTS Operating costs of the Central State Hospital for the past three years are compared in the following statement YEAR ENDED JUNE 30TH EXPENDITURES 1967 i960 1965 EXPENSE Personal Services Salaries Wages Per Diem and Fees 14 966 423 20 13 252 371 72 12 070 338 91 Employers Contributions for Retirement 956 952 60 844 248 10 771 735 57 Social Security 544 399 55 428 902 97 359 109 33 Health Insurance 25 609 57 16 763 384 92 261 924 17 14 77 446 96 3H 930 34 Total Personal Services 11 440 114 15 888 44 Travel Expense 31 501 18 24 194 97 22 Supplies and Materials 4 674 948 74 4 691 707 32 4 117 729 28 Communications 28 005 74 31 690 09 27 077 83 Heat Lights and Water 492 693 71 469 597 44 465 373 26 Printing and Publicity 10 498 49 8 820 15 6 874 56 Repairs and Alterations 345 394 82 229 325 68 251 341 67 Rents 10 076 93 9 434 34 10 504 90 Insurance and Bonding 64 919 05 80 268 92 76 824 85 Indemnities 11 887 73 14 913 34 10 056 97 Direct Benefits 3 859 90 134 28 93 54 Contracts with State Agencies 375 816 34 371 236 87 299 411 82 Contracts with Other Agencies 13 037 14 5 619 82 V 450 00 Equipment 365 277 14 472 634 12 403 253 52 Miscellaneous 13 453 47 26 364 51 31 824 81 Total Expense 22 453 122 62 20 480 915 07 18 566 995 96 OUTLAY Land Buildings and Improvements 87 465 00 00 347 747 38 Equipment 00 00 1 423 23 Total Outlay 87 465 00 00 20 480 915 07 18 360 927 170 61 Total Governmental Cost 22 540 587 62 166 57 Number of Employees on Payroll end of Payroll Period Average Dally Hospital Population for Year ended June 30th The net operating cost as calculated by the Health Department for the year ended June 30 1967j by application of accounts payable and inventories to the cash disbursements and deducting miscellaneous receipts and donated commodities was 22 819 234 75 This net operating cost the average daily c c the average daily census and the average daily per capita cost are compared with previous years in the following statementafJHBUDBnh 140 DEPARTMENT OF PUBLIC HEALTH X CENTRAL STATE HOSPITAL COMMENTS contd YEAR ENDED JUNE 30TH 19b7 19bb 19b5 422 819 234 75 420 165 940 23 417 885 360 15 t 62 518 45 4 55 249 15 49 000 99 10 578 11 113 11 690 5 91 4 4 97 4 19 l Net Operating Cost Average Daily Cost Average Daily Census Average Daily Per Capita Cost The Hospital operates several productive units such as abattoir dairy farm and bakery to provide the food department with food products at a substantial saving over the cost of acquiring such items from other producers PRIVATE TRUST AND AGENCY FUNDS Private Trust and Agency Funds held by the Hospital at the close of the fiscal year ended June 30 1967 amounted to 866 157 28 and consisted of 67 96 83 in the Patients Benefit Fund 798 042 33 in Patients Deposit Fund and 168 12 sales tax GENERAL Examination revealed that Central State Hospital has not been accruing employers contributions for retirement and social security for the accrued payroll through June 30th This practice was in effect when this institution was transferred from the Welfare Department to the Department of Public Health and has continued in the same manner The liability for these costs at June 30 1967 amounted to 80 012 26 This amount was not included as a liability in the Consolidated Balance Sheet of this report but Department officials were advised to provide necessary funds with which to meet this obligation from current operations and to provide for similar obligations that will be due as of June 30 1968 All receipts disclosed by examination for the period under review have been accounted for and expenditures were supported by proper voucher Books and records of the cash receipts and disbursements of the Central State Hospital are maintained in the Central Accounting Office of the Department of Public Health in Atlanta with cost accounts and Patients Benefit and Deposit Funds carried at Milledgevllle and all were found in excellent condition Surety bond coverage is under schedule bond detail of which will be found in report of the Department of Public Health141 DEPARTMENT OF PUBLIC HEALTH CENTRAL STATE HOSPITAL Appreciation is expressed to the Officials and staff of both the Department of Public Health and the Central State Hospital for the cooperation and assistance given the State Auditors office during this examination and throughout the yearI H8HHHH 142 DEPARTMENT OF PUBLIC HEALTH CENTRAL STATE HOSPITAL CONSOLIDATED BALANCE SHEET JUNE 30 195T ASSETS CURRENT ASSETS Cash on Hand in Banks and in State Treasury Budget Fund Private Trust and Agency Funds Patients Benefit Fund Patients Deposit Fund Sales Tax Accounts Receivable U S Government Inventories Supplies and Materials 67 946 83 798 042 33 168 12 1 620 642 71 866 157 28 2 486 799 99 14 441 78 1 278 690 66 Total Current Assets t 3 779 932 43 LIABILITIES RESERVES AND DEFICIT X CURRENT LIABILITIES Accounts Payable Regular Operations Federal Projects Private Projects RESERVES For Contracts to Mature For Patient Collection Fees For Health Training Grants For Private Grants For Inventories For Private Trust and Agency Funds DEFICIT From Operations 1 321 070 48 3 592 99 2 412 39 277 634 62 4 975 29 23 888 68 1 685 70 1 278 690 66 866 157 28 1 327 075 2 453 032 23 175 66 Total Current Liabilities Reserves and Deficit 3 779 932 43143 DEPARTMENT OF PUBLIC HEALTH CENTRAL STATE HOSPITAL OPERATING FUWDS STATEMENT OF CASH RECEIPTS AND DISBURSEMENTS YEAR ENDED JUNE 30 19b7 CASH RECEIPTS BUDGET FUND STATE REVENUE ALLOTMENTS Appropriation for Operations Regular 1965 Act Supplemental 1967 Act Budget Balancing Adjustments Executive Order July 15 1966 Lapsed Appropriation 5 000 00 69 072 96 20 500 000 00 IIO7495OO 21 667 45 60 64 072 Revenue Retained Federal Grants Comparison of Adolescent Intelligence InService Training Psychiatric Residency Training General Practitioner 12 960 00 Psychiatric 48 205 00 Board and Treatment Patients Subsistence Deducted from Salaries Donated Surplus Commodities Miscellaneous Sales and Revenue page 15 Net State Revenue Allotments PRIVATE TRUST AND AGENCY FUNDS Patients Benefit Fund Receipts Column 2 page 12 Disbursements Column 3 page 12 Patients Deposit Fund Receipts Column 2 page 12 Disbursements Column 3 page 12 Regular Receipts Column 2 page 13 Disbursements Column 3 page 13 CASH BALANCE JULY 1 1966 Budget Fund General Operating Account Funds in State Treasury Funds in Pay Patients Accounts Business Managers Account Private Trust and Agency Funds Patients Benefit Fund Patients Deposit Fund Sales Tax 21 543 422 04 3 000 00 23 824 00 61 165 00 614 472 47 656 471 95 748 935 41 M697 748 39 3 601 13 601 291 217 25 3 402 729 68 560 000 00 8 428 92 10 000 00 109 946 31 746 855 31 94 20 87 989 00 703 173 14 149 879 97 489 156 59 206 450 99 1 636 649 69 23 160 071 73 H 999 48 51 187 02 73 92 9 261 4u 981 158 60 856 895 82 1 838 054 42 25 027 387 61 144 DEPARTMENT OF PUBLIC HEALTH CENTRAL STATE HOSPITAL OPERATING FUNDS STATEMENT OF CASH RECEIPTS AND DISBURSEMENTS YEAR ENDED JUNE 30 1967 X DISBURSEMENTS BUDGET FUND GOVERNMENTAL COST EXPENSE Personal Services Salaries Wages Per Diem and Pees Employers Contributions for Retirement 956 952 60 Social Security 544 399 55 Health Insurance 295 609 57 Travel Expense Supplies and Materials Communications Heat Lights and Water Printing and Publicity Repairs and Alterations Rents Regular Insurance and Bonding Indemnities Direct Benefits Contracts with State Agencies Department of Education Department of Public Health Department of Family and Children Services Youth Development Center Merit System Veterans Service Board Contracts with Other Agencies Baldwin County Board of Education Equipment Miscellaneous Freight Express and Drayage Subscriptions and Dues Outside Laundering and Cleaning Tuition Registration Fees Return of Escapees Total Expense OUTLAY Lands Buildings and Improvements Personal Services Contractor Total Outlay Total Government Cost 14 966 423 20 1 796 961 72 5 319 12 129 953 55 5 005 00 72 377 60 1578 461 61 16 763 384 92 31 501 18 4 674 948 74 28 005 74 492 693 71 10 498 49 345 394 82 10 076 93 64 919 05 11 887 73 3 859 90 375 816 34 13 037 14 365 277 14 7 661 61 3 346 35 59 56 692 70 1 459 50 233 75 3 800 00 83 665 00 13 453 47 22 453 122 62 87 465 00 22 540 57 62 CASH BALANCE JUNE 30 1967 Budget Fund General Operating Account Funds in State Treasury Business Managers Account Pay Patients Collections on Hand Private Trust and Agency Funds Patients Benefit Fund Patients Deposit Fund Sales Tax 1 415 384 76 190 282 66 10 000 00 4 975 29 1 620 642 71 67 946 83 798 042 33 168 12 157 28 2 486 799 99 7 25 027 387 61145 DEPARTMENT OF PUBLIC HEALTH CENTRAL STATE HOSPITAL ITEME PRIVATE TRUST AND AGENCY FUNDS NTS STJ OF CASH RECEIPTS AND DISBURSEME YEAR ENDED JUNE JO 19b7 BALANCE CASH RECEIPTS DISBURSEMENTS BALANCE FUND JULY 1 1966 It PERIOD IN PERIOD JUNE 30 1967 PATIENTS BENEFIT FUND Sales Purchases Stores 510 006 44 443 255 44 t Vending Machines 36 053 22 27 383 51 Occupational Therapy 14 643 11 lb 105 03 Other Income Donations 23 592 99 Interest on Time Deposits 450 00 Interest on Patients Deposits 22 650 00 Miscellaneous Physician Attest Fees 938 50 Discounts Earned 6 138 21 Operating Expense Personal Services 6 793 25 Supplies 3 715 bb Equipment d 040 60 Sales Tax 6 17 Miscellaneous 4 166 94 Patients Benefits Supplies 8 60 40 Equipment 053 43 Miscellaneous 4 077 4 Balances 109 946 31 67 946 83 109 946 31 614 472 47 656 471 95 67 946 83 PATIENTS DEPOSIT FUND Deposits 726 285 41 Withdrawals 675 098 39 Interest on Time Depos LtS 22 650 00 To Patients Benefit Fund 650 00 Balances 746 855 31 746 855 31 798 042 33 748 935 41 t 697 748 39 798 042 33 856 801 62 t 1 363 407 88 1 354 220 34 865 989 16 X V 1 mm m aB 146 DEPARTMENT OF PUBLIC HEALTH CENTRAL STATE HOSPITAL PRIVATE TRUST AND AGENCY FUNDS STATEMENT OF CASH RECEIPTS AND DISBURSEMENTS YEAR ENDED JUNE 10 1967 FUND U S Income Tax State of Georgia Income Tax Employees1 Retirement Social Security Employees Insurance Employees Credit Union Employees Subsistence Sales Tax BALANCE JULY 1 1966 CASH RECEIPTS IN PERIOD DISBURSEMENTS BALANCE IN PERIOD JUNE 30 1967 1 492 836 43 1 492 836 43 125 440 79 125 440 79 94 20 583 507 70 544 430 68 216 227 98 484 958 00 149 879 97 4 009 70 583 507 70 544 430 68 216 227 98 484 958 00 149 879 97 3 933 78 I 12 94 20 t 3 601 291 25 t 3 601 217 33 168 12147 DEPARTMENT OF PBULIC HEALTH CENTRAL STATE HOSPITAL ANALYSIS OF CASH BALANCE JUNE 30 lW BUDGET FUND Operating Account Exchange Bank Milledgeville Georgia Balance per Bank Statement Deduct Outstanding Checks List on File Due to Private Trust and Agency Funds Funds in State Treasury Pay Patients Collections on Hand Business Managers Account Analysis on File PRIVATE TRUST AND AGENCY FUNDS Patients1 Benefit Fund The Milledgeville Banking Company Milledgeville Checking Account Balance per Bank Statement 6l 400 44 Deduct Outstanding Checks 2 262 626 28 847 073 40 1 W 552 8S 168 12 1 415 384 76 190 282 66 4 975 29 10 000 00 1 b20 542 71 Georgia 2828066 33 115 78 30 000 00 63 119 78 1 827 05 Savings Account Cash on Hand Due from Southwestern State Hospital Patients Benefit Fund Patients Deposit Fund The Merchants and Farmers Bank Milledgeville Georgia Checking Account Balance per Bank Statement 50 491 69 Time Deposits 655 000 00 First Federal Savings and Loan Association Milledgeville Georgia Due to Business Managers Account Sales Tax Due from Operating Account 3 000 00 67 946 83 705 491 69 100 000 00 7 449 36 798 042 33 168 12 866 157 28 2 486 799 99rrf 148 DEPARTMENT OF PUBLIC HEALTH CENTRAL STATE HOSPJTAT SCHEDULE Of MISCELLANEOUS SALES AND REVENUE YEAR ENDED JUNE 30 1967 Meals Sold Sales Grease Hides etc Calves Rags Scrap and Junk Water Drugs Equipment Burial Expense Recovery Patients Optical and Dental Services Hospltallzation Insurance Recovery Fire Damage Rents Vendors Compensation on Sales Tax Exchange Private Grants Baldwin County Mental Health Association Geigg Chemical Company Merck and Company Sandoz Inc 32 854 88 3 797 15 7 829 88 17 729 80 12 054 22 11 017 01 500 00 1 580 00 500 00 1 300 00 40 156 75 85 282 94 6 590 00 12 475 83 3 018 46 53 178 42 1 712 17 110 35 46 07 3 880 00 Total State Revenue Allotments 206 450 qq 149 DEPARTMENT OF PUBLIC HEALTH CENTRAL STATE HOSPITAL SCHEDULE OF GOVERNMENTAL COST BY OBJECT YEAR ENDED JJNE 30 1967 14 781 57 10 116 GOVERNMENTAL COST EXPENSE Personal Services Salaries Wages per Diem and Fees Regular Services Per Diem and Fees Unskilled Labor Stipends Employers Contribution for Retirement Social Security Health Insurance Travel Expense Subsistence Transportation Supplies and Materials Agricultural and Botanical Cleaning Sanitary Renovating and Polishing Equipment Supplies Educational Food Supplies Donated Commodities Forage and Animal Supplies Fuel Supplies Medical and Hospital Supplies Office Recreational Refrigerating Laboratory Drafting and Engineering Photographic Shop Wearing Apparel and Sewing Road Bridge and Building Special and Miscellaneous Communication Telephone and Telegraph Postage Heat Lights and Water Furnishing Heat Furnishing Lights Furnishing Water Printing and Publicity Reports Bulletins Catalogues and Maps Public Laws Court Decisions and Legal Reports Stenography Typewriting and Multlgraphing Photo Printing and Developing Blank Books and Forms Publication of Notices and Advertising Binding Special and Miscellaneous Repairs and Alterations Furniture Furnishings and Fixtures Motor Vehicle Equipment Production and Construction Equipment Buildings and Structures Roads and Bridges Special and Miscellaneous Rents Production and Construction Equipment Furniture Furnishings and Fixtures Other 230 53 505 50 920 38 766 79 14 966 423 20 956 952 60 544 399 55 295 609 57 1 796 961 72 16 763 384 92 7 767 17 23 734 01 38 061 39 216 744 25 40 498 87 8 337 97 l 957 226 92 489 156 59 310 649 69 72 426 53 745 405 26 30 694 54 1 335 74 1 110 41 23 841 11 175 35 5 668 99 266 032 53 253 789 95 132 684 73 81 107 92 1 9 483 77 18 521 V 286 325 76 204 166 4rt 2 201 47 15 76 235 50 234 75 301 77 8 620 07 561 88 45 31 483 45 155 365 57 10 588 09 8 982 72 163 869 44 4 400 00 2 189 00 99 50 9 964 68 12 75 31 501 18 4 674 948 74 28 005 74 492 693 71 10 498 49 345 394 82 10 076 93150 DEPARTMENT OF PUBLIC HEALTH CENTRAL STATE HOSPITAL SCHEDULE OF GOVERNMENTAL COST BY OBJECT YEAR ENDED JUNE 30 19b X GOVERNMENTAL COST contd EXPENSE contd Insurance and Bonding Fire Insurance Casualty Insurance Bond Premiums Indemnities Compensation and Medical Service Claims Damages to Private Property Direct Benefits Aid to Patients Contracts with State Agencies Department of Education Department of Health Department of Family and Children Services Youth Development Center Merit System Veterans Service Board Contracts with Other Agencies Baldwin County Board of Education Equipment Educational Furniture Furnishings and Fixtures Livestock Medical and Hospital Motor Vehicle Power Heat Lights and Water Production and Construction Refrigerating Laboratory Shop Drafting and Engineering Photographic Special and Miscellaneous Miscellaneous Freight Express and Drayage Subscriptions and Dues Outside Laundering and Cleaning Tuition Registration Fees Return of Escapees Total Expense OUTLAY Lands Buildings and Improvements Personal Services Per Diem and Fees Contractor Total Outlay Total Governmental Cost 63 579 05 855 00 485 00 11 467 78 9 95 5 319 12 129 953 55 64 919 05 11 887 73 3 859 90 5 005 00 72 377 60 M578 461 61 375 816 34 13 037 14 i 10 943 44 230 068 12 45 611 20 19 841 47 14 3 2 5 912 98 58 91 534 80 679 40 092 53 864 14 83 95 713 69 19 072 51 365 277 14 661 61 346 35 59 56 692 70 459 50 233 75 13 453 47 22 453 122 62 3 800 00 83 665 00 87 465 00 22 540 587 62 lT X V 4BK