Annual report and year book, Department of Public Health, Central State Hospital, Milledgeville, 1969 [1968-69]

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1department of public health
central state hospital
ANNUAL REPORT
AND YEAR BOOK
I

m illedgeville 1969
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THE LIBRARIES

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THE
UNIVERSITY OF GEORGIA

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3
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THE COVER PHOTO
The new Carl Vinson Memorial War
Veterans Hospital was officially
opened in March and was dedicat
ed by Governor Lester Maddox It
provides 150 additional beds for
Georgia veterans in a completely
modern and very attractive resi
dential treatment facility This
building is typical of the reno
vation and upgrading of the phy
sical facilities now going on at
Central State Hospital
LIBRARIES
SLoeoRGiV
J
DIRECTORY

Honorable Lester Maddox
Governor State of Georgia
MEMBERS OF THE
GEORGIA STATE BOARD OF HEALTH
4
B W Forester MD Chairman
John M Martin MD ViceChairman
J T Mercer DVM Secretary
Harrison Bray
Wesley A Carr DDS
Lee Roy Claxton RPh
William M Dickson M
P K Dixon MD
John E Garner Jr
Roy L Gibson MD
A C Tuck DDS
L H Griffin MD
John D Marshall RPh
Earl T McGhee MD
W Frank McKemie MD
Lamar B Peacock MD
Carl E Pruett
Richard H Smoot MD
s
John H Venable MD
Director State Department of Public Health
Addison M Duval MD
Director Division of Mental Health
Charles K Bush MD
Director Hospital Services Branch

James B Craig MD
Superintendent Central State HospitalTABLE OF CONTENTS
GENERAL INFORMATION
ORGANIZATION AND ADMINISTRATION
Basic Organizational Charts
Administrative Staff
Office of the Superintendent
Staff Housing
Public Information and Education
Patient Affairs
Medical Staff Secretariat
Hospital Receptionist
Administration
Highlights of 1969
Georgians Served Budget Actuals
PATIENT CARE AND TREATMENT
Nursing
Remotivation
Psychology
Social Work
Religious Services
Occupational Therapy
Music Therapy
Recreation Therapy
Volunteer Services
Personnel
Education Training and Research
GENERAL PSYCHIATRIC UNITS
Unit 1 Atlanta Metropolitan Area
Unit 245 Southwestern Counties
Unit 338 Southeastern Counties
Unit 428 Northwestern Counties
Unit 545 Northeastern Counties
SPECIAL PSYCHIATRIC UNITS AND PHYSICAL HEALTH
Unit 6 Veterans
Unit 7 Maximum Security
Unit 8 Children
Unit 9 Mental Retardation
Special Education School
Unit 10 Yarbrough Vocational
General Medicine and Surgery
Rehabilitation Center
The Jones Hospital
Tubercular Diabetic Medicare The Rivers Hospital
Pharmacy
Dentistry and Neurology
PAGE
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APPENDIX

J
July 1 1969
Doctor Charles K Bush
Director Hospital Services Branch
Division of Mental Health
Georgia Department of Public Health
47 Trinity Avenue SW
Atlanta Georgia 30334
Dear Doctor Bush

We present herewith the Annual Report of Central State Hospital cov
ering the fiscal year ending June 30 1969 You will notice that the
format has been changed this year in the hope that this will make it
more readable will present graphic proof of what is being done and
will furnish recipients with a valued source book about the institu
tion which will be useful throughout the year

You will see that the report is sectionalized thereby making
terial located more easily Much of the statistical informati
sented is in graphic form and covers a period of years thus
ting comparison for research purposes The graph showing the
Population Resident Patients Admissions and Convalescent Le
a ten year period is particularly interesting While On Book
tion remains relatively stable at just below 19000 individua
residents in the hospital and those on convalescent leave are
equal in number approximately 9400 in each category
the ma
on pre
permit
On Book
ave for
Popula
1s the
almost
Since the following pages contain the highlights of the year as well
as detailed information on each program we will not duplicate here
We would like to express to the personnel of the Georgia Department
of Public Health and more particularly to each member of the staff
of the Mental Health Division our gratitude for their understanding
and sympathetic helpfulness which made even the difficult tasks more
pleasant
We pledge our continued and unrelenting effort to make Central State
Hospital a treatment facility of which we can all be proud
4
Respectfully Submitted
fames B
Superintendent
Craig MXD
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MORTW
Central State Hospitrl
BALDWIN COUNTY GEORGIA
GEORGIA DEPARTMENT OF PUBLIC HEALTH8
The Powell BtJLildlngAdmivuAicvttve CtwteJi

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A BRIEF HISTORY OF CENTRAL STATE HOSPITAL
One hundred and twentyeight years ago the doors of Georgias first
state psychiatric hospital were opened on December 15 1842 At that
time the onebuilding institution was known as Georgia State Lunatic
Asylum For the following 125 years the hospital continued to be the
only state psychiatric hospital The patient population steadily in
creased until in 1965 it reached a peak of almost 13000 Three name
changes have taken place since the hospital opened Some years later
it became the Georgia State Sanitarium then the Milledgeville State
Hospital and finally in accordance with Georgias new regional hos
pital concept it acquired its present name
During the last four years the resident population decreased to
9408 at the end of fiscal 1969 mainly due to improved treatment pro
grams as well as transfer of 3200 geriatric patients to nursing home
care and to the new regional hospitals in Thomasville in Bainbridge
and in Atlanta
Central State Hospital is situated on a 1000 acre campus dotted
by some 135 buildings 24 of which are resident quarters for the pa
tients Until 1968 the hospital also operated a 9000 acre farm and
dairy program however this is now liquidated although the hospital
retains the land which is now used for treatment and recreationThe massive institution is like a small city It has fire and police
departments general hospital services five chapels for the spirit
ual inspiration of the patients complete recreation facilities such
as picnic areas a large gymnasium and auditorium a baseball field
and water sports of all kinds available at a nearby lake warehouses
and maintenance shops lumber yard patient operated stores laundry
and steam plant sewage control cemetaries and bus service ATso in
the Central Kitchen more than 33000 meals are prepared daily in an
area the size of two football fields
The budgeted employee work force numbers 4072 and includes these
categories Physicians 107 dentists 6 nurses 116 semiprofession
al and technical 2164 psychologists 7 MSW social workers 14 also
clinical chaplains music therapists recreation therapists occupa
tional therapists teachers vocational rehabilitation personnel and
business engineering maintenance construction and administrative
personnel A complete list of employee classifications will be found
elsewhere in this report
As an educational and training facility the hospital has accre
dited programs in psychiatry medicine psychology social work oc
cupational therapy music therapy recreation therapy pharmacy vo
cational rehabilitation hospital administration clinical chaplain
cy mental health information and a rotating residency in Ophthalmo
logy for senior residents from the Mayo Clinic at Rochester NY
As a treatment facility Central State Hospital serves residents
of Georgia who are mentally ill mentally retarded or suffering from
an addiction problem The institution is divided into five psychiat
ric units admission to a particular unit being determined by county
of residence Other units include a vocational rehabilitation center
and school a childrens unit and special education school a veter
ans home a unit for the mentally retarded a unit for patients who
are tubercular a medicare unit and a general medical surgical hos
pital of some 250 beds
Approximately 650 children under the age of 1
State Hospital and of these 160 are in the speci
which is divided into two sections classes for
motionally disturbed and for those who are mental
present time there are 62 students in the EM sect
school 27 are in intermediate classes and 8 in p
classes for educable MR students have 55 enrolled
tending trainable MR classes is 43 The school is
cipal and 20 teachers
8 reside at Central
al education school
children who are e
ly retarded At the
ion 27 are in high
rimary classes The
and the number at
staffed by a prin
Underage admissions to Central State Hospital are increasing ma
terially ewery year at the rate of approximately 33 per cent At the
present time ther are a number of children who should be admitted to
school but there is not sufficient classroom space nor an adequate
number of teachers It is estimated that the school will need at the
ery minimum 39 teachers to meet the need during the coming year
S88flflinMlHflHBa8MMQBHH
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THE OPPOSITE PAGE

Organization brings order from chaos
Order is the sanity of the mind the
health of the body the peace of the
city and the security of the state
Southey

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PSYCHIATRY

NURSING
OT RCR6NTVOT ALLEN
CLINICAL PSYCHOLOGY
CHAPEL

SOCIAL WORK

Vssrrrr5I eeman
VOCATIONAL REHABILITATION

tv
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OCCUPATIONAL THERAPY
JONES BSBS S
KOWELL
y PERSONNEL
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CENTRAL
KITCHEN
AUOITOMUM
Music
THERAPyJV
poMrroev
IjV IS CLINICAL CHAPLAINS

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SOCIAL WORK
PSYCHOLOGY

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ASST SUPT
ADMINISTRATIVE
INST BUS ADM
PERSONNEL
ENGINEERING
MANPOWER ADM
HOSP INFO SYSTEM
DATA PROCESSING
IND ENGINEERING
HORTICULTURE
NOTE This chart is
temporary pending
completion of
organizational study
and possible
realignment
SUPERINTENDENT
ASST SUPT EDUCATION
TRAINING RESEARCH
MEDICAL LIBRARY
RESEARCH
NEUROLOGY
PSY RESIDENCY TNG
TELEVISION
MEDICAL RECORDS
SOCIAL WORK
CLINICAL DIRECTOR
PSYCHIATRIC
SPECIAL
UNIT
UNIT
UNIT
UNIT
UNIT
VI
VII
VIII
IX
X
SPECIAL EDUCATION
EXECUTIVE
ASSISTANT
CLINICAL DIRECTOR
PSYCHIATRIC
GENERAL
UNIT I
UNIT II
UNIT III
UNIT IV
UNIT V
PSYCHIATRIC
CLINIC
PSYCHOLOGY
OP
DIRECTOR
OF NURSING
NURSING
NURSING
SERVICE
EDUCATION
CHAPLAINCY
SERVICES
1
ASST SUPT
PHYSICAL HEALTH
JONES HOSPITAL
RIVERS HOSPITAL
PHARMACY SVS
DENTAL PROGRAM
SANITATION
COORDINATOR
SPECIAL THERAPIES
OCCUPATIONAL THPY
RECREATION THPY
MUSIC THPY
VOLUNTEER SVS
REMOTIVATION SVS
CENTRAL STATE HOSPITALL
EXECUTIVE ASSISTANT
SUPERVISOR MEDICAL
STAFF SECRETARIAT
HOUSING MANAGER
SECRETARY
DIRECTOR
PUBLIC INFORMATION
SECRETARY
HOSPITAL
RECEPTIONIST
COORDINATOR
PATIENT SERVICES
SECRETARY
SECRETARY
PUBLIC INFORMATION
OFFICER
ASSISTANT PUBLIC
INFORMATION OFFICER
PHOTOGRAPHER
EXECUTIVE ASSISTANT
REVISED 1 AUG 69
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14
OFFICE OF THE SUPERINTENDENT
J
James B Craig MD Superintendent

John J Schuyler LLB Executive Assistant
Mildred Bowman Coordinator of Patient Affairs
Raymond D Brown Director Public Information
James R Emerson Director Staff Housing
Barbara Farmer Supervisor Medical Staff Secretariat
Jean Niblett Hospital Receptionist
Superintendents Secretarial Staff

Katherine Batchelor Administrative Aide
Mary McCrory Secretary

ADMINISTRATIVE STAFF
1
ASSISTANT SUPERINTENDENT
ADMINISTRATIVE
Rod Clelland BA MA
ASSISTANT SUPERINTENDENT
EDUC TRAINING RESEARCH
John W Kemble MD
ASSISTANT SUPERINTENDENT
PHYSICAL HEALTH
William R Howard MD
CLINICAL DIRECTORPSYCHIATRY
General Psychiatric Units
W T Smith MD
CLINICAL DIRECTORPSYCHIATRY
Special Psychiatric Units
Hoi 1 is C Miles MD15
THE SUPERINTENDENT
JAMES B CRAIC MDA

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1
4
1

OFFICE OF THE SUPERINTENDENT
The office of the Superintendent includes those departments reporting
directly to him through his Executive Assistant and which are funded
through the Superintendents budget They include Staff Housing Pub
lic Information and Education the Medical Staff Secretariat and the
Hospital Receptionist
STAFF HOUSING
This department is responsible for the general oversight of the staff
quarters in the institution These comprise 102 houses 51 apartments
and one hundred single rooms in the staff dormitory complex Periodic
inspections the handling of rental arrangements provision for regu
lar maintenance schedules the filling of vacancies and all the mani
fold duties contingent upon these property needs present an expanding
task as additional staff members join the hospital community
PUBLIC INFORMATION AND EDUCATION
During the year the department has significantly expanded services to
patients staff members and mass media representatives This resulted
from the addition of much needed personnel and the acquisition of new
and modern equipment as well as the updating of the old
Departmental reorganization coupled with a move to more adequate
office facilities has made possible a much better coverage of activi
ties that take place in the institution as well as increased utiliza
tion of mass media facilities The production of photographic exhibi
tions of patient activities has been recognized by the staff as help
ing to create a therapeutic environment on the wards and the pictures
are greatly appreciated by the residents
A total of 88 news releases appeared in the six papers which sur
round the hospital These include the two Atlanta papers the two lo
cal papers the two Macon papers Of these releases 70 were initiat
ed by the department and went in addition to 29 dailies 200 weeklies
and 150 radio and TV stations as well as to a special list of organ
izations and individuals related to the mental health program We are
unable to determine how many of the downstate papers use the releases
since a clipping service is not available to the department
News stories not directly initiated by the department resulted in
the main from information furnished to reporters who were in the hos
pital on other assignments A good example of this was the stories on
theforgotten children which ran front page in The Atlanta Journal A
visit on a completely different assignment resulted in the journalist
becoming interested in the plight of the adolescents and the need for
specialized facilities in order that adequate treatment might be pro
vided for these young people There were also four pickups by Atlanta
newspapers from the hospitals WEEKLY BULLETIN one of which made all
the wire services and went all over the country17
Typical 3 and 4 bednoom bnJLok home
Vhybiciani houAeA on RiveA Road
STAFF HOUSING
The 11 donmiohy and apanXment complexMB ifoufoitiifetfkkk
18

J
Photographic coverage of institutional activity provided a number of
mass media outlets with photos and
bers also used the color slides to
vision interviews Hospital photos
pers as well as by those irtMacon
color slides Hospital staff mem
illustrate lectures and on tele
were used by both Atlanta newspa
and Milledgeville Several of the
releases were fullpage picture spreads of unique hospital treatment
programs
grams and
vocational
activities
rehabilitation projects and young peoples pro
The department photographer covered 113 separate events in black
and white and in color Ten individual slide shows were produced and
six photographic exhibits were set up for conferences held by hospi
tal departments as well as by groups outside the institution A pa
tient has been trained as a photographer and is now working on a re
stricted basis and rendering excellent service

4

The assignment of an information officer as director of the sem
inar programs for visiting students and other organizations has made
possible a more efficient program as well as providing the students
with a meaningful learning experience Effort has been made to allow
individual structuring of programs according to the need of the par
ticular group
mitted in each
have been achieved with the educational
in now much more adequate both from the standpoint of the hospital
and that of the colleges and high schools
as requested by the instructor The total number per
group has been reduced to 35 improved communications
institutions and the program
The Director continues to visit high school and college psychol
ogy classes for lecture programs illustrated by color slides Empha
sis is placed on the hospitals stipend and scholarship programs and
attention is given to treatment programs types of admissions stat
istical information on the patient population and a brief outline of
Georgias developing mental health program Employment opportunities
in the institution are also dealt with Through May of 1969 a total
of 78 visits were made to 26 high schools 27 colleges and 25 organ
izations which included civic clubs vocational training schools and
schools of nursing The total number of individual contacts was more
than 4100
Department members also edit and produce the hospitals official
publication THE WEEKLY BULLETIN Nine brochures manuals pamphlets
for recruitment and educational purposes were produced for staff de
partments
PATIENT AFFAIRS

A new position was recently set up by the Superintendent which bears
the title of Coordinator of Patient Affairs The position makes pro
vision for a staff member whose major responsibility will be working
with the Unit Directors in interpretation and implementation of the
new mental health law which will go into effect January 1 1970 The
new legislation provides many worthwhile advances in the simplifica
tion of admission procedures making possible medical as well as ju19
TOP Typical photo txhlbit o pa
tient actlviXlu SlmllaM exhibi
tion afie ie up In all the unit
P
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LEFT Aubfiey MofifvU WSB Mew VI
fiectofi Interview a pefifiofunefi o
Hoxle Bfio thefts Clncui A campaign
staged by the Atlanta fuxdlo sta
tion fialbed mo fie than 7000 mak
ing it poAtxible on the fieildenti
to enjoy tkli entefitalnment
ABOlE Columnut Bob HaAAell fiom
The Atlanta Constitution talks to
MfU Voftice HefUvin at the opening
o the CentAaJL Occupational Then
apy Building fiecently dedicated20

tion of admission procedures making possible medical as well as ju
dicial admissions however the legislation poses a number of diffi
culties merely because it is new
The Coordinator of Patient Affairs will have the primary respon
sibility for smoothing hospital relationships with Ordinaries Coun
ty Health Officers and others as well as working with hospital phy
sicians to solve any related problems arising from implementation of
the new legislation
4
MEDICAL STAFF SECRETARIAT
The Supervisor of the Medical Staff Secretariat may be termed Admin
istrative Assistant to the medical staff She keeps all records mi
nute books arranges agenda of staff meetings keeps the regulations
of the medical staff up to date and serves the medical staff commit
tees as required

HOSPITAL RECEPTIONIST
The Hospital Receptionist is the original contact person for all in
dividuals desiring appointments with the Superintendent the Assist
ant Superintendents and department heads quartered in the Powell Ad
ministrative offices She also provides maps histories of the hos
pital and other printed information to visitors unfamiliar with this
institution
tf

Vn ItiULdman conduct hzmhuxh fan viiituig psychology itadzyvt21
ADMINISTRATION
The Superintendent is the Executive Officer of the hospital and has
to make the final decisions on all recommendations arriving via the
two major planning committees of the institution which are the Ex
ecutive Committee of the Medical Staff and the Plans and Operations
Committee The first of these deals with matters affecting resident
care and treatment the second with the administration the organi
zation and the general business affairs of the hospital
Membership of the Medical Staff Committee includes the Superin
tendent the three Assistant Superintendents the two Clinical Dir
ectors the Director of Physical Health and one of the Unit Direct
ors who serves as Secretary Membership of the Plans and Operations
Committee includes the Superintendent the three Assistant Superin
tendents the Clinical Directors and the Institutional Business Ad
ministrator The Director of Manpower though not officially a mem
ber serves as Secretary
Major advances in the administrative structure of the hospital
while retaining the necessary flexibility are becoming fairly well
defined The creation of the Department of Manpower Control is res
ulting in equitable redistribution of allotted personnel and is now
engaged in a program to study the redistribution of all resources
present and future basing the study on compilation and analysis of
admission data so that the needs of the patients will be recogniz
ed and met
The Plans and Operations Committee has also projected building
equipment and personnel needs into the forseeable future ten years
ahead in order to evolve proper objectives and to develop a master
plan for approval of the Health Department
The newly created Industrial Engineering Division has been com
pleting a number of significant studies including an analysis which
has graphically pointed up the need for additional laundry facilit
ies centralized linen distribution service and other improvements
all of which are necessary to keep the patients comfortable An an
alysis of the transportation system resulted in an efficient work
able shuttle bus system A nursing time and motion study a patient
population information study two studies involving improvement and
more efficient operation in the clothing issue and engineering ware
houses and the development of a comprehensive manual for medicare
medicaid will all contribute to better patients facilities as well
as better care and treatment
Planned budgeting passed its first milestone during fiscal 1969
and those with budget responsibilities have made a conscientious e
ffort to project and justify all budget requests Reorganization in
the Horticulture Department has provided a horticulture therapy pro
gram which will be expanded into all units Development of the for
mer Colony Farm Lake into a recreational area is in progressHHHHIHIHHHHIH
22

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HIGHLIGHTS OF 1969
The new 150 bed Carl Vinson War Memorial Home opened and operative
Specialized wards for adolescents opened and operative
A new Central Occupational Therapy Building completed opening late 1969
Four flattop buildings housing 2700 patients airconditioned painted re
floored and several equipped with new linen rooms
Preliminary plans drawn for new 68 million dollar medicalsurgical hospital
A new Occupational Therapy Clinic established in the Veterans Building
Remodeling completed on Jones Hospital Outpatient Clinic
Security Screens installed in Binion Building dining area remodeled and
visitors area airconditioned
Satellite pharmacies completed in Jones and Cabiness Buildings
An additional Fire Station completed and operative
IBM360 Computer installed and operative
Expanded quarters for Medical Records and Admissions completed and occupied
Public Information Offices relocated with adequate photo lab
Completely new telephone system installed throughout the hospital
Print Shop relocated in expanded and airconditioned quarters
Adequate outside lighting installed throughout the institution
New parking lots built and surfaced
23
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And the faLxuJih
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ana communication24
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GEORGIANS SERVED
i
A
On Books July 1 196918619
Resident in hospital 9408
On Convalescent Leave 9211
Admissions
First Admissions 6290
Readmissions CSH 2186
Readmissions other 705
Average daily resident population 9645
Decrease over 1968 412
Discharged direct from hospital 1482
Patients placed on convalescent leave 8963
Transferred out 233
Deaths 850
BUDGET ACTUALS
State Appropriations 27 527 800 00
Agency Funds 3 210 531 12
30 738 331 12
Carry over from prior year 260 221 26
Total Revenue 30 998 552 38
EXPENDITURES
Personal Services 21 912 490 78
Operating Expense 8 627 608 33
Capital Outlay 185 391 55
Total Expenditures 30 725 490 66
Balance at close of year 273 061 72
KWow hzcui tfaU
The administration of
a state mental hospi
tal with an annual on
book population which
exceeds 18000 and an
annual budget of some
30000000 is not an
easy task We present
herewith photographic
How about tkazl
analysis showing such
administrator in con
ference with his top
level staff discuss
ing some of the knot
ty problems which are
part of his daily re
sponsibility Are our
captaions pertinent
LeX do aJl thti way
That a tough one
OQj
Vou muit be kidding
irittl wohk it oataaiaafeaaa
26

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THE OPPOSITE PAGE

We are indebted to George Niles
for the lovely photograph show
ing a silhouette of the steeple
of the Chapel of All Faiths ta
ken just before sunset Central
Chapel is one of five Houses of
Worship furnished by the people
of Georgia for the CSH patients

iwtf
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NURSING
The improvement of patient care was the major objective of the nurs
ing staff during the past year Marked improvement was evident with
in the units as a result of a limited number of new positions coming
through the use of funds for budgeted vacant positions In addition
a few ward clerk positions were made available thereby relieving the
nursing personnel of many timeconsuming duties and paper work which
is not directly related to patient care
Improvement of the physical facilities in a number of the hospi
tal units has greatly enhanced the ward environment thereby permit
ting all personnel to do a better job A number of the wards receiv
ed new lighting facilities bathing facilities have been improved a
large number of them have been painted in attractive colors the in
stallation of floor tile has improved the appearance of many of them
and airconditioning has materially added to the comfort of the res
idents in the hot weather
The establishment of a new Housekeeping Department and the init
iation of property control officers was a gratifying new development
during the year This has resulted in relieving nursing personnel of
many of the tasks which they were forced to do in addition to caring
for patients however there are as yet an insufficient number to do
much in this area at present
Improvement in the personal hygiene of patients by more frequent
bathing practises has created a severe shortage of wearing apparel a
condition which has not as yet been alleviated The hospital laundry
is outmoded equipment is antiquated and the entire operation fails
to meet the growing demand from the wards Some of the wards are en
deavoring to meet the crisis by washing and ironing dresses and oth
er items of clothing on the wards where equipment is available but
wery few of them are so providedIf patients are to be kept clean a
definite improvement is necessary in this area
The scarcity of male applicants for the attendant service is an
other constant problem Turnover in male attendants is due mostly to
the draft leaving for higher paying jobs or going to college Also
although we employ most interested local college males their tenure
does not afford any permanent solution since they can only work for
limited periods and shifts Hospital services are severely curtailed
while vacancies exist
s
Recruitment has noticeably improved during the year since 21 re
gistered nurses were employed however 20 left mainly because sal
ary situations were involved As a means of encouraging nurses con
certed afforts are being made to reallocate positions to higher sal
ary scales Attempts are made to employ eligible LPN applicants when
new attendant positions are available or as existing vacancies occ
ur and can be allocated Many of the units faced with shortages are
combining two wards to provide better personnel coverageHONORING
Mrs Myra Bonner RN
Retiring after 37 years nursing service
23 as Director of nursesHHHHHBflHBHHHHHHHHHMlr1
30

During the coming year nurses will endeavor to increase involvement
in the various treatment programs thereby reaching a greater number
of patients with effective therapy Development of programs in beha
vior modification milieu therapy attitude therapy as well as re
motivation resocialization and others have been extremely effective
in treating patients otherwise difficult to reach
J
Two wards will be converted in one of the units into an orienta
tion area to prepare candidates for nursing homes for the abrupt en
vironmental change that would otherwise occur A registered nurse is
to work with these patients two days a week Staff visits to some of
the nursing home facilities will ease the problems of transfer also
improve the program
Nursing service now includes 116 registered nurses 81 LPNs and
1745 attendants for a total of 1942

PSYCHIATRIC AFFILIATION PROGRAM
During the past fiscal year 182 students were enrolled in and succ
essfully completed the course in psychiatric nursing from the hospi
tal schools of nursing at Georgia Baptist107 Hall County Hospital
12 Macon Hospital20 Medical Center at Columbus17 Piedmont Hos
pital 25 and one graduate from the Macon Hospital
4
At the annual faculty meeting school representatives reported a
concensus of opinion that their students showed much improvement and
heightened ability in the application of psychiatric nursing princi
ples after their affiliation here as well as in their scores on the
examinations for the National League of Nursing and the State Board

The new twoyear nursing program resulted in some reorganization
of affiliation programs throughout the state Several of the schools
in hospitals formerly affiliating with Central State have made the
decision to close however enrollment here continues good A larger
enrollment is anticipated for the coming year
Faculty members here face an added responsibility resulting from
the new twoyear program in the necessity for participating in vari
ous types of psychiatric experience for students who are not affili
ating here but who spend some time at CSH in clinical work All fac
ulty members are involved in conducting these students and their in
structors to selected areas where they are responsible for illustra
tions orientations demonstrations and explanations of the programs
and activities observed

Programs have been planned for field visits of from one to three
days for 138 students 16 instructors and a director of nursing The
groups were from Albany Junior College Albany State College Dalton
Junior College Crawford Long Hospital Floyd County Hospital Grady
Memorial Hospital and others A number of additional nursing delega
tions interested in various phases of hospital operation visited CSH
during the year31
INSERVICE EDUCATION
These programs continue to be a vital part of nursing education and
in the units these programs are already functioning in patterns es
tablished to meet each units individual need
The Professional Nurse Staff Development Program financed every
three years by a grant from the National Institute of Mental Health
is proving of great benefit and will continue in much the same form
at during the coming year A renewal grant for this program was rec
ently received
A course for attendants covering 12 weeks is operating with only
two classes the hospital aide class and the federally supported in
service training program Of the total 135 enrolees 116 were certi
fied The major goal of training in both classes is the improving of
aidepatient relationships as well as interpersonal technics in re
lating to other employees
The Neighborhood Youth Corps Nursing Aide Program ended with the
month of August The present class has been restructured both as to
the number of enrolees and as to the length and is proving much more
effective
Plans for the coming year include an onthejob class to prepare
charge attendants an enrichment onthejob course for LPNs promo
tion of preservice programs for nursing service personnel and con
tinuance of the Staff Development Program for Professional Nurses
32

PATIENT REMOTIVATION SERVICE
J
Remotivation in its fourth year of operation as a departmental dis
cipline has increased its value as a member of the therapeutic team
and has been able to increase patient coverage this year The future
goal is for greater involvement of people in the program and expan
sion of the educational activities as a Regional Training Center for
Remotivators in the Southeastern states
The growth of the program within the hospital continues on three
levels

Nonformal settings in which initial efforts are directed to
ward individual patients or patients in small groups gathered
in informal environments such as personal grooming sessions
games sewing music dining manners rudimentary crafts in
door and outdoor trips parties picnics and gardening cook
ing and other activities
4
2 Formal sessions which concentrate on group discussions vary
ing from specific to broad general topics and related to li
terature science geography art nature travel crafts
3 Advanced groups which concentrate on indepth conversations
discussions about current living and the problems involved
Patient groups formed total 183 with 1828 individual participa
tors who attended 2196 sessions for each three month period and the
average number of patients attending nonformal sessions monthly was
1272 The average number of active aide Remotivators in any one ca
lender month was 63 showing the great need for more trained person
nel

An estimated 4040 patients
in nonformal activities while
fairly large increase over last
of the nonformal type totaled
activity Some new Remotivation
apeutic results include the wee
sick ward in Unit 2 the fashio
sewing ward program in Medicare
tion program for the profoundly
participated for the year in Unit 1
1258 participated in formal groups a
year In Unit 2 the number in groups
4800 while 2064 took part in formal
activities which are producing ther
kly dinners and crafts program in the
n program in Unit 1 the quilting and
and the coordinated weekly remotiva
retarded residents in Unit 9
As the Regional Training Center a training institute was provi
ded 45 participants from surrounding hospitals and nursing homes It
was successful with patient participation in the laboratory sessions
numbering 485

In January the Director was appointed Associate Professor work
ing in the Graduate Program in Nursing at the Medical College A Re
motivation position will be included on the chart of each Unit where
this would be appropriate which will mean added service in 1970PSYCHOLOGY
33
The goal of the Psychology Department is to establish each method of
evaluation and treatment of patients upon the firm foundation of em
pirical scientific research It is extremely important to Psycholo
gists to be able to specify precisely the methods and techniques em
ployed as well as to obtain accurate quantitative evaluation which
makes the result significant and allows for future improvements The
effective evaluation of a mental health program cannot be made mere
ly upon an intuitive feeling that the patients are getting better
In addition to the usual clinical services for adults responsi
bility for the educationtreatment program for children was also as
signed administratively to the psychology department until the month
of January 1969 Included were such programs as behavior modifica
tion the training of interns in clinical psychology education pro
grams in clinical psychology and the programs for patients with mul
tiple handicaps
Emphasis is being increasingly focused on improving treatment by
the use of more efficient
efforts are being made to
are necessary to any good
training staff members to
and scientific techniques also concerted
increase the efficiency and coverage which
treatment program by attracting personnel
function at more complex levels and care
fully directing and supervising all work by qualified doctoral level
and master level psychologists Scholarship programs along with new
ly developed recruitment techniques should continue to staff the de
partment with an increasing number of qualified applicants
During the year 4500 patients were evaluated by staff members
psychological treatment was given to 550 patients monthly Psycholo
gists spent many hours in teaching and research in addition to clin
ical responsibilities
Detailed reports on behavior modification programs will be found
under Unit 9 programs for multiple handicapped patients under Unit
10 and education training and research programs under this heading
Treatment programs for children will be found under the Childrens U
nit number 8
The psychology department cooperates with the Publi
Department in providing seminar programs for visiting h
as well as college students from psychology and social
The goal of the program is to dispel erroneous ideas he
erage individual about the hospital and emotional illne
the general public of the many urgent needs at the hosp
to help the students to a realization of the problems i
mentally ill individual adjust to the community upon hi
c Information
igh schoolers
work classes
Id by the av
ss to inform
ital and also
n helping the
s discharge
During the year more than 4000 persons spent a full day at the
hospital under this program In addition special groups such as the
Georgia Mental Health Association visited for special programs

34

CLINICAL TRAINING
This year the department had four new interns in residence A funda
mental goal of the program is to promote the students understanding
of and adherance to scientific methodology The interns gain experi
ence in behavior modification settings working with severely handi
capped patients dealing with children and adolescents and partici
pating in the more traditional experiences of interviewing testing
and psychotherapy with adults and children which are found in nearly
all state hospital settings
Several policy changes were instituted this year relating to the
clinical internship program All students who are now on stipend are
required to repay their stipend at the doctoral level Secondly be
cause of the limited number of qualified supervisors the total num
ber of interns has been reduced This will permit closer supervision
as well as instruction at a higher academic level It was also deci
ded that only the most capable students would be considered for hos
pital stipends and internships
RESEARCH
tf
k
The psychology department has for the last few years led most hos
ital departments with respect to research programs as well as publi
cation in professional journals The departmental staff submitted 11
articles during the year with a number of other studies in prepara
tion The staff generally has five research studies in process

ABOVE Vk Jean HendKix conduct a be
Wavion modiiLccctlon and education ses
sion ABOVE RIGHT InteKn supervision
is a viXal paKt o any accAtdiXcd psy
chology pKogham RIGHT Chlefi Psycho
logist Vk Robeht W WIZdman BELOW
A testing session wiAh Vk RobeKt Heap
causes InteKest OPPOSITE PAGE Mckcck
UnlveKsity student Veanna Mookc enjoys
keh Summet woKk with CSH childten
IS
36
r1
J
SOCIAL WORK SERVICES
Placement of geriatric patients in nursing homes throughout the state
has been a major factor in reducing Central State Hospitals resident
population from 12000 to the present population of 9400 The program
which started in 1965 has now placed more than 2500 individuals with
a return rate of slightly more than 14 per cent This return rate fa
vorably compares with the results achieved by any other hospital dis
charge program and is better than most of them Last year alone more
than 500 patients were placed 422 of them through the Baldwin County
Unit of the Department of Family and Chirdren Services located at the
hospital
1
A new program initiated this year consisted of the assignment of
a community organization social worker to act as a liaison person be
tween the hospitals Psychiatric Unit 2 and the communities served by
the Unit The focal community has been Macon and Bibb County Prelim
inary groundwork has been laid for the establishment of an adult fos
ter home program the first in the state of Georgia to meet the needs
of emotionally disturbed individuals

w
9
Services
relatives of
individuals
families and
of outpatien
back to their
ments with re
nursing home
to patients include the writing of 12480 letters to the
residents to community agencies and to other interested
The staff held 17504 interviews with inpatients their
their representatives and 5299 interviews with families
tsAs a result of this activity 2201 patients were sent
home communities during the year These included place
latives independent living arrangements transfers to a
and transfers out of the state
The staff now consists of a total of 58 individuals which consti
tutes an increase of five with a significant increase at the supervi
sory level Twelve staff members are on educational leave completing
their Masters degrees in Social Work supported by hospital stipends
Schools attended include Smith College Tulane Florida State Univer
sity University of Michigan and the University of GeorgiaDuring the
year ten social work students were placed in the department for sup
ervised field work by the University of Georgia and Florida State and
30 undergraduate sociology students from Mercer University located in
Macon and Georgia College at Milledgeville also received supervision
RELIGIOUS SERVICES
k
Fiscal year 1969 marked the fifth anniversary of the completion ded
ication and occupancy of the Chapels of All Faiths which have provid
ed during the past five years not only adequate facilities in which
religious activities could be conducted but have become a comforting
symbol of hope and encouragement for the hospital residents
A special anniversary celebration was held in the Central Chapel37
A qfioup theAapy session
VixtcXon Ken Jasnau HSS

ABOVE PJ1zA2ZeaAz planning by
soqaaJL woAkzAA consldeAS azt
oas azctlng thz dlMzkaAgz ofa
thz patient RIGHT Placements
o aged patients In azcJieditzd
Nanking Homes have amounted to
moaz than 3300 slncz 1964
LiOOtteW KM i i
38

J

invitations having been sent to prominent clergymen state officials
local leaders and others who had some part in raising the fund neces
sary to build the chapels Among those attending were former Governor
and Mrs Ernest Vandiver who were largely responsible for raising the
money through popular subscription
A shift in pastoral care services has resulted in a slight reduc
tion in the number of formal worship services but an increase in the
informal worship services on the wards thus making some form of reli
gious activity available to more patients who are not able to come to
the chapel services The staff conducted 1003 worship services in the
chapels and 1628 on the hospital wards
An increase of more than 6000 pastoral visits to patients is part
of the total number of 19036 which resulted from the attempt to sym
bolize the presence of the church and the concern of the community in
the person of the chaplains on the wards Special services for Jewish
patients Roman Catholic patients and Episcopalians are conducted and
the observance of festive occasions such as All Saints Day and also
Christmas Lent and Easter are thoroughly enjoyed by the patients
J

i
Religious service to the female prisoners was increased consider
ably and included a series of special inspirational services that the
inmates seemed to enjoySpecial hymnbooks were purchased for children
housed in the mental retardation and the adolescent units so that the
worship services would be geared to their needs and would be signifi
cant to them
A large portion of staff time is spent in clinical services This
includes group pastoral counseling with 1014 patients also individual
pastoral counseling with 4000 patientsA refinement of religious di
agnosis has proved yery effective in detecting problem areas that ex
ists in the patients behavior patterns
A special training program has included training at five wellde
fined levels These include an introductory orientation workshop par
ticularly fitted to the needs of community clergymen the orientation
for seminary students covering six successive Mondays student clini
cal traineeships which include supervision of six students for a to
tal of six student quarters and clinical internships in which area by
far the majority of departmental supervision was focused
Thirteen students were supervised for a total of 32 student quar
ters Clinical residency and supervision included the supervision and
oversight of four assistant supervisors for a total of six periods of
three months each and was the most significant development which oc
curred this past year since these men were trained as chaplain sup
ervisors and began their process of certification by the national ac
crediting agency When certified they will be available for staffing
other chaplain positions within the state mental health program
Staff and community relations continued in the form of workshops
seminars and conferences sponsored by the department for various vis39
iting groups Research efforts have been expanded and a staff member
now devotes the major portion of his time to research as well as us
ing the date processing system to correlate information and to tabu
late findings
ABOVE Sunday 6lavIcza main ckapoJL BELOWLEFT Vatoftal CoumeZlng
Chizfa Chaplain
JamA L TtiavUHHHHHHHHHHiiF
40
r1
OCCUPATIONAL THERAPY
J
1

IP
9
Occupational therapists are now included in all psychiatric teams so
they are active in planning sessions diagnostic staff meetings and
ward rounds as well as in interdiscipline and staff meetings
An outstanding event of this year was the completion of the vet
erans occupational therapy building which is now in full operation
Participation in the programs by both male and female patients is at
good level Also the new Central Occupational Therapy Building which
has long been vitally needed has now been completed and will be of
ficially opened some time in the early part of 1970
A total of 37 individual occupational therapy programs are oper
ating and 3254 patients participated in the activities last year Of
these 41 were released from wards either to return home or to com
mence vocational rehabilitation training programs
New programs included reorganization of the two upholstery clin
ics now located in the VR workshop where they function as a combina
tion program of treatmenttraining This is the first program of its
type initiated at Central State Hospital Other new programs include
those for intensive care patients one of which is a special project
for autistic children and another for a patient who is under plastic
surgery
Patient involvement included emphasis on socializing experience
which was stressed in all regular programs Activities included fur
nishing an escort for the patients attending the Christmas parade as
well as for those going to the Fair the circus the wrestling bouts
and on shopping excursions to town Christmas and other special hol
idays were celebrated with parties in all the clinics
A program with emphasis on improving personal appearance is suc
cessful as a vital elemant in recovery Patients were taken to beau
ty salons and also to the hospital apparel shop where new attractive
clothing was available to them Sessions on grooming as well as me
thods of effective makeup preceded the meetings in all female clinic
sessions
s
A total of 830 articles have been repaired painted and assigned
to various areas in the hospital as a result of the 0T programs The
craftwork of the patients was exhibited and sold at meetings of many
clubs and organizations among them being the Crawford Long Hospital
Medical Auxiliary the Newcomers Club of Athens and the Friendship
Club of Macon Exhibits were also set up in Fellowship Hall in Cent
ral Chapel and in the Powell Building lobby
The present staff was increased during the year by adding an oc
cupational therapist and six occupational therapy aides Considering
the staffing pattern for occupational therapy an effective coverage
of the patient populations has been achieved although it is meager41
Kfl
Occupational Thenapy hoi pnxi
gneed mxpidly in ehective
nei kt CentAaJL State Hospi
tal it ii a majon pnognam and
reaches into eveny patient a
nea Illuminated on thiM page
one a leu o the activities
AB01E LEFT Stuped anlmaU
lovingly pnepaneA one ahoay
populan and the children love
them ABOVE Vixecton Vonothy
Clanke ij interviewed by a TV
newsman LEFT A modexn well
Lighted duplay fioom 6eatuAeA
the new Centnal Building BE
LOW In the old days the a
citltiei and equipment avail
able let much to be defined
rJ Xm
L rt 1
M4 md Mtffl
hfiiri
42
MUSIC THERAPY

J
1
The decentralization of the music therapy program into the units has
resulted in a much better coverage of the patient population than in
previous years thus making the operation more effective therapeuti
cally
The music therapy program for mentally retarded children was set
up as a specialized project and has been extremely effective but is
now basically behavior modification oriented as a result of the pre
sent reorganization program which has just been completed in Unit 9
Future emphasis will be placed on a clinicalresearch program care
ful evaluation during ewery step of development and innovative tech
nics is the use of music as a therapeutic tool
The director of music therapy is now supervisor of the operation
in Unit 8 which is the unit for emotionally disturbed children The
program is particularly focused on those patients who are not allow
ed to leave the unit and is structured to appeal to both adolescents
and smalller children
4
The Rivers Hospital which houses the Medicare Unit now has the
benefit of a fulltime music therapy program initiated recently and
greatly appreciated by the patients not to mention the staff who are
in agreement regarding the therapeutic benefits that accrue
A music therapy program in the Binion Building the maximum sec
urity unit was established for the first time though on a tempora
ry parttime basis It is proving to be quite effective and a lot of
hidden musical talent seems to be present in this element of the pa
tient population
an
k
The country music program has become so popular that it has been
necessary to promote one of the staff members to supervise it Three
staff members now give full time to the program working out of Cen
tral Headquarters Building and covering all the units of the hospit
al They work with individual patients and groups in guitar and with
related instruments During the year several country music sessions
with patients participating were held in the auditorium
Enlargement of music therapy facilities in Unit 4 made available
an excellent area for structured dance activities individual thera
py rooms to permit observation of sessions through oneway mirrors
and adequate office space for personnel Complete builtin risers to
improve chorus sessions are also part of the new facilities
Patients active in music therapy presented several works all of
outstanding merit during the year Two of the better known included
The Holy City and Messiah which has become an integral part of
the Christmas season at Central State The performance this year in
volved 140 patient voices and was hailed by those present as a high
point of musicianship
The presentation of The Temple by Joseph W Clokey a compos
ition of the modern school and one demanding superlative technic and43
musicianship gave graphic evidence of the quality of the music ther
apy program
The department continues the supervision of interns from Florida
State University University of the Pacific at Stockton California
and Western Michigan University at Kalamazoo Of eight interns under
supervision one remained on the staff following the completion
The department now includes 24 fulltime therapists as well as 4
positions which are supervisory Of the total 10 are registered mu
sic therapists
CzyvOtal State Hospital has deveZoped one
oi the outstanding Music Thexapy Vcpcuvt
mcnts In the country LEFT The Vixzcton
HeAbeAt Goldsmith is an accomplished or
ganist ABOVE The Boy Choin BELOW A
visiting group provides musical pleasure
ion patients
HHwlHHBBBnnHHHBilHHHn
44

J
1
4
On
ft
RECREATION THERAPY
The major development in recreation therapy during the year was the
decentralization of all personnel to the unit level The result has
been better lines of communication considerable improvement in in
dividual programs and the availability of increased funds for util
ization by recreation therapy personnel
The department offers a wide variety of recreation services in
cluding active to passive activities and projects which relate the
ory to practise in helping the individual adjust in the large group
thus meeting the needs of the majority of the patients Some recre
ational facilities equipment and areas have been improved but not
sufficiently to be adequate for an effective therapy program
Weekly activities have included large group gatherings of vari
ous kinds such as movies dances picnics cookouts bus rides all
kinds of parties intramural sports berry picking trips and holi
day events with all recreation personnel working together The res
idents greatly enjoyed these special events which included the Jay
cee Fair wrestling matches and the circus
Participation in community programs included local high school
college and recreation league sport events theater productions and
other entertainments at the colleges and several trips were enjoy
ed to games of the Atlanta Braves by the children in the hospitals
Special Education School
Volunteers from Mercer University Georgia College at Milledge
ville churches and civic clubs gave valued assistance and succeed
ed in making recreation activities more meaningful to patients in a
number of the units These college students were tireless in trying
to help the patients and were surprisingly effective
Small group activities included Scout programs in two of the u
nits with uniforms and camping equipment being provided by the rec
reation department through the unit budgetsBoth groups have taken
several camping trips to the state farm Small group activities are
also utilized in other units because they provide more concentrated
therapeutic value than large group programs An example is the pro
gram being conducted for blind women which teaches them to see us
ing their hands feet and ears Another such program gives pleasure
to a group of older women in a Golden Agers Club by keeping them
useful in such activities as bicycle riding and socials with a com
munity club with similar makeup and purposeVarious types of night
club parties have also proven successful with the older women
Bruce R Prosser recreation therapy director was named pres
ident of the Georgia Recreation Association Staff members partici
pated in the National Recreation and Park Association Conference in
Seattle the Ninth Southern Regional Institute on Recreation which
was held at Chapel Hill NC a postgraduate training course aim45
ed at providing the participant with adaptive physical education and
recreation therapy technics for the physically handicapped child and
from which came ideas for adaptive table games for patients who were
in a similar situation
Recreation therapists also provided lectures for student nurses
conducted tours and seminars for visiting recreation therapists from
other institutions and provided a quarterly seminar for Georgia Uni
versity community recreation interns
Hospital internships have been provided for recreation students
from Florida State University University of Georgia Georgia South
ern College and Indiana State University
It has been a year of progress however constant evaluation and
analysis of recreation therapy programs will continue so that future
activities may be based on actual results achieved in assisting res
idents to return to their home communities as rapidly as possible
mm
Wimililuettii
yijpMiiM
Mill
W3PWfc
r gj

46

J
VOLUNTEER SERVICES
A wide variety of services through the use of volunteers is supplied
to the patient population by the department Garden Therapy which is
supervised by members of the Milledgeville Garden Clubs continues to
be one of the most beneficial activities Twelve clubs with patients
as members engage in activities all of which are designed to provide
socializing experiences for the residents They include flower grow
ing landscaping trips picnics and indoor activities if the weath
er does not permit the patients to be outside
1
The new rehabilitation park now under construction will meet the
need for central recreation facilities in this area The cost of the
facility is to be met by the Garden Clubs of Georgia as a state pro
ject
Georgia hairdressers members of the Georgia Hairdressers Cos
metologists Association provided many services to patients as a fea
ture of National Beauty Salon Week Their fourth annual trip result
ed in 337 patients receiving a wide variety of services all of which
were greatly appreciated Taking part were 112 hairdressers who rep
resented 14 different affiliates
A
5P
Art therapy expansion is bounded only by the availability of ar
tists to teach the courses These volunteer artists have been of im
mense benefit to patient therapy and in several instances have en
abled patients with budding talent to become quite proficient in the
medium
Volunteers in recreation come mainly from the nearby educational
institutions such as Mercer University and Wesleyan College in Macon
and the Georgia College at Milledgeville These young people seem to
establish excellent rapport with patients through work in the recre
ational settings on the wards
Alcoholics Anonymous continues the weekly programs under the al
ternating sponsorships of six groups in the central Georgia area An
average of 100 patients attend each meeting About 75 of the speak
ers are former patients of this institution
Student psychology volunteers from surrounding colleges have ef
fectively worked in behavior modification treatment programs result
ing in exceptional achievement with adultb and children who are emo
tionally disturbed and others who are mentally retarded Outstanding
results were obtained with a special group of mentally retarded res
idents in toilet training improvement in eating habits and in per
sonal hygiene as well as in general conduct

The Apparel Shop provides personal clothing for needy residents
a service which part of their therapy program Clothing is also fur
nished to those who are being transferred to other states placed on
convalescent leave or sent to nursing homes47
The Forgotten Patient program assists 250 patients who have no fami
ly or friends through the efforts of 271 sponsors The program bene
fits a large number of lonely people who are remembered by the spon
sors on special days and by other thoughtful acts of kindness
The Patients Library has acquired a model collection of volumes
numbering 4000 and costing 12000 which amount was obtained through
a Title 1VA grant The library is operating on a temporary basis in
the 28thWard Additional furniture is now on order the funds being
made available through another grant
The Christmas program was again under the sponsorship of Georgia
mayors members of the Georgia Municipal Association who for a num
ber of years have provided most of the Christmas gifts for the resi
dents Some 30000 gifts resulted ensuring that none of the patients
were forgotten
The Hoxie Brothers Circus which annually entertains the patients
came this year as the result of a fund drive by radio station WSB in
Atlanta which raised enough money to pay not only for 1969 but for
1970 and 1971 as well A total of 4417 was donated by 1278 givers
Varied entertainment programs were presented by community organ
izations including high schools colleges civic clubs churches and
mental health associations An Assistant Director of Volunter servi
ces was added during the year thus allowing much better oversight of
existing programs as well as expanded programs in some new areas

Latent pnoject o Ganden Club ofa GoonQia Inc Lb thUA 30000 RecAeaion Cm
test Landscaping wttt incJLudt spzcial plants gnown on btind patiznti
48

PERSONNEL DIVISION
J

On June 30 1969 there were 3833 regular employees on the staff an
increase of 188 over the total employed at the same date at the end
of fiscal year 1968 The largest gains were in the subprofessional
nursing and in the service categories with modest increases in num
ber of physicians and clerical and managerial employees
On October 16 1968 an adjustment in the Merit System pay scale
was effectuated which provided a one step increase in salary apply
ing to the majority ofemployees Also during the year a number of
position classes were reassigned to higher pay grades thus provid
ing an additional salary adjustment for many employees mostly for
the physician category and the trades crafts and mechanical areas
During fiscal 1969 all minimum salaries were adjusted in order
to comply with the requirements of the Fair Labor Standards Act In
this case the adjustments affected approximately 300 employees and
elevated the lowest entrance salaries from 200 per month to the a
mount of 231 per month Budgetary plans were made for an addition
al adjustment during fiscal 1970 in the minimum salary scales
The following is a tabulation of personnel actions during 1969

Appointments 1114
Transfers 620
Promotions 453
Demotions 54
Separations 834
including
655 Resignations
77 Dismissals
28 Deaths
24 Transfers to
other agencies
50 Retirements
Rate of turnover 217
A figure obtained by subtracting separations from appointments
though significant will not balance with the change in total list
ing of employees since the latter is based on regular employees in
pay status and does not include those on various types of leave not
receiving pay or employees on hospital stipends A tabulation which
shows hospital personnel by type follows
sCENTRAL STATE HOSPITAL
PERSONNEL WORK FORCE
49
63060 63067 63068 63069
TOTAL 2280 3279 3645 4072
Physicians 45 92 96 103
Dentists 5 8 6 6
Nurses 79 109 112 111
Therapists 4 17 18 21
Engineers 4 5 4 7
Sanitarians 2 2 1
Physical Scientists 7 7 8
Nutritionists 2 1 3 3
Education and Information Specialists 2 2 8
Psychologists 4 8 9 7
Social Workers 5 14 16 20
Other Professionals 3 18 17 23
SemiProfessional and led mical 1410 1805 2006 2095
Managerial 9 17 22 34
Clerical 137 222 281 307
Agricultural 73 32 32 12
Trades Crafts and Mechanical 184 296 313 238
Personal Services 211 301 354 713
Manual Labor 105 321 343 346

M
50
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EDUCATION AND TRAINING
During the past year accredited training programs continued in psy
chiatry pharmacy psychology social work clinical chaplaincy mu
sic therapy occupational therapy and recreation For information on
these programs see the reports of the individual departments
In medicine a senior resident in Ophthalmology from Mayo Clinic
in Rochester Minnesota rotates through the hospitals Ophthalmolo
gy department every three months for special training in eye surgery
and other technics Since the program started in October 1964 Mayo
Clinic has been eminently satisfied with the training given the res
idents
1
Affiliated programs with nursing schools to furnish student nur
ses with a three month training course in psychiatric nursing proce
dures and technics continue as do training classes for aides and si
milar subprofessional personnel Considerable attention by all pro
fessional departments has been given to the development of effective
inservice training and orientation programs and this is now produc
ing results
A
TV
5

PSYCHIATRIC RESIDENCY TRAINING
The residency training program in psychiatry at Central State Hospi
tal is a fully accredited threeyear training course with opportuni
ties for ten new residents per year for a maximum of 30 at any time
Emphasis is placed on developing sound understanding of the dynamics
of human personality and behavior and the role of emotions therein
The program includes administrative experience in both community
mental health and institutional settings as well as consultation in
a variety of situations and prepares the resident to obtain certifi
cation by the American Board of Psychiatry and Neurology after com
pleting the required two years of experience
The program originated in January 1964 and has been fully accre
dited since then The total number of graduates from December 1966
to June 30 1969 is 25 and of this number 18 have remained at this
hospital An additional four graduates have accepted positions with
in Georgias mental health program thus only three out of 25 gradu
ates have left the state
Quality of the new residents has continued at a high level Per
haps some of this can be attributed to the wide range of services at
Central State thereby affording the resident experience in any area
of psychiatry in which he may eventually desire to specialize
MEDICAL LIBRARY
K
The Medical Library continued to expand and now has 5029 books with
additional volumes being added regularly On hand also are 150 jour
nals and periodicals51
MEDICAL RECORDS
This department is now able to state that its medical records are up
to date and completely current as to dictation as well as in comple
tion of patients charts on both admissions and dismissals There is
not a single delinquent record which is a rather unique situation in
any hospital The Medical Records Committee meets monthly to examine
the quality of ward records which is done by the spotcheck method
Admissions and communications have now become the responsibility
of Medical Records so the patient is interviewed as admitted by the
admitting clerk thereby making it possible to obtain all the neces
sary information sooner than previously Personnel in the department
function on a 24 hour basis
There is constant effort to upgrade the quality of all the medi
cal records in the hospital utilizing new technics as they are made
available The installation of the new computer will greatly facili
tate the work of the department The records at the General Medical
Surgical Hospital and at the Medicare Unit are also up to date
CURRENT RESEARCH
Current Research includes completed projects resulting in published
papers in professional journals and projects still under way which
will probably be completed within the year Those listed are summar
ized in the September 1969 issue of the hospitals Research Bulletin
and copies are available by writing to the Public Information Office
or to the author
CLINICAL PSYCHOLOGY
Impression Formation in Schizophrenics and Normals by Martin F
Rosenman a doctoral dissertation
Relationship Between Two Quick Screening Measures of Intelli
gence for Neuropsychiatric Patients by Lawrence F Quattlebaum
and William F White Pub Psychological Reports 1969
MENTAL RETARDATION UNIT 9
Judotherapy in Emotionally Disturbed Childrenm Juan M Portuando
MD and Gilbert J Fitzsimmons
SPECIAL EDUCATION SCHOOL
Development of Perceptual Motor Skills and Coordination in
Relation to Academic Progress in Special Education Students by
Russel Henderson
DENTAL DEPARTMENT
Reimplantation of Teeth in Mental Patients by Philip Spence
DDS
88igS
52
CHAPLAIN SERVICE
J
An Analysis of the Pastoral Interviews of a Group of Mental Hos
pital Chaplains by John A Gleason Pub Journal of Pastoral
Care 23 97102 1969
RESEARCH DIVISION
1
A

Control of Pancreatic Zanthine Dehydroqenase Synthesis in the
Chick by J L Curtis and J R Fisher Submitted for publica
tion to Biochemica Biophysica Acta
Fluorometric Assay for Chymotrypsin Using Tyrosine Ethyl Ester
by Jerry L Curtis Submitted to Analytical Chemistry
Spectrofluorometry of Pihydroxyphenylacetic Acid in Urine by
Theodore J Mellinger MD and Eigill F Hvidberg MD
Biochemical Studies of LDopa in Patients With Parkinsons Dis
ease by Theodore J Mellinger MD
Prevalence of Refractive Errors in an Institutionalized Popula
tion of Emotionally Disturbed and Mentally Retarded Children
A Preliminary Report by G R Courtney MD
Color Vision Defects in Mentally Retarded Children by G R
Courtney MD
Motorcycle Visibility A Study of RetroReflectorization byG
R Courtney MD R D Hazlett A F Stockley and M J Allen
To be published American Journal of Optometry and Archives of
The American Academy of Optometry 1969
Testing Visual Acuity in the Mentally Retarded by G R Courtney
MD

Description of the Cuna Albino Syndrome by Clyde Keeler ScD
PhD
Fingertip Temperature of Albinos by Clyde Keeler ScD PhD
How Many Syndromes A Discussion by Clyde Keeler ScD PhD
k53
MELANIN GENETICS AND FEAR

Tkt GzofiQla ltd fax U an nzctivz tojt animal fa ft thz pbychoVwpic dAxigA
The Medical Libfuuty lncJLadQJi 3450 book 425 aadlotapoJ and HO joaAnati
J
1

4

1
s55
GENERAL
PSYCHI ATRIC
UNITS
New pyzbJjvUvUti gtaducutz
UNIT 1 Atlanta Metro Area
UNIT 245 Southwestern Counties
UNIT 338 Southeastern Counties
UNIT 428 Northwestern Counties
UNIT 545 Northeastern Countiesi4ttiS
56

UNIT 1

4

BUILDINGS Powell 1858 remodeled 1955 WalkeA 1883
Gnatn 1947 10th Wand 1938
NUMBER OF WARPS 7 3
PATIENT CENSUS June 30 1969 1226
ADMISSIONS 1055
DIRECTOR W T Smith MD Acting
ADMINISTRATOR lamu Tatz
DIRECTOR OF NURSING Mu JuanUa WcuUon RN
COUNTIES SERVED 3 TuUon VaKalb and Clayton
Since this Unit receives all patients coming from the Atlanta Metro
politan Area it is one of the largest in the hospital The main ad
ministrative offices of the institution are located here and it also
is the basic training Unit for Psychiatric Residents during the ini
tial two years of their residency This results in better treatment
since the work of all residents is supervised by the Unit physicians
and more doctors are thus available
The Unit maintains an excellent working relationship with County
Community Mental Health Centers in Fulton DeKalb and Clayton and in
many instances treatment offered at the community level prevents the
hospitalization of the patient as well as assisting the patient dis
charged from Central State Hospital to remain in the community
A recent study done by the Industrial Engineers points up a pro
jected population increase in the next few years which will necessi
tate a possible readjustment of facilities and realignment of county
catchment areas in the near future Since the anticipated population
increase in the Atlanta metropolitan area will be considerably high
er than in other parts of the state this unit will be one of those
first affected by increasing admissions
Continued modernization of equipment and preventive maintenance
which has always been a problem in our old buildings has vastly im
proved environmental conditions however there is still a long trail
ahead before this is adequate in light of modern milieu programs It
also has been possible to considerably reduce the average length of
hospitalization because of a lowered staffpatient ratio which while
not adequate by any means has improved somewhat
Close working relationships between the Unit and the Atlanta In
stitutions including the Georgian Clinic the Georgia Mental Health
Institute and the new Atlanta Regional Hospital have been helpful57
UNIT 2
BUILDINGS Boitlck Conht 1951 and Washington Const 1950
NUMBER OF WARPS 20
PATIENT CENSUS June 30 1969 1428
ADMISSIONS 1019
DIRECTOR Edacuido Gmexnlca MV
ADMINISTRATOR Paul W Mitchell
DIRECTOR Of NURSING Mxa Fay VldltA RN
COUNTIES SEREV 45 Bibb Clawed Peach Houston Taylor Macon
Vooly Pulaskl Chatlahoochcc Manlon Schlzy
Sumtoji Cfvup Wllcox Stmant Wtbstci Cook
QuMtman Randolph TqaaqXI Let Itiolth Emln
TuAneA Calhoun Ben Hill Voughejvty Bznxltn
EaAly Milieu BakoJi MUchcll ColquUX Scm
Inolc Clay Tlfit Gnady Thomai Bnooki Mut
kogza Lownd2fi Lanlnn Echoli VccatuA Han
hJj
This unit operates both male and female admission wards also inten
sive treatment and continuous treatment wards and sick wards All of
the male patients are housed in the Bostick Building and all females
are housed in the Washington Building
Admissions come from the 45 counties in the southwest section of
the state For the first part of the year new admissions were on the
decline and averaged about 100 per month however as the two count
ies of Harris and Muskogee were added to the geographical area which
the unit serves in the month of January since then admissions have
increased
Psychiatric treatment and patient care utilizes all proven tech
niques however this year more emphasis has been placed upon milieu
therapy primarily on the intensive treatment wards and it has seem
ed to be effective Some expansion of service by the special therap
ies has helped considerably with the continued treatment patients A
constant problem in maintaining effective patient care is compounded
by losses particularly of psychiatric residents and registered nur
ses
el
Equipment and supply funds for this year were adequate Replace
ment of beds was completed throughout the unit It was also possible
to completely equip the new female receiving complex with office and
patient examining equipment The program of replacement and moderni
zation of all equipment continues
58

UNIT 3
A

A

k
BUILDINGS Holly 11949 Ingfum 1928 Howell 1919
NUMBER 0 WARPS 10
PATIENT CENSUS June 30 1969 1314
ADMISSIONS 1076
DIRECTOR Joic A G Mendoza MD
ADMINISTRATOR R 0 PennypackeA
DIRECTOR OF NURSING Msu Enancei Qtbofin RN
COUNTIES SERVEV 38
Richmond Jccuon BuAkc Johmon Tieutlen
EmamxoJL JenkinA ScAcvcn Lautcm Chanlcton
Elngham Whcclcn Toombi Candle Blccklcy
Montgomery Tatnell Bullock Coee Chatham
Atkinson Long Camden Evan Jej Vavli 11
benty Btiantley Vodge Telaoi Bacon Wayne
Appling Vicncc Mclntoih Buyan Wane Glynn
Clinch
The unit census continues to decrease with a net reduction of 75 pa
tients on the in hospital census during the year as opposed to the
previous year when a reduction of 171 patients was attained The de
celeration is attributed to a near capacity situation at the region
al hospital at Thomasville Southwestern as well as to a diminish
ing number of nursing home candidates in the unit Limited reduction
in the census negated a plan to release the Ingram Building
Ward areas have been improved and square footage of space allow
ed each patient has been increased All wards were renumbered in or
der to conform to the institutional standard system Installation of
modern equipment continues as does general building improvement and
ward renovation A new dental operatory was installed in Holly
Registered nurse staffing remains critical Removal of the resi
dents in psychiatry has increased the work load on the two remaining
psychiatrists Admissions averaged 92 per month as against 99 in the
previous year Returns averaged 66 per month this year as opposed to
6k per month in fiscal 1968
The nucleus of a housekeeping staff has been assigned and staffs
of the dining rooms have been transferred to Food Service The costs
of drugs have increased due to higher prices as well as to increased
quantities dispensed to patients who are receiving after care treat
ment in community clinics Due to a lack of assigned staff the pro
gram of Remotivation Therapy was limited in scope Next year it can
be stated that this program will be adequately staffed59
unit 4
BUILDINGS Freeman 7939 fijmaJU 7939 nw addUlon 7962
NUMBER OF WARPS 7 7
PATIENT CENSUS June 30 7969 7543
ADMISSIONS 724S
DIRECTOR OJltUcm E Wood MD
ADMINISTRATOR WUUam CuAl
DIRECTOR OF NURSING Mu Ruth Matc6 RN
COUNTIES SERVED 28 Ccutoota WalkeJi IMhUled HuAAay Vade GU
mex ChaXooga Floyd Gordon BaAtoui Plckeru
CkeAokee HaAation Pauldlng Cobb Polk CaA
fioll Vouglai HeaAd Couieta Tayette Talbot
Spaldlng MeAAWeatheA Tioup Upon Pike and
LamaA
Admissions come from 28 counties in the northwest corner of Georgia
All patients have had the benefit of accepted scientific medical ap
proaches namely diagnosis treatment prognosis and satisfactory e
motional disposition not only of their particular mental difficulty
but also of any physical disability or disease existent at admission
or developed during the course of hospitalization
There has been increased liaison with regional mental health re
sources such as community clinics regional hospitals and outlying
mental health organizations in order to encourage community contacts
with patients so that treatment may be continuous after the patients
are discharged or sent home on convalescent leave
Separation of patients in accordance with diagnostic entity gave
much better treatment coverage of the patient population Regrouping
of all bed patients has made possible the setting up of a specializ
ed ward for the treatment of physical illness within the confines of
the unit area thereby making more efficient use of personnel train
ed in this type of treatment
Goals for the coming year include the continuation of the equip
ment modernization program constant improvement of patient residen
tial areas the establishment of a closer working relationship with
in the unit as well as with the local communities further effort to
improve staffing patterns thereby providing better patient care and
treatment the development and utilization of new and tested methods
of psychiatric care as they become available Careful evaluation and
analysis of existing programs along with meaningful basic research
will provide factual information for the improvement of all unit op
erations iV w
60

UNIT 5
li
s

BUILDINGS AlZtn 1939 WkUtlc 1901 remodeled 7953
NUMBER OF WARPS IS
PATIENT CENSUS Jane 30 1969 1303
AVMISS10NS 1165
V1RECT0R LoKenzo del PovtMlo MP
ADMINISTRATOR Tkomcu A Simmon
DIRECTOR OF NURSING Mm UUcUtcd H VanieJL RW
COUNTIES SERVEV 45
Tannin Union Town Raban Vawon Halt El
beAt Lumpkln White Habctekam Bank HeMy
Touyth Stepken6 VfiankLin GwinneXt BaAAow
Jackion Uadion HaAt Rochdale Walton New
ton 0conec Clanke Oglesthonpe WilkeA Gla
cock Lincoln TalLiaeMAo Gneene BuXti Mc
Vuie JaApeJt Putnam Hancock WaAAm Wash
ington Uonnoe JoneJ Baldwin Wilkinson Co
lumbia TwiggA Morgan
Admissions come from the above kS counties in the northeastern divi
sion of Georgia which is the more mountainous section of the states
terrain During the year several members of the units staff visited
after care clinics and nursing homes in the area to improve communi
cations between these facilities and the hospital as well as to im
prove the continuous care of patients after discharge or when allow
ed home on convalescent leave
The treatment program in the unit has improved materially during
the past year Another active milieu ward has been added and a newly
organized program for the preparation of patients who are candidates
for nursing homes in now operative Two adult education classes have
been established for both male and female patients
Two wards have been closed because of a reduction in the patient
population of 15 patients during the year accordingly Whittle Z as
well as 28th Ward are now inoperative decreasing bed capacity 117
Physical improvements in the unit include the completion and op
eration of the Home and Family Management Classroom the replacement
of the wooden doors in the Whittle Building by fireproof metal doors
and the sealing of all the concrete floors in the unit which permits
greatly improved cleaning operations
Goals for the coming year include an orientation technic program
for chronic patients and OT and Recreation on the closed wards61
SPECIAL
PSYCH IATRIC
UNI TS
UNIT 6 Veterans
UNIT 7 Maximum Security
Unit 8 Children and Adolescents Special Education School
UNIT 9 Mental Retardation
UNIT 10 Yarbrough Vocational Rehabilitation Center
and
PHYSICAL
HEALTH62

UNIT 6
L

4
5T

BU1LV1NGS Cabins 1901 nemodeled 1953
Canl VLnAon GoonQla Wan VeteAavu Home 1969
RESWENT PATIENTS June 30 1969 427
ADMISSIONS 91
DIRECTOR Canl L Smith MP
ADMINISTRATOR Geonge R HaAt
VJRECTOR Of NURSING Mn Edna Ro44 RN
COUNTIES SERVED The State o Geongla
The outstanding event of the past year was the completion of the new
Carl Vinson Building which was formally opened on April 29 1969 It
is a 150 bed capacity domiciliary has two elevators three stories
is fully airconditioned and contains 41000 square feet The ground
floor is used for administration dining area and a 10 bed unit for
women The second and third floors are mens units with a capacity of
70 beds each The bedroom areas are designed to accommodate one two
or four persons It was built at a cost of 870000 and has all mod
ern equipment
A number of changes have materially contributed to the improving
treatment program by increasing the number of personnel and by reno
vation of the physical facilities A recreation building was made a
vailable for both recreation and occupational therapy and is now op
erating five days a week Other improvements included the completion
of three central storage and supply rooms in the Cabiness Building
the construction of a central drug issue room and the conversion of
a significant number of offices storage rooms etc in this building
into bedrooms for patients
Other improvements in the physical plants included the installa
tion of tile on all the first floor hallways in the Cabiness ward a
reas spot painting of all hallways and new light fixtures installed
in bathrooms in Cabiness elimination of open wards on both the sec
ond and third floors in Cabiness thereby giving each patient a pri
vate room Patients rooms were equipped with new beds tables mat
tresses wardrobe lockers and chairs
Around 40000 was spent for new equipment during the year Med
icine cabinets and carts purchased for all wards in Cabiness also a
refrigerator in all medicine rooms medicine cabinets and carts were
supplimented with other badly needed supplies Also purchased were a
number of special chairs including wheelchairs and geriatric chairs
most of which were provided for the nursing ward in the new veterans
buiIding
63
UNIT 7
MAXIMUM SECURITY
BUILDINGS Blviion 1946
RESIDENT PATIENTS Jane 30 1969 26S
ADMISSIONS 283
DIRECTOR E L SUnceA MV
ADMINISTRATOR Calhoun BdKXy
DIRECTOR Of NURSING Mu JuanUa WaUon
COUNTIES SERVEV Thz State o GeoAgla
During the past year the Binion Building became Special Unit 7 with
responsibility for psychiatric treatment of court offenders who need
a maximum security setting Admissions totaled 283 there were a to
tal of 258 patients discharged 62 patients received from other hos
pital units and 67 transfers to other hospital units
Music therapy was added to the treatment program and a number of
additional jobs became available for work therapy purposes The the
rapy program now includes chemotherapy group psychotherapy indivi
dual psychotherapy milieu therapy recreation therapy work therapy
and music therapy
Plans for the future include the completion of the laundry which
is now under construction and which will provide additional opportu
nities for work therapy the addition of a senior physician for inc
reased psychotherapy the initiation of a Remotivation program and a
significant expansion of all other therapy programs
The greatest need is for central air conditioning since most all
of the patients stay indoors during the hot summer months
Jztznavn Buutding dedication day poJiOYiatitiu GoveAnosi Maddox chati
with CongnQJman Cant Vinon Right RepfieMeYitativz Philip ChandteA64

UNIT 8
CHILDREN ANV ADOLESCENTS

A

BUILDINGS CkilcUizni RtkabllUcutlon CantoA 1964
Adolucznt WaAdi 7 3 8 Boland Building 1969
RESIDENT PATIENTS June 30 7969 99
ADMISSIONS 209
DIRECTOR Juan Posituando Mfl
ADMINISTRATOR Tommy Bath
DIRECTOR OE NURSING ttu Waxy Ann BzJUL
COUNTIES SERVED Thz State oh Georgia
This unit includes the Childrens Building with a capacity of 56 pa
tients and the two adolescent wards in the Boland Building with for
ty beds on each ward Adolescent Ward 7 is occupied by males and Ad
olescent Ward 8 by females
During fiscal 1969 there were 71 children admitted to the Child
rens Building Of these 23 went to the wards for adolescents while
17 were sent home on convalescent leave Five of these later return
ed to the hospital Admissions to the wards for adolescents amounted
to 161 patients Sixtysix of these were sent home on convalescence
of which 10 eventually returned to the hospital
Each discipline in the unit is assigned certain specific indivi
duals to work with thereby allowing each young patient a significant
concentration of staff time in supportive and therapeutic functions
The social workers have been very successful in locating good foster
homes for some of our young patients as well as in working out suc
cessful prerelease planning for those with families The psycholog
ists are supervising an effective behavior modification program with
those young people who can be benefited thereby
A well organized program of recreation therapy includes such ac
tivities as swimming horseback riding ball games picnics tennis
billiards bicycle riding judo therapy a program which received an
exceptional quota of national publicity Cub Scouts and individual
ly taught art classes At Thanksgiving and Christmas almost all the
children went home

A growth and development program organized by the staff was suc
cessful in teaching the children about the body and its functions as
well as informing them by the use of flms film strips printed ma
terial and group discussions of correct life experiences R Lanhams
Logan a speech therapist from Mercer University in Macon came week
ly with students who worked with children with speech defects

65
TheJiapy
4
I
e
tfiMiifii
tt
Louuag ttnddft casi
MyvcoJL
VkylaaJL
9 10 11 12 13 14 15 16HBHhIH
66
r
li
3
A
v

1

UNIT 9
MENTAL RETARDATION
BUILDINGS Boland 1951 Boom 7952
RESWENT PATIENTS June 30 7969 S54
ADMISSIONS 7 33
DIRECTOR Savado Mendez MD
ADMINISTRATOR Bobby SktppaAd
DIRECTOR OF NURSING Mu Virginia SmJjth RN
COUNTIES SERlED Thz State oi Gdongi0
The specific function of this Unit is the care treatment education
and training of those persons whose primary impairment is Mental Re
tardation The primary goal is to provide an interim experience that
will enable the residents to develop their fullest potential at phy
sical emotional spiritual and social levels regardless of degree of
handicap
Basic programs for residents of the unit are supervised by a co
ordinator under whose direction three teams which include all disci
plines are assigned one to each major classification of retardation
namely severe moderate and mild An additional team is assigned to
the residents in the medicare program
Severely retarded residents live in an extremely structured sit
uation involving continuous and consistent repetition The function
al level is determined by a behavior checklist which in turn indica
tes the amount of involvement by each discipline in the daily sched
ule of the residents Actual treatment involves selfmanagement in
cluding grooming and performance of simple household chores the ac
quisition of language skills which are mostly receptive and tied to
biological reinforcers the improvement of motor coordination and to
help the resident interact with others Recreation is at the nursery
school level
Moderately retarded residents also live in a structured environ
ment and are provided with basic selfcare training In addition all
have been homogeneously grouped according to functional levels phy
sical capabilities and other characteristics Activities on the lev
el of nursery school or kindergarten include selfcare behaviors in
toilet training self feeding dressing and household chores verbal
behavior such as functional receptive and functional expressive lan
guage motor behavior academics such as single word identification
and social behavior including group activities and simple games
The ultimate goal for the moderately retarded residents is even
tual community living in a sheltered environment
fraa67
Mildly retarded residents live in a planned environment in which the
ultimate goal is eventual discharge to the community Treatment fol
lows the same pattern as for other groups but is at a much more com
plex level Academics for instance includes reading and arithmetic
as well as other basic school subjects
The reorganization of this unit as described went into effect in
fiscal 1969 and has proved very effective in reaching the goals out
lined As an example of the professional competance of the programs
we are including a detailed explanation with graphs showing results
of the behavior modification technics being employed by the psychol
ogists in the unit The graphs of the results are far more descrip
tive than the written word Many of these results with the severely
retarded children were attained moreover with most of the work be
ing done by volunteer students supervised by a psychologist and the
summer students from a nearby university
THE BEHAVIOR MODIFICATION PROGRAM IN UNIT 9
The behavior modification program in the Unit began as an experimen
tal project in the summer of 1968 under the supervision of Dr Jean
Hendricks Chairman of the Psychology Department at Mercer Universi
ty at Macon She used a group of her psychology students in training
twenty severely retarded boys and girls whom nobody else had been a
ble to help because of the lack of available staff The rapid expan
sion of the program and its effectiveness was also due to the train
ing ward personnel received and which enabled them to continue with
the children after the students went back to school
Starting with one ward the program now includes two wards oper
ating on the token economy system and five wards of partial training
in selfhelp skills toilettraining and a preschool nursery train
ing program for young children The success of the programs is main
ly the result of a team approach and a spirit of cooperation charac
terizing the reorganization program in this unit
The most recent program is the selffeeding project on a ward of
severely retarded adult females FIGURE 1 shows dramatically the de
crease in the number of times in which the patients displayed eating
behavior which was inappropriate picking up food with the hand Not
shown in FIGURE 1 is the far more dramatic change from conditions of
total confusion at mealtime to an orderly routine No longer is it a
necessity for the attendants to clean up the entire ward after every
meal
The original and primary goal of the program on Boone 8 the ex
perimental project initiated by Dr Hendricks was on toilettraining
the children but several other programs were instituted which moved
along very nicely FIGURE 2 shows the progress made in 5 separate a
reas of selfcare behavior Although the data provide an accurate e
valuation of the results of the program the actual changes that are
evident in the children far exceed those which are apparent in these
graphic studies68
In addition to ward programs individual programs are set up for pa
tients who require special treatment Unfortunately the number poss
ible is very limited due primarily to limitations in staff FIGURE 3
demonstrates the effectiveness of individual sessions in instituting
talking in a mentally retarded child Many more individual treatment
sessions are needed and will be initiated as staff time permits The
individual sessions have also been successful in changing many other
forms of more complex behaviors
Ixl
t7
o
a
LU
a

a
a
500
450
400
350
300
250
200
150
100
50
K
MEALS
Fig 1 INAPPROPRIATE EATING BEHAVIOR

jZ

7

t
m

y
70

SPECIAL EDUCATION SCHOOL

L
A progressive increase in admissions to state and pri
stitutions of young people 18 years of age and under
the last six years The extent of the increase at Cen
pital is graphically shown on the chart on page sixty
zation of the necessity to provide programs of specia
training for these youngsters came early to the CSH s
a pilot project was started Initially six children
education teachers were involved the object being to
carefully structured academic program closely paralle
ment program would cut down the length of time the ch
quired to stay in the hospital The study proved this
so a permanent program was set up which has developed
ent school
vate mental in
has occurred in
tral State Hos
five A real I
1 education and
taff so in 1964
and two special
determine if a
1 ing the treat
i1dren were re
to be the case
into the pres
t

t
The school is divided into five sections Classes for emotional
ly disturbed children include primary intermediate and high school
There are also classes for educable and trainable mentally retarded
There are 720 patients 18 years of age or under in the hospital
Of this number 430 are classified educable or trainable and 160 of
these are in school leaving 270 who are not being helped because of
inadequate facilities and lack of teachers The present teaching en
rollment totals 19 with 7 administrative assistants and aides This
is not nearly sufficient to meet the needs of the children
The school attempts to provide remediation in academic needs as
well as in social skills and cultural enlightenment It is special
insomuch as the faculty adopts curricula to meet specific needs evi
denced by the exceptional child either emotionally disturbed or the
mentally retarded The children enrolled are those who failed in the
public school classes either regular or special or who were pos
sessed of severe conflicts with the home environment andor society
Approximately 8085 of them are culturally deprived
Since these young patients spend the greater portion of each day
in school from 830 until 300 they should have the best instruc
tion and facilities available in order to supplement their many edu
cational and social handicaps and to help them become the completely
wellrounded and socially acceptable individuals that most do become
with adequate psychiatric treatment coupled with effective education
and training Because of the uniqueness of these students the school
program is designed essentially as a treatmenteducation project
The curricula consists of the classical studies as well as phys
ical education home economics art crafts speech improvement re
medial reading and music The teacher develops guidelines structured
on individual bases paces tasks to individual tempos and structures
the environment for behavior management and modification All credit
earned by the child may be transferred to the home school Teachers
meet minimum requirements of the State Department of Education71
Special Education
demand competant
teaching a ccuic
fiully itnuctuKed
cuAAiculum a lot
ofa patience mix
ed with plenty o
understanding and
an ovenabundance
ofa that old OA h
loned but ptiiee
leii human Ingre
dient called love

nftjk
9Jn
JL p H liiidSfniv

lQTX L x
72
IP
UNIT 10
VARBROUGH REHABILITATION CENTER
BUILDINGS VaAbfioagh 1962 VaAiout wohk centeJiA aAoundtke
hopitaJL
RESIDENT PATIENTS June 30 1969259
ADMISSIONS 1401
DIRECTOR HolLu C IliZu MD
ADMINISTRATOR Lzvl SwlngeA
DIRECTOR OF NURSING M6 Janet SmUk RN
DIRECTOR OE VOCATIONAL REHABILITATION SERVICES W C Petty A8
COUNTIES SERVED The State oi Georgia
The Unit is operated jointly by Central State Hospital which has su
pervision of the psychiatric treatment program and the Division of
Vocational Rehabilitation of the State Department of Education this
latter having supervision of Vocational Evaluation and Counseling a
Work Evaluation Training Center and a Vocational Training school
During the year 1401 patients were added to the case loads of VR
counselors at Central State Hospital A total of 1881 residents were
enrolled in various vocational training and adult basic education u
nits All patients entering the programs received vocational evalua
tion and in addition adjustment training services were supplied to
more than 2000 patients through the Work Adjustment Patient Rehabil
itation Employment Program
PREP as this program is called for short is a new and recently
instituted program of behavior work development which uses money for
an incentive and at the same time places the patient in realistic
therapeutic work environments Patients graduating from the programs
receive followup services from counselors in their home communities
through rehabilitation residence facilities throughout the state As
a total of 879 patients received these community services last year
it can be seen how effective this program has been in getting an in
creasing number of patients out of the hospital
One of the most popular programs has been the Unit Home and Fam
ily Management Classes which provide basic adjustment and training
of both a personal and a social nature to women in each unit which
furnishes psychiatric treatment Classes are partly aimed at helping
the chronic patient to improve to adjust to his environment and re
late to the people about him Classrooms are furnished to resemble a
home environment from which the patient comes and to which eventual
ly he will return The classes are held in the individual units and
are taught by instructors from the Yarbrough Building73
V
0
c
A
T
I
0
N
A
L
R
E
H
A
B
I
L
I
T
A
T
I
0
N
Cosmetology VhJifiting CabineA mak
ing Cahpenthy and EtecAJwnAcA com
phise tome ofa the vavied vocational
oppohXuyuAAei available to CSH heJ
identi thAough the Vocational Reha
bilitation division The total num
beh ofa patients enholZed in the vo
cational tnaining pnoghamt ivai 1881
duJving the paAt yeah An additional
1000 patient received tJiaining and
wohk adjustment thhough the Patient
RehabiliAation Employment hoghamiMS8JS

74
r
li
l
W
Because of limited facilities a maximum of 75 patients at a time can
be taught good work habits in the Work Evaluation Training Center A
program which provides subcontracts with private industry helps res
idents to receive pay while at the same time they are functioning in
a realistic work situation Since the beginning of the program about
17 months ago 75 persons have left Central State Hospital and seem
ingly have readjusted to community life as all are now working suc
cessfully in various industries around the state As additional sub
contracts are obtained from private industry the program will be a
ble to accept additional patients
The Rehabilitation Residences have been extremely effective pro
viding discharged patients who do not have regular homes with a res
idence while they are making a readjustment to community living Ex
isting residences are now located in Atlanta Augusta Albany Col
umbus and Savannah Plans have been made to open a seventh in Macon
THE PROGRAM FOR MULTIPLE HANDICAP PATIENTS
This program was initiated in 1964 by the Department of Clinical Psy
chology and was intended for those patients suffering from a variety
of problems in addition to mental illness such as speech or hearing
difficulties and including visual deficiencies In November of 1965
the program was enlarged to include patients suffering from physical
disabilities The first patient in this category was a man who owned
a cardiovascular problem Since the opening of the ward a review of
admissions reveals that the percentage of the total number of admis
sions fell into the following categories
Totally Blind 42 76
Partially Blind 62 32
Tota 1 1 y Deaf182 97
Partially Deaf282 151
Speech Defects182 98
Multiple Sensory Handicap 62 32
Miscellaneous Physical Handicaps 102 54
Patients admitted to date540
Visually handicapped patients receive a variety of treatment in
cluding psychological services talking book machines the books pro
vided by the Library for the Blind publicat ions and books in Braille
are available for those who have mastered this medium A consultant
in orientation and mobility trains the blind patients to get around
and to travel as independently as possible so that they will be able
to cope with employment conditions after leaving the hospital Blind
patients as well as those suffering losses in any of the other maj
or areas have access to one of the best surgical teams in the south
including an outstanding ophthalmology department in which is train
ed a senior resident from Mayo Clinic every six months
Patients with speech defects have available evaluation and ther
apy provided by Consultants from the University of Georgias Hearing75
and speech clinic Periodic visits by these consultants provide lim
ited therapy needed by these patients in their efforts to learn pat
terns of intelligible speech
The deaf and hard of hearing have the opportunity to learn sign
language through periodic visits by qualified teachers Evaluations
are done by audiologists from the University of Georgia Recommend
ations are scrupulously followed A sound suite is available to fa
cilitate accurate hearing evaluations In some cases it is possible
for Vocational Rehabilitation to provide hearing aids which allevi
ate the hearing loss either fully or partially Group therapy with
sign language interpreter was initiated in 1965 and has been signi
ficantly successful in dealing with some of the emotional problems
Vocational Rehabilitation is an integral and essential support
ive service in all programming for multiple handicap patients Pri
mary treatment goals are to provide psychotherapy special services
and vocational rehabilitation so that individuals can function out
side the hospital at a level compatible with their abilities phys
ical limitations and emotional difficultiesA ward government oper
ates on both male and female wards and each patient is given an ad
equate amount of responsibility according to his capacity to handle
it
Approximately 71 of the patients treated on the ward exhibit a
marked improvement 20 are rated as unimproved while the remain
der show continued regression
Vfi Tom iaCAk and bLind poutiznt76

i
A
k
THE JONES HOSPITAL
GENERAL MEDICINE ANV SURGERY
BUILDINGS Jonu 1930
RESWENT PATIENTS Jane 30 1969 775
ADMISSIONS 3386
VJRECTOR Jotaph G Bohooaih MV
ADMINISTRATOR WUJLLam R CtuJXandzn Acting
DIRECTOR OF NURSING tou Iene Wood RN
This General Medical and Surgical Unit renders inpatient outpatient
emergency anatomical pathology clinical laboratory and radiologic
al services to the patients of Central State Hospital the residents
of the Georgia Rehabilitation Center for Women and also to the resi
dents of the Youth Development Center in Mi 1ledgevi1le
Medical services offered include inpatient service cardiac cli
nic hematology clinic podiatry Diabetic gestroenterology and hy
pertensive clinics will be activated as soon as personnel becomes a
vailable
Surgical services include general thoracic orthopedic genito
urinary ophthalmology otolaryngology and neurosurgery
Obstetrics and gynecology services offered include inpatient and
outpatient and cancer detection of the breast and uterus
Anesthesia services include general pulmonary inhalation thera
py and resuscitation services
Pathology services include both anatomical pathology and labora
tory services Surgical pathology autopsies and pap smears and gen
eral and nuclear laboratory services are offered
The radiological service offers both diagnostic and therapeutic
radiology The diagnostic service includes roentology and scans and
therapeutic radiology includes superficial 250 volt therapy and by
contract high intensity therapy
During the past year consultants from the Medical College of Ge
orgia were active in medicine surgery and obgyn Consultants unaf
filiated with the Medical College were active in Dermatology and in
ophthalmology and otolaryngology By formal agreement a senior res
ident from Mayo Graduate School of Medicine Rochester Minn serves
his last three months of residence at Central State Hospital in the
ophthalmology department
A considerable number of preventive medical services are offered77
of Central State Hospital semiannually These include analyses and
various tests including hemoglobin hematocrit WBC Differential is
done when the count is below 4000 or above 10000 blood sugar u
rinalysis and BUN
Special studies done involve bacteriological studies where these
are necessary to determine bacteria that may have become epidemic a
medical examination for all new employees including CBC urinalysis
VDRL and chest xray PKU studies on more than 6000 patients during
the past year and on all new patients admitted were carried out
Special surveys done this year included surveying females in the
hospital for cancer of the breast and uterus an ophthalmology sur
vey for blindness and tests of men over 50 for carcinoma of the pro
state
A total of 61926 days care were given to 3336 patients with an
average length of stay of 1863 days There were 572 deaths with 125
autopsies performed an autopsy rate of 2185 The average daily oc
cupancy was 1586 and the average percentage for the year 6720 The
surgical teams performed 1290 operations
78
9
A
RIVERS HOSPITAL
TUBERCULAR V1ABETK AW MEDICARE
BUILDINGS RZvtJU 7939
RESIDENT PATIENTS June 30 1969 613
ADMISSIONS Tuhaxculax 82 Vlabztic 61 UedicaAt 434
V1RECT0R Hahnud Hajanovic MD
ADMINISTRATOR Noman E Wood JJt
DIRECTOR OF NURSING M6 laeAxa Atctoon RN
Two new departments became operative during the past year They were
property control and housekeeping A full time social worker was de
tailed to the hospital by the social work department since this unit
did not have such a position Also the music therapy department de
tailed a therapist to start a program These two staff additions ma
terially improved treatment for the patients
During the year more than 850 pieces of equipment were purchased
with budgetary funds and some additional money from the CSH Patients
Benefit Fund This was the first year under the unit concept that we
had sufficient funds to commence a planned orderly equipment renew
al program designed to improve overall patient care and comfort and
to increase hospital operating efficiency
A new dental operatory was opened in the East Wing in July The
director Dr Majanovic continued with his Isoniazide prophylaxis in
conjunction with the U S Public Health Service Tuberculosis pro
phylaxis trials Institutions Washington DC Approximately thirty
one hundred subjects in catchment areas throughout CSH are cooperat
ing in the project
Improvements to the physical facilities during the year included
hOS new beds floor tile on Rivers Medicare Ward centralized supply
room established eight physical room areas set up three elevators
renovated standardization of all chart rooms three sitting room a
reas established on the active TBwards and a number of others
79
PHARMACY
Thepast year was marked by greater extension of pharmacy service to
patients and staff which resulted from the addition of three new in
terns to the staff which now consists of seven pharmacists however
only one intern is at present with the department
A reorganization of the department made possible three distinct
ive sections with specialized functions which include the Jones Med
ical and Surgical Hospital Pharmacy the Internal Pharmacy and the
External Pharmacy
The Internal Pharmacy operation includes overall planning manu
facturing purchasing and distribution of ward stock warehouse org
anization and the filling of individual drug orders for the patients
on convalescent leave Many needed alterations have been incorporat
ed in this section during the year including new and much more ef
fective systems for the control of narcotics ethyl alcohol and oth
er dangerous drugs a better system for filing and the retrieval of
records and a new system for labeling and prepackaging capsules and
tablets A new inservice training program was also started and a new
formulary drug list was compiled and printed Plans are now in order
to completely remodel this department by the addition of space being
used by other hospital units in the same building
A completely computerized system of inventory control along with
the purchasing of supplies is being worked out in conjunction with a
new data processing system now available at the hospital This sys
tem is based on automatic recorder points and will give much closer
and more effective control and more economical operation
The Jones Hospital Pharmacy consists of a special pharmacy oper
ation A serious effort has been made in this section to improve pa
tient care and to provide better service for all wards and clinics
utilizing the automatic recorder points for inventory This division
is now staffed by two fulltime pharmacists who are utilizing modern
equipment An effort is in progress to design a unit dose concept to
go along with the system of reviewing physician orders Also a meth
od of closer control is being developed for those drugs Jones Hospi
tal doctors are prescribing for patients in other parts of CSH
The External Pharmacy is staffed by two pharmacists and includes
a perpetual and systematic survey and inspection of all 150 wards in
the hospital This has provided a direct pharmacy service in this a
rea provided in the Veterans Building the establishment for purpos
es of research and analysis of various direct service wards through
out the hospital and the personal control of all pharmaceuticals in
stitut ionwide
During the past year the pharmacy dispensed drugs amounting to a
total of 813151 which amount also included the cost of 19123 pre
scriptions issued to patients on convalescent leave80

DENTISTRY
The department continues to be accredited by the Council on Hospital
Dental Service of the American Dental Association During the fiscal
year 1969 the staff performed 42236 operations and treatments and
15823 patients received oral examinations The entire hospital pop
ulation receives an oral examination every six months
A major item of progress during the past year was the completion
of eight modern dental operatories in various locations in the resi
dence buildings thereby providing a means of treating bed patients
maximum security patients tubercular patients and others whose sit
uation would preclude treatment in the Central Dental Clinic
At the present time the Central Clinic is being remodeled to in
clude an operating room for providing oral surgical procedures under
general anesthesia for selected patients Remodeled office space for
administrative personnel conference areas waiting rooms and space
for storage will be included Six operatories located in the Central
Clinic are being modernized with new equipment
Consultants added during the year included Dr Frances Shaffer a
Prosthodontist from the Emory University School of Dentistry Dr T
A Boone Jr Orthodontist and Drs Thomas McKelvey and Rush Peece
both of whom specialize in Maxi1lofacial Prosthetics Drs Stephen
Fennel and Clyde Marlow continued to provide outstanding leadership
and also provided consultation in cases involving oral surgery
The department initiated comprehensive oral hygiene programs for
patients in eight buildings These included information on the needs
for modern oral hygiene aids and devices as well as demonstrations
instructional material and suggestions for most effective use of the
equipment
The Dental Program Director was honored by election to the posi
tion of Second VicePresident of the Central District Dental Society
and during a presentation to the Western District Dental Assistants
Society was the recipient of a substantial contribution for retarded
patients which amount will be used to purchase toothbrushing devices
and other dental aids
NEUROLOGY
Neurologic activities for the past three fiscal years offer the fol
lowing comparison During 1967 the department provided 485 neurolog
ic consultations 245 echoencephalog rams and 1539 EEGs During fis
cal 1968 neurologic consultations totaled 409 along with 212 echo
encephalograms and 1378 EEGs In 199 the department provided 475
neurologic consultations 152 echoencephalograms and 1567 EEGs
During the coming year diagnostic facilities will be increased
hopefully with the addition of an electromyograph more modern ultra
sound equipment and other facilities for more accurate diagnosisAPPENDIX
81
ADMISSION RATES PER 100000 ESTIMATED CIVILIAN POPULATION 82
ONBOOK POPULATION ADMISSIONS RESIDENT PATIENTS ADMISSIONS 83
AND CONVALESCENT LEAVE FOR 19601969
RESIDENT POPULATION BY MENTAL DISORDER 84
ADMISSIONS DISCHARGES AND DEATHS BY AGE IN HUNDREDS 85
PATIENT ADMISSIONS BY DAY OF THE WEEK 86
POPULATION PROJECTIONS BY UNITS FOR 19701975 87
DEATHS AND DISCHARGES BY TIME ON BOOKS 88
RESIDENT POPULATION BY COUNTY 89
FOURYEAR COMPARISON OF COUNTY ADMISSIONS 90
ROSTER OF PROFESSIONAL STAFF 94
RESIGNATION 10332
ADMISSION RATES PER 100000 ESTIMATED CIVILIAN POPULATION
BY COUNTY OF ADMISSION FISCAL YEAR ENDING JUNE 30 1969
Legend
0 1000
1001 1500
1501 2000
2001 and Over
0 11 12 13 14 15 16 1784
1 12 13 14 15 16 17 18
8 9 10 11 12 13 14 15 16 17 18tssss
86
40
tf

30
20
10
in

H
U
U

G
U
H
P
tH
0
H
0
Q
U
0
CD

K
Sunday Monday Tuesday Wednesday Thursday Friday Saturday
Days of the Week
This chart shows the average number of patients admitted
and returned to Central State Hospital for each day of the week
This chart is derived from a project performed by Industrial
Engineering which utilized data furnished by the Medical Records
Department for the first six months of 1969Table 1 Population Projections by Unit 19701975 Versus Present Available Beds and Occupancy
Unit
Population Projections Population Change
Number of Persons 1970 to 1975
1970
1975
Beds available Patients in
As Of Unit As Of Occupancy
March 1969 March 1969 Rate
1247735 1497771
20
1299
1236
95
II 1107579 1210137
III 928205 980118
9
6
1591
1463
1411
1328
89
91
IV
859518 931339
658193 681485
8
4
1700
1344
1553
1250
915
93
Source Population Pfwj action JoA G20HqIcl CoukUu 19701975 University of Georgia
Ji

00AXiiiir
88

DEATHS AND DISCHARGES BY TIME ON BOOKS
TIME ON BOOKS
Under 3 months
35 months
611 months
1 Year
2 Years
3 Years
4 Years
59 Years
1014 Years
1519 Years
2024 Years
2529 Years
30 Years and over
TOTAL
DEATHS
187
85
76
88
49
42
33
81
60
42
33
16
58
850
DISCHARGES
1078
205
149
2313
530
251
134
228
59
34
24
8
13
5026iHBHBHBBHHHHHHr
RESIDENT POPULATION BY COUNTY
89
APPLING 26 FANNIN 42 OGLETHORPE 27
ATKINSON 9 FAYETTE 22 PAULDING 36
BACON 18 FLOYD 153 PEACH 44
BAKER 9 FORSYTH 35 PICKENS 24
BALDWIN 143 FRANKLIN 31 PIERCE 17
BANKS 18 FULTON 1625 PIKE 32
BARROW 38 GILMER 22 POLK 92
BARTOW 62 GLASCOCK 15 PULASKI 32
BEN HILL 38 GLYNN 78 PUTNAM 29
BERRIEN 15 GORDON 54 QUITMAN 3
BIBB 380 GRADY 35 RABUN 22
BLECKLEY 31 GREENE 39 RANDOLPH 29
BRANTLEY 11 GWINNETT 81 RICHMOND 303
BROOKS 37 HABERSHAM 51 ROCKDALE 31
BRYAN 13 HALL 138 SCHLEY 8
BULLOCH 61 HANCOCK 32 SCREVEN 44
BURKE 58 HARALSON 35 SEMINOLE 8
BUTTS 18 HARRIS 30 SPALDING 114
CALHOUN 15 HART 32 STEPHENS 40
CAMDEN 21 HEARD 24 STEWART 39
CANDLER 17 HENRY 33 SUMTER 59
CARROLL 88 HOUSTON 60 TALBOT 17
CATOOSA 32 IRWIN 8 TAUAFERRO 9
CHARLTON 14 JACKSON 44 TATTNALL 37
CHATHAM 402 JASPER 30 TAYLOR 24
CHATTAHOOCHEE 6 JEFF DAVIS 18 TELFAIR 39
CHATTOOGA 37 JEFFERSON 38 TERRELL 34
CHEROKEE 55 JENKINS 37 THOMAS 77
CLARKE 115 JOHNSON 25 TIFT 36
CLAY 10 JONES 19 TOOMBS 47
CLAYTON 78 LAMAR 32 TOWNS 4
CLINCH 10 LANIER 8 TREUTLEN 13
COBB 190 LAURENS 71 TROUP 114
COFFEE 37 LEE 7 TURNER 23
COLQUITT 81 LIBERTY 25 TWIGGS 19
COLUMBIA 26 LINCOLN 14 UNION 17
COOK 20 LONG 11 UPSON 57
COWETA 97 LOWNDES 79 WALKER 91
CRAWFORD 15 LUMPKIN 26 WALTON 64
CRISP 48 MACON 34 WARE 84
DADE 12 MADISON 34 WARREN 26
DAWSON 9 MARION 21 WASHINGTON 46
DECATUR 51 MCDUFFIE 42 WAYNE 34
DEKALB 407 MCINTOSH 8 WEBSTER 7
DODGE 57 MERI WETHER 53 WHEELER 7
DOOLY 33 MILLER 11 WHITE 13
DOUGHERTY 124 MITCHELL 40 WHITFIELD 98
DOUGLAS 49 MONROE 41 WILCOX 17
EARLY 32 MONTGOMERY 10 WILKES 34
ECHOLS 2 MORGAN 28 WILKINSON 36
EFFINGHAM 19 MURRAY 25 WORTH 31
ELBERT 59 MUSCOGEE 287 TOTAL 9408
EMANUEL 63 NEWTON 69
EVANS 15 OCONEE 27

90
FOURYEAR COMPARISON OF COUNTY ADMISSIONS
1 COUNTY
OF ADMISSION YEAR
1966 1967 1968 1969 TOTAL
APPLE NG 25 19 17 15 76
1 1 1 In ATKINSON 5 7 1 9 22
BACON 20 15 26 33 94
BAKER 10 5 1 1 17
BALDWIN 157 119 144 127 547
BANKS 20 5 7 9 41
A BARROW 56 45 52 39 192
BARTOW 65 61 73 46 245
BEN HILL 38 37 37 37 149
BERRIEN 20 19 19 23 81
BIBB 236 256 273 279 1044
BLECKLEY 17 23 23 14 77
BRANTLEY 10 15 13 20 58
Y BROOKS 26 24 16 18 84
1 BRYAN 8 15 16 13 52
BULLOCH 34 28 32 36 130
BURKE 20 25 19 20 84
BUTTS 20 27 27 17 91
CALHOUN 18 8 4 11 41
Bi CAMDEN 15 17 12 13 57
CANDLER 9 6 17 5 27
CARROLL 67 79 66 58 270
CATOOSA 26 35 34 40 135
CHARLTON 4 7 5 8 24
F CHATHAM 162 154 161 167 644
CHATTAHOXHEE 3 1 4 0 8
CHATTOOGA 44 30 24 23 121
CHEROKEE 61 47 58 45 211
CLARKE 99 100 118 112 429
CLAY 8 3 7 10 28
fe CLAYTON 82 81 88 82 333
CLINCH 5 11 15 12 43
COBB 218 196 237 194 845
COFFEE 48 51 29 35 163
COLQUITT 77 71 54 49 251
COLUMBIA 21 22 32 24 99
COOK 27 17 16 17 77
r COWETA 66 65 70 63 264
CRAWFORD 6 5 10 8 27
CRISP 29 33 32 36 130
u DADE 10 17 17 15 59
Y DAWSON 2 7 9 8 26
DECATUR 48 39 47 32 166
DEKALB 325 278 300 274 1177
DODGE 42 43 24 31 140
DOOLY 15 11 26 20 72
i DOUGHERTY 105 95 106 96 402
fe DOUGLAS 39 40 29 38 146
EARLY 24 21 26 20 91
ECHOLS 0 2 5 0 7
Ac EFFINGHAM 7 13 19 7 46
91
COUNTY
OF
ADMISSION
1966
1967
YEAR
1968
1969
TOTAL
ELBERT
EMANIJEL
EVANS
FANNIN
FAYETTE
FLOYD
FORSYTH
FRANKLIN
FULTON
GILMER
GLASCOCK
GLYNN
GORDON
GRADY
GREENE
GWINNETT
HABERSHAM
HALL
HANCOCK
HARALSON
HARRIS
HART
HEARD
HENRY
HOUSTON
IRWIN
JACKSON
JASPER
JEFF DAVIS
JEFFERSON
JENKINS
JOHNSON
JONES
LAMAR
LANIER
LAURENS
LEE
LIBERTY
LINCOLN
LONG
LOWNDES
LUMPKIN
MACON
MADISON
MARION
MCDUFFIE
MCINTOSH
MERIWETHER
MILLER
MITCHELL
u
37
11
20
8
113
26
28
922
13
7
77
38
32
16
72
38
104
16
29
13
40
7
27
58
9
38
15
16
28
20
18
23
23
10
81
3
26
3
10
61
15
20
27
14
25
9
20
16
28
27
50
18
24
7
106
28
23
987
14
5
70
48
26
17
78
35
102
22
31
15
22
16
19
66
16
32
6
36
21
17
20
20
21
9
54
4
20
11
5
62
12
14
23
8
21
11
21
12
29
28
52
12
18
10
101
25
23
873
21
6
82
41
33
15
92
32
107
24
29
11
24
5
24
71
12
31
15
20
29
17
26
21
20
8
73
3
19
13
7
52
16
31
22
8
56
5
30
10
37
41
56
11
21
13
103
23
31
800
24
9
91
40
23
17
85
36
135
17
29
IS
24
8
28
55
7
22
13
24
20
17
21
19
19
9
59
24
6
1
38
14
15
21
5
61
7
31
9
16
140
195
52
83
38
423
102
105
3582
72
27
320
167
144
65
327
141
448
79
105
57
110
36
98
250
44
104
49
96
98
71
85
83
83
36
267
13
89
33
23
213
57
80
93
35
163
32
102
47
110
K
92

V
K
X
COUNTY
OF ADMISSION YEAR
1966 1967 1968 1969 TOTAL
MONROE 23 25 28 23 99
MONTGOMERY 7 7 13 9 36
MORGAN 20 18 11 9 58
MURRAY 17 12 12 8 49
MUSCOGEE 139 196 166 187 688
NEWTON 57 67 58 55 237
OCONEE 13 11 13 14 50
OGLETHORPE 9 7 14 8 38
PAULDING 34 42 45 46 167
PEACH 29 36 39 32 136
PICKENS 5 14 16 13 48
PIERCE 12 13 9 10 46
PIKE 8 18 14 9 49
POLK 52 64 58 52 226
PULASKI 12 17 24 14 67
PUTNAM 15 21 16 15 67
QUITMAN 3 2 2 1 8
RABUN 10 13 21 17 61
RANDOLPH 14 14 21 12 61
RICHMOND 212 241 248 160 861
ROCKDALE 20 26 29 24 99
SCHLEY 1 2 4 4 11
SCREVEN 19 28 19 17 83
SEMINOLE 5 10 6 10 31
SPALDING 98 93 105 97 393
STEPHENS 21 35 24 30 110
STEWART 10 10 14 8 42
SUMTER 36 32 34 30 132
TALBOT 9 8 13 10 40
TALIAFERRO 6 5 4 2 17
TATTNALL 22 24 20 18 84
TAYLOR 5 10 6 7 28
TELFAIR 20 26 29 28 103
TERRELL 18 7 15 17 57
THOMAS 58 55 76 44 233
XI FT 53 28 31 29 141
TOOMBS 61 53 55 51 220
TOWNS 4 11 6 6 27
TREUTLEN 18 20 14 16 58
TROUP 65 74 67 76 282
TURNER 9 13 16 12 50
TWIGGS 11 11 18 13 53
UNION u 16 12 19 61
UPSON 51 44 32 37 164
WALKER 72 92 95 77 336
WALTON 55 56 66 57 234
WARE 78 70 64 99 311
WARREN 8 9 17 6 40
WASHINGTON 55 49 42 27 173
WAYNE 33 30 32 28 123
WEBSTER 1 6 1 3 11
WHEELER 14 9 11 12 46
WHITE 10 5 7 4 26
IBHBHBBBMHBaBnRHHHn
93
COUNTY OF ADMISSION YEAR
1966 1967 1968 1969 TOTAL
WHITFIELD WILCOX WILKES WILKINSON WORTH TOTAL 98 9 22 18 16 6667 96 11 25 24 20 6691 81 9 27 24 22 6802 91 9 14 21 15 6290 366 38 88 87 73 26450
HAuiim
94

MEDICAL DEPARTMENT
James B Craig MD
Superint endent
John W Kemble MD
Assistant Superintendent Education Training and Research
William R Howard MD
Assistant Superintendent Physical Health
W T Smith MD
Clinical Director Psychiatric Service
H C Miles MD
Clinical Director Psychiatric Service
PSYCHIATRY
K
UNIT I
W T Smith MD Director
Hortensia Alvarez MD Psychiatric Resident
Rafael Alvarez MD Psychiatric Resident
Francisco Borges MD Psychiatric Resident
Jose de la Torre MD Staff Physician
Jose Delgado MD Psychiatric Resident
Guido Graciaa MD Psychiatric Resident
Clifford B Harden MD Psychiatric Resident
Mohammed Karatela MD Psychiatric Resident
S E Kramer MD Senior Physician Medical Specialty
Jesus Llobet MD Staff Physician II
Ricardo Mesa MD Staff Physician II
Zelma Ozolins MD Staff Physician I
Raul Rivero MD staff Physician II
Jose Rouco MD Psychiatric Resident
Diego Sans MD Psychiatric Resident
TOT i
Eduardo Guernica MD Director
Marta Bosch MD Senior Physician Medical Specialty
Tomas GarciaMontesinos MD Staff Physician II
Roberto Rey MDPsychiatric Resident
Mohammed Aslam Sandvi MD Senior Physician Medical Specialty
Adolph Sarma MD Staff Physician III
Vilis Zakitis MD Staff Physician III
UNIT III
Jose Mendoza MD Director
Armando Gutierrez MD Senior Physician Medical Specialty
Moises Jacobs MD Staff Physician II
Juan Llambes MD Staff Physician II
Rafael Pascual MD Staff Physician II
Jacinto Regalado MD Staff Physician II
N T Soorya MD Senior Physician Medical SpecialtyUNIT IV
95
William E Wood MD Director
John Azzi MD Staff Physician II
Ramon Berenguer MD Staff Physician II
Miguel Bosch MD Senior Physician Medical Speci alty
Thomas Bullock MD Senior Physician Medical Specialty
Marta Dzirkalis MD Staff Physician II
Mario de Laosa MD Senior Physician Medical Specialty
Orlando Rojas MD Staff Physician II
John J Word MD Senior Physician Medical Specialty
UNIT V
Lorenzo del Portillo MD Director
Jose Gonzalez MD Senior Physician Medical Specialty
George Grant MD Senior Physician Medical Specialty
Isidro Insua MD Staff Physician II
Manuel Pena MD Staff Physician II
Roberto Perdomo MD Staff Physician III
Carlos Rivera MD Staff Physician II
UEffT VI
Carl Smith MD Director
Ernesto Giro MD Psychiatric Resident
UNIT VII
E F Stincer MD Director
Juan Perez MD Psychiatric Resident
Juan Portuondo MD Director
Evelio Diaz MD Senior Physician Medical Specialty
Humberto Ravelo MD Psychiatric Resident
Odelia Zapaterro MD Senior Physician Medical Specialty
UNIT IX
Salvador Mendez MD Director
Manuel Estrada MD Staff Physician III
Ana Marrero MD Psychiatric Resident
Rene Montero MD Psychiatric Resident
Emelio Yero MD Staff Physician III
VNXX X
H C Miles MD Director
Heinz Joost MD Psychiatric Resident

tiy3
96

NEUROLOGY
John W Kemble MD Director
Eugene Christian MD Psychiatric Resident
Jose Rubio MD Psychiatric Resident
RESEARCH YARBROUGH
G R Courtney MD Neurophysiologist
Clyde Keeler ScD PhD Geneticist
PSYCHIATRIC RESIDENCY TRAINING
Louis Jacobs MD Director
Elpidio Stincer MD Supervisor
Samuel Kahn MD Supervisor
SPECIALIZED MEDICAL SERVICES
GENERAL MEDICINE SURGERY
K
r
J G Bohorfoush MD Director
E G AUende MDChief Physician Medical Specialty
Sergio AlvarezMena MDChief Physician Medical Specialty
A Ballagas MD Asst Chief of Service Physical Treatment
Wilbur Baugh MD Chief Physician Medical Specialty
0 Fernandez Caral MD Staff Physician II
David Cardoso MD Chief of Service Physical Treatment
Harold Carson MD Staff Physician III
Osvaldo Casas MD Senior Physician III
Stephen H Dillard MD Optometrist
Andres Fernandez MD Chief Physician Medical Specialty
Pilar Goicoechea MD Chief Physician Medical Specialty
J Jimenez MD Chief Physician Medical Specialty
Raymond Jordan MD Asst Chief of Service Physical Treatment
Leon Koen MD Chief Physician Medical Specialty
Joseph Leyva MD Chief Physician Medical Specialty
Carlos Montalvo MD Staff Physician II
John Moody MD Staff Physician III
Perry Moore MD Chief Physician Medical Specialty
Helena Pessino MD Chief Physician Medical Specialty
S Pandy MD Staff Physician I
Dionioso Pinero MD Chief Physician Medical Specialty
Julio San Martin MD Asst Chief of Service Physical Treatment
Pedro Tamayo MD Chief Physician Medical Specialty
Teofilio Tomas MD Chief Physician Medical Specialty
Paolo Zerbi MD Chief Physician Medical Specialty
RIVERS HOSPITAL
Mahmud Majanovic MD Director
Francisco Madrid MD Staff Physician III
Jose Sanchez MD Staff Physician II
Aleksandra Steinhards MD Staff Physician III
Victor Ubieta MD Staff Physician III97
MEDICARE
E W Allen Sr MD Director
Luis Carrodeguas MD Staff Physician III
Geraldine Pilcher MD Psychiatric Resident
Diplomate American Board of Psychiatry and Neurology
NURSING STAFF DENTAL SERVICE
Myra S Bonner RN Director Robert Watson DDS Director
Bernice King RN Joe Lister DDS
Vera W Knowles RN Richard Rogers DDS
Philip Spence DDS
ASST TO DIRECTOR OF NURSING William Strupp DDS
Juanita C Watson RN William Willoughby DDS
Fay H Fidler RN
Frances Osborne RN
Ruth D Mullis RN PHARMACY
Mildred Daniel RN
Edna Ross RN Durward Poland PharD Director
Mary A Bell RN Ken Autry BS
Virginia Smith RN Clarence Gissendanner BS
Janet M Smith RN Edgar Hight BS
Irene Wood RN Eugene Molton MS
Valeria Atchison RN Thomas Reese BS
Rymer Rivers BS
PSYCHIATRIC OUTPATIENT CLINIC Glenn Veal BS
Mary W Billue RN Raymond Covey BS Intern

NURSING INSTRUCTORS
PSYCHIATRIC AFFILIATION PROGRAM
Maidana K Nunn RN MS
Beatrice Tribble RN AB
Louise F Spivey RN
Pauline Anderson RN
Ouida Couch RN
Marjorie Wood RN
Gertrude Thigpen RN
Gloria A Williams RN
Alice Paschal RN
PSYCHIATRIC AIDE PROGRAM AND
INSERVICE EDUCATION
Vivetta Kramer RN MS
Glenda Ridley RN BS
Christine Brookins RN
Mary H Thomas RN
Lynn P Brintle RN BS
Lee Bell RN
REMOTIVATION
Lolita Rutland RN PhD Director
Mattie L Pennington RN
MUSIC THERAPY
Herbert P Goldsmith RMT Director
Judy A Baron RMT
Dennis F Carroccio RMT
Elizabeth Caudill BA
Solomon Cunio BM
Mariann H Davis RMT
Kenneth Johnson BM
Saralyn Latham MA
Cordelia R Livermore RMT
Mary Mattos RMT
Julia McGirt BA
Chester Poole BA
Pamela Roberson BA
Janice Rogers RMT
Carolyn W Sanders RMT
Jeannette Warren RMT
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CLINICAL PSYCHOLOGY
Robert W Wildman PhD Director
Elwin R Davidson PhDClinical Psychologist
JohnS Hannon PhDDirector Childrens Services
Robert F Heap PhDDirector Training and Research
Jean Hendricks PhDClinical Psychologist
James E Hord PhDClinical Psychologist
Roger W Jones PhDDirector of Education
Thomas W Lucik PhDSenior Clinical Psychologist
F L Madison MAStaff Psychologist
INTERNS
Thomas N Elliott MS
Diane Hamrick MS
Olin M Hamrick MS
Harry G Karras MA
Richard Mears MS
Martin F Rosenman MA
Rowland Shank MS
Allen E Shealy MA
SENIOR TECHNICIANS
Ivor D Groves III MA
Carlton L Lanier MA
Lawrence F Quattlebaum MS
Robert W Wildman II BS
Bernard F Williams MEd
TECHNICIANS
Edward H Amos Jr BA
Tedd B Browa AB
Faye Butler AB
Alice L Canipe AB
Nancy J Carter BA
William A Caruso BA
G R Dixon Jr AB
Lawrence E Dresdale BA
Lillian Glynn BS
Wayne Hodges BS
Drena S Lanier AB
Alice L Canipe AB
G R Dixon Jr AB
James D Foulks BS
Floyd W Heiney Jr MS
Wayne Hodges BS
Harry G Karras MA
Dennis L Pilgrim MA
Charles C Mabry AB
Vincent L Parrish BA
Alice Peacock AB
Joan M Peppersack BA
James G Resseger AB
Alexander G Riddle AB
Deborah Smith BA
Ben C Stewart Jr BBA
Sandra W Takeshita BS
P Douglas Watson BA
James T Wilkinson AB
SCHOLARSHIPS
James C Prescott MS
Lawrence F Quattlebaum MS
Martin F Rosenman MA
Allen E Shealy MA
Jerry L Sloan BA
Robert D Smith MS
Robert W Wildman II BS
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SOCIAL WORK
Kenneth F Jasnau MSS ACSW Director
E 0 Melton MSW ACSW Assistant Director
Nancy E Barnes MSW Social Worker III
E Wayne Bland MSW ACSW Social Worker III
David R Burgest MSW Social Worker I
Lynne N Feagin MSW Social Worker I
Kathleen C Forde MSW Social Worker I
Carolyn B Grant MSW Social Worker I
Grafton H Hull MSW Social Worker I
Brenda M Jones MSW Social Worker III
Richard L Lyon MSW Social Worker I
Rosa C Mendoza MSW Social Worker II
Kirk C Minor MSW Social Worker I
R Sanford Pentecost MSW Social Worker I
Linda W Pickett MSW Social Worker II
Louise H Powell BA Social Worker I
Patricia E Rowell MSW Social Worker I
Janet E Scott MSW Social Worker II
William E Shirk MSW ACSW Social Worker II
Martha C Toralin MSW Social Worker II
Lamar H Watkins MSW Social Worker I
C Paul Wright MSW Social Worker I
Suzanne R Wright MSW Social Worker I
TECHNICIANS
Annette Acree AB
Michael P Aiken BA
Henry G Bell BS
John I Boggan AB
Renwick F Bradley AB
Roy H Brown BA
Ludwina G Bull BS
Nancy J Carter BA
R Annette Church AB
Harriet A Cook AB
K Holley Cowan AB
Anita Cruz BA
Wanda Dykes AB
Yvonne J Everett BA
Sandra B Freyer BS
E Alton Gregory BS
Emmett L Griswold BS
R Darryl Herren AB
Magalene Hester BA
Joseph T Hodge BA
Sara F Ivey BS
Jim D Lanier BA
Jeannette M Lewis AB
Walker McKnight BA
Martha McLaurin BA
Wendy Mears BFA
Byron 0 Merritt BA
Eloise B Myles BA
Malcolm E Patterson AB
John W Prather AB
Lena M Price BA
Frances B Rogers BS
Virginia L Shealy BA
Mary Ann Simmons BA
Veronica Stine AB
Judith Strauch AB
Doris P Sutton AB
Gwendolyn G Turner BA
Jewell J Turner Jr AB
Joan S Venable BS
Nedra M Williams BA
Barbara J Wood AB
C Earnest Yearwood BA
Richard D Zellner AB
David Zimmerman BA
SOCIAL WORK AIDES
Carrie L Smith
Wanda Whitaker
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SOCIAL WORK SCHOLARSHIPS
Roy H Brown
Lynne N Feagin
Joseph T Hodge
Jim D Lanier
Kirk C Minor
Walker McKnight
Jr
Robert M Rhymes
Patricia E Rowell
Doris P Sutton
Gwendolyn G Turner
C Earnest Yearwood
Richard D Zellner
CLINICAL CHAPLAINCY
James L Travis ThM Chief Clinical Chaplain
Ronald A Wilkins ThM Asst Chief Clinical Chaplain
Charles Alston BD Clinical Chaplain
Donald H Cabaniss BD Clinical Chaplain
Baxter P Cochran BD Clinical Chaplain
John J Gleason BD Clinical Chaplain
A Kempton Haynes STB Clinical Chaplain
Milton P Snyder ThM Clinical Chaplain
0 Chappell Wilson M Div Clinical Chaplain
Joseph G Cassidy AB Catholic Chaplain
Harold L Gelfman DD Rabbi
Ervin R Oermann BD Chaplain to the Deaf
Charles B Fanshaw MRE Chaplain to the Deaf
RESIDENTS
Robert E Ballard ThM
James F Hardie MA
Raymond J Lawrence BD ThM
INTERNS
Otis Andiews AB BD
C Paul Bennett BD
Joseph S Dukes AB BD
Ralph T Milligan AB BD
Robert W Addis AB BD
C Jack Caudill AB BD
Andrew L Miles BD
Richard Young Wallace BD ThM
VOLUNTEER SERVICES
Jane M Haddock BS CVC Director
Susan Coursey AB
C Earnest Yearwood AB
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OCCUPATIONAL THERAPY
Dorothy M Clarke OTR Director
Karen A Harms OTR101
RECREATION THERAPY
Bruce R Prosser BS MS
THERAPISTS
Betty J Welch AB
Ronald R Smith BS
Anna G Warnock BS
Lyndoll U Moore AB
Charles Vandiver BS
Bonnie Fleek
Richard Lewman Jr
INTERNS
Director
Wayne Gay BS
Janice L Landry BS
Ronald Farmer BS
Nancy Goodrich BS
Helen Callaway BS
Carol OConnell
Nancy Waldrop

VOCATIONAL REHABILITATION
W C Petty AB Director
Roy B Williams BS MAAssistant Director
John W Cooper BA MEd Supervisor Counseling Services
Jesse P Collette BS Ed Supervisor Counseling Services
James C Grover ABSupervisor Work Evaluation Training Center
Thomas W Gannaway BA MA Supervisor Evaluation Services
George W Kinzy BS MEd Supervisor Training Services
REHABILITATION COUNSELORS

Harry D Bates BS MRC
Bernice S Blalock AB MRC
Charles H Boland AB BD
John F Brantley BS
Marsha Fields AB MCE
Edward B Forde BA MRC
Frank Fowler BA
J J Fulbright AB LLB
Richard E Jones BS
John Kelly BA
James M Kennedy BA BD
Hugh M Lavender BA MRC
Kay F Markette BA MRC
William M Moore AB BD
Clarence Price BA
John J Rolle BA
Peter Shenkman BA MRC
H Patricia Simpson BS
Janis Weathers BS
Ronald Barnard BA MRC
Tom W Brown BS
Lanier Browning BS
Franklin Council AB
Faye P Day
Jacquelyn Shell
Jimmy W Adcock
Wynelle Armstrong RN
A L Booth
E M Bradford
Charlene Carpenter
C Patrick Collins
EVALUATORS
Edwin R Freeman BS
Henry M Hopkins Jr BA
Miles Jones
Robert L Strickland
Patricia L Weerts BS
INSTRUCTORS
Betty Dooley BS
K E Donaszewski
Anne B Hamilton
Arthur M Jones
Kenneth Ryals
Marianne Thompson BS
Frances Torrance BS MHE
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SCHOOL OF SPECIAL EDUCATION
John H Rawlins BS MEdPrincipal
TEACHERS
Antoinette Ennis AB
Larry Callaway BS
Lois Irvin MA
Glenda Young MA
Sibyl Smith BS
Mary Edwards BS
Georgia Prosser BS
Bertha Eakins BS
Dorothy Trawick BS
Collins Lee BS
Fe Pinero BS
Gertrude Higgins MA
Jim Nelson AB
Pamela Bush BS
Pam Bryant BS
Kathy Chapman BA
E J Lundy BS
Suelle Austin MA
KRESIGNATION
Shall I repeat my prayer tonight
So long Ive said that one
I think Ill just put out the light
And whisper Thy will be done
Ernestine Chavous Berliner
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