Annual report and year book, Department of Public Health, Central State Hospital, Milledgeville, 1970

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department of public health
central state hospital
ANNUAL REPORT
UNIVERSITY OF GEORGIA
JUL 13 1971
LIBRARIES
AND YEAR BOOK
milledgeville 1970
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THE COVER PHOTO
Governor Lester Maddox and Georgia
Health Department Director Doctor
John Venable show little Mary Ann and
Frankie some of the Christmas gifts
provided by generous Georgia citizens
for the patients at CSH The program
is sponsored annually by members of
the Georgia Municipal Association
Q
Z
O
LIBRARIES
OF GEORGIA
DIRECTORY
Honorable Lester Maddox
Governor State of Georgia
MEMBERS OF THE
GEORGIA STATE BOARD OF HEALTH

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 MD
P K Dixon MD
John E Garner Jr
Roy L Gibson MD
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
A C Tuck DDS
n
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 Hospital

TABLE OF CONTENTS
GENERAL INFORMATION
OFFICE OF THE SUPERINTENDENT
Staff Housing Public Information Patient Affairs
Medical Staff Secretary Hospital Receptionist
ADMINISTRATION
Institutional Business Administration Personnel
Engineering Manpower Hospital Information Systems
Industrial Engineering Horticulture
CLINICAL SERVICES
General Psychiatric Units
Special Psychiatric Units
Veterans
Maximum Security
Children
Mental Retardation
Yarbrough Vocational Rehabilitation Center
Psychology
Nursing
Social Work
Chaplaincy Services
Special Education School
PHYSICAL HEALTH
Jones Hospital General Medicine and Surgery
Rivers Hospital Tubercular Drugs and Alcohol Medicare
Pharmacy
Dentistry
Occupational Therapy
Music Therapy
Recreation
Volunteer Services
Remotivation
EDUCATION TRAINING AND RESEARCH
Neurology
AudioVisual Services
Psychiatric Residency
Research
Medical Records
Medical Library
APPENDIX
PAGE
19
1217
2036
4080
4048
50
51
52
54
57
61
72
75
76
78
8199
82
84
86
88
90
92
94
95
98
101111
102
103
104
106
108
108
111

s
July 1 1970
Doctor Charles K Bush
Director Hospital Services Branch
Division of Mental Health
Georgia Department of Public Health
47 Trinity Avenue SW
Atlanta Georgia 30334
i
Dear Doctor Bush
We present herewith the Annual Report of Central State Hospital covering
the fiscal yearending June 30 1970 You will notice that the format which
received wide acclaim last year has been retained with such modifications
which progress inevitably makes necessary We are happy that our hope
expressed last year that the report in its present form would be widely
used as a source book seems to have been realized
T
Since for the first time in our history we have our full complement of
Assistant Superintendents we have sectionalized the material under four
headings Administrative Education Training and Research Clinical and
Physical Health corresponding to the responsibilities of the four Assis
tant Superintendents
There is much in the report which presents cause for satisfaction as well
as a feeling of confidence for the future A steadily declining resident
population in the face of increasing admissions and an On Book population
which hovers just under 19 000 can only be attributed to a more effective
treatment program backed up by increasingly potent community mental
health facilities

We wish to express our thanks for continued sympathetic understanding
of our problems as well as a willingness on the part of Health Department
staff to go the second mile in getting things done for the benefit of our
patients Your helpfulness and effective support has been a strengthening
factor throughout the year
Respectfully submitted
D
James B Craig M
Superintendent
HIGHLIGHTS OF 1970
Resident patient population decreased by 957 in spite of increased number
of admissions and patients treated
Patient Affairs Division relocated for increased efficiency in operation
National Recognition given Medical Records Division for work in filing pro
tective applications for patients Social Security
Central Occupational Therapy building staffed and clinics operating
New Fire Station completed and partially staffed
Old Colony Recreation Area and Rehabilitation Garden for patients completed
Tenth Ward completely renovated including air conditioning of patient areas
Air Conditioning installed in sick wards in nine patient buildings
Ten dining rooms renovated with new cafeteria lines and serving equipment
Hospital Authority project for new sewage treatment plant to serve CSH
Milledgeville and Baldwin County completed
Plans completed and bids about to be let for new GM S Hospital
CSH patients participated in State and National Olympics for handicapped
winning a number of medals in each
Jones Medical and Surgical Hospital west wing renovated to provide modern
facilities for OBGYN and EKG
Hospital income not provided by state increased 327863 due to additional
collections from medicare patient pay plan and veterans services
Neurological diagnoses improved by addition of Electromyograph and Ultra
sonic Analyzer
Complete renovation of the Central Dental Clinic completed
New AudioVisual Division set up with closed circuit TV system for hospital
in operation with studios in the Yarbrough Building
r
Computer assisted menu planning resulted in the serving of 10897889 meals
including 2158335 special diets at a raw food cost of 02719 per mealHHHHiH
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NORTH
Central State HosplTBL
BALDWIN COUNTY GEORGIA
GEORGIA PEPARTMENT OF PUBLIC HEALTH

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A
THE VARBROUGH REHABILITATION CENTER
1

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 psy
chiatric hospital The patient population steadily increased 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 accor
dance with Georgias new regional hospital concept it acquired its pre
sent name
n

During the last four years the resident population decreased to 9408
at the end of fiscal 1969 mainly due to improved treatment programs 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 patients
Until 1968 the hospital also operated a 9000 acre farm and dairy pro
gram however this is now liquidated although the hospital retains the
land which is now used for treatment and recreation
The massive institution is like a small city It has fire and police
departments general hospital services five chapels for the spiritual in
spiration 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 Also in the Central Kitchen
more than 33000 meals are prepared daily in an area the size of two foot
ball fields

The budgeted employee work force numbers 4023 and includes these
categories Physicians 108 dentists 9 nurses 117 semiprofessional
and technical 2205 psychologists 12 MSW social workers 20 also
clinical chaplains music therapists recreation therapists occupational
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 accredited
programs in psychiatry medicine psychology social work occupational
therapy music therapy recreation therapy pharmacy vocational rehabil
itation hospital administration clinical chaplaincy mental health infor
mation and a rotating residency in ophthalmology for senior residents from
the Mayo Clinic at Rochester N Y
As a treatment facility Central State Hospital serves residents of
Georgia who are mentally ill mentally retarded or suffering from an addic
tion problem The institution is divided into five psychiatric units ad
mission 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 veterans home a unit for the men
tally retarded a unit for patients who are tubercular a medicare unit and
a general medicalsurgical hospital of some 250 beds
Approximately 700 childrenunder the age of 18 reside at Central State
Hospital and of these 222 are in the special education school which is
divided into two sections classes for children who are emotionally dis
turbed and for those who are mentally retarded At the present time there
are 62 students in the EM section 2 7 are in high school 2 7 are in inter
mediate classes and 8 in primary classes The classes for educable MR
students have 55 enrolled and the number attending trainable MR classes
is 43 The school is staffed by a principal and 24 teachers
Underage admissions to Central State Hospital are increasing ma
terially every year at the rate of approximately 33 per cent At the pre
sent time there 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 very minimum
39 teachers to meet the need during the coming yearSUPERINTENDENT
ADMINISTRATIVE
AIDE
ASST SUPT
ADMINISTRATIVE
INST BUS ADM
PERSONNEL
ENGINEERING
MANPOWER ADM
HOSP INFO SYSTEM
DATA PROCESSING
IND ENGINEERING
HORTICULTURE
ASST SUPT EDUCATION
TRAINING RESEARCH
MEDICAL LIBRARY
RESEARCH
NEUROLOGY
PSY RESIDENCY TNG
AUDIO VISUAL SVS
MEDICAL RECORDS
ADMINISTRATIVE
OFFICER
ASST SUPT
CLINICAL
CLIN D1R PSY GEN
UNITS IV
PSY OP CLINIC
CLIN DIR PSY SPEC
UNITS VIX
SPECIAL EDUCATION
PSYCHOLOGY
SOCIOLOGY
SOCIAL WORK
NURSING SERVICE
CHAPLAINCY SVS
EXECUTIVE
ASSISTANT
HOUSING
PUBLIC INFO
PATIENT AFFAIRS
MED STAFF SECY
ASST SUPT
PHYSICAL HEALTH
JONES HOSP
RIVERS HOSP
PHARMACY SVS
DENTAL PROGRAM
SANITATION
COORDINATOR SPEC
THERAPIES
OCCUPATIONAL THPY
RECREATIONAL THPY
MUSIC THPY
VOLUNTEER SVS
REMOTIVATION SVS
CENTRAL STATE HOSPITAL
Revised 1 Apr 70

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Vo
tifaEXECUTIVE 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 69mm
mmmmm

12
OFFICE OF THE SUPERINTENDENT
James B Craig MD Superintendent
John J Schuyler LLB Executive Assistant
John R Cline Administrative Officer
Mildred Riner Coordinator 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 McCrary Secretary
ADMINISTRATIVE STAFF

ASSISTANT SUPERINTENDENT
ADMINISTRATIVE
ASSISTANT SUPERINTENDENT
EDUCATION TRAINING AND
RESEARCH
Rod Clelland BA MA
John W Kemble MD
ASSISTANT SUPERINTENDENT
PHYSICAL HEALTH
ASSISTANT SUPERINTENDENT
CLINICAL
William R Howard MD
Michael L Sheppeck MD
lr
CLINICAL DIRECTORPSYCHIATRY
GENERAL PSYCHIATRIC UNITS
W T Smith MD
CLINICAL DIRECTORPSYCHIATRY
SPECIAL PSYCHIATRIC UNITS
Hollis C Miles MD13
THE SUPERINTENDENT
JAMES B CRAIG MDwmmmm
mm

14

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 Hospital Re
ceptionist and the Patient Affairs Division
STAFF HOUSING
The division is responsible for the general oversight of staff quarters
including renovations and renting of 97 houses 50 apartments and 102
dormitory rooms During fiscal 1970 387 maintenance work orders were
referred to the Engineering Division for service from the plumbing elec
trical and carpenter sections A large number of these orders were for
repairs to vacated houses and apartments and were initiated by the Hous
ing Division Others were initiated by the occupants themselves
During the year 21 requests were received for private residences and
due to personnel turnover 14 vacancies occurred with 13 assignments
completed The exterior of 14 private residences were painted during this
period Requests for apartments totaled 2 2 with 15 vacancies occurring
during the year in addition to two which were carried over from the prior
year All 17 were assigned For the same period 46 rooms in the dormi
tory were assigned to males and 37 to females
PUBLIC INFORMATION AND EDUCATION
This department is charged by the Superintendent with the responsibility
of collecting editing and effectively presenting factual information about
Central State Hospital its programs and its staff in verbal written and
visual form to the hospital community and to the general public utilizing
whatever communications media will most adequately accomplish this
result
MASS MEDIA COVERAGE The department initiated 108 news releases which
went to 31 daily and 200 weekly newspapers 150 radio and TV news out
lets and a selected list of organizations and individuals Sponsored and
programmed 41 TV and radio interviews and educational programs dealing
with various hospital activities Release on computerization of hospital
menus appeared in newspapers of 42 states 3 foreign countries and re
sulted in 9 articles in professional magazines
PHOTOGRAPHIC COVERAGE Since July 1 19 69 the department photographer
has taken more than 3050 individual black and white photographs 3006

15
color slides and has provided more than 12000 enlargements from 4 x 5 to
11 x 14 for the use of hospital departments and the mass media
SLIDE SHOWS All permanent shows were updated Additional shows were
provided for six hospital departments as well as for the Houston County
Mental Health Clinic Courts of Ordinary from Southeastern Georgia sev
eral garden clubs and the Macon Social Security office A special show
was set up for Mercer University for a TV presentation
DISPLAYS Included continuous color slide show on Volunteer Services for
Mental Health Week in Macon display on Milledgevilles Largest Em
ployer for the Baldwin County Fair photo display of Public Information
Services for Ten Years of Progress conference photo display on Men
tally Retarded Children at CSH for the Tuesdays Child Fair in Bruns
wick and displays in all units of photos of patient activities for patient
viewing
PUBLIC EDUCATION Department personnel directly sponsored and arrang
ed seminar programs for 126 visiting groups totalling 5220 individuals
These included high school and college students nursing students var
ious civic groups Department personnel also provided orientation tours
for new employees various groups of professionals from other state in
stitutions and a number of individual visitors from other states and coun
tries These groups are not included in the above total The Director
visited 83 colleges high schools vocational schools and schools of
nursing with color slide shows on various hospital programs as well as
with recruitment material covering the mental health career field A total
of 4843 individual contacts were made through this program
PUBLICATIONS The department published the Annual Report and Year Book
for 1969 the Weekly Bulletin and a number of brochures including A
History of the Whittle Building Job Openings Stipends for Graduate
Study in Psychology revised Job Openings for Psychologists and Clin
ical Interns A Rewarding Career in Social Work revised Christmas
Around the World Central State Hospital map revised and a series of
Central State Hospital folders for use at conferences
PATIENT AFFAIRS
The Patient Affairs Division set up by the Superintendent in 1969 was faced
with a number of problems related to the implementation of the new Mental
Health Law which went into effect on January 1 1970 The division was
charged with the responsibility of processing some 15000 petitions to1
16

Ordinaries relating to patient admissions convalescent leave and other
matters affecting the hospitalcounty relationships Petitions affecting
more than 2500 patients on convalescent leave were handled during the
year Relocation of the division with added space equipment and facil
ities has materially aided in efficiently and promptly processing the nec
essary paper work
MEDICAL STAFF SECRETARIAT
The work load of the division has materially increased during the year due
to the new law which permits noncitizens to take the Georgia State Med
ical Examination as well as increased work relating to Medicare which
requires periodic review of physicians working in the unit The secretary
continues to maintain all minute books records and agenda of medical
staff departments the Clinical Review Committees the Executive Com
mittee meetings and the handling of all records affecting the medical
staff as required
HOSPITAL RECEPTIONIST
The work of the Hospital Receptionist has also increased during the year
due to an increased number of admissions as well as visits by families of
residents Since the receptionist is the original contact person for visi
tors to the institution she is often responsible for the attitude with which
the individual views the institution A number of favorable comments from
visitors regarding treatment by the receptionist were received during the
year
Hoiputal viAitosn oi many typu o umApoifavtlot

17
GEORGIANS SERVED
On Books July 1 1970 18677
Resident in hospital 8451
On Convalescent Leave 10226
Admissions
Total Admissions 6 625
First Admissions 4 603
Readmissions CSH 2022
Average daily resident population 9 0 60
Decrease over 1969 585
Discharged direct from hospital 2020
Patients placed on convalescent leave 9155
Transferred out 513
Deaths 771
BUDGET ACTUALS
State Appropriations 2977939900
Agency Funds 340053430
3317993330
EXPENDITURES
Personal Services 2430965739
Operating Expense 837841221
Capital Outlay 29990812
Total Expenditures 3298797772
Balance at close of year 19195558uhbhhmHI
18
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In eautk on ky on iea
blhene aX may Ind it pnopen me
And o advantage be
Benjamin WanfiieZd

19
ADMINISTRATION
ASSISTANT SUPERINTENDENT
ADMINISTRATIVE
Rod ClelZand BA MA
INSTITUTIONAL BUSINESS ADMINISTRATION
PERSONNEL
ENGINEERING
MANPOWER ADMINISTRATION
HOSPITAL INFORMATION SYSTEM
INDUSTRIAL ENGINEERING
HORTICULTUREma
l
20
ADMINISTRATION
Following are the summaries of the seven major departments that are
within the jurisdiction of the assistant superintendent responsible for
administration Each of them will speak for itself
In addition to the intensification of administrative functions in each
of these seven departments Administration has been responsible for major
changes in the institutions policies budget and a considerable realignment
of the general organization Finally Administration has originated a
project management procedure in which existing sources are utilized to
plan improvements in approximately 40 areas of the hospital
INSTITUTIONAL BUSINESS ADMINISTRATION
The appropriation for fiscal year 1970 for Central State Hospital was
33049026 divided into the following major categories
Personnel Services
Operating Expense
Capital Outlay
24314776
8434460
300000
33049236
n

The Legislature approved an additional 143 positions but due to
limited funds we were unable to fill these for the full fiscal year
The capital outlay funds were budgeted to the following projects
Tenth Ward Renovation
Boone and Boland Bathrooms
Powell and Green Lighting
Patient Dining RoomsFloor Covering
Outside Lighting
Dishwashing RoomsRenovation
49300
213600
9500
12300
7900
7400
300000
The total amount of agency income received during the fiscal year was
3298060 an increase of 327 863 over fiscal year 1969 This increase
in agency income was the result of increases in medicare collections
patient pay and veterans service
A new budget and cost control system has been developed and will be
operable July 1 1970 This system will give better control of the expendi
ture of funds and will ensure that funds are expended as approved The
system requires that all documents affecting the purchase of property be
processed through the computer for verification of funds

21
Much progress has been made in upgrading housekeeping services in
the various patient areas Housekeeping studies and routine cleaning
programs have been implemented in the following units
1 Unit VIII Childrens Building Boland Wards 7 and 8 and
the Special Education School Facility

2 Unit IX Boone and Boland Buildings
3 Central Housekeeping Staff Dormitory and Apartments Cen
ter Section Powell Building and Nurses Home
Housekeeping studies have been completed and manuals prepared for
Units II V and Rivers Hospital A housekeeping program for these units
will be implemented in the first and second quarters of fiscal year 1971
Concrete floors have been sealed in the Whittle Building and are 75
completed in the Rivers Building The sealing of these floors has resulted
in a noticeable reduction in odors and gives the housekeeping department
a better surface to clean
A wellbalanced training program for housekeeping personnel has been
developed This program has slides and scripts which were taken on the
hospital grounds and they are used in the training program for all house
keeping personnel
The new fire station will be completely manned in July 1971 Funds
and positions were approved to staff the third shift and with these additional
positions we should have adequate coverage Training programs are
conducted for the new employees and continuing programs are held for all
employees
An accurate physical inventory of all warehouse and drug items was
taken in June 1970 and this inventory has been placed in the computer
All receipts and issues for fiscal year 1971 will be processed into the
computer and we will have better control of the physical inventory New
labor saving equipment electric fork lifts dock levelers conveyors have
been purchased and installed A physical inventory of all capital equip
ment is being taken and is scheduled for completion in September 1971
The transfer of all food service personnel from the units to food service
has been completed This places the responsibility for all dining room
operations under food service however due to inadequate staffing it is
still necessary to utilize attendants and other patient care personnel in
some areas When additional positions are approved for food service it
will no longer be necessary to utilize patient care personnel in these areas
The number of dining rooms has been reduced from 68 to 63 and will be
further reduced in fiscal year 1971mmm

22

Computer Assisted Menu Planning was inaugurated in July 1969 with
October November and December 1969 menus This capability enabled the
serving of 10 897 889 meals including 2158335 special and modified
diet meals during FY70 at a raw food cost of 02719 per meal an in
crease of 5 over FY69 This was in the face of an 118 increase in the
cost of meat fish and poultry in the Atlanta area as reported by the
USDA during FY70 Surplus Commodity foods available for use dropped
approximately 100000 during 1970
Ten dining rooms were rehabilitated with new cafeteria lines refrig
eratorfreezers dishwashing machines coffee urns tables chairs and
other serving equipment This included dining rooms in the Walker Binion
Freeman Boone and Allen Buildings Georgia State Department of Health
Food Service Permits were received for the Boone Building dining room
Green Building dining room five Arnall Building dining rooms Vinson
Building dining room four Yarbrough Building dining rooms and Childrens
Building
A preventive maintenance program for all motor vehicles has been
initiated All motor vehicles are scheduled for service and maintenance
and all drivers are required to maintain daily logs A complete record of
the operating and maintenance cost of each vehicle will be maintained
A complete study of our warehousing and procurement procedures has
been made by a committee appointed for this purpose The findings of
this committee resulted in a recommendation for the creation of three major
sections procurement inventory and property control under the direction
of a materials manager These recommendations have been approved by
the Plans and Operations Committee and will be implemented early in FY71
PERSONNEL DIVISION
On June 30 1970 there were 4023 regular employees on our staff
an increase of 190 over the end of the previous fiscal year The largest
gain was in the subprofessional nursing category Increases were also
made in the clerical and services categories
During the fiscal year approximately 900 employees received salary
adjustments as a result of class reassignments by the State Personnel
Board Included in these reassignments were physicians dentists and
nurses and positions within the clerical trades managerial subprofes
sional and manual labor categories Incompliance with provisions of
the Fair Labor Standards Act the lowest entrance salaries were elevated
from 231 per month to 255 per month during the year
Ccntsial State Hospital opexata it6 own watex treatment plant which
annually phoceAieA 676 million galloni o watex Shown above ii the
fiecentty completed iewage txeatment plant with a capacity p 7 mil
Lion gallon peji day and which will olio iexve the needk o the ci
ty ol IhilledgevWLe and Baldwin County
23
Let The new fixe Station
Above A numb ex oi wand a
neaA wexe nenovotedv
aflH
24
The 1970 session of the Georgia legislature appropriated funds for a
400 per yearsalary adjustment for all state employees Accordingly the
Personnel Board at its April meeting approved anew compensation sche
dule to be effective July 1 1970 which increased each step of the pay
plan 3350 per month All of our regular employees were assured of an
increase in this amount
A night salary differential for licensed nursing personnel was initiated
on July 1 1969
The following is a tabulation of personnel actions during the year

Appointments 1218
Transfers 426
Promotions 552
Demotions 23
Leaves of absence 227
Return from leaves 168
of absence
Miscellaneous 778
Separations 952 including 734 Resignations
117 Dismissals
18 Deaths
23 Transfers to other agencies
60 Retirements
Rate of turnover 23 6
The number of appointments listed above is based on regular employees
in pay status and does not include those on various types of leave without
pay or employees on stipends Consequently a figure obtained by sub
tracting separations from appointments will not balance with the change in
total employment
A tabulation of personnel of the hospital by type is shown on a sepa
rate page25
A WINNING COMBINATION
BEAUTY AND COMPETENCE
MliA CSH fan 7970 aj Mm Ruanda Underwood who id
SucAttaty to Food SwoldL VixzcXoft McuwLce McNabbmimmt
am
Hv
26
PERSONNEL BY TYPE AS OF JUNE 30 1969 AND JUNE 30 1970
n
1969
1970
1 Physicians
2 Dentists
3 Nurses
4 Therapists
5 Engineers
6 Sanitarians
7 Physical Scientists
8 Nutritionists
9 Education Information Specialists
10 Psychologists
11 Social Workers
12 Other Professions
13 SemiProfessional Technical
14 Managerial
15 Clerical
16 Agricultural
17 Trades Crafts Mechanical
18 Services
19 Manual Labor
Total
101 108
5 9
110 117
22 25
7 7
1 3
8 9
3 3
8 8
6 12
17 20
23 21
2117 2205
35 39
302 322
12 22
306 312
407 427
343 354
3833
4023
mmmm

27
ENGINEERING
The mission of the Engineering Division is to maintain adequate patient
housing and related facilities in a safe and sanitary condition and to up
grade the facilities to comply with the standards of the Joint Commission on
Accreditation
The Engineering Division is comprised of 278 employees including
administrative and supervisory personnel This division is responsible
for the maintenance of seventy major buildings housing approximately
9060 patients administrative offices and other related functions In
addition to building maintenance this division also maintains 103 personnel
dwellings that are assigned to staff members approximately 20 miles of
roads and streets operates its own water treatment plant which processes
676000000 gallons of water annually and operates its own steam plant
to provide power for heating and air conditioning of buildings and operation
of two laundries
The following is a brief summary of the major Engineering Projects for
1970
1 State Highway Department Program installed concrete curbs
and gutters underground culverts and paved the roads around
the Bostick Building
2 Hospital Authority project for new sewage treatment plant
with a capacity of 7000000 gallons per day to serve Cen
tral State Hospital Milledgeville and Baldwin County was
completed Contracts were let and work begun on a system
of lift stations and interceptor sewers to serve the hospital
and surrounding areas
3 Short term air conditioning units were installed in sick wards
of nine patient buildings
4 Three passenger elevators in the Powell Building were reno
vated with modern controls
The Dental Clinic was completely renovated to include floor
covering improved lighting repiping hot and cold water
systems new fixtures and new vacuum evacuation system
New floor covering was installed in the dining areas of the
Ingram Whittle Walker and Green Buildings
Contract was let and work begun to renovate eleven bath
rooms in the Boone Building and one bathroom in the BolandV 28
Building renovation to include new fixtures with all interiors
to have structural glazed tile 75 complete
8 Contract was let and work begun to renovate Tenth Ward to
include new roof exterior brick veneer new aluminum win
dows acoustical ceiling increased electrical service air
conditioning of patient areas and installation of fire sprink
ler system 90 complete
9 All windows were removed from the interior of patio in Boland
Building Windows were replaced with brick and structural
glass block
10 Improved lighting was installed in patient areas of the Powell
Green Binion and Whittle Buildings
11 The Pharmacy area in the Lawrence Building was expanded
to provide additional facilities for storage and work areas
12 Renovated Jones West wing to provide modern facilities for
OBGYN and EKG Departments
13 Constructed TV studio in Yarbrough Building for use by Audio
visual Services
14 Constructed Patient Information Office in Powell Building
15 Installed improved electrical service in Holly Building Old
Laundry and Powell Building
16 Installed outside lighting for Chapels 2 and 5 and on Law
rence Road and Yarbrough Drive
The Engineering Division actively participates in the Patient Rehabili
tation Program We are presently working with 45 patients who are being
trained in the various fields of construction and maintenance This program
enables individuals to return to the outside prepared for useful employ
ment through their experience and training in this program
The capital outlay program for this division plans for all patient
buildings to be air conditioned within the next ten years This program
will include construction of a new steam plant as the present plant is
gradually becoming obsolete and will not meet the increased demand for
steam that will be needed for our air conditioning program
SITE OF THE FUTURE
GENERAL MEDICAL t SURGICAL BUILDING
CENTRAL STATE HOSPITAL
STATE OF GEORGIA DEPARTMENT OF PUBLIC HEALTH
BRADBURY ASSOCIATES ARCHITECTS PLANNERS ATLANTA
II 1 I
L 1
Plan ion the New Genznal Mzdical and Sanglcal Hospital one almost complete
29
The iie Wonting on the Vinton Highway give ample Apace ion deveZopment30
i
Long range goals of this division are to establish a planned program
of preventive maintenance and capital outlay projects to provide a pleasant
environment for patients and employees with an ultimate goal of providing
adequate buildings and utilities to enable the hospital to meet its objec
tives of proper treatment and rehabilitation of patients
DIVISION OF MANPOWER ADMINISTRATION
The Division of Manpower Administration is concerned with the de
termination of requirements for and allocation of personnel resources and
optimum utilization of these resources This is accomplished through the
development of staffing standards employee training organization policy
and procedure formulation and management auditing Other programs are
grants management forms control printing and various staff services as
required The following are some of the significant events of the year
1 The division assumed responsibility for the secretariat of
the Plans and Operations Committee and for the direction of
the Print Shop
2 Developed policies and procedures for and initiated a forms
control program
3 Initiated manpower audits in hospital units and prepared
staffpatient ratios on a regular basis
4 Prepared staffed and published 54 amendments to the Policy
Manual including 24 new policies 12 new procedures 12
revised policies and six revised procedures
5 Initiated preparation of a Staffing Guide for the entire hos
pital
6 Processed 210 training applications prepared and submitted
602 Employee Training Records and coordinated preparation
of and forwarded 3950 Training Record Questionnaires
7 Planned and coordinated presentation of three management
training courses and coordinated the hospitals participation
in a supervisory development course presented by the State
Department of Education Completed preparations for train
ing in Planning Programming and Budgeting Systems to be
conducted during FY71
8 Prepared staffed and published 69 discrete amendments to
the organization chart

31
9 Processed approximately 2000 jobs at the Print Shop pro
ducing approximately 800000 printed cards and 4000000
printed sheets
HOSPITAL INFORMATION SYSTEM
Duringthe fiscal year 1970 the Hospital Information System designed
programmed and implemented a number of new systems a summary of which
follows
A public release on the menu planning system for the central kitchen
resulted in national and international interest and requests for additional
information were received from more than 48 states and five foreign coun
tries
1 Pharmacy Inventory System
This system provides and maintains a perpetual accounting
for all drugs and pharmaceutical supplies stored at Central
State Hospital
2 General Inventory System
This system much like the Pharmacy maintains a perpetual
record of all food clothing engineering and supply items
stored at Central State Hospital
3 Patients Payroll System
This accounting system produces auditable records of our
payments to working patients
4 Patient Recidivism Analysis
This system calculates the rate of return of patients released
from various units within the hospital It provides a super
ficial method of evaluating our patient treatment program
Annual Statistics Reporting System
This system calculates and maintains statistics on a yearly
basis for use in printing the annual reports Some of the
information contained in this system is as follows Admis
sions of patients by class Patients within the Hospital by
diagnosis Transfers out of the Hospitals Transfers into the
Hospitals Separations and Discharges32
6 File Maintenance System
This system was created for the purpose of retrieving from
the patient information files information in an expedient
manner We are called on to utilize this system almost
daily
7 Patient Clinic Scheduling System
This system produces reports of appointments which the
patients have with the ancillary functions in the Jones Hos
pital These reports are made available to the wards and
buildings so that they may prepare patients for appointments
This system also provides a reminder to wards and buildings
regarding specific medication that patients must have
8 Movable Capital Equipment Inventory System
This system maintains a perpetual inventory of all items
which have a value of 25 or more and an expected life of
one year or better It provides the hospital with the ability
to maintain inventories by department or unit and capture
transfers both interdepartment and intradepartment
9 Personnel Action Transmittal System
This system provides a means of transmitting to the Depart
ment of Public Health all personnel transactions These
transactions such as promotions and increases to salaries
update the payroll files at the Department of Public Health
and provide an expedient means of obtaining an accurate
payroll
10 Budget Planning System
This system provides the hospital with the facilities of cap
turing and printing the annual budget in advance by depart
ment and unit and consolidating into a hospital budget for
the fiscal year It also provides the facilities to alter and
revise the budget as required
Major maintenance and enhancements were applied to the following
systems in fiscal 1970

The Centnat Kitchen dibpenheh
30000 balanced meal6 pen day
Computerized menuA have con
siderably reduced ood cohtb
Small iteaki are accumulated and
provide a welcome change In diet
The bakery tutvnb out pie cake
and 1000 loavei ol bread pen day
3334

Patients Information System
This system was enhanced to provide more pertinent infor
mation regarding the patients history and background The
facilities were also provided to send via a telecommunica
tions device to Atlanta the entire patient information files
and to update these files with relevant information periodi
cally This will give the Department of Public Health the
facility of a central patient census file
2 Patients Deposit Fund
This system was enhanced to provide daily updating of pa
tients deposits and withdrawals allowing the patient to more
regularly utilize his checking account here at the hospital
3 Menu Planning
Menu Planning has been maintained and enhanced to provide
the Food Service Director more and better control over the
raw food costs
4 Personnel System
This system has been enhanced to provide management with
more adequate reports regarding vacancies and personnel
transactions
Systems which were designed in 1970 and scheduled for implementation
in early 1971 are as follows
1 Budget and Cost Control System
This system will provide the management of Central State
Hospital with accurate and expedient information regarding
the budgets and encumbrances to these budgets of each and
every department and unit within the hospital ultimately
capsuling this report to a hospitalwide budget and encum
brance report
Cost Findings
Cost findings is in the process of being designed and will
provide the hospital with the facility of acquiring more agen
cy income from federal and industrial insurance programs

This system will also provide management of the hospital
with better cost information thus giving them the facilities
to better manage our scarce resources
3 Credit Union
35
The Credit Union has asked that the Hospital Information
System design program and implement an accounting system
for the accounts which they maintain for the personnel at the
hospital This system is being reviewed by the hospital
management and should begin the design phase no later than
September 1970
In addition to the above the Hospital Information System has been
called on at the rate of approximately thirty 30 times per month to provide
to hospital management special statistical reports regarding patients the
budget and personnel
The computer utilization has steadily increased over the past fiscal
year from 90 central processing unit hours in June 1969 to 170 central
processing unit hours in June 1970
The staff of Hospital Information System consists of a Data Processing
Manager a Systems Analyst a Programmer II three Programmer Trainees
three Computer Operators five Key Punch Operators and a Secretary The
staff continues to further its capabilities through the educational facilities
provided by the IBM Corporation through its General Education and Medical
Offices in Atlanta
The Hospital Information System continues to aid the hospital in meet
ing its objectives by providing management with expedient information in
areas concerning resources and patient care
INDUSTRIAL ENGINEERING
Industrial Engineering has become the locus of information for the
Medicare Medicaid and National Health Insurance programs at Central
State Hospital by gathering all available information into their office
Detailed reference manuals are being completed which correlate Federal
and Georgia laws list conditions of participation show guidelines for
gaining participation in all phases of Medicare and Medicaid should they
become available describe existing procedures in detail and make re
commendations for additional participation in Medicare and Medicaid
36
Industrial Engineering also has the continuing responsibility of sur
veying new decisions rulings and laws to maintain a current knowledge
of Medicare Medicaid and National Health Insurance programs In this
manner Central State Hospital can be more alert to and take advantage of
additional sources of revenue with which the quantity and quality of patient
care can be improved Income derived from implemented recommendations
during the first six months of 1970 fiscal year will far exceed the cost of
conducting the project
Projects upon which Industrial Engineering was working when the
MedicareMedicaid Project assignment was received were delayed until
completion of the MedicareMedicaid Project The Budget Simulation the
Total Linen Systems Study and the Industrial Engineering Manual will first
be reinitiated Upon completion of one or more of these projects studies
in Nursing Time and Motion Printing Costs Comparison and Communica
tions TWX are being planned and scheduled An advanced course for
Data Technicians who have completed one of the basic courses conducted
by the Industrial Engineering Division is being tentatively planned for
this fall or winter
HORTICULTURE
Three new projects begun during fiscal year 1970 included the recon
struction of the old Colony pond orchard for a recreation area for patients
the renovation of the grounds of the old cemetery and anew rehabilitation
garden between the Rivers Building and the Vinson Highway
The old Colony pond area will be one of the most important recreational
areas for hospital residents and is now approximately 20 completed It
will be divided into several sections so that many functions can be carried
on simultaneously Scuppernongs and muscadines have been rooted and
will be ready for planting in the fall This part of the new orchard will
cover 10 acres and will also include apples pears and blackberries
Renovation of the old cemetery is about 40 complete and has been
planted with Bermuda grass and made much more attractive Garden Clubs
of Georgia Inc furnished 2000 narcissus bulbs which were planted in
the western section of the cemetery under loblolly and short leaf pines and
beside the walks that are being established throughout the cemetery aza
leas camellias and flowering shrubs will be planted Dogwoods and
flowering cherries have already been planted
The rehabilitation garden project was started three years ago and
includes an eight acre area which will function both as a picnic grounds
and a flower garden The building was finished this year and zoysia grass

The greenhouse is producing as many flowers as can be adequately
arranged The arrangements go to the hospital wards and various other
patient areas Forty thousand cut chrysanthemums were produced as well
as 3 6000 snapdragons however this only allows about 20 arrangements
for each ward per year In addition floral arrangements are furnished for
each funeral that is held in the hospital chapels Floral arrangements are
supplemented by pot plants of geraniums coleus begonias gloxinias
and ageratum
Bedding plants are furnished for the garden clubs of the hospital for
planting in the various hospital areas by patient members
All patients assigned to the department are on the Patient Pay Program
and most come from the Yarbrough Building through the Vocational Reha
bilitation Division
37
will be planted on the bank on the north side of the building as soon as
possible More than 1200 ft of walks are to be planted with various
grasses and flowering perennials in the north area and with azaleas and
camellias to the south In addition to this a garden for the blind is con
templated which will include various types of scented plants as well as
those with different leaf textures
EJOgBBSPBieipa

38
Camt thou not mlnlbteA to a mind dacud
Pluck ftom the memory a tooted iowiovo
Raze out the MhJXten tAoubleA oh the bitaln
And with home meet obtivloui antidote
Cleanse the Atud boom ofi the pexitoui Atu
Which welglu upon the heantl
Macbeth39
CLINICAL
ASSISTANT SUPERINTENDENT
CLINICAL
Michael L Sheppeck MP
GENERAL PSYCHIATRY
SPECIAL PSYCHIATRY
NURSING SERVICE
PSYCHOLOGY
SOCIAL WORK
SOCIOLOGY
CHAPLAINCY SERVICE
SPECIAL EDUCATION
40
UNIT 1
BUILDINGS Powell Const 1858 remodeled 1955 Walker Const 1883
Green Const 1947 10th Ward Const 1938
NUMBER OF WARDS 13
PATIENT CENSUS June 30 1970 1100
ADMISSIONS 973
DIRECTOR Santiago Aguilar M D
ADMINISTRATOR James Tate
DIRECTOR OF NURSING Mrs Ouida Couch Registered Nurse
COUNTIES SERVED 3 Fulton DeKalb and Clayton
This Unit includes admissions coming from the Metropolitan Atlanta area
the number of patients from Fulton County being the largest The two ad
mission wards are located in the Powell Building which includes four other
wards The main domiciliary buildings are Green and Walker which house
females and the 10th Ward which houses males The Unit includes a com
plete roster of treatment services including psychology social service
occupational therapy music therapy recreation therapy and chaplaincy
services During the past year patient involvement in various hospital
activities increased considerably
A close working relationship and liaison has been maintained with
state mental health resources such as the Georgian Clinic the Georgia
Mental Health Institute the Atlanta Regional Hospital and comprehen
sive mental health centers in Fulton DeKalb and Clayton Counties These
aftercare programs are proving increasingly effective in helping the patient
remain out of the hospital
All physicians in the first and second year of the Psychiatric Residency
Training Program remain in the Unit thus providing the patients with con
siderably more medical supervision than they would otherwise receive
The Units population also increased last year when it was assigned
responsibility for mentally ill individuals housed in the Georgia Rehabili
tation Center for Women
The major need of the Unit for the coming year is air conditioning of41
two large buildings Green and Walker The 10th Ward building is being
completely renovated The outside is bricked and a new roof installed
Interior renovation includes new windows new walls a new sprinkler sy
stem new bathrooms a special clothing room and other facilities The
air conditioning of the building was completed this past year Also during
the year the Green Building was painted Walker 1 sick ward was air
conditioned and the dining areas in both Walker and Green were com
pletely remodeled
ALL WORK AND NO PLAY HOW DOES IT GO
An elective IntxamuxaL ipoKtt program provide yearround recreation in mot
major sports Competition U keen and trophies are awarded at the end oh each
league schedule Recreation Like alt other patient activities at CSH lt in
cluded in the patient6 therapeutic ph0QKam Recreation Therapist Supervise
KHIIBBBHBBnHHaHaHlHBBHflMnMlm

42
UNIT 2
BUILDINGS Bostick Const 1951 and Washington Const 1950
NUMBER OF WARDS 20
PATIENT CENSUS June 30 1970 1362
ADMISSIONS 1214
DIRECTOR Eduardo Guernica MD
ADMINISTRATOR Paul W Mitchell
DIRECTOR OF NURSING Mrs Fay Fidler Registered Nurse
COUNTIES SERVED 45 Bibb Crawford Peach Houston Taylor Macon
Dooly Pulaski Chattahoochee Marion Schley
Sumter Crisp Wilcox Stewart Webster Cook
Quitman Randolph Terrell Lee Worth Irwin
Turner Calhoun Ben Hill Dougherty Berrien
Early Miller Baker Mitchell Colquitt Sem
inole Clay Tift Grady Thomas Brooks Mus
cogee Lowndes Lanier Echols Decatur Harris
The overall objective of the Unit is to improve patient care through improved
treatment programs better nursing care improved physical plant and equip
ment and reduction of patient load In regard to the latter the patient
census at the end of the year was 1362 compared to 1428 at the end of the
previous year despite a full years experience of the addition of Muscogee
County to this Unit
Psychiatric treatment follows basically an eclectic approach with all
disciplines occupational therapy music therapy recreation therapy so
cial service psychology and chaplaincy participating directly with the
psychiatrist in a coordinated therapeutic effort through an active milieu
program By this the patient is kept active most of the day This program
operates in the intensive treatment wards and progress is being made in
order to provide a similar program in Washington 1 Unfortunately inad
equacy of personnel and overcrowding are hindering further progress The
results seem encouraging and it is hoped that somehow in the future the
program can be extended to other wards
In regard to physical illness each building has its own sick ward
where minor illnesses are treated Patients with major illnesses are transferred to the Medical and Surgical Unit in the Jones Hospital for their
treatment
While improved patient care is the basic objective of Nursing Service
nursing education has received special attention during the past year
Registered nurses have attended management development courses a course
on mass casualties held at the Medical College of Georgia in Augusta a
course on alcoholism presented by the Georgian Clinic in Atlanta and a
course on staff development for professional nurses held at Central State
Hospital
Although social service has remained primarily related to routine ser
vices because of the lack of staff there has been considerable work with
patient groups A major emphasis has been on nursing home placements
as a significant means of reducing patient population thus increasing the
staffpatient ratios
Building and eguipment improvements continue at a satisfactory level
Highlights of construction were the completion of the Bostick road and
circle complete with sidewalks curbs and drains The badly needed
linen rooms on all the wards in the Bostick and Washington Buildings were
completed A new drug room has been constructed and will be in operation
early next year The contract using current year funds has been let to tile
the remaining six wards in the Bostick Building Modernization and re
placement of eguipment continued There were no personnel increases
during the fiscal year
43

iBliiHiHHi
44
UNIT 3
K
BUILDINGS Holly Const 1949 Ingram Const 1928 Howell Const
1939
NUMBER OF WARDS 20
PATIENT CENSUS June 30 1970 1232
ADMISSIONS 1227
DIRECTOR Jose A G Mendoza MD
ADMINISTRATOR R O Pennepacker
DIRECTOR OF NURSING Mrs Frances Osborne Registered Nurse
COUNTIES SERVED 38 Richmond Jefferson Burke Johnson Treutlen
Emanuel Jenkins Screven Laurens Charlton
Effingham Wheeler Toombs Candler Bleckley
Montgomery Tattnall Bulloch Coffee Chatham
Atkinson Long Camden Evans Jeff Davis Lib
erty Brantley Dodge Telfair Bacon Wayne
Appling Pierce Mclntosh Bryan Ware Glynn
Clinch
Admissions during the last year increased by 151 to a total of 1227 how
ever the census decreased by 82 to a total of 1232 due in a large mea
sure to patients being successfully placed in nursing homes Monthly
admissions averaged 102 this year as against 92 last year Monthly re
turns from furlough averaged 66 for both years
During June of the year the Social Work Division recruited 128 vol
unteers from two local high schools The students assisted Unit person
nel in individualized services for the residents The volunteers spent
their time writing letters involving the patients in the cosmetology par
ties helping regressed patients become active in ward programs and just
talking to patients The project has been so successful it will be con
tinued during the coming year
The dental clinic operatory completed the screening of all patients
performed extensive dental repair and generally improved oral hygiene in
the Unit
Inservice education was enhanced by the full time assignment of a45
registered nurse as an instructor which permits continuous onthejob
training for ward personnel in improved nursing techniques however re
gistered nurse staffing in other areas is critical
Housekeeping was expanded with the assignment of a supervisor for
the male service in the Howell Building A number of patient areas were
improved the square footage per patient was increased and continuing
improvement in these two areas will be a major project of the new year
A considerable amount of new equipment was added during the year
permitting much better recording of patient records New beds have been
added in several areas and Ingram 1 North and Howell 2 North both sick
wards have been air conditioned
Some adjustment in ward alighment was made making physician and
nurse coverage more available to the patients Computer listing of pa
tients going to the Eye Clinic and other clinic appointments has been of
great assistance The affiliation of the nursing students from Georgia
College at Milledgeville has been helpful in providing better patient care
Twentysix students completed their affiliation in Unit 3 this past year
Thz old iukin hole ptioidzi donvwdatlon tieZaxation and iomeXlmu lih46
p UNIT 4
BUILDINGS Freeman Const 1962 1939 Arnall Const 1939 new addition
NUMBER OF WARDS 17
PATIENT CENSUS June 30 1970 1414
ADMISSIONS 1292
DIRECTOR Charles A Rich MD
ADMINISTRATOR William W Curl
DIRECTOR OF NURSING Mrs Ruth Mullis Registered Nurse
COUNTIES SERVED 28 Catoosa Walker Whitfield Murray Dade Gil
mer Chattooga Floyd Gordon Bartow Pickens
Cherokee Haralson Paulding Cobb Polk Car
roll Douglas Heard Coweta Fayette Talbot
Spalding Meriwether Troup Up son Pike La
mar
Admissions to this Unit come from 2 8 counties in the northwest corner of
Georgia The Unit census shows a net reduction of 129 patients during
the past year The reduction was brought about by the transfer of patients
to the regional hospital at Thomasville as well as by the placing of nurs
ing home candidates from the Unit into geographical areas served Admis
sions have been averaging over 100 per month
The Unit operates three admission wards one male and two female
Unit 4 continues to operate a sick ward that could be classified as a
skilled nursing home This ward has qualified personnel and adequate
coverage for any given 24 hour period Ward areas have been improved
and the reduction of patient census has allowed more space per patient
on each of the wards
A new dental operatory was installed in the Arnall Building A full
time dentist a hygienist and two aides staff this department Expansion
of services by the special therapies has helped considerably with the con
tinued treatment of patients confined to Unit 4 Ward programs have been
started by occupational and recreation therapy
The treatment programs in the Unit have changed slightly during the
year due to a turnover of the medical staff however they continue to be
hhmmnp

47
more than adequate and chemotherapy is utilized as one of the major
treatment programs
During the year the staff to patient ratio has slightly improved with
the addition of several new attendants to the afternoon shift The social
work program has also improved with the adding of personnel to the staff
The medical staff with the assistance of social service continues to
encourage community contacts with the patients so that treatment may be
continued after the patient is discharged or sent home on convalescent
leave
The continuation of equipment modernization programs constant im
provement of patient residential areas and the establishment of a closer
working relationship within the Unit as well as with the local communi
ties is providing better patient care and treatment and the development
and utilization of new and tested methods of psychiatric care within the
Unit Careful evaluation and analysis of existing programs based on
collected data is providing factual information for the improvement of all
Unit operations A planned capital outlay program for next year will in
clude the complete air conditioning of Arnall East which was built in 1939
New and modern lighting will also be installed

The new nnoJizoJtion centeA opened laut yzoji ti much appftecioXed by the paLentigj texts fe8ft ivs tfc i
gg
48
UNIT 5
BUILDINGS Allen Const 1939 Whittle Const 1901 remodeled 1953
NUMBER OF WARDS 18
PATIENT CENSUS June 30 1970 843
ADMISSIONS 1373
DIRECTOR Lorenzo del Portillo M D
ADMINISTRATOR Thomas A Simmons
DIRECTOR OF NURSING Mrs Mildred H Daniel Registered Nurse
COUNTIES SERVED 45 Fannin Union Towns Rabun Dawson Hall
Elbert Lumpkin White Habersham Banks Hen
ry Forsyth Stephens Franklin Gwinnett Bar
row Jackson Madison Hart Rockdale Walton
Newton Oconee Clarke Oglethorpe Wilkes
Glascock Lincoln Taliaferro Greene Butts
McDuffie Jasper Putnam Hancock Warren
Washington Monroe Jones Baldwin Wilkinson
Columbia Twiggs Morgan
Unit 5 continues to progress although turnover of professional personnel
has been a problem during the past year In spite of this effective pro
grams in activity milieu behavior modification resocialization attitude
techniques drug addiction problems and work with chronic patients have
all progressed Also effective have been home and family management
classes adult education for both male and female patients and an orien
tation program for new admissions Weekly rounds in the General Medi
cal and Surgical Hospital have been continued so that patients from the
Unit maintain contact with Unit personnel Wellplanned program activi
ties have been conducted by the recreation therapy occupational therapy
music therapy and remotivation departments as well as by the volunteer
workers from the garden clubs
The Unit now has two nursing home wards one in each building A
toilettraining program was initiated in the Whittle Building and a closer
supervision of storage rooms as well as the repair and dispersal of fur
niture has resulted in dressing up the wards
An interdisciplinary executive committee was organized to provide
better communication interdisciplinary cooperation and more unified de

49
cisions on policy and procedure
Each patient in the Unit was completely reevaluated for mental status
and physical problems A medication review and progress note on general
treatment was initiated with the advent of the 1970 Mental Health Law
All court cases have been reviewed and disposition made according to the
patients mental condition
Unit personnel have continued visiting various health departments
aftercare clinics nursing homes and other treatment facilities within the
geographical area covered by the Unit This has improved communication
and resulted in better treatment techniques A total of 43 6 patients were
transferred to nursing homes during the past fiscal year The Unit census
last year was 1191 and this year was 843 giving a total decrease of 348
patients
Physical changes in the Unit have been extensive Fluorescent lights
were installed in the Whittle Building new recreation and occupational
therapy areas were constructed air conditioners were installed in both
sick wards commercial washers and dryers were installed for the patients
personal clothing the Whittle Building was painted and necessary repairs
were made to windows and doors Dining areas in the Allen Building were
renovated and a lounge was setup in each building for women employees
During the coming year an orientation program for chronic and senile
patients will be initiated the toilettraining program for chronic patients
will be expanded a preparation ward for vocational rehabilitation candi
dates will be set up and hopefully a ward for attendant job orientation
which will function under the direction of a clinical instructor registered
nurse will be organized
Ml6 Van UonAsL cut the cake
Geongia BeutlcianA Annual JliiX50

UNIT 6
BUILDINGS
Cabiness Const 1901 remodeled 1953 Carl Vinson
Georgia War Veterans Home Const 19 69
NUMBER OF WARDS 13
PATIENT CENSUS June 30 1970 467
ADMISSIONS 84
DIRECTOR Carl L Smith MD
ADMINISTRATOR Vacant
DIRECTOR OF NURSING Mrs Edna Ross Registered Nurse
COUNTIES SERVED The State of Georgia
The new Carl Vinson Georgia War Veterans Home has given the institution
treatment space for 150 additional veterans including a 10bed ward for
females Treatment programs include all standard therapies as well as
effective inservice treatment programs Some physical ward changes were
made to better accommodate the type of patients assigned to the wards
An increased number of personnel and the above mentioned changes
in the physical facilities have materially contributed to an improved treat
ment program The assignment of an additional recreation therapist and a
fulltime attendant to work with him has resulted in a much better program
for the aged residents
In the Cabiness Building some additional equipment renovation of
physical facilities and reassignment of ward functions has resulted in a
more effective utilization of personnel as well as an improved treatment
program The medicine rooms were removed from the wards and each pa
tient in the Cabiness Building now has a private room Monthly inservice
programs have been effective in raising the efficiency of nursing personnel
thereby resulting in better patient care
The new building is a modern threestory air conditioned facility in
corporating the latest techniques in utilizing the patients environment as
a therapeutic toolUNIT 7
MAXIMUM SECURITY
51
BUILDINGS Binion Const 1946
NUMBER OF WARDS 4
PATIENT CENSUS June 30 1970 266
ADMISSIONS 309
DIRECTOR E L Stincer MD
ADMINISTRATOR Calhoun Berry
DIRECTOR OF NURSING Vacant
COUNTIES SERVED State of Georgia
The Unit has responsibility for the psychiatric treatment of court cases
male inmates of the state penitentiary system and hospital patients who
require treatment in a maximum security setting Admissions during the
year totaled 309 288 patients were discharged as improved or restored
The treatment program now includes chemotherapy individual psy
chotherapy group psychotherapy milieu therapy recreation therapy
work therapy and music therapy The completion of a new laundry has
provided additional opportunity for patients in job training and the work
therapy program has expanded as a result The addition of another phy
sician to the staff has materially increased the effectiveness of the treat
ment program
A new roof on the building has made possible better security measures
The ward environment has been improved with the addition of upholstered
furniture in the recreation rooms instead of the wooden benches formerly
used
The Unit director is required to do considerable traveling in testifying
in court cases as well as in other matters affecting the forensic psychia
try program A total of 20 visits were made last year in carrying out this
responsibilityI I I III I I III

52
UNIT 8
BUILDINGS Childrens Rehabilitation Center Const 1964 Adolescent
Wards 7 and 8 Boland Building Const 1969
NUMBER OF WARDS 4
PATIENT CENSUS June 30 1970 105
ADMISSIONS 88
DIRECTOR Juan Portuondo MD
ADMINISTRATOR Jerry Bush
DIRECTOR OF NURSING Mrs Mary Ann Bell Registered Nurse
COUNTIES SERVED The State of Georgia
The Unit provides psychiatric treatment and care for 122 mentally disturbed
children and adolescents It includes the Childrens Building with a capa
city of 56 patients and two adolescent wards in the Boland Building with a
capacity of 40 beds on each Adolescent Ward 7 is occupied by males and
Adolescent Ward 8 by females
The Unit provides a complete treatment program individual and group
psychotherapy child psychiatry psychology and social work services
chaplaincy services special education classes provided by the Special
Education Department State Department of Education music recreation
and occupational therapy a behavior modification token system on the
adolescent wards a merit and demerit system in the Childrens Building
and ward government on the Adolescent Wards Special programs include
growth and development and speech therapy sessions in cooperation with
the University of Georgia Speech and Hearing Clinic
During the year the policy was established that children and adoles
cents with an IQ above 70 would be admitted to the Unit
Several innovations have added to the efficiency of the treatment pro
gram including the establishment of a Kardex nursing care plan with pic
tures throughout the Unit the completion of a course in cardiopulmonary
resuscitation procedure by all nursing personnel the selection and certi
fication of a team of attendants for intravenous medications andnasogas
trictube feeding the modification of the adolescent wards to provide quiet
rooms with seclusion doors Quiet rooms were also constructed in the

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Childrens Building A background music and intercom system was in
stalled in the Adolescent Wards and the Childrens Building
Some of the Units problems include the lack of an adequate recrea
tion area for adolescents the shortage of teachers and classrooms in the
School of Special Education Twentyfive per cent of the boys and girls
are unable to attend school because of insufficient classroom space and
teachers54
UNIT 9
BUILDINGS Boland Const 1951 Boone Const 1952
NUMBER OF WARDS 16
PATIENT CENSUS June 30 1970 823
ADMISSIONS 101
DIRECTOR Evelio F Diaz MD
ADMINISTRATOR Bobby Sheppard
DIRECTOR OF NURSING Mrs Virginia Smith Registered Nurse
COUNTIES SERVED The State of Georgia
The function of this Unit is the care treatment and education of those
persons whose primary impairment is mental retardation The goal is to
provide an interim experience to enable the residents to develop their
fullest potential at physical emotional spiritual and social levels regard
less of the degree of handicap Approximately 298 staff members serve
the 825 residents of the Unit
Possibly the most significant development during the year was the
organization of interdisciplinary teams working in the four areas of mild
retardation moderate retardation severe retardation and profound retar
dation Development of these teams around the interdisciplinary concepts
has resulted in implementing training programs in three areas in the Unit
The wards are grouped so that residents are similar in terms of level of
retardation and behavior Each team examines the needs of the residents
on the teams three wards and designs a program that makes best use of
staff in the treatment program
The team working with mildly retarded residents has developed an
effective training program for adolescents Token economy systems pro
vide the ward structure for two of the three wards The Special Education
Program and vocational rehabilitation facilities are utilized to provide off
ward training for the residents All other disciplines provide services for
residents with special needs as well as those not involved in school or
work training The result of this approach is seen in an increased num
ber of furloughs and an increased number of residents transferred to the
Yarbrough Building for vocational training
The teams tor the mildly retarded severely retarded and profoundly
HHretarded are in the process of developing their programs to include both
structured ward programs and offward activities as well as providing
training in selfhelf activities which will enable the residents to better
cope with an institutional life
55
GENERAL PROGRAM ACTIVITIES
Medical services are offered to the residents by six physicians who
provide for the total health care of the residents including pediatric and
psychiatric services Also available are the services of the Department
of Physical Medicine
The Nursing Service profited by the addition of new ward programs
and the expansion of the Housekeeping Department thereby allowing the
Nursing Department to participate more actively indirect care of the resi
dents
The psychologists implemented several behavior modification programs
during the year The two token economy wards have been maintained and
the level of functioning has risen considerably due to refinements in the
programs The training program on Boone 8 has been extended to include
a nursery school designed to prepare the children for entrance into the
Special Education Program Psychologists also provided psychological
evaluations on both residents and outpatients and served in several lead
ership capacities
The music therapy staff has conducted two training programs in toilet
training and selffeeding with severely retarded residents The staff has
alsocontinued the Unit choirof 40 mildly retarded residents and has begun
preschool training for selected residents of Boland 3
Recreational activities are arranged to suit the weather available
resources and needs of the residents and include both large and small
activities Several programs are carried out in conjunction with other
disciplines
Remotivation personnel have worked with 200 residents during the
year in small group sessions which utilize the five basic steps of remo
tivation therapy and practice
Social service has had major responsibility for coordinating pre
admission evaluation services expanding and upgrading the collection of
background and social history information on all new admissions and in
providing counseling services for individual residents and their families
Vocational rehabilitation has increased the number of residents ad
mitted to the Yarbrough Center during the past year and has also developed56
a more comprehensive vocational training program for the retarded
College students hired as summer workers during the summers of 1969
and 1970 have brought youthful enthusiasm to the Unit and provided much
needed assistance They have worked effectively in the toilettraining
and feeding programs established on Boone 5 and in an additional feeding
program on Boone 3 Students from Mercer University in Macon have driven
the 60 miles each week to work with retarded children and students from
Georgia College at Milledgeville have also been active in the volunteer
programs
An increased number of worship services clinical pastoral services
clinical pastoral education sessions and conferences on the aspects of
religious interpretation have been conducted in Unit 9 during the year by
chaplaincy service
Inservice training programs have been considerably expanded includ
ing six programs in general orientation in retardation a retardation work
shop psychiatric aide training program a continuing education program
for nursing personnel special training activities for the Housekeeping
Department and classes in physical therapy training participated in by
several members of the nursing service
Several staff members of the Unit were honored during the year One
member served as president of the Georgia Association for Retarded Child
ren another served as president of the Baldwin County Area Association
for Retarded Children and Mrs Alma Digby Charge Attendant was recog
nized by the Georgia Association for Retarded Children with an award as
Outstanding Residential Service Worker for Central State Hospital
CSH athlztnA won ouA madaJU and eight ribbon cut Ckicago Olympics

UNIT 10
57
BUILDINGS Yarbrough Const 1962 Various Work Centers around the
hospital
NUMBER OF WARDS 8
PATIENT CENSUS June 30 1970 283
ADMISSIONS No direct admissions
DIRECTOR Salvador Mendez M D
ADMINISTRATOR Levi Swinger
DIRECTOR OF NURSING Mrs Janet Smith Registered Nurse
DIRECTOR OF VOCATIONAL REHABILITATION SERVICES W C Petty AB
COUNTIES SERVED The State of Georgia
This Unit is operated jointly by Central State Hospital staff who provide
the psychiatric treatment services and the staff of the Office of Rehabili
tation Services who supervise a treatment milieu in which the emotionally
disturbed patient can acquire sound work habits and vocational skills in
preparation for employment in his home community
The Unit contains eight psychiatric treatment wards a specialized
treatment program for patients with multiple handicaps such as sight
speech and hearing defects the testing laboratories for Neurology and
Electroencephalography the research laboratories in Medical Genetics
and the hospitals closedcircuit television studios and transmission
equipment In addition there is a Work Evaluation Training Center a
VocationalTechnical School and an Adult Basic Education Training Pro
gram in cooperation with the Baldwin County Board of Education
Patients enter the Unit from referral by the vocational rehabilitation
counselor on the ward and come from all over the hospital They suffer
from a variety of psychiatric and workrelated problems Many of them
have long histories of poor work adjustment inadequate vocational and
educational skills and a number have never worked There is also the
patient who cannot return to his previous employment because of his hand
icap and must seek job retraining The counselor works closely with the
psychiatric team from referral until the patient leaves the hospital thus
he is better able to understand the patients problem and to help him arriveIHHIHflgBBMEflNflflHOBHflHiHHIHHflwBMi
58
at agood vocational adjustment Last year 2446 patients received voca
tional rehabilitation services
The counselor uses the evaluation unit to assess the patients adjust
ment to work and his vocational aptitudes and skills Work samples work
performance tests psychometric tests including specific and general
aptitude tests are used in measuring the patients specific abilities
work aptitudes work habits and behavior and his tolerances to work con
ditions A total of 539 clients received vocational evaluation
Many patients receiving an evaluation are found to have serious pro
blems in adjusting to work The counselor has a wide range of services
available to him in helping the client overcome his problems More than
325 clients receive services through the program of the Work Evaluation
Training Center This number represents many patients who could not even
have been properly evaluated for vocational rehabilitation services due to
their severely impaired condition Through this program an improved level
of adjustment and function was achieved and the client thus became eli
gible to receive the full range of vocational rehabilitation services Some
50 clients have been placed in competitive employment outside the hospi
tal directly from the Work Evaluation Training Center Many more showed
significant progress and were moved to the vocational training classes
The work training program is made as realistic as possible incorpo
rating within real work settings many of the demands made upon employees
of industry Clients are working on contracts that have been made with
private industry A total supportive therapy approach is undertaken in the
work training center to encourage the long term chronic patient enrolled in
this program
The work adjustment unit extends the range of work settings available
for adjustment training to include almost any conceivable occupational
area of interest to a VR client Over 500 patients received services through
the work adjustment program which emphasizes behavioral development
of work habits and interpersonal skills with the ultimate goal being the
resocialization or rehabilitation of the patient
Two approaches are used in achieving this units objectives One is
treatment through work therapy The philosophy of work therapy suggests
that in making a good vocational adjustment the patient will also solve
many of his nonvocational problems The second is using work adjust
ment as an evaluation technique permitting the early identification of a
patients assets and potential which can be developed through a voca
tional rehabilitation program The emphasis of the program is on the dy
namic element of the worker on the patients abilities as a productive
person rather than concentrating on his disabilities In this milieu the

59
patient is an active rather than a passive being Work therapy differs
from related programs such as occupational therapy in that the work setting
is realistic
Numerous specialized training programs in the adjustment area have
been developed One of the most popular and largest has been the Unit
Home and Family Management classes which provide basic adjustment
training for the chronic female patient Through homemaking activities
familiar to these women the course provides a medium with which they
can identify and provides instruction in practices in which they will be
engaged upon release It is also beneficial in helping them to learn skills
and reduce anxiety which may be created by a feeling of inadequacy
The classes are held in each psychiatric Unit have been supplied
with furniture and equipment that closely resembles that found in therhomes
of most patients and the classroom has been turned into a little home
Instruction is geared to individual needs and abilities Specific areas of
instruction are home management food and nutrition home nursing basic
education child care personal and social adjustment clothing and crafts
During the past year 447 women participated in these classes
Many of the clients worked with by vocational rehabilitation are found
to be unable to locate employment upon release To meet this need the
adjustment services unit has recreated a class called The Job Hunting
Class designed to teach the VR client how to go about applying for jobs
in an appropriate way Sixtyeight clients were served in this program
Adjustment services are provided on the multiple handicap ward of the
Yarbrough Rehabilitation Center for clients with sensory losses Two
classes are taught daily in sign language for the client with impaired hear
ing and mobility training is provided three times a week through a coop
erative agreement with the Georgia Academy for the Blind for the visually
impaired client
Educational handicaps are one of the most common to the population
served by vocational rehabilitation In order to teach many vocational
skills educational skills must be acquired in advance The most logical
method of approach is in the form of the program of education aimed at
taking the individual at his present level and upgrading him to the greatest
extent possible This may be from the rudiments of basic reading and
writing skills to enable a client to obtain a general educational develop
ment equivalency diploma required by many employers today During this
past fiscal year the adult basic education program in cooperation with
the Baldwin County Board of Education worked with 252 patients
Once the VR client has made a more satisfactory adjustment to work
and overcome basic academic deficiencies a formal program of vocational60
training may be undertaken The vocational training program at the Yar
brough Rehabilitation Center provides training similar to the states voca
tionaltechnical school program The program is tailored to fit the needs
of the individual patient but is designed to train students on a level equal
to that of the vocational training schools in the community
When a client is ready for release he may continue his training in
the public and private school systems in his home community without loss
of credits earned at the Yarbrough Rehabilitation Center These arrange
ments were made with the Georgia State Department of Education and with
private institutions at the inception of the program Over 900 clients re
ceived training through the program in the following areas automotive
service repair barbering cabinet making business education cosmetol
ogy drafting metal trades nurses aide and shoe repair
The Office of Rehabilitation Services operates a program of community
rehabilitation residences This program has been an effective instrument
in helping the discharged patients make a satisfactory adjustment to com
munity living A new residence was opened in Macon this year bringing
the total to six Residences are also operated in Augusta Albany Colum
bus Savannah and two in Atlanta Approximately half of the patients
completing a rehabilitation program at the Yarbrough Center are now pass
ing through the rehabilitation residences when released from the hospital
A total of 370 clients after receiving the followup services by the field
counselor made a satisfactory adjustment to employment
Adult BaAlc Education Lcasining Lahofiatofiy In VaAbnouQh BaiZcLing
WWIWPW
61
PSYCHOLOGY DIVISION
The Psychology Division has adopted an approach toward the evaluation
and treatment of mental patients based on application of the results of
scientific research to the problem of emotional disorders There is a con
stant evaluation of the effectiveness of these techniques which leads to
old procedures being replaced by more effective techniques This is also
true of administrative activities and much systematization of these func
tions has been achieved during the past year The Psychology Division is
not only doing more but doing it better
RESEARCH EDUCATION AND TRAINING
The Research Education and Training Section coordinates activities
in these three areas making their work more efficient
Psychologists at Central State Hospital are among the most productive
in conducting and publishing scientific research Members of the Division
published in scientific journals or read at professional meetings eight re
search articles Ten other research projects conducted at CSH are com
pleted and the results are in preparation for publication Seven research
studies now in progress are concerned with both treatment and evaluation
and have as their principal aim the improvement of services to the patients
of CSH
The Division cooperates with the Public Information Office in providing
seminar programs for visiting high school and college students The goal
of this program is to dispell erroneous ideas about the hospital and emo
tional disorders Psychologists are active in the inservice training pro
grams of other disciplines and are frequently called upon to present lectures
which illustrate the role of the clinical psychologist in the evaluation and
treatment of patients Psychologists spoke to a total of 3822 individuals
as part of the above programs
INTERNSHIP PROGRAM
The Psychology Division was approved for the eighth consecutive year
of its internship training program in clinical psychology subsequent to the
visit of an American Psychological Association Evaluation Committee
In 1963 CSH became the fifth state hospital in the entire United States
to have an accredited internship program in clinical psychology and today
it is one of only nine approved departments in the southeast
The Division is very selective in accepting intern applicants con
sidering only those students who rank in the upper 10 percent of theirgigmgnmu
62
graduate classes This year two interns have received training in clinical
psychology The number is kept small to permit each intern to receive
close personal supervision by PhD psychologists Interns are taught
treatment and evaluation skills which center around an understanding and
appreciation of research findings Interns are encouraged to do research
while at the hospital
TECHNICIAN PROGRAM
During the past decade the Division has been involved in a highly
innovative program utilizing subdoctoral personnel The Psychology Di
vision at Central State Hospital was one of the first to utilize Bachelor
and Masterlevel assistants or psychology technicians for psychological
testing interviewing patients and writing psychological evaluations
They have begun to play large roles in treatment programs Their work is
closely supervised by doctorallevel psychologists
The technician program has resulted in a great increase in psycholo
gical services and a financial savings to the State of Georgia It allows
psychology majors graduating from college to obtain experience prior to
entering graduate school
EVALUATION
Each psychological evaluation contains a summary of the patients
history and of the stresses and events which led to the hospitalization
Each patient is given a complete battery of psychological tests which mea
sure the individuals abilities limitations and aid in the determination
of a specific diagnosis Finally a diagnosis and recommendations are
offered Each evaluation represents the product of six to eight hours of
work by staff members More than 2300 evaluations were produced during
fiscal 1970
Attempts are constantly made to improve the validity and usefulness
of the evaluations Research in evaluation procedures is being conducted
and an improved structured interview has been developed by the staff
TREATMENT
As a result of constant scientific evaluation of procedures the Divi
sion has primarily committed itself to a treatment technique called behavior
modification This technique is based upon discoveries from psychological
laboratories which indicate that much of what a person does is the result
of the types of behavior which his environment has rewarded in the past
It therefore becomes the task of the therapist to so order the environment
in which the patient is placed at this hospital that normal appropriate be
haviors are rewarded and abnormal inappropriate behaviors are discourag
ed This is what is done on a behavior modification or token economy

63
ward Patients are allowed to earn tokens roughly equivalent to money
in the outside world for behaving in a socially desirable way They are
fined tokens for behaving in a mentally ill manner Patients are allowed
to spend tokens in a ward store and can pay for special privileges such
as going to dances and movies with tokens Patients on token economy
wards have a greater opportunity for living a life similar to that of a nor
mal person than do patients on traditionally operated wards This approach
greatly increases the furlough rate of patients from the hospital and cuts
the return rate to the hospital by a factor of about 75 percent
The behavior modification programs have contributed to the improve
ment of many patients at the hospital and have resulted in substantial
financial savings for the taxpayers of Georgia Six behavior modification
wards are currently in operation At any given time approximately 500
patients are being treated
Below are presented some examples of data obtained from behavior
modification programs to illustrate the effectiveness of this technique
and show the benefit which patients have derived from its application
Treatment of the Mentally Retarded
During the past year the supervisor of psychological services in the
Mental Retardation Unit has served as program coordinator therefore psy
chologists have been involved in the treatment of all of the patients of
that Unit The Division has also operated three behavior modification
wards in the Unit
Boone 8 is a ward for severely and profoundly retarded children The
last annual report indicated a great increase in the patients ability to
care for themselves which was brought about by a behavior modification
program These gains have been maintained
Boland 6 is a ward for mildly retarded young male patients Prior to
the institution of a behavior modification program acting out antisocial
behaviors were a major problem Institution of a token economy enabled
the disruptive behaviors to be controlled and allowed the patients to par
ticipate in educational and social advantages previously closed to them
Boone 1 has had a token economy in operation for a year and a half
The behavior of these young mildly retarded females continues to progress
in a socially desirable direction
Cursing is an inappropriate behavior in most wards of the hospital
On Boone 1 the token economy is structured in such a way as to eliminate
cursing a behavior which could get the patient into trouble outside the
hospital upon release Figure 2 shows the decline in number of fines form
msmmumjmum
64
cursing for one patient during a five week period during which this pro
blem was treated
Stealing is another problem with which ward personnel are frequently
confronted Sometimes patients stole tokens which could disrupt the be
havior modification program One way psychologists stop an individual
from stealing tokens is to put him on what are called special tokens
distinguished in one manner or another usually by color from those used
by other patients on the ward A person placed on special tokens can
spend only these tokens The data presented on the left of the dotted line
in Figure 2 indicate the additional numberof tokens that two patients spent
over and above the number they earned To the right of the dotted line we
see that this condition has been rectified in that the patients are required
to live within their income They will find this ability to spend no more
than they earn of great adaptive value when they leave the hospital
Psychologists also directed a special project on a ward for severely
and profoundly retarded adult females Prior to the beginning of this pro
gram most of these patients ate with their hands sometimes grabbing
food from the plates of other patients These behaviors led to a great deal
of waste of food and some of the residents not receiving a proper diet
Also ward personnel were required to devote a great deal of their time to
cleaning up after meals The behavior modification program involved
among other things a patient being temporarily delayed from receiving
more food following an instance of inappropriate eating behavior This
progress has been maintained by staff members
An operant conditioning laboratory in Unit 9 is used in treating patients
and in researching new treatment techniques
Treatment of Children and Adolescents
Some form of behavior modification is in operation on all wards in
Unit 8 In the Childrens Building the patients under 11 years of age
are too young to keep up with the tokens used on other behavior modifica
tion wards On these wards a merit system has replaced the token econ
omy Patients are verbally given good points for acceptable desirable
behaviors and are given bad points for inappropriate deviant behaviors
A patient who maintains a specified number of good points after the bad
points are subtracted is placed on the merit list which entitles the pa
tient to many privileges such as swimming additional candy and special
attention from staff members Figure 4 shows how a patient in the Child
rens Building learned over a period of time to be consistently on the
merit list This was one improvement in the appropriateness and desira
bility of her behavior
A behavior modification program has been in operation on the Adoles
cent Wards since November 1968 A recent report indicated that the per65
66
centage of patients successfully rehabilitated has more than doubled as a
result of the token economy and other work supervised by psychology per
sonnel
Psychology is continually making efforts to improve the effectiveness
of its behavior modification programs On the Adolescent Wards patients
were paid tokens for taking showers and brushing their teeth The tokens
were paid to them at payoff time at the end of the day This resulted
in about 30 or 40 percent participation In an attempt to improve on this
record patients were paid immediately after performing the desirable ac
tions Figure 5 shows that the percentage of patients taking a shower and
brushing their teeth at least once per day jumped from 30 percent to be
tween 70 and 80 percent per day
Individual or special behavior modification programs are frequently
used in addition to the overall token economy on the Adolescent Wards
These special programs are usually instituted to modify specific behaviors
of an individual patient Figure 6 is an illustration of the kind of special
programs which are employed Inspection of the base line of this graph
indicates that the fines and the regular token economy were not effectively
controlling the inappropriate behavior of either Patient No 1 or 2 There
fore both were placed on a special program in which walk out privileges
were made contingent on the appropriateness of their behavior If the
patient received fines of 50 tokens or more per day for three consecutive
days his walk out privileges were removed In order to obtain his walk
out privileges again the patient had to go for three consecutive days with
fines of 15 tokens per day or less The data presented to the right of the
dotted line illustrates the effectiveness of this treatment program
Figure 7 illustrates the treatment of a patient who has been in Central
State Hospital since 1966 Due to her constant misbehavior and irritating
interpersonal relationships with therapists the patient was in the past
shuffled from therapist to therapist while on the Adolescent Wards An
individual behavior modification program was designed to decrease the
number of times she was put in seclusion per month for misbehavior This
consisted first of making all available reinforcers contingent upon her not
being placed in seclusion for the day The number of days that she stayed
out of seclusion was gradually extended to a week Concurrently posi
tive reinforcers were given for other appropriate behavior As evidenced
by this figure this program has had a definite effect upon the number of
times this patient has been secluded for deviant behavior
The Supervisor of the Psychology Divisions program in the Childrens
and Adolescents Unit has in the past year been experimenting with a modi
fication of a treatment technique known as psychotherapy by reciprocal
inhibition His technique involves the pairing of anxiety with the patients
imagining the performance of undesirable behaviors and the pairing of re
laxation with the patients imagery of his performing acceptable socially

67
68
desirable actions All six homosexual males who have gone through this
treatment program have abstained from engaging in homosexual activity
for extended periods of time Also this technique has been quite suc
cessful in dealing with a girl who exhibited selfdestructive behavior
ie slashing her wrists
Treatment of Adult Patients
During the past year psychologists worked with a 21yearold boy
who manifested a very high frequency of hand mannerisms Prior to treat
ment he had never been able to keep his hands still for any appreciable
amount of time He was treated by requiring him to hold his hands still
for one minute When he successfully did this he was given a token
When he earned 20 tokens he was allowed to exchange them for a candy
bar The reader will observe in Figure 8 the great decrease in the number
of hand mannerisms during the treatment sessions Beginning at session
25 indicated by the dotted line the patient was required to earn two to
kens at a time by holding still for two minutes This is an attempt to teach
the patient to behave appropriately for a longer period of time so that
when he leaves the hospital he will be able to adjust to an environment in
which rewards are rarely immediate
This patients rate of hand mannerisms was particularly high at meal
time This would have been predicted from a learning theory framework
A treatment procedure was therefore employed at this time The therapist
sat next to the patient during his meals and whenever he engaged in man
neristic behavior his hand was held up from the plate for a tensecond
period Then the hand was released and he could begin eating again
This procedure had the effect of teaching the patient that any manneristic
eating behavior would result in a delay in his next intake of food a mildly
punishing situation Figure 9 shows the average number of inappropriate
responses during mealtime before and after training The baron the left
indicates that the patient averaged 955 hand mannerisms during mealtime
before the treatment procedure was instituted After treatment this rate
was down to 105
The multiple handicapped ward in the Yarbrough Vocational Rehabili
tation Building is supervised by a psychologist who works with blind deaf
and other physically handicapped individuals Using individual and group
therapy and specialized treatment by consulting therapists the needs
and problems of the handicapped individual are dealt with while he is
attending vocational rehabilitation classes and learning the skills that
will enable him to become a successful member of the community Pre
sently eighty patients are treated weekly Assisting the psychology
staff are sign language interpreters who help conduct group therapy with
the deaf speech therapists audiologists and remotivation therapists
who work with the blind The blind patients have the opportunity to listen
to a talking book machine and are taught how to walk with a cane These

311
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services enable the handicapped individuals to learn to function outside
the hospital at a level compatible with his ability and physical limitations
The Psychology Division also provides the Georgia Veterans Home
with a fulltime psychologist and staff This psychologist in association
with the Unit director directs a twentybed ward with emphasis on indivi
dual treatment Extensive outpatient care is offered to those veterans
who are released from the Georgia Veterans Home The psychologist in
this Unit is also involved in writing psychological evaluations which play
a large role in certain administrative and financial decisions which the
Veterans Administration makes in regard to the patient
FUTURE PLANS
The Psychology Division at Central State Hospital intends to broaden
and expand its services to patients in two main areas First by setting
up a behavior modification ward for adult females and by organizing an
interdisciplinary team to institute a similar program for chronic adult
males Secondly by applying the principles of empirical psychology to
more complex and abstract problems such as neuroses and problems which
center around basic attitudes and beliefs of patients
71

AMnV

72
NURSING SERVICE
The nursing staff at the end of the fiscal year included 117 registered
nurses 84 licensed practical nurses 1824 attendants and 7 medical aides
A special concern was recruitment in the attendant classification It is
becoming increasingly difficult to secure desirable and qualified appli
cants
The improvement of patient environment has enabled Nursing Service
to utilize personnel more efficiently and made possible better patient care
in more attractive surroundings A primary project has been the coordina
tion of nursing throughout the ten psychiatric Units Better communication
has been maintained through regular bimonthly meetings and staff devel
opment training programs for professional nurses have been effective in
upgrading personnel
The Department of Public Health nursing staff taught seminars on
nursing assessment patient care plans and evaluation Thirtysix regis
tered nurses attended the three seminars and 49 of the nursing staff at
tended management courses
A summer project initiated by the consultant in the Division of Mental
Health of the Georgia Department of Public Health provided five college
students who surveyed all patients in Units 2 and 5 and set up individual
Kardex files including the patients photograph Patient characteristic
information obtained in the survey has been computerized and data will be
utilized as a basis for determining an adequate nursing staff The Nurse
Consultant of the Division of Mental Health has been especially coopera
tive and helpful in hospital training programs during the year
The inservice training program for psychiatric aides funded by a four
year grant from the National Institute of Mental Health was terminated this
year and salaries for personnel were provided thereafter by the hospital
During the past two years 145 students were admitted to the class with 102
completing the course A feature of the program was a wellplanned course
on cardiopulmonary resuscitation
An orientation program for Unit clinical instructors was begun during
the year to provide them with a more comprehensive understanding of the
principles practices and involvement of the attendant in the program of
psychiatric nursing After completing the 12week period the instructors
will be assigned to individual Units to conduct any further development of
inservice education in that Unit
The number of enrollees in the Neighborhood Youth Corps Nursing Aide
Class has been considerably curtailed this year The class met for two

hours each Friday for four months for a total of 32 hours The content in
cluded minimal essentials and basic techniques Fifteen students were
enrolled
73
Inservice education in the Units has continued with the Unit Directors
of Nursing and their committees planning programs for a six month period
Each Unit gears the topics towards its particular needs The programs con
tribute to improving patient care and serve as a means for interunit com
munication
The staff development program for registered nurses is a threeyear
federal project terminating in June 1972 Its purpose is to initiate the re
duction of the gap between previous education of registered nurses and the
newer theories and practices which provide more therapeutic nursing care
of psychiatric patients The program includes a series of ten workshops
of two oneweek sessions led by consultants in specific content areas
Consultants in various fields pertinent to nursing have been brought in
from different parts of the country thereby broadening the experience and
knowledge of the nurses The program has also afforded funds for much
needed equipment and educational media not otherwise available
Staff meetings are held periodically to improve communication and as
a medium for exchange of ideas in current and future planning
NURSING EDUCATION
During the past fiscal year 165 students successfully completed the
twelveweek course in psychiatric nursing The affiliates came from the
following schools of nursing Georgia Baptist Hospital School of Nursing
93 Hall County Hospital School of Nursing 10 the MaconGeneral Hospi
tal School of Nursing 2 8 and the Atlanta Piedmont Hospital School of
Nursing 34
A more limited experience was provided for nursing students from the
junior colleges and Grady Memorial Hospital which does not affiliate here
These included oneday visits by 44 students and two instructors from
DeKalb Junior College 44 students and two instructors from Floyd County
Hospital and 80 students and four instructors from Grady Memorial Hospi
tal in Atlanta A twoday visit was provided 16 students and three instruc
tors from Dalton Junior College a threeday visit was arranged for 19
students and two instructors from Albany Junior College and a fiveday
visit for 19 students and one instructor from Albany Junior College Four
of these groups were housed in the Nurses Residence and ate in the Cen
tral Kitchen cafeteria Program schedules were set up by Nursing Educa
tion in cooperation with staff members of the various disciplines and va
rious patient areas concerned Faculty members participated as consultants
and liaison persons74
Faculty representatives of the various schools visited the schools
during the year for conferences and Nursing Education personnel and re
presentatives from the various disciplines who were involved in the student
program attended one faculty meeting each quarter and also participated
in the annual faculty meeting with representatives from the affiliating
schools
All Central State Hospital faculty members belong to and are active in
the 14th District Georgia State Nurses Association and one is a member of
the National League for Nursing Conference Group on Psychiatric Nursing
The faculty members also participated in 32 workshops seminars and
conferences and prepared a number of opinion papers on fact finding nurs
ing care plans and task force reports
The Nursing Education library was consolidated with that of the in
service department in March and moved to the Myra S Bonner nursing
library located in the Brantley Building and placed under the direction of
a fulltime qualified librarian
Faculty members have also reviewed handbook rules for students living
in the Nurses Residence and are working on a project to shorten the
twelveweek affiliation course in psychiatric nursing which requires re
vision of the curriculum plan and course outline

SOCIAL WORK DIVISION

75
Release planning and the placement of patients in nursing homes
throughout the state continued to be a high priority program in the Social
Work Division A total of 1360 patients were referred to the CSH Unit of
the Baldwin County Department of Family and Children Services and 802
patients were placed by that department Counting private placements
utilizing patients personal resources nearly 1000 patients were placed
in nursing homes
During this fiscal year an adult foster home placement program was
initiated by the Social Work Division on a demonstration basis in Macon
Bibb County Later in the year the program was adopted by the Georgia
Department of Public Health Division of Mental Health and funded for
expansion on a state wide basis
A number of creative service programs developed this year They in
clude the recruitment and utilization of local high school volunteer workers
who devote many hours of time serving the needs of patients in Unit 3
Unit 5 developed a program in which patients from other areas of the hos
pital as well as from within the Unit are used to provide concrete social
work services to patients
Services to patients include the writing of 13745 letters to the rela
tives of patients to community agencies and toother interested individu
als The staff held 20518 interviews with inpatients their families and
their representatives and 3240 interviews with families of patients on
leave from the hospital At least in part as a result of this activity 2558
patients were sent back to their home communities during the year These
included placements with relatives independent living arrangements
transfers to a nursing home and transfers out of state
At the conclusion of this fiscal year the staff consisted of the Director
an Assistant Director eleven Social Worker IIs five Social Worker Is
twentyseven Social Work Technicians one Social Work Aide and twelve
secretaries for a total of fiftyseven This represents an increase of one
staff member during the past fiscal year In addition the Division spon
sored eleven staff members on educational leave in various stages of com
pleting their masters degree in social work supported by stipends from
the hospital The schools attended include Smith College Tulane Uni
versity Florida State University and the University of Georgia Finally
more than thirty undergraduate students from Mercer University and Georgia
College were supervised in social work field placements at the hospitalBOBKSliHHaBHaMMMiiiiBHaiMMMGMBnnMni
76
CHAPLAINCY DIVISION
Fiscal year 1970 was a period of consolidation and maintenance on
one hand and change and instability on the other On the whole it was
a successful year particularly as measured by services rendered The
staff displayed a commendable evidence of devotion to the work of minis
tering to the religious needs of patients
A total of 23923 pastoral visits were made to patients during the year
a significant increase over last year In this function the clergy symbol
ized the presence of concern and care which has traditionally been a part
of their heritage More than 3000 worship services provided the patients
a socially acceptable opportunity to experience a structured and caring
fellowship in an atmosphere of challenge and comfort The philosophy and
methodology of religious worship at Central State was spelled out in a
paper published by the Journal of Hospital and Community Psychiatry
Also the chaplaincy staff conducted more than 6500 pastoral counseling
sessions for patients in group and individual therapy There were almost
500 patients involved in these therapeutic relationships during the year
In the area of clinical pastoral education the division continued to
provide various levels of training for seminarians and clergymen Again
this year men were attracted from many different areas of the United States
An orientation workshop for community clergymen involved several parish
ministers from different parts of the state An orientation program for
seminary students involved six seminarians from the Columbia Theological
Seminary in Decatur Seven students participated in an initial quarter of
clinical pastoral education representing schools of theology in Tennessee
Georgia Illinois and North Carolina Twelve clergymen were participants
in our yearlong internship in clinical pastoral education These men
represented a variety of denominations Finally there were four clergy
men involved in the clinical chaplain residency Two of these were in
advanced pastoral care two were in training to become chaplain super
visors This was the first major move into the field of training men to be
chaplain supervisors
Several significant research projects are in progress A project de
signed to facilitate religious diagnosis was continued with refinements and
improvements A project to assess the nature and effect of programs in
clinical pastoral education was begun as a part of graduate study being
carried on at Emory University
The means by which these services were maintained and improved may
be described in various ways First there was a continuation of the policy
and provision for advanced study in related fields for persons in the de
partment During this year two people were involved at the graduate
3Si

77
level in the fields of Pastoral Theology and Sociology of Religion This
provided the necessary training and tools for an increase in both services
and research in the division Second the staff was involved in a retreat
designed to promote communication within the division and give attention
to longrange goals for chaplaincy service as a part of the total treatment
program within the hospital This proved to be effective in increasing the
level of communication and competence within the division Finally a
major resource within the hospital that of the data processing facility
has been utilized to process information concerning the patients who are
involved in therapy with the chaplaincy staff This provides not only a
means of assessing their work but of gathering information for longterm
research projects in the area of religion and mental health
Thus far attention has been given to the aspect of consolidation and
maintenance For the areas of instability and change two aspects need
to be pointed out First during the year this division felt the increased
competition from other institutions and hospitals both within the state and
outside the state Three major staff members took positions elsewhere
during this year During the first part of the year it was comparatively
easy to find competent personnel to replace these individuals however
toward the end of the year the market for competent clinically trained cler
gymen and chaplain supervisors diminished considerably and the end of
the fiscal year found the division facing a severe test in remaining com
petitive in securing the kind of chaplaincy personnel needed A proposed
upgrading of the chaplaincy series should provide some help
A second aspect of this change is the addition of another perspective
within the profession itself This is the perspective of sociology and re
ligion For some time it has been felt that this dimension was neglected
in the traditional training and performance of the clinical chaplain There
fore the Health Department underwrote and supported graduate study which
would bring this perspective into the division The major part of the train
ing has been completed and already this professional perspective is being
infused through the presentation of papers onthejob training and the
use of consultants in order to widen the base on which the division per
forms its task within Central State Hospital

uHHIHflif
78
SCHOOL OF SPECIAL EDUCATION
The School of Special Education located in three renovated wards of
the Boland Building provides remediation in academic needs as well as
in social skills and cultural enrichment to emotionally disturbed or men
tally retarded patients 18 years of age or under Of the underaged pa
tients in the hospital that are classified educable or trainable less than
50 can be accommodated within the school at any given time due to an
inadequate educational facility not specifically designed to handle spe
cial education needs A complete school complex designed for a total
educational program has been planned and requested in order to reach a
larger percentage of these patients
The administrative and teaching staff work in conjunction with the
State Health Department and Central State Hospital to provide a total
therapeutic program for the students enrolled in the school The school
also cooperates with the Baldwin County School System the State Depart
ment of Education and its Division of Exceptional Children the Department
of Education at the University of Georgia Georgia State University and
Georgia College at Milledgeville as well as the National Council of Ex
ceptional Children and other suborganizations of related interests to keep
abreast of teacher certification requirements current trends innovative
ideas and new approaches to reaching and teaching exceptional children
The school is divided into five academic sections This includes
three general age groups for the emotionally disturbed primary interme
diate and high school There are two groupings for the mentally retarded
divided by diagnostic testing to indicate I Q levels and academic achieve
ment potentials There are 703 patients 18 years of age or under at the
hospital 412 of which are classified educable or trainable and 170 in
school The remaining 242 could be served by the school if a larger edu
cational facility were available Even though 170 students are enrolled
approximately 373 students were given educational services at the school
during the past twelve months a more realistic figure
The present teaching staff totals 24 an increase of five over last
year The school also has seven administrative assistants and aides
All available space provided in the renovated wards in the Boland Building
is now being used No additional faculty or staff can be hired until a
larger complex is provided
The curricula of the school are geared to the individual needs of each
child by providing remediation in academic needs as well as in social
skills and cultural enrichment Most of the students have been in severe
conflict with the original homeschoolsocial environment and have failed
HffPWOTiVMimw

79
in public school classes regular or special The school provides in
struction in order to supplement their many educational andor social
handicaps and to assist them in becoming more wellrounded and socially
acceptable individuals
The school is basically an educationtreatment oriented project In
addition to the basic academic studies the school provides the services
of physical education home economics remedial reading speech music
and art Each teacher develops guidelines structured on individual bases
paces tasks to individual tempos and structures the environment either in
the classroom or on cultural enrichment trips for behavior management and
modification
More involvement with the original homeschool environment of each
child is being initiated for the 197071 school year in order to provide
better communication understanding and help between this schools work
with the student and the childs origin
It has been proven that the carefully structured educational program
paralleling the hospitals therapeutic treatment program shortens the length
of time the patients are required to stay in the hospital Credits earned
by the student may be transferred to the home school
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80
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81
Pfaftiort eatt6
ASSISTANT SUPERINTENDENT
PHYSICAL HEALTH
blilLLam R HowoJid MP
JONES RIVERS HOSPITALS
PHARMACY DENTISTRY SANITATION
COORDINATOR SPECIAL THERAPIES
OCCUPATIONAL THERAPY
RECREATIONAL THERAPY
MUSIC THERAPY
VOLUNTEER SERVICES
REMOTIVATION SERVICES
HHHBSSr
82
JONES HOSPITAL
GENERAL MEDICINE AND SURGERY
BUILDINGS Jones Const 1930
RESIDENT PATIENTS June 30 1970 122
ADMISSIONS 3685
DIRECTOR Joseph G Bohorfoush MD
ADMINISTRATOR Norman E Wood Jr
DIRECTOR OF NURSING Mrs Irene Wood Registered Nurse
The Jones General Medical and Surgical Hospital is a223bed facility that
provides inpatient and outpatient hospital care to the residents of Central
State Hospital the Georgia Rehabilitation Center for Women and the Youth
Development Center at Milledgeville
Continual modernization of equipment and renovation of the physical
plant has vastly improved the deliverance of patient care and enhanced
environmental conditions during the past year Some of the developments
include complete renovation of the outpatient department installation of
additional air conditioning and of several items of major equipment
The OBGYN department was moved to a remodeled area which includes
a newly equipped and air conditioned delivery room nursery and labor
room Cardiology was relocated in a redecorated and air conditioned area
providing more space The addition of two electrocardiograph machines
enabled better treatment of an increasing patient load The administra
tive department moved into the area vacated by the cardiology department
which provided needed space for the centralization of clerical staff and
the installation of a central dictating system A marked improvement in
the work flow has resulted
Physicians offices were redecorated a central waiting room and
refreshment area was added for visitors to the Jones Hospital all patient
dormitories were air conditioned and most received new drapes and furniture
The installation of a central paging system provided all departments with
a paging station
The addition of new positions in the housekeeping department improved
services to the extent that a marked reduction of infections resulted This
also enabled nursing personnel to be relieved of housekeeping duties and
devote their full attention to patient care83
The Jones Hospital continues to carry on work in preventive medicine
including survey and treatment of blindness uterine and breast cancer
diabetics and unknown diabetics anemias and blood dyscrasias kidney
diseases and lung cancer Every assistance was given in determining
the infectious agents of epidemics
During the past year the hospital treated a total of 3685 individuals
with a total of 53707 days of patient care The outpatient department
reported 33481 visits to the clinic the laboratory completed 354602
procedures the surgery division completed 1239 procedures and the
ophthalmology section reported 370 operative procedures
ABOVE LETT KHD RIGHT Vynaplx Scanner
and Uagna Scanner assist the radiolo
gist In determining presence oh path
ology In various organs including the
brain lungs thyroid and liver using
various radioIsotopes as diagnostic
agents The Vynaplx Is specially use
hul since the Information can be pre
served on tape hon latex review This
new equipment makes it unnecessary to
take CSH patient elsewhere ion diag
nosis oh this nature BELOW The EKG
ward represents an example oh the ex
tensive renovation oh physical jacxi
Itles which took place during 1970

HMHMIBlHHH
5

84
RIVERS HOSPITAL
TUBERCULAR DIABETIC AND MEDICARE
BUILDINGS Rivers Const 1939
RESIDENT PATIENTS June 30 1970 43 6
ADMISSIONS 485
DIRECTOR Mahmud Majanovic MD
ADMINISTRATOR George Hart
DIRECTOR OF NURSING Mrs Valeria Atchison Registered Nurse
The total admissions to this Unit during the past year was 485 Of this
number 314 were transferred 114 were placed on convalescent leave 15
were discharged and there were 36 deaths
The program of planned equipment renewal continued throughout the
year with the purchase and installation of new Xray equipment including
a new film processor which facilitates better and faster service to the
medical staff The purchase of three electric typewriters to replace worn
out manual models has increased efficiency and the amount of work done
by secretarial employees
Medicare is functioning well New beds and bedside tables dining
room furniture and charts were added this year and new chart desks were
installed in all nursing stations
Rivers 5 was renovated and now houses a pilot program for alcoholic
and drug treatment with a capacity of 30 patients Many improvements
were made during the year that have contributed to the patients welfare
These included the addition of a full time social worker a new housekeep
ing supervisor who has instituted a more intensive housekeeping program
the consolidation of two occupational therapy shops into one thus providing
more day room space for patients on Rivers 7 and the establishment of
two dining areas on Rivers 3
Additional improvements included the sealing of all concrete floors
which has kept the wards in a more sanitary condition and eliminated many
obnoxious odors The property and supply area was enclosed with an ex
panded metal wire guard and now provides better security for supplies
A chainlink fence was installed between the buildings to provide the
patients with a more accessible recreation area and eight new concrete
tables were added for the convenience of patients when having picnics and
cookouts Ramps for the transportation of wheelchair and stretcher patients
were installed at the entrances to all three buildings Rivers IB has been

p
85
completely remodeled and now houses an administrative suite of offices
thus consolidating all administrative employees and physicians in one area
The electrical system of the complex was upgraded and updated to
provide adequate electrical power A survey was made to determine the
exact square footage in the patient area which will provide a certified bed
capacity of 510 beds
The assignment of a registered nurse as a clinical instructor for the
inservice education program has improved charting techniques on the ward
provided better orientation programs and added to the amount ofonthejob
training received by psychiatric aides
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ZiveAA Hospital maAklng the completion o nw Admini
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bional itaii mmbem The Apace wo6 made available by
a declining residential population at Central State
86
PHARMACY DIVISION
The past year has been marked by continued improvement particularly
in the expansion and remodeling of physical facilities and the addition of
much needed shelving and equipment The expansion program has more
than doubled the floor space and provided a modern office area It has
been possible to more efficiently arrange and organize storage areas Also
included in the new facilities is a separate explosive proof storage area
for inflammables an additional space for dispensing drugs for patients
leaving the hospital on convalescent leave and a new waiting room and
reception area
The present staff consist of eight pharmacists two pharmacy interns
five drug technicians a secretary a typist and a truck driver The staff
operates in three main areas the Central Pharmacy satellite pharmacies
and the Jones Hospital Pharmacy
New equipment includes a large walk in cooler for storage of items
needing refrigeration a bottle washing apparatus new desks and chairs
an additional highspeed electronic tabletcapsule counting machine and
a new delivery truck
The Pharmacy Division has recently reorganized with regard to basic
purpose and intent Efforts have been directed toward improving patient
care by better utilization of new resources
The Central Pharmacy staff is involved with continual refinement of
systems pertaining to purchasing repackaging record keeping and general
information The area of greatest improvement lies in the utilization of
electronic data processing services to maintain a perpetual inventory sys
tem The staff in this area is also responsible for the dispensing of drugs
used in the Mental Health Aftercare Program which is active throughout
the state The Central Pharmacy dispenses a 30day supply of medication
to each patient leaving the hospital
The Jones Hospital Pharmacy staff is dedicated toward improved patient
care in our general medical and surgical hospital This includes direct
daily contact with all ward personnel with the end result being better and
safer handling procedures
Satellite Pharmacies are manned by two full time pharmacists who
continually move through each patient building in the hospital and inspect
ward drug rooms for old drugs and excess inventories They are also active
in conducting inservice education programs as well as training ward per
sonnel in correct drug procedures This staff is responsible for the dis
tribution and inventory of all narcotics and dangerous drugs in the hospital87
as well as the operation of Satellite Pharmacies in the Veterans Building
and the Bostick Building
The Central State Hospital Pharmacy purchased drugs and supplies
during the last year to the amount of 100456156 Prescriptions num
bering 21826 were filled for patients leaving the hospital on convalescent
leave Also 5427 prescriptions were filled for hospital employees
The Division has been moving steadily forward for the past two years
toward a goal of more efficient service to patients and an improved con
cept of patient care as pertaining to drugs
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88
DENTAL DIVISION
Achievements during the past year have made it apparent that a com
prehensive program of dental care for patients at Central State Hospital is
nearing reality The dental program now includes most phases of dental
care for adequate institutional dental service
The installation of five twochair and three onechair satellite facil
ities now make possible treatment for patients who otherwise may not have
received it These facilities serve tubercular and diabetic patients crim
inally insane patients mentally retarded patients and those remotely lo
cated from the Central Dental Clinic Completely mobile equipment is
available which can easily be moved to any ward of the hospital for bedside
dental treatment Larger facilities are equipped with moveable dental
chairs so that ambulance stretchers can be readily placed beside dental
units thus allowing bed patients to receive treatment
The Central Dental Clinic was completely remodeled and now includes
administrative offices conference areas waiting rooms a laboratory
library and storage areas The six operatories were modernized with new
equipment A public address system and telephone intercommunication
system was installed and new furniture was purchased for all waiting rooms
The Central Dental Clinic serves an overflow of patients from other
areas of the hospital and also provides consultation for referred cases
Staff training programs are located in the central clinic and all case pre
sentations are made here
The initiation and operation of a comprehensive oral hygiene program
is a paramount objective in preventive dentistry the dental hygienists
devoting a relatively large amount of their time in this area Periodic den
tal examinations are provided for all patients throughout the hospital in
cluding weekly examinations of all new patients Those needing treatment
are seen in the various dental clinics
During the year 53492 operations and treatments were completed and
16 725 oral examinations were performed The dental laboratory processed
563 appliances and repaired 186
The Division has maintained a full staff of nine dentists In addition
five licensed dental hygienists are employed Six dental assistants are
currently enrolled in the preceptor program for training hygienists
The Divisions consulting maxilloprosthodontist successfully per
formed facial restorations for three patients These included the restoration
of a nose the replacing of an ear and the restoration of a nose and lip
WVWi m
89

and adjacent facial structure At the present time an operating room is
being constructed in the Central Dental Clinic for accommodating patients
requiring general anesthesia for dental extractions
During the past year numerous scientific films and case presentations
were shown at regularly scheduled staff meetings Representatives of
leading drug companies as well as outstanding professionals in the dental
field were guest lecturers
The hospital Dental Service Director is currently the First Vice Presi
dent of the Central District Dental Society and a staff dental hygienist
is President of the Central District Dental Assistants Society
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90
OCCUPATIONAL THERAPY DIVISION
The new central occupational therapy building was formally opened in
February and provides a modern gift shop store rooms clinic and offices
PROGRAMS
Thirtytwo individual programs were carried on during the year with
3295 patients participating Several clinics have been combined providing
more space air conditioning has been installed and physical settings have
been upgraded in all Units Variety was added to the programs by the
addition of new crafts such as oriental rug weaving novelty afghans
colorful yarn pictures and others
Two new programs were started for mentally retarded patients and
emphasis here continues to be placed on personal appearance as a vital
element in treatment Makeup and mens grooming products are made
available to all clinics
Socializing experiences were stressed in regular programs as well
as those planned and carried out cooperatively with other disciplines
Patients attended parties cookouts ballgames watermelon cuttings
luncheons and other similar events
A total of 1302 items with a value of 894 were made and issued to
the hospital These included upholstery picture framing ceramics and
miscellaneous supplies
EDUCATION
Members of the Division filled lecture requirements for student nurses
new physicians psychiatric residents psychiatric aides music therapy
staff and interns pharmacy workers and new employees with a total of
218 individuals participating in 742 training hours On a voluntary basis
the Director taught conversational English once each week for fourmonths
to Cuban doctors and their wives
Ten staff meetings were held during the year Training classes in
which employees participated included movies and lectures a twoday
workshop in mental retardation a course in cardiopulmonary resuscita
tion and demonstrations on emergency first aid and data processing
Field trips were made to a ceramic studio the Happy Hour School a gen
eral craft workshop and an adult education training program in rug making
sewing and upholstery
Division personnel hosted the annual meeting of the Georgia Occupa
tional Therapy Associationmm

91
Projects made by patients as part of the treatment program were ex
hibited at meetings of the Crawford Long Medical Auxiliary in Athens the
Happy Hour Club in Macon and the Athens Fair A total of 2504 patients
were enrolled in occupational therapy programs during the year and with
791 on the enrollment at the beginning of the year the Division served a
total of 3295 patients Of this number 1207 were placed on convalescent
leave 205 were discharged 347 were transferred to physical or psychia
tric treatment programs 65 were transferred to vocational rehabilitation or
industry 657 were transferred to other state institution programs
VlltoiA to the CcntAal Occupational Thexapy Building Vlbplay Room
admlne the comptichcnlvc exhibit o handlchxxit done by patients
iarMiJiJMmersrauHM
92
MUSIC THERAPY DIVISION
Continued growth in personnel and quality of programming has been
the outstanding feature of the past year The staff increased from 24 full
time employees to 29 The clinical training program provided instruction
for five interns who completed their requirements for becoming registered
music therapists The interns came from Florida State University the
University of Wisconsin and East Carolina University Three of them
remained as permanent employees following the completion of their training
The Division recently added a threemonth internship for individuals de
siring to specialize in music therapy for emotionally disturbed children
The first trainee was recently graduated and joined the Central State Hos
pital staff
Increasing demands for music groups such as the CountryWe stern
group and a dance combo will require expansion in the near future The
patients ensemble is another popular music organization much in demand
Since decentralization of music therapy programs into the Units it
has been possible for the therapists to structure these programs to more
closely meet the needs of the patients For instance Boland 4 ward has
been assigned to music therapy as a work and research project in toilet
training for severely retarded children The result of this program was
videotaped and the project was presented to the Southeastern Conference
of the National Association of Music Therapists It has received con
siderable acclaim and requests are being received from educational in
stitutions around the country for use of the tape and color slide program
A total push program has been established in Unit 5 emphasizing
the release of chronic mentally ill patients The work involves remotiva
tion of the patients through the use of simple square dances exercises
singing and playing rhythm instruments
The Divisions approach to treatment includes dynamic traditional
programs and the use of behavioral modification In the behavioral modi
fication program the music therapists serve as members of the team ap
proach The Music Therapy Division of Central State Hospital has initiated
one of the few music therapy research programs in the country Utilizing
the assumption that music does indeed influence behavior and is there
fore a useful therapeutic tool certain goals have been developed to es
tablish new treatment techniques This provides an empirical basis for
current treatment methodology by applying recent experimental technology
in the clinical setting as well as provide research facilities and informa
tion which will enlighten the music therapy staff and improve treatment
skills Findings and conclusions will be published inappropriate profes
sional journals Three research projects are now in process two of which93
will be presented at the National Association for Music Therapy Conven
tion this year
The Music Therapy Division serves each of the chapels in the hospital
by providing music for all services The patient choir this year obtained
much needed new choir vestments which were worn at the annual perfor
mance of The Messiah This traditional music work was one of the many
fine musical offerings several concert artists and choir groups have given
performances for the patients throughout the year
The Music Therapy Division while functioning without the services
of a permanent department head continues to make advancements which
are serving Central State Hospital its patient population and the field of
music therapy
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94
RECREATION THERAPY DIVISION
The highlight of last year was the participation by 64 Central State
Hospital patients in the Georgia Special Olympics held in Atlanta Parti
cipants were from Units 9 3 and 2 They won 76 medals
Decentralization to the Units has enabled the recreation therapists to
better evaluate the needs of the patients and plan programs to meet these
needs The program is now structured to the requirements of the individual
Unit rather than the hospital as a whole
Two students from the University of Georgia did a study recommending
the development of a recreation area on Lake Sinclair for the use of hospi
tal patients A graduate student from the University of Georgia is working
on a master plan which is nearing completion for recreational areas and
facilities for the hospital This will be utilized in future planning in the
recreation program at Central State
The Division continues to provide clinical experience for recreation
students and interns came from Florida State University and Indiana State
University Members of the Division participated in lecture programs for
other disciplines in the hospital as needed
Participation in community recreation by patients enrolled in hospital
recreation activities has shown a marked increase Some of these events
included wrestling Braves baseball Harlem Globetrotters the Roller
Derby ice hockey championship high school basketball games and trips
to points of interest such as Rock Eagle Indian Mounds and kaolin mines
The Recreation Therapy Division assisted in getting patients to the annual
show of the Hoxie Brothers Circus
The structuring of programs to meet the needs of individual Units has
added several new activities One Unit has started a square dance club
and two Golden Age groups for senior citizens have been formed A new
art program was initiated in another Unit One Unit has a program which
includes sponsoring a different fine arts program each month One Unit
has an exercise program for overweight women Creative dramatics is
emphasized in another Unit and other programs include dances fish fries
bus trips movies and various intramural sports activities and games
The addition of four recreation therapists to the staff has helped
materially in providing better programs
VOLUNTEER SERVICES
95
During the year the Central Patients Library became a reality with the
employment of a librarian The first six months were spent in processing
over 2100 books which had been received through a federal grant These
represent a model collection of books for a mental institution Good used
shelving was given by the Library for the Blind in Atlanta Tables chairs
and other essential furnishings were purchased with federal grant money
Donated chairs and sofas were reupholstered by the occupational therapy
upholstery department and magazine and paper racks were made in the
hospital carpentry shop In addition to the excellent selection of books
14 newspapers and 47 periodicals have been donated for the patients
The Librarian conducted a bibliotherapy workshop to acquaint an in
vited group of staff members with this form of therapy The audiovisual
department made a videotape of this session for future reference
The garden therapy program has now been in operation for ten years
and is continuing to provide a most beneficial service to the patients and
personnel The patient garden club groups meet regularly the yearround
providing a variety of services to the patients The volunteers have not
relinquished their efforts in promoting financial sponsorship of the program
through attendance at district meetings state conventions and providing
programs and materials for individual garden club meetings throughout the
state A twoday orientation was held for the new State District Directors
and Therapy Chairmen so that they could be better informed about the total
program Individual garden clubs are continuing to visit the hospital to
see the garden therapy program in action
The completion of the 30000 pavilion is the first step toward the
development of the eightacre park on Vinson Highway near the Rivers Hos
pital The fund drive was undertaken by the treasurer of the Garden Club
of Georgia Inc This most appropriate and attractive facility is being
used by a variety of interested groups throughout the institution The
Horticulture Division continues to play an important role in the garden
therapy activities ana projects
Members of the Georgia Hairdressers and Cosmetologists Association
from 15 affiliates provided services for 303 patients These included 107
cold waves 300 shampoos 186 haircuts 290 hair sets and many other
services usually provided in beauty salons
Recreation therapy has cooperated in arranging for and supervising
school groups church groups civic service and fraternal organizations
which have provided a variety of programs picnics and activities for
patient groups Individual volunteers including high school and collegeriii 111 1it 1 jAfiififfr of tti 11 rrMtifjirtf AWft fjniyjffQ
96
students have contributed much to the program
The Hoxie Brothers Circus gave their scheduled performances in April
for the third consecutive year Funds were already on hand as a result of
the successful fund drive conducted by Radio Station WSB in 1969 The
circus acts patient participation and personnel cooperation made this
one of the most outstanding and successful activities to date Among off
campus trips for which complimentary tickets were obtained were Atlanta
Braves games Atlanta Hawks Shrine Circus and Six Flags Over Georgia
Art therapy remains a regular activity for several patient groups In
addition to the large annual art show depicting the works of the patients
pictures are displayed in the Central Patient Library on a rotating basis
The Apparel Shop continues to operate from its temporary location
Pavilion E The volume of donated new and used clothing is almost unbe
lievable In addition to tons of clothing being sent directly to the build
ings 3089 patient customers visited the shop
Since the death of their Day Room Chairman the Church Women United
in Georgia has decided not to continue the Day Room project on a state
wide basis but encouragement will be given individual church organizations
to work directly with Volunteer Services on providing funds for furnishings
In April 1970 the state organization furnished a Day Room on Allen 1 West
in memory of Mrs L L Austin who was Day Room Chairman for many
years and on April 27 1970 a beautiful and appropriate special dedica
tion service was held Three additional day rooms have been furnished
with funds given by other groups and individuals
The Music Therapy Department has utilized the services of high school
and college students who were interested in and talented in music The
staff has also cooperated in managing and arranging for patients to attend
special programs presented by visiting musical groups
The excellent patient referrals to the weekly Alcoholics Anonymous
meetings by the medical staff is indicative of their realization that these
sessions are therapeutic to those who have alcohol and drug problems
The six sponsoring groups are to be commended for serving so faithfully
over the past ten years
The interest of individuals and groups participating in the Forgotten
Patient program regularly befriending approximately 300 patients is most
gratifying Patients have been encouraged to write personal notes of ac
knowledgement to accompany the official reply There has been a marked
increase in the number of patient notes received which points out the per
sonal interest and assistance given by the nursing personnel
A special playground project for Boone 4 which was begun three years
97
ago was completed The area has been fenced in a concrete pad has
been built a corrulux covering has been erected over the pad and essen
tial playground equipment has been purchased This provides a suitable
place for the infants and small children to be taken off the ward and put
in the fresh air and sunshine A group of interested citizens of Smyrna
Decatur Marietta and the Glenwood Jaycettes of Decatur are responsible
for this endeavor
Another project of the Glenwood Jaycettes is the total sponsorship of
the bowling league from the Childrens Unit This involved paying the
bowling fees purchase of uniforms providing awards for each child who
participated team trophies and the special awards dinner given at a local
restaurant which was also attended by a committee from the sponsoring
group
Volunteer Services has been the recipient of large quantities of toilet
articles cosmetics shoe dye and fabric dye which have proved invalu
able to the patients During the year funds totaling 6560 have been
donated for the purchase of special equipment and sponsorship of projects
The 1969 MDay Christmas program was held at Gracewood State
School and Hospital as scheduled on the rotating basis The patients had
a wonderful Christmas with the denominational church parties adequate
Christmas cards to send to their friends and relatives special ward pro
grams cake parties and activities throughout the hospital which are
usually associated with the Christmas season
The second Annual Volunteer Awards Dinner was held at the Central
Cafeteria on March 2 1970 In addition to the individual volunteers being
recognized a special certificate was given to representatives of the Church
Women United in Georgia Macon Jaycees Georgia Jaycettes Women of
the Presbyterian Church in Louisville Georgia Hairdressers and Cosme
tologists Association and Garden Club of Georgia as an additional feature
The Volunteer Services staff is grateful for the excellent assistance
from the hospital personnel who have demonstrated their desire to coope
rate fully by their efforts to supplement staff and programs with volunteers
to suggest appropriate special projects utilizing available supplies and
materials and keeping the department informed of their needs The Public
Information Department has provided invaluable coverage of special acti
vities through news releases and professional photographers Slides have
been an asset in presenting programs to interested community groups
inservice education and student nurse classes and orientation for psy
chiatric residents
HI
mmimmmmmm
98
REMOTIVATION DIVISION
Remotivation in its fifth year of operation as a departmental discipline
continues to make significant progress as a therapeutic modality The
development of the program continues on three levels the unstructured
nonformal activities relating to the basic functions inherent to human
beings the formal group structured type of simple conversational activity
relating to features of everyday living free from emotional difficulties
and the advanced group type concentrating on indepth conversation about
current living with its accompanying problems
Within the hospital 558 patient activity groups held 20 088 sessions
with 4 608 patient participants The average number of patients hospital
wide participating in nonformal unstructured types of remotivation in
any given month numbered 2000 The active aide remotivators in any
given month decreased to 60
Remotivation activities which have produced good responses from
patient participants are birthday parties cookouts picnics ice cream
socials dining room projects personal care grooming walks cycling
swimming community singing musical band shopping trips field trips
tours to the Governors Mansion to town Fairs and to Rock Eagle gar
dening fishing Girl Scouts ward improvement ward cleaning and beau
tification projects flower making flower arranging window washing
poster and calendar making sewing dressmaking dress revue quilting
24hour project in Medicare knitting Halloween Thanksgiving dinners
Christmas play and pageant nightclub activity photography and T groups
The motivational program in the Mental Retardation Unit has pursued
the goal of elevating the functional level of the residents to their fullest
capabilities through exposure experience and participation in coordinated
efforts with recreation and occupational therapies
A geriatric project in Unit 4 was directed by the recreation therapist
and assisted by the remotivation instructor In the beginning stages of
the Over Sixty Club it was found that the Unit had more than 250 pa
tients 60 years of age and over Through careful screening 75100 pa
tients were selected for weekly group meetings Successful activities
included community oldfashion sings cookouts picnics walks bus
tours bingo parties and tea parties
During the training institutes some 200 patients were involved with
trainees who came from the southeastern region As the Regional Training
Center forthe southeastern area four training institutes and one workshop
were held with 120 participants from hospitals and community agenciesWWfwmmmmm

Rzmotlvation U a AucceAAiul theAapeivUc tzchYilc at Central State Hopital
99
within the area Of the total number of participants 55 were involved in
the latter activity a three day workshop at the Veterans Administration
Center in Dublin
A total of 1530 patients participated in the clinical laboratory settings
manned by selected experienced Aide Remotivators in selected wards
throughout the hospital A total of 875 persons have been oriented to the
hospitalsremotivation program during the fiscal year January 1970 marked
the cessation of financial support for remotivation programs throughout the
country by the Smith Kline and French Laboratories Each Training Center
however was provided with three copies of the film Remotivation A
Technique for the Psychiatric Aide available on loan to any interested
institution or agency in the southeastern region Some 750 persons have
viewed the film since the donations were effectedV

100
Education u the tntAuction ofi
the lnteZlect In the law o na
ture undex uiklck name 7 tncZude
not meAety thing and theJji faoti
cej but mzn and theln way
ThomaA HuxZty

101

ASSISTANT SUPERINTENDENT
EDUCATION TRAINING RESEARCH
Jokn W Kembe MP
PSYCHIATRIC RESIDENCY
TRAINING
MEDICAL RECORDS
MEDICAL LIBRARY
RESEARCH
NEUROLOGY
AUDIO VISUAL
102
EDUCATION TRAINING AND RESEARCH
The Division has continued with accreditation in the training of psy
chiatrists pharmacists psychologists social workers clinical chap
lains music therapists occupational therapists and recreation therapists
Descriptions of the training programs are included in individual reports
Programmed texts have been introduced to the professional staff and
are being used as a meansof instruction An increasing number of requests
for stipends find all budgeted positions filled to capacity Stipends are
offered in social work psychology business administration religion
sociology and medicine in public health A senior resident in ophthal
mology from Mayo Clinic in Rochester Minnesota continues to rotate
through the hospitals Ophthalmology Department every three months This
program was started in 1964 and has continued with satisfactory results
The new Audiovisual Division has helped to broaden training programs
in all areas of the hospital These services will be utilized more as tele
vision distribution spreads throughout the hospital
A three months training program in psychiatric nursing procedures and
techniques was conducted for 165 students from various affiliated nursing
schools Inservice training classes continue for aides and similar per
sonnel Considerable attention by all the professional departments has
been given to the development of effective inservice training and orienta
tion programs Plans are being made for all attendants hired at the hospi
tal to attend basic training inpsychiatric nursing before ward assignments
are made
NEUROLOGY
During the past year diagnostic facilities inthis Division have greatly
increased An electromyograph has been purchased and put into use Also
a new ultrosonic analyzer was added now making it possible for more accu
rate diagnosis to be reached
In 1970 there were 543 neurologic consultations 246 echoencephalo
grams and 1410 electroencephalograms plus the studies mentioned above
A total of five psychiatric residents rotated for a three month period
through this service in 1970
A neuropathologist consultant Hans Peters MD makes a monthly
visit for teaching purposes A neurologist consultant Charles Rowley
MD from Macon Georgia is available on a nonscheduled basis
n
103
AUDIOVISUAL SERVICES
A director of AudioVisual Services was hired during August and initial
steps taken to install a closed circuit television system and provide audio
visual support for all types of training in the institution
A dining area in the Yarbrough Center was converted to a television
studio master control repair and office space Distribution cable was
installed to 20 of the hospital buildings Priority was assigned to those
buildings housing training areas
During the year nearly all disciplines utilized the system to some
extent A total of 193 programs were produced locally and 254 programs
played back
The primary effort is the support of training for attendants nurses
and resident physicians However continuing medical education for phy
sicians in practice intern training sessions for the departments of psy
chology music therapy and recreation therapy has demanded many hours
of television time Evaluation sessions for psychiatrists vocational
rehabilitation counselors and social workers have also been undertaken
Increased patient TV entertainment and education were also made a
vailable as a fringe benefit to the distribution system Macon NBC and
Georgia ETV were taken off the air and transmitted over the same cable as
locally produced material
m
104
PSYCHIATRIC RESIDENCY TRAINING PROGRAM
GOALS OF THE RESIDENCY PROGRAM
The Psychiatric Residency Training Program at Central State Hospital
provides appropriate training to prepare qualified physicians for the prac
tice of psychiatry as a medical specialty in private practice in commu
nity mental health or in an institutional setting Emphasis is placed on
developing sound understanding of the dynamics of human personality and
behavior and the role of emotions therein These teachings combined
with administrative experience in both institutional and community settings
and consultation experience prepare a resident to obtain certification by
the American Board of Psychiatry and Neurology
Since the programs initiation in 1964 the training faculty and con
sulting staff have consistently evaluated and improved the program Su
pervision and direction of residents are provided by experienced profes
sionals adequately trained and capable of assuming the responsibilities
for teaching psychiatric residents Although the program relies heavily on
the individual residents personal experiences as a learning device the
residency faculty is constantly scrutinizing residents techniques and
procedures to correct faulty methods and interpretations and guide resi
dents toward sound psychiatric practice
Each physician in the Psychiatric Residency Training Program is as
signed a faculty member as his advisor for the three years of training The
close relationship between student and teacher lends itself to a more
suitable and harmonious adjustment of the resident and for a more rapid
airing of feelings which might otherwise block the learning process
The first year of the training program is designed to acquaint residents
with the basic principles of psychiatry and the care and treatment of psy
chiatric patients The second year involves more specific areas of psy
chiatry and patient treatment on an intensive basis
The final year of the program includes a series of three month rotations
to various psychiatric specialty areas These placements are in child psy
chiatry community psychiatry geriatrics and mental retardation forensic
psychiatry neurology psychosomatic medicine and possibly research
Since its inception in January 19 64 until the present day 31 residents
have completed their training in this program Initially the program was
approved for 10 residents at each year level There are presently 12 resi
dents enrolled Though there is no obligated service following the com
pletion of this training our record of physicians remaining in the state
BBBn
nB
105
after completion of their training is excellent Of the 31 that have com
pleted their training here in our program 23 continue to work at Central
State Hospital three remain elsewhere in the State of Georgia and only
five have left the State of Georgia
APPOINTMENT OF RESIDENTS
Residents are appointed to the Psychiatric Residency Training Program
on a yearly basis with reasonable assurance of annual reappointment until
completion of the three year program unless individual considerations
warrant other recommendations on the part of the faculty
Applications are accepted for training beginning July 1 and January 1
of every year Candidates must have graduated from an approved medical
school in the United States or if a graduate of a foreign medical facility
the applicant must have passed the ECFMG examination An internship
is no longer required therefore candidates may apply directly from medi
cal school
Through appropriate references candidates must show evidence of
good character and reputation An interview with the Admissions Committee
is desirable and an acceptable impression is an important criterion for
approval
Every effort will be made to determine the motives qualifications and
aptitudes of the candidate Applicants may be accepted by transfer from
an accredited psychiatric residency program if they meet all other require
ments Residents do not have to be licensed in Georgia if they are granted
an institutional permit but they are encouraged to obtain a medical license
if qualified by examination or reciprocity
Vh EveLio VLolz VlftzcXon oh Utntal
ReXaAdcvUon Unit In conheAenet with
ReJideni In iychlaJJiy
Vn Maxtka McCsianie oh the Mtdical
Coltege oh Geongla tt one oh many
lecXahexi knaxd duUng the yean106
RESEARCH DIVISION
The Research Division conducts basic scientific investigations oriented
toward problems of Central State Hospital patients At present the coop
erating disciplines represented are Genetics Neurophysiology and Bio
Chemistry
Genetic studies probe the hereditary factors involved in syndromes
and mental disorders aiding diagnosis by means of chromosome culture
and histological techniques Genetic consultation is offered Studies on
genetic factors in fearfulness and retinal degeneration have continued
Neurophysiological studies are centered about the phenomena of nerve
conduction and the function of the eye Visual defects are corrected to
permit better learning among the hospitals mentally retarded children with
a view toward therapy
The Research Division has recently installed equipment for recording
clinical and experimental electroretinography and will soon have facili
ties for recording visually evoked cortical potentials Studies of visual
function in mental retardates are nearing completion and a new test for
visual acuity has been developed
The figure shows the visual testing of a nonverbal mental retardate
by matching the screen symbol with a panel symbol A correct choice is
rewarded with a tiny chocolate candy Because all biochemical reactions
are due to enzymes and a number of mental diseases and syndromes in
volve absence or distortion of enzymes particular attention is being fo
cused upon enzyme abnormalities among Central State Hospital patients
A Negro Klinefelter syndrome case was karyotyped and found to pos
sess an XXXYXXXXY constitution Our study of dehydrogenase due to a
gene on the Xchromosome showed that substance not to be increased by
the xchromosomes thus confirming the Lyon hypothesis that functionally
all but one xchromosome is discarded
A study employing radioactive technetium and radioactive mercury
showed that the bloodbrain barrier is functional in excluding these sub
stances as early as one day of age whereas it is believed that some toxic
substances are admitted early and later excluded
This year the hospitals Research Bulletin carried a report on seven
teen research projects During the year a number of papers have been in
preparation and two papers have been published in Volume 61 of the Journal
of Heredity These were on Melanin Adrenalin and the Legacy of Fear
107
pages 8188 and A New Hereditary Degeneration of the Mouse Retina
Volume 61 pp 6Z63
Education continues to be an important part of the Divisions total
program During the year staff members gave 40 lectures The Division
also received 82 requests for reprints of scientific research publications
The requests came from 31 states and 14 foreign countries
WHEW SPECIAL PROCEDURES ARE NECESSARY THE CSH STAFF VEVELOP THEM
Many mentally netanded chUidnen one unable to nead the nonmal chant when
being tested ion glasses so Vn Rex Comntney ok CSH ReAeanch staii dev
eloped a special chant using the thnee symbol shown hene Teaching this
little glnl to necognlze the symbols Is Technician Vonell JeJinlgan This
pnocedune lnsunej adequate conAectlve measunes ion bight deficiencies108
ADMISSION MEDICAL RECORD SERVICES
Admission procedure innovation and implementation of the new Mental
Health Law placed tremendous demands on the Medical Record Department
during the last year however efficient operation was maintained and
varied services were provided 24 hours a day 7 days a week Central
State Hospital is unique in the experience of the majority of mental or
general hospitals in that the medical staff is prompt in the completion of
patient charts within the time limit specified by the Joint Commission on
Accreditation of Hospitals Delinquent charting is not a problem at
Central State
An onthejob training program for inpatients and female prisoners in
medical record procedures has resulted in motivating many trainees to en
roll in formal programs of medical record library science or secure jobs in
the medical record field upon release Success in this project conducted
with the cooperation of Vocational Rehabilitation has been gratifying
Cooperative efforts of the Business Office Social Service Department
and Medical Record Department in filing protective applications for Social
Security benefits for the entire patient population of Central State Hospital
received national recognition by Health Education and Welfare
Mr Robert Bynum regional commissioner of the Social Security Ad
ministration complimented hospital personnel for performance beyond
the call of duty
MEDICAL LIBRARY
The Medical Library is now well supplied with the newest and best
textbooks in the preclinical sciences and in all fields of medicine and
medical education as well as in the other various fields that this library
serves
Suggested medical library book lists appearing in professional library
publications and requests from our professional staff are screened by the
library to determine new acquisitions All additions are announced in the
Weekly Bulletin
The extensive holdings of the Medical Library are actively used to
improve patient care and by staff members who are participating in college
courses Students from colleges in Milledgeville not connected with the
hospital are also making use of the library service Residents in ophthal
mology from Mayo Clinic and students from the University of Georgia
working at Central State have all necessary reading material available

109
The Medical Library shares resources with Georgia College at Mill
edgeville and has active interlibrary loan relations with the Southeastern
Regional Library Program as well as with other libraries
The audiodigest tapes in internal medicine and surgery to which the
Medical Library subscribes are regularly utilized by physicians working
in the General Medical and Surgical Hospital
The Medical Library is a member of the Medical Library Association
and the library participates in meetings such as the recent Medical Library
Association Convention held in New Orleans and the various workshops
designed to keep the staff abreast of the newest information in the field
ALL MEPICAL RECORDS AT CENTRAL STATE HOSPITAL ARE U TO VATE

APPNDtX
in
ADMISSION RATES PER 100000 ESTIMATED CIVILIAN POPULATION 112
ONBOOK POPULATION RESIDENT PATIENTS ADMISSIONS AND
CONVALESCENT LEAVE FOR TENYEAR PERIOD 19611970
RESIDENT POPULATION BY MENTAL DISORDER
TYPES OF MENTAL RETARDATION
ADMISSIONS DISCHARGES AND DEATHS BY AGE
PATIENT ADMISSIONS BY DAY OF THE WEEK
POPULATION PROJECTIONS BY UNITS FOR 19701975
DEATHS AND DISCHARGES BY TIME ON BOOKS
RESIDENT POPULATION BY COUNTY
FOURYEAR COMPARISON OF COUNTY ADMISSIONS
ROSTER OF PROFESSIONAL STAFF
113
114
115
116
117
118
119
120
121
125112
ADMISSION RATES PER 100000 ESTIMATED CIVILIAN POPULATION
BY COUNTY OF ADMISSION FISCAL YEAR ENDING JUNE 30 1970
L
1 inoleV C R A D Y lVvt i
ocCATVui 1

113
1970
9000
8000
7000
6000
5000
4000
3000
2000
1000




I M 1 Ih IS 1 Jl IP II 1 i f V h N 1 II 1 1 SI II 1 h










































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c
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7

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L J X Lt

rf c f i
t H CV 5
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V r ll I
g c c 5
i i 1 r r
Q i 7 t
Q C r i H
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H CO 1 t S J
tititrri Q 4
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Qt t tju u r o
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lllllllllllllllllllll
1
500
400
300
200
100
an
b
FWt
MER
RE
te
H
jm
IKS
3HS
BEHDtt
fOW
MrffCF
H
urn
REmmzum
REBtfflEU
Efi
Ws
IffiD
Jm
U4
E
23
SitNHCSPFF
HE
4
All
JOftfIR
rHtt
OfUnKnot
nvmnmnvw
40
117
30
20
10
0

H
U
M

P
C
0
H
P
n
H
a
Ml
o
a
Si
0
en
0
5
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
Number of Persons
Population Change
1970 to 1975
Beds available
As Of
March 1969
Patients in
Unit As Of Occupancy
March 1969 Rate
1970
1975
1247735 1497771
20
1299
1236
95
II
1107579 1210137
9
1591
1411
89
III
IV
928205 980118
859518 931339
658193 681485
6
8
4
1463
1700
1344
1328 91
1553 915
1250 93
Source Population PH0j2ction6 Ion GzoHqIo CounLM 19701975 University of GeorgiaDEATHS AND DISCHARGES BY TIME ON BOOKS
119
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
DEATHS
88
51
82
79
56
38
37
78
49
30
18
28
137
DISCHARGES
745
201
159
2248
551
251
118
225
48
27
19
8
875
TOTAL
771
5479120
RESIDENT POPULATION BY COUNTY
APPLING 25 FANNIN 26
ATKINSON 8 FAYETTE 20
BACON 22 FLOYD 133
BAKER 6 FORSYTHE 24
BALDWIN 133 FRANKLIN 18
BANKS 14 FULTON 1300
BARROW 35 GILMER 20
BARTOW 65 GLASSCOCK 10
BEN HILL 41 GLYNN 79
BERRIEN 14 GORDON 49
BIBB 376 GRADY 26
BLECKLEY 32 GREENE 25
BRANTLEY 7 GWINNETT 67
BROOKS 30 HABERSHAM 47
BRYAN 8 HALL 108
BULLOCH 46 HANCOCK 29
BURKE 43 HARALSON 38
BUTTS 16 HARRIS 25
CALHOUN 13 HART 21
CAMDEN 14 HEARD 17
CANDLER 15 HENRY 25
CARROLL 77 HOUSTON 56
CATOOSA 33 IRWIN 12
CHARLTON 11 JACKSON 40
CHATHAM 329 JASPER 22
CHATTAHOOCHEE 5 JEFF DAVIS 19
CHATOOGA 37 JEFFERSON 41
CHEROKEE 52 JENKINS 30
CLARKE 95 JOHNSON 24
CLAY 8 JONES 13
CLAYTON 56 LAMAR 30
CLINCH 4 LANIER 8
COBB 187 LAURENS 94
COFFEE 32 LEE 7
COLQUITT 64 LIBERTY 20
COLUMBIA 22 LINCOLN 8
COOK 12 LONG 7
COWETA 80 LOWNDES 76
CRAWFORD 16 LUMPKIN 19
CRISP 42 MACON 25
DADE 14 MADISON 32
DAWSON 7 MARION 19
DECATUR 41 McDUFFIE 22
DEKALB 307 McINTOSH 8
DODGE 47 MERIWETHER 47
DOOLY 26 MILLER 10
DOUGHERTY 114 MITCHELL 32
DOUGLAS 49 MONROE 28
EARLY 26 MONTGOMERY 10
ECHOLS 2 MORGAN 17
EFFINGHAM 17 MURRAY 19
ELBERT 44 MUSKOGEE 243
EMANUEL 51 NEWTON 59
EVANS 12 OCONEE 16
OGLETHORPE 23
PAULDING 39
PEACH 38
PICKENS 20
PIERCE 10
PIKE 30
POLK 81
PULASKI 27
PUTNAM 17
QUITMAN 2
RABUN 14
RANDOLPH 25
RICHMOND 204
ROCKDALE 29
SCHLEY 6
SCREVEN 34
SEMINOLE 5
SPALDING 108
STEVENS 26
STEWART 31
SUMTER 52
TALBOT 15
TALIAFERRO 9
TATNALL 32
TAYLOR 17
TELFAIR 36
TERRELL 27
THOMAS 63
TIFT 39
TOOMBS 54
TOWNS 5
TREUTLEN 8
TROOP 87
TURNER 24
TWIGGS 16
UNION 11
UPSON 63
WALKER 76
WALTON 43
WARE 71
WARREN 11
WASHINGTON 31
WAYNE 30
WEBSTER 7
WHEELER 6
WHITE 11
WHITFIELD 106
WILCOX 17
WILKES 25
WILKINSON 25
WORTH 32
TOTAL
7921
FOURYEAR COMPARISON OF COUNTY ADMISSIONS

121
COUNTY
OF
ADMISSION
Appling
Atkinson
Bacon
Baker
Baldwin
Banks
Barrow
Bartow
Ben Hill
Berrien
Bibb
Bleckley
Brantley
Brooks
Bryan
Bulloch
Burke
Butts
Calhoun
Camden
Candler
Carroll
Catoosa
Charlton
Chatham
Chattahoochee
Chattooga
Cherokee
Clarke
Clay
Clayton
Clinch
Cobb
Coffee
Colquitt
Columbia
Cook
Coweta
Crawford
Crisp
Dade
Dawson
YEAR
1967
19
7
15
5
119
5
45
61
37
19
256
23
15
24
15
28
25
27
8
17
6
79
35
7
154
1
30
47
100
3
81
11
196
51
71
22
17
65
5
33
17
7
1968
17
1
26
1
144
7
52
73
37
19
273
23
13
16
16
32
19
27
4
12
17
66
34
5
161
4
24
58
118
7
88
15
237
29
54
32
16
70
10
32
17
9
1969
15
9
33
1
127
9
39
46
37
23
279
14
20
18
13
36
20
17
11
13
5
58
40
8
167
0
23
45
112
10
82
12
194
35
49
24
17
63
8
36
15
1970
TOTAL
24 75
8 25
31 105
2 9
176 566
6 27
40 176
69 249
41 152
34 95
333 1141
19 79
12 60
15 73
11 55
32 128
24 88
24 95
12 35
14 56
8 36
67 270
39 148
12 32
184 666
1 6
36 113
40 190
116 446
4 24
76 327
11 49
211 838
43 158
46 220
34 112
14 64
56 254
7 30
28 129
11 60
12 36
122
COUNTY OF ADMISSION YEAR
1967 1968 1969 1970 TOTAL
Decatur 39 47 32 27 145
DeKalb 278 300 274 231 1083
Dodge 43 24 31 60 158
Dooly 11 26 20 18 75
Dougherty 95 106 96 84 381
Douglas 40 29 38 56 163
Early 21 26 20 18 85
Echols 2 5 0 0 7
Effingham 13 19 7 7 46
Elbert 27 28 41 38 134
Emanuel 50 52 56 51 209
Evans 18 12 11 17 58
Fannin 24 18 21 24 87
Fayette 7 10 13 6 36
Floyd 106 101 103 76 386
Forsyth 28 25 23 29 106
Franklin 23 23 31 24 101
Fulton 987 873 800 771 3431
Gilmer 14 21 24 19 78
Glascock 5 6 9 6 26
Glynn 70 82 91 89 332
Gordon 48 41 40 32 161
Grady 26 33 23 35 117
Greene 17 15 17 20 69
Gwinnett 78 92 85 99 354
Habersham 35 32 36 30 133
Hall 102 107 135 154 498
Hancock 22 24 17 27 90
Haralson 31 29 29 28 117
Harris 15 11 18 9 53
Hart 22 24 24 24 94
Heard 16 5 8 2 31
Henry 19 24 28 27 98
Houston 66 71 55 73 265
Irwin 16 12 7 13 48
Jackson 32 31 22 38 123
Jasper 6 15 13 19 53
Jeff Davis 36 20 24 31 111
Jefferson 21 29 20 14 84
Jenkins 17 17 17 14 65
Johnson 20 26 21 19 86
Jones 20 21 19 24 84
Lamar 21 20 19 25 85

123
COUNTY OF ADMISSION YEAR
1967 1968 1969 1970 TOTAL
Lanier 9 8 9 5 31
Laurens 54 73 59 80 266
Lee 4 3 3 3 13
Liberty 20 19 24 18 81
Lincoln 11 13 6 5 35
Long 5 7 1 2 15
Lowndes 62 52 38 48 200
Lumpkin 12 16 14 17 59
Macon 14 31 15 14 74
Madison 23 22 21 17 83
Marion 8 8 5 12 33
McDuffie 21 56 61 53 191
Mclntosh 11 5 7 13 36
Meriwether 21 30 31 27 109
Miller 12 10 9 6 37
Mitchell 29 37 16 23 105
Monroe 25 28 23 25 101
Montgomery 7 13 9 13 42
Morgan 18 11 9 11 49
Murray 12 12 8 12 44
Muscogee 196 166 187 172 721
Newton 67 58 55 57 237
Oconee 11 13 14 8 46
Oglethorpe 7 14 8 8 37
Paulding 42 45 46 49 182
Peach 36 39 32 27 134
Pickens 14 16 13 19 62
Pierce 13 9 10 8 40
Pike 18 14 9 9 50
Polk 64 58 52 61 235
Pulaski 17 24 14 21 76
Putnam 21 16 15 32 84
Quitman 2 2 1 2 7
Rabun 13 21 17 25 76
Randolph 14 21 12 16 63
Richmond 241 248 160 181 830
Rockdale 26 29 24 29 108
Schley 2 4 4 3 13
Screven 28 19 17 13 77
Seminole 10 6 10 4 30
Spalding 93 105 97 95 390
Stephens 35 24 30 33 122
Stewart 10 14 8 7 39
124
COUNTY OF ADMISSION YEAR
1967 1968 1969 1970 TOTAL
Sumter 32 34 30 27 123
Talbot 8 13 10 10 41
Taliaferro 5 4 2 5 16
Tattnall 24 20 18 20 82
Taylor 10 6 7 4 27
Telfair 26 29 28 29 112
Terrell 7 15 17 10 49
Thomas 55 76 44 65 240
Tift 28 31 29 32 120
Toombs 53 55 51 62 221
Towns 11 6 6 2 25
Treutlen 20 14 16 22 72
Troup 74 67 76 66 283
Turner 13 16 12 11 52
Twiggs 11 18 13 11 53
Union 16 12 19 13 60
Upson 44 32 37 58 171
Walker 92 95 77 66 330
Walton 56 66 57 62 241
Ware 70 64 99 65 298
Warren 9 17 6 8 40
Washington 49 42 27 46 164
Wayne 30 32 28 49 139
Webster 6 1 3 5 15
Wheeler 9 11 12 5 37
White 5 7 4 2 18
Whitfield 96 81 91 123 391
Wilcox 11 9 9 10 39
Wilkes 25 27 14 23 89
Wilkinson 24 24 21 21 90
Worth 20 22 15 19 76
TOTAL 6691 6802 6290 6625 26420

125
MEDICAL DEPARTMENT
James B Craig MD
Superintendent
John W Kemble MD
Assistant Superintendent Education Training 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
UNIT I
Santiago Aguilar MD Director
Francisco Borges MD Psychiatric Resident
Jose Delgado MD Psychiatric Resident
Maria Dourron MD Staff Physician
Mohammed Karatela MD Physician Specialist I
Stephen E Kramer MD Staff Physician
Jesus Llobet MD Psychiatric Resident
Ricardo Mesa MD Staff Physician
B E Orosdy MD Staff Physician
Zelma Ozolins MD Senior Staff Physician
Raul Rivero MD Senior Staff Physician
Orlando Rojas MD Psychiatric Resident
Diego Sans MD Psychiatric Resident
UNIT II
Eduardo Guernica MD Director
Marta Bosch MD Physician Specialist I
Tomas GarciaMontesinos MD Staff Physician
Humberto Ravelo MD Physician Specialist I
Roberto Rey MD Physician Specialist I
Muhammed AslamSandvi MD Physician Specialist I
Adolph Sarma MD Chief Physician
Vilis J Zakitis MD Chief Physician126
UNIT III
Jose Mendoza MD Di rector
Eugene Christian MD Physician Specialist I
Moises Jacobs MD Staff Physician
Juan Llambes MD Staff Physician
Rafael Pascual MD Senior Staff Physician
Francisco Huerta MD Senior Staff Physician
R S Planas MD Staff Physician
Jacinto Regal ado MD Staff Physician
Hector Sotolongo MD Staff Physician
UNIT IV
Charles Rich MD Director
John Azzi MD Senior Staff Physician
Ramon Berenguer MD Senior Staff Physician
Thomas Bullock MD Physician Specialist I
Marta L Dzirkalis MD Senior Staff Physician
Clifford Harden MD Physician Specialist I
Mario de Laosa MD Chief Physician
N T Soorya MD Physician Specialist I
John J Word MD Physician Specialist 2
UNIT V
Lorenzo del Portillo MD Director
Orestes FernandezCaral MD Staff Physician
Jose Bernardo Garcia MD Staff Physician
George Grant MD Physician Specialist I
Isidro Insua MD Staff Physician
Manuel J Pena MD Staff Physician
Carlos PerezAbreu MD Staff Physician
Roberto Perdomo MD Chief Physician
Carlos Garcia Rivera MD Staff Physician
UNIT VI
Carl Smi th MD Di rector
Ernesto Giro MD Physician Specialist I
Victor Ubieta MD Senior Staff Physician
UNIT VII
E F Stincer MD Director
Miguel Bosch MD Physician Specialist I
Gudio Graciaa MDPsychiatric Resident

127
UNIT VIII
Juan Portuondo MD Director
Hortensia Alvarez MD Psychiatric Resident
Mary Elliott MD Physician Specialist 2
Jose Gonzales MD Physician Specialist 1
Juan Perez MD Psychiatric Resident
Jose Rouco MD Psychiatric Resident
Odelia Zapatero MD Physician Specialist 1
UNIT IX
E F Diaz MD Director
Manuel Diaz Estrada MD Senior Staff Physician
Ana Marrero MD Psychiatric Resident
Teofilio Milian MD Staff Physician III
Rene Montero MD Physician Specialist 2
Juna Trejo MD Staff Physician
Luis Samper MD Physician Specialist 2
Emilio Yero MD Staff Physician
UNIT X
S A Mendez MD Director
Armando Gutierrez MD Physician Specialist 1
Henry F Yost MD Senior Physician Medical Specialty
NEUROLOGY
John W Kemble MD Director
Rafael Alvarez MD Psychiatric Resident
Jose Rubio MD Psychiatric Resident
RESEARCH
Clyde Keeler ScD PhD Director
G R Courtney OD Neurophysiologist
Jerry Curtis PhD Biochemist
PSYCHIATRIC RESIDENCY TRAINING
Louis Jacobs MD Director
E F Stincer MD Supervisor
128
SPECIALIZED MEDICAL SERVICES
GENERAL MEDICINE SURGERY
J G Bohorfoush MD Director
E G Allende MD Physician Specialist 2
Sergio AlvarezMena MD Physician Specialist 2
Antonio Ballagas MD Senior Staff Physician
David Cardoso MD Physician Specialist 3
Harold Carson MD Staff Physician
Osvaldo Casas MD Senior Staff Physician
S H Dillard Optometrist
Andres Fernandez MD Physician Specialist 2
Samuel Goodrich MD Physician Specialist I
Pilar Goicoechea MD Physician Specialist 2
Francisco Gomez MD Senior Staff Physician
Jose Jimenez MD Chief Physician Medical Specialty
Raymond Jordan MD Senior Staff Physician
Leon Koen MD Physician Specialist 2
Joseph Leyva MD Physician Specialist 1
Carlos Montalvo MD Senior Staff Physician
John Moody MD Chief Physician
Perry Moore MD Physician Specialist 2
Helena P Marshall MD Physician Specialist 2
Dionisio Pinero MD Physician Specialist 3
Luis Rodriquez MD Physician Specialist 2
Julio San Martin MD Chief Physician
K Sreeramaiah MD Physician Specialist 2
Erlinda Valdecanas MD Staff Physician
Virgilio Valdecanas MD Physician Specialist 1
Raul Veiga MD Physician Specialist 1
ChiehCheng Wu MD Physician Specialist 2
Pedro L Tamayo MD Physician Specialist 2
Teofilo Tomas MD Physician Specialist 2
Paolo Zerbi MD Physician Specialist 3
RIVERS HOSPITAL
Mahmud Majanovic MD Director
Francisco Madrid MD Senior Staff Physician
Jose R Sanchez MD Staff Physician
A Steinhards MD Staff Physician
MEDICARE
Edwin W Allen Sr MD Chief of Service
Luis Carrodeguas MD Senior Staff Physician
Geraldine Pilcher MD Psychiatric Resident
Bernardo Utset MD Staff Physician
COORDINATOR HOSPITAL CONSTRUCTION
Michael L Sheppeck MD
Dipi ornate American Board of Psychiatry and Neurology
m
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129
DENTAL SERVICE
Robert Watson DDS Director
Ray Camp DDS
Jack Groover DDS
Raymond Johnson DDS
Joe Lister DDS
Richard Rogers DDS
Phillip Spence DDS
James Vaden DDS
William Willoughby DDS
Thomas Wylie DDS
PHARMACY
Durward Poland PharD Director
Ken Autry BS
Clarence Gissendanner BS
Edgar Height BS
Thomas Reese BS
Rymer Rivers BS
Glenn Veal BS
William F Kendricks
Raymond Covey Intern
BS

130
NURSING SERVICE
Bernice H King RN Acting Nursing Service Administrator
Vera W Knowles RN Assistant Nursing Service Administrator
DIRECTORS OF NURSING
Ouida Couch RN Unit I Edna Ross RN Unit VI
Fay H Fidler RN Unit II Mary A Bell RN Unit VIII
Frances Osborne RN Unit III Virginia Smith RN Unit IX
Ruth D Mull is RN Unit IV Janet Smith RN Unit X
Mildred Daniel RN Unit V Irene Wood RN Jones Hospital
Valeria Atchison RN Rivers Hospital
PSYCHIATRIC OUTPATIENT CLINIC
Mary W Billue RN Nurse Supervisor
PSYCHIATRIC AFFILIATION PROGRAM
Maidana Nunn RN MS Assistant Director of Nursing
Beatrice Tribble RN AB Nurse Supervisor
Pauline Anderson RN Senior Staff Nurse
Gertrude Thigpen RN Senior Staff Nurse
Gloria A Williams RN Senior Staff Nurse
Alice Paschal RN Senior Staff Nurse
PSYCHIATRIC AIDE PROGRAM AND INSERVICE EDUCATION
Vivetta Kramer RN MS Assistant Director of Nursing
Christine Brookins RN Nurse Supervisor Grant Program
Glenda Ridley RN BS Nurse Supervisor
Ellen Carr RN Senior Staff Nurse
Clinical Instructor Unit II
Gladys Moore RN BS Senior Staff Nurse
Clinical Instructor Unit III
Vivian Knight RN BS Senior Staff Nurse
Clinical Instructor Unit V
Mary H Thomas RN Senior Staff Nurse
Clinical Instructor Unit VIII
Ruth Leverette RN Senior Staff Nurse
Clinical Instructor Unit IX
Lee Bell RN Senior Staff Nurse
Clinical Instructor Rivers Hospital
REMOTIVATION
Lolita Rutland RN PhD Director
Mattie L Pennington RN Supervisor

TECHNICIANS
Truett Abbott AB
Annette Acree AB
Renwick F Bradley AB
Ludwina G Bull BS
Nancy J Carter BA
Janet E Clark BA
Elizabeth Collins AB
K Holley Cowan AB
Anita Cruz BA
Yvonne J Everett BA
Edwin A Gregory BS
Emmett L Griswold BS
R Darryl Herren AB
Gayle Hooks AB
Sarah F Ivey BS
Kaye W Lanier AB
Jeannette M Lewis AB
Charles C Lowery BA
M Andrew McCollum BS
Wanda Dykes McKnight AB
Martha McLaurin BA
Wilbur Manson BA
Byron 0 Merritt BA
June Moore BA
Eloise B Myles BA
John W Prather AB
Lena M Price BA
Frances B Rogers BA
Virginia L Shealy BA
Mary Ann Simmons BA
Doris T Sutton AB
TeCoah Tucker AB
Gwendolyn G Turner BA
Jewell J Turner AB
Joan S Venable BS
Harry C Weathers BA
Patricia Weerts BS
Nedra M Williams BA
SOCIAL WORK AIDES
131
SOCIAL WORK
Kenneth F Jasnau MSS ACSW Director
E 0 Melton MSW ACSW Assistant Director
Nancy E Barnes MSW Social Worker I
E Wayne Bland MSW Social Worker I
Brenda M Jones MSW ACSW Social Worker I
Martha C Tomin MSW Social Worker I
Roy H Brown MSW Social Worker
Lynne N Feagin MSW Social Worker
Carolyn B Grant MSW Social Worker
Jim D Lanier MSW Social Worker
Walker McKnight MSW Social Worker
Rosa C Mendoza MSW Social Worker
Kirk C Minor MSW Social Worker
Janet E Scott MSW Social Worker
Caleb Paul Wright MSW Social Worker
Suzanne R Wright MSW Social Worker
Carol Andrews MSW Social Worker
David R Burgest MSW Social Worker
Joseph T Hodge MSW Social Worker
Patricia R Karatela MSW Social Worker
Allie C Kilpatrick MSW Social Worker
Louise H Powell BA Social Worker
Lamar H Watkins MSW Social Worker
Carrie L Smith
Wanda WhitakerF
132
SOCIAL WORK SCHOLARSHIPS
Roy H Brown
Nancy J Carter
Edwin A Gregory
Joseph T Hodge
Jim D Lanier
Walker McKnight
John W Prather
Robert M Rhymes
Doris T Sutton
Gwendolyn G Turner
Richard D Zellner
CLINICAL PSYCHOLOGY
Robert W Wildman PhD Director
Thomas W Lucik PhD Senior Clinical Psychologist
John J Gates PhD Clinical Psychologist
Robert F Heap PhD Clinical Psychologist
Thomas N Elliott MS Staff Psychologist
F L Madison MA Staff Psychologist
L F Quattlebaum MS Psychologist
INTERNS
G F Beissel MS
Thomas N Elliott MS
Harry G Karras MA
William C Peel Jr MS
Martin F Rosenman MA
Allen E Shealy MA
SENIOR TECHNICIANS
Alice Lee Canipe MS
G Robert Dixon AB
Carolyn C Erickson MA
Ivor D Groves III MA
Wayne Hodges BS
Carlton L Lanier MA
Kenneth W Varnadoe MA
P Douglas Watson BA
Robert W Wildman II BS
B Frank Williams MEd
TECHNICIANS
Edward H Amos Jr BA
Tedd B Brown AB
Faye Butler AB
William A Carruso BA
H Lane Dennard AB
Lawrence E Dresdale BA
Drena S Lanier AB
Ray C Olivier BA
Vincent L Parrish BA
James G Ressenger AB
Alexander G Riddle AB
Joanne D Rogers AB
Deborah S Smith BA
James T Wilkinson AB
SCHOLARSHIPS
Tedd B Brown BA
G Robert Dixon AB
James D Foulks BS
Wayne Hodges BS
Dean Kilpatrick AB
Dennis L Pilgrim MA
Jerry L Sloan BA
R Douglas Smith BA
P Douglas Watson BA

Claude L Andrews BD
C Paul Bennett BD
L Leneal Fortner BD
William W Goins ThM
William M Hearn BD
Ralph T Milligan BD
Robert W Addiss BD
William Counsel man BD
J Mark Gaines BD
Robert Gray BD
Andrew L Miles BD
G Guy Walton ThM
RECREATION THERAPY
Bruce R Prosser BS MS Director
Helen Callaway BS Recreation Therapist II
Lyndoll U Moore AB Recreation Therapist II
Ronald R Smith BS Recreation Therapist II
Charles M Vandiver BS Recreation Therapist II
Anna G Warnock BS Recreation Therapist II
Betty J Welch AB Recreation Therapist II
Ronald Farmer BS Recreation Therapist I
Wayne Gay BS Recreation Therapist I
Charles Parramore BS Recreation Therapist I
INTERNS
Philip Ackerman
Susan Bingham
Richard Lewman
133
CLINICAL CHAPLAINCY
James L Travis ThM Chief Clinical Chaplain
Ronald A Wilkins ThM Asst Chief Clinical Chaplain
Charles Alston BD Clinical Chaplain
Baxter P Cochran BD Clinical Chaplain
Payton B Cook BD Clinical Chaplain
John J Gleason ThM Clinical Chaplain
James F Hardie MA Clinical Chaplain
Robert Z Powell ThD 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 C Jack Caudill
Joseph S Dukes III BD Raymond J Lawrence ThM
INTERNS
L134
MUSIC THERAPY
Herbert P Goldsmith RMT Director
Music Therapists
Judy A Baron RMT
Beth B Carroccio RMT
Dennis F Carroccio RMT
Elizabeth Caudill BA
Solomon Cunio BM
Sandra Graham BME
Saralyn Latham MA
Jayne Marsh MA RMT
Mary Mattos RMT
Suzanne Pipp RMT
Carol Prickett RMT
Pamela Roberson BA
Carolyn Sanders RMT
Jeannette Warren RMT
OCCUPATIONAL THERAPY
Dorothy M Clarke OTR
Karen A Harms OTR
Occupational
Director
Therapist
VOLUNTEER SERVICES
Jane M Haddock BS CVC Director
STAFF
Susan Coursey AB
Earnest Yearwood AB

I
135
VOCATIONAL REHABILITATION
W C Petty AB Director
Marvin Denton Jr BS MEd Supervisor of Services
Jesse P Collette BS EdSupervisor Counseling Service
Thomas Gannaway BS MA Supervisor Evaluation Adjustment Services
James C Grover AB Supervisor Job Development
REHABILITATION COUNSELORS
Harry D Bates BS MRC Dennis M OConner AB BD
Charles H Boland Jr AB BD Robert E Pickett BA MEd
Alvin D Dixon III BS Peter Shenkman BA MRC
Marsha S Fields AB MCE Helen P Simpson BS
Joseph J Fulbright AB LLB Joe Frank Stevens BA BD
Irwin P Gates Jr BA BD Algie E Thomas AB
James D Helton AB Frances W Torrance BS MHt
William M Moore Jr AB BD Mary Jams Weathers BS
L
I
EVALUATORS
Ronald Barnard BA MEd
Tom W Brown BS
Lanier Browning BS
Julian F Council BA
Edwin R Freeman BS
Henry M Hopkins Jr BA
Jane Rhodes BA
John W White BA
Robert Wiley BS
MEd
WORK ADJUSTMENT INSTRUCTORS
Pat Collins
Faye P Day
Miles A Jones Jr
Virginia Mull is
Robert L Strickland
VOCATIONAL INSTRUCTORS
James Adcock
Wynelle Armstrong RN
A L Booth
E M Bradford
Charlene Carpenter
K E Donaszewski
Arthur Jones
Anne Hamilton
Ruth Marshall BS
Ken Ryals
Jacquelyn Shell
Gloria Smith BS
Marianne Thompson BS136
SCHOOL OF SPECIAL EDUCATION
John H Rawlins BS MEd Principal
TEACHERS
Suelle Austin BS MEd
Pamela Bryant BS
Bessie Burton BS
Pam Bush BS
Larry Call away BS
Karen Caruso BS
Cathy Chapman BS
Elaine Cowan BS
Roberta Crittenden BS
Bertha Eakins BS
Mary Edwards BS
Antoinette Ennis AB
Colleen Farmer BS
Robert Floyd BS
Gertrude Higgins BS MEd
Lois Irvin AB
Walter Kirkland BS MEd
Collins Lee BS
E J Lundy BS
John Martin BS
James Nelson AB
Fe Pinero BS
Georgia Prosser BS
Sibyl Smith BS
Dorothy Trawick BS
Larry Waldrep BS
Ruby Werts BS
Glenda Young BS MEd

9B
137

AND SO ONCE MORE THE TALE IS TOLD
WHAT WILL THE FUTURE YEAR UNFOLD
BRIGHT HOPE NEW PROGRESS OR A COLD
UNFEELING APATHY
YOU HAVE THE ANSWERYOU MY FRIEND
CAN HELP THESE LONELY ONES TO MEND
THEIR SHATTERED MINDS IF YOU EXTEND
A LOVING SYMPATHY
Ray Brown
bssr
R
lot
UNIVERSITY OF GEORGIA
JUL 13 1971
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