Annual report and year book, Department of Public Health, Central State Hospital, Milledgeville, 1971

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department of public health
central state hospital
ANNUAL REPORT
AND YEAR BOOK
milledgeville1971

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IS
lrJCOVER PHOTO
The new General Medical and
Surgical Hospital is closer
to reality with the comple
tion of plans Bids will be
let early next year and the
actual construction will be
started shortly thereafter

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4
DIRECTORY
Honorable Jimmy Carter
Governor State of Georgia
MEMBERS OF THE
GEORGIA STATE BOARD OF HEALTH
B W Forester MD Chairman
Earl T McGhee MD ViceChairman
J T Mercer DVM Secretary
Harrison Bray
W A Carr DDS
Lee Roy Claxton RPh
William A Dickson MD
P K Dixon MD
John E Garner Jr
John D Marshall RPh
J K McDonald MD
W F McKemie MD
Lamar B Peacock MD
Carl E Pruett
J H Sullivan MD
J K Train MD
A C Tuck DDS
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

4
jTABLE OF CONTENTS
GENERAL INFORMATION
PAGE
111
OFFICE OF THE SUPERINTENDENT 1218
Staff Housing Public Information
Patient Affairs Medical Staff Secretary
Hospital Receptionist
ADMINISTRATION 1936
Institutional Business Administration
Personnel Engineering Manpower Hospital
Information Systems Industrial Engineering
Horticulture
CLINICAL SERVICES 378
General Psychiatric Units 398
Special Psychiatric Units
Veterans 9
Maximum Security 53
Children 5
Mental Retardation 57
Yarbrough Vocational Rehabilitation Center 60
Social Work 62
Chaplaincy Services 6k
Special Education School 66
Nursing 68
Psychology 72
EDUCATION TRAINING AND RESEARCH 8592
Neurology 86
AudioVisual Services 86
Medical Library 87
Psychiatric Residency 88
Research 90
PHYSICAL HEALTH 9311
Jones HospitalGeneral Medicine and Surgery 9
Rivers HospitalTubercular
Drugs and Alcohol Medicare 98
Pharmacy 100
Dentistry 101
Recreation 102
Occupational Therapy 10f
Music Therapy 106
Volunteer Services 111
Remotivation 11
APPENDIX 11 5
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7
July 1 1971

Doctor Charles K Bush
Director Hospital Services Branch
Division of Mental Health
Georgia Department of Public Health
47 Trinity Avenue SW
Atlanta Georgia 30334
Dear Doctor Bush
IT
I
We present herewith the Annual Report and Year Book of Central State Hospital
covering the fiscal year ending June 30 1971
While progress toward accreditation has not been as rapid as we would have
liked there has been a steady improvement in the efficacy of the treatment
programs as well as in the improvement of physical facilities thereby creating
better environment for the patients
Admissions reached an alltime high of 7521 patients but the residential
population continued to decline the decrease this year being 964 which
brought the average daily resident population to 8041 individuals The re
duction in residents has somewhat relieved overcrowding and made much
needed ward space available for therapeutic and recreational purposes Also
we are pleased to report that much of the hospitals outpatient load is now
being assumed by community aftercare facilities The reduction in patient
population has also resulted in better coverage of the remaining patients with
standard treatment programs as well as by paramedical technics
Although we are still understaffed particularly in nursing and psychiatric aide
personnel our accredited training programs are all healthy and continue to
graduate a supply of professionals many of whom we are glad to say con
tinue at the hospital
We wish to express our thanks for continued support of our treatment goals
both by the members of the Board of Health and by the Health Department
staff Your keen awareness of our problems and ready recognition of our
progress is a source of much strength and gratification to all of us
Respectfully submitted
James B Craig MD V
SuperintendentGEORGIANS SERVED
On Books July 1 1971 16706
Resident in hospital 7487
On Convalescent Leave 9219
Admissions
Total Admissions 7521
First Admissions tfl 766
Readmissions CSH 2755
Average daily resident population 8041
Decrease over 1970 964
Discharged direct from hospital 2287
Patients placed on convalescent leave 9 343
Transferred out 661
Deaths 700
BUDGET ACTUALS
State Appropriations 3487555100
Agency Funds 328390000
3815945100
EXPENDITURES
Personal Services 2799432000
Operating Expense 878945500
Capital Outlay 180000000
Total Expenditures 3858377500
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BALDWIN COUNTY GEORGIA
GEORGIA PEPARTMENT OF PUBLIC HEALTH
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A BRIEF HISTORY OF CENTRAL STATE HOSPITAL
One hundred and twentynine 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 12 5 years the hospital continued to be the only state psychiatric
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 accordance with Georgias
new regional hospital concept it acquired its present name
During the last four years the resident population decreased to 8041 at
the end of fiscal 1970 mainly due to improved treatment programs as well as
transfer of 3 680 geriatric patients to nursing home care and an additional
1600 patients sent to the new regional hospitals in Thomasville in Bain
bridge in Atlanta and in Augusta
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 19 68
the hospital also operated a 9000 acre farm and dairy program however
this is now liquidated although the hospital retains the land which is now
used for treatment and recreationThe massive institution is like a small city It has fire and police de
partments general hospital services five chapels for the spiritual inspira
tion 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 and
cemeteries and bus service The Central Kitchen prepares more than 33000
meals daily in an area the size of two football fields
The budgeted employee work force numbers 4099 and includes these cate
gories Physicians 105 dentists 7 nurses 115 semiprofessional and
technical 2234 psychologists 15 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 rehabilitation clini
cal chaplaincy and a rotating residency in ophthalmology for senior residents
from the Mayo Clinic at Rochester Minnesota
As atreatment facility Central State Hospital serves residents of Georgia
who are mentally ill mentally retarded or suffering from an addiction pro
blem The institution is divided into five psychiatric units admission to a
particular unit being determined by county of residence Other units include
a vocational rehabilitation center and school a childrens unit and special
education school a veterans home a unit for the mentally retarded a unit
for patients who are tubercular a medicare unit and a general medicalsurgical
hospital of some 250 beds
Approximately 800 children under the age of 18 reside at Central State
Hospital and of these 199 are in the special education school which is di
vided into two sections classes for children who are emotionally disturbed
and for those who are mentally retarded At the present time there are 67
students in the ED section 35 are in high school 23 are in intermediate
classes and 9 in primary classes The classes for educable MR students
have 83 enrolled and the number attending trainable MR classes is 49 The
school is staffed by a principal 24 teachers and four teachers aides
Underage admissions to Central State Hospital are increasing materially
every year at the rate of approximately 33 per cent At the present 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

ASST SUPT
ADMINISTRATIVE
INST BUS ADM
PERSONNEL
ENGINEERING
MANPOWER ADM
HOSP INFO SYSTEM
DATA PROCESSING
BUDGET OFFICER
HORTICULTURE
ASST SUPT EDUCATION
TRAINING RESEARCH
MEDICAL LIBRARY
RESEARCH
NEUROLOGY
PSY RESIDENCY TNG
AUDIO VISUAL SVS

ASST SUPT ASST SUPT
CLINICAL PHYSICAL HEALTH
CLIN DIR PSY GEN JONES HOSP
UNITS IV RIVERS HOSP
PSY OP CLINIC PHARMACY SVS
CLIN DIR PSY SPEC DENTAL PROGRAM
UNITS VIX ENVIRONMENTAL
SPECIAL EDUCATION SANITATION
PSYCHOLOGY COORDINATOR SPEC
SOCIOLOGY THERAPIES
SOCIAL WORK OCCUPATIONAL THPY
NURSING SERVICE RECREATION THPY
CHAPLAINCY SVS MUSIC THPY
MEDICAL RECORDS VOLUNTEER SVS REMOTIVATION SVS
EXECUTIVE
ASSISTANT
HOUSING
PUBLIC INFO
MED STAFF SECY
CENTRAL STATE HOSPITAL
Revised 1 August 1971EXECUTIVE ASSISTANT
MEDICAL STAFF
SECRETARIAT
HOUSING MANAGER
SECRETARY
DIRECTOR
PUBLIC INFORMATION
SECRETARY
PUBLIC INFORMATION
OFFICERS
SECRETARY
PHOTOGRAPHER
HOSPITAL
RECEPTIONIST
EXECUTIVE ASSISTANT
Revised 1 May 19713
12

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OFFICE OF THE SUPERINTENDENT
James B Craig MD Superintendent
John J Schuyler LLB Executive Assistant
John R Cline Administrative Officer
Raymond D Brown Director Public Information
James R Emerson Director Staff Housing
Barbara Farmer Supervisor Medical Staff Secretariat
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
ASSISTANT SUPERINTENDENT
PHYSICAL HEALTH
John W Kemble MD
ASSISTANT SUPERINTENDENT
CLINICAL
William R Howard MD
CLINICAL DIRECTORPSYCHIATRY
GENERAL PSYCHIATRIC UNITS
W T Smith MD
Michael L Sheppeck MD
CLINICAL DIRECTORPSYCHIATRY
SPECIAL PSYCHIATRIC UNITS
E F Stincer MD
P13
THE SUPERINTENDENT
JAMES B CRAIG MD
PBHHHBHHHHHHHHHI

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OFFICE OF THE SUPERINTENDENT
The Office of the Superintendent includes the Superintendent the clerical
staff and staff assistants directly responsible to him through the Executive
Assistant They include Staff Housing Public Information and Education the
Medical Staff Secretariat and the Hospital Receptionist The Patient Affairs
Division which last year was located in the Superintendents office completed
its projects and has since been transferred to the Medical Records Depart
ment under the Assistant Superintendent Clinical

STAFF HOUSING
The division is responsible for the renovations and renting of 97 houses
39 apartments and 102 dormitory rooms During the fiscal year 381 main
tenance work orders were referred to the Engineering Division for service from
the plumbing electrical and carpenter sections A large number of these
were placed by the Housing Office for repairs to vacated houses and apart
ments Other requests were initiated by the occupants themselves The ex
terior of 17 private residences were painted
During the year 17 requests were received for private residences and as
a result of personnel turnover 18 vacancies occurred with 17 assignments
completed Fifteen requests were received for apartments with 12 vacancies
occurring Nine of the vacancies were assigned as well as 43 rooms in the
dormitory to males and 24 to females
PUBLIC INFORMATION AND EDUCATION
This department is charged by the Superintendent with the responsibility
of collecting editing and presenting factual information in both written and
visual form about Central State Hospital its programs and its staff All
communications media are utilized to accomplish this result
MASS MEDIA COVERAGE The department initiated 40 news releases which
went to general news media sources including daily and weekly newspapers
radio and television outlets and a select list of organizations and indivi
duals Six releases were sent to specialized outlets Television coverage
of the hospital programs during the year was quite effective The institutions
programs were included in several TV documentaries on alcohol and drugs
as well as in the areas of mental retardation special education and mental
illness
PHOTOGRAPHIC COVERAGE The department photographer took more than
3000 individual black and white photographs and a similar number of color
slides Some of these accompanied news releases Others were utilized for
patient therapy programs and placed on exhibit illustrating various phases of15
the treatment program Color slide programs were updated and additional
shows were provided for the Superintendent the Special Education School
Unit 9 Work Evaluation Center Music Therapy Recreation Volunteer Ser
vices and various other hospital departments upon request
PUBLIC EDUCATION The department personnel directed sponsored and
arranged seminar programs for 103 visiting groups totaling 2 700 individuals
These included high school and college students members of civic organi
zations and various groups of professionals from other state institutions
The director visited 92 colleges high schools vocational schools and
schools of nursing for lectures illustrated by color slides on the various
hospital programs A number of prospective employees were also inter
viewed on these trips A total of 5021 individual contacts were made through
this program
PUBLICATIONS The department published the Annual Report and Yearbook for
1970 the Weekly Bulletin and a number of brochures including theYarbrough
Rehabilitation Center Handbook for Central State Hospital Vocational Rehabili
tation Clients Specialized Music Therapy Training with Retarded and Emo
tionally Disturbed Children Chaplaincy Service Opportunities in Psychology
for Psychologists and Opportunities in Psychology for Psychology Techni
cians
MEDICAL STAFF SECRETARIAT
The Medical Staff Secretariat is responsible for the care and maintenance
of all minute books records and agenda of the medical staff departments
the clinical review committees the Executive Committee meetings and the
handling of all records affecting the medical staff as required
HOSPITAL RECEPTIONIST
The work of the Hospital Receptionist has increased during the year
primarily because of the number of admissions which reached the highest in
the history of the hospital The receptionist is the original contact person
for many visitors coming into the hospital and is therefore extremely im
portant in influencing the attitudes of relatives of patients and other visitors

V
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HIGHLIGHTS OF THE YEAR
Plans completed for the new General Medical Surgical Hospital
Construction to start early next year
New Physical Therapy Department now operating in Jones Hospital
Training program for 20 L P N students from Bibb County Board of Education
underway in Jones Hospital
New therapy program for drug addicts and alcoholics functioning well and
will be expanded to include 30 beds for females
Renovations including air conditioning in Howell building Powell 2 East
and West and Binion admission ward
Future Missions Project for utilization of CSH for next ten years completed
and approved Budget and cost control system completed
CSH psychologists now treating 700 patients in 10 behavior modification
programs
Complete master plan for development of recreational facilities developed
Pharmacy moved into new quarters and now supplies drug needs of 45
aftercare clinics throughout the state
Separate budget division set up and warehouse and inventory control
transferred to Institutional Business Manager Also first hospitalwide
inventory of moveable capital equipment completed
Added equipment in laundries is providing patients with better linen and
wearing apparel
Eleven dining rooms were equipped with new serving lines and dishwashing
equipment
A modern Police Station was provided through the renovation of an old
building
Patient trainees are now working with the engineering department in drafting
maintenance and construction
Special and modified diets were added to the computerassisted menu
planning and the service is now being provided to the regional hospitals
Much of the CSH outpatient load has been transferred to the community
facilities
m
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GOVERNOR AND MRS JIMMY CARTER ARE VISITORS TO CENTRAL STATE HOSPITAL

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Work is love made visible And
if you oannot work with love
but only with distaste it is
better that you should leave
your work and sit at the gate
of the temple and take alms of
those who work for joy
Kahlil Gibran
r19
ADMINISTRATION
ASSISTANT SUPERINTENDENT
ADMINISTRATIVE
Rod Clelland BFA MBA
INSTITUTIONAL BUSINESS ADMINISTRATION
DIVISION OF THE BUDGET
ENGINEERING
MANPOWER ADMINISTRATION
HOSPITAL INFORMATION SYSTEM
HORTICULTURE
ikHHIHHHHHHiHHHHHHHi

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ADMINISTRATION
SN
Fiscal 1971 was a year of planning for change Most of the planning
was done for establishing a Central Regional Hospital within Central States
complex to serve a region composed of 26 Middle Georgia counties At the
same time other patient groupings were planned Geriatric patients to be
placed in one unit for their special treatment needs Mentally retarded patients
all to be under treatment in one unit Veterans entirely in one unit Three
other units were organized to back up the several regional hospitals through
out the state

These plans which would later move over 4000 patients and 350
employees to new buildings new programs and new relationships were
administrative functions professionally performed It involved logistics plans
manning tables and new staffing standards

Consultation with Andrew G Robinson Second from right3 Chief Deputy
Director of the California Department of Mental Hygiene21
BUDGET DIVISION
A separate Budget Division was established in early March 1971 This
office now reports directly to the Assistant Superintendent Administrative
and is responsible for the formulation and control of the budgeting system
and for the direction of the fiscal and planning functions at Central State
Hospital
In April 1970 the fiscal 1971 internal budget for Central State Hospital
was submitted to the Georgia Department of Public Health and included funds
as appropriated in the following amounts and categories
Personal Services
Operating Expense
Capital Outlay
TOTAL
27721130
8638321
1800000
38159451
The original State Appropriation for FY 1971 was 34875551 A summary of
our anticipated income follows
Veterans Service
Patient Payment
Maintenance
ReimbursementPBF
Medicare
Miscellaneous
Medicaid
Total Agency Income
Add Federal Grants
State Appropriation
TOTAL AVAILABLE FUNDS
1209900
800000
90000
41000
773000
170000
100000
3183900
100000
3283900
34875551
38159451
Due to Medicaid expansion and other program changes during the fiscal year
the amount of the amended Hospital budget as of June 30 1971 was as
follows
Personal Services
Operating Expense
Capital Outlay
27994320
8789455
1800000
TOTAL
38583775Hr

22
L
During the spring the entire hospital was heavily engaged in the new
zerobase budgeting effort for FY 1973 Approximately 520 decision packages
were compiled and submitted to Dr Bush for his review in May 1971 The
FY 1972 internal budget was being prepared simultaneously and was also
submitted in May 1971
INSTITUTIONAL BUSINESS ADMINISTRATION

During the year two significant changes were made in this division
The budget unit was transferred from the office of Business Management and
made a separate division responsible to the Assistant Superintendent
Administrative The responsibility for Pest Control was removed from the
Housekeeping section and made a part of the Environmental Sanitation section
under the Assistant Superintendent Physical Health

One major change was made internally in this division The responsibility
for Warehouse and Inventory Control was transferred to the Business Manager
Formerly this was a responsibility of the Procurement and Property Officer
f
Increased efforts have been made toward the improvement of the warehouse
and inventory control system A consultant has been engaged to develop a
program for a practical and efficient materials handling system for warehousing
Recommendations will be made for more efficient space utilization operating
procedures and improved material handling equipment
Information from the annual inventory which was taken in June has been
utilized to better plan and control inventory operation From this information
surplus stock can be identified and proper utilization or disposition can be
made stock levels and reorder points can be assigned and other necessary
inventory control procedures can be installed
Two cold storage rooms are being renovated and converted into one large
room with a higher ceiling which will increase our cold storage capacity and
provide adequate space for storage
The Medicaid Program was inaugurated in July 1970 Billing procedures
were established and by the end of fiscal year 1971 we were billing for 264
medicaid eligible patients Total income for the hospital in fiscal year 1971
was 299000 and it is expected that this figure will more than double in
fiscal year 1972
In an effort to improve our cost finding system for Medicare purposes
a relative value system was instituted in the Jones Hospital Rivers Medicare
and Electroencephalography Relative value units provide a means of weighing
the value of any service within a department in terms of all other services
performed In this manner an appropriate value may be established for each
service Periodically the cost for each department will be determined and23
a Relative Value Unit will be established for each department The cost per
Relative Value Unit varies among ancillary services The Relative Value Unit
of any procedure is only comparative in terms of value and cost toother values
within the same department
This will result in a more accurate allocation of costs to Medicare
patients and is expected to increase our income from Medicare eligible
patients in future years A Relative Value book was prepared and is being
distributed to the various organizations involved
The Procurement office processed a total of 11602 lineitem transactions
for this year as opposed to 13280 for the previous year The drop in num
ber is a direct result of the increased use of annual contracts which also
has produced better prices and more timely delivery We expect a further
improvement this year with the selective use of buying from the General
Services Administration which we are authorized to do beginning July 1
1971
The first hospitalwide inventory of movable capital equipment was
completed during this fiscal year and will be maintained on a perpetual basis
with verifications required on all losses gains andor transfers
During fiscal year 1971 the Central Housekeeping section with the help
of Service Engineering Associates and Unit personnel implemented house
keeping programs in an additional three Units Data collection and drafting
of manuals was completed on five other Units leaving only one Unit to be
studied
Housekeeping programs in Units V X and the Rivers Hospital were
implemented and are very effective relieving nursing personnel of much of
this responsibility Units I II III IV and VI were studied and manuals
were written They are now ready to implement but due to lack of personnel
and equipment no further progress was made The Jones Hospital manual
should be completed by December 1 1971 This will complete a house
keeping manual for each Unit The Central Housekeeping section will con
tinue to provide training classes for all Units even after the programs are
in effect
Concrete floors in the Rivers Hospital Ingram building and Walker
building were sealed during fiscal year 1971 with polyurethane concrete
sealer This has helped to control odors and provide a smoother surface for
easier cleaning
In the Central Laundry a new washerextractor a flatwork ironer and
two automatic pants pressing units were installed With this modern equip
ment the laundry is providing neater linen and wearing apparel for our patients
24
s

tr

at an increased volume The laundry has instituted a mop exchange system
which serves the entire Hospital
An additional 32 refuse containers of three yards capacity were purchased
and located to provide better service for trash collection
Training programs on fire safety and evacuation procedures are being
developed in all areas of the hospital with primary emphasis being given to
the Jones and Rivers Hospitals and the Unit for Mental Retardation because
these areas receive Federal reimbursement from Medicare and Medicaid and
are subject to an annual licensure review Schedules for these programs have
been established and will be carried out on a regular basis Programs have
been developed for other areas of the hospital which will be expanded in the
next fiscal year Routine inspections are made regularly by fire inspectors
who report deficiencies to the proper officials through the Fire Chiefs office
Training programs continue to be held for all fire fighting personnel
Improved computer technology and management procedures employed in
1970 enabled the Food Service Section to make further accomplishments in
nutrition dietetics and menu planning This program has been so success
ful that plans have been made to extend it to other institutions in the Depart
ment of Public Health and we have presented it to other State institutions
upon request During calendar year 1970 10034225 meals were served
of which 2061123 were special and modified diets and 114711 were for
patient special parties and cookouts at a raw food cost of 02687 per meal
a decrease of 4 cost over 1969 in spite of an increase of 6 in food prices
Surplus commodities available and used decreased by more than 7 5000
Eleven dining rooms were remodeled with new serving lines andor
dishwashing equipment and ten dining rooms were closed and consolidated
into serving areas Thirtythree new electrically heated and cooled meal
tray carts were received and put into use Georgia State Department of
Health Food Service Permits were received for the Boland Binion and Boone
dining rooms
The Police Department responded to 2760 requests for assistance
apprehended 1353 patients who had left without consent issued 563 cita
tions for traffic violations investigated 64 traffic accidents arrested 95
individuals for violation of State laws conducted 198 investigations and
traveled a total of 166000 miles on security patrols The highlight of the
year was the renovation of an old building to provide a modern police station
for the institution
The Ambulance Service is responsible for the movement of emergency and
nonambulatory patients During fiscal year 1971 this section provided
services for the movement of 2406 emergency cases and 14406 non
ambulatory cases for a total mileage of 45000 miles for the year25
The Motor Transport Service is responsible for providing quality preventive
maintenance on all motorized vehicles and for providing vehicles for the
movement of equipment supplies and personnel This service includes per
forming scheduled preventive maintenance inspections on all vehicles dis
bursement of all petroleum oil and lubricants shuttle bus operation on
campus and the dispatching of general purpose vehicles and drivers in sup
port of hospital Units and Departments This section handled 18384 trans
portation requests shuttled 92579 passengers returned 2 66 escaped
patients from outlying counties transported 387 patients to otherinstitutions
conducted 827 preventive maintenance inspections 200 State vehicle safety
inspections and traveled a total of 250000 miles Three new computerized
programs were designed programmed and implemented to provide manage
ment with statistical data showing operating cost per vehicle to include
repair parts labor fuel and lubricants plus an additional program showing
utilization of all vehicles by Units and Departments
Approximately eighty acres of land owned by Central State Hospital has
been transferred to the Board of Corrections for the construction of a new
prison for women This facility will be constructed and administered by the
Board of Corrections and when completed will house all female prisoners
now domiciled in the Kemper building
PERSONNEL DIVISION
On June 30 1971 there were 4099 regular employees on our staff an
increase of 77 over the end of the previous fiscal year The largest gain was
in the subprofessional nursing category
Personnel activity at Central State Hospital during 1971 was influenced
by statewide fiscal problems It was necessary to initiate several employ
ment restrictions to remain within the Hospitals Personal Services budget for
the year These included hiring only at the beginning of a pay period pro
hibition of overlapment on positions and periodic unfunding of vacancies
Our turnover rate was lower during fiscal 1971 than it has been since 1963
Figure 1 on the following page is a tabulation of personnel actions during
the year The number of total employees shown in the first paragraph 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 subtracting 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 separate
page
26
PERSONNEL BY TYPE AS OF JUNE 30 1970 AND JUNE 30 1971
V

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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
1970
1971
108 105
9 7
117 115
25 24
7 7
3 3
9 11
3 3
8 8
12 15
20 20
21 27
2205 2234
39 43
322 332
22 22
312 316
427 441
354 366
4023
4099
fgggggggSBmm
gggff0B
Mrs Laura Williamson Accounting Services
27
28
Figure 1
Personnel Actions FY 1971

Appointments 913
Transfers 350
Promotions 374
Demotions 20
Leaves of absence 238
Returns from leave
of absence 191
Miscellaneous 811
Separations 825 including 608 Resignations 41 Dismissals 54 Separations during Workinc Test 15 Deaths 29 Transfers to other agencies 78 Retirements
Rate of turnover 202
ENGINEERING DIVISION
The Engineering Division is comprised of 2 74 employees including
administrative and supervisory personnel This Division has a responsibility
to the Hospital to provide centralized services in the field of engineering
The objectives of this Division are

2
To render professional engineering services and advice to
the Superintendent Assistant Superintendents Admini
strative Staff and Department Heads
To provide efficient engineering and maintenance services
related to the physical properties equipment and utilities
owned by the Hospital
To design plan prepare specifications estimate costs
and provide the necessary workmanship to construct and
maintain facilities
This Division operates and maintains the Hospitals water treatment
plant waste treatment plant waste and water pumping stations water dis
tribution system waste collection system steam plant and steam distribu
tion system overhead electrical distribution system and the system of
streets and roads This Division also prepares and maintains updated reports
on hospital facilities for the self insurance program
IHHHIiHwil
29
The following is a brief summary of the major engineering projects for
1971
1 Construction of three lift stations and a system of inter
ceptor sewers to serve the Hospital and surrounding areas
was completed
2 Renovation of Tenth Ward to include new roof exterior
brick veneer new aluminum windows acoustical ceiling
increased electrical service air conditioning of patient
areas and installation of sprinkler systems was completed
3 Renovation of the old firehouse was completed for a cen
tralized police headquarters which included installation
of air conditioning a communications system new floor
tile and a new ceiling
4 Construction of the Rivers administrative suite was com
pleted providing a modern uptodate complex for office
personnel
5 Construction of two additional bedrooms for personnel
dwelling 27 was completed
6 Renovation and reworking of controls in freezer room at
Cold Storage was completed
7 Howell building north passenger elevator was renovated
to include selectivecollective controls
8 Contract was let and work begun to air condition and
renovate the Howell building wards 2 East and 2 West
in the Powell building and the admission ward in the
Binion building
9 Renovation of Jones XRay to provide space for additional
equipment was completed
10 Renovation of Personnel office to provide additional office
space and conference area was completed
11 Sprinkler systems were installed in all storage closets
in the Bostick and Washington buildings
12 Bathrooms in the Green building were renovatedQgfigaadBBigfltt

30

13 Renovation of a portion of the Lawrence building ware
house area for a centralized Procurement Property and
Receiving section was begun This area will receive
masonry walls new ceiling floor covering and air con
ditioning
14 Construction of one brick veneer four bedroom residence
was completed
15 Rivers 5 East was renovated to provide space for the male
Alcohol and Drug Unit

16 Twenty year bonded roofs were installed on the Lawrence
building Print Shop and Engineering warehouse Abattoir
Boland building and Binion building
17 Sidewalks were constructed in the patios of the Washing
ton building

18 New light fixtures were installed in the Bostick and Wash
ington buildings
19 Paving of eight driveways and two parking lots was com
pleted
20
Detention screens were installed on Binion 1 North
M
21 Steam and return lines at the auditorium were replaced
The Division continues to participate in the Patient Rehabilitation Program
We are presently working with patients in the fields of drafting maintenance
and construction This program provides training to prepare the individuals
for employment upon their release from the Hospital
The Capital Outlay Program is designed to provide for the air conditioning
and renovation of all patient buildings to upgrade the facilities to meet
standards of the Joint Commission for Accreditation
DIVISION OF MANPOWER ADMINISTRATION
The Division of Manpower Administration is concerned with the determi
nation of requirements for and allocation of personnel resources and optimum
utilization of these resources This is accomplished through the develop
ment of staffing standards employee training organization policy and
procedure formulation and management auditing The Division also provides
professional Industrial Engineering services to the management and thejgBggggHmmmmtKmmmtK
LITTLE MISTER AND LITTLE MISS CENTRAL STATE HOSPITAL
31
H
Mitchell Scott son of Mr and Mrs Paul Scott and
Gina Mills daughter of Mr and Mrs J W MillsI
1

32
various segments of the Hospital and directs the operation of the Hospital
switchboard Other programs are grants management forms control printing
and various staff services as required The following are some of the sig
nificant events of the year
l The Division assumed responsibility for Industrial Engi
neering services and operation of the telephone switch
board

Developed staffing standards applicable to the majority
of employees of the Hospital including standards for
patient care services
Prepared a plan for the redistribution of employees inci
dent to a proposal to reorganize the Hospital in accor
dance with Future Missions plans
Initiated a project to add functional statements to the
Organization Chart Manual for each separately organized
segment of the Hospital
Planned and coordinated presentation of nine management
training sessions including three on Planning Programm
ing and Budgeting with 55 trainees and six on the Princi
ples and Techniques of Management and Supervision with
149 trainees In cooperation with the Hospitals Audio
Visual services arranged for the presentation of a super
visory training course by closed circuit television which
was broadcast twice during the year
Processed 121 training applications prepared and sub
mitted 655 Employee Training Records and coordinated
preparation of and forwarded 795 Training Record Ques
tionnaires
Prepared staffed and published 23 amendments to the CSH
Policy and Procedures Manual
Completed all planning and obtained approval for a Man
agementSupervisory Training Program to be initiated
during the next fiscal year and operated on a continuing
basis to provide formal instruction to all personnel in
management or supervisory positions
Prepared staffed and published 22 discrete amendments
to the Organization Chart of the Hospital
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33
10 Produced approximately 4439000 printed sheets and
417000 printed cards at the Print Shop
11 Industrial Engineering projects included completion of a
comprlfriensive reference manual on federallysponsored
health insurance programs with an attendant system for
providing current information on Medicare Medicaid and
related matters Other projects were a comprehensive
study for a complete laundry linen and clothing service
for the Hospital and studies on drug costs cost of
wound dressings and income potential of an extended
care facility
HOSPITAL INFORMATION SYSTEMS
During the fiscal year 1971 Hospital Information System personnel
participated in several projects of considerable benefit to Central State
Hospital In addition to continuing its regular production jobs such as
patients movement patients deposit fund clinical appointments ward
census menu planning warehouse inventory personnel data meal labels
industrial therapy system motor vehicle transportation system Hospital
Information System filled some 200 special requests expanded and improved
existing systems and added new systems to its operations
A substantial expansion and improvement of menu planning for Central
State Hospital resulted from the addition of special and modified diets to the
computer assisted operation Preparation instructions were also incorporated
into the system so that now not only can menus be planned but cooking and
preparation instructions can be issued
At the request of the State Health Department Hospital Information
System personnel offered leadership and assistance in menu planning to the
regional hospitals As a result Computer Assisted Menu Planning is being
installed at these facilities
Personnel also participated in the completion of the Future Missions
Project which called for some 10 programs and included a time series analy
sis of admissions to Central State Hospital over the past 10 years The
primary purpose of the project was to determine the feasibility of converting
the institution to a regional hospital The study also considered the possi
bility of converting the Powell building to a central admitting and dismissing
facility the objective was to ascertain whether or not such a facility could
operate at least five years before becoming spacially inadequate
During the year the Budget and Cost Control System for Central State
Hospital was implemented The major function of this system is to report an
accurate and uptodate account of expenditures for each budgeted organiza
tion The system also processes warehouse receipts and issues in order to
t
34

maintain a perpetual warehouse inventory Assembling projected budget data
has become much easier through utilization of this system
The Inventory of Movable Capital Equipment was added to the data
processing equipment With the completion of the initial inventory and the
continuous updating of property disposition some 70000 ilfems of equipment
have been brought under a more organized framework of control
The Behavior Modification System which began during this year is of
particular significance because of its direct relation with patient rehabilita
tion This program is an ideal application for computer utilization because
of the large volumes of evaluation data which must be gathered on each resi
dent to retrieve the information they require at the speed necessary for timely
decision making Initially the system will involve only the residents of
Unit 9
Hospital Information System has made continuous progress during fiscal
year 1971 and now makes its presence felt throughout Central State Hospital
HORTICULTURE

During fiscal year 1971 a neworchard for patient use was begun to replace
trees and vines lost to the hospital by the transfer of farm property to other
state agencies Planting included apples peaches grapes and strawberries
to which pears blackberries and scuppernong grapes will be added during
autumn The orchard will be used exclusively for patient therapy activities
and not to supplement the food supply for dining rooms
Assistance was given to the regional hospitals at Atlanta and at Augusta
in beginning a garden therapy program This included consultative service
and the transfer of seven thousand bedding plants from our greenhouses
The new picnic area the Rehabilitation Garden below the Rivers building
was planted with zoysia grass The ravine between the building and the
parking lot area has been filled in for the convenience of the patients
The outstanding feature of the Horticulture Department remains in the
area of garden therapy This program is sponsored by the Garden Clubs of
Georgia Inc and has been in operation since 1959 The Garden Clubs of
Georgia have received the national award for garden therapy twice because
of their sponsorship of this very effective program With the aid of Garden
Club volunteers flower borders are planted and maintained on a continuing
basis which provides not only therapeutic activity for the patients but also
enhances the beauty of the grounds Another feature of garden therapy is a
number of vegetable gardens cultivated by patients with the assistance of
employees and volunteers The Horticulture Department provides support for
these programs by breaking ground and supplying bedding plantsoiBnnm
iBIBMMBB

35
The Horticulture Department cooperated with the Vocational Rehabilitation
program by providing practical experience in greenhouse work under the
guidance of counselors Approximately 80000 bedding plants were planted
by patients participating in this program Assistance was also given to
Remotivation activities by demonstrating flower arranging and corsage making
and by other usage of flowers to obtain patient interest
The department continued the intensive maintenance of 60Q acres in the
main campus of the hospital in addition to minimum maintenance on two
thousand acres to the extent necessary to reduce fire hazards and maintain
a pleasant landscape Limited manpower in the department makes it difficult
to maintain adequately such a large area and makes the contribution of volun
teers to the appearance of the grounds of especial benefit to the hospital and
its patients

t
William W Curl receives plaque as President of Employees Associationvi iftiTniffmwwittrom
s
36

W m
People say I let myself get too involved3
that Im a perfectionist I suppose I am
In fact I know I am I have to be I am
dealing with lives3 you know If people
think I can do that without becoming per
sonally involved with the patients3 they
are wrong
Dr Michael BeBakey
M
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37
CLINICAL
ASSISTANT SUPERINTENDENT
CLINICAL
MLchaeJt L Sieppecfe MP
L
GENERAL PSYCHIATRY
SPECIAL PSYCHIATRY
NURSING SERVICE
PSYCHOLOGY
SOCIAL WORK
SOCIOLOGY
CHAPLAINCY SERVICE
SPECIAL EDUCATION
MEDICAL RECORDS
f38
FOREWORD TO THE SUPERINTENDENT
I bring to your attention a few of the highlights during the past fiscal
year Each Director andor Department Head relates his activities and rec
ommendations as noted in the following reports
One of the developing trends is the increased number of admissions
This is accompanied by shorter average stay increased turnover and a grad
ual reduction in occupancy days These developments are worthwhile trends
Comparative occupancy days Fiscal 1970 3307669 days Fiscal 1971
2939688 Comparative admissions Fiscal 1970 11502 Fiscal 1971
12027

The capital improvement and modernization program applied to the better
structured buildings is a definite asset to the safety care and comfort of
patients This has been so well demonstrated in the North half of the Howell
building Many of the Unit Directors are aware of this improvement and
desire the same for their facilities Also minor improvements are underway
in the Powell Holly and Binion buildings
The planning for the Future Missions program and its eventual realization
should provide a higher degree of specialized care based on the approved
yardstick of minimum man hours of nursing service per patient per day
Coordination with community health agencies continues to provide referral
information to support their aftercare program This should stimulate a spirited
mental health maintenance and rehabilitation program at the community level
At present so many are lost to aftercare with failure in maintenance resulting
in readmissions
The specially funded programs in Alcohol and Drugs and Behavior
Modification of the mentally retarded should further promote return and ad
justment to family and community living
Several of the reports are exciting depicting a venture forward in the
care of those admitted to our hospital
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39
GENERAL PSYCHIATRY UNIT I
BUILDINGS Powell Const 1858 remodeled 1955 Walker Const 1883
Green Const 1947 10th Ward Const 1938
NUMBER OF WARDS 13
PATIENT CENSUS June 30 1971 962
ADMISSIONS 1179
DIRECTOR Santiago Aguilar MD
ADMINISTRATOR James Tate
DIRECTOR OF NURSING Mrs Ouida Couch RN
COUNTIES SERVED 3 Fulton DeKalb and Clayton
This Unit serves the Metropolitan Atlanta area including the counties of
Fulton DeKalb and Clayton The majority of new admissions come from
Fulton County The receiving wards are located in the Powell building where
initial diagnosis and evaluation takes place If the patient has an acute
problem he is usually released from the admission wards If he requires
hospitalization longer than thirty to sixty days he is usually transferred to
continuing treatment wards
Treatment is given by a team of professionals including psychiatrists
psychologists dentists social workers clinical chaplains occupational
music and recreation therapists and vocational rehabilitation counselors
Two major treatment programs were initiated in 1971 These include a
behavior therapy program conducted by Unit psychologists and a special
treatment program for chronically ill patients who have remained in the Unit
for a number of years This is being supervised by the Unit social workers
A close working relationship with community mental health resources has
been maintained as these facilities have continued to expand At present the
patient followup is done in the majority of cases in the Fulton DeKalb and
Clayton County Community Health Clinics This has resulted in a decreased
demand for hospital outpatient services
Unit I is the center for the training of psychiatrists through the Psychiatric
Residency Training Program and a majority of student nurses who affiliate
with Central State Hospital receive much of their professional training here
Basic thrust of the treatment program is to get the patient back to his home
community as rapidly as possible by utilization of community resources where
these are available
f

r
40
A numberof improvements in physical facilities have occurred during the
year The Walker building was painted throughout and complete renovation
of the bathrooms in the Green building has provided adequate facilities for
all patients Kardex files and assessments have been completed on all
patients in the Powell building and are almost complete for the Walker building
Nine attendants have successfully completed three months of psychiatric
aide training and 16 attendants having attended workshops on remotivation
are now conducting their own groups Several of the registered nurses have
taken special training in group therapy and are working with groups of patients
under supervision
Basic needs include additional housing for male patients air conditioning
of the Green and Walker buildings and additional nursing staff

Georgia Junior Chamber of Commerce members sponsor watermelon cutting17 V

m
41
GENERAL PSYCHIATRY UNIT 2
BUILDINGS Bostick Const 1951 Washington Const 1950
NUMBER OF WARDS 20
PATIENT CENSUS June 30 1971 1193
ADMISSIONS 2373
DIRECTOR Eduardo Guernica MD
ADMINISTRATOR Benny C Daniel
DIRECTOR OF NURSING Mrs Fay H Fidler RN
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 Seminole
Clay Tift Grady Thomas Brooks Muscogee
Lowndes Lanier Echols Decatur Harris
This Unit serves 45 counties in southwest Georgia Admissions for
fiscal year 1971 showed an increase of 1159 over fiscal year 1970 while
the patient population for the same period was reduced by 169 for a total of
1 193 This reduction was achieved through transfer of patients to the re
gional hospital at Thomasville and placement of candidates into nursing
homes in the geographical area served
Expansion and improvement of treatment programs nursing care physical
plant and equipment and reduction of patient population has resulted in
better patient care The Unit includes a complete roster of treatment services
including dental service social service occupational therapy musictherapy
recreation therapy remotivation vocational rehabilitation and chaplaincy
services Patient participation in the various unit activities has shown con
siderable increase during the past year
Nursing Service while continuing to improve nursing care has given
special attention to continuing education During the year registered nurses
licensed practical nurses and attendant service supervisors have attended
courses on Development and Leadership Techniques Staff Development Pro
gram for Professional Nurses and Chronic Obstructive Pulmonary Disease
Most Nursing Service employees completed a course in Cardiopulmonary Re
suscitation Techniques Inservice education programs an effective method
of increasing the efficiency and knowledge of nursing service personnel are
fVi

42

seriously hampered by the shortage of qualified personnel to teach and
supervise them
Other accomplishments by Nursing Service include the completion of
Kardex cards on all patients organization of a Wheelchair Club in the Bos
tick building and the organization of a Home Economics Class in the Wash
ington building through Vocational Rehabilitation
This Unit received 15 new attendant positions during the year but
continues to have insufficient personnel to adequately staff the 311 and
117 shifts Personnel shortages in the medical and nursing staff seriously
limit the professional care available to patients Seven doctors and five
registered nurses are assigned to this Unit
Renovation and beautification of patient areas continue at a satisfactory
level Fluorescent lights were installed in both the Bostick and Washington
buildings central linen supply and drug rooms were completed and newly
renovated space was provided for Music Therapy and Vocational Rehabilita
tion Many items of new equipment were purchased during the year

Georgia Allstars gospel singers entertain patients in Unit 2HIHHHHH
iBBMRMMMiflHH
43
GENERAL PSYCHIATRY UNIT 3
BUILDINGS Holly Const 1949 Ingram Const 1928 Howell Const 1939
NUMBER OF WARDS 20 reduced to 16 April 1 1971
PATIENT CENSUS June 30 1971 884
ADMISSIONS 1332
DIRECTOR Jose A G Mendoza MD
ADMINISTRATOR R O Pennepacker
DIRECTOR OF NURSING Mrs Frances Osborne RN
COUNTIES SERVED 3 8
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 Ware
Liberty Brantley Dodge Telfair Bacon Wayne
Appling Pierce Mclntosh Bryan Glynn Clinch
Admissions continue to increase Thirteen hundred thirty two patients
were admitted as compared with 1227 last year The Unit census however
decreased 3 50 patients due for the most part to accelerated nursing home
placements and several large transfers to Southwestern State Hospital
Another factor was increased emphasis on accelerating returns to the com
munities through convalescent leave and discharge Average monthly admis
sions rose from 102 to 111 and average monthly returns from convalescent
leave decreased from 66 to 62
The Social Work Division again sponsored a volunteer group from local
schools during the summer vacation Volunteers consisted of teachers and
students who assisted in individualized services for residents as well as
helping regressed patients become active in ward programs This is the
second successful program and plans are for continuance during the coming
year
The Dental Clinic operatory was closed for the major portion of the year
due to lack of professional staff We miss this valuable service and hope
for an early reopening
Onthejob training of ward nursing personnel as well as formal classes
in administration of medications was conducted by the registered nurse in
structor This resulted in an upgrading in the quality of ward nursing staff
The contract forrenovation of the Howell building necessitated emptying
f
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44
the four wards on the north side of the building in early April This was
accomplished by moving the sick ward 70 patients to the Ingram building
along with necessary staff to operate the ward Ingram patients were con
solidated into five wards Transfers to Southwestern State Hospital assisted
in reducing the Howell census and the remaining patients were crowded into
the southwards with an increase of census on all wards The contractor
appears to be progressing satisfactorily The target date for completion is
projected for June 1972
Budget limitations permitted the purchase of only a small amount of
needed equipment
New programs initiated in the Holly building during the year include a
treatment program for female alcoholics a multiimpact therapy program and
intensive treatment for chronic female schizophrenics Anew program was
also started for male alcoholics in the Howell building

The multiimpact program is maturing rapidly This program involves the
team approach with each patient having a primary nurse attendant level
and a primary therapist drawn from the team consisting of chaplains occupa
tional recreational and music therapists social workers etc A treatment
program is designed for each patient in team committee meetings and modi
fied as necessary
The Occupational Therapy Clinic in the Ingram building was discontinued
as being marginally productive for the chronic residents One occupational
therapy aide was detailed to the Recreation Department expanding that ther
apys activities considerably
M
New emphasis is being placed on the Adult Foster Care program with
several placements being made during the year and 310 residents were placed
in nursing homes during the year
Everyone thoroughly enjoyed this Easter party for the residents of Unit 3

HJHHMMMMMiM1
45
GENERAL PSYCHIATRY UNIT 4
BUILDINGS Freeman Const 1939 Arnall Const 1939 new addition 1962
NUMBER OF WARDS 17
PATIENT CENSUS June 30 1971 1272
ADMISSIONS 1592
DIRECTOR Charles A Rich MD
ADMINISTRATOR William W Curl
DIRECTOR OF NURSING Mrs Ruth Mullis RN
COUNTIES SERVED 2 8 Catoosa Walker Whitfield Murray Chattooga
Dade Gilmer Floyd Gordon Bartow Pickens
Cherokee Haralson Paulding Cobb Spalding
Polk Carroll Douglas Heard Coweta Fayette
Talbot Meriwether Troup Upson Pike Lamar
Admissions from the 28 counties served by Unit 4 have continued to show
some increase Total admissions have been averaging 200 patients permonth
The Unit operates two female receiving wards and one male as well as two
sick wards one male and one female The census of the sick wards includes
170 chronic cribbed patients who require a great deal of close supervision
and nursing care These wards could well be classified as skilled nursing
homes
During the year a behavior therapy ward was begun on Freeman 4 West
and is being conducted by a full staff including all professional disciplines
within the hospital Treatment programs in general have shown considerable
improvement during the year as a result of the reduction in patient population
especially in the female section which has allowed more square footage per
patient on the otherwise overcrowded wards One entire ward in the male
building has been closed because of this reduction thus permitting much
needed additional attendant coverage on the other wards
The therapy teams including occupational recreation and music thera
pists have begun individual ward programs on all wards within the Unit and
are achieving excellent results and reaching more patients particularly
chronic patients not heretofore participating in these activities Social Ser
vice has had some success in its foster home program in placing patients in
local community settings Continuation of the nursing home placement pro
gram has resulted in 146 patients being transferred to nursing homes during
the year

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s
15
46
The dental department of the Unit has started an oral hygiene program
using electric brushes for the male patients This program along with the
routine services offered by the dental staff have contributed materially to the
overall dental hygiene of the patients
New beds were obtained for one of the wards which has allowed modern
ization of some equipment however budget limitations would not permit the
updating of needed equipment during the year Personnel shortages particu
larly in the nursing care areas still impede totally adequate patient care

jLn

2ML
HP BR
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TOP Country and Western Show sponsored by the CSH Employees Association
BOTTOM An autograph signing session by guess who

i
GENERAL PSYCHIATRY UNIT 5
BUILDINGS Allen Const 1939 Whittle Const 1901 remodeled 1953
NUMBER OF WARDS 18
PATIENT CENSUS June 30 1971 813
ADMISSIONS 1629
DIRECTOR Lorenzo del Portillo MD
ADMINISTRATOR Thomas A Simmons
DIRECTOR OF NURSING Mrs Mildred H Daniel RN
Admissions have again increased over last year with a total of 1026
females and 1644 males being admitted In spite of the increase the Unit
capacity was reduced from 93 6 to 904
During the past year the Unit has continued to progress slowly in its
treatment programs which now include active milieu therapy behavior ther
apy nursing home placement resocialization attitude techniques therapy
programs for alcoholics and drug addicts a specialized program for chronic
patients home and family management orientation programs for new admis
sions and an intensive treatment program A few patients are returning to
the Unit for outpatient psychotherapy both individual and family Also
some patients are now being treated on a daycare and nightcare basis which
is working out very well for these particular patients and seems to be short
ening their length of stay in the hospital Weekly rounds in the Jones Hos
pital to see patients from this Unit have continued
A weekly interdisciplinary meeting is providing excellent cooperation
and wellplanned program activities from the various professional staff mem
bers Some expansion in program activities has occurred in recreation
occupational and music therapy and remotivation as well as by volunteers
working with patients in the garden clubs The Unit director supervises a
bimonthly meeting with registered nurses and physicians to discuss problems
47

COUNTIES SERVED 45
Fannin Union Towns Rabun Dawson Elbert
Hall Lumpkin White Habersham Banks Henry
Forsyth Stephens Franklin Gwinnett Barrow
Jackson Madison Hart Rockdale Walton Butts
Newton Oconee Clarke Oglethorpe Wilkes
Glascock Lincoln Taliaferro Greene McDuffie
Jasper Putnam Hancock Warren Washington
Monroe Jones Baldwin Wilkinson Columbia
Twiggs Morgan
f

V
48
on new rules and regulations There is also a monthly meeting of personnel
and a treatment team meeting twice monthly in each building The Unit Ex
ecutive Committee meets weekly to deal with various matters affecting the
Unit as a whole to decide upon policies and procedures and to set goals
and objectives The Unit Drug Committee meets regularly to discuss better
methods of drug control and to decide upon new developments in drug therapy
and their possible use and benefit to the patients
Each patient is completely reevaluated as needed and at least every
six months as required by law The Unit now has a registered nurse who is
a full time therapist and is involved with inpatients nightcare patients
daycare patients and family and individual therapy on an outpatient basis
The program has been so successful that additional registered nurses are
showing interest in this area and work as cotherapists in addition to their
assigned duties
A full time clinical instructor works with ward personnel in orientation
and followup of the psychiatric aide training class Staff coverage has been
improved by a better utilization of personnel

It has been possible to purchase much needed medical equipment as well
as equipment to improve housekeeping techniques Improvement in physical
facilities has included installation of flourescent lights in the Whittle build
ing recreation room retiling of some areas installation of electric wiring for
three washers and three dryers in the laundry room the painting of a number
of areas in the Whittle building and the addition of a color television set
obtained through the Monroe County Mental Health Association for the inten
sive treatment area
A special pilot project in cooperation with the Clarke County Alcohol
Program will permit more intensive work with alcoholics and drug addicts and
with the possible success of the Clarke County program this will be ex
panded to include other counties served by the Unit
m
BUILDINGS
GENERAL PSYCHIATRY UNIT 6
Cabiness Const 1901 remodeled 1953 Carl Vinson Georgia
War Veterans Home Const 1969
49

NUMBER OF WARDS 13
PATIENT CENSUS June 30 1971 475
ADMISSIONS 85
DIRECTOR Carl L Smith M D
ADMINISTRATOR Joe Rooks
DIRECTOR OF NURSING Mrs Gaydelle Johnson RN
COUNTIES SERVED The State of Georgia
The Veterans Service office is located within the Unit and much time is
spent in consultation with that office regarding present status of patients
eligibility for Veterans Administration benefits on the basis of service pre
sent or past serviceconnected or nonservice connected disabilities and
requests for transfer to other Veterans Administration facilities
The Unit is setup as a treatment and domiciliary care facility foreligible
veterans from the State of Georgia During the year there were 85 direct
admissions with 359 being transferred into the Unit from other Units at the
hospital There were 107 patients discharged and 1048 released on conva
lescent leave status Some of those were transferred to other VA hospitals
VA nursing homes HalfWay House Georgian Clinic and other rehabilitation
centers Due to the better than average mental condition of the veteran
members 14 92 were granted temporary passes home for therapeutic reasons
Of the present number on convalescent leave status 861 returned to the
hospital A high percentage of our patients have a problem with alcohol
thus accounting for many of our frequent readmissions
A service that is most beneficial to the patients released from the Unit
is the outpatient followup Those who require aftercare can return and see
one of the physicians or psychologist for therapy andor medication All
furlough charts and an uptodate doctors card are kept in the Unit and are
readily available In addition any correspondence concerning furloughed
and discharged patients is handled in the Unit
This Unit is responsible for making arrangements for transporting veterans
to the OutPatient Clinic at the VA Hospital in Atlanta for scheduled appoint
ments for examination followup and special treatment when indicated by
I v

V
50
s
r
i
the attending physician or when requested by that facility
There is participation in the Industrial Therapy program with patients
working in dining rooms maintenance shops offices as mail carriers
cleaning offices and other areas One particular patient worked with building
beautification in beautifying the grounds around the Vinson and Cabaniss
buildings and this proved to be very therapeutic for him
PROGRAM HIGHLIGHTS
The Occupational Therapy program has been most successful There was
an average daily patient participation of 30 in the two daily programs The
patients were involved in more than 12 different projects The goal for 1972
is to add two or three more O T Aides to the present staff
Under the Vocational Rehabilitation program two barbers work in the Vin
son building barber shop A special highlight was having a female barber
from the Kemper building placed in the barber shop under the barber training
program This proved to be most effective The vocational rehabilitation
counselor assists the veteran members by making arrangements for transfers
to other treatment facilities such as HalfWay House Georgian Clinic and
other rehabilitation facilities for continued treatment and supervision and job
placement In addition some were referred to the VR counselor in their home
town for continued counseling guidance job placement and supervision
The Social Service Department works in coordination with the medical
staff nursing staff psychologist and Veterans Service office concerning the
needs of the patients There are also frequent contacts with ward attendants
vocational rehabilitation counselor chaplain occupational therapy workers
recreation therapist and others who may be working with the patients The
social worker also has conferences with families of patients concerning their
general welfare Several veterans were referred to Volunteer Services who
has assigned them a sponsor
Our Nursing Service program included inservice education programs in
the Unit each month for all attendants with special speakers from other dis
ciplines within the hospital Attendants also participated in the psychiatric
aide classes each month Monthly meetings were held by Nursing Service
for the charge attendants to discuss ward improvements for the better care of
patients Each week the social worker meets with the receiving ward atten
dants and nurses to discuss better ways of meeting the patients needs
Morning devotional services are held weekly on the receiving ward with ap
proximately 40 patients participating On the geriatric wards snacks are
provided morning and afternoon from the hospital store Some of the elderly
patients are taken to the patio with supervision by ward attendants A day
is scheduled for our female patients to go to the beauty salon in theYarbrough
building Also a day is scheduled for the elderly men to be sent to the bar
ber shop in the Vinson buildingmmaaUi
BHBoHBBHBSBBHBa
HBBBIiHMiMiMi
FRATERNAL AND VETERANS ORGANIZATIONS
The Benevolent and Protective Order of Elks contributes monthly cash
donations to be used for the veteran recreation and occupational therapy pro
grams One night each month is designated as Elks Night at which time
special activities take place with prizes and refreshments
Meetings are attended by some of the members in the Unit when some of
the organizations hold their meeting in the building The Ladies Auxiliary
Post 237 from Hardwick Georgia has been holding their monthly meetings
in theVinson building and the female veteran patients attend The Tenth Dis
trict American Legion held their district meeting here this being the first
time for this type meeting
There was an increased participation of veterans organizations in the way
of social activities and donations of cigarettes personal effects television
sets and recreation equipment Entertainment activities were presented by
the American Legion Daughters of American Confederacy Veterans of Foreign
Wars Jewish War Veterans Am Vets and such related auxiliaries for the
benefit of the patients
The VFW and Legionnaire monthly newspaper is received and distri
buted to the veteran members
BUILDING EQUIPMENT
New equipment procured includes ward chairs wall urns lounge chairs
51
Under the Recreation program activities were provided on a full time
basis The recreation building is equipped with a pool table ping pong table
table games television area library weight room and an abundance of com
fortable seats Bingo parties are held at various times during the year Re
freshments are served frequently at the dances or during movies which are
held in the recreation hall During the year we acquired a new movie screen
Patients also attend movies at the auditorium on Monday and Friday after
noons The veterans have participated in the hospitalwide intramural pro
gram again We have fielded teams in volleyball and softball this year
Special activities included bus rides outoftown trips to ballgames and
wrestling matches cookouts and dances Three new grills were acquired
for the Recreation Department for the cookouts held during the year The fis
cal year showed a total participation of 25361 patients with an average
daily participation of 10517 During the coming year we plan to add a
weight club exercise class and golf This year we added a pool table
ping pong table and boxing equipment to the third floor Cabaniss building
nursing station area We hope to initiate a patient interview program soon
to find out in what activities the patients would like to participate thereby
having even greater participation
s
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52

s
15
ward beds coffee urns patio furniture fans janitorial medical recreation
and administrative equipment Special purchases for handicapped patients
included hearing aids artificial limbs braces crutches and wheelchairs
BUILDING IMPROVEMENTS
Outstanding building improvements included repairing and painting of
Cabaniss building roof installation of new windows and window screens
replacement of individual room doors to patients rooms paving of parking
areas between both buildings and around recreation hall and landscaping of
grounds in certain areas
MISCELLANEOUS
3
U
P II
Plans have been completed for construction of the Richard B Russell
building This will be a 132bed skilled nursing care facility for veterans
with occupancy anticipated for January 1973

Former Governor and Mrs Ernest Vandiver view progress of new nursing home
fgHMMMM

53
MAXIMUM SECURITY UNIT 7
I
BUILDINGS Binion Const 1946
NUMBER OF WARDS 4
PATIENT CENSUS June 30 1971 275
ADMISSIONS 411
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 re
quire treatment in a maximum security setting The total number of 411
patients admitted included 289 charged with felony six charged with misde
meanor and eight other admissions Transfers from the Department of Cor
rections totaled 79 Transfers from other hospital Units was 31 During the
year 360 patients were released Of these 296 were discharged five were
returned to their communities on convalescent leave two were transferred to
other institutions and five were transferred to other hospital Units
The current treatment programs include group therapy drug therapy
recreation therapy milieu therapy music therapy and work therapy Are
cent addition to the Unit was a clinical chaplain who is now working with a
number of men in individual therapeutic situations
The completion of the new laundry area has made possible the setting up
of standards for patients clothing and linens which are now being met All
patients are now clothed in washandwear material
Airconditioning is being installed on the receiving ward Binion 2 South
A full time physician specialist has been added to the medical staff which
has resulted in patients receiving more intensive care and better diagnostic
and evaluation procedures Each patient is given a complete physical exam
ination every six months Inservice training programs on a monthly basis
have been instituted for all employees
The Unit director and physician specialist are required to do considerable
traveling for the purpose of testifying in court cases as well as in other mat
ters affecting the forensic psychiatry program A total of 25 visits were made
last year in fulfilling this responsibility
fB

54

l
I
CHILDREN AND ADOLESCENTS 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 1971 117
ADMISSIONS 89
DIRECTOR Juan Portuondo MD
DIRECTOR OF NURSING Mrs Mary Ann Bell RN
COUNTIES SERVED The State of Georgia
The Unit gives appropriate support to mentally disturbed children and
adolescents and their families Treatment programs include individual and
group therapy for both individuals and family groups behavior therapy in
cluding a token economy system operating in the adolescent wards a card
token system behavior therapy program in the Childrens building judo ther
apy speech therapy outpatient evaluation and consultation
A child psychiatrist consultant visits once a month and the sessions are
video taped and shared with the entire hospital The Unit also serves as a
rotating experience for residents in the Psychiatric Residency Training Pro
gram
Volunteers are used extensively and a majority of these come from the
local colleges Boys and girls in the Unit who are able to function on job
assignments are participating in the Industrial Therapy program The Unit
also serves as a field placement facility for the University of Georgia Gradu
ate School of Social Work with two students completing their first year place
ment this year
Eightysix per cent of the boys and girls in the Unit attend the Special
Education School as part of their treatment program Close communication is
maintained between the treatment staff and the teachers in order that both
programs may adequately compliment each other
The Kardex system recently installed has been a factor in improved patient
care as has the inservice education programs for nursing personnel in which
all employees are encouraged to participate These programs are aimed at
continuous personal growth and development on the job and have been a vital
factor in improving personnel competence in the Unit
Attendant nursing personnel had an opportunity to chaperone a group ofTSBmr

55
boys and girls who attended a day and overnight camp sponsored by the
Milledgeville Recreation Department The group adapted exceptionally well
to the situation in which they found themselves and made such a positive
impression that they were invited to attend next year
The Music Therapy Department uses music as a tool for teaching appro
priate behavior Individual lessons small group and large group activities
and special musical events are all geared to pinpointing defining and
eliminating behavior problems The therapists are also concerned with
teaching basic facts within the structure of music as well as improving the
residents pronunciation and reading skills increasing their attention spans
and developing basic music abilities and interests which can be carried over
into the community and school activities upon their return home
Clinical chaplains participate in treatment team and staff meetings as
primary therapists in treatment programs and in pastoral counseling respon
sibilities They provide written evaluations and reports as needed Worship
services are conducted in Chapel 5 and pastoral visitation in the Unit is a
regular part of the therapy program
Recreation therapists provide a variety of activities including both male
and female basketball and softball teams a wrestling group for boys a judo
therapy team for both boys and girls A referral system has been developed
for individual recreation therapy for the adolescent ward which is proving
successful in working more closely with the primary therapies in solving in
dividual problem areas The Smoke Canada Room was a new idea initiated
in order to fill a void in evening activities This is a coed free time activity
hour which includes badminton pool tetherball table games and a dancing
area A weekly door prize has been an incentive to good attendance
The younger patient population participates in Cub Scouts and have their
own basketball and softball teams Young patients who need perceptual motor
training received much benefit from these sessions which were begun this
year The regular activities such as tennis swimming bicycle riding table
games and art sessions provide a wellrounded recreation program
Unit psychologists functioned in a variety of therapy programs which
included the evaluation of patients on admission to assess intellectual
academic and behavioral status and to ascertain behavioral deficits and ex
cesses which should be considered in determining individual therapeutic
goals Patients who will be furloughed from the hospital are also evaluated
to determine progress and current status and to make recommendations for
followup treatment after the child leaves the hospital
Psychologists also carry individual therapy caseloads counsel families
of patients consult with special education teachers on dealing with behavioral
problems in the classroom develop individual behavior schedules for patients
as requested by other therapists coordinate the volunteer program for college
I

56
J
students coordinate the ward wide behavior therapy program in the Unit and
participate in interdisciplinary endeavors A number of research projects are
also in progress
Unit social workers are responsible for a onetoone relationship as
therapists for approximately onethird of the patient population They also
serve as cotherapists with other disciplines for groups The social workers
are responsible for preparing prerelease summaries for community agencies
patients who are being discharged or sent home on convalescent leave and
for preparing material on patients who are presented for consultation and in
service training sessions They secure social history information on each
patient admitted to the Unit handle all correspondence with community
agencies and patient families and handle the correspondence concerning the
Junior Olympics for mentally retarded children Easter Seal camp and patient
immunization records
N
During the year there have been many contacts with community agencies
over the state resulting in a number of groups visiting the Unit In February
a large meeting with the title The Hospital is Not a Home was coordinated
by the Social Work Department The purpose was to identify problems of the
Atlanta area and resources available to meet them At the conclusion of the
meeting the Unit staff participated in a television documentary aired by WQXI
Channel 11 in Atlanta which emphasized the need for developing foster homes
and boarding facilities for children and adolescents who are residing in the
Unit

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57
MENTAL RETARDATION UNIT 9
BUILDINGS Boland Const 1951 Boone Const 1952
NUMBER OF WARDS 14
PATIENT CENSUS June 30 1971 775
ADMISSIONS 25
DIRECTOR Evelio F Diaz MD
ADMINISTRATOR Bobby Sheppard
DIRECTOR OF NURSING Mrs Virginia Smith RN
COUNTIES SERVED The State of Georgia
This Unit is responsible for the care treatment training 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 436 staff members serve the
775 residents of the Unit
The outstanding characteristics of the functioning of the Mental Retarda
tion Unit are the interdisciplinary spirit of cooperation coordination and
esprit de corps The four interdisciplinary treatment teams organized last
year were divided this year into 14 teams one for each ward It was felt
that this would allow each team to better focus attention on problems spe
cific to one ward and its individual residents Team leaders include staff
from nursing music therapy psychology recreation therapy and social
work and all disciplines participate as team members Activities of the
various disciplines are coordinated by the program coordinator Inservice
education in retardation is provided for all Unit 9 personnel through inter
disciplinary efforts
During July 1970 Unit 9 began to convert the Mental Retardation Unit
to Skilled Nursing Homes Nursing Home Center No 1 initially began operat
ing on July 9 1970 with a bed capacity of 184 This area was filled imme
diately with residents already occupying the beds Of the 184 beds 138
residents or 75 were found eligible for Medicaid under Title XLX The
Baldwin County Department of Family and Children Services gave assistance
to the Unit in establishing the eligibility of its patients On January 1 1971
Nursing Home Center No 1 was expanded by 178 beds By March 1 1971
80 residents were found eligible out of those occupying the 178 beds This
with the 138originally found eligible gave a total of 205 residents or 566
IScheduled for October 1 1971 is the remainder of Boone building wards 4
8 and 9 to be added to the nursing home program
In April 1971 Boland building was officially opened as Nursing Home
Center No 2 with a bed capacity of 138 Of the 138 49 or 355 have
been found eligible as of June 30 Expansion of Nursing Home Center No 2
is scheduled for September 1 1971 when 66 additional beds will be added
This will bring the nursing home program in the Boland building up to a total
bed capacity of 204
Through the nursing home program in Unit 9 98 new positions have been
added to meet the requirement This has resulted in better care to the resi
dents more activities and residents found eligible are provided a small
amount of money for incidental expenses by the Department of Family and
Children Services as they have no income
GENERAL PROGRAM ACTIVITIES
w
Chaplaincy Service has been providing worship services for an increased
number of residents in the Unit In addition to one staff chaplain supervisor
serving in the Unit there have been seven chaplain trainees who have served
in the Unit as part of their clinical pastoral education experience offering
both pastoral services and clinical services for the residents
klpMl1
Medical services are offered to the residents by six physicians who
provide for the total health care of the residents including pediatric and psy
chiatric services Also available are the services of the Department of Phy
sical Medicine
Music therapy staff has conducted several training programs in the areas
of toilet training selffeeding Boland 4 preschool training Boland 3 and
command training Boone 5 In addition to the Unit 9 adolescent choir for
mildly retarded residents Music Therapy has begun a boy choir
Nursing Service has been able to markedly upgrade nursing care in Unit 9
especially with the nonambulatory physically handicapped residents due to
additional personnel employed to meet skilled nursing home requirements
The expanded staff has enabled Nursing Service to participate more actively
in ward treatment teams and training programs
Occupational therapy staff worked daily with approximately 75 residents
in the occupational therapy clinics Occupational therapy personnel are also
involved in four ward programs and assist other disciplines in providing su
pervision for activities for residents of Unit 9
Psychology staff maintained previous behavior modification programs
during the year Several new programs have been initiated by other staff
members in consultation with psychology personnel Psychologists also pro
B
59
vide psychological evaluations for residents and outpatients and serve as
treatment team members and leaders
The 1971 session of the Georgia General Assembly included in the fiscal
year 1972 Appropriations Bill a special provision sponsored by Senator Bobby
Rowan and Senator Culver Kidd which will provide 342000 for behavior
modification projects to be implemented by mental retardation psychology
staff The special appropriation will provide 31 new psychology positions
and renovation of Boone 10 into office space Additionally the driveways
around the Boone Boland and Childrens buildings are now scheduled to be
paved
It is anticipated that this special appropriation will make possible be
havior modification programs on all wards in the Unit by the middle of fiscal
year 1972
Recreation Therapy profited by the addition of new staff enabling them
to provide more than just diversional activities Recreation has implemented
or is planning many smallgroup and specialized activities of a highly thera
peutic nature
Remotivation personnel have worked with residents from all wards uti
lizing the five basic steps of remotivation therapy
Social Work has major responsibilities for coordination of outpatient
evaluation services screening of new admissions obtaining social histories
and background information on all residents and coordinating release and
aftercare plans for residents Each member of the social work staff has spe
cific responsibilities on at least one of the ward teams and two staff mem
bers serve as team leaders
Vocational Rehabilitation has assigned expanded space for Unit 9 resi
dents Residents are being successfully included in programs with emotion
ally disturbed patients from other Units Unit 9 residents have entered
rehabilitation residences in cities throughout the state and into community
placements
Utilization of community resources has included summer student workers
and volunteers from nearby colleges These individuals have been primarily
involved in training programs for residents of Unit 94

YARBROUGH REHABILITATION CENTER UNIT 10
BUILDINGS Yarbrough Const 1962 Various Work Centers around the hos
pital
NUMBER OF WARDS 8
PATIENT CENSUS June 30 1971 298
ADMISSIONS No direct admissions
DIRECTOR Salvador Mendez MD
ADMINISTRATOR Levi Swinger
DIRECTOR OF NURSING Mrs Tanet Smith RN
DIRECTOR OF VOCATIONAL REHABILITATION SERVICES W C Petty AB
COUNTIES SERVED The State of Georgia
The Unit is operated jointly by Central State Hospital staff who provide
the psychiatric treatment services and the staff of the office of Rehabilitation
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 includes eight psychiatric treatment wards a specialized treat
ment program for patients with multiple handicaps such as sight speech and
hearing defects the testing laboratories for Neurology and Electroencephalo
graphy 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 Program 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 The psychiatric
treatment program includes the standard therapeutic techniques in which the
team approach is used with interdisciplinary services available from psy
chology social work music recreation and occupational therapy and voca
tional rehabilitation
Because of the lack of a qualified recreation therapist nursing service
personnel have responsibility for recreation and three evenings a week ap
proximately 3 00 patients meet in the large recreation area on the ground floor
for various recreation activities Outside activities are also planned Nurs
ing service is also responsible for orientation of new patients coming into61
the center as well as promoting full patient participation in all scheduled
activities
The Unit has two physicians who make daily ward rounds and conduct
diagnoses and evaluation of treatment programs both when the patient enters
the Center and later to determine his progress in the treatment program
Additional programs are being planned covering prerelease evaluations
addictive illnesses basic resocialization programs for maladjusted adol
escents and expanded individual and group therapy sessions
Unit social workers include diagnostic and treatment program development
provision of therapy through casework and group work referrals in the hospital
and the community to meet the patients needs as well as working with patients
families Programs of casework and group work were mainly oriented toward
problems involving the patients vocational training programs interpersonal
relationships and preparation for his return to the community Unit social
workers also have been involved in the training and supervision of graduate
and undergraduate students in field placement positions from state schools
of social work
Jim Grover receives citation for meritorious service from Bud Van Orden
presented for the CSH work rehabilitation program Looking on are Dr
Michael Sheppeck and Wallace Petty
iV
62
SOCIAL WORK DIVISION
Social workers are involved in all aspects of patient care at the hospital
The staff consists of clerical help and fortyeight positions of which twenty
require the Masters degree The staff throughout the hospital is responsible
to the medical directors of their respective units Professionally members
of the division are responsible to the Director of Social Work
Release and Release Planning
3
Will II
Innumerable hours are spent by the staff in meeting with patients
families hospital personnel and community agency personnel facilitating the
release of individual patients or groups of patients Working with the pa
tients family toward release may include such services as securing the
familys support for the course of the patients care and treatment insuring
that a suitable aftercare plan has been developed securing transportation
funds and helping the family to alter established behavior patterns
For many of our patients return to their natural families is not feasible
Social workers are very active in finding other sources of placement The
staff was involved in making 1564 referrals to the Department of Family and
Children Services DFCS for nursing home placement Within the past year
1044 individuals have been placed in nursing homes from the hospital on the
DFCS Vendor Program In addition 64 private placements have been ar
ranged The nursing home program has had a sharp effect on the patient
census and it provides continued supervised care for individuals that are
not in need of psychiatric hospitalization
During the latter half of the fiscal year the Adult Foster Home and Work
Placement Programs were developed Approximately fifty patients were
successfully placed as a result of these programs by the Social Work staff
Transfers to other treatment facilities are frequently initiated by Social
Work staff Social workers assisted in placing Central State Hospital pa
tients in outofstate institutions as well as in transfers to Georgia public
facilities such as Gracewood Southwestern State Hospital Georgia Mental
Health Institute and regional hospitals Transfer to other facilities such as
veterans hospitals private residential centers and private alcoholic pro
grams were arranged through social work efforts Referrals to many types of
community resources such as vocational rehabilitation programs mental
health clinics and aftercare programs and the public school system were
routinely made by Social Work staff
Direct Patient Services
Many social work hours are spent in direct contact with patients on an
individual or group basis Social work treatment is usually geared to helping
the patient deal with the interpersonal problems which necessitated his63
hospitalization current interpersonal difficulties the patient may be having
which hinder him in fully benefitting from available hospital programs or
those problems which may prevent successful release Social work provides
group services in almost all the Units of the hospital
Ward Programs
The Social Work staff is moving more into this area of hospital life
They are becoming more involved in the development maintenance manage
ment and assessment of ward programs Some examples of current ward
programs are alcohol and drug dependency resocialization wards for re
gressed patients admission ward intensive treatment and the development
of social work volunteer programs among others
Community
The staff has increased its involvement in the communities served by the
hospital Some specific activities are the development of a referral system
between one populous county and the hospital area serving that county con
ferences for state wide workers of the Department of Family and Children
Services conferences for state wide court services workers and judges etc
Some efforts have also been made through some communities in the prevention
of hospitalization One example of this is that two members of the staff give
time to a mental health center where they have scheduled appointments
Another example is the acceptance of speaking engagements which focus on
proper utilization of the hospital
f
Research
This is a relatively new area of interest among the staff One study has
resulted in publication and three studies are presently in preparation
Staff Development and Education
The staff has engaged in numerous educational endeavors at the ward
unit and hospital level as well as state and national meetings Some of these
have been the annual conference of the National Association of Mental De
ficiency a Group Procedure Symposium at the University of Georgia etc
Meetings were also held with the staff of other state facilities In addition
to eleven members of the staff being on education stipends three members
of the staff are pursuing additional academic degrees During the year three
graduate social work students were placed in the department for supervised
field training
Future Goals
Future goals include expansion of current programs of service with special
emphasis on resocialization programs to reach the long term patient along
with increased efforts in release planning servicesV
64
CHAPLAINCY DIVISION
Chaplaincy Division continued earlier trends as fiscal year 1971 brought
further staff changes By the end of this period more than half of the permanent
staff had less than two year employment at this institution A competitive
basis on which to maintain or attract experienced chaplains whose training
and certification were completed was hindered by a lack of action of the
proposed reclassification to differentiate between actual levels of training
and functioning in the chaplaincy staff
I HI1
But for all its relative newness the current chaplaincy staff possesses
characteristics which render it effective in its tasks In employing new per
sonnel an attempt was made to create a varied staff in terms of experience
and interests Consequently there are chaplains who in addition to basic
clinical pastoral training either have or are getting doctorates in religion or
some related field Certification of staff chaplains ranges from such ac
crediting agencies as The Association of Mental Health Chaplains College
of the Chaplains American Protestant Hospital Association to The Associa
tion for Clinical Pastoral Education Inc In keeping with the organizational
chart one of the staff chaplains was promoted to the position of Chief Clin
ical ChaplainChildrens Division In addition a chaplain whose specialty
is in alcohol and drug addiction treatment was employed for the new treatment
unit for these disorders
The varied background the increase in middle management positions
within the department and continuing use of such inservice education methods
as a monthly staff seminar make it possible to train and mold the staff into
an effective arm of the hospitals treatment process which is the primary
purpose of chaplaincy service

Patient care took first place within the concerns and objectives of this
department This priority is evidenced in such statistics as an annual total
of 43772 pastoral visits to patients almost double from the year before
a total of 3 182 services of worship in the chapels and on the wards and a
totalof 79 69 pastoral counseling therapy sessions either individual or
group Chaplaincy service capitalized on its pastoral tradition and heritage
to contribute to the therapeutic milieu of the hospital in the form of special
festive and dramatic services of worship on All Saints Day Christmas
Brotherhood Week and Easter Also throughout the hospital evaluation and
treatment teams were alerted to diagnostic significance in religious ideation
and behavior in patients
A major function of the Division which directly and indirectly contributes
to patient care is the program of clinical pastoral education for clergymen
During this fiscal year there were fourteen clergymen in fulltime training for
a quarter or more These individuals came from as far away as California
and Iowa to get training in pastoral care of the mentally ill Of those who
finished the intern or resident programs four took positions as clinicalHIHHHHH

65
1
chaplains in state health and welfare agencies two remained for a second
year of advanced training These clergymen not only render a direct ministry
to patients while in training but use their skills in the mental health field
after completing training There were workshops of short duration for parish
clergymen A total of twentyone individuals participated in this program
which is designed to acquaint community clergymen with mental health re
sources Also Candler School of Theology Emory University began an affil
iation with this hospital which results in parttime training in ministry to
disturbed persons for seminarians whose later ministry in communities can
be effective in promoting mental health Further this Division maintains
its status as an accredited clinical pastoral education center through the
Association for Clinical Pastoral Education Inc
Finally chaplaincy service has enlarged its concerns to extend to other
Divisions and to the community During this fiscal year it has participated
with Social Work Psychology and Psychiatry in an interdisciplinary effort
to understand and to improve the healthproducing structure of the hospital
In a wider span the chaplains of this department image the resources and
significance of this hospital through their contacts with community churches
Last year there were 642 addresses or sermons given by this staff in adjoin
ing communities This appears to be one means of generating and maintain
ing that indispensable public support for this health agency
i
I
I
I I
A I

CSH closed circuit television system provides complete ward coverage
of chaplains activities
V
66
SCHOOL OF SPECIAL EDUCATION
The School of Special Education trains and educates the mentally retarded
and emotionally disturbed children who reside at Central State Hospital The
school a part of the Baldwin County school system is administered and
financed through the Department of Education and the State Department of
Public Health This unique arrangement enables the school to benefit from
the extensive resources of both these departments
The school is divided into five academic sections Three of these are
the primary intermediate and high school sections for the emotionally dis
turbed The other two sections are for the educable and the trainable mentally
retarded Children are placed in classes according to their intellectual level
academic achievement level chronological age and their social functioning
level
s
The school stresses the regular academic courses and remedial education
in the academic areas as well as providing instruction in physical education
home economics music and art Because the curriculum must be designed
to meet the particular needs of each child classes are kept small These
small classes allow for the necessary emphasis on individual instruction and
training The teachers work together with the psychiatrists psychologists
social workers and other members of the hospital staff in this tailoring of
the childs education or training This interdisciplinary approach to educa
tion is perhaps the schools most salutary feature
While the school is basically educationally oriented nevertheless it
is recognized that the learning deficiencies of each child are inextricably
involved with his social and cultural shortcomings It is significant in the
respect that most of the students come from a severely deprived home
schoolsocial environment Many of them have a history of failure in other
public schools The School of Special Education attempts to compensate for
the underpriviledged background of such children by complementing class
room instruction with enriching experiences
Some of these experiences are strictly educational in nature Others
which are designed for social enhancement include extended camping trips
and excursions to amusement and recreational areas These activities to a
large extent have been financed by federal grants under authority of Title I
Public Law 89313 For the average student it is the first time in his life
he has been exposed to such a beneficial environment These valuable cul
tural and social experiences also serve as powerful incentives in behavior
management These activities are possible only because the teachers give
their afterhour time to accompany the students These teachers receive jto
monetary compensation for the afterhour time they so generously devote to
the students
At present the school serves only 215 of the 765 children under 18 yearsIIBM
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67
old who are patients at the hospital Of the 215 presently enrolled 89 are
classified as educable retarded 68 as trainable retarded and 58 as emotion
ally disturbed However this figure of 215 is misleading because during
1971 367 students did attend the school at some time and many have since
departed from the hospital This turnover is a strong indication of the school s
remedial effect
At present there are 33 teachers administrative assistants and teacher
aides Emphasis is given to the continuing education of the staff who visit
model educational centers and attend state and national conferences Also
consultants who are expert in special education and allied fields are brought
to the school These consultants hold seminars with the teachers advise
on specific problems and conduct other inservice education This ongoing
education enables the teachers to keep abreast of current curricular trends
and innovative procedures for the education of exceptional children As with
the cultural enrichment program much of this continuing education has been
made possible through federal grants under Title I of PL 89313
The enrollment has been increasing through the years as the schools
reputation has become established with educational welfare judicial and
medical personnel The enrollment now is at a point where the three reno
vated wards in the Boland building can accommodate approximately onethird
of those who need to be in school Nor is this shortage in accommodation
likely to be alleviated in the foreseeable future Recent laws emphasize the
necessity for providing education for all who can benefit from it For instance
the 1969 Georgia General Assembly passed a law which states The rights
of any child under treatment in a facility to an education within the limits of
his capability shall be fully respected Georgia Code Annotated Charter
3235 requires that by 1976 education be provided for all exceptional child
ren in Georgia The newly enacted Tuvenile Court Code of Georgia for the
first time enables judges themselves to initiate proceedings for retarded
and disturbed children and to order commitments for extended periods It is
possible that this latter law will be implemented so as to cause an influx of
students
Hopefully in the future a new school facility will be constructed one
that is large enough to accommodate all the children at the hospital who are
capable of benefitting from training and education

V
68
NURSING SERVICE
As the fiscal year ended nursing personnel included 119 registered
nurses 1882 attendants 96 licensed practical nurses 8 medical aides and
12 beauticians This staff directs the nursing care of more than 7500 in
patients in service areas of psychiatry medicine and surgery mental retar
dation emotionally disturbed children and adolescents alcohol and drug
addiction geriatrics and vocational rehabilitation
The program is directed through a Nursing Service Administrator respon
sible to the Assistant Superintendent Clinical An Assistant Nursing Ser
vice Administrator functions as coordinator to the Unit Directors of Nursing
Liaison is maintained by semimonthly meetings with Unit Nursing Directors
and other administrative nursing personnel as well as by individual and group
conferences and by periodic nursing rounds in patient areas
3
Steady progress was made during the year in the improvement of patient
care resulting from better physical environment from the purchase of addi
tional equipment and from staff additions Nursing care has noticeably im
proved where Medicare Medicaid and alcohol and drug programs have been
implemented
A definite degree of success has been achieved through patient care
planning The plans put into effect have resulted in improved patient care
and more efficient utilization of nursing personnel
ikM11
In service education programs included all levels of nursing personnel
Fire safety programs have been emphasized and audiovisual programs on
closed circuit television have been helpful Concerted efforts have been
made to train all nursing service personnel in cardiopulmonary resuscitation
techniques In service programs have been vastly improved by the services
of nursing instructors in some of the Units who are able to devote time and
energy in implementing these programs and in assessing employee performance
A token economy program was begun in one Unit on a male ward housing
some 80 regressed schizophrenic patients with an average hospital stay of
20 years each From this program 16 patients have gone on convalescent
leave four have been transferred to vocational rehabilitation and 63 have
been home on trial visits
In the spring open house was held in the Jones Hospital for a physio
therapy department While budget funds did not permit fulltime staffing a
parttime consultant physiotherapist spent time in training personnel untit he
left the program A registered nurse with neuro post graduate training in
physical rehabilitation at Warm Springs Foundation has been employed and is
now working this area training nursing personnel in techniques and follow up
care
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69
Recruitment of nursing personnel continues to be a major problem For
several years now we have been unable to increase our staffpatient ratio
Licensed practical nurse applicants have not been sufficient to permit either
filling positions of this classification or to allow for careful screening
During the year an agreement was made for the operation of a MDTA
Manpower Development Training Act school for practical nurses in the Jones
Hospital The program began in March with 24 enrollees It is hoped that
when they have completed the course and have successfully completed the
State Board Examination some of them will remain on the hospital staff The
MDTA training program for psychiatric aides trained 75 aides in four
classes of 12 weeks each We benefitted very little from employment of
these aides
Nursing Service must depend largely on semiskilled personnel most of
whom find themselves on deadend jobs if they remain here a few years
therefore it is imperative that an incentive career ladder be implemented
which will offer a chance for promotion as well as adequate pay and benefits
necessary for basic survival and security
NURSING EDUCATION
An Assistant Nursing Service Administrator who returned in September
following a three year educational leave of absence for the doctorate degree
in nursing science is delegated the responsibility for nursing education and
nursing research
The psychiatric nursing affiliation course for student nursing is changing
as some diploma schools of nursing have been able to provide this experience
for their students elsewhere During the year 172 students were enrolled and
successfully completed the twelveweek basic course in psychiatric nursing
from the following schools Georgia Baptist Hospital 111 the Macon Hos
pital 22 Piedmont Hospital 38 and one graduate nurse from New Delhi
India
Programs for a more limited psychiatric experience of from one to six
days are provided for other diploma school students associate degree pro
gram students and nursing groups who come at prescheduled times Housing
and meals are furnished at nominal fees Liaison is maintained by faculty
participation between the schools during the year and by an annual meeting
in September for faculty representatives from all participating agencies
As the end result of discussions at annual meetings relative to reducing
the length of the affiliation program through the efforts of the Principal
Nurse Consultant Division of Mental Health we were afforded the services
of a dynamic and gifted consultant who worked with educational staff to
accomplish this mission Beginning with the Fall Quarter of 1971 the pro
gram will be cut from twelve to eight weeksFaculty members have actively participated in available workshops
seminars conference groups and in service and staff development programs
In preparation for the changes necessitated by the reduction in the affiliation
course the faculty is busy with revision of tests and examinations study
guides nursing assessments and lectures
The psychiatric aide program continues as a twelveweek concentrated
course with major emphasis on the principles and techniques for better psy
chiatric nursing practice Clinical experience has been effective with the
use of patient studies informal discussions and conferences to correlate
theory and nursing practice One hundred three attendants successfully
completed the course this year Clinical nursing instructors are oriented by
attendance and active participation in the Aide Course after which they go
into assigned Units to conduct and implement further development of in ser
vice education
Staff Development Program for Professional Nurses made possible by a
federal grant for three years ending June 30 1972 has added considerably
to the professional enrichment of 53 nurses who have attended two oneweek
workshops Participants agree that they have experienced personal growth
broadened their knowledge gained a better understanding of patient behavior
and how to cope with this and learned how administrative principles could
in one way or another be applied in their daily work area Some nurses are
functioning in a broader role as cotherapists in patient groups and in inter
personal interaction with patients on a onetoone basis
The grant program made possible the participation of a number of nationally
recognized nursing consultants to deal with specific content areas whose
expertise could never have been shared with nursing staff otherwise Worth
while contributions to these workshops were made from hospital heads of
departments in nursing and administration
The midprogram seminar following completion of the first five workshops
was held in February Two consultants professors at the nursing school of
Medical College of Georgia critiqued the program Their recommendations
have been most helpful and evaluations are gratifying
Nursing education has benefitted greatly by the acquisition of films
other audiovisual aids equipment work tables chairs books and resource
materials purchased with grant funds
The Myra Bonner Nursing Library has a total collection of books numbering
some 1900 During the year 237 new books were added most of which were
purchased through grant funds The cumulative index to nursing literature
which provides a listing of articles in periodicals pertaining to the nursing
field was purchased and has proven an asset to staff members throughout
the institution All nursing personnel are encouraged to use the library
As we move into fiscal year 1972 we are faced with the need to structure
M1
a nursing program which will be effective in an institution which is chancing
as a result of emphasis on community mental health services and various
other aspects which will alter the future mission of this institution How
ever we will meet the problems and challenges with the confidence that
patient care will improve as a result of our continued efforts
71
I
1
TOP Frequent staff development programs keep nursing staff up to date
BOTTOM Student nurses double as entertainers for patients

72
PSYCHOLOGY DIVISION
The Psychology Division has adopted an approach toward the evaluation
and treatment of mental patients based on the application of the results of
scientific research to the problem of emotional disorders During the past
fiscal year the Division has continued its constant reevaluation and im
provement of its programs throughout the hospital
RESEARCH EDUCATION AND TRAINING
The Research Education Training and Special Assignments Section
coordinates activities in these important areas

Psychologists at Central State Hospital are productive in conducting and
publishing scientific research During fiscal 1971 members of the Division
published in scientific journals or read at professional meetings 17 research
articles Nine other research projects conducted at Central State are com
pleted and the results are in preparation for publication Six research
studies are currently in progress The psychology research conducted has
as its principal aim the improvement of services to the patients of the hospi
tal
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 dispel erroneous ideas about the hospital and emotional
disorders Psychologists are also active in the inservice training programs
of other disciplines and are frequently called upon to present lectures which
illustrate the role of the clinical psychologist Psychologists spoke to a
total of over 3000 individuals as part of the above programs
INTERNSHIP PROGRAM
The Divisions internship training program in clinical psychology was
approved for the ninth consecutive year by the American Psychological Asso
ciation
In 1963 Central State became the fifth state hospital in the entire United
States to have an accredited internship program and today is one of only
nine approved departments in the southeast
The Division is very selective in accepting intern applicants considering
only those students who rank in the upper 10 percent of their graduate classes
This year one intern received training in clinical psychology The number is
kept small to permit each intern to receive close personal supervision by
doctorallevel psychologists The internship program will be expanded to
provide for the training of three psychology interns during the coming fiscal
year Interns are taught treatment and evaluation skills which center around
an understanding and appreciation of research findings Interns are encouragedHHHhHmmHMM
73
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 Divi
sion of Central State Hospital was one of the first to utilize Bachelor and
Masterlevel assistants psychology technicians for psychological testing
interviewing patients and writing psychological evaluations They also have
begun to play extensive roles in treatment programs The work of psychology
technicians is closely supervised by doctorallevel clinical psychologists
The psychology technician program has resulted in a great increase in
psychological services and a financial savings to the State of Georgia Also
this program 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 his hospitalization Each patient
is given a complete battery of psychological tests which measures his abili
ties and limitations and aids in the determination of a diagnosis Finally
a clinical interview is conducted and a diagnosis and recommendations for
treatment are offered Each psychological evaluation represents eight hours
of work by staff members More than 2500 evaluations were produced during
fiscal 1971
Attempts are constantly made to improve the validity and usefulness of
the evaluations Research in evaluation procedures is being conducted by
the staff of the Central Psychological Evaluation Section

TREATMENT
As a result of constant scientific evaluation of procedures the Division
has committed itself primarily to a treatment approach called behavior therapy
This approach which includes a wide variety of treatment techniques such
as behavior modification systematic desensitization and implosive therapy
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 order the environment in which the patient is placed at this hos
pital so that normal appropriate behaviors are rewarded and abnormal in
appropriate behaviors are discouraged This is what is done on a behavior
modification or token economy 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

H

74
tokens for behaving in a mentally ill manner Patients are allowed to spend
tokens at 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 normal 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 Additional techniques within the
behavior therapy framework are continually being contributed by psychologi
cal laboratories throughout the world
The behavior therapy programs have contributed to the improvement of
many patients Ten such ward programs are currently in operation At any
given time approximately 700 patients are being treated It should be
pointed out that members of other disciplines particularly the attendant staff
play important roles in carrying out the behavior therapy programs designed
by the Psychology Division

Below are presented some examples of data obtained from behavior therapy
programs to illustrate the effectiveness of this approach and to 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 unit program coordinator Therefore
psychologists have been involved in the treatment of all of the patients of
that Unit Also the Division has directly operated three behavior modifica
tion wards in the Mental Retardation Unit
klfcul1
Boone 8 is a ward for severely and profoundly retarded children The
1969 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 Additionally and because these basic
problems have been taken care of the staff has been able togo on and teach
the residents of Boone 8 higherlevel skills Figure 1 illustrates how these
patients have been taught concepts such as number and color This training
took place in the nursery school which is operated as a part of the psycholo
gy treatment program on this ward One girl in the school exhibited manner
istic behavior excessive and bizarre movements As shown in Figure 2
these mannerisms were substantially reduced through the application of be
havior modification techniques
Boland 6 is a ward for mildly retarded teenage male patients Prior to
the institution of a behavior modification program acting out antisocial
behaviors were a major problem Institution of a token economy two years
ago has enabled the disruptive behaviors to be brought under control and has
allowed the patients to participate in educational and social advantages
previously closed to them
HHHHHMMMHMM1
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76
Boone 1 has had a token economy in operation for two and a half years
The behavior of these young mildly retarded females continues to progress
in a socially desirable direction

M
During 1970 a group of summer employees college students under the
direction of Psychology Division personnel carried out a special toilet
training project on a ward for severely and profoundly retarded adult females
Figure 3 illustrates the progress that was made during the eight weeks of this
program The dotted line shows how the number of inappropriate urinations
and defecations decreased during the project This means that the number of
accidents on the ward decreased steadily throughout this time period The
solid line shows how the number of appropriate responses increased This
improvement was initially brought about by periodically bringing the resi
dents into the bathroom sitting them on the toilet until they relieved them
selves and then rewarding them with candy or soft drinks However as
time progressed the residents more and more frequently came voluntarily to
the bathroom to make the appropriate responses
Treatment of Children and Adolescents
Some form of behavior modification program is in operation on all wards
in Unit 8
In the Childrens building the behavior treatment program which has
been developed is called the cardtoken system CTS While the use of an
individual rating card is not original with us the psychology staff has
greatly expanded and increased the utility of these cards over other similar
programs The CTS has the same therapeutic objective inherent in all such
systems to strengthen appropriate behaviors and weaken or eliminate in
appropriate behaviors but the system elaborates on the two basic services
which must be supplied First it provides a stable structured consistent
environment requiring each child to learn to take responsibility for reason
able everyday behavior expected of all children Second it provides a system
which is flexible and versatile enough to specify individual therapeutic goals
while at the same time allowing all ward personnel to work on the same indi
vidual treatment plan for any given child
Basically the CTS works like this Every week each child is given two
cards on which are printed the behaviors under consideration Next to each
behavior are seven blocks one for each day of the week A token consists
of having a staff member write his initials in one of these blocks indicating
that the behavior has been performed according to the criteria established for
each child
The general ward behavior card is designed to reinforce the patient for
assuming responsibility for the basic behaviors of daily life and includes
behavioron the ward and in school In addition spaces are provided in which
the therapist from whatever discipline can write in specific target behaviors
which he wishes to be reinforced on the wardIHMHM
iHV
78
V
4
s
The second card is the individual behavior card On this card are speci
fied the treatment goals in individual music and recreation therapy By
having the therapists specify these goals in behavioral terms the system
provides a common language which facilitates communication but still allows
any theoretical orientation to prevail in individual therapy sessions It is
felt that this is a major achievement and has moved us from the common
multidisciplinary approach to a truly interdisciplinary approach which
allows all staff from ward attendants to the unit director to work coopera
tively toward common goals for each child
Figure 4 presents data showing how over a period of three months the
behavior of an emotionally disturbed boy in the Childrens building became
more and more acceptable so that at the end of this period he was earning
as many tokens as the group average
Prior to July 1 1968 adolescent patients at Central State were distributed
through the geographic units At the beginning of fiscal 1969 two wards
were set aside for adolescents on the north wing of the Boland building
These two wards were combined administratively with the Childrens building
to form the present Childrens and Adolescents Unit During the first four
andahalf months the Adolescent Wards operated without a token economy
However during midNovember 1968 a token economy was installed
on both the boys and girls Adolescent Wards Under this system patients
are paid tokens for acceptable desirable behaviors and are fined tokens for
maladaptive or undesirable behavior The patients can spend these tokens
at a special ward store and they pay for special privileges such as going to
dances and movies with tokens Also there is a token charge for breakfast
and supper
Figure 5 shows a comparison between the pretoken economy period of
the Adolescents Wards functioning and the first fourandahalf months with
a token economy in operation It will be noted that during the pretoken
economy period 38 percent of those patients admitted were furloughed with
in six months After six more months 32 percent of those admitted were still
out of the hospital after 12 months 2 9 percent and after 18 months 2 8 per
cent For the first token economy period the figures were 64 percent fur
loughed within six months 55 percent still out after six postfurlough months
50 percent still out after 12 months and the percentage remained the same for
18 months or longer
Since these data were collected a number of improvements particularly
on the boys ward have been made in the psychology treatment program for
adolescents The first of these improvements is a system whereby patients
are assigned to a dayroom according to their behavior The dayroom for the
behavior problem boys provides very few opportunities for entertainment The
wellbehaved boys have it much better In this dayroom a television games
and other sources of entertainment are available

gggggggggBggmtmmtttmmmKBmt
gggjjgPBHHHHNHI
80
The staff is beginning to experiment with a steplevel token economy
in which more and more is expected of a patient as he improves The parti
cular level a boy has achieved is indicated by the color of the badge he
wears
Another project is a program for sociopathic males Under this regimen
boys are given very specific instructions Their performances of these assign
ments are carefully checked on and only exact compliance with instructions
results in reinforcement For example if a boy is told to make up 10 beds
only by his actually making up 10 beds will he be rewarded If he makes up
9 or 11 beds he is fined for failure to follow instructions
5
A final new development in the adolescent program is a behavioristic
form of group therapy In these groups an attempt is made to teach patients
appropriate patterns of social interaction MMs and tokens are used as
immediate reinforcers during group meetings Also reallife situations on
the ward are rehearsed in the group One of the initial problems that was
encountered with the group therapy procedure was that some of the boys
monopolized the conversations while some boys hardly said anything at all
The psychology staff is experimenting with a procedure to correct this The
less talkative boys are being seen in a separate group and are being taught
among themselves to carry on group discussions The hope is that when
they are reintroduced into the larger group they will be more assertive and
take a more active role
These new procedures have been in effect for too short a time for any
data to have been collected yet as to their effectiveness but the results
appear encouraging
ii
Figure 6 shows the results of two behavior therapy treatment series on
the number of suicidal attempts made by a 14 yearold girl The reader will
note that this patient has made no suicide attempts during the past six months
The technique employed in treatment of this patient was developed by a doc
toral member of the Psychology Division
A presentation of the psychology program for children and adolescents
was made at the 1971 annual meeting of the Georgia Psychological Associa
tion
Treatment of Adult Patients
During the fall of 1970 the Psychology Division directed an interdisci
plinary team in opening a behavior modification ward for chronic male patients
The disciplines of chaplaincy medicine music therapy nursing and social
work were represented in this program The patients involved in the program
on an average had been hospitalized for 20 years A token economy system
was set up wherein patients are fined for maladaptive behaviors and are re
warded for adaptive behaviors As on other token economy wards the patientsV
82
can exchange the tokens for commodities at the wards token store The open
bars in Figure 7 show the average frequency of the maladaptive behaviors
listed prior to the beginning of the project After just eight weeks of the
token economy system being in operation these undesirable behaviors had
decreased to the levels indicated by the hatched bars Adaptive behaviors
on the other hand have increased from the average indicated by the clear
bars in Figure 8 to that indicated by the hatched areas Figure 9 demonstrates
that the frequency of psychotic behavior among the residents has been sharply
reduced since the institution of this program These gains have also been
reflected in an increase in the number of residents working off the ward
attending vocational rehabilitation and being furloughed
The Psychology Division operates another behavioristic treatment program
for adult patients this one a highlevel project for acutely disturbed females
On this ward individual and group therapy are conducted within a behavior
therapy framework
JM1
The multiple handicapped ward in the Yarbrough Vocational Rehabilitation
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 re
habilitation classes and learning the skills that will enable him to become a
successful member of the community Presently 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 services enable the handicapped individuals to learn to
function outside the hospital at a level compatible with his ability and phy
sical 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 individual
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 an important
role in certain administrative and financial decisions which the Veterans
Administration makes in regard to the patient
FUTURE PLANS
During the coming year the Psychology Division will expand its services
to the mentally retarded residents of the hospital This will be made possi
ble by a special appropriation of the Georgia General Assembly which provides
for the addition of 3 1 psychology personnel Plans are currently being made
to computerize data from psychology treatment programs in order to make theirmamsmm
83
assessment and improvement more efficient Great effort will be made to fur
ther improve the efficiency of all the Divisions activities so the taxpayers
of Georgia will receive the maximum service for their tax dollar Also the
Division will continue its program of applying the techniques of behavior
therapy to increasingly complex mental problems
K

7 I84
PSYCHIATRIC OUTPATIENT CLINIC
The Psychiatric Outpatient Clinic has continued to operate to afford
aftercare for patients on convalescent leave and a few that have been recently
discharged However the aftercare services in the communities in which
the patients live have served so well that the volume has been reduced by
more than 50 of the peak level in 19661967 The total number of appoint
ments for 19701971 were 4495 In addition Fulton County and others have
recently added aftercare services During the past year we have been
arranging patient appointments more on an even load basis for five days per
week with only part coordination as to which unit treated the patient in the
hospital

The current plan is to have all aftercare patients seen in the area connected
with the admission office as soon as suitable renovation is completed so that
the admission dismissal and aftercare can be arranged centrally and orderly
We are still trying to expedite full use of the community facilities where
present to carry on aftercare
i M1
MEDICAL RECORD DIVISION

The Medical Record Division has established an organized system which
provides continuity of information to those who are responsible for the care
and treatment of the patient The accelerated public demand for comprehen
sive health services has fostered the development of the community mental
health program and Central State Hospital Record Division accepts its role
as the focal point or hub of biocommunications
A variety of information furthering patient care teaching research and
management is channeled through the Medical Record Division to the public
the medical staff and administration This Division which is also respon
sible for admissions and implementation of the Mental Health Law seeks
bilateral communication with all Central State Hospital catchment areas
Interacting with the various service systems affecting continuum of care
there is no interruption in the flow of reliable and detailed reports from all
treatment sources
Improved quality of record documentation has accompanied the greater
growth of the Medical Record Division In depth programs of ongoing peer
review as monitored by the Medical Record Committee and the Utilization
Review Committee assure a high quality of care and efficiency of servicesmMMMUH
SSSJVijfeaiiKstwioecses
85

ASSISTANT SUPERINTENDENT
EDUCATION TRAINING RESEARCH
v t
John W Kmblz MP
PSYCHITRIC RESIDENCY
TRAINING
MEDICAL LIBRARY
RESEARCH
NEUROLOGY
AUDIO VISUAL SERVICES
a86
EDUCATION TRAINING AND RESEARCH
The Division has continued with accredited training in psychiatry The
programmed texts which have been obtained have been of variable interest to
the physicians some finding that this is a useful way of teaching and learn
ing others preferring not to use the programmed material
An additional training facet was obtained for several months in the area
of computer assisted diagnosis in Pediatrics and Internal Medicine This is
not only a method of obtaining diagnostic assistance but also of training in
obtaining elaborate bibliographies It has been our observation that there
has been little interest generated among staff physicians in this respect and
so it has been recommended that this program be discontinued
The Audiovisual Division has continued to play a very important part in
broadening training in all areas of the hospital as it has previously The
increased availability of the services of this Division will be described in
detail separately
hil
NEUROLOGY
In 1971 there were 587 neurologic consultations 203 echoencephalo
grams and 1553 electroencephalograms Didactic and practical teaching
efforts have continued in the field of neuroanatomy and neuropathology the
latter under the guidance of Dr Hans Peters Clinical neurology teaching
is provided through a series of lectures as well as by clinical demonstrations
Each psychiatric resident rotates through the program for one quarter
JM
The addition of Dr Marshall Allens efforts in neurosurgical consultation
have been of immeasurable value to the teaching of clinical neurology
AUDIOVISUAL DIVISION
Expansion of closed circuit television cable to include 50 of institutional
buildings resulted in far better viewing for patients In addition local patient
programming in the form of a daily news program weekly variety show and
biweekly church services were initiated
Training for attendants medical and paramedical personnel continued
All vocational rehabilitation counselors evaluators and instructors have been
videotaped for self review or review by peer group Similar programs are being
undertaken by social work and music therapy personnel
A total of 314 programs were produced locally and 747 programs were
played back in addition to continual programming on commercial and educa
tional channels
Audiovisual support in areas other than television included 22 audiotapes
V
BHHHMMliMl
87
18 slide shows 38 16millimeter and 8millimeter movies and 18 repairs to
audiovisual equipment owned by various departments
I
MEDICAL LIBRARY
The Medical Library at Central State Hospital now includes 4500 books
and 200 journals covering the areas of medicine psychology and psychiatry
and other fields represented in Central State Hospitals treatment program
Library services have been thoroughly utilized by members of the hospital
staff both in studying pertinent material in the library itself and by collecting
bibliographic information resulting in 574 interlibrary loan requests The use
of subscriptions to AudioDigest in internal medicine and surgery has been
consistent A number of physicians listen to every bimonthly issue Others
utilize the service according to individual problems which arise in their daily
treatment programs A file folder with content copies of the tapes provides
a speedy orientation to topics available Frequently the library staff calls
to the attention of doctors individual topics in which they might be interested
The library now has eight bookstacks and two cabinets in the conference
room which have helped to relieve congested conditions The shipment of
94 packages of outdated and duplicated journals to members of the Medical
Library Association has also helped to alleviate overcrowding
Clinical chaplains have a reserved section in the library for material
pertinent to their teaching programs and staff members working on degrees
use the library extensively Georgia College students also avail themselves
of the library services
As in former years a twohour English course has been taught regularly
in the library and participation has been requested by more persons than
could be accommodated Because cataloging procedures have undergone
considerable change through the acceptance and installation of AngloAmerican
cataloging participation in an institute on AngloAmerican cataloging in
November has been profitable Attendance at the Medical Library Association
meeting in June provided the library staff with new information regarding li
brary materials and procedures

I
88
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 practice
of psychiatry as a medical specialty in private practice in community men
tal 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

s
Since the programs initiation in 19 64 the training faculty and consulting
staff have consistently evaluated and improved the program Supervision
and direction of residents are provided by experienced professionals adequate
ly trained and capable of assuming the responsibilities for teaching psy
chiatric 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 residents toward sound psy
chiatric practice
Each physician in the Psychiatric Residency Training Program is assigned
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
JM1
The first year of the training program is designed to acquaint residents
with the basic principles of psychiatry and the care and treatment of psychia
tric patients The second year involves more specific areas of psychiatry
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 1964 until the present day 38 residents
have completed their training in this program Initially the program was
approved for 10 residents at each year level There are presently 13 resi
dents enrolled Though there is no obligated service following the completion
of this training our record of physicians remaining in the state after comple
tion of their training is excellent Of the 38 that have completed their training
here in our program 24 continue to work at Central State Hospital three re
main elsewhere in the State of Georgia and only 11 have left the State of
Georgia
HHHHHiHWB
89
APPOINTMENT OF RESIDENTS
Residents are appointed to the Psychiatric Residency Training Program on
a yearly basis with reasonable assurance of annual reappointment until com
pletion 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 appli
cant must have passed the ECFMG examination An internship is no longer
required therefore candidates may apply directly from medical 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 requirements
Residents do not have to be licensed in Georgia if they are granted an insti
tutional permit but they are encouraged to obtain a medical license if quali
fied by examination or reciprocity
Dr James B Craig CSH Superintendent presents Certificates of
Graduation to Psychiatric Residents
90
RESEARCH DIVISION
Genetics Neurophysiology and Biochemistry are the cooperative units
composing the Research Division These disciplines focus upon basic scien
tific problems of Central State Hospital patients
Genetic studies diagnose and investigate the hereditary factors determin
ing inherited syndromes and disorders of mental function Chromosome cul
tures are used to reveal cytogenetic abnormalities causing certain types of
mental retardation Genetic counseling is offered Genetic factors in fear
are being studied

it
Neurophysiological investigations probe the normal characteristics of
the nerve impulse and abnormal variations from this norm These researches
deal particularly with transmission in the sensory nerve of the eye and the
peripheral neuromuscular system of the extremities
Equipment of the Research Division is capable of recording visually
evoked cortical potentials as well as clinical and experimental electroretino
graphy Computerized mass data will provide a normal retinographic curve
with which to compare the abnormal deviations of individual hospital patients
suffering from visual handicaps
The left figure shows our experimental light stimulator sphere designed
in such a fashion as to provide the most satisfactory retinal excitation for
eliciting multiple potentials in sequence These are recorded and treated on
the oscilloscope assembly and computer averager in the figure at right
iM1
A further study of the rare XXXXY XXXY mosaic Klinefelter male syndrome
at Central State is being made In general the greater the number of X chro
mosomes the greater the number of skeletal abnormalities as well as the
greater the degree of mental retardation In comparison the normal male has
simply XY sex chromosomes in each of his body cells
A curious constellation of chromosomal karyotypes is being investigated
in a trainable mongoloid patient These multiple constitutions of cells in
this individual include normal XX cells GG mongoloid translocations XO
Turners syndrome cells triple X cells and missing G chromosome karyo
types
A survey of mental retardates at Central State has been made to search
for the Australian antigen frequently associated with liver hepatitis to learn
if hepatitis is a causal factor in retardation
The current Research Bulletin reported ten research projects of the Re
search Division and a total of seventeen researches for the hospital J
JHHHHHHMHHHHHBHHIIBHHHi
92
Publications of the Division for the year include
Courtney GR Color Vision Deficiency in the Mentally Retarded Am
J Mental Deficiency In Press
Courtney GR Refractive Errors in Institutionalized Mentally Retarded
and Emotionally Disturbed Children Am J of Optometry
48 492496 1971
Keeler CE
Reoccurrence of fourrow rodlessmice A hereditary syn
drome that parallels night blindness in man Arch Oph
thal 84 499504 1970
Keeler CE
Cuna MoonChild Albinism 19501970 J Hered 61
273277 1970 Study of a hereditary handicap affecting
behavior

Keeler CE
M
M
Rehabilitation in San Bias J Rehab MarchApril 1971
Preparing the visually handicapped for new type employ
ment
Governor Jimmy Carter visits with CSH children on field trip to Capitol

iB
93
PttWical eat
ASSISTANT SUPERINTENDENT
PHYSICAL HEALTH
WMJUcun R HoivaAd Mfl
JONES RIVERS HOSPITALS
PHARMACY DENTISTRY
COORDINATOR SPECIAL THERAPIES
OCCUPATIONAL THERAPY
RECREATIONAL THERAPY
MUSIC THERAPY
VOLUNTEER SERVICES
REMOTIVATION SERVICES
ENVIRONMENTAL SANITATION94
JONES HOSPITAL
GENERAL MEDICINE AND SURGERY
M
Ail
BUILDINGS Jones Const 1930
RESIDENT PATIENTS June 30 1971 123
ADMISSIONS 23 67
DIRECTOR Joseph G Bohorfoush MD
ADMINISTRATOR Norman E Wood Jr
DIRECTOR OF NURSING Mrs Irene Wood RN
The Jones Hospital is a 200bed medical and surgical facility providing
total hospital care both inpatient and outpatient to the residents of Central
State Hospital the Georgia Rehabilitation Center for Women the Youth
Development Center in Milledgeville and all other authorized persons A
summary of hospital activities for the fiscal year 1971 in each major depart
ment follows
MEDICAL DEPARTMENT
The Medical Department which furnishes medical care for all patients
eligible for treatment in the Jones Hospital added six physicians to the medi
cal staff however eight physicians left the institution resulting in a net
loss of two doctors New clinics inaugurated were Metabolic and Diabetic
The Medical Service admitted 2367 patients for 29937 days of patient
care Also served were 40 retired employees 5 student nurses 217 inmates
of the Georgia Rehabilitation Center for Women and 44 inmates from the Youth
Development Center
RADIOLOGY DEPARTMENT
The Radiology Department was fortunate to obtain several new equipment
additions for the fiscal year including an automatic film changer an S S
Console Illuminator an emergency case a step wedge and spin top a M6A
Kodak XOmat Processor a CE CMX110 cordless portable Xray unit and
a Hope resuscitator This much needed equipment will contribute considera
bly toward the efficient operation of the department
MEDICALSURGICAL CLINIC
The MedicalSurgical Clinic provides the best possible emergency and
medical treatment to all authorized persons on an outpatient basis The
clinic provided a total of 45803 services during the year Of this number
31337 were for patients 2469 for employees 72 for dependents of employees
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PATHOLOGY AND LABORATORY DEPARTMENTS
The primary objectives of these departments include providing clinical
laboratory services to Central State Hospital to provide diagnostic services
in Surgical Pathology Cytology and autopsy to support the education and
training programs of this institution and the medical colleges of Georgia as
well as dental nursing embalming and physical therapy schools The de
partment also provides medical legal services to the entire hospital including
the investigation of unnatural deaths identification of bodies and cooperat
ing with law enforcement authorities
The department last year generated 354000 tests which is almost twice
that of a normal 200bed hospital The laboratory has passed all proficiency
checkups satisfactorily It has provided surgical diagnostic services to
845 patients and considerably increased its activity in the teaching field
During the year six clinical pathology conferences were conducted for the
medical staff in addition to participating in neuropathology conferences for
psychiatric residents Neuropathology review classes have been conducted
for specialty Board candidates in addition to the general pathology reviews
for State Board candidates Also some physicians have been certified in
order to take Board examinations
During the past year the autopsy percentage has been 24 both for
Central State and the Jones Hospital This more than meets the requirement
for accreditation
Many lecturedemonstrations to various visiting groups of college students
and hospital personnel were provided For the fiscal year a total of 716
bodies were processed 3 63 of which were embalmed Funeral services were
provided by the hospital for a number of these The training program for
technologists as well as that for professional personnel should be maintained
and expanded if possible Funds should be secured to send trainees and
personnel to refresher courses This is of considerable importance in main
taining the accreditation of the laboratory and because of the laboratory li
censure law which makes annual inspection of all laboratories compulsory
95
67 for student nurses 8582 for inmates of the Georgia Rehabilitation Center
for Women and 989 for the Youth Development Center

SURGERY DEPARTMENT
The Surgery Department is now fairly well staffed with competent personnel
and during last year served 464 major surgical cases 342 minor surgical cases
and performed 296 other procedures for a total of 1102 surgical operations
Dr K M Sreeramaiah is now performing the insertion of pacemakers where
necessary

96
EYE CLINIC
The Eye Clinic served a total of 9395 patients 257 major surgical cases
were performed as well as 46 minor cases and nine items of much needed
equipment were added to the department during the year The Hospital IBM
System has helped the department update and keep accurate and uptodate
records for every patient seen Use of the computer has greatly increased
the efficiency of the department and expanded services to patients particu
larly in the followup records of surgery and glaucoma patients A number
of patients have been greatly benefitted by the use of microsurgery made
possible by the addition of the operating microscope
NURSING SERVICE

w
Nursing Service has cooperated with the Pharmacy in converting a new
procedure for filling individual patient prescriptions The system is now
working on two wards and will be extended throughout the hospital as soon
as possible Relocation of orthopedic equipment has provided better services
and the environment has been improved by redecorating some of the television
rooms and by the addition of furniture and pictures
Personnel participated in staff development programs for professional
nurses a management and leadership course a physical therapy class and
fire drill training during the year The number of registered nurses is still
not adequate for a hospital of this size and the addition of an escort service
assigned to wards to take patients to EKG EEG and Xray would relieve
nursing service of this duty and allow the nurses to remain on the ward for
better patient care
JM
PHYSICAL THERAPY
The Jones Hospital opened a fully operational physical therapy depart
ment in the west wing of the building during the past year The program not
only provided orthopedic services for patients but contributed to the training
of selected personnel in physical therapy techniques
ADMINISTRATION
The capacity of the hospital was reduced from 223 beds to 200 beds and
all rooms patient rooms and offices have been numbered to meet locator
needs The Property Control office and the storage area were relocated from
the basement to Jones 1 West thus increasing the storage area and providing
better security of supplies and a more pleasant working environment The
physical inventory of all Jones Hospital property was also completed during
the year purchase orders were originated for approximately 160 pieces of
new and replacement equipment costing 63000
Delivery of housekeeping services were improved by the elimination of
HHHHHHHiHi

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97
the night shift and the assignment of those personnel to the day shift Fire
regulations and evacuation plans were developed
The elevators have continued to be a problem but necessary corrective
measures are now being taken A new program in cooperation with the Bibb
County Board of Education is providing training for 20 licensed practical
nurses The hospital lost five budget positions during the employment freeze
which resulted inconsiderable hardship on those employees who had to absorb
additional work The central steno pool lost one position and while covering
for all absences in all departments of the hospital an average of three typists
including the supervisor averaged 90 typewritten pages of medical material
per working day In addition to this work they also typed for the Assistant
Administrator and processed all incoming mail for the building
Plans for the General Medical and Surgical Hospital are now almost
complete and beds will be let early in January 1972

I
Rivers Hospital medicare ward98
RIVERS HOSPITAL
TUBERCULAR DIABETIC AND MEDICARE

l
M
BUILDINGS Rivers Const 1939
RESIDENT PATIENTS June 30 1971 283
ADMISSIONS 772
DIRECTOR Mahmud Majanovic MD
ADMINISTRATOR George Hart
DIRECTOR OF NURSING Mrs Valeria Atchison RN
Total admissions to this Unit during the year were 772 Of the total
population 461 were transferred to the communities from which they came
300 were placed on convalescent leave and 112 were discharged
The Alcohol and Drug Program was opened on October 1 and is functioning
well During the coming year it will be expanded to include 3 0 beds for fe
males
The assignment of an additional social worker to the Unit has provided
a much better social work program for this activity
Medicare is functioning well and airconditioning is being installed for
the entire ward which will make the summer more comfortable for the patients
The dining room on Rivers 1 East is being renovated and airconditioned for
the Music Therapy Department A new therapist has been assigned and the
new area will provide a much improved recreation music therapy and occu
pational therapy program
Additional improvements include a new administrative suite a new
employee parking area replacement of all old hospital beds the installation
of fluorescent lights in all nurses stations and treatment rooms and the addi
tion of other much needed equipment A central drug room was established
and stocked in cooperation with the hospital Pharmacy All medicine rooms
were checked and excess drugs removed New procedures for ordering and
issuing drugs were begun This has resulted in improvements in economy
efficiency and safety
The advent of a clinical instructor in Nursing has permitted the initiation
of several new programs All new nursing service personnel participated in
an orientation program upon employment Medication classes are being con
ducted and employees are given individual supervision in preparation admini
stration and charting of medications Classes are being conducted in special
areas of need and every Nursing Service employee participated in a courseHHHhwhbi
99
in cardiopulmonary resuscitation during the year
The installation of Kardex files on all wards has added greatly to the
efficiency of the patient record system
Plans for the future include the renovation of two rooms on Rivers 2 and
3 East to provide an observation area for patients who are being diagnosed
and evaluated Nursing Service personnel will continue to strive for im
proved patient care through the development and use of nursing assessment
and nursing care plans
I
Rivers Hospital the recreation room in the medicare section100
PHARMACY DIVISION
The 1971 fiscal year has been one of continued growth and expansion for
the Pharmacy The staff consists of eight pharmacists two pharmacy interns
five technicians a truck driver secretary and typist The usual duties
related to the Division were carried out during the year with a view toward
increased uses of personnel resources culminating in greater service for
patients
The pharmacy staff operates in three main areas The Central Pharmacy
Satellite Pharmacies and the Jones Hospital Pharmacy

The Central Pharmacy has directed its activities toward a practical system
of inventory control through the use of electronic data processing equipment
and the establishment of automatic reorder points The purchasing and in
ventory system is now complete and is a great improvement Also the filling
of ward orders has been streamlined through the use of preprinted issue tickets
to the extent that one person may now perform the work normally done by two
persons
Central Pharmacy staff members have developed methods of service to
the various hospital wards which have been approved as extensive care facil
ities The Boone and Boland buildings now operate under an individual patient
drug dispensing system in order to meet state and federal guidelines Since
October this has resulted in the filling of over 3 000 individual prescriptions
Mill1
The Central Pharmacy also supplies the drug needs of 45 Mental Health
Aftercare Clinics which are scattered throughout the state The close of this
fiscal year saw the introduction of a new Pharmacy Newsletter which is a
monthly publication designed to efficiently disseminate news and policies to
the Central State Hospital professional personnel
The Jones Hospital Pharmacy is rapidly moving toward the desirable goal
of receiving carbon copies of all doctors drug orders The Jones Pharmacy
is initiating a complete patient dispensing system with a pharmacist review
of all drug orders A seven day weekly pharmacy service for the Jones Hos
pital has been established
The Satellite Pharmacy staff has improved distribution and control of
drugs throughout the hospital During this past year a new system for
ordering drugs from individual wards has been developed to facilitate control
functions and eliminate past errors This section of the pharmacy provides
monthly inspections to all hospital wards as well as direct service to the
Childrens building and the Adolescent Wards
During the past year the Pharmacy purchased drugs and medical supplies
totaling 112972000 supplied 21924 prescriptions for patients going on
convalescent leave and filled 6556 prescriptions for hospital employeesBOOHMiMHHHMM
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DENTAL DIVISION
101
Dr Robert C Watson Dental Service Director was granted educational
leave to obtain his Masters Degree in Public Health Administration and is
now at the University of North Carolina Dr William K Willoughby Staff
Dentist assumed the direction of the dental program in his absence
During the past year 47 286 operations and treatments were accomplished
and an additional 13287 oral examinations were rendered The dental labora
tory processed 677 appliances and repaired 178
All members of the dental staff successfully completed a course in
cardiopulmonary resuscitation techniques
Mrs Betty Pierce a dental hygienist on the staff is past president of
the Central District Dental Assistants Society and also served as a Board
member for the Georgia Dental Assistants Association during the past year
Mrs Mary Sharpe dental hygienist is currently Chairman of Education for
Central District Dental Assistants Society
Besides the five licensed dental hygienists on the staff four dental
assistants are now in training so that they will become eligible to take the
dental hygienist examination The hospital cooperated with the Central
District Dental Assistants Society in sponsoring an approved course in dental
radiology The course was conducted for dental assistants and dental hy
gienists by Dr William H Wege Chairman of the Department of Radiology
of the Medical College of Georgia School of Dentistry The program provided
a method for the dental assistants and dental hygienists to improve status by
devoting some time to an organized course of study
The Division sponsored a poster contest during National Childrens
Dental Health Week and a large number of students enrolled in the Special
Education School participated in producing a display of colorful posters which
was viewed in the hospital auditorium by patients employees and the public
An operating room was completed within the Central Dental Clinic within
the past year for use by consultants in oral surgery in rendering oral surgical
procedures to selected uncooperative patients This operating room has
greatly improved services to patients
The Division continues to cooperate with neighboring universities and
colleges During the past year 71 dental students from Macon Junior College
were allowed to render routine dental prophylaxes to patients thereby gaining
valuable practical experience

I102
RECREATION THERAPY DIVISION
The acceptance of recreation therapists as members of the Unit treatment
teams has contributed greatly to the success of the recreation program this
past year In some of the Units the recreation therapist serves as cotherapist
in group therapy sessions and in other Units he has been designated as a
primary therapist for a particular group of patients

ll
Several innovative activities have resulted in an expanded recreation
program which has involved additional patients during the past year In
August six patients were sent from Unit 9 to compete in the International
Special Olympics in Chicago It was not only an enlightening and exciting
trip for them but provided an opportunity to gain public recognition for their
ability to compete effectively at their own level The Special Olympics are
sponsored by the Kennedy Foundation for the mentally retarded Central State
Hospital residents also participated in the State Olympics in Atlanta in May
and altogether 40 residents were involved
Another unusual experience was the opportunity for some residents to
spend two weeks at the Easter Seal Camp located at Winder Georgia Six
of the 15 residents who participated were confined to wheelchairs The
camping program included fishing archery horseback riding and various
other outdoor activities
iM
Four patients from the Childrens Unit attended a twoweek session of
daycamping sponsored by the Baldwin County Recreation Department They
adjusted exceptionally well and made such a positive impression that Central
State Hospital has been invited to participate again next year Each twoweek
session involved 60 boys and girls between the ages of seven and twelve from
Milledgeville and the Central State Hospital group was an integral part of
this program
In two of the Units hobby groups have been started for regressed patients
not involved in any other therapy and who were referred by the ward physi
cians Projects included simplified crafts not being done by other departments
in the hospital
Unit 9 recreation therapists have started a store group on Boone 7 and
once a week patients from this ward are taken to the store to purchase items
of their choice The primary purpose of this activity is to teach the patients
how to budget their money and to obtain value received for what is spent
A wrestling group organized in the Adolescent Unit is providing an
acceptable means for release of aggression and hostility Also continued in
this Unit was the junior bowling league which was expanded to include more
patients Several Units formed additional Golden Agers clubs and the
members of one of these made a trip to Lithonia to visit with the sponsoring
volunteer group The trip proved very helpful to this group of Golden Agers103
Art groups are operating in two Units and one of these had an art show
the past year which was so successful it is planned to sponsor a similar
event on an annual basis
The recreation therapist assigned to the new Alcohol and Drug Unit has
also been able to assist in the Rivers building programs which has aided
considerably in providing more effective supervision
A oneday workshop in simplified crafts was sponsored by the Division
with a series of demonstrations by representatives of craft companies A
large number of patients participated in trips off campus during the year
These included visits to Atlanta Braves baseball games Grant Park Stone
Mountain and Six Flags and a trip was also made to Macon to visit the Indian
Mounds and to ride the Nancy Hanks railroad train Patients also visited
basketball games wrestling programs Holiday on Ice and the roller derby
Other activities included visits to Eatonton to the Uncle Remus Museum and
Rock Eagle to Lake Sinclair for picnics cookouts and swimming and down
town on sightseeing trips shopping trips and to attend activities sponsored
by local schools colleges and other groups
Volunteers from the local community including students from Georgia
Military College and Georgia College at Milledgeville added a great deal to
the success of the recreation program Volunteers from Macon Atlanta and
Lithonia were also active in the recreation therapy program at Central State
Hospital
The Master Plan for the location and development of future recreation
facilities was completed during the past year It was set up by a graduate
student at the University of Georgia and includes the development of the
Colony Pond area so that full use can be made of this facility Funds are
included in the budget of fiscal year 1972 to start implementation of part of
the Colony Pond plan the completion of which should add greatly to the
effectiveness of the recreation program
The Division has continued to provide a clinical training program for
students majoring in recreation from Florida State University and Georgia
Southern College as well as from the Georgia College at Milledgeville
Cooperative programs with the Volunteer Services Remotivation Occu
pational Therapy and Music Therapy Divisions involved a large number of
patients and were therapeutically successful Several new employees were
added to the staff this year and members of the department participated in
local regional and national conferences and institutes on recreation The
Division members also provided lectures and presentations to students in
nursing remotivators hospital staff members and community groups visiting
the hospital
104
OCCUPATIONAL THERAPY DIVISION
The objectives of this Division are to conduct a therapeutic program of
manual and creative arts as part of the total patient treatment plan to provide
opportunities for professional growth to support the efforts of other hospital
disciplines and to promote community relations
THERAPEUTIC PROGRAMS
Thirtyfour programs were carried on with 3742 individual patients
participating reflecting an increased patient load of 135 Clinic programs
were deemphasized and more ward programs were initiated thus providing
a built in screening method for promotion to clinics for more advanced acti
vities andor attention to special goals Of the total patient load 134
were discharged or transferred to industry and 32 were furloughed

Several clinics have moved to better physical settings and two have
been combined for more efficient utilization of personnel and for program
continuitv

The clinic in the OT Center has been opened clients being drawn
selectively from the entire hospital through the concerted efforts of occupa
tional therapy with vocational rehabilitation social service and the medical
staff
iM
Patients in all programs were involved in some phase of the special
Project Footstool which had as its goals the making of 64 footstools for
geriatric patients in Unit 3 New crafts including foil and fringe craft
aluminum tooling phenolic plastics ceramic staining and tincan craft
were initiated for program enrichment
Emphasis continues to be placed on good grooming as a treatment modality
with makeup grooming products and dress fabrics available for patient use
Also stressed were socializing experiences both in regular programs and in
those involving other disciplines Our planned special activities included
fishing trips cookouts parties nature walks bus rides watermelon cuttings
and other similar events with 16595 patient attendances noted
EDUCATION AND PROFESSIONAL GROWTH
The OT staff continues to further its capabilities and effectiveness
by utilization of inhospital community and other opportunities These
included craft workshops sewing modern math and the GED preparatory
course as well as staff meetings courses in Modern Supervisory Tech
niques and a Supervisory Development Seminar Five personnel are mem
bers of the Georgia OT Association and one of the American OT Associa
tion
BQBBHMHH

105
Members of the Division filled lecture requirements for student nurses
physicians psychiatric aides remotivation trainees and others for a total
of 549 training hours
I
INTERDEPARTMENTAL COOPERATION
In addition to the educational functions the Division assisted other
departments with their activities such as movies dances recitals parties
ballgames etc thus making possible 21842 more attendances than would
have been the case Members were deeply involved in all phases of the
Christmas Pageant from costumemaking through dressing and making up
patients for the performance Patients in the Center clinic made giant three
dimensional sunbursts to decorate the auditorium and the central dining room
at Christmas
A total of 1508 items at a cost of 2 14600 were made and issued to the
hospital These included upholstery picture frames ceramics and functional
equipment
COMMUNITY RELATIONS
Exhibits of patient work were held at the Athens Fair at a Medical
Auxiliary meeting in Athens and at the Macon Friendship Club Our Gift
Shop has been visited by people from as far away as Seattle Washington
and Toronto Canada
Staff members continue active in local organizations including Eastern
Star American Legion Auxiliary Shrine and their various churches
Services performed for the community included framing 167 pictures
upholstering 44 pieces of furniture and a number of small repair and touchup
jobs
The hospital participated in the local Christmas parade the float being
designed and constructed by occupational therapy personnel Visitors to our
programs included college and high school students garden clubs etc for
a total of 1048 in 46 groups Relatives and friends of patients also visited
with frequency and were very responsive to and appreciative of the therapy
given
I106
MUSIC THERAPY DIVISION
The fiscal year 1971 has shown a personnel force of twentyeight full
time employees fourteen of which are music therapists eleven music thera
py aides two interns and one secretary Program emphasis has been centered
about quality of programming and increases in resident coverage Eight units
a total of seventeen buildings are now being furnished with regular music
therapy services and intermittent service is being furnished to the remainder
of the hospital
ADULT PSYCHIATRIC UNITS
Each of the programs in the adult psychiatric Units which includes
Units 1 through V has shown considerable emphasis developing in the area
of ward programming The need for the therapists attention on the wardlevel
has been pointed up clearly through a decline in the number of literate pa
tients who need to learn selfhelp skills This is due to the hospital admini
strations changing emphasis to therapy rather than mere custodial care
N1
A portion of these ward programs are conducted by the music therapy
staff members who work primarily with the patients in a given Unit while the
remainder of the programs are led by a music therapist centrally assigned
whose entire time is devoted to carrying out ward programs in all the Units
ifc
In addition to ward programs specialized music therapy activities
consist of patient choir hand bell choir folk dance music appreciation
rhythm groups social dancing and individual therapy offered through piano
and voice lessons The music therapist prefers receiving referrals for these
patients from the medical staff However the therapist at times finds it
necessary to utilize patients introduced to them through ward rounds One
of the outstanding problems of music therapy personnel in these Units is the
coordination of the specialized music activities with the activities of other
disciplines and the regular scheduling of participating residents Both of
these problems are being studied by this department at the present time
EMOTIONALLY DISTURBED CHILDREN AND ADOLESCENTS
This departments program in the Childrens building offers each child
a planned program of music therapy Activities include drum corp basic
rhythms guitar choir and piano The therapist assigns music activities
on an individual basis and according to individual needs Development of
social and academic skills rank high on our list of goals The adolescent
section of this Unit is receiving special programming which includes Teen
Club adolescent band guitar and individual music in therapy In addition
to the regularly scheduled music activities the music therapist acts as a
member of the therapeutic team and assists in planning and carrying out
largescale activities involving all the disciplines in Unit VIII These acti
vities during the past year have included an adolescent basketball tournament107
January
1971
June
1971
CountryWestern
Band
January June
1971 1971
Instrumental
Ccrrbo
January
1971
June
1971
Ward Program
Specialist
Figure 2 Increases in Number of Patients served weekly by Centralized Programs108
St Patricks Day dance and all day excursions for swimming at Lake Sinclair
Further emphasis for these young people is being planned for the future
RETARDATION
A severe staff shortage exists in this program One registered music
therapist and one parttime aide are providing an outstanding program employ
ing behavior modification in their music sessions The residents are being
taught selfhelp skills intelligible and conversational speech response to
verbal commands along with preacademic and academic skills The resi
dents behavioral deficits determine the therapists goals for each individual
involved in the Music Therapy program Therefore the teaching of adaptive
behavior is our goal

The role of the music therapist here has been expanded to not only include
furnishing the Unit with goal directed music activities but also to act as a
contributing member of the treatment team in improving channels of coordina
tion and communication
S
M
INSTRUMENTAL THERAPY
The centrally controlled instrumental department has been organized to
furnish much needed support to the Unit Music Therapy programs Five em
ployees constitute two music groups One performs CountryWestern music
the other popular dance music They respectively present over thirtyfive
programs weekly and play for residents in six Units of the hospital A total
of more than 1100 patients are entertained during this period of time In
addition to this service each employee instructs patients in band orchestra
and nonband instruments individually Both beginning and advanced bands
are conducted for patients referred by Unit music therapists Twentyseven
patients performed in this high level music activity in the course of the last
year
RESEARCH
Structured attempts to explore the various uses of music in dealing with
mental illness has produced several studies during the last year Of special
note is the study which has been completed and submitted to the National
Tournalof Music Therapy for publication entitled Operant Use of Guitar Rental
to Decelerate Head and Face Touching in an Adult Male Psychiatric Patient
by Dennis Carroccio Saralyn Latham and Beth Carroccio Five other studies
for which data has been collected are currently being written for possible
publication These studies use the severely and profoundly retarded males
on award with training programs supervised by music therapy staff members
They emphasize using music to teach a nonmusic skill or reward for learning
such a skill109
20
15
10
I 1 Wards without ward programs
U Wards given ward programs each week as of June 1971
I Wards given ward programs each week as of January 1971
7
Lfl

2 3 4
ADULT UNITS
5 Rivers
Figure 1 Increases in Number of Wards Receiving Ward Programsno
INTERNSHIP PROGRAM
During the past year seven students successfully completed their six
months internship in this department and became registered music therapists
They represented Florida State University East Carolina University and the
University of Wisconsin The Music Therapy Divisions clinical training
program is the only one in the southeast approved by the National Associa
tion for Music Therapy for a specialized internship with the retarded and
emotionally disturbed children
NEW PROGRAMS

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1 Effective June 16 1971 a new music therapist was assigned to the
Rivers Hospital Along with the responsibility for all activities dealing with
music in therapy this therapist will also serve as organist and choir director
for religious services in the Unit Many plans are being developed to service
these medicare diabetic and tubercular patients
2 A system of data collection has been developed by the Division of
Music Therapy and is at present being used as a method of evaluation It
is graphically showing such information as total number of hours spent with
patient groups time spent in individual therapy time necessary for prepara
tion and travel etc Another system is further examining the possibility of
correlation between patients involved in music therapy activities and their
furlough and discharge rates as compared to the overall hospital rate
FUTURE PROGRAMS
M
Plans for an additional centrally operated program are now being formu
lated Residents from all hospital Units will be eligible on a referral basis
The initial plan includes teaching a class of illiterate patients to read utiliz
ing music Many avenues will be examined to find new and more effective
ways of raising the functioning level of longterm patients as well as means
of aiding in the quick return of patients to their communities

HIHIHH
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VOLUNTEER SERVICES
111
The Department of Volunteer Services has continued to serve the patients
through programs and projects provided by volunteers and materials donated
for their comfort and pleasure In looking back over the ten years that the
department has been in existence it can be determined that many lasting
friendships have been formed and at the same time it is interesting to recog
nize annually the growth of the program through the establishment of new
friends Such growth is indicative of the good relationship that has been
established between the personnel and the communities and the effective
utilization of the services recruited and offered
Garden Therapy continues to be a major service to the patients There
are currently thirteen garden clubs being sponsored by the Garden Club of
Georgia Inc Fiftyfive volunteers from Milledgeville are directly involved
with the program Tours arranged for the Garden Clubs to see the program in
action activity slides and corresponding material for programs and displays
at district and state meetings are used to keep the garden club members in
formed throughout the state of the service they have made possible
The new pavilion given to the hospital through the Garden Club of Georgia
Inc has provided many hours of recreation for a variety of groups It has
been in daily use throughout the seasons suitable for outdoor activities
The workdays for the Georgia Hairdressers and Cosmetologists Associa
tion were perhaps the most exciting to date For the first time black hair
dressers were included in the group During the three organized workdays
144 volunteers served 42 0 patients gave 109 cold waves 410 shampoos
and 220 haircuts along with other related services In addition five black
senior barbering students from an Atlanta barber college gave haircuts through
out one mens building The hairdressers organization contributed 350 to be
used for purchase of additional equipment for beauty shops
The highlight of the art therapy program was the art show in clothesline
fashion which depicted the years work The volunteers have exhibited much
enthusiasm in their work with the patients who in turn have responded well to
this type therapy
The Apparel Shop has continued to provide an invaluable service throughout
the hospital to those patients who remain in the hospital as well as those who
are transferred to nursing homes to rehabilitation houses and to other
facilities The shop has been well supplied through donations of many tons
of new and used clothing During the year 3690 individual patients were
served in 8534 visits to the shop In addition to the services rendered
this facility has proved to be an invaluable training area under the Vocational
Rehabilitation program for sales persons The Apparel Shop is currently
operating from a building which is most inadequate and one that is in a de
plorable condition If adequate facilities were available additional and

112
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improved services could be provided Plans have been completed for a
Volunteer Services complex which includes an excellent Apparel Shop area
Such a building is needed so that all Volunteer Services activities can be
under one roof which will provide for more adequate supervision and for im
proved services to the participating volunteer groups and individuals and to
the patients
The Alcoholics Anonymous group functions as strong as ever under the
leadership of AA Groups from Milledgeville Dublin Monticello Macon
Warner Robins Sandersville and Louisville In addition to serving as a
program to aid the hospitalized alcoholics and drug addicts these weekly
meetings are used as a training aid or laboratory setting for student nurses
and special classes conducted for teachers under the direction of a college
professor
The Central Patients Library was officially opened to the patients on
March 31 1970 During this time 3 152 patients have visited the library and
1940 books have been checked out The number of books available to the
patients has increased to 2808 There are also 500 paperbacks which the
patients have access toon a bring one take one basis Fortyfive period
icals and 15 newspapers have been donated to the library As an added
service a reading club was organized during the summer of 1971 The mem
bership has grown to 54 and has served to generate much interest This is
indeed an outstanding service to those who enjoy this form of therapy
kM
One patient assists the librarian under the Vocational Rehabilitation
program A severely handicapped young man from the local community works
onehalf day each day in the library He did this totally on a volunteer
basis until February 1971 when the Tenth District of the Georgia Federation
of Womens Clubs began contributing 20 per month so he could have spending
money His services have proved most beneficial and at the same time has
made this young man feel that he can make a contribution to society
The Social Service departments in Units III and V have most effectively
used high school students and adult volunteers in carrying out special projects
and programs Their goals have been geared toward helping the patients to
develop areas of basic competence necessary for independence and self
respect learning to interact with each other in an informal manner providing
them with opportunities to practice basic social skills and group decision
making
Students from Georgia College have been an asset to the staff of the
Childrens Unit by providing manpower for additional activities to operate
the token store as apart of the behavior modification program to interact with
the patients in playground activities and as tutors for those attending the
School of Special Education who need assistance
Christmas 1970 was another memorable occasion for the patients TheBBS
H
113
Georgia Municipal Association sponsored MDay with the event being staged
at Central State An adequate quantity of good quality gifts was received
from MDay participants school and church groups mental health associa
tions individuals and service civic and fraternal organizations Seasonal
denominational parties sponsored by the local churches with statewide
financial support and other special group parties helped the patients to enter
the spirit of Christmas Christmas cards for the patients to send to their
friends and relatives were furnished through Miss Laura Watson who for 30
years served as Christmas Card Lady She has now retired due to ill health
and the phase of her work involved with making tray favors for the bed patients
has been assumed by a new Christmas Card Lady Mrs Carolyn Seivers
also of Atlanta Plans have already been completed for cards to be made
available to the patients in 1971 from other voluntary contributions
There are currently 300 Forgotten Patients who are being sponsored by
individuals and organizations who send gifts andor spending money once a
month This has meant a great deal to these indigent patients who are en
tirely dependent on the kindness and generosity of others
The Hoxie Brothers Circus performed for the patients for the fourth straight
year and each years performance seemed to surpass the one of the previous
year The last of the funds raised through the campaign waged by WSB Radio
Station in Atlanta were utilized in 1971 Mr Elmo Ellis General Manager
of WSB has advised that they will again sponsor the campaign to raise funds
for the circus This is to be conducted either in the fall or winter of 1971
Donations and special projects play a major role in a variety of programs
and projects throughout the institution Some outstanding examples are a
fraternity from the University of Georgia that gave the entire proceeds from
their annual fundraising project for the purchase of rocking chairs for the
Jones Hospital the C S Bank employees from Athens raised funds to pur
chase some playground equipment for a small playground area in the Mental
Retardation Unit stage curtains and lighting equipment for the Unit III recrea
tion room and day room furniture for Rivers Hospital given by the Chatham
Savannah Mental Health Association day room furnishings for Walker building
by Columbus United Church Women two washing machines and one dryer by
the Georgia Jaycettes heavyduty fans for Unit V donated by Region 18 Jay
cettes numerous nursing home kits filled with toilet articles to be given to
patients transferring to nursing homes
A total of 7385 was donated through Volunteer Services Department to
aid in supplementing services and materials for the patients added comfort
pleasure and therapy An additional amount of 8641 was expanded by the
Garden Therapy Treasurer in the support of the Garden Therapy programs
I
s I114
LT
5 I
REMOTIVATION DIVISION
The Remotivation program continues the structured approach on three
levels of treatment The first level emphasizes therapy to the regressed
aged untidy noncommunicative mentally retarded individual on a oneto
one basis or in a small group activity The approaches used concentrate on
basic functions inherent to human beings such as personal cleanliness neat
ness in dress habit training grooming acceptable eating habits communi
cating with others and physical fitness Parties hobbies etc are employed
as treatment techniques on improvement trips The worth dignity and indi
viduality of each resident is recognized and increased in this program
The second level includes formal remotivation group discussions held
at least once a week with a group of eight to twelve residents Groups are
evaluated after twelve weeks progress is noted and weak points are rein
forced
The third level includes advanced remotivation groups who are involved
in learning experiences and many phases of outside living As these resi
dents progress they are involved in other therapies and all phases of hospital
life
The Remotivator in each area coordinates his program with each of the
special therapies as much as possible thereby giving a greater emphasis to
more residents through coordinated efforts
u
Bulletin board prints posters etc orient residents to holidays and
current events Clocks and handmade calendars assist patients in orientation
in time
Remotivators are constantly searching for new interests and innovative
programs for the residents For instance the use of cake icing was employed
to make Christmas decorations panorama Easter eggs and decorations for
other events thereby providing the residents with a simple technique for
everyday living
In the Mental Retardation Unit Nursing Service has assigned a third aide
as a full time remotivator As part of the personal care project regressed
and physically handicapped residents are taken to the beauty shop for pro
fessional hair care and styling One remotivator has organized a dance band
including himself and mentally retarded patients They furnish music for ward
parties and regular dances The wheelchair residents join in the fun and
rhythm of these events
Three training institutes were held during the year providing remotivation
technique training for hospital employees as well as personnel from other
hospitals and institutions in the southeastern area These institutes created
particular interest among nursing home delegates who hoped to use remotiva
tion techniques with their patients
115
APPENDIX
ADMISSION RATES PER 100000 ESTIMATED CIVILIAN POPULATION
ONBOOK POPULATION RESIDENT PATIENTS ADMISSIONS AND
CONVALESCENT LEAVE FOR TENYEAR PERIOD 9621971
RESIDENT POPULATION BY MENTAL DISORDER
TYPES OF MENTAL RETARDATION
ADMISSIONS DISCHARGES AND DEATHS BY AGE
DEATHS AND DISCHARGES BY TIME ON BOOKS
RESIDENT POPULATION BY COUNTY
FOURYEAR COMPARISON OF COUNTY ADMISSIONS
COMMUNITY MENTAL HEALTH PROGRAMS
COMMUNITY MENTAL RETARDATION DAY CARE AMD TRAINING
COMMUNITY ALCOHOLISM PROGRAMS
RESIDENT PATIENT BREAKDOWN AS OF APRIL 301971
SERVICE AREAS FOR STATE HOSPITALS
ROSTER OF PROFESSIONAL STAFF
116
117
118
119
120
121
122
1236
127
128
129
130
131
132
116
ADMISSION RATES PER 100000 ESTIMATED CIVILIAN POPULATION
BY COUNTY OF ADMISSION FISCAL YEAR ENDING JUNE 30 1971
13
ill
kM
Legend
0 1000
1001 1500 J
1501 2000
2001 and Over 1
X I WORTH
O uH A DOUGHERTY f
4
I A R L Y IBAKEH JCkiil
yMl T C HE L L t
j J
ggggHgggttUnUmmUK
10 11 12 13 14 15 16 17 18118
M
M
ri

D J 1 c l l fk Iks l kv l

lFJ

l

OOOO It

1

7ooO
f V JJ
X Xi 11
X l

6000

HH it V U
4X X XiX j
O
rrs h H11 j 15 I
sOOO cr
41 h X h v X XI
X X X i
X X la
it X 1
X x4 41 1 r r j
C3 j 1 H
h X H j
r 551 Si
iN it X X S P5T
VOOO f X if
n ft
X r If 5
X 4X i T3 it X K r
S
IN TO ffi
jo nq m 5 tr 1 X 1
S M
f Cv 3 0
X X Ji H
00O X 1 X P3i C2I
vw 1 g oX
s y 0
0 isq TC ft 12
F4 Jt I TrT
t x x 6 3 yi H ix
Xr 3 n cs tcj
t3 1H ET O T
Ph tt IB 0 T
iOOO S 1 I it Xi XX
Wy p vt b jj IX X X X
n Cri 1 11 11 1 H r rn Hr iii ru 1
ff iJ jf tu tj
fiL T IH Jl f
xr 5 x
XEf X r St X xt ar isg
2C Sf St Tl S5X in
Innn 0 x xi x
ir St tr 1 iisr bt
2t XX 1 f1 3
fr pt h
C CD tr r

r ftttttt

Bim
119
SOS
H
WFF

m
EE

Ifc
0
mil
B
EKE
iiSl
JJJE
172
tal
ecebshlrb
OT
ft
2j
IfeMemiIjEfeiHS
fflB
lELEESO
20
CGI
W

pa
rm
mnm
ttAGE l52f 253 35M if55 556 657 7581 85 and
un51rf1V14Vol1er
1500
No of
Patients
100

IH
Al

DEATHS AND DISCHARGES BY TIME ON BOOKS
121
I
TIME ON BOOKS
011 Months
1 Year
2 Years
3 Years
4 Years
59 Years
1014 Years
1519 Years
2024 Years
2529 Years
3 0 Years and Over
DEATHS
9
64
33
44
29
85
37
31
19
20
329
DISCHARGES
43
1929
686
375
265
593
205
164
154
121
3789
TOTAL
700
8324M
122
RESIDENT POPULATION BY COUNTY

M

r
APPLING 2k
ATKINSON 12
BACON 19
BAKER 9
BALDWIN 135
BANKS 0
BARROW 33
BARTOW 59
BEN HILL 35
BERRIEN lit
BIBB 385
BLECKLEY 2h
BRANTLEY 9
BROOKS 32
BRYAN if
BULLOCH it8
BURKE 37
BUTTS 17
CALHOUN 12
CAMDEN 13
CANDLER 17
CARROLL 75
CATOOSA 27
CHARLTON 13
CHATHAM 292
CHATTAHOOCHEE 5
CHATOOGA 30
CHEROKEE 16
CLARKE 87
CLAY 10
CLAYTON 9
CLINCH 7
COBB I2lf
COFFEE 31
COLQUTTT 66
COLUMBIA 19
COOK 3
COWETA 71
CRAWFORD i2
CRISP 38
DADE 13
DAWSON
DECATUR 39
DEKALB 300
DODGE 5
DOOLY 22
DOUGHERTY 1Q0
DOUGLAS 9
EARLY 2
ECHOLS 0
EFFINGHAM 5
ELBERT 37
EMANUEL 18
EVANS 9
FANNIN 30
FAYETTE 17
FLOYD 122
FORSYTHE 26
FRANKLIN 16
FULTON 1227
GILMER 23
GLASCOCK 9
GLYNN 75
GORDON he
GRADY 25
GREENE 22
GWINNETT 77
HABERSHAM lf6
HALL 101
HANCOCK 32
HARALSON 3
HARRIS 22
HART 2i
HEARD 5
HENRY 25
HOUSTON 69
IRWIN lit
JACKSON 33
JASPER 20
JEFF DAVIS 18
JEFFERSON 31
JENKINS 25
JOHNSON 20
JONES 19
LAMAR 30
LANIER 7
LAURENS 78
LEE 6
LIBERTY 21
Lincoln 10
LONG If
LOWNDES 78
LUMPKIN 16
MACON 29
MADISON 37
MARION 7
McDUFFIE 18
McINTOSH 10
MERI WETHER lf6
MILLER 10
MITCHELL 30
MONROE 28
MONTGOMERY 9
MORGAN 10
MURRAY 16
MUSCOGEE 26
NEWTON l8
OCONEE 10
OGLETHORPE 21
PAULDING 29
PEACH 37
PICKENS 19
PIERCE 9
PIKE 28
POLK 67
PULASKI 31
PUTNAM 20
QUITMAN 2
RABUN 15
RANDOLPH 29
RICHMOND 181
ROCKDALE 26
SCHLEY 5
SCREVEN 25
SEMINOLE 7
SPALDING 10
STEVENS 27
STEWART 27
SUMTER 18
TALBOT 15
TALIAFERRO 5
TATNALL 30
TAYLOR 18
TELFAIR 29
TERRELL 29
THOMAS 59
TIFT 3
TOOMBS h9
TOWNS 5
TREUTLEN 8
TROOP 91
TURNER 22
TWIGGS A7
UNION 12
UPSON 56
WALKER V
WALTON h5
WARE 9
WARREN 11
WASHINGTON 33
WAYNE 27
WEBSTER 6
WHEELER 8
WHITE 12
WHITFIELD 102
WILCOX 11
WILKES 23
WILKINSON 27
WORTH 28
TOTAL
7W7FOURYEAR COMPARISON OF COUNTY ADMISSIONS
l
123
COUNTY YEAR
OF ADMISSION 1968 1969 1970 1971 TOTAL
Appling 17 15 24 19 75
Atkinson 1 9 8 5 23
Bacon 26 33 31 35 125
Baker 1 1 2 2 6
Baldwin 144 127 176 229 676
Banks 7 9 6 9 31
Barrow 52 39 40 52 183
Bartow 73 46 69 95 283
Ben Hill 37 37 41 32 147
Berrien 19 23 34 37 113
Bibb 273 279 333 562 1447
Bleckley 23 14 19 25 81
Brantley 13 20 12 13 58
Brooks 16 18 15 17 66
Bryan 16 13 11 13 53
Bulloch 32 36 32 39 139
Burke 19 20 24 20 83
Butts 27 17 24 25 93
Calhoun 4 11 12 11 38
Camden 12 13 14 8 47
Candler 17 5 8 10 40
Carroll 66 58 67 68 259
Catoosa 34 40 39 32 145
Charlton 5 8 12 7 32
Chatham 161 167 184 189 701
Chattahoochee 4 0 1 2 7
Chattooga 24 23 36 36 119
Cherokee 58 45 40 53 196
Clarke 118 112 116 124 470
Clay 7 10 4 6 27
Clayton 88 82 76 72 318
Clinch 15 12 11 11 49
Cobb 237 194 211 213 855
Coffee 29 35 43 48 155
Colquitt 54 49 46 42 171
Columbia 32 24 34 22 112
Cook 16 17 14 18 65
Coweta 70 63 56 66 255
Crawford 10 8 7 10 35
Crisp 32 36 28 29 125
Dade 17 15 11 5 48
Dawson 9 8 12 9 38
124

N
COUNTY OF ADMISSION YEAR
1968 1969 1970 1971 TOTAL
Decatur 47 32 27 31 137
DeKalb 300 274 231 251 1056
Dodge 24 31 60 56 168
Dooly 26 20 18 13 77
Dougherty 106 96 84 96 382
Douglas 29 38 56 41 164
Early 26 20 18 14 78
Echols 5 0 0 1 6
Effingham 19 7 7 7 40
Elbert 28 41 38 23 130
Emanuel 52 56 51 60 219
Evans 12 11 17 14 54
Fannin 18 21 24 33 96
Fayette 10 13 6 8 37
Floyd 101 103 76 97 377
Forsyth 25 23 29 25 102
Franklin 23 31 24 16 94
Fulton 873 800 771 856 3300
Gilmer 21 24 19 32 99
Glascock 6 9 6 6 27
Glynn 82 91 89 108 370
Gordon 41 40 32 43 156
Grady 33 23 35 13 104
Greene 15 17 20 20 72
Gwinnett 92 85 99 119 395
Habersham 32 36 30 33 131
Hall 107 135 154 162 558
Hancock 24 17 27 40 108
Haralson 29 29 28 50 136
Harri s 11 18 9 12 50
Hart 24 24 24 24 96
Heard 5 8 2 8 23
Henry 24 28 27 19 98
Houston 71 55 73 94 293
Irwin 12 7 13 9 41
Jackson 31 22 38 50 141
jasper 15 13 19 14 61
eff Davis 20 24 31 47 122
Jefferson 29 20 14 28 91
Jenkins 17 17 14 15 63
Johnson 26 21 19 35 101
Jones 21 19 24 25 89
La mar 20 19 2 5 40 104

125
COUNTY
OF
ADMISSION
Lanier
Laurens
Lee
Liberty
Lincoln
Long
Lowndes
Lumpkin
Macon
Madison
Marion
McDuffie
Mclntosh
Meriwether
Miller
Mitchell
Monroe
Montgomery
Morgan
Murray
Muscogee
Newton
Oconee
Oglethorpe
Paulding
Peach
Pickens
Pierce
Pike
Polk
Pulaski
Putnam
Quitman
Rabun
Randolph
Richmond
Rockdale
Schley
Screven
Seminole
Spalding
Stephens
Stewart
YEAR
1968
73
3
19
13
7
52
16
31
22
8
56
5
30
10
37
28
13
11
12
166
58
13
14
45
39
16
9
14
58
24
16
2
21
21
24
29
4
19
6
105
24
14
1969
9
59
3
24
6
1
38
14
15
21
5
61
7
31
9
16
23
9
9
8
187
55
14
8
46
32
13
10
9
52
14
15
1
17
12
160
24
4
17
10
97
30
1970
5
80
3
18
5
2
48
17
14
17
12
53
13
27
6
23
25
13
11
12
172
57
49
27
19
8
9
61
21
32
2
25
16
181
29
3
13
4
95
33
7
1971
123
6
23
4
6
54
17
11
31
11
43
6
44
7
18
33
13
19
8
227
63
8
13
41
41
16
7
10
40
31
24
3
17
14
172
32
4
6
10
125
26
11
TOTAL
30
335
15
74
28
16
192
64
71
91
36
213
31
132
32
94
109
48
50
40
752
233
43
43
181
139
64
34
42
211
90
87
8
80
63
761
114
15
55
30
422
113
40
I126
3
M
ton1
COUNTY OF ADMISSION YEAR
1968 1969 1970 1971 TOTAL
Sumter 34 30 27 32 123
Talbot 13 10 10 9 42
Taliaferro 4 2 5 5 16
Tattnall 20 18 20 19 77
Taylor 6 7 4 13 30
Telfair 29 28 29 33 119
Terrell 15 17 10 15 57
Thomas 76 44 65 35 220
Tift 31 29 32 41 133
Toombs 55 51 62 73 241
Towns 6 6 2 7 21
Treutlen 14 16 22 21 73
Troup 67 76 66 83 292
Turner 16 12 11 18 57
Twiggs 18 13 11 8 50
Union 12 19 13 15 59
Upson 32 37 58 66 193
Walker 95 77 66 97 335
Walton 66 57 62 81 266
Ware 64 99 65 80 308
Warren 17 6 8 5 36
Washington 42 27 46 47 162
Wayne 32 28 49 28 137
Webster 1 3 5 0 9
Wheeler 11 12 5 7 35
White 7 4 2 13 26
Whitfield 81 91 123 166 461
Wilcox 9 9 10 14 42
Wilkes 27 14 23 13 77
Wilkinson 24 21 21 26 92
Worth 22 15 19 17 73
TOTAL 6802 6290 6625 7521 27238
127
COMMUNITY MENTAL HEALTH PROGRAMS
LEGEND
Program Location
Counties Participating in
Mental Health Programs
As of 3171
31271128
COMMUNITY MENTAL RETARDATION DAY CARE
AND TRAINING PROGRAMS April l 1971
ht
M
j CATOOSA C FANNIN S TOWNS
Li JM s K i
I I r I MURRAY UNION A I
ly WHITFIELO 1 L
WALKER J J k
GILMER rl
HABERSHAM
WALKER I
S
Aa
A LnKr i LUMPKIN 1
DN
L pitkfuk

A sILKrJ i LUMPKIN I
f GORDON Xn
CHATTOOGA I pCKENS I
y ji j oawson
I u t A J HALL
1 FLOYD j BARTOW CHEROKEE FORSYTH J
A I j rj
v
V A
A
CHEROKEE FORSYTH I N Y
JACKSON MADISON ELBERT
7TI M v i
S ca GwNNETT c
ULOING K Wk
CObo
PAULDING 1

l OEKALB 7
U A VS ALT0N X

RALSON 1 jll OEKALB 7
j T a a v AlT0N
I DOUGLAS FULTON i 4k N
CARROLL i A i rVA V NWfl
T ik ICLAVTON V MOWAN GREENE taLIAFERRO
mcOUFFIeV COLUMBIA
HEARO
A
A
TROUP
COWETA x
dll ii A TVA
1C A CLAYTON V
S J A NEWTON
jr P A Jx 1
FETTEV J HENRY SJ
Li r Y PUTNAM AREN C RCHMDND
BI Vf jasper j s
ly SPaTSnG BUTTS I J HANC0C VA V
A GLASCOCK
PIKF I AUAR M
JEFFERSON i
PIKE LAMAR
MERIWETHER J
MONROE
STEPHENS
BANKS FRANKLIN HART
LEGEND
Health Department Operated
Private Purchase of
Service Programs
A Private Programs
Kl Cii CI
rnvuie rrograms
No State Funds
OCONEE y OGLETHORPE r1
7 WILKES LINC0L

BURKE
jkon hana
ABIBA
Y

HARRIS v
t TALBOT J V J CRAWFOR
fiV
TWIGGS
V JENKINS SCREVEN

T
JOHNSON
s EMANJEi r
I AM
J I
r TAYLOR VX PEACH i
mgnmf r v A
l I1 HOUSTON fBLECKLEY LAURENS y N j BULLOCH
f f I ri y TREUTLEN CANOLER EFFINGH
QhaTTAHOOCHEe mabion I LI MACON j T i Xx
L schley 1 J x 1 r x
JLASKI f I x
OOOGE Vj I TODMBS EVANS i
sWHEELER if 1 v
1 OOOLY
EBSTERr SUMTER L
CRISP
JTx
v
X BRYAN Nj CHATHAM
X i TATTNALL T B
S V
I i
j LEE j
TERRELL
ii 4
RANDOLPH
LsJ
CLAY 1 I
CALHOUN DOUGHERTY
JA
X
J LIBERTY
11 w
sf
I
ir BEN HILL
TURNER j I 1
TS mWN J COFFEE
1 r t 1 t i a
lL 1 pierce tvr
r U k 3
ATKINSON J GLYNN
T BRANTLEY

7i
i
I BERRIEN
COLOUITT y
COOK 1 j I

I
WARE
L
LLTLANIER
LOWNDES j
I0MAS BROOKS j J 1
r 1

A
7 7
HHHHllflHHBBBHHHlHHHBHIIBHHHHBiHHIHBMI
129
COMMUNITY SERVICES BRANCH
DIVISION OF MENTAL HEALTH
GEORGIA DEPARTMENT OF PUBLIC HEALTH
LEGEND
Community Alcoholism
Programs Location
Proposed or in
Planning Stages
31571foil
130
RESIDENT PATIENT BREAKDOWN AS OF APRIL 301971

INSTITUTION
Central State Hospital
Gracewood State School and Hospital
Southwestern State Hospital
Georgia Mental Health Institute
Georgia Retardation Center
Atlanta Regional Hospital
Augusta Regional Hospital
Savannah Regional Hospital
Battey State Hospital
MENTAL
RETARDATION
1625
1586
517
349
120
39
49
MENTAL
ILLNESS
6017
524
142
279
257
45

TOTAL
4285
7264
JUNE 1971
Division of Mental Health131
fANNM
f 1 mum w
NORVMEsTj
CMTVo
f CHJ
I UN
W J
JJ WWTI f HMIH1N4M
r I
i LUMPKIN I V j
V
Tt
J
I
L06 ftHrow
HlL V
y T

FMMUJN MAUT
i coti rftfoifXJKffrEfaf
tOU
X
l PAUlOlNC
orturt Ai lUVu

MADISON V itST
CtAAMC
OCONCI OOLCTHOItPC

WALTON J
V
STATE OF
GEORGIA
Service Areas
for
State
Hospitals
NEW TON
MOaUN OJtltNC
WILJ LINCOLN

r

I MCDOffH COLUMBIA

tNt
rcintii r w V
lt f7 UTT1 1 r HaNCOC
OLASCOCM
1
V RKMUONO

7
r
T
f
IK I MAN
TROUP MrIWITHIM
fcALOWIW y
GRfi LfJ a
rWeTCEJ4TRAL f frK2tNTRAL
TALiOT J
WILKINSON
V
L ca wrong TWi0M
V
V3S
RHAUCUSTA

ICM
K r
tuTTMOKMU UiJIlON
I
H
HOUSTON

STCwir
J1Tr UUTO L

VJ

tucntir

UtAKI
I DODOC
WILCOX V
TCLfm
iULLOCK
CAHOLIW 7 V tPFINOMAM

CV4HS
I L KHIU
I woTM V
clhoun ooucMtnTYMr M corrtt
s n rLTT v

LONO
T
CrSjJBTrfWESJ
J
J MlTCHtLL I HHMIC1
MliLM COLQUTT I
I i COOK r
rr rtjLAJ
AILING r
N X
ACON WAYMC w
J

AT HI H JON J

V 1 MC INTOSM
i X
z I J
t
anact V
r

ANTLIT
LStMINOLl

A
r
i
THOMAJ oOKJ
r
S r
CLINCH S
1L

j 7
i

132

MEDICAL DEPARTMENT
James B Craig MD
Superintendent
M L Sheppeck MD
Assistant Superintendent Clinical
JohnW Kemble MD
Assistant Superintendent Education Training Research
W T Smith MD
Clinical Director Psychiatric Service
E F Stincer MD
Clinical Director Psychiatric Service
UNIT I
h1
n
Santiago Aguilar MD Director
Jose de la Torre MD Psychiatric Resident
Maria Dourron MD Staff Physician
Nestor Dourron MD Psychiatric Resident
Jose Delgado MD Psychiatric Resident
Hugo Galletti MD Deceased Staff Physician
Muhammed Karatela MDPhysician Specialist I
Jesus Llobet MD Psychiatric Resident
Ricardo Mesa MD Staff Physician
B E Orosdy MD Staff Physician
Zelma Ozolins MD Staff Physician
Jacinto Regalado MD Psychiatric Resident
Raul Rivero MD Staff Physician
Olando Rojas MD Psychiatric Resident
Adolph Sarma MD Staff Physician
UNIT II
Eduardo Guernica MD Director
M Aslam Sandvi MD Physician Specialist I
Marta Bosch MD Physician Specialist I
Tomas GarciaMontesinos MD StaffPhysician
Humberto Ravelo MD Physician Specialist I
Roberto Rey MD Physician Specialist I
Vilis J Zakitis MD Chief PhysicianHH

UNIT III
133
Jose Mendoza MD Director
Eugene Christian MD Physician Specialist II
Francisco Huerta MD Staff Physician
Moises Jacobs MD Staff Physician
JuanLlambes MD Staff Physician
Rafael Pascual MD Staff Physician
R S Planas MD Staff Physician
Hector Sotolongo MD Staff Physician
UNIT rv
Charles A Rich MD Director
John Azzi MD Staff Physician
Ramon Berenguer MD Senior Staff Physician
Thomas Bullock MD Physician Specialist I
Marta Dzirkalis MD Senior Staff Physician
Clifford Harden M D Physician Specialist I
Mario de Laosa MD Chief Physician
N T Soorya MD Physician Specialist I
John J Word MD Physician Specialist II
UNIT V
Lorenzo del Portillo MD Director
Jose Bernardo Garcia MD Staff Physician
George Grant MD Physician Specialist I
Isidro Insua MD Staff Physician
Manuel Pena MD Senior Staff Physician
Carlos PerezAbreu MD Senior Staff Physician
Roberto Perdomo MD Chief Physician
Carlos GarciaRivera M D Senior Staff Physician
Jose Rouco MD Physician Specialist I
UNIT VI
Carl Smith MD Director
Ernesto Giro MD Physician Specialist I
Victor Ubieta MD Senior Staff Physician 134
UNIT VII
E F Stincer MD

s
Miguel Bosch MD Physician Specialist I
Diego Sans MD Psychiatric Resident
UNIT VIII
Juan Portuondo M D Director
Francisco Borges MD Psychiatric Resident
Jose Gonzales MD Physician Specialist I
Oscar Medina MD Psychiatric Resident
Juan Perez MD Psychiatric Resident
Odelia Zapatero MD Physician Specialist I
UNIT rx
E F Diaz MD Director
Manuel Estrada MD Chief Physician
Rene Montero MD Physician Specialist II
Luis Samper MD Physician Specialist II
Juan Trejo MD Staff Physician
Emilio Yero MD Deceased Staff Physician
UNITX
S A Mendez MD Director
Armando Gutierrez MDPhysician Specialist I
NEUROLOGY
John W Kemble M D Director
Guida Graciaa MD Psychiatric Resident
Olga Medina MD Psychiatric Resident
RESEARCH
Clyde Keeler ScD PhD Director
G R Courtney ODNeurophysiologist
Jerry Curtis PhD Biochemist
PSYCHIATRIC RESIDENCY TRAINING
Louis Jacobs MDDirector
E F Stincer MD Supervisor
Jose Rubio MD Deceased SupervisorNURSING SERVICE
Bernice H King RNActing Nursing Service Administrator
Vera W Knowles RN Assistant Nursing Service Administrator
135
DIRECTORS OF NURSING
Ouida Couch RN Unit I Mary A Bell RN Unit VIII
Fay Fidler RN Unit II Virginia Smith RN Unit IX
Ruth Mullis RN Unit IV Janet Smith RN Unit X
Mildred Daniel RN Unit V Irene Wood RN Jones Hospital
Edna Ross RN Unit VI Valeria Atchison RN Rivers
Hospital
PSYCHIATRIC OUTPATIENT CLINIC
Ellen Moncrief GN
NURSING EDUCATION AND RESEARCH
Maidana K Nunn RN DNSc Assistant Nursing Service Administrator
PSYCHIATRIC AFFILIATION PROGRAM
Beatrice Tribble RN ABNurse Supervisor
Pauline Anderson RN Senior Staff Nurse
Gertrude Thigpen RN Senior Staff Nurse
Gloria A Williams RN Senior Staff Nurse
Alice K 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
Margaret E Tanner RN Senior Staff Nurse
Clinical Instructor Unit I
Gladys Moore RN BS Senior Staff Nurse
Clinical Instructor Unit III
Lucille Brannan GN Staff Nurse
Clinical Instructor Unit V
Mary H Thomas RN Senior Staff Nurse
Clinical Instructor Unit VIII
Ruth Leverette RNSenior Staff Nurse
Clinical Instructor Unit IX
Lee Bell RN Senior Staff Nurse
Clinical Instructor Rivers Hospital
Faye Wilson RN Senior Staff Nurse
Classroom Instructor
Georgene Eakes RN Staff Nurse
Classroom Instructorr 136
CLINICAL PSYCHOLOGY
b Robert W Wildman Ph D
John 7 Gates PhD
Thomas W Lucik Ph D
Thomas N Elliott Ph D
i Robert D Smith PhD
0 Lawrence F Quattlebaum MS
G F Biessel MS
F L Madison MA
r INTERNS
G F Biessel MS Carolyn Widmer AB
William Peel MS
SENIOR TECHNICIANS
Tedd Brown AB Carlton L Lanier MA
P J Alice Lee Canipe MS G R Dixon AB Kenneth Varnadoe MA
Douglas Watson MA
l Carolyn Erickson MA Robert W Wildman II MS
Ivor Groves MA B F Williams MEd
Wayne Hodges BS
y TECHNICIANS
Edward Amos BA Raymond C Olivier BA
Roger Bell BA Polly Paul MA
Michael Brush BA James Resseger BA
kP 11 Pete Christian BA Joanne Rogers BA
r Lane Dennard BA Larry Sheppard AB
h Larry Dresdale BA Jackie Shivers BA
Marilyn Edmiston MA Lesley Slone MA
Donald W Harris BA Deborah Smith BA
7 Steve Hollomon MA Tom Wilkinson BA
E 0 SCHOLARSHIPS
Edward Amos BA Carlton L Lanier MA
Carolyn Erickson MA Raymond C Olivier BA
Y James D Foulks BS Dennis Pilgrim MA
Alice Lee Groves MS Jerry Sloan BA
Ivor Groves MA Robert D Smith PhD
Wayne Hodges BS
HMIilMHIWMMMiHH
SOCIAL WORK
Kenneth F Jasnau MSS ACSW Director
E O Melton MSW A CSW Assistant Director
Martha C Tomlin MSW Social Worker III
Pat Allen MSW Social Worker II
Carol Andrews MSW Social Worker II
Nancy J Autry MSW Social Worker II
Roy H Brown MSW Social Worker II
Sandra E Evans MSW Social Worker II
Lynne Feagin MSW Social Worker II
Carolyn Grant MSW Social Worker II
Joseph T Hodge MSW Social Worker II
Patricia R Karatela M SW Social Worker II
Allie Kilpatrick MSW Social Worker II
Jimmy D Lanier MSW Social Worker II
Walker McKnight MSW Social Worker II
Rosa C Mendoza MSW Social Worker II
Kirk C Minor MSW Social Worker II
Robert M Rhymes MSW Social Worker II
Janet E Scott MSW Social Worker II
Doris T Sutton MSW Social Worker II
Gwendolyn G Turner MSW Social Worker II
C Paul Wright MSW A CSW Social Worker II
Suzanne R Wright MSW Social Worker II
E Alton Gregory MSW Social Worker I
Louise H Powell BA Social Worker I
John W Prather MSW Social Worker I
TECHNICIANS
137
Truett Abbott AB
Annette Acree AB
Nan W Baird AB
Renwick F Bradley AB
Susan R Brooker BA
Rosemary Brown BA
Ludwina Bull B S
Janet E Clark BA
Elizabeth Collins AB
Charles C Connor BA
Holley Cowan AB
Yvonne Everett BA
James F Hamlin BA
Darryl Herren AB
Will a Hertwig BS
Gayle Hooks AB
Horace P Horton BS
Sarah F Ivey BS
Kaye Lanier AB
Jeannette Lewis AB
Charles C Lowery BA
Wilbur Manson BA
M Andres McCollum BA
J Michael McCroskey BA
Wanda McKnight AB
Martha McLaurin BA
June Moore BA
Eloise B Myles BA
R Michael Owens BA
Frances B Rogers BA
Alton Scott BS
Mary Ann Simmons BA
Madelyn C Spivey BS
Joan Venable Thompson BS
Herbert Turk BA
Jewell J Turner AB
Harry C Weathers BA
Patricia Weerts BS
Rubye M Wright BA138
SOCIAL WORK AIDE
Carrie Smith
SOCIAL WORK SCHOLARSHIPS
Nancy J Autry
Yvonne Everett
E Alton Gregory
Jeannette Lewis
M Andrew McCollum
John W Prather
Robert Rhymes
Doris T Sutton
Gwendolyn G Turner
Jewell Turner
Harry Weathers
CLINICAL CHAPLAINCY
G I
u
James L Travis ThM Director
Milton P Snyder ThM Chief Clinical ChaplainChildrens Division
Ronald A Wilkins ThM Chief Clinical ChaplainTraining
Charles Alston BDClinical Chaplain
James E Carter BD Clinical Chaplain
Payton B Cook BD Clinical Chaplain
Oliver Benton Curtis BD Clinical Chaplain
Russell H Davis Th M Clinical Chaplain
Joseph S Dukes III BD Clinical Chaplain
James F Hardie MA Clinical Chaplain
William M Hearn BD Clinical Chaplain
Robert Z Powell ThD Clinical Chaplain
Joseph G Cassidy ABCatholic Chaplain
Harold L Gelfman D DRabbi
Ervin R Oermann BDChaplain to the Deaf
Charles B Fanshaw MREChaplain to the Deaf
RESIDENTS
H Dean Duke BD
L Leneal Fortner BD
James C Polich MDiv
INTERNS
John D Call BD
James G Davenport MDiv
James E Davis MDiv
Benjamin B Fore BD
William W Goins ThM
Robert F Gray BD
Edward B Nelson BD
Kirby L Pickus M Div
Frank J Powers MDiv
MMMHHllflMMMI
139
RECREATION THERAPY
Bruce R Prosser BS MSDirector
Helen M Callaway BS Recreation Therapist II
Wayne Gay BS Recreation Therapist II
Janice L Landry BS MS Recreation Therapist II
Lyndoll U Moore AB Recreation Therapist II
Ronald R Smith BS Recreation Therapist II
Charles M Vandiver BSRecreation Therapist II
Anna G Warnock BS Recreation Therapist II
Betty J Welch AB Recreation Therapist II
Ronald Farmer BS Recreation Therapist I
Charles Parramore B S Recreation Therapist I
MUSIC THERAPY
Saralyn Latham MADirector
THERAPISTS
Judy Baron RMT
Mary M Medingfield RMT
Ann B Caldwell BM
Solomon Cunio BM
Cynthia R Curtis MM
Sandra Graham BME
Sarah Frances Ivey BS
Suzanne Pipp RMT
Carol Prickett RMT
Pamela Roberson BM
Carolyn Sanders RMT
Jeannette Warren RMT
OCCUPATIONAL THERAPY
Dorothy M Clarke OTRDirector
INTERNS
Karen Davis
Bette A Goldenstar
VOLUNTEER SERVICES
Jane M Haddock BS CVC Director
STAFF
Susan Coursey AB
C Earnest Yearwood AB140
SPECIALIZED MEDICAL SERVICES
GENERAL MEDICINE SURGERY
I tf
Jhi
J G Bohorfoush MD Director
E G Allende MD Physician Specialist II
Sergio AlvarezMena MD Physician Specialist II
Antonio Ballagas MD Senior Staff Physician
David Cardoso MD Physician Specialist II
Orestes Fernandez Caral MD Staff Physician
Harold Carson MD Staff Physician
Osvaldo Casas MD Senior Staff Physician
E C Clayton MD Physician Specialist I
Andres Fernandez MD Physician Specialist II
G Garmendia MD Chief Physician
Francisco Gomez MDSenior Staff Physician
Samuel Goodrich MD Physician Specialist II
Pilar Goicoechea MD Physician Specialist II
Raymond Jordan MD Chief Physician
Leon Koen MD Physician Specialist II
Lloyd Laine MD Senior Staff Physician
Joseph Leyva MD Physician Specialist II
Carlos Montalvo MD Senior Staff Physician
Perry Moore MD Physician Specialist II
John Moody MD Chief Physician
Helena PessinoMarshall MDPhysician Specialist IF
Dionisio Pinero MDPhysician Specialist III
Luis Rodriguez MD Physician Specialist II
K Sreeramaiah MD Physician Specialist II
Julio San Martin MD Chief Physician
Erlinda Valdecanas MD Staff Physician
Virgilio Valdecanas MDPhysician Specialist I
Raul Veiga MD Physician Specialist I
Teofilo Tomas MD Physician Specialist II
Pedro Tomayo MD Physician Specialist II
S H Dillard Optometrist
RIVERS HOSPITAL
Mahmud Majanovic MD Director
Jose Sanchez MD Senior Staff Physician
A Steinhards MD Senior Staff Physician
Bernardo Utset MD Staff Physician
nHHHHH
141
RIVERS ALCOHOL DRUG
Jose Rubio M DDirector
Hortensia Alvarez MD Psychiatric Resident
MEDICARE
E W Allen Sr MD Director
Luis Carrodeguas MDChief Physician
Rafael Alvarez MD Psychiatric Resident
DENTAL SERVICE
Robert Watson DDS Director
Ray M Camp DDS Dentist I
Stephen S Fennell DDS Dentist I
Jack W Groover DDS Dentist I
Raymond G Johnson DDS Dentist I
Charles C Jones DDS Dentist I
Joe Lister DDS Dentist I
Richard D Rogers DDS Dentist I
Cecil Roundtree DDS Dentist I
Phillip Spence DDS Dentist II
James L Vaden DDS Dentist I
William Willoughby DDS Dentist II
Thomas B Wylie DDS Dentist I
PHARMACY
Durward Poland Pharm D Director
Clarence Gissendanner BSAssistant Director
Ken Autry BS Pharmacist I
Raymond Covey BS Pharmacist I
W R Kendricks BS Pharmacist I
Thomas Reese BSPharmacist II
Rymer Rivers BSPharmacist II
Glenn Veal BSPharmacist II
Phyllis Parks BSIntern
Woody Proveaux BSIntern
REMOTIVATION
Mattie L Pennington RN Supervisor
Diplomate American Board of Psychiatry Neurology
142

VOCATIONAL REHABILITATION
W C Petty AB Director
Marvin Denton Jr BS MEd Supervisor of Services
Jesse P Collette BS Ed Supervisor Counseling Service
James C Grover AB Supervisor Job Development
Edwin Ray Freeman BS MEd Supervisor VR Evaluation
John W White BA Supervisor Vocational Instructor
REHABILITATION COUNSELORS
Harry D Bates BS MRC
Charles H Boland Jr AB BD
Alvin K Dixon III BS
Marsha S Fields AB MCE
Joseph J Fulbright AB LLB
Irwin P Gates Jr BA BD
James D Helton AB
William M Moore Jr AB BD
Robert Wiley BS MEd
Dennis OConner AB MDiv
Robert E Pickett BA MEd
Peter Shenkman BA MRC
Helen P Simpson BS
Joe Frank Stevens BA BD
Algie E Thomas AB
Frances Torrance BS MHE
Mary Janis Weathers BS
E VALUATORS
il
Ronald Barnard BA MEd
Lanier Browning BS
Julian F Council BA
Joseph W Davall Jr BS
Robert D Gillian BBA
Henry M Hopkins Jr BA
Jane Rhodes BA
Grady Pennington BBA
William Allen Werts BA
WORK ADJUSTMENT INSTRUCTORS
Pat Collins
Faye P Day
Miles A Jones Jr
Virginia Mullis
Robert L Strickland
VOCATIONAL INSTRUCTORS
James Adcock
A L Booth
E M Bradford
Charlene Carpenter
K E Donaszewski
Arthur Jones
Marianne Thompson BS
Anne Hamilton
Ruth Marshall BS
Jeraldine E Pearson RN
Ken Ryals
Jacquelyn Shell
Gloria Smith BS143
SCHOOL OF SPECIAL EDUCATION
John H Rawlins MEd
Eleanor Sikking PhD
Director
Assistant Director
TEACHERS
Suelle Austin MA
Larry Callaway BS
Elaine Cowan BS
Bertha Eakins BS
Mary Edwards BS
Antoinette Ennis AB
Colleen Farmer BME
Gertrude Higgins MEd
John Home AB
Lois Irvin AB
Collins Lee BS
E J Lundy Jr BS
John Martin BS
Zenaida Mesa BA
Gwen Peacock BS
Becky Smith BS
Sybil Smith BS
Martha Stevenson BS
Dorothy Trawick BS
Ruby Werts BS
Glenda Young MEdNW
n
m
b
UWVERSfTY OF GEOoGA
FEB 1 1973
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