Annual report and year book, Department of Public Health, Central State Hospital, Milledgeville, 1972 [1971-72]

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department of public health
central state hospital
ANNUAL REPORT
UNIVERSITY C
Utl 4 t
LIBRARIES
AND YEAR BOOK
milledgeville 1972
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COVER PHOTO
The new Richard B Russell
Building to be opened soon
will provide 132 beds in a
skilled nursing home as an
addition to the treatment
program for Georgia Veter
ans at Central State
iBHHHIHH

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low

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 xMercer 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 HospitalTABLE OF CONTENTS
PAGE
GENEPAL INFORMATION
1 7
HISTORY OF CENTRAL STATE HOSPITAL
816
OFFICE OF THE SUPERINTENDENT
17 20
ADMINISTRATION
21 26
CLINICAL SERVICES
27 34
PHYSICAL HEALTH
35 31
EDUCATION TRAINING RESEARCH
39 44
APPENDIX
45 65HhmHIH
HHHIh
July 1 1972
Dr Charles K Bush
Deputy Director
Division of Mental Health
Georgia Department of Human Resources
47 Trinity Avenue SW
Atlanta Georgia 30334
Dear Doctor Bush
We present herewith the Annual Report and Yearbook of Central State
Hospital covering the fiscal year ending June 30 1972
Since the reorganization of state government creating the Department
of Human Resources occurred on a temporary basis in April of this
year and will no doubt materially change the present organization
plan of this hospital we asked the Assistant Superintendents to con
dense the various reports from their divisions but at the same time to
retain all evidence of significant progress We think they have done
this rather well
We wish to express our gratitude to you and the staff of the Division
of Mental Health for benevolent supervision the ready availability of
advice and counsel when needed and understanding of and support for
our treatment programs We look forward to continued association in
the years ahead
Respectfully submitted
James B Craig M
Superintendent
GEORGIANS SERVED
On Books July 1 1972 16522
Resident in Hospital 7118
On Convalescent Leave 9404
Admissions
Total Admissions 8014
First Admissions 5 172
Readmissions 2 842
Average Daily Resident Population 7714
Decrease Over 1971 327
Discharged Direct from Hospital 2272
Patients Placed on Convalescent Leave 9767
Transferred Out 680
Deaths 709
BUDGET ACTUALS
State Appropriations 34 863 909 00
Agency and Federal Funds 528595439
4014986339
EXPENDITURES
Personal Services 2939106426
Operating Expense 857596992
Capital Outlay 54597868
Authority Lease Rentals 1332 75000
Total Expenditures 3984576286
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PSYCHATT IC
OP CUN I C
WORTH
M
CENTRAL StftTE HOSPITBL
BALDWIN COUNTY GEORGIA
GEORGIA PEPARTYAENT OF PUBLIC HEALTHHISTORY OF CENTRAL STATE HOSPITAL
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On December 28 1837 the legislature of Georgia passed an act creating
a state lunatic idiot and epilepsy asylum A site of 40 acres two miles south
of Milledgeville then the State Capitol was finally selected for this asylum
Consideration was also given to a location central to the entire state The
Asylum was opened for the reception of patients on October 12 1842
Control of the hospital was placed in the hands of a Board of Trustees
and remained under their control until the hospital was placed under the super
vision of the Board of Eleemosynary Institutions in 1931
Civil commitment of a patient to the hospital has from the beginning
been a function of the County Ordinarys Court This practice has continued
to the present time though the laws pertaining to the method of commitment
have changed over the years
O
Payments to the hospital for care had to be paid by the family if they were
financially able or by the county if the patient was a pauper In the beginning
this sum was 100 per year Today payment is made only by those families
who are financially able to pay for their relatives care The amount to be
paid for care is determined by the State Department of Human Resources based
on income tax returns made to the State Department of Internal Revenue

Dr Thomas A Green who became superintendent in 1845 abolished all
forms of restraint previously used on the patients He also advocated the use
of occupational therapy for patients to increase the number who would recover
In 1855 the operating budget for the hospital was 30000 for a patient
population of 200

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An important visitor to the Asylum in February 1858 was Dorothea L Dix
the great benefactor of the insane After suffering a breakdown of her own
she had become concerned with the plight of the mentally disturbed and had
been instrumental in establishing care for the insane throughout the country
She gave successful talks throughout the state publicizing the needs of the
patients
During this same year a law was passed to provide care for the insane
Negroes The known members of this race needing treatment was less than 50
The war years placed many pressures on the institution a lack of money
overcrowding by patients previously cared for at home shortage of attendantsand for a time a serious shortage of food The hospital was left untouched by
General Sherman on his famous March to the Sea
The year 1866 saw the state providing the hospital with 40000 for opera
tion and salaries There were 366 patients in the hospital 20 percent being
pay patients About 10 percent were discharged as restored and an egual per
centage died The latter group was composed of idiots epileptics and seniles
The high mortality rate was due in large part to the continuing practice of wait
ing until patients were almost dead before committing them
Two years after the cessation of hostilities the problems of the Asylum
were of the old pattern Again the hospital had no room for new patients
Finally the county courts were notified that patients could be taken only as
vacancies occurred The result was that patients were brought and left on the
grounds These were taken in adding to the crowded conditions
There were 431 patients in the Asylum in 1867 Thirtyfour of these were
Negroes Dr Green claimed a restored rate of 30 percent of the new acute
cases admitted during the previous year It was not based on the total hospi
tal population 300 of which were idiots epileptics and seniles The 34
Negroes were virtually idiots and epileptics Dr Green continued to agitate
as he had done before for the exclusion of idiots epileptics and seniles from
the Asylum
Dr Green died in February 1879 and Dr Theophilus O Powell was
appointed Superintendent Dr Powell had served as Assistant Superintendent
for 17 years
From the first Dr Powell regularly visited the patients He became ac
quainted with their relatives and when a restored or improved patient was
called for by his people Dr Powell was there to talk to the family He ex
panded facilities to include amusement and religious services
A law was passed in 1877 making the Asylum free to all citizens of Georgia
The year 1881 saw the patient population reach the thousand mark By 1890
the population had reached the 1500 mark and facilities again needed increas
ing By 1895 new buildings had been completed with a 900 bed capacity 500
for whites and 400 for Negroes
The training of attendants up through 1895 had been a highly individual
matter Other than this each attendant learned by experience Since the
attendant staff now numbered about 150 their training was formalized by in
stituting a special school Dr Powell also hired the hospitals first patholo
gist during this year
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Dr T E Oerlel the pathologist made an alarming report in 1896 regard
ing tuberculosis among the Negroes He found that half of those who had ex
pired had died of tuberculosis He immediately made provision for segregation
disinfection exercising of patients microscopic analysis of sputum and other
accepted medical practices of the time
At the turn of the century the hospital had expanded surgical and dental
care The patient population had grown to 2 000 with annual admissions averag
ing about 600 The number of discharges for any cause was close to 200
mostly restored patients The annual appropriation was somewhat over a quar
ter of a million dollars with 350 employees
Due to the death of Dr Powell in 1907 Dr L M Jones who had been
assistant physician for 24 years was named Superintendent At the close of
1907 there were 3148 patients in the hospital
The year 1910 showed 12 physicians serving 3347 patients Under the
new clinical director Dr E M Green an increased effort was made to ob
tain an accurate diagnosis on new admissions The patients were presented
to the staff for a diagnosis and if there was any question concerning that
diagnosis the patient was presented a second or third time as necessary The
nomenclature of psychoses had been standardized by now in accordance with
accepted practice elsewhere In 1910 a report was made to the Governor with
an extensive description of the diagnoses and the number of patients receiving
the diagnoses
The classification worked like clockwork but there still remained the
problem of what to do with the patient Some staff members felt that Dr Jones
was too interested in the efficient operation of the farm to concern himself
with the fundamental problem of care of the patient
The first mention of the need for social workers appears in the annual re
port of 1913
This work would contemplate the appointment of one or
more persons in each county of the state who in return for
some minimal compensation would look after the discharged
patients on their return home seeing that homes are had for
them and that the inmates thereof are instructed as to their
proper care aiding them in securing employment and en
deavoring in every possible way to protect them from the
strains of life until their mental sinews regain strength Only
those engaged in work with the insane realize the hardships
undergone by many a discharged patient who is without home loved ones means of employment hardships doubly severe
when the patient chances to be a woman It is small wonder
so large a proportion of discharged cases eventually find
their way back to the sanitarium again the record being
about threefifths
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In 1916 Dr Richard H Hutchings a distinguished native Georgian and
Medical Superintendent of the St Lawrence State Hospital in New York made
a study of the care and treatment of the insane in Georgia Dr Hutchings had
previously visited the hospital when Dr Powell was superintendent but no
evidence of any formal report could be found He made a report of his many
observations and findings in regard to the treatment and care of those in the
hospital
World War I with its demands for medical personnel and soldiers left
the institution a strictly custodial hospital An important trend was the death
rate Out of an average of 4000 patients there were about 600 deaths per
year
In 1921 Governor Hardwick commissioned Dr Hutchings to make a second
study to ascertain needs of the institution and the best means of meeting them
At this time the sanitarium was still administered by a Board of Trustees
appointed by and responsible to the Governor The staff was comprised of the
medical superintendent eleven physicians a steward chief engineer and
other employees totaling almost 700 for a patient population of about 4300
The number of patients admitted was slightly over 1200 About 450 were dis
charged and about an equal number died
As a result of Dr Hutchings report in 1916 a number of improvements
were evident by 1921 Seclusion of Negroes had been discontinued and their
housing had been greatly improved Hydrotherapy units were in operation in
the reception wards Occupational therapy for women had been instituted A
school for the feebleminded had been established at Gracewood near Augusta
Dr R C Swint was appointed Superintendent after the death of Dr Jones
in 1922 Dr Swint had served the hospital 22 years as a physician
The name of the Georgia State Sanitarium was changed to Milledgeville
State Hospital in 1929 It crystallized the change in professional and public
thinking that the insane were sick people Now the institution had a medical
superintendent a clinical director and 11 physicians 3 interns a pharma
cist a superintendent of a staff of 13 graduate nurses several hundred atten
dants a sanitation officer 21 occupational therapists and a social worker
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The hospital was one of the largest in the world The patient population
had increased to about 6000 with a waiting list of 1500 Annual cost for
care per patient was about 200

The population of the hospital was over 8000 in 1937 The hospital was
a city of some size The attendants alone were so numerous that they held
the political fate of Baldwin County in their hands

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In 1938 the era of shock treatment was ushered into use The metrozol
and insulin shock treatment program was greatly expanded in 1939 More than
400 schizophrenic and manicdepressive patients were treated About half of
these patients were able to go home as restored or improved The rest showed
no improvement
A large building program was completed in 1940 with the help of federal
funds The tuberculosis hospital was the finest in the world With the news
of the completion of these buildings there was a flood of new applications
for admission and the population increased to over 9000 patients War and
preparations for war prevented the staffing of the new buildings and others
left to assist in various jobs in the war

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The physician problem was acute in 1942 with 15 staff members for 10000
patients The average age of the physicians was 52 This produced an un
healthy situation The matter of who would receive shock treatment on the
various wards was largely based on the reports of nurses and attendants
Dr Y H Yarbrough who had been with the hospital as a physician for
40 years was appointed Superintendent in 1944 He inherited the conditions
resulting from limited staff There was newspaper publicity on the conditions
at the hospital which resulted in a legislative investigation
Governor Ellis Arnall and the Public Welfare Director A J Hartley en
couraged public efforts to remedy the conditions In 1945 the state requested
U S Public Health Service to make an impartial investigation and recommen
dations for improvement of the hospital
While the investigation was being made interest in the improvement of
the hospital was high One newspaper article pointed out the case load of the
hospital physicians which was almost twice that of other southern institu
tions Also pointed out was the fact that problems of the hospital were greatly
aggravated by failure to operate it according to law This referred specifically
to the political pressure placed on the staff to care for those physically sick
and aged13
The US Public Health report with its findings and recommendations was
completed in 1945 This report was lengthy and covered every area of the hos
pital as compared to American Psychiatric Association standards Dr Yarbrough
attempted to follow these for some improvements in the hospitals treatment
program
Although Dr Yarbrough stated that cooperation from state officials was
the best since the time of Dr Powell he continued to be subjected to politi
cal pressures of every type Too his frankness was often misunderstood
When it was clear that he would not allow political control of the hospital
the heat was on and it stayed On December 15 1948 the longsuffering
Superintendent asked to be relieved of his duties and Dr T G Peacock was
elected to take this position
At the midcentury mark the hospital population was 10003 It was now
the second largest hospital mental in the world It admitted 262 3 patients
during the year and furloughed 2455
Two serious deficiencies of the hospital were the absence of a strong and
wellstaffed social service department and psychological services Shortly
Dr Peter G Cranford was employed as the first clinical psychologist
In January 1952 the General Assembly passed a much needed act pro
viding for the voluntary admission of patients on certificate of a physician
The patient must agree to pay 50 per month for maintenance
The Social Service Department did excellent work during this time with
limited facilities The staff consisted of a chief medical social worker and an
assistant Their work included case histories and corresponding with patients
families
The State Hospital was transferred from the State Department of Welfare
to the Georgia Department of Public Health by Governor Ernest Vandiver on
April 24 1959 The sprawling hospital has gone through periodic investiga
tions throughout its 130 year history each having led to public indignation
and loud cries for overnight reforms
An investigation in 1959 occurred as the result of a series of newspaper
articles exposing the shocking conditions at the hospital Governor Vandiver
acting promptly and forcefully asked the Medical Association of Georgia to
investigate the situation and to make recommendations A committee headed
by a prominent Georgia physician made a thorough investigation which resulted
in numerous recommendations The Health Department took immediate steps
to implement these recommendations as far as possibleo
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Dr IrvilleH MacKinnon a Diplomate of the American Board of Psychiatry
and Neurology was secured as Superintendent Studies were made of internal
operating procedures and more effective efficient methods were developed
A more humane commitment law was passed by the 1960 General Assembly and
procedures established for its use in the Courts of Ordinary An intensive
recruitment program for all types of mental health personnel was begun
For the first time in the history of the hospital a well qualified Director
of Social Service was employed This appointment was followed by the em
ployment of other trained personnel in social work as well as a training pro
gram for social workers

In March 1966 Dr James B Craig was appointed Acting Superintendent
and later in the year became Superintendent The average daily patient popu
lation during that year was 11440 patients The employee force at the end of
1966 numbered 3053 The hospital now had a threeyear residency program
in psychiatry with a total of 30 physicians in residence at any one time and
professional accreditation of the Departments of Psychology Social Work
Music Therapy Occupational Therapy Recreation Therapy and Clinical Chap
laincy A unique Vocational Rehabilitation program unlike that of any other
state hospital in the country had been developed and was materially reducing
the return rate of discharged patients The hospital could also boast of a new
treatment building for emotionally disturbed children 14 years of age and under
a complete academic program for elementary high school and adult education
a new central kitchen which could feed the entire hospital and 5 new chapels
built at a cost of 850000 provided by the people of Georgia at no cost to the
state
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The hospital also had a Remotivation program designed to furnish psy
chiatric aides with modern methods and techniques in treating chronic patients
As a result of the effectiveness of this program the hospital received recog
nition by the American Psychiatric Association and was appointed a regional
center for Remotivation for hospitals in the five state area surrounding Georgia
The increase in admissions of patients 18 years of age and under resulted
in the opening of specialized wards for adolescents in 1969 That same year
a new occupational therapy building was completed and the latest therapy tech
niques instituted Preliminary plans were also drawn for a new 68 million
medicalsurgical hospital
In July 19 62 the hospital was organized into a system of units each of
which functioned as a small hospital within the large institution Further re
organization in November 1971 resulted in the establishment of the Freeman
Building as a regional hospital to serve Central Georgia residents15
Admission to a general psychiatric unit is determined by the patients
county of residence The name of the unit indicates the area of the state
served The units and the number of counties in their catchment area are
Metro Atlanta 7 South Georgia 77 North Georgia 52 Central Georgia
23 In addition the hospital also operates units for veterans patients in
need of maximum security children and adolescents the mentally retarded
a vocational rehabilitation center a general medical and surgical hospital
and a hospital for tubercular diabetic and Medicare patients
The massive institution has its own fire department security force recre
ation facilities including a gymnasium auditorium tennis courts baseball
park warehouses maintenance shops lumberyard patientoperated stores
laundry steam plant cemeteries and bus service Over 33000 meals a day
are prepared in the hospitals Central Kitchen the worlds largest kitchen of
its kind
On June 30 1972 the budgeted employee work force numbered 4245 in
cluding 96 physicians 7 dentists 107 nurses 2421 semiprofessional and
technical personnel 17 psychologists 23 MSW social workers with the re
mainder of the force being categorized as follows clinical chaplains music
therapists recreation therapists occupational therapists administrative per
sonnel vocational rehabilitation counselors evaluators and supervisors and
a large number of employees in business engineering maintenance and cleri
cal vocations
Approximately 2 60 residents of the hospital 18 years of age and under
attend the School of Special Education which is divided into two sections
classes for the emotionally disturbed and classes for the mentally retarded
The school is served by 27 teachers 6 aides a principal and an assistant
principal
Since its opening date the hospital had undergone three name changes
the last being incurred in May 1967 The name change followed passage by
the 19 67 General Assembly of a bill introduced by Baldwin County legislators
and signed into law by Governor Lester Maddox in April
Central State Hospital is situated on a 1000 acre campus dotted by some
135 buildings 24 of which are resident guarters for patients
ifc
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1841 State Lunatic Asylum at Midway
1897 Georgia State Sanitarium
1929 Milledgeville State Hospital
1967 Central State Hospital
1841 Board of Trustees 3 appointed by the Governor
1919 Hospital placed under Board of Public Welfare for
visitation purposes only
1931 Board of Public Welfare abolished
Board of Trustees abolished
Hospital placed under newly created Board of Control
of Eleemosynary Institutions
1937 Abolishment of Board of Control of Eleemosynary In
stitutions Hospital transferred to Department of
Public Welfare
1959 Hospital transferred to Department of Public Health
1972 Hospital placed under the newly created Department
of Human Resources17
THE SUPERINTENDENT
JAMES S CRAIG MD18
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
John W Kemble MD
ASSISTANT SUPERINTENDENT
PHYSICAL HEALTH
ASSISTANT SUPERINTENDENT
CLINICAL
William R Howard MD
Michael L Sheppeck MD
CLINICAL DIRECTORPSYCHIATRY
GENERAL PSYCHIATRIC UNITS
CLINICAL DIRECTORPSYCHIATRY
SPECIAL PSYCHIATRIC UNITS
W T Smith MD
E F Stincer MD19
OFFICE OF THE SUPERINTENDENT
The Superintendents office includes his clerical staff and the staff assis
tants directly responsible to him through the Executive Assistant These are
Staff Housing Public Information and Education the Medical Staff Secretary
and the Hospital Receptionist
STAFF HOUSING
The Division is responsible forthe renting and maintenance of 95 houses
39 apartments and 102 dormitory rooms During the year 449 maintenance work
requests were referred to the Engineering Division for overall repairs to vacant
housing and general repairs to rented housing The exteriors of 2 6 housing
units were painted during this period
Eight requests were received for private residences and 17 vacancies oc
curred during the year In all 16 assignments were made Requests for apart
ments totaled 17 with 22 vacancies occurring making it possible to assign
25 families and individuals A total of 82 assignments were made in the Staff
Dormitory 51 to males and 31 to females
PUBLIC INFORMATION AND EDUCATION
The Division staff initiated 104 news releases and an additional 26 were
the result of requests from media representatives for special coverage Spe
cialized outlets accounted for seven of these The programs of the hospital
were widely covered on television with the Superintendent and members of his
staff participating in interview sessions Television news coverage was ex
cellent on special events in the areas of reorganization the circus activities
at the Special Education School and others
The hospital photographer provided hospital departments with black and
white photographs and color slides as requested and provided black and white
photographs for media use Almost all hospital programs were widely covered
and many of the photographs made were used in therapy programs Color slide
programs were updated and requests were filled for the Superintendent Music
Therapy Psychology Volunteer Services Recreation Special Education and
others
Division personnel arranged seminar programs for 111 visiting groups and
individuals including high school and college students members of civic
clubs and business and professional organizations The director visited 87
high schools colleges vocational schools and schools of nursing giving
color slide lectures on the various hospital programs A total of 5117 indivi
duals were contacted in this manner
The Division continued to publish the Annual Report and Yearbook the
Weekly Bulletin and brochures for hospital departments o

W
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ASST SUPT
CLINICAL
SUPERINTENDENT
ADMINISTRATIVE J
AIDE
CLINICAL DIR PSY
METRO ATL UNIT
SOUTH GA UNIT
NORTH GA UNIT
GERIATRICS UNIT
PSY OP CLINIC
CLINICAL DIR PSY
CENTRAL GA REG HOSP
MENTAL RETARD UNIT
CHILD ADOLS UNIT
VETERANS UNIT
VOC REHAB UNIT
MAX SEC UNIT
PSYCHOLOGY
SOCIOLOGY
SOCIAL WORK
NURSING SERVICE
CHAPLAINCY SVS
SPECIAL EDUCATION
MEDICAL PZCORDS
ICF
ASST SUPT EDUCATION
TRAINING RESEARCH
MEDICAL LIBRARY
RESEARCH
NEUROLOGY
PSY RESIDENCY TNG
AUDIO VISUAL SVS
J ADMINISTRATIVE
OFFICER
ASST SUPT
ADMINISTRATIVE
INST BUS ADM
PERSONNEL
ENGINEERING
MANPOWER ADM
BUDGET OFFICER
HORTICULTURE
FOOD SVS
SEC MTR TSP SVC
EXECUTIVE
ASSISTANT
HOUSING
PUBLIC INFO
MED STAFF SECY
ASST SUPT
PHYSICAL HEALTH
JONES HOSP
RIVERS HOSP
PHARMACY SVS
DENTAL PROGRAM
ENVIRON SANITATION
COORD SPEC THERAPIES
OCCUPATIONAL THPY
RECREATION THPY
MUSIC THPY
VOLUNTEER SVS
REMOTIVATION SVS
CENTRAL STATE HOSPITAL
Revised 1 Aug 197221
INSTITUTIONAL BUSINESS ADMINISTRATION
PERSONNEL
ENGINEERING
MANPOWER ADMINISTRATION
DATA PROCESSING
OFFICE OF THE BUDGET
HORTICULTURE
ADMINISTRATION
ROD CLELLAND BFA MBA
ASSISTANT SUPERINTENDENT
ADMINISTRATIVE22
ADMINISTRATION
Major emphasis during fiscal year 1972 in the Department of Administration
was accorded to hospital reorganization adjustment to a substantial budget
reduction innovations to improve efficiency and major building renovations
Reorganization to conform with the plan for mental health services pro
mulgated by the Department of Public Health was implemented on November 2
1971 Logistic services were provided for the movement of patients and equip
ment and budget and personnel transfers were effected
Shortly after the beginning of the fiscal year a forecasted shortage in
revenue collections resulted in an order from the Governor that all agency
budgets be reduced to avoid deficit spending Central State Hospitals share
of the reduction was 1022000 Reductions in operating expenses and rigid
restrictions on hiring resulted in a successful adjustment to this reduction
The situation eased later in the year due to increased Medicaid and Veterans
collections a supplementary appropriation of 200000 for the employment
of 135 attendants and federal funds made available through the Emergency
Employment Act By years end a modest increase in total employment had
resulted
A review of warehousing operations was completed resulting in the let
ting of bids for the purchase and installation of pallet racks and storage bins
for the General Warehouse Clothing Storage and Engineering Warehouse A
20 percent increase in storage capacity is anticipated An inventory system
for movable capital equipment was designed and installed and perpetual in
ventory reporting was modified and improved to reduce stock outages
A program to provide management training on a continuing basis to all
supervisory personnel was initiated in February 1972 A total of 497 indivi
duals had successfully completed the basic course by the end of fiscal 1972
A linen exchange system was designed and implemented at the laundry
and four new washerextractors were procured and installed Housekeeping
was improved by the installation of structured housekeeping programs in four
additional units and by the application of polyurethane sealer to concrete floors
in several patient buildings which reduces odors and improves sanitation
appearance and ease of cleaning
Three new computer programs have been designed and implemented to pro
vide management with statistical data on operating costs and utilization of all
hospital vehicles The Computer Assisted Menu Planning program was en
hanced and refined and Was also made available to eight other state hospitals23
By the end of the fiscal year four of these institutions were receiving menu
planning services from the Central State Hospital Computer Center
A considerable number of construction and renovation projects were com
pleted during the year the largest of which was the renovation and air condi
tioning of the Howell Building and admission wards in the Powell Binion and
Holly Buildings Other major projects completed include the renovation of
Rivers 5 West for a female alcohol and drug ward installation of windows and
detention screens in Powell 2 West renovation and division of Boone 10 to
provide office space for the Behavior Modification Program construction of the
Colony Farm recreation area renovation of 16 dining rooms construction of
tennis courts installation of new water storage tanks for Bostick and Holly
Buildings fencing a playground for retarded children installation of floor tile
in five wards of the Washington Building painting interior of Boone Boland
and Howell Buildings and installation of temporary utilities at the construc
tion site of the new General Medical and Surgical facility
FINANCIAL SUMMARY
Final Amended Budget
Personal Services
Operating Expenses
Capital Outlay
Authority Lease Rentals
Total
2972516200
864550800
55000000
134900000
4026967000
Funds Made Available
State Appropriation
Patient Payment
Veterans Service
Medicare Medicaid
Federal Funds
Miscellaneous Income
Total
3486390900
121170138
131719900
223068122
10769465
41867834
4014986359
Actual Expenditures
Personal Services
Operating Expenses
Capital Outlay
Authority Lease Rentals
Total
2939106426
857596992
54597868
133275000
398457628624
MISS CENTRAL STATE HOSPITAL OF 1972
SUSIE JONES IS CROWNED BY LAURA WILLIAMSON25
PERSONNEL
The following is a tabulation of personnel actions during the year exclu
sive of 281 shortterm emergency appointments and separations
Appointments 939
Transfers 691
Promotions 375
Demotions 25
Leaves of Absence 241
Returns from Leaves of Absence 195
Miscellaneous 529
Separations
Resignations 502
Dismissals 33
Separations During Working Test 48
Deaths 24
Transfers to Other Agencies 85
Retired Rate of Turnover 101 793 19
PERSONNEL BY TYPE AS OF JUNE 30 1971 AND TUNE 30 1972
1971
1972
Physicians 105 96
Dentists 7 7
Nurses 115 107
Therapists 24 27
Engineers 7 7
Sanitarians 3 3
Physical Scientists 11 11
Nutritionists 3 2
Education and Information Specialists 8 9
Psychologists 15 17
Social Workers 20 23
Other Professions 27 29
SemiProfessional and Technical 2234 2421
Managerial 43 35
Clerical 332 327
Agricultural 22 20
Trades Crafts and Mechanical 316 319
Services 441 395
Manual Labor 366 390
Total
4099
4245r
26
Left to right CSH Superintendent Dr James B Craig confers with
Human Resources Board Chairman Jack Watson and Human Resources De
partment Director Richard Hardin on how reorganization will affect
Central State Hospital
lc
Left to right CSH Assistant Superintendent Clinical Dr Michael
Sheppeck talks with Division of Mental Health Director Gary Miller
MD and Dr Charles K Bush DMH Deputy Director on the occasion
of Dr Millers first visit to Central State Hospital27
PSYCHIATRY
PSYCHOLOGY
SPECIAL EDUCATION
SOCIOLOGY
SOCIAL WORK
NURSING SERVICE
CHAPLAINCY SERVICE
MEDICAL RECORDS
CUNICAl
SERVIC
MICHAEL L SHEPPECK MD
ASSISTANT SUPERINTENDENT
CLINICAL28
ASSISTANT SUPERINTENDENT CLINICAL
Mention was made in the 1971 Annual Report of a developing trend where
in average stay per patient was decreasing while admissions and turnover were
increasing This trend continues perhaps at an accelerated rate with the
increment average at 1000 per fiscal year The following statistical breakdown
comparing fiscal 1971 with 1972 points out this trend
June 30 1971 June 30 1972
Inhouse
Convalescent leave
Average daily population
Days care
Gains
Losses
7487
9219
8041
939688
12027
12991
7118
9404
7417
2714802
13061
13430
Breakdown of Gains
Return from leave
Transfers from regional hospitals
First admissions to CSH
Previously admitted to CSH
4313
193
4766
2755
4749
298
5172
2842
Breakdown of Losses
Direct discharge
Discharge from convalescent leave
Transfers to regional hospitals
Deaths
Discharged from leave
Discharged to nursing homes
2287
9343
661
700
6037
2 272
9 769
680
709
4 835
S22
The future missions program was initiated on November 1 1971 Initially
this program caused some concern among the older employees Most now agree
that we have effected a better balance of specialized care We need to reduce
our patient load within the certified bed capacity as effected for the Mental
Retardation Childrens Veterans Adolescent Psychiatric Medicare and Inter
mediate Care Units The Geriatric Unit still exceeds its certified bed capacity
With greater emphasis on the development of specialized programs for this age
group this objective should be realized during the coming fiscal year The
North Georgia and South Georgia Units carry the greatest patient load of the
geographic units The opening of the regional hospitals serving these areas
should relieve this burden29
Computer terminal IBM 22 60 was instituted during the past six months
providing faster release information for many health districts Preparing the
data for these releases has created an added work load on all including the
physicians It is anticipated that the recipients of this information at the
community mental health centers will institute prompt followup care main
taining continuity and preventing readmissions
NEW ADMISSIONS CENTER
The activation of the Admissions Evaluations and Disposition Center
scheduled for January 1 1973 should facilitate the care and treatment of
patients This activity is so structured that the service to all admissions will
be prompt dignified and wholesome For those previously admitted to the geo
graphic units evaluations will be completed within five days Those needing
definitive treatment will be referred for such intensive care Others will be
promptly released
NURSING
A nursing shortage continues to plague this service The low salary scale
deters satisfactory recruiting and the community does not offer attractions to
hold ambitious young adults To offset this trend an effort must be directed
to continue training psychiatric aides and mental health associates and to ex
pand inservice education in all units During the past year 99 students were
certified as psychiatric aides Instructorsupervisor clinical psychiatric nurs
ing personnel were placed in all units to meet specific needs of the unit and
to increase basic psychiatric nursing skills of all personnel A staff develop
ment program for professional nurses provided enrichment for 104 nurses who
attended two oneweek workshops A similar program is planned during the
coming year for licensed practical nurses Nursing in concert with manage
ment continues to develop an adequate staffing program In addition nurs
ing care plans for each patient will progress from the present pilot model to
all psychiatric units
PSYCHOLOGY
Behavior therapy continues to be the main effort of psychological services
The impact of this program is best realized in the Children and Adolescent
Unit the Mental Retardation Unit and certain wards for schizophrenic resi
dents In the latter longterm patients are placed in a highly structured and
remotivating environment Results indicate that some patients exhibit fewer
maladaptive behaviors while others learn adaptive skills30
A specially appropriated project in the Mental Retardation Unit now pro
vides behavior modification programs in 13 or the total 22 wards Emphasis is
focused on the severely and profoundly retarded group in an effort to teach
basic selfhelf skills such as selffeeding toileting bathing dressing etc
The program is individualized for the mild and moderately retarded on an as
needed basis
Psychology supervises the program for those with multiple handicaps such
as blind deaf and other physically handicapped individuals This program
embodies several specialized disciplines through consulting therapists to as
sist in rehabilitation Handicapped individuals learn to function at a level
compatible with their ability and physical limitations
SOCIAL WORK
Social Work was routinely involved in all aspects of patient care not only
to specific patients but also to their family and community organizations In
keeping with the interdisciplinary approach they played a vital role in several
special programs such as alcohol and drug treatment work placements the
Learning Service Center Foster Grandparents Family Care and nursing home
care Social Work has contributed to improved patient care and sees the need
for expanding its programs but additional staff must be acquired to move toward
achieving this expansion
SPECIAL EDUCATION
The School of Special Education is dedicated to the education of children
and youth of average and above average intelligence the borderline and mild
ly retarded and to the training of the severely retarded All have concomitant
emotional problems to a greater or lesser degree and cannot otherwise be
served with the public school population Through the interdisciplinary ap
proach with members of the hospital staff each childs education or training
is tailored to meet his academic or remedial needs During the past year 23
certified staff members provided education and training to an average of 275
residents per month Programmed for fiscal 1973 is an expansion to 29 staff
members to reach some 325 residents per month A designed school facility is
direly needed as the present expedient of utilizing converted wards as class
rooms is not conducive to education of the emotionally disturbed
CHAPLAINCY
The Chaplaincy Service has continued its efforts at offering significant
pastoral care and evaluation for the patient population while broadening its31
base of service by offering an accredited training program for qualified clergy
During the year the hospitalparish internship in clinical pastoral education
became an integral part of the training program The Chaplaincy staff con
ducted 67656 pastoral visits with patients or their families as well as 3371
worship services in the chapels or in ward areas Pastoral counseling in indi
vidual and group sessions totaled 63 75 Also a significant number of reli
gious evaluations were offered treatment teams in various units of the hospital
GENERAL PSYCHIATRIC UNITS
The psychiatric units had functioned as five general and five special units
without major change for six and a half years until November 2 1971 Pro
gressively plans were made to increase the specialization toward the care of
the mentally retarded veterans and aged After four months of this year
functioning pretty much the same aslastyear the reorganization was effected
This included reducing the general units to four creating a geriatric unit ex
panding the veterans and mental retardation units and creating an intermediate
care facility in the general psychiatric area
Some of the basic changes in the general units were patients 65 years
of age and over were sent to the Geriatric Unit mentally retarded patients to
the Mental Retardation Unit many veterans to the Veterans Unit and patients
belonging in other regional units were sent to those Balancing of personnel
was attempted by sending a proportionate number of personnel with the patients
to the respective units
Unit One with about 95 6 patients from three counties of greater Atlanta
became the Metro Atlanta Unit with about 677 patients from six counties This
unit is still operated in the Powell Green and Walker Buildings but the 10th
Ward Building was given up to the intermediate care facility Pecan Manor
Also extensive remodeling was started in the Powell Building requiring re
arranging of the admission wards The Metro Atlanta Unit continued with most
of the same staff and programs as Unit One had except two small wards of
remotivation were started The Psychiatric Residency Program still operates
largely in the Metro Atlanta area All the counties in this unit have services
of a community clinic and Georgia Regional Hospital at Atlanta treats some
patients from the same catchment area which was promoted toward fewer hos
pitalizations and shorter inpatient stays At the end of the year only 71 ad
missions and 3 9 returns from convalescent leave were made in a month
Unit Two was changed from a general unit with about 1200 patients from
45 counties in southwest Georgia to a Geriatric Unit to treat about 1200 pa
tients who are 65 years of age or over with the whole state as a catchment
32
THE BOWLING LEAGUES ELEVENWEEK PROGRAM WAS MUCH APPRECIATED
33
area Nursing services were expanded and increased nursing care for the el
derly has been a prominent feature in this unit This unit has been sending
about 10 to 20 patients each month to nursing homes over the state The staff
has begun planning to adopt more of the attitude therapy approaches About
50 elderly patients are admitted each month and about 12 to 2 0 are returned
from convalescent leave The unit is crowded but is treating only about two
thirds of those 65 and older who are currently at the hospital
Unit Three changed from a unit of about 920 from 38 southeast Georgia
counties to the South Georgia Unit of about the same size receiving patients
from 71 counties in the southern and western parts of the state Generally
the same three buildings are used except each half of the Howell Building has
alternatively been under extensive renovation which is leading to an improved
building including air conditioning throughout This unit has been helped
some by the Georgia Regional Hospital at Savannah and the Southwestern State
Hospital at Thomasville and Bainbridge being located in this catchment area
Greater numbers have been transferred to Southwestern State Hospital from this
unit than any other However the admission rate to this unit has been about
145 admissions and about 110 returns from convalescent leave The census
has been decreased to about 852 by the transfers to the above mentioned hos
pitals the placing of about 10 patients per month in nursing homes and
continued efforts toward prompt and active examinations treatment and dis
position
Unit Four with about 1236 patients from 28 counties was changed to the
North Georgia Unit with about 950 patients from 57 counties from north and
northeast Georgia This unit was moved entirely into the large nineward
Arnall Building It is helped some by the Georgia Regional Hospital at Augusta
which shares a catchment area of 13 counties However this unit still re
ceives the largest number of patients from outside the hospital up to 171
admissions plus some 95 returns from convalescent leave a month It con
tinues to operate a large medical treatment ward for the accumulated infirm
Unit Five with about 800 patients from 45 northeast Georgia counties was
transferred to Central Georgia Regional Hospital with about 400 patients from
2 5 central Georgia counties It was moved from the Allen and Whittle Buildings
to the Freeman Building and placed under the supervision of the clinical direc
tor for the special units
Some of the net changes have been the reduction of the general units to
four and the reduction of the number of patients in these units from about 5000
to about 3000 Orientation coordination planning and communication with
in the units and communication with the various community and other appro
priate helping agencies have been active during the eight months since reor
ganization Unfortunately the general units still must receive examine and34
treat many of the special patients as the special units do not have adequate
facilities for all of the retarded children and adolescents aged and veterans
The Psychiatric Outpatient Clinic has continued to see the convalescent
leave and recently discharged aftercare patients who do not have appropriate
community aftercare facilities However this volume has decreased to about
22 6 visits per month
SPECIAL PSYCHIATRIC UNITS
The special units have not had any basic changes in their functions After
the hospital reorganization last November two of the special units were ex
panded and the number of inpatients significantly increased
The Mental Retardation Unit added the Allen Building to its previous build
ing complex and the Veterans Unit added the Whittle Building The addition
of these two buildings implied a need to increase the personnel and staff
Although the need for additional personnel and professional staff is far from
being met progress has been made in the care of patients and treatment pro
grams are being carried on with enthusiasm and success
After the reorganization the former general psychiatric unit 5 was moved
to the Freeman Building and became a regional hospital to serve the area of
central Georgia The physical complex was reduced to only one building and
consequently the patient population was decreased This implied a great re
duction in personnel and professional staff which hopefully will be increased
to meet the required standards of the other regional hospitals throughout the
state However the care of patients and numerous treatment programs are be
ing continued with significant efforts and the patients are receiving adequate
treatment in this area
Spiritual counsel
New psychiatrists35
JONES HOSPITAL
RIVERS HOSPITAL
PHARMACY
DENTISTRY
SANITATION
OCCUPATIONAL THERAPY
RECREATION THERAPY
MUSIC THERAPY
VOLUNTEER SERVICES
REMOTIVATION SERVICES
PHYSICAL
HEALTH
WILLIAM R HOWARD MD
ASSISTANT SUPERINTENDENT
PHYSICAL HEALTH36
DIVISION OF PHYSICAL HEALTH
The major event of fiscal year 19 72 and one of the most important occur
rences in the recent history of Central State Hospital was the beginning of
construction of the new General Medical and Surgical Facility This completely
modern hospital building will replace the antiquated Jones Building as the medi
cal and surgical facility and will greatly enhance the hospitals capability to
provide quality care to physically ill patients Completion is expected during
1974
Efforts were continued to maintain adequate care in the Jones Hospital
Some vitally needed equipment was acquired including a blood gas machine
amoils cryo unit indirect ophthalmoscope tonometry recorder three channel
electrocardiogram fibro optic esophagogastroscope and colonoscope and the
existing Xray and nuclear medicine equipment was upgraded Air condition
ing was expanded to several additional areas including the section devoted
to physical therapy activities
Physical therapy treatment was put on a regular basis with the appoint
ment of a registered nurse to be in charge of this area with consultation avail
able from a qualified physical therapist Although this improved a vitally
needed service for the patients a fulltime physical therapist remains an im
portant unmet requirement
Fire regulations and evacuation plans were completed and drills are car
ried out on a regular basis The Central State Hospital disaster plan was tested
on a simulated basis with good results
SPECIAL THERAPIES
For Special Therapies the year was marked by several instances of suc
cessful joint functioning to stage major events for the patients An especial
favorite is the annual presentation of performances by the Hoxie Brothers Cir
cus which was scheduled by the Recreation Therapy staff and funded from vol
untary contributions Many other disciplines contributed by providing escort
service Successful fund raising by WSB Radio has insured the return of the
circus in future years
The Christmas season was particularly a time of cooperative operation
Music Therapy presented a major musical pageant with assistance from Recrea
tion Therapy which handled lighting and assisted with staging and from Oc
cupational Therapy which provided costumes for the cast which included 130
patients The Special Therapies were heavily involved in the Annual Mayors37
Motorcade which results in generous donations of Christmas gifts for patients
Easter also brought active assistance from the Special Therapies in religious
observances
Music Therapy placed considerable emphasis during the year on increased
services for longterm patients The number of wards housing regressed pa
tients who receive music therapy services increased by 3 8 percent during the
year Sixteen Mercer University students worked in music therapy activities
as part of their academic course work and several served as volunteers
Recreation Therapys capabilities were enhanced by the construction of
two tennis courts Construction was begun on a day camp building and picnic
shed at the Colony Pond Recreation Area The highlight of the year for some
patients was participation in the Special Olympics a series of track and field
events open only to mental retardates and conducted at the local district
state and national levels
The Occupational Therapy Center was dedicated on March 24 1972 and
named in honor of Wilson Bryant Wilkes This modern wellequipped facility
has added considerable variety to our modalities and made possible more ad
vanced and specialized techniques required in therapy for individual patients
At the same time specialized arts and crafts were centralized emphasis was
placed on the dispersal of the general programs to the ward setting This re
sulted in almost doubling the number of programs in existence and in increased
patient participation by about 35 percent
VOLUNTEER SERVICES
Volunteers continue to provide significant contributions to the patients
welfare and recovery Both patients and staff deeply appreciate the continuing
interest and generosity of such organizations as garden clubs the Georgia
Mayors Association the Mental Health Association WSB Radio Alcoholics
Anonymous church groups civic clubs and student groups as well as the
great number of individual volunteers who contribute their time and money
Expansion and beautification of the Garden Club Pavilion continues with
the development of an adjacent park area and improved maintenance The
Georgia Hairdressers and Cosmetology Association increased their services
substantially and now make visits during each month of the year
REMOTIVATION
Remotivation services were expanded during the year especially among
the more chronic patients Central State Hospital continues to be the center38
for remotivation training in the southeast Three training institutes were con
ducted during the year and training materials were made available to a number
of hospitals nursing homes and allied health agencies
THE RIVERS HOSPITAL
The Rivers Hospital operates a diversified program including a Medicare
ward and treatment for diabetic and tuberculous patients and for patients ad
dicted to drugs or alcohol At years end plans were near completion to open
a ward for the treatment of female alcohol and drug patients Improved faci
lities were made available to enhance special therapies activities and chap
lains programs
PHARMACY
During fiscal year 1972 the Pharmacy made progress toward an eventual
individual prescription system to replace the distribution system based on floor
stock inventory Twentyfive wards have been converted to the new system
and sixteen additional wards will be converted in the immediate future In
addition each pharmacist was assigned a specific area of the hospital on a
continuing basis to improve communication with the area served Drugs valued
at over 200000 were distributed during the year to 54 mental health aftercare
clinics located throughout the state
DENTAL SERVICE
The Dental Service completed and reported a comprehensive evaluation of
the dental program of the hospital for use of management in future planning
The evaluation was based on a study of records of 1012 patients discharged
from convalescent leave A member of the dental staff produced a videotape
on oral hygiene and prevention of oral disease which was presented on the hos
pitals closed circuit television channel several times during National Chil
drens Dental Health Week
ENVIRONMENTAL SANITATION
The Environmental Sanitation Division initiated Rodac plate sampling of
the bacterial flora of the environment in Medicaid areas and the Jones Hospital
It is anticipated that in time such sampling will be conducted on a hospital
wide basis Planning was completed for a new system of trash and food waste
handling utilizing front loading trucks and compatible containersPSYCHIATRIC RESIDENCY TRAINING
AUDIO VISUAL SERVICES
NEUROLOGY
MEDICAL LIBRARY
RESEARCH
39
PUATIJM
ft
T R AMI
RESEARCH
JOHN W KEMBLE MD
ASSISTANT SUPERINTENDENT
EDUCATION TRAINING RESEARCH40
EDUCATION TRAINING AND RESEARCH
The Education Training and Research program continues with accreditation
in the training of psychiatrists pharmacists psychologists social workers
clinical chaplains music therapists occupational therapists and recreation
therapists Descriptions of the training programs are included in individual
reports
An increasing number of requests for stipends find all budgeted positions
filled to capacity Stipends were offered in social work 12 psychology 11
business administration 2 medicine in public health 1 neurology 1 re
ligion and sociology A senior resident in ophthalmology from Mayo Clinic
in Rochester Minnesota continues to rotate through the hospitals Ophthal
mology Department every three months This program was started in 19 64 and
has continued with satisfactory results
A three month training program in psychiatric nursing procedures and tech
niques was conducted for 155 students from various affiliated nursing schools
Inservice training classes continue for aides and similar personnel Consider
able attention by all the professional departments has been given to the de
velopment of effective inservice training and orientation programs All atten
dants hired at the hospital attend basic training in psychiatric nursing before
ward assignments are made
NEUROLOGY
The Neurology Department has been active in diagnosing and treating a
special type of illness During the past year 55 8 neurologic consultations
164 echoencephalograms and 1433 electroencephalograms were requested
Four psychiatric residents rotated for a three month period through this
service in 1972
A neuropathologist consultant Hans Peters MD makes a monthly visit
for teaching purposes A neurosurgeon Allen Marshall MD makes a month
ly consultation visit for special procedures
Central State Hospital has provided one psychiatrist with a stipend to
attend Florida State University for a two year residency in neurology He will
have another year of training in neurology41
AUDIOVISUAL SERVICES
Coaxial cable distribution was expanded to include 75 percent of all patient
buildings The cable carries commercial television channels for patient enter
tainment as well as instructional channels for Central State Hospital staff
During the year 297 programs for patients were produced and 485 were
transmitted 330 programs were produced for the staff and 1030 presentations
were made to staff personnel
Repair of audiovisual equipment for disciplines within the institution con
tinued as a minor service of the department
PSYCHIATRIC RESIDENCY TRAINING PROGRAM
Central State Hospital has a residency program in psychiatry which has
been approved by the Council on Medical Education Hospitals of the American
Medical Association for a period of three years The chief goal of the training
program is to prepare qualified physicians for the practice of psychiatry as a
medical specialty in private practice in community mental health or in an
institutional setting
Since its inception in January 1964 until the present day 42 residents
have completed their training in this program The program was approved for
10 residents at each year level initially Six residents are presently enrolled
Though there is no obligated service following the completion of this training
our record of physicians remaining in the state after completion of their train
ing is excellent Of the 42 who have completed their training here 29 con
tinue to work at Central State Hospital Four remain elsewhere in the State of
Georgia and only nine have left the state
Consultants have visited the hospital for patient presentations lectures in
personality development neuropathology child psychiatry and administration
l
MEDICAL LIBRARY
In connection with the reorganization of departments at Central State Hos
pital for the purpose of modernization and economy the Manpower Administra
tion undertook a detailed study of the Medical Library and the Nursing Library
The plan for consolidation in the Brantley Building of these two libraries was
not carried out because the prompt and convenient availability of library ma
terials to the medical and surgical staff in the Jones Building was considered
of prime importance1
42
As in previous years the librarian introduced the psychiatric residents to
the use of the Medical Library and its materials by a lecture Generally good
use was made of the library sources in books journals reference materials
tapes and photocopies to be obtained here or by interlibrary loan from other
libraries in that an average of 75 were checked on a weekly basis Actually
this library has exceeded its quota for free document delivery service accord
ing to the Southeastern Regional Medical Library Program in the first half of
May so that requests which were received between this date and June 30 were
subject to a photocopy fee
Central State Hospital medical library acquired 23 0 new books and sub
scribed to 191 journals
Ik
RESEARCH DIVISION
The cooperating units of Genetics Neurophysiology and Biochemistry
compose the Research Division They focus upon basic scientific problems of
Central State Hospital patients
Genetic studies under Dr Keeler including chromosome culture are used
to investigate the heredity of syndromes and disorders of mental function In
particular we are interested in the study of cytogenetic karyotypes associated
with certain forms of mental retardation Genetic counseling is offered
A Negro female was suspected of having excess chromatin material in her
body cells because of an unusual number of projections drumsticks on the
nucleus of her white blood cells When cultured and karyotyped an extra chro
mosomal fragment was found This was confirmed as part of an Xchromosome
by finding two Barr bodies in both buccal and Papp epithelial preparations
In one cell was found a normal size Barr body representing an extruded X
chromosome and a small Barr body representing the fragment This is the first
known case of such cytogenetic prediction and confirmation
It is known that a gross abnormality of chromosomal constitution XXYY
will cause finger prints to develop differently from the normal patterns Our
statistical study of albino finger prints shows that a single gene substitution
can also produce measurable deviations
Dr Courtney conducts neurophysiological studies that probe the normal
and deviant characteristics of the nerve impulse in patients
In particular the transmission of the nervous impulse of the optic nerve
is being studiedIn addition Dr Courtney is making a comprehensive visual survey of
the mentally retarded at Central State Hospital Aside from anthropometric
measurements the program calls for determination of visual acuity corneal
curvature pupillary distance near point convergence fusion stereopsis
strabismus and color vision
43
Dr Curtis has completed a survey of patients in the Boone and Boland
Buildings for Australian antigen associated with the 1969 outbreak of hepatitis
at Central State Hospital Downs Syndrome patients had twice the incidence
found in the rest of this retarded population The incidence for males is much
greater than that for females and the suggestion is that females may possibly
develop the antigen but lose it more rapidly than males do
Dr Curtis is also studying the incidence of amino acidemias using thin
layer chromatography All patients in the Boone Building have now been tested
The 1971 CSH Bulletin of Current Research reported on projects of the
Research Division including a Fluorescence Assay for Chymotrypsin Mosaic
Cell Lines or Leucocyte CulturingAnomalies an XXXXYXXXY KlinefelterMosaic
in Man A Low Percentage Turner Mosaic Refractive Errors in Institutionalized
Mentally Retarded and Emotionally Disturbed Children Apparatus to Convert
Beckman DU Spectrophotometer or Beckman DK Spectrophotometer to a Den
siometer Computer Assisted Analysis of the Electroretinogram Visual Acuity
Testing in Mentally Retarded Children
J
PUBLICATIONS
Keeler Clyde E
Keeler C E
Keeler C E
Courtney G R
and G Go Heath
Finger Ridges of Cuna MoonChild Albinos J Here
dity 63 9899 1972
ii o
47XXXp J Heredity In press
An XXXXYXXXY Klinefelter Mosaic J Heredity In
press
Color Vision Deficiency in the Mentally Retarded Preva
lence and a Method of Evaluation Am J Mental De
ficiency 76 4852 197144
f
Dr James B Craig CSH Superintendent speaks at the dedication of the
Wilson Bryant Wilkes Occupational Therapy Center BELOW Dr Craig chats
with Mrs Wilson Bryant Wilkes after the ceremony at Central State
45
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Under 15
15 24
35 45 55
44 54 64
75 85 85
84 94 over Unknown
re
50
FOURYEAR COMPARISON OF COUNTY ADMISSIONS
Wi
COUNTY
OF
ADMISSION
Appling
Atkinson
Bacon
Baker
Baldwin
Banks
Barrow
Bartow
Ben Hill
Berrien
Bibb
Bleckley
Brantley
Brooks
Bryan
Bulloch
Burke
Butts
Calhoun
Camden
Candler
Carroll
Catoosa
Charlton
Chatham
Chattahoochee
Chattooga
Cherokee
Clarke
Clay
Clayton
Clinch
Cobb
Coffee
Colquitt
Columbia
Cook
Coweta
Crawford
Crisp
Dade
Dawson
1969
1970
YEAR
1971
1972
TOTAL
15 24 19 27 85
9 8 5 6 28
33 31 35 21 120
1 2 2 2 7
127 176 229 241 773
9 6 9 11 35
39 40 52 46 177
46 69 95 88 298
37 41 32 40 150
23 34 37 31 125
279 333 562 605 1779
14 19 25 27 85
20 12 13 17 62
18 15 17 33 83
13 11 13 16 53
36 32 39 40 147
20 24 20 10 74
17 24 25 30 96
11 12 11 12 46
13 14 8 8 43
5 8 10 9 32
58 67 68 80 273
40 39 32 48 159
8 12 7 9 36
167 184 189 111 651
0 1 2 0 3
23 36 36 37 132
45 40 53 47 185
112 116 124 148 500
10 4 6 5 25
82 76 72 88 318
12 11 11 11 45
194 211 213 228 846
35 43 48 54 180
49 46 42 51 188
24 34 22 36 116
17 14 18 15 64
63 56 66 69 254
8 7 10 16 41
36 28 29 44 137
15 11 5 12 43
8 12 9 5 34
51
COUNTY
OF
ADMISSION
Decatur
DeKalb
Dodge
Dooly
Dougherty
Douglas
Early
Echols
Effingham
Elbert
Emanuel
Evans
Fannin
Fayette
Floyd
Forsyth
Franklin
Fulton
Gilmer
Glascock
Glynn
Gordon
Grady
Greene
Gwinnett
Habersham
Hall
Hancock
Haralson
Harris
Hart
Heard
Henry
Houston
Irwin
Jackson
Jasper
Jeff Davis
Jefferson
Jenkins
Johnson
Jones
Lamar
1969
1970
YEAR
1971
1972
TOTAL
32 27 31 34 137
274 231 251 331 1087
31 60 56 63 210
20 18 13 21 72
96 84 96 141 417
38 56 41 39 174
20 18 14 16 68
0 0 1 0 1
7 7 7 17 38
41 38 23 39 141
56 51 60 68 235
11 17 14 14 56
21 24 33 25 103
13 6 8 21 48
103 76 97 129 405
23 29 25 16 93
31 24 16 24 95
800 771 856 787 3214
24 19 32 28 103
9 6 6 7 28
91 89 108 79 367
40 32 43 65 180
23 35 13 20 91
17 20 20 25 82
85 99 119 86 389
36 30 33 33 132
135 154 162 151 602
17 27 40 26 110
29 28 50 47 154
18 9 12 12 51
24 24 24 26 98
8 2 8 3 21
28 27 19 15 89
55 73 94 109 331
7 13 9 8 37
22 38 50 56 166
13 19 14 25 71
24 31 47 39 141
20 14 28 12 74
17 14 15 20 66
21 19 35 29 104
19 24 25 21 89
19 25 40 29 113
0

V
1
52
COUNTY
OF
ADMISSION
1969
1970
YEAR
1971
1972
TOTAL
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
9 5 8 9 31
59 80 123 148 410
3 3 6 7 19
24 18 23 16 81
6 5 4 4 19
1 2 6 1 10
38 48 54 67 207
14 17 17 22 70
15 14 11 23 63
21 17 31 19 88
5 12 11 12 40
61 53 43 24 181
7 13 6 10 36
31 27 44 36 138
9 6 7 4 26
16 23 18 22 79
23 25 33 32 113
9 13 13 20 55
9 11 19 26 65
8 12 8 20 48
187 172 227 235 821
55 57 63 85 260
14 8 8 13 43
8 8 13 12 41
46 49 41 40 176
32 27 41 41 141
13 19 16 17 65
10 8 7 6 31
9 9 10 14 42
52 61 40 55 208
14 21 31 21 87
15 32 24 33 104
1 2 3 2 8
17 25 17 7 66
12 16 14 11 53
160 181 172 213 726
24 29 32 31 116
4 3 4 1 12
17 13 6 12 48
10 4 10 14 38
97 95 125 143 460
30 33 26 28 117
8 7 11 12 38
53
COUNTY
OF
ADMISSION
Sumter
Talbot
Taliaferro
Tattnall
Taylor
Telfair
Terrell
Thomas
Tift
Toombs
Towns
Treutlen
Troup
Turner
Twiggs
Union
Upson
Walker
Walton
Ware
Warren
Washington
Wayne
Webster
Wheeler
White
Whitfield
Wilcox
Wilkes
Wilkinson
Worth
TOTAL
1969
1970
YEAR
1971
1972
TOTAL
30 27 32 48 123
10 10 9 16 45
2 5 5 8 20
18 20 19 15 72
7 4 13 12 36
28 29 33 24 114
17 10 15 15 57
44 65 35 24 168
29 32 41 39 141
51 62 73 82 268
6 2 7 10 25
16 22 21 25 84
76 66 83 100 325
12 11 18 15 56
13 11 8 23 55
19 13 15 19 66
37 58 66 79 240
11 66 97 94 334
57 62 81 89 289
99 65 80 11 321
6 8 5 3 22
27 46 47 62 182
28 49 28 33 138
3 5 0 4 12
12 5 7 17 41
4 2 13 10 29
91 123 166 225 605
9 10 14 10 43
14 23 13 10 60
21 21 26 44 112
15 19 17 24 75
5
i
6290
6625
7521
8014
28450
1
54
RESIDENT POPULATION BY COUNTY
4
APPLING 17 FANNIN 28 OGLETHORPE 21
ATKINSON 7 FAYETTE 15 PAULDING 29
BACON 19 FLOYD 108 PEACH 39
BAKER 7 FORSYTH 15 PICKENS 17
BALDWIN 143 FRANKLIN 21 PIERCE 8
BANKS 14 FULTON 1117 PIKE 22
BARROW 32 GILMER 22 POLK 61
BARTOW 50 GLASCOCK 9 PULASKI 17
BEN HILL 32 GLYNN 59 PUTNAM 19
BERRIEN 13 GORDON 41 QUITMAN 2
BIBB 366 GRADY 25 RABUN 9
BLECKLEY 16 GREENE 21 RANDOLPH 21
BRANTLEY 10 GWINNETT 76 RICHMOND 195
BROOKS 31 HABERSHAM 40 ROCKDALE 26
BRYAN 10 HALL 108 SCHLEY 1
BULLOCH 43 HANCOCK 26 SCREVEN 29
BURKE 35 HARALSON 24 SEMINOLE 6
BUTTS 16 HARRIS 15 SPALDING 107
CALHOUN 10 HART 18 STEPHENS 34
CAMDEN 8 HEARD 13 STEWART 24
CANDLER 20 HENRY 22 SUMTER 51
CARROLL 56 HOUSTON 63 TALBOT 14
CATOOSA 28 IRWIN 11 TALIAFERRO 9
CHARLTON 11 JACKSON 36 TATTNALL 31
CHATHAM 262 JASPER 28 TAYLOR 17
CHATTAHOOCHEE 5 JEFF DAVIS 12 TELFAIR 24
CHATOOGA 32 JEFFERSON 29 TERRELL 22
CHEROKEE 41 JENKINS 21 THOMAS 58
CLARKE 98 JOHNSON 22 TIFT 39
CLAY 10 JONES 19 TOOMBS 51
CLAYTON 56 LAMAR 23 TOWNS 5
CLINCH 6 LAN IE R 6 TREUTLEN 9
COBB 179 LAURENS 81 TROUP 84
COFFEE 34 LEE 6 TURNER 16
COLQULTT 61 LIBERTY 15 TWIGGS 17
COLUMBIA 22 LINCOLN 10 UNION 13
COOK 14 LONG 6 UPSON 45
COWETA 66 LOWNDES 65 WALKER 11
CRAWFORD 13 LUMP KIN 16 WALTON 56
CRISP 38 MACON 30 WARE 51
DADE 10 MADISON 32 WARREN 14
DAWS ON 2 MARION 14 WASHINGTON 41
DECATUR 43 McDUFFIE 21 WAYNE 33
DEKALB 288 McINTOSH 12 WEBSTER 8
DODGE 38 MERIWETHER 40 WHEELER 9
DOOLY 23 MILLER 7 WHITE 10
DOUGHERTY 108 MITCHELL 21 WHITFIELD 97
DOUGLAS 37 MONROE 23 WILCOX 15
EARLY 18 MONTGOMERY 10 WILKES 21
ECHOLS 0 MORGAN 18 WILKINSON 30
EFFING HAM 12 MURRAY 21 WORTH 29
ELBERT 32 MUSCOGEE 214
EMANUEL 50 NEWTON 62 TOTAL 7118
EVANS 10 OCONEE 16
55
MEDICAL DEPARTMENT
James B Craig MD
Superintendent
M L Sheppeck MD
Assistant Superintendent Clinical
John W Kemble MD
Assistant Superintendent Education Training Research
W T Smith MD
Clinical Director Psychiatric Service

E F Stincer MD
Clinical Director Psychiatric Service
METRO ATLANTA UNIT
Santiago Aguilar MD Director
Alberto AcevedoGonzales MD Resident Physician
Gabriel Alfonso MD Resident Physician
Francisco Borges MD Physician Specialist II
Manuel Larrauri MD Resident Physician
B E Orosdy MD Senior Staff Physician
Zelma Ozolins MD Chief Physician
Enriquez Martinez MDResident Physician
Jacinto Regalado MDResident Physician
Sergio Regalado MDResident Physician
Grayson S Waldrop MDSenior Staff Physician
GERIATRICS UNIT
Eduardo Guernica MD Director
John Azzi MD Senior Staff Physician
Ramon Berenguer MD Senior Staff Physician
Marta Bosch MD Physician Specialist II
Tomas GarciaMontesinos MDStaff Physician
Vilis Zakitis MD Chief Physician
Humberto Ravelo MD Physician Specialist II
vk
56
SOUTH GEORGIA UNIT
Jose Mendoza MD Director
Eugene Christian M D Physician Specialist II
Francisco Huerta MD Senior Staff Physician
Moises Jacobs MDStaff Physician
JuanLlambes MD Staff Physician
Manuel Pena MD Senior Staff Physician
R S Planas MD Staff Physician
NORTH GEORGIA UNIT
W T Smith MD Acting Director
Harold Carson MD Staff Physician
Marta Dzirkalis MD Chief Physician
Clifford Harden MD Physician Specialist II
Mario de Laosa MD Chief Physician
Jesus Llobet MD Physician Specialist I
Roberto Rey MDPhysician Specialist II
John J Word MDPhysician Specialist II
CENTRAL GEORGIA REGIONAL HOSPITAL
Lorenzo del Portillo MD Director
Jose Bernardo Garcia MDPhysician Specialist II
Roberto Perdomo MDChief Physician
Carlos GarciaRivera MD Chief Physician
Jose Rouco MD Physician Specialist II
Diego Sans MD Physician Specialist I
MAXIMUM SECURITY UNIT
Miguel Bosch MD Director
Jose De la Torre MD Physician Specialist I
VETERANS UNIT
Carl Smith MD Director
George Grant MDPhysician Specialist II
Charles A Rich M D Unit Director
Jose Delgado MD Physician Specialist I
VOCATIONAL REHABILITATION UNIT
S A Mendez MD Director
Armando Gutierrez MD Physician Specialist IICHILDREN AND ADOLESCENT UNIT
57
Odelia Zapatero MDDirector
Jose Gonzales MD Physician Specialist II
Juan Perez MDPhysician Specialist II
MENTAL RETARDATION UNIT
E F Diaz MD Director
Hortensia Alvarez MD Physician Specialist II
Manuel Estrada MD Chief Physician
Leopoldo E Guzman MDStaff Physician
Isidro Insua MD Senior Staff Physician
Rene Montero MD Physician Specialist II
Rafael Pascual MD Chief Physician
JuanTrejo MDStaff Physician
INTERMEDIATE CARE FACILITY
M L Sheppeck MD Actin3 Director
NEUROLOGY
JohnW Kemble MD Director
RESEARCH
Clyde Keeler ScD PhD Director
G R Courtney OD Neurophysiologist
Jerry Curtis PhD Biochemist
PSYCHIATRIC RESIDENCY TRAINING
Louis Jacobs M D Director
Santiago Aguilar MD Supervisor
Joe Combs MD Supervisor
E F Stincer MD Supervisor
NURSING SERVICE
Bernice H King RN Acting Nursing Service Administrator
VeraW Knowles RNAssistant Nursing Service Administrator

58
DIRECTORS OF NURSING
Ouida Couch RN Metro Atlanta
Fay Fidler RN Geriatrics
Marie Vincent RN North Georgia
Mildred Daniel RNCentral Georgia
Gaydelle Johnson R NVeterans
Irene Wood RNJones Hospital
Valeria Atchison RNRivers Hospital
Frances Simpson RNChildren and Adolescent
Mary A Bell RN South Georgia
Nancy May RN Mental Retardation
Janet Smith RN Yarbrough Rehabilitation
PSYCHIATRIC OUTPATIENT CLINIC
Ellen Moncrief GN
NURSING EDUCATION AND RESEARCH
Maidana K Nunn RN DN Sc Assistant Nursing Service Administrator
PSYCHIATRIC AFFILIATION PROGRAM
Beatrice Tribble RN AB Nurse Supervisor
Pauline Anderson RN Senior Staff Nurse
Gertrude Thigpen RN Senior Staff Nurse
Gloria A Williams RN Senior Staff Nurse
Alice K Paschal RN Senior Staff Nurse
PSYCHIATRIC AIDE PROGRAM AND INSERVICE EDUCATION
Vivetta Kramer RN MS Assistant Director of Nursing Grant Program
Christine Brookins RNNurse Supervisor Grant Program
Glenda Ridley R N B SNurse Supervisor Inservice Education
Leta M Holder RN Senior Staff Nurse
Clinical Instructor Metro Atlanta Unit
Gladys Moore RN BSSenior Staff Nurse
Clinical Instructor South Georgia Unit
Lucille Brannan RN Senior Staff Nurse
Clinical Instructor Central Georgia Unit
Mary H Thomas RN Senior Staff Nurse
Clinical Instructor Children and Adolescent Unit
Ruth Leverette RN Senior Staff Nurse
Clinical Instructor Mental Retardation Unit
Lee Bell RN Senior Staff Nurse
Clinical Instructor Rivers Hospital
Merry Bohannon RNSenior Staff Nurse
Clinical Instructor Geriatrics Unit
Faye Wilson RN Senior Staff Nurse Classroom Instructor
Georgene Eakes RN Senior Staff Nurse Classroom InstructorCLINICAL PSYCHOLOGY
59
Robert W Wildman PhD Director
John J Gates PhDClinical Psychologist II
Thomas W Lucik Ph DClinical Psychologist II
Jerry T Sloan PhDClinical Psychologist II
Andrew L Dickson Ph DClinical Psychologist I
Robert D Smith Ph DClinical Psychologist I
Lawrence F Quattlebaum MSPsychologist II
G F Biessel MSStaff Psychologist
F L Madison M AStaff Psychologist
Duane I Miller PhD Psychologist I

V
INTERNS
Thomas Schneider MA
Erwin Shatus MS
Elizabeth Sims MA
Carolyn Widmer AB
SENIOR TECHNICIANS
Edward Amos BA
Tedd B Brown AB
Pete Christian MS
G R Dixon AB
Wayne Hodges BA
Stephen Holloman MA
Raymond C Olivier BA
Lesley Slone MA
Eric Spezia BA
Kenneth Varnadoe MA
Robert D Watson MA
Robert W Wildman II MS
B F Williams MEd
l
TECHNICIANS
Mansur H Akel BA
David Ashe BA
John S Autry AB
Donald B Bailey BA
Orlow Ball BA
Roger A Bell BA
Tanet Sue Boomer BA
Carolyn J Braun BA
Michael Brush BA
Michael Chambliss BA
Emilie Davall BA
Jesse Dees BA
Jorge Del Valle BA
Carol Flinn BA
Donald Harris BA
Laura Hohnecker BA
Michael James BA
Charles P Kraemer BA
Warren Leib BA
Daniel Malone BA
Byron O Merritt III BA
John McGavin BA
Reginald Muhl BA
Alan Olson BA
Stephen E Pearson BA
James Powell BA
James G Resseger BA
Robert R Ritter BA
Joanne D Rogers BA
Larry J Sheppard AB
Jacgueline Shivers BA
Deborah S Smith BA
Suzan Spezia BA
Gerard Stamm BS
Sue Starcher BA
Roberto Vargus BA
Sharon Weeks BA
James T Wilkinson BA

60
PSYCHOLOGY SCHOLARSHIPS
Edward H Amos Jr BA
Michael E Brush BA
Pete Christian BA
Marilyn Edmiston MA
Carolyn Erickson MA
Ivor D Groves III MA
Lee C Groves MS
Wayne Hodges MA
Carlton Lanier MA
Raymond C Olivier BA
Polly Paul MA
Robert W Wildman II MS
SOCIAL WORK
Kenneth F Jasnau M S S A C S WDirector
E O Melton MSW ACSWAssistant Director
Martha C Tomlin MSWSocial Worker III
Pat Allen MSWSocial Worker II
Nancy J Autry MSWSocial Worker II
Yvonne Everett Brooks MSWSocial Worker II
Roy H Brown MSWSocial Worker II
Lynne Feagin MSWSocial Worker II
Carolyn Grant MSWSocial Worker II
Joseph T Hodge MSWSocial Worker II
Allie Kilpatrick MSWSocial Worker II
Jimmy D Lanier MSWSocial Worker II
Jeannette M Lewis MSWSocial Worker II
M Andrew McCollum MSWSocial Worker II
Walker McKnight MSWSocial Worker II
Rosa C Mendoza MSWSocial Worker II
Robert M Rhymes MSWSocial Worker II
Janet E Scott MSWSocial Worker II
Doris T Sutton MSWSocial Worker II
Gwendolyn G Turner MSWSocial Worker II
Harry Weathers MSWSocial Worker II
C Paul Wright MSWSocial Worker II
E Alton Gregory MSWSocial Worker I
Louise H Powell MSWSocial Worker I
John W Prather MSWSocial Worker I
Jewell Turner MSWSocial Worker I
TECHNICIANS
Annette Acree AB
Nan W Baird AB
Roby M Beckom BA
Susan R Brooker BA
Rosemary Brown BA
Ludwina Bull BS
Elizabeth Collins AB
Sandra Cosby BBA
Holley Cowan AB
James F Hamlin BA
Darryl Herren AB
Will a Hertwig BS61
Horace P Horton BS
Kaye Lanier A B
Linda Lazarus BA
J Michael McCroskey BA
Wanda McKnight AB
June Moore BA
Eloise Myles BA
R Michael Owens BA
Frances B Rogers BA
Alton Scott BS
Mary Ann Simmons BA
Madelyn C Spivey BS
Joan Venable Thompson
Herbert Turk BA
BS

SOCIAL WORK AIDE
Carrie Smith
SOCIAL WORK SCHOLARSHIPS
Holley Cowan
James F Hamlin
Willa Hertwig
Jeannette M Lewis
M Andrew McCollum
Michael Owens
Herbert Turk
Jewell Turner
Harry Weathers
CLINICAL CHAPLAINCY
k
James L Travis Th MDirector of Chaplaincy Service
George L Colgin BDChief Clinical ChaplainTraining
Milton P Snyder Th MChief Clinical ChaplainRetardation
C Wayman Alston BDClinical Chaplain
James E Carter BDClinical Chaplain
Payton B Cook BDClinical Chaplain
Oliver Benton Curtis BDClinical Chaplain
Russell H Davis ThMClinical Chaplain
Toseph S Dukes III BDClinical Chaplain
James F Hardie MAClinical Chaplain
EbbG Kilpatrick STMClinical Chaplain
Robert Z Powell ThDClinical Chaplain
Joseph G Cassidy ABCatholic Chaplain
Harold L Gelfman DDRabbi
Ervin R Oermann BDChaplain to the Deaf
Charles B Fanshaw MREChaplain to the Deaf
RESIDENTS

o
Kenneth W Cook M Div
William W Goins ThM
Robert F Gray M Div
Harrell D Warren M Div62
INTERNS
Benjamin B Fore BD
Thomas W Hagood M Div
Elbert Johns Jr M Div
Robert W Knox ThM
Donald K Schroeder BD
Thomas Staab M Div
Dan M Welch BD
RECREATION THERAPY
Bruce R Prosser BS MSDirector
Janice L Landry BS MSRecreation Therapist II
Betty J Welch ABRecreation Therapist II
Anna G Warnock BSRecreation Therapist II
Ronald R Smith BSRecreation Therapist II
Lyndoll U Moore ABRecreation Therapist II
Charles M Vandiver BSRecreation Therapist II
Theotis Griswold BSRecreation Therapist I
Joe Bellflower BSRecreation Therapist I
Betty Purcell BSRecreation Therapist I
Jenny Tucker BSRecreation Therapist I
John Chapman BSRecreation Therapist I
MUSIC THERAPY
Saralyn I Latham MA RMTDirector
THERAPISTS
Margaret E Bailey RMT
Judy B Baird RMT
Lois D Barnett BM
Mary M Bedingfield RMT
Ann B Caldwell BM
Suzanne P Courtney RMT
Solomon Cunio BM
Sandra K Graham RMT
Gregory A Hollis BM
Carol A Prickett RMT
Pamela Roberson BM
Carolyn W Sanders RMT
Jeannette Warren RMT
Barbara Wheeler RMT
OCCUPATIONAL THERAPY
Dorothy M Clarke OTR DirectorVOLUNTEER SERVICES
Jane M Haddock B S CVC Director
STAFF
63
Susan Coursey AB
C Earnest Yearwood AB
L
SPECIALIZED MEDICAL SERVICES
GENERAL MEDICINE SURGERY

J G Bohorfoush MD Director
Eugenio G Allende MDPhysician Specialist II
Sergio C AlvarezMena MDPhysician Specialist II
Antonio Ballagas MDSenior Staff Physician
Orestes F Caral MDChief Physician
David Cardoso MDPhysician Specialist III
Osvaldo Casas MDSenior Staff Physician
Edward C Clayton MDPhysician Specialist II
S H Dillard O DOptometrist II
Nestor W Dourron MDSenior Staff Physician
Andres R Fernandez MDPhysician Specialist II
Pilar Goicoechea MDPhysician Specialist II
Samuel M Goodrich MDPhysician Specialist II
Warren S Henderson MDPhysician Specialist III
Raymond Jordan MDChief Physician
Leon Koen MDPhysician Specialist II
Lloyd Laine MDSenior Staff Physician
Fook Sun Lau MDPhysician Specialist I
Joseph Leyva MDPhysician Specialist II
Carlos M Montalvo MDChief Physician
John E Moody MDChief Physician
Perry Moore MDPhysician Specialist II
Dionisio Pinero MD Physician Specialist III
Luis A Rodriguez MDPhysician Specialist II
K M Sreeramaiah MDPhysician Specialist II
Pedro L Tamayo MDPhysician Specialist II
Erlinda Valdecanas MDStaff Physician
Virgilio Valdecanas MDPhysician Specialist II
Raul S Veiga MDPhysician Specialist II

364
RIVERS HOSPITAL
Mahmud Majanovic MD MPH TM and MS Hyg Director
Luis A Planas MD Senior Staff Physician
Jose Sanchez MD Senior Staff Physician
Aleksandrs Steinhards Senior Staff Physician
RIVERS ALCOHOL DRUG
Rafael Alvarez MD Director
MEDICARE
J D Combs MDChief of Service
E W Allen Sr MDPsychiatric Consultant
Luis Carrodeguas MDChief Physician
DENTAL SERVICE
Robert C Watson DDSDirector
Philip H Spence DDS Dentist II
William K Willoughby DDS Dentist II
Cecil A Rountree DDSDentist II
Raymond Johnson DDSDentist I
Joe Lister DDS Dentist I
Richard Steinke DDS Dentist I
PHARMACY
Durward Poland PharmD Director
Glenn Veal B SAssistant Director
Ken Autry BS Pharmacist II
Thomas Reese BS Pharmacist II
David Steelman BSPharmacist I
Phyllis Parks BS Pharmacist II
Woody Proveaux BS Pharmacist I
Tommy Sammons BS Pharmacist I
Burrell Williams BS Pharmacist I
Joe Williams BSPharmacy Intern
REMOTIVATION
Mattie L Pennington R N Supervisor
Diplomate American Board of Psychiatry NeurologyVOCATIONAL REHABILITATION
65
W C Petty ABDirector
Marvin Denton Jr BS MEdSupervisor of Services
Jesse P Collette BS EdSupervisor Counseling Service
James C Grover ABSupervisor Job Development
Edwin Ray Freeman BS MEdSupervisor VR Evaluation
John W White BASupervisor Vocational Instructor
k
REHABILITATION COUNSELORS
Harry D Bates BS MRC
Charles H Boland Jr AB BD MEd
Alvin K DLxon 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 MEd
P
EVALUATORS
Ronald Barnard BA MEd
Lanier Browning B S
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 BS
L
966
5
SCHOOL OF SPECIAL EDUCATION
John H Rawlins MEd
EleanorS Kates PhD
Director
Assistant Director
TEACHERS
Suelle Austin MA
Larry Callaway BS
Elaine Cowan BS
Bertha Eakins BS
Man7 Edwards BS
Antoinette Ennis AB
Colleen Farmer BBE
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 MEd
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