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00CUNENT VIRSUP411 ED 031 841 EC 004 041 By-Anglin. R.C. Residences for Retarded in , 1966-1967. Association for Retarded Children, ().Residential Cu. Cottorattec. Pub Date Mar 67 Note-22p. EDRS Price MF-S025 HC-S120 Descriptors-Administrative Personnel, Community Programs, Directories, EducationalPrograms, *Exceptional Child Services, Foreign Countries, *Institutional Facilities, *Mentally Handicapped,Private Agencies, Program Costs, Public Facilities, Rehabilitation. Programs, *Residential Care Provincial institutions for the retarded and other residentialfacilities are listed for the of British , ,, , Ontario, , , Nova . and Prince EdwardIsland. Descriptions are provided of these residences which include varing degreesof information concerning administrative personnel, clientele, educational and other programs.and expenses. (LE) tf U.S. DEPARTMENT Of HEALTH, EDUCATION & WELFARE -.1. OFFICE Of EDUCATION CO

1--1 THIS DOCUMENT HAS BEEN REPRODUCED EXACTLY AS RECEIVED FROM THE Pr\ PERSON OR ORGANIZATION ORIGINATING IT.POINTS OF VIEW OR OPINIONS C) STATED DO NOT NECESSARILY REPRESENT OFFICIAL OFFICE OF EDUCATION C) POSITION OR POLICY. L.I.J

CANADIAN ASSOCIATION FOR RETARDED CHILDREN ASSOCIATION CANADIENNE POUR LES ENFANTSARRIERES 87 Bedford Road, Toronto 5, Ontario

RESIDENCES FOR RETARDED IN CANADA

1966-1967

Prepared by CARC Residential Care Committee Mrs. R. G. Anglin.

1\m

OMarch, 1967 fb I TABLE OF CONTENTS

Page

Forward i

List of Provincial Residences for theRetarded ii-iv

Outline of Facilities by Provinces:

British Columbia 1

Alberta 2

Saskatchewan 3

Manitoba 4

Ontario 5

Quebec 11

New Brunswick 14

Nova Scotia 15

Prince Edward Island 16

(Affiliate CARC Members:

Newfoundland, ,, ,

do not have separate residential units forthe retarded person.)

7 FORWARD

Provincial institutions for the retarded reflect a changingemphasis in care - from basically medical concept to training toward rehabilitation.Departments of Health have traditionally operated such institutions,but are now combining with Departments of Education and Welfare. ThroughInterdepartmental Committees it is possible to co-ordinate services withingovernment and communities an to thereby allow the institutions tofunction as treatment and training centers and no longer to be identified aslong-term custodial hospitals. How successful the rehabilitation program willbe depends upon quality and number of community residences.

The following report is based on returns to a questionnairesent to super- intendents in , 1966 and from questioning Provincialrepresentatives at a recent CARC Board Meeting. CARCCommittee Chairmen try to keep informed on all phases of their work so that they caninform Provincial Chair- men about what is going on acrossthe Country. This isn't easy to do because there is a great variety of action in the ResidentialCare field and everyone is busy - but annual Association reports, institutionnewsletters, and newspaper clippings are most helpful, and would be appreciatedby the new Chairman - Mrs. H. H. Nicholson, Chairman, CARC Residential Care Committee, 103 Wilson Crescent, , Saskatchewan.

The excitement of achievements past and future is hard toleave, especially when it has meant being able to talk to people right acrossthe Country - people who are dedicated and determined -Thanks for helping me over the past six years, Mrs. R. G. Anglin ***************

Statement of Philosophy CARC Intensive Study Session on Residences - 1964

"We must not determine our future course on thevalues we held in the past, but on those which are now emerging.It is now widely realized that societycannot afford to pay full attention to matters concerning propertybut neglect, to any degree, those which concern persons.

"We here must act on the assumption that onlystandards adequate to our purposes are acceptable,in the surebelief that society's values are changingand will eventually support our point of view. " ************ CANADIAN ASSOCIATION FOR RETARDED CHILDREN 1966 Review INSTITUTIONS FOR THE RETARDED IT CANADA Date (on books) ProvinceName of Institution Location Opened(Pc_11%) Type

BRITISH The Woodlands School 1952 1375 Composite COLUMBIA The Tranquille School Tranquille 1960 700 M/F Royal Oak (400) Composite

ALBERTA Alberta School Hospital Red 1918 815 6-18 years Deerhome Red Deer 1958 1100 Adult M/F

SASKAT-Sask. Training School Jaw 1947 1] 50 composite CHEWANSask. Training -School Prince Albert 1961 315 Adult M/F

MANITOBA The Manitoba School Portage La 1947 1100 Composite St. Amant Ward St. Vital, 1960 130 Inf. -10yr. Broadway Home Winnipeg 1961 35 Rehab. M/F

ONTARIO Ontario Hospital School Orillia 1878 2793 Composite Ontario Hospital School Cedar Springs 1961 1058 Composite Rideau Regional Training Center Smiths Falls 1951 2512 Composite Midwestern Regional Children's Center Palmerston 1965(252)84 Inf.-16 yr,, Adult Occupation Center Edgar 1966 111 Rehab. M/F Ontario Hospital Port Arthur 134 Composite Kingston 425 Adult M/F Cobourg 492 Adult F. II II Aurora 1950 281 Adult M. Clinics with In-Patient Beds: Children's Psychiatric Research Institute 1960 88 Inf.-18 yrs. Mental Retardation CenterToronto 1966(75) 10 Inf. -18 yrs. Remodelled Sanatoria for Severely Retarded Brant San. 1965 81 Inf. -8 yrs. Fort William San. Fort William 1965(108)54 Inf. -8 yrs. Ongwanada San. Kingston 1967(100)- Inf. -8 yrs. Date on b))ks ProvinceName of Institution Locati.ri Operid fp22.L T~t pF

QUEBEC Institutions for Retarded under Dept. of Healin1965 RON 1 otal

Hopital Mort-Pr )vidence des Prairie 1100 Ent., -18yrs. St. Anne de Bale St. Paul, Quebe- 1200 'on-1p )slt e Douglas Hospital,-hildren's Service v erdun '2::;O: 100 o nposite *Di tx-Ille Home Inc. Dix 1;1e, 105 r amiable *Butters Memorial Hosp. 400 SE Fre *Hopital Jean-Michel de Longut-u:i 100 *Pension Lahaise de 90 (*Operated privately, but inspected by Dept, of Health:

Institutions for Retarded under Dept. 01 Welfare

Institut Dorea Franklineater 1962 150 lien ib, M, Institut Val du Lac Sher broke 1962 150 Rehab. M.

NEW Children's Hospital SchoolLancaster 1964 1-T2 nl -18 yrs. BRUNSWICK

NOVA SCOTIA N. S. Training School I'r urp 1929 230 (4 Regional Institutions) 1967 (180'7 .Ad alt M/F Foster Homes 1966 35 Sev, M/F

PRINCE Sherwood Hospital School Charl Ai etown 1962 20 Treatment EDWARD eatP)r ISLAND Total Nd. of Retarded in Institutms for the Retarded...22,035 11 Comments: It is safe to say that there are. i etarded in mental hospitals r. every :

Canada's 1955-60 Mental Health Statistics gives: Retarded persons in Public Mental Hospitals 9,488 Retarded persons in Public Training Schools 11,401 20,988

Even, Provincial institution for the retarded has a waiting list. Figures in brackets `,sj indicate proposed caparity for near future. D. B. S. Mental Health Statistics Trends in Ho.-pital Cal t, and Patient Characteristics, 1955-63.

Among non-psychiatric patients, there is a. r apid tLa (!)%er with tae except:9(i of those who are mentally defe.::tix e. present tTe 'Ids suggest that Vie mentally defective will soon replace schizophrenicsas the hugest. gr )up r p..e.iEDI,F. on books; possibly, thy_ha: e .41

Patients on books in any particular year )1.4: f- largely accumulated it )m admissions of previous years; !-.o. z,ontrast tm 9ther t1pe,i3 3f instil iti.M16. there are relatively few new admissions if ft4drruRsions and 710 gre-at acceleration of movement of patients betweun tat. hospital and the .ommunity, 1

s i )L1'M

The Association for RetardedChildren of Braish Col nnbia

221-119 West Pender Streets anc)ux:fr 3, BritisnCol.unnta Dr. K. Foulkes, Residentialtare Chairman

THE WOODLANDS SCH") -Ai, NewWestminster Dr. J Stsla-nd, Med. Supt.

In a brochure entitled "TheWoodlands Scho91 .)rgaT)ization-t,the superinte.nde.nt outlines organizational changes madewlthin t hei xst t w-) years.''he school is divided into SIX separate functionalunits with st Art dt -.34.3-,natexi toplan and carry out the program.

'Units are: 1.Services snit 2.Admissions and Communtry LiaisT1 3.Hospital 4.Training 5.Psychiatric and Rehabilitation. 6.Outpatient

The principal departmentalsupervisors - Direztor Di Nursing,Director of Psychology, Supervisor of SocialServices - act in "staff"relationship t) the Medical Superintendent and areresponsible for maintainingstandards within their own disciplines.Together with the Unit Dir ectors;the departmental super- visors form the ProgramCommittee with MedicalSuperintendent as Chairman. This committee is responsiblefor co-ordinating iTid integratingthe unit programs.

Pressure for admission continues;changes ill ..7",m.rna :it,attitudes toward the retarded have not really :had anyeffect yet I!' making c 3munvityfacilities available. Placing vocationally trained personsin the c -)airmr.).4.1:,,, depends uporarailability of work, recreational facilities andhomes in -9enift to live,Boarding homes near workshops are being investigated."Jolunteers are used octe.,.usi7ely,working in many more areas.Woodlands' school girls arebabysitting for parents who wish to visit their child onThursday evenings or -weekendsand bring other children.

THE TRANQUILLE SCHOOL,Tranquil le, Dr, LA. Neave,Clinical Director

School is for adult men and women, manyof whom have been transferredfrom Woodlands. There is an Auxiliary providingvolunteer services but moreformal liaison with ARC-B. C. wouldbe helpful.There is an expa.nding program -some residents work in the .School Scout Troop was chosen torepresent in B. C. Centennialcelebrations; the boys preparedand lit a bonfire high in the hills.Captain Mavis McIntosh ofthe First Tranquil le GirlGuide Company attended a month's conference atthe nail lon Training Centrefor Girl Guides in Australia during the special conference onGuiding with the Handicapped, A new building br 100ich its pr cl 19'1.-;- Ist tlr 11-3 : :ns students' cafeteria lecture t etc at re .ind nor ar , dnit? ):; ri di apt-r, and end tables is Air --c )1dil d

ROYAL-.K, 'tear ". ictoria

h Plamed as a 400-oed e Ill- 30u 4r I re!. d. d Ind and 300 moder ai ely r etar ded t I ut- ir; tarn

Community Reside-);`e

-"F_. F k

Operated oy Upper 1 ra6er Ass -,- 1 t ): if d. d '2dr e-2- stay hostel for 10 $150. per rn . mu-lt 3 .t 21-2 and reaso.aoly ma..ageable; aide rrt tux-, h 'me IIqtr d

DR, IND.': )MI

Operated by 7 Assok-lati)ns for Retardc-d ( 3'1rte *)f:1- t-t 1 fr.30 children from 6 t. )1'years,Ward:s A g r t p j id I b,. Dept t mu ni of Welfare whiuch a1;53 has asii.trmed ni-oi!gAge charges

A

The Alberta Associati)ri Lir Retard6d Childr,11 112-11(310 Jasper Ave ue dmoit ri zt Mrs, A, 'ffollingtoa, Residential. i are Ch .0 in

ALBERTA SCHOOL )-413.I-AL, Bed Dee r..,DrL.:1 Le'. a.g.lyL Medi: ai Snip!,

School has ar:: a.t.i r e at.d 6. training p' og-r,o.n ,King I ctar ded c.hildtt v with aim to return child after tge 1- , All is.vu.n.'.. Q. "s as 1 35 are trained to their maximum 113'1St. d dui le.a.-,d dome-sc.( s generally; the boys in additir,ut-) a tnoroug.q training tt, c a-rpen r yare. tu.',Iy to operate ,:and are trained to:a.11 types if farm ma.. hine,r y, atii11141 pus - bandry and agronomy,':-(AP) years ago, 11 by..ttder :super null( i w. c.1-1-11.ng Rink; about 10 years agog the 'Yocatio.'..'al 'trainingClal3s built a. sma.;.1: oonervillet Tiolley and it is now hoped to extend tracks fax re who DU:1d he discharged if they .had a place t,?) be.....ng pia:tined, nation strongly supplxv5 1-..11.e stall %Ft t f4.1! '1 appears 4 times a year,Staff rept pi: Jg-rin and pr )gress Nt- ,,Itzlier and keep parents informed,Pare,-itt-Sch.9:91 311 'ilr'1 :1,74; Intri 1).11.-d i a c ABC National Crusade fund but wiz 11') with AR( Al or] 11-1° DEERHOME, Red Deer,Miss M. Yuill,Matron programmostly of occupationaltherapy type. Residence for adult retarded; capable of taking res- Some trainees workout by day, butthe majority are not has carried onsponsorship programfor some residents ponsibility. ARC-Alberta but there is an ever and hope to expandvolunteer services.Facilities are good increasing demand foradmission.

Community Residences:

DORMITORY, GrandPrairie & District. Dormitory to school forretarded is operatedby the Grand Prairie Children. Accommodationhas been increasedfrom 20 Association for Retarded Affairs, At present14 girls to 30 beds withthe backing ofDepartment of Indian 6 and 18 live induring the school term.Cost is $80. per and 8 boys between ages reside and ($60. is paid by SchoolDivision in which parents month per child Supervisory remaining $20. ispaid by parents orby Departmett ofWelfare"... the housemother; staff is difficult tofind; two or threestaff live in, including staff ratio isapproximately 1 staff to4 children.

SASKATCHEWAN , Dr.A. J.BecldietLpu t. THE SASKATCHEWANTRAINING SCHOOL, highly-trained professional Program developmentand evaluation iscontinuous due to contacts communityagencies throughoutthe Provhice staff.Social. work department be delayed. graduates and to assistwhere admission isdesirable but must to follow-up started last yearand in- An IndustrialWorkshop for severelyretarded persons was from the Moose JawARC school. Thesuperintendent expressed cludes some trainees pool fund. Swimming his appreciation forthe $9, 000. contributedby SARC to swimming complete and it ishoped families willfind visiting more pool and picnic area are now field trips. Auxiliary to the hospitaland Regina ARCdonated a bus for pleasant. The birthday parties, Volunteers are encouragedto help with equipment,training trips, noted; school offerstemporary short-stay etc.Increasing pressurefor admission is program topermit assessmentwhile parents take avacation. Prince Albert, Mr,D. G. Rice, Supt. THE SASKATCHEWANTRAINING SCHOOL, transferred to sanitoriumpurchased as a trainingschool In 1964, 300 were the of fir trees.Fifteen of the traineeshave retired but located in a fine stand and rest are busy,constructive and enjoyingaction.Individual assessment 4 programming require high performance fromstaff. Aim of school is to promote a community consciousness sothat the trainee live a happy life within a sheltered environment.Production workshop last year causedschool to pay over $500. in Federal . Occupational therapy, recreation:e. g. 95% of trainees attended Camp Thunderbird for a week,,dances and r Dr certs are prodded, The Program Committee chaired by ProgramCo-ordinator meets regularly - it consists of superintendent, head nurse, deputy-head nurse,adjunctive therapist, social worker and recreation supervisor - broadgoals are outlined and existing programs are reviewed.

Community Residences:

HAVEN OF HOPE, , Mr. and Mrs. W.Powalinsk-y, Directors

Residence for 10 pupils attending local retardedchildren's school. Board of Directors formed, includes representation from STS,Prince Albert, since several trainees spend vacation at Haven of Hope.Community support excellent. At present, cost is $85. per resident per month. Youngpeople are showing real progress.

ADULT RESIDENCE, Regina Association forRetarded Children, being planned in connection with work-training program.

SASKATOON PROJECT, Group of citizens haveformed a Co-operative, Limited Company, non-profit organization; investigatingwhether complex of four or five homes can be built under National Housing Authorityrequirements similar to those for Old Age Homes.

MANITOBA

THE MANITOBA SCHOOL Portage LaPrairie, Dr. t ;len Lowther Medical Supt.

School operates full range of service to all agesof retarded. New Retardate Family Home opened in October, 1966 in Portage LaPrairie is project to demonstrate whether adolescent retarded are more humanelycared for in home-like environment with similar age-and-stage friends than if they were toremain in the community at

.home until an emergency causes admission toinstitution.The superintendent believes -that- the institution is equipped to understandthe child and provides security and that at 'a certain age a young person shouldbe enrolled in the institution and live in re- tardate family homes established throughout theProvince, but: administered by the institution.The Manitoba School has always had goodpublic understanding and this is due in part to the concerts which have beengiven throughout the Province by residents. Also, Clinical Director, Medicine, Dr. R.Gibson, has encouraged research and co-operation from university personnel. 5 THE BROADWAY HOME, Winnipeg, Mrs. Ellen Harrison, Director

Initially, girls from The Manitoba School came to the Home for rehabilitation, job placement and discharge, but in the past few years boys have been receiving the same service through foster homes administered by Broadway Home staff.Admissions from the community are now accepted and the program is financed through Rehabilitation Division of the government.

ST. AMANT WARD, St. Boniface, operated by the Grey Nuns

Former sanitorium has been converted to care and training unit for severely retarded infants to age 10 years. Operating grants are received from Dept. of Health. Volunteer services are extensive and in spite. of the severity of handicaps, children are encouraged to be happy and to learn- and they do! A representative of St. Amant Auxiliary is on Residential Care Committee of CARC, Manitoba Division.

Community Residences:

SWAN RESIDENCE:

Built and operated by River Association for Retarded Children for 10 children and houseparents; permits children to attend school from outlying areas and provides short-term care, for family relief... also provides an example of how successfully a community can support and understand retardation.

CARC CRUSADE PROJECT- Brandon, Dr.A. Parker, Director.

To test the proposition that retarded can live full life in home community when appropriate auxiliary services are available.Short-term residences are planned. Centre will train professionals of various disciplines to understand the retarded and provide assessment and counselling to children in western part of province.

,..,NTARISI

The Ontario Association for the Mentally Retarded 77 York Street, Suite 300, Toronto 1, Ontario Mr. A. D. Gibbard, Residential Care Chairman

= k Legislation: In January, 1966-Mental Retardation Services Division was formed within the Dept. of Health? Kali 114 Health Branch, Dr. D. E. Zarfas was appointed Director to be resple for administration and program development for the retarded in Ontario, including Ontario Hospital Schools and London and Toronto Clinics for retarded. The organization established: ---Inter-departmental Committee of Deputy Ministers of Health, Welfare, Education and their professional advisers to facilitate planning, co-ordination and integration of all government services for the retarded. -3

---Advisory Committee of both professional and I r epr ---Advisory Commitueg o -work with superiltes.detms instittaions.

The Dept. of Edu...9.tion Schools ax.d -3r to. hr has appointed Mr. Frcd Reynolds to plat and administer educatiolal pr ogramsfor retarded in institutions as well sns tit In ore than 90 zo'nfngrutday schoolF. Although academic trafni-__g Ltio.os na_s bc,(4.1 for ed.:rattle, train- able classes will as soon. as room can f Tearher,s are now hired by Dept. of Education - Dept, of Health is re.sp-es-it,le for cla.ssroomsand furnishings. Teachiag staff .12.) all Oztari-) SC.11)9IF ;ear was 51- September, 1966 teachers :lumbered 101 4, t i 3 1.4-. .v prin.7.1palsm 1st. teachers were qualified.

Department of Welfare replaced Homes for Retarded Children:- Act,1962-63 w i t h The Homes for Retarded PersonsAct 19tii. '1 for eld ended support for residential care for retarded persons at sty ageIf such care is adjudged to be in their best interests.-"Ile grants of $'1,000. per bed for new construction and $1,200. perbed for renovarl.o:o continue and the Province's contribution. toward maintenance is raised from-54) to 80% for those not wards of the Childre.a's Aid Society.

Community : Metro Toronto Association forRetarded 1 hildre-, HAROLD R. LAWSON RESIDEN(1E, scarolroughs Reid, Director.

Residences for 40 plus 6 emergency beds for c.A.dren 6 - 14 whoattend association schools. During 1966 average, number of residents was45 a month; costs have gone up from $250 to $26g per resident permonth; staff consists of 20 permanent and 10 part-time. '1 olu:neers should be able to do a useful job,says the director, "we Wive man-, m eoffers than we can use."

LORIMER LOD(41:;pI or onto

Rehabilitation Centre for 3nildlretarded girls - 1 j-ears; Dept. of Welfare, rehabilitation Branch provides per diem gra:tits for assessment, training and job plamment. Residence for 1girls hats training Bret :or, caseworkers and administration secretary. facn di.-erision isaugmented by professional staff of Metro Toronto Association for Retarded Children.Approxi- mately 30 girls are on caseload - 10 on after are prior todischarge... over 100 trainees and graduates attended 196:6 Christmas Party given by LorimerLodge Committee - before a with MTARC this was Board of Directors.

CARL CRUSADE PROJECT - A.Dr;LT TRVN.:\Tili AND ASST SSMEINTTCENTRE, Toronto

Project to have four residences - 2 for boys and 2 for girls.50 young people from ARC Workshop and 50 educable retarded are to be Inc °iced in intensivetraining and socialization program leading to discharge to co-mmuittyIf)ei.dences or self-sufficient living. "Directory of Services for the Retarded of All Ages in )_'1.9.r1.3", by Mora Skelton, SW Mental Retardation Centre lists 15 private reside-laces.6 are licensed under the Children's Boarding Home Act governing homes which board 5 or more unrelated children under age of 5 'pre-school.Such homes must be inspected and registered by the Provincial Child Welfare Branch.

SILVER SPRINGS FARM

Operated by a committee of Ottawa Association for Retarded Children, under Homes for Retarded Persons Act. Originally, ihis loved.; ,31d -13.3-rne on Historic Sites Property was granted to a Board to operate, asIloardtig Home for 8 to 10 retarded boys from Smiths Falls, Ontario Hospital School. Now community placements are taken also and residents atterld the asslclation school or work- shop. House parents teach residents to care for rooms and to be contributing member of home group.Financial aid from local individuals and groups has been generous.

CARC CRUSADE PROJECT, Model Community in Ham 11:-.on-Niagara Area

Each of the 9 associations in the project is planting a residence for from 10 to 30 children or adults.Fort Erie has issued regulations for community residence; no age limit, family complex; Port Colborne planning two residences for different age groups. All associations find grants ivadequate since cost of property is not covered.(Approximately 24 of the 100 associations in Ontario are actively planning community residences - costs in urban areas are high, good staff is hard to find.

STAFF TRA_TNING SES:

Thistletown Hospital for emotionally disturbe.0 60. has been a training hospital for -the past 6 years and Child Care graduates are employed all over the Continent.Dept. of Health pays for training course and has instituted a course for workers in institutions at CPRI, London - course based on Child Care Principles.

Dept. of Education initiated a Child Care Course at Provincial Trades and Occupations Institute, September, 1966. There are 18 students in the 2-year course which includes 2 days at school and 3 days in-field practice each week. Fees - $100. per year; expected salary on graduation $4,000. - $5,000.Graduates should be able to work in various types of children's institutions where knowledge of normal child will help to teach retarded or disturbed childre:a how to relate to day-to-day living. ONTARI0110SP.TAL SCH3 )LS:

OHS ORILLLA., Dr. F. Crawford Jones,

Oldest hospital school in Canada, 1878 Muskoka1:11!.t at zra7-en.:a--arst for adult women, plus an extensive boardinghome servie.E makes tins school for 3,000 a complex challenge. MinimallysAper;-!.sed .s for adult women in former nurses' residences inboth -units ha-6 pi- oduced re- markable advances for residents. house.. for mf-.9 ) gold results. Activity centres in cottages for severelyretarded of a. ages are "a great boon". Unit system to be initiated and stall is#t-olved in preZmiaary training programs to good advantage. Vol.c1 ordinator appoimed to co-ordinate increasing interest in volunteerwork,

ADULT TRAINING CENTRE, Orillia, IanWallis, Supri,

Trainees from OHS, Orillia and Smiths Falls are,to be prepared for communit, living under working conditions and simulatedindustrial conditions.First, group of residents aremaintenance and operational employeesand will probably not be graduated Ealthough under researchatmosphere no one can predict ultimate achievement). Second groupwill be those 54iojected to intensive training and social orientation.Community liaison re jobs, follow-up, etc.is essential.Formerly, this centre was RCAF Radar Station,Edgar, and the swimming pool, bowling alley, movie hall,and chapel, etc... provide excellent environment - fine sense of personal worth isalready notable in trainees. ic0HS SMITHS FALLS, Dr. H. F. Frank, Supt.

Composite unit for 2,200 provides residential tarefor all of Eastern and Ontario; as industry comes into al ei4,good staff oecomes difficult to keep - salary increases recently are wed,,med.Boys and girls in late stage of work-training program go out by day- towork in the area.Girls live in two floors of Nurses' Residence; boys 3n smallward, 2-bed or 4-bed rooms. "There has been a tremendous uplift in mar 'ole inrelatior tD this type of housing, particularly with the girls.Social work has been related to each group and volunteers help with grooming, dressing, etc. Excerpt from Dr. Frank's letter: "The new programwhich will really, I believe, make an impact on the patients' education progress isthe placing of academic program under the jurisdiction of the Dept.of Education. This makes it possible for us to obtain better qualifiedteachers and a more realistic super- vision of the academic program by supervisorsof the Department of Education".

Volunteer and auxiliar/L3 LvisefLare elan-x[161yhelpful and r.ome under Assistant Director of Nurses.Greatest help has come from a self-organized groupof high school volunteers who come every Saturdayand Sunday on a roster basis. * March, 196'Z' - name is RideauRegimal Training Centre. I

a

"Volunteer sx-1. . vp,11 oriented apt : ) tie Van-- particularly r --Cat imRprtik7.t tax.: Tj. , .46 serTices

bellf,-7-e the Pr r t- f t prileim0 tc. I p- d m.eeting s. tt re_1*11Tt::".11:11a f " p

realit` -tic xLd dz f s and far_c-4.-,15-.tA0 A 0C.. )1. tat.; 1- 3.1E--.2. =41 rfr.1 and the ',f fa1t& --e: . d )f tar retardaxe r FAL." ti, j a )) the 7 "..: 7.3,e -7215tard6c1. y ie4- -71 commattit- regidst rse.A taat are answer the pr..): tar? I-6'.drd pr-.5 'here has pr51:::. 7.66. -T71.1 e. auth.orits sOM16 4.1'65,4 -ware ,13 assoziatio.ax h.%re rit -Dinh M.^71-6 t.at .4) - prl- Niding "-lco.attran" '4re for tae

Dr., Franic sppetr.4 t) me 1..9at ":.)At 42:11, inStitatfOnSi.: e wtitre. - the mentally re-14i.rded, taele:e regional exeit:.....-e 1 p-'o -ffen the executtre of large :917g. tiae, Hospit-51 Sdhoo: -made i-f- e-1

OHS CEDAR SPF.: ...B5.-Z7As....S. S. E

Vohniteer: Berr:.06R "Arei-f..6., 7.ae. area before tope:A-v.40 cti atwg af..p d c=.-d .7 ;";..'s.i.'1-zz.." '171p 171 daily between Wids-)r 5:11A1ed.r Sprt:-..744 .'n -.° 1:::1637-6 Werc 49 vollmteers registered, a --ter .a5...7.7..ed 'try the h.).*p4la1. Programs: Re-c5reittion.`!00 ,dre,:..; f, "1 J./ 0.7 -20(-; a-- 26chrldreza.:6osardir_tg Pr. 4.1 r, id for a snaall: t'a.e F. ;;.: numbers.Super,67.td.c..?: '';be et 4::tie hospital. BOb.0/s)1. to the Rillz and this 1i. gr .at

''; i- Th. T. t.^

New u:a14: ti tham wg , -- 1A-; gr,F Adm-Laeon. for 6 - 14 yecfo.r.A. ",t. ,.():Cat5 t:11.6 7.1 :ttiro st.911 so that enrcollm-get ,I:t.der 100. Ar251":7:1M(;kr ONTARIO .)S-1-- ) )L Port krtha.-r -Tr. tieorp

Separate wing ualt for retarded --if all a.ZC:P fl- 711 nO"f4.alegr:... .+4,:`A are OM Staff as of September, 19'x PAI-E-?-1-A ezpre#g plea: :Y"6 r, 2 fl dr .:-.6ar home; associations for retw.rded ritldre.t. :as:re :aelp 120 ta resideace.

ONTARIO:f1.057-77'.1.,, GrirIng, Dr. M. --arr.".6..9.

Active training program w.f.th COmmarc.".ty aolat3Fr recreation, occupational therapy a:t..d domestiz work L: far pars' Lis at Cobourg. It is a large, compact 11-all.ding .a.-f2t1 vac at,..no.pnerr.is particularly pleasant; there are large wards for older -)1To.:ne-41,,- :As ail see raat they know each person.1500 112. resideice`

ONTARIO HOSEMA.L, A.-arora, Dr. A. Rice, Sapfle

Adult men - 240 - plas 6 b;)arding homes. Pragram occupations' therap3 s*.nd adult workshop are not operaf.u1admi..5-s:4.ons being limited to permit ealuation.

ONTARIO 11051"::

Rockwood Section of Mertal Hospital hfLS pr-,g-12.1,1n. for ;385 retarded adults.

MENTAL RETARD.AT1ON 0E:NE:CS: Out-patient and :at-pate:at Serdce:

CHILDREN'S PE,`GH:...1:=R::4"; R17381,3,Ef_ti Dr. B. Goldberg Supt.

Diagnostic and treat mein ..eeku.tre for So-aiarves1;ern :i-ormerLy Byron :flas residcks.ce frnt 90 - -cir.tag opeffed for adolescents.Outsts:9.ding (Orrom000me d rears:i.b. centre.

MENTAL 11:F.3'7:A.F.D.4.1.1fTON. g )!..1.-;:;)2 DT. (Formerly Toronto Psychiatric Hoopitait.,

Out-patient Clinic opened 196.:(, short-term relief carefor 2(i q;:aldr-en; however, when hospital has been rell.oTated iaere wfIL "iZ0 treatmeit beds. Clinic to serve Metro Toronto area. 11

ONTARIO HOSPITAL SCHOOLS-also operate out-patient clinics to serve surrounding areas at Oril lia, Smiths Falls and Port Arthur.

CHEDOKE CLINIC - to be opened in connection with CARC Crusade Project, Hamilton, Dr. H. Ewart, Director.Clinic is to be operated by Hamilton Health Association and McMaster University Medical School to provide out- patient assessment, diagnosis and counselling as well as short-term residence care for 100.

CONVERTED SANITORIA - for use of severely retarded children, in Brantford, for 80; Kingston for 123; Fort William for 80. These Units are operated by Sanitarium Boards and are financed by the Department of Health.

QUEBEC

The Canadian Association for Retarded Children - Quebec Division 5890 Monk land Avenue, Suite 306, Montreal 28, Quebec. Mrs. A. Taylor, Residential Care Chairman.

Following information is based on a speech to CARC-Quebec Division Annual Meeting, 1965, by Dr. Denis Lazure, then Director of Psychiatric Services in the Department of Health.(Dr. Lazure is now at St. Justine Hospital.)

For the past three years, the government has operated an Inter-ministerial Committee for the Exceptional Child which deals primarily with the mentally retarded - Committee represents Departments of Health, Education and Social Welfare.

Under Department of Health - Psychiatric Services Branch - there are approximately 8,000 patients who are mentil ly retarded; one-third of total under 16 years. Since 1962, important program changes ..... population- 2,500-are have taken place:

(1) the fixed per diem charge has been discontinued; now payments are based on hospital needs, including program, and this has resulted in increased financial support.

(2) training of staff has received much greater support (in 1965 - $600,000 for scholarships; 1961 - $70,000).

(3)institution populations have been assessed as to rehabilitation potential and retarded adults in mental hospitals have been involved in foster home placements and workshop activities. 12 HOSPITALS FOR THE RETARDED

MONT-PROVIDENCE Riviere de Prairie (near Montreal),(1100) - Supt. Dr. J. L. Lapointe

Under new Superintendent and new Government program, this hospital has had its budget and staff tripled.Staff have demonstrated new methods of child care and stress importance of assessment and program for rehabilitation. There are 34 academic classes in operation; 80 children in foster homes, 50 return each day for schooling and work training; out-patient clinic is seeing approximately 200 children a year.Courses are given at Mont-Providence within the training program in child psychiatry at St. Justine and include resident internship.

STE-ANNE DE BALE ST-PAUL (near Quebec), (1200) - has shown developments similar to Mont-Providence; 10 new classes for under 16-year-olds; 270 adults in rehabilitation program; foster homes used.(Both of these hospitals give priority to retarded but seem to be becoming psychiatric hospitals for all emotionally disturbed children.)

SANITORIUM ROSS, Gaspe- has recently been purchased for retarded.

DOUGLAS HOSPITAL, CHILDREN'S SERVICE, Verdun, Supt. Dr. L. A. Kerwood

For a long time the English-speaking people of Quebec were without hospital facilities for retarded children.Dept. of Health has built a new pavilion at the Douglas Hospital; approximately 100 are in residence and the number will soon pass 250.

Mrs. F. Frei, Senior Social Worker: "Programs of most benefit are education, pharmacotherapy and milieu therapy... Group therapy for parents of resident children and for mongoloid babies.

"Volunteers and auxiliary services provide clothing, gifts, movies, trips, sub- stitute parents. The Quebec Association for Retarded Children has joined with the Douglas Hospital Auxiliary to establish workshops and an adult residence for retarded; already they have built and furnished the first planned foster home for graduates and administer foster home placements.

"There is a waiting list for admission; pressure is rather general, those requesting service do not distinguish the large institutions and more appropriate small group hots. There is a lack of available lifetime placement institutions. "

DOREA INSTITUTE INC.,Franklin Center, Father A. Girouard, Directeur

In 1959, Dorea Children's for the education of abandoned children became a legal corporation supported by the Ministry of Family and Social Welfare and was to be an education center for mentallydef.' _:i.eat Dols.Phil Ysoplj- is't re-educate educable and mertalij deficient'ooy-s t) oecome AreL -tempered individuals as well as useful members w7thinsociety,' r )up di:14m)- isused to promote social de: 61apment_iStrt with the indi:idual ' is a --.3L,Slartmotto- build a whole human riebg.

Cottage System taeludes attrarti J.Ines for 12 t 15 bOy5.%. a:.1 is sel contained.Cottage Educator directs the life Atli:it ar looks after clothes and housekeeping bays gnat 6 a'Judge: :. to Sil)p ill or e3klasl-s wal:n they prepare - other meals are brought around to heated wagoa. Training academic from ']fra.de 1 toGrade. ie. pre- ;v:)r Ks.hop tne-n concrete applicationJ.S1: of tools"); preparation aaoilitatiyezludes one year of responsiblework at Dorea and then pla.me-tit in the commun.ty, Volunteers as Board members and as service.-lub 4TO ips help with finding jobs and interpreting Dorea to area, Group Educator Course is givenat Dorea, requires lirade 11 orbette,r; two-year course costs $300.Institut Dorea is affiliated withmedical department of the University of Montreal."It is insufficient t 3 hate wellequipped tra.tatag center s. Competent and qualified persornel are amust if these instAntions are to meet their goals. " (Quotes are from FatherGirouard

PRIVATE RESIDENCES:

There are many privately operating homes,small and large, in Quebec; inspection has been minimal; it is,therefore, encouraging to see Dr. Lazurets reference: "The Ynterministerial Committeeb.as studied this ..sitaatnon and has decided that four private institutions shallbe undEr the Dept., of Health Inregard to financial help, inspection andstandards: 'f_iutters viemorial Home'340".,Hospital Jean-Michel de Longaeuil ,Pension. Lahaist de Montreal :90'and Dix-rille Home Inc. (2001.

VAL DU LAC SHERBR`).DKE

150 educable boys.Training program similar to lyistlt.,4Dorea,

DIXVILLE TIDM:E; isserSuperinteudent

"Our school is of much benefit to thechildren and all hare beenree-7.aluated through Douglas Hospital. The serTicesof Dr., L.A. Kerwood a.re valuable to our institution. 'We feel thepublic in general thinks gwernment-ownedand run institutions may beideal. We feel parents are lookingfor small, private, non-profit, government-supervised ..'not,owned" residential set-lips...Iflifetime care is needed, only ahomelike atmosphere in a small utr.t in aTillage-type institution will prove to be satisfactory,We falio-ur. 250 c.'aildren. no agebarrier; homes or cot-Oges for 12 children orless; groups bf 6 for meals andli7ing quarters; single bedrooms for olderretarded dormitories tie.7er exceed4 beds; 14 playroom and yard for 12; classrooms not toexceed 8 ddr en.

The Provincial Association should appoint a person toregularlyisit. institutions and keep the Association informed on needsand progress of the institution.At Dixville, we certainly would welcome this."

BUTTERS MEMORIAL HOSPLTAL, Austin,Sup_t..11E. L. E. Butters

"These children are the lowest form ofmental deficiency, requiring onlybasic nursing care... volunteers do sewing - noneworks with children.Better under- standing of mental deficiency diseasesand the uasi:z care of the patients is required. "

NEW BRUNSW7LK

Canadian Association for RetardedChildren-New Brunswick Division, 94 Prince William Street, SaintJohn, N. B. Mrs. Jeanetta Daudet, ResidentialCare Chairman

CHILDREN'S HOSPITAL SC:100L, Lancaster,Dr. J. Staple ,Sint.

New school provides out-patient andin-patient diagnosis and assessmentservices. Aim is to return child to his homeand community. As well as medicaland academic programs, there are occupationaltherapy, physiotherapy, remedial programs for childrenwith specific learning disabilities,recreation, summer camp, religious training, speech therapy,ceramics. A special project wascarried out in collaboration with the Researchand Branch of the Dept.of Education in the evaluation of remedial materialsused with perceptually handicappedchildren. Volunteers are involved in Scoutingand also serve an wards, thereby givingthe invaluable one-to-one relationship.In the future, it may be necessaryto hire a volunteer co-ordinator and to considerin-ser:::ce courses and uniformsfor volun- teers. Dr. Stanley states: "There hasbeen in New Brunswick aremarkable community understanding and acceptance of the roleof the Government's institution as atreat- ment and training center. TheHospital School staff hare had tremendousassistance in promoting this concept from thePublic Health Nursing Service andthe Association for Retarded Children. The appointmentof an Advisory Board drawn fromthe community has also been helpful. A carefulselection policy is strictly adhered tobefore any child is admitted, he is examined first,either at the Hospital School out-patient department or at special screeningclinics attended by members ofthe Hospital School staff held throughout the Province.

"There is probably not enough normalcommunication between the institutionand the Association; we have taken one step towardsimproving liaison with the Association by arranging for an exchange ofobservers between our Advisory Boardand the Provincial Association. What kind ofmachinery we can set up jointly toapproach the 1 public in relation t) d.;for e.kamp;e the geld lox f pr.:er do not yet know.

CONDIT Nt. I

CARC CRPSADE PR -)JT - ;.1_ 7 LL"1-1 S M r.ct Daft VI.--!Dade, Director 0* CARD -New Brunswick pians 3r t, sidentsn ;vic arc x- (1'for children up to 14 year s,

,1:2';, for adult males. i:3)for adult females,.

Propert3r has been put ha.E.-t-.:d r: 31 the first If .:Ack 1 hr Delo-. of Health and Welfare has responded t;,..)ur ably to a brici reque St!.('per darn grant of $5. 0(,.T.PT day,

Rotary Club of N i 0 7 1 : 3 1 : 0 1 1 eta 1 1 1 fi d e :a..it abst Intl 3i d01711 i 112.Rest&es axe to receive those who ha-..-e)mpleted trairtLrig at. 13 Hasp:tat School and also those in the -community VI4' au profit from L.- ing thE c Immunity- and attending school, workshop and even taking a superised j3b.

S

Canadian Association for Retarded Children-Nova Scotia Di:Is!. -)n, 5230 Tobin Street, Halifax, Mrs. June -::ochrane, Reside-I-Alai Care Chairma.o,

NOVA SCOTIA SCHOOL, , Jo is Walk Gr

There has always been active rehabllitatiol at NS-1 ti" due to operatingunder Department of Welfare rather than Department 01 .i4.:tit.h as are all other Provincial institutions br ttie retarded,This al. :so nas Me ant that educable retarded and some trainable:: have had the advh.ntage ot between 6 to 8 yearsof training before return.ing to the. community_Since 1929, there has been a chance to demonstrate retarded people can learn and c. an do a gy)d job,At present, the Rehabilitation Division of Dept_ of Health and Nation/II Employment Office are co-ordinating vocational and work placement program at, NS .5.Officers come to the school once a week to meet with students and cbseuAs the "World c3fWork",

A new dorm for 48 boys was added last year as well as gym and '1.assrooms.

NSTS is deeply invoiced in training staff flr the Regional Iostituttons forSeverely Retarded.It is expected there will be 4 iastitut,ons Arit.h no 11137 e than 60children in each.Units in Beave..roank, Pt y kt.ell and Dighji will bopel fing this year; Breton 'Institution is to be birth. 16 Foster Home Program under the Dept. of Welfare continues successfully. Social Worker is based at NSTS.

Services to the retarded are expanding as a result of continuous investigation acid co-operation between Government personnel, NSTS staff and Association for Retarded Children.

PRINCE EDWARD ISLAND

Prince Edward Island Association for Retarded Children 45 Fitzroy Street, . Mrs. R. R. Bell, Residential Care Chairman.

SHERWOOD HOSPITAL SCHOOL, Charlottetown, Dr. M. N. Beck, Supt.

Sherwood is an attractive treatment center and home for 20 severely retarded youngsters.Charlottetown Association day school for retarded is held at Sherwood and volunteers help with transportation for field trips, swimming and recreation program for both day and resident children.

Total programming for the retarded in the Island is directed through the Dept. of Health's Dr. Mac Beck. This total concept is developed through home strengthening program (CARC Crusade Project), foster home placements, community information and co-operation to accomplish whatever is necessary to permit the retarded child to grow up in an understanding environment.

Dr. Beck reports that one ad for foster homes for "crib cases" brought 23 replies, many of excellent caliber. He believes that "as a result of this surprising develop- ment, we can now safely say that the easiest child to place in foster home care is the profoundly retarded child. "