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REPORT RESUMES ED 016 330 EC 001 055 MASSACHUSETTS PLANS FOR ITS RETARDED. MEDICAL FOUNDATION INC.; BOSTON, MASS. PUB DATE DEC 66 EDRS PRICE MF-$0.75HC-$6.80 168P. DESCRIPTORS- *EXCEPTIONAL CHILD SERVICES, *MENTALLY HANDICAPPED, *STATE PROGRAMS, *PROGRAM PLANNING, EDUCATIONAL PROGRAMS, COMMUNITY SERVICES, VOCATIONAL EDUCATION, ADMINISTRATIVE CHANGE, RESIDENTIAL PROGRAMS, SPECIAL CLASSES, VOCATIONAL REHABILITATION, STATE LEGISLATION, PLkSONNEL, RECRUITMENT, EDUCATIONAL FINANCE, PUBLIC RELATIONS, PREVENTION, RESEARCH, PROGRAM ADMINISTRATION, COMMUNITY PROGRAMS, PROGRAM DEVELOPMENT, EMPLOYMENT OPPORTUNITIES, BOSTON, THE PUBLICATION DESCRIBES MASSACHUSETTS STATE PLANS TO AID THE MENTALLY RETARDED. AFTER A CAPSULE REPORT, DEFINITION OF TERMS, AND REVIEW OF PROCEDURES, MORE THAN50 RECOMMENDATIONS FOR REORGANIZATION AND EXPANSION ARE PRESENTED. AREAS COVERED ARE-- FACTS, ADMINISTRATION OF SERVICES, COMMUNITY SERVICES, RESIDENTIAL AND EDUCATIONAL PROGRAMS, VOCATIONAL TRAINING AND EMPLOYMENT, MANPOWER, RETARDATION AND THE LAW, PREVENTION OF RETARDATION, STIMULATION OF RESEARCH, PUBLIC AND PROFESSIONAL AWARENESS, AND FINANCING. APPENDIXES PROVIDE HISTORY AND STATISTICS FOR RETARDATION IN MASSACHUSETTS AND NAME PLANNING BOARD AND TASK FORCE MEMBERS. ADDITIONAL CHARTS, MAPS, AND TABLESARE INCLUDED. (JD) arro. 4 fts.,e, -r Pit? Gravel .4. wot 41. A. dbe Randolp North ".t. WAY PakOh ft. ` .--- 2'4" 1567.- - e- +4". ;4-ivt. --;:mitg__4M 1 Bm .25\\ I V f A .--.;`+,( / ., - , 130 1 . .... .' 1 k ito4 r . ', \ \It % 1 / 4. * i $// 1 411. r ) / ..:=...--_. , _f -qt.\ t 1. .. 1 1 . Y /Hill , i 0 ; %/1 -.) ,..f.:- bine1 ,.. - --- lEguint 4 .,., 0 -/- Hilli - Jr" .`.,e.: ----7,---,---e, .z...= is O&M N -' s I % _......i 4 .a. I ' 1 .. I .- . 1 # 1, / ..- - . .. .) 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THE REPORT OF THE MASSACHUSETTS MENTALRETARDATION PLANNINGPROJECT BOSTON, MASSACHUSETTS, THE PLANNING PROJECT IS BEING CONDUCTED BYTHE MEDICAL FOUNDATION, INC., HEALTH. UNDER A CONTRACT WITH THEMASSACHUSETTS DEPARTMENT OF MENTAL STATES PUBLIC HEALTH SERVICE THE PROJECT HAS BEEN FUNDED BYGRANTS-IN-AID FROM THE UNITED HEALTH. WITH MATCHING FUNDS FROM THEMASSACHUSETTS DEPARTMENT OF MENTAL 1 MASSACHUSETTS MENTAL RETARDATION PLANNINGPROJECT 29 COMMONWEALTH AVENUE BOSTON, MASSACHUSETTS 02116 December 1, 1966 His Excellency John A. Volpe Governor of the Commonwealth State House Boston, Massachusetts Dear Governor Volpe: We have the honor to submit h,.rewith the report of the MassachusettsMental Retardation Planning Project. The late President John F. Kennedy vrovided the impetus forretardation planning.In his first year in office, President Kennedy called for "... acomprehensive ail coordinated attack on the problem of mental retardation."As a result of his leadership and the recommendation of his Panel in Mental Retardation,the 88th Congress enacted the "Maternal and Child Health and Mental Retardation Planning Amendwents of 1963" (P.L. 88-156), whichprovided grants to develop statewide plans for the retarded. In March 1964, former Governor Endicott Peabody designatedthe Department of Mental Health as the state agency to administer the planning grant and carry out the purposes of P.L. 88-156, andestablished the Planning Board of the Massa- chusetts Mental Retardation Planning Project and appointed to it the commissionersof all relevant state agencies to assure an interdepartmental approach. You appointed, in addition to tLe commissioners, elevenleading citizens to serve on the Planning Board the policy making body of the Planning Project. The Planning Board has devoted the past two years to studying and evaluatingthe proposals and policy positions of the nine task forces of the project.Hundreds of concerned citizens from all parts of the Commonwealth contributed muchtime and energy to explore all aspects of the complex problem.Physiciaas, social scientibts, educators, lawyers, psychologists, social workers, and numerous experts in the field of retardation responded enthusiastically tothe challenge of formulating a compre- hensive plan for the retarded. Retardation is one of the Commonwealth's major problems. Approximately 165,000Massachusetts citizens are retarded. To these individuals and their families, retardation represents financialhardship, emotional strain, problems of adjustment, schooling and vocation, and untold human anguish. To the Commonwealth,retardation represents the tremendous economic and social cost of wasting human resources. This report does not presume to present definitive solutions to all the complexproblems associated with retardation.It does offer a forceful and far reaching plan which can begin to bestow the fullbenefits of our society on the retarded. Just as our late President John F. Kennedy inspired the nation to searchfor solutions to the problem of retardation, we in Massachusetts must lead the nation in translating goals and proposalsinto comprehensive programs which will actually benefit our handicapped citizens. Respectfully submitted, HARRY C. SOLOMON, M.D. ALFRED L. FRECHETTE, M.D. Commissioner, Department of Mental Health Chairman, Planning Board ii PLANNINGBOARD Rocco ALBERTO HERBERT H. APTEKAR,D.S.W. J. WILLIAMBELANGER BURTON BLATT,ED.D. EDWARD W. BROOKE JOHN D. COUGHLAN,ED.D. DANIEL I. CRONIN ROBERT F. DRINAN,S.J. JOHN G. FETTINGER MOSES FRANKEL *ALFRED L. FRECHETTE,M.D. HELEN F. FREEMAN JOHN A. GAVIN FRANCIS A. HARDING **ROBERT W. HYDE,M.D. OWEN B. KIERNAN,ED.D. KERMIT C. MORRISSEY Louis H. ORZACK,PH.D. ROBERT OTT C. ELIOT SANDS WILLIAM M. SCHMIDT,M.D. VICTOR W. SIDEL, M.D. **HARRY C. SOLOMON,M.D. *Chairman **Ex Officio iii STAFF . Director HAROLD W. DEMONE, JR., PH.D. Project Coordinator EDWARD NEWMAN, M.S. Associate PlanningCoordinator *DORIS S. FRASER, M.S. IN S.S. Associate PlanningCoordinator WALTER F. STERN, PH.D.. Associate PlanningCoordinator CARLA DOWBEN, L.L.B. Planning Associate HARVEY T. NEWMAN, M.S. IN S.S. Planning Assistant PHYLLIS R. HEARST, M.S. IN S.S. Consultant, Medical DOROTHEA M. MOORE, M.D. Consultant, Editorial ALLEN D. SPIEGEL, M.P.H. Research Associate FRANK J. LASKI, B.A. Research Technician CHARLES G. DOUGLAS, III,B.A.. Research Technician BONNIE Jorms, B.A.. Research Technician RICHARD P. MELIA, B.A. Administrative Assistant BERNICE S. ILMRUD . Secretary NANCY C. ORLANDO . Secretary JUDITH E. LAWSON . Secretary NORA WHIFFEN *Appointed Project Coordinator November1, 1966. appointed by the Commissioners The staff of the Project has beensupplemented by liaison officials of Mental Health, Education,Public Health, Public Welfareand Rehabilitation. .Mental Health Liaison ROBERT W. HYDE, M.D. Education Liaison WILLIAM A. PHILBRICK, JR.,M.ED. .Public Health Liaison F. RANDOLF PHILBROOK,M.D. Public Welfare Liaison JOHN P. RIORDAN,M.S.W. Vocational RehabilitationLiaison DOROTHY M. SINGER,ED.D. iv ACKNOWLEDGMENTS In acknowledging the participation and cooperation of all those 'Au made the Massachusetts Mental Retardation Planning Project possible, I do so as Project Director, not as author of this report. Hundreds of people participated with great vigor, enthusiasm and knowledge. Some of their names are included in the list of task force members.Others have helped as individuals znd must go unidentified because to name some will only do a disservice to the many others whose names were not systematically recorded. As with everyone, except the staff, all gave without financial remuneration.They participated because of their interest in improving conditions and activities for retarded people. Many of the services necessary for a comprehensive approach to retardation programs were, and still are, underdeveloped in Massachusetts.The expertise brought to the task by all participants, coupled with energy and dedication, has translated a difficult task into a promising and workable plan for the retarded. Responsibility for policy decisions and recommendations which follow was that of the Planning Board, chaired ably by Alfred L. Frechette, M.D., Commissioner of Public Health for the Commonwealth. This Board exercised its responsibility in a serious and deliberative manner. Board members gave to the task many hours of their valuable and limited time.Working with them has been a most pleasant experience for me. Three of the senior officials of the Department of Mental Health deserve special attention: Dr. Harry C. Solomon, Com- missioner; Dr. Robert W. Hyde, Assistant Commissioner for Mental Retardation, and Dr. Lewis B. Klebanoff, Assistant to the Director of Mental Hygiene for Mental Retardation.Their energetic, concerned and effective guidance contributed im-