RC 445 .18 M33 1973 100
''A Century of Patient Care"
1873 - 1973
Selig M. Korson, M.D., F.A.P.A., Superintendent Assistant Clinical Professor of Psychiatry College of Medicine University of Iowa - Iowa City, Iowa
MENTAL HEALTH INSTITUTE
INDEPENDENCE, IOWA
P R E F A C E
Prior to 1867, there was one state hospital in Iowa. Located at Mount Pleasant, the hospital was very overcrowded and persons had to travel great distances to be admitted. Many insane persons in the State were deprived of the benefits of hos pital treatment.
In 1867 and 1868 the Honorable W. G. Donnan introduced in the State Legislature a bill for the erection of a hospital for insane to be located in or near Indep endence. (Mrs. Donnan's brother, J. B. Donnan was the father of Mrs. C.W.Fiester and Mrs. Fred Limbert of Independence.)
The bill passed the Senate without a diss~nting vote and passed the House easily along with an appropriation of $125,000. A board was also created. Albert Clarke was the member from Buchanan County, but he died before the year was up. George Bemis was appointed to fill the vacancy.
The bill required donation of 320 acres to the State within two and one-hrufmiles of the city limit. Several tracts were offered. Money was raised for purchase by subscription among citizens of Independence. The lot chosen by the Board of Commissioners was one mile west of the Wapsipinicon, one mile from Independence and one mile frbm the railroad. Total purchase price of this lot was $6,080. The tract was unbroken prairie without a tree or shrub and furnished on digging, an abundant supply of soft water free from any foreign substance. It was also dis- covered the tract contained a bed of good brick clay which proved of great value in building. A CENTURY OF SUPERINTENDENTS 1873 - 1973
1873 - 1882 Albert Reynolds, M.D. 1882 - 1902 Gershom H. Hill, M.D. 1902 - 1920 w. P. Crumbacker, M.D. 1920 - 1948 R. A. Stewart, M.D. 1948 - 1949 R. w. Robb, M.D.
1949 - 1953 Max E. Witte, ~\.D. 1953 - 1956 Donald L. Kyer, M.D. 1956 - 1958 James 0. Cromwell, M.D. 1958 - Selig M. Korson, M.D. 1869 from Farmersburg; Dr. John G. House, S.c retary, from Independence (he succeeded Mr. George Josselyn was hired as-Sup~r~ Rev. John M. Boggs who died before the intendent in charge of construction. first meeting l Dr, Willis Butterfield was elected as In 1871 construction resumed. sistant physician at a salary of $900.00 per year on the strength of satisfactory 1872 recommendations as to his education, abilities, acquirements and good moral A cistern was constructed so as not to character. waste water running from the roof when it rained. Capacity 2000 barrels. 1873 A bake oven built in the bakeshop large enough to bake bread for 600 persons. Before completion, the plan of the hos pital contemplated the construction of a Washing machine with wringers was pur main center building (five stories high) chased along with washing, boiling and with two wings each three stories high rinsing tubs made. with five attic wards provided in wings on the fourth floor. One wing for fe The Ten~h General Assembly provided for male and the other wing for male pat a Board of Trustees to have the general ients. One ward each on the fourth and supervision of the hospital upon its fifth floors of the main b~ilding with a completion. Original board members total accomodation for 500 patients with were: Mr. Maturin L. Fisher, President; all necess*ry apparatus, machinery, and 1 appointments for cooking, warming, wash placed here partly for seclusion, arid ing and ventilation. are not on exhibition. I believe that humanity and the best.interests of the Trustees hired Mr. George Ec1es as en patients demand that there should be no gineer at a salary of $60 per month; Mr. visiting of the wards of the hospital by Charles Hartwell, apothecary and super~ people who can show no better reason visor of male wards at a salary of $400 than curiosity for their visit." A dir per year and Miss Mary Sisson, female ect quote from the Supe:rintendent' s supervisor at a salary of $30 per month. report. Seamstress and mattress-maker employed Persons from the counties of Dubuque, to make mattresses and bedding for pat- Buchanan, Black Hawk, Clayton, Fayette, ients prior to opening date. Bremer, Butler, Floyd, Chickasaw, Mit chell, Howard, Winneshiek, Allamakee, May lst ••• The hospital opened for recep Jackson, Jones, Linn, Tama, Benton, tion of patients. Only two sections of Grundy, Hardin, Hamilton, Wright, Frank the north wing and parts of the main lin, Hancock, Cerro Gordo, Winnebago center section were completed, Capacity and Worth were admitted. was only 150 patients, Chapel services were held every Sabbath Trustees fixed the price of board and afternoon. Weekly dances were held in care of eaeh patient at $3.20 per week, the chapel and ward amusements have been the highest charge permitted by law· to checkers,.cards and music. Forty Books charge. purchased and every book has been read, some of them by as many as a dozen per From May 1st to December 1st, a total of sons. 178 patients were admitted with 26 dis charged. 123 patients were transferred The appendix of the annual report clear from Mount Pleasant. ly states: "No person should be brought to the hospital without having been "It was.feared that the·opening of a new clearly informed of his destination. If hospital would bring a large number of he is' too insane to appreciate it no visitors, but fortunately the number has harm is done: while, if some reason at no time been so great as to seriously still remains, he will understand that annoy the pa.tients or interfere with :the at least his friends intend to deal hon legitimate business of the hospital. estly with him. Nor should he be told Every day except. Sunday, we have had a that his. stay will be but a few hours or few visitors and on one or t·wo occasions days, or that he can go home when he as many as fifty have passed through pleases. Such promises give a patient a some parts of the institution between distrust of the hospital and those under the hours of two and four. They are whom he is placed, Some person should usually shown one male and one female accompany the patient, who is familiar ward, not stopping to converse with, or with the history of the case; some mem particularly to attract the attention of ber of the family if practicable. Part patients, seeing only those who are not ies in charge of patients arriving by excitable, and who would not be the sub night should remain in the city until ject of special notice or remark. Some morning creating less disturbance and unreasonable persons are wont to insist inconvenience~" on seeing the '"orst cases', and those in cells, etc. and are unwilling to be From Dr .. Reynold 1 s report, •••.. "Of those lieve we have none so confined, and for sent to the hospital during the first getting too often that patients are two months oL ,f.hej:r illness, three- 2 fourths recover, and those, the duration formerly used for construction now con of whose insanity has been more than one verted into an ice-house. year, but one in four recover, is the best reason why there should be hospital Amusements: During fall and winter sea accomodation for every insane person in son, dances are held. Many thanks were the State." given the "Tennesseans" and the "North Carolinians" for entertaining concerts Total expenditures to run the hospital in our chapel; The "Peak Family" and the from February 1st to November 1st was "Japanese" for their inimitable enter $19,856.58. tainments. Major Power talked to a full chapel about the canyons of the Colorado 1875 and the "Kendall Komedy Company" enter tained with a farce and fine music. The 251 patients residing at the hospital. "Continental Glee Club" and the "Armonia The patient care cost was $443 per week. Troupe" each gave an excellent concert. Debarred as our household is from public Due to the resignation of Dr. Willis entertainments, we are all very grateful Butterfield, assistant physician, the for such manifestations of generosity trustees appointed Dr. G. H. Hill to and good feeling. this position. Newspapers: The following named news A pleasant episode was a visit in July papers have been sent us regularly dur 1874 from Miss Dorthea L. Dix, whose ing part or the whole of the biennial name is familiar as household words in period, I trust we shall receive a much every hospital for the insane in this larger number in the future. We have country. We are indebted to her gener for the last year added our number by osity for a parlor kaleidoscope and for weekly purchase of exchanges from the 100 pictures for the walls. It needed Bulletin office: "Buchanan County Bul not these outward tokens to keep her letin", "National Democ;::at", "fort Dodge name in remembrance in our household. Messenger", "Decorah Republican", "The People Is Paper", "Lucas co,.t\l:Y Republi Built barn approximately 50 1 x 75 1 with can", '!Chariton Patriot" and "The Iowa granite foundation, having frostproof Commercial" .• from the biennial report, cellar 8 1 in depth under the whole with capacity for storage of all vegetables 1877 and root crops for winter use. Two stories above ground, first for stalls, 322 patients residing at hospital from carriages, granary, threshing floor and 50 counties w:l.th a total population of hostler's room (with water and heat). 546,886. Second story used for storage of hay, gradn and straw. There are 60 employees. One baker baked 2600 loaves of bread a week using 14 Three yards have been fenced with paint barrels of flour, Ttvo cooks and five ed, high boards .•.• two for open exercise assistants prepared the food, One but grounds for patients and the third for cher dressed and prepared all meat, took drying and airing clothes. care of the entire stock of cattle, hogs and poultry and made all the soap used 125 acres of land fenced with 70 acres in the laundry. Two girls with the help under cultivation and 50 acres for pas of one male patient did the laundry for tur;o!le. the entire household. One gardner with the help of patients during the summer Slaughter house built. Old machine shop took care of 15 acres of garden besides 3 the flowers and gro"unds. One man took Roast .beef:,. corned beef or beafsteak care of the milk cows (14) and helped a served once or twice daily, fish .on Fri bout the farm part of the day. Three days. White and graham bread were al teamsters were employed,,,,two to do the ways .on the. table, butter for breakfast farm work in summer and haul coal in the and tea, Potatoes.were used daily, cab winter, one to take care of hospital bage, onion and beets often. All garden wagons, care for carriages and rurnesses. vegetables used in abundance, in their season, and .. la: 4 conceive of no official post requiring male attendants play the violin, a fe more external support, and forbearance, male attendant plays the organ and one than that of Superintendent of a hospi of the patients. plays the bass viol, an tal for the insane; and I know of none instrument. he.has made during his stay more likely to be misunderstood or ma here. It is believed no other enter ligned, So much obscurity and mystery, tainment in the hospital for the insane in the public estimation, hang about the furnished so much diversion to all, pat insane, that it no wonder a hospital ients and.empl~yees, as the weeww dance. filled with them should be the subject of much comment by those who know a lit Contributions: We are indebted to the tle of it, and afford the press a never Public Library and Reading Room of Ind ceasing theme for gossip, and suggestive ependence for a large supply of papers investigations." and magazines and to several private individuals in the city and vicinity for the same. Dr. M. A. Cleaves of .Daven 1880 port has lately sent to our library Hut ton's Biographies of Scott, Gibbon and 460 patients residing with a cost of Johnson. $10.00 per patient per month. The payroll for 1880 was $15,422,96. 90% of all patients go out-of-doors a part of each pleasant day.' 1881 A reservoir was constructed to aide in case of fire or drought years. This 522 patients. residing at the hospital. reservoir 80 1 wide and 12' deep has ca Cost of patient care $3.30 per week. pacity of 15,000 barrels. The hospital uses 1,050 barrels a day. Trustees gave permission to spend $50.00 for the magic lantern. A bowling alley During this year they experimented with was furnished in February and furnished construction of large tanks for dispos a great deal of enjoyment to many pat ing of the sewage (known later as the :l.ents dur.ing the late winter, septic tanks) as present manner was get ting too expensive. Mr. Josselyn's ex $106.70 was spent for fbwers and plants. pert advice on helping to perfect this method made it a successful venture. 1882 Farm: At present 120 acres are used for pr. Albert Reynolds resigned as Super raising corn, oats, potatoes, beans and intendant on account of failing health. garden stuff. About 30 acres are occu Trustees . appointed Dr. G, H. Hill then pied by brick yards with the balance in to fill the post. pasture and meado11. There having no money to expend for Amusements: Usual amusements such as building during a part of these years, concerts, readings, magic lantern exhi the Commissioners dispensed with the bitions, have been continued through the services of George Josselyn, superinten fall and winter seasons. The dance is dent of construction. However, in the the entertainment calling out the great~ Spring of 1882, they again employed him est number, and seeming to give the most at a salary of $125 per month. satisfaction even to those who do not take an active part. The music is fur Another cistern constructed on the west nished by our household. Two of the side of the hospital 100' long and 10' 5 wide at a cost of $1,250.00. this: class of citizens in some super visory way. The road on the east side of the hosp-. ital grounds to the main road leading to Independence has been improved. 1883 June. 2Z, a severe windstorm blew d~wn 580 patients residing at the hospital, the large chinmey, unroofed the main Cost of patient care $16.00 per month, building and several wings of the insti tution, moved some towers on several December 1st., , Tlle bl.l;ildil'!,!! of the . me,in buildings, blew down fences and some hospital was aomp~~ted at a cost of outbuildings, crushed the roof of the $845,550. ' boiler house damaging two boilers leav ing the institution without steam or any The. hospital serves people in 28 coun way to make steam. All wasM.ng, ironing ties: Dubuque, Delaware, Buchanan, and carrying of water had to be done by Black Hawk, Clayton, Fayette, Bremer, hand. There was no warrant in the law Butler, Floyd, Chickasaw, Mitchell, How to make necessary repairs. The Trustees ard, Winn~s!liek, Allamakee, Jackson, took the responsJ.bility and by using the Jones, Linn, Tama, Benton, Grundy, Har contingent fund, runntng in debt and din, Hamilton, Wright, Franklin, Han using the support fund, set to work and cock, Cerro Gordo, Winnebago and Worth. repaired the damages. Farm: Profit from farm was $7,567.65 or One questions if the patients could be a per capita of $11.95. It was shown it given proper care without so much mech would cost about $1.00 per month more to anical restraint? What industrial pur support each patient in t 6 Spring of 1883 she was determined to This building became known as "Grove sell. Superintendent, Dr. G. H. Hill Hall" and was completed in February 1887. purchased it in order to save the land for the State as it was very much needed. Arrangements .were made with the city of Pr. Hill purposed to ·sell it to the Independence to use water from the city State for what it cost him, which he water works. Initial cost was 7¢ per did. The cost was $2,680.) thousand gallons. With the terrible overcrowding condi A small press costing $35.00 purchased tions it was difficult to keep the wards with which to print programmes of enter clean. Greatest trouble though was tainments given in amusement hall and found in the cooking, washing and bak also for folded leaflets fQr use during ing departments. Sunday afternoon services. A weekly pa per called "The Hospital Press" also From the Superintendent's report: "A printed. A good share of job printing cause of insanity which characterizes required for the offices was done which this generation and the American people, consisted of supplying letterheads, I will call fast living. It is most forms for various reports, etc. This notJ.cable in cities and among business work all done willingly by patients, men; but it is indicent, in some degree, most of whom knew nothing about pr±tting. to every occupation and every station in society •.••. the tendency is toward the 'survival of the fittest'. I believe 1887 certain cases of premature decay and of general paralysis result from high pres 791 patients at the hospital at a cost sure. This intense activity in living of $170.89 per person per year. also co-op~rates with other causes in producing other forms of insanity." Rear center building enlarged in three stories 40' x 40' added to the west of Buildings: Large cow barn, cost $3000; the present kitchen, providing addition carpenter shop, cost $3000; cold storage al cooking and baking facilities. The building, cost $3000 and the laundry en upper floors used for storage and hous larged and b~sements and attics made ing for the kitchen, laundry and sewing more nearly fire~proof. room girls. $3000 spent to enlarge laundry building and furnishings. Mon Physicians and trustees, belie1l'ing that ey also appropriated to make the base it would be a good .tlhing for many female ments and attics more nearly fire-proof patients to be occupied out-of-doors, has been expended, Now in case of fire ordered a plat of ground prepared for in any att:ic or ward, by keeping the gardening for .:women to cultivate flowers doors on each side closed, the progress and small fruits and vegetables, of the fire would be greatly retarded. Report to the trustees by the Superint 1886 endent: "To be sure no one is put in the hospital who does not belong there, 732 patients residing at the hospital. persons who have been patients once $40,000 appropriated for the building of should be re-examined when they are sent a cottage with kitchen to house 100 add back, unless they are absent on a short itional patients of either sex, with visit without being discharged from the rooms for attendants. Patients housed institution. It is not just to act upon here to be the chronic and harmless. the principle that a person once insane 7 is always insane. !n dealing with the washing, mending, bedmaking, sweeping, insane we should be governed by the dusting, etc. Both male and female pat golden rule, even 1.f it does cost more. ients work regularly in the kitchen and laundry. The women from convales.cent Amusements: "It is now customary for wards go to the sewing room daily and 'professionals' who give evening enter plain sewing distributed regularly on tainments in Independence to visit the the female department wards. Men assist haapital in the afternoon to amuse our in handling coal in the boilerhouse and family for half or three-quarters of an with the chores at the horse and cow hour with extracts from their regular barns, Plumbers, carpenters, masons, programme. We are thus indebted for a painters and butcher also get help from concert by the Hyer Sisters, a musical the padents. and elocutionary treat by Misses Merrill and Cope of Des Moines, a very skillful On October 29th the hospital organized and wonderful sleight of hand perform its training school for attendants. ance by Prof. G. H. Pray, and an after Lectures on physiology, medicine, nurs noon by the Howorth Troupe. G. Paul ing, the duties of attendant and on in Smith interested us with an afternoon by sanity to be delivered to the class ev the caricatures, The chief of elocu ery week during six months by members of tionists, Helen Potter, was our willing the medical staff. Clinical instruction guest, Mugg 1 s Comedy Company gave us given by all physicians. Purpose of the songs and recitations. H. W. Leroy, school, •• to make good attendants for the Woodward, White, and Miss Robinson of insane and to make skillful and reliable West Union favored us with choice music nurses for the sick, Smith's Elementary ·and recitations. Concerts and elocu Phydology, Connecticut Hand BoQ~ 'for tionary entertainments have been repeat Attendants, English Hand Book on the In edly participated in by the following sane, snd,Rules and Regulations of this list of Independence young people; Hospital are the textbooks to be used. Messrs. Raines, Jacobs, Grimwood, Lake, Two years experience here required for and Hunter; Madames Raines, Chandler, graduati.on. Goen, and Shoemaker; Mi~ses Whitney, Morse, Smale, Scarcliff, Poor, Lake, The General Assembly approved the expen Gearhart, Markham, Donnan, Herick and diture of $3000 to enlarge the Chapel by Davies." from the report, the erection of a gallery, this enabling chapel to accomodate 600 persons, An appropriation of $3000 made to improve 1889 and ornament . the grounds·. Mr. J, Weid enmann of New York City to have charge 766 patients residing at hospital, Cost of this work. This man also directed of patient care $16,00 per month. the plans for improving the capitol gro•mds in Des Moines. To date 728 patients have died 11hile in residence since the hospital · opened in After laying 6" cast iron rnein approx 1873, It is customary for the Medical imately 6 foot underground connecting Staff of the hospital to make a post the hospital "'with the water-works of mortem examination in every case of Independence, the hospital contracted death. Dr. Voldeng has been in charge with the c:i ty to furnish water ·tcr tnl!l of this department. ijospital for 10 years at a cost of 7¢ per 1000 gallons, with water for fire The patients, whenever possible, help purposes free. The hospital is using an with such things as housework, dish- average of 65,000 gallons daily. 8 Farm: The farm of 580 acres has a herd per month. The number of patients treat of 70 superior milk cows furnishing a ed since 1873 is 4064. great plenty of milk to the hospital. This year the State appropriated money We have 32 male and 40 female attend for the purchase of 180 additional acres ants. A larger proportion of female at known as 1 Smyzer Farm', situated south tendants required as the women are more and adjoining the hospital farm, cost of difficult to care for than the men. In the land $6485.75. the cottages, there are only 10 atten dants for 200 male patients. 1889 Construction of conservatory for flowers located in front and to the south of the Amusements: Two pianos, one billiard south wing of the main hospital approved table and a printing press purchased at at a cost of $3000. a total c.ost of $750. Almost every traveling troupe which visits Inde'Pen Coal-house constructed with a stone dence favors us with a 'matinee'. On foundation and brick walls ••• cost $5000. June 9, 1888 Flower Mission Day was ob Passenger elevator from Hale Elevator served by the distribu'i:ion of bou\:juets Company installed with a tower of brick to all the patients. W.C.T.U, members and dressed limestone erected in outside Mrs. M. 0. Whiting, Mrs. Hunter, Mrs· •. angle of building between offices and Lake, Mrs. Goen, Mrs. Purdy and Miss the amusement hall. The outside of the Meyer all of Independence were present. tower will have attached to it iron Miss Vina Warr, principal of City High stairs from top to ground to be used as School entertained with her pupils pre a fire escape. Total cost $3000. senting music, recitations and graceful exercises with wands and Indian clubs. The Library enlarged so that it now oc The hospital dance has been continued cupies one end of a. large cheerful read weekly with scarcely an omission during ing room. The male patients have access the past two years, Stereoscopticon ex to the room in the forenoon, female pat hibitions with the calcium light are ients in the afternoon and the employees given every fourth night during five in the evening, months of winter. Rush Park Stock Farm is nearby and Mr, C. W. Williams, the Because of the proximity of Rush Park owner, welcomes us at all the races and Race track to the hospital and the kind to the Buchanan County Fair. The last ness of Mr. C. W. Williams, owner, about fair was attended by nearly 300 patients one-half of the male and one-fourth of free of charge. Two bowling alleys, the female patients are permitted to three billiard tables, four pianos and a ·witness the races free of charge. This dozen cabinet organs all contribute to opportunity helps to break up the mono the diversion of the minds of those who tony of life, For the male patients, at make their home for the time being in least, nothing but a circus would prove the hospital. Convalescent female pa more interesting. They are allowed as tients have a ride to town and an oppor much freedom about the stables and in tunity for shopping once a week. 100 watching the colts at their morning work other women, including invalids, get·a as anyone else. ride every week. 1891 1893 833 patients residing with cost $13.25 868 patients residing at the hospital. •. 9 much too overcrowded. Cost of patient rag· carpeting every year. Two or three care $3.00 per week. male patients are constantly employed in the printing· office and female Pa,t;ienta Accommodations prqvided by the State for assist in the ironing room and in the mental.patients are such that each coun sewing room and kitchen. ty in Iowa is entitled to one bed in one of the State Hospitals for each 100 pop Mr. C. W. Williams constructed an elec ulation. tric street railway which is 3 miles long and connects the hospital with Rush New fir~proof coal-house finished with Park, the business portion of town and capacity of 2000 tons. The hospital now both railroa 10 Villa". Pathological laboratory includ of "Star Hand Grenade" fire extinguish ed at a total cost of $40,000. ing liquid are located in suitable places throughout the institution. A new slaughter house and also a cold storage house built. The total cost of An epidemic of typhoid fever struck in both buildings being $3500. September 1896. Thirty-five cases were reported "ith nine fatal. How this fe The electric street railway connecting ver originated has not been determined. the hospital with Independence has been purchased by a Mr. Richard Campbell. Eighty additional acres purchased for the farm use. The State now owns 660 A good musician passes from ward to ward acres besides renting an additional 180 every day playing foe the patients and acres a singing to or \;ith them. Five hundred books carefully selected by the Superintendent have been added to 1897 the patients' library (circulating), 986 patients residing here at a cost of From the trustees report: "We believe $14.00 per month. the citizens of Independence and of Buchanan County have never been more It is again recommended that the Legis friendly and helpful in promoting the lature should somehow provide for an an work of the institution than at the pre nual inspection of a.ll insane kept in sent time." city and county asylums, The population including the patients Applications for attendants must have and employees is nearly 1200. good common school education. Females must be at least 18 years of age and males at least 21 years old with none 1898 older than 30. Women should not weigh less than 125 lbs, and the men not less By an Act of the Twenty-Seventh General than 160 lbs. To date, ninety have Assembly, the Board of Trustees were re graduated from the attendants class with placed by the newly appointed Board of 45 still employed in this institution. Control. The new. Board to have charge Of the graduates from our training of all state operated mental institu school for nurses, two males have become tions. Members (3) are appointed by the physicians and are practicing medicine Govexnor and their term is for six years. in this state, one has become a pharma cist. Seven females have married, two becoming wives of physicians not grad 1899 uates of this school, one doing private nursing, four nurses in other hospitals 1387 patients residing at a per patient and eight remain here. Because of our cost of $12.00 per month. training school and opportunity afforded to acquire the seience and the art of A total of 7568 patients have been ad nursing, there are numerous applicants mitted since the opening in 1873. Nor of both sexes for positions as attend mal capacity is now 1000 patients. ants. There are 53 cases of diphtheria this As a fire precaution, numerous bottles year, 1899, none fatal. Housekeeping 11 and disinfecting were so well done that Purchased two 224 H. P. Sterling Water there were no more cases. Tube Boilers at a cost of $6000, In ad dition $1500 was spent for new radiators Industrial building.for:men was erected. and $1000 for new shower baths. ·Also two story brick with granite foundation purchased was a new mangle at a cost of and slate roof 144 feet long and 36 feet $1100·, New telephone system installed wide. The paint shop located in the at a cost of $855 and $400 spent to en rear on the first floor and fire-proof. large· the· old greenhouse. The General Assembly approved the name The fiscal year 1900 showed $57091.68 changed from "Hospital for Insane" at was paid in salaries and wages. Independence to "State Hospital" at Ind- ·ependence. 1902 The hospital has a fire department com posed of an engineer, his assistant, one A third year course of instruction for of the assistant physicians acting as nursing now offered. chief marshal and a score of male em ployees, h.alf attendants and half work-. men outside the wards. They practice 1903 once a week. 921 .. patients residing at the hospital. An average of $14,000 spent each year for coal for hospital use. A training school.for nurses and attend ants has.become an established factor in To date there have been 7 graduating every well.conducted. State Hospital for classes from "Attendant Training School" the Insane. All attendants are required with 99 persons finishing the course. to become members of a training school. Thirty-seven are at present employed in A course of two years duration is re the hospital. Since men do not look quired before an applicant may obtain a forward to nursing as a vocation to en certificate as a graduate attendant, and gage in after leaving the institution, at least three years experience and higher wages must be offered to men in study is required before one may receive order to secure good male attendants. a.certificate as a graduate nurse, .••• we think perhaps it would be wise to have mostly female attendants caring for male 1901 patients. As .a result began hiring fe male nurses to take care. of male pat, 1050 patients residing at the hospital. ients for the first time1. $40 a month charged for special service for individual patients if requested. Building:. A two story building with basement erected to be used as a store 139 persons have graduated from the room at a cost of $7142.72. A two story "Training School for Nurses" since it building providing quarters for 10 em began in 1889. ployees to be used. as a fire station .costing $3338. Fire escape at the.main Typhoid fever outbrea)< is due to the building on the fifth floor covered with water supply. Also the water supply re wire netting. Each wing has three ceived from Intlepend~nce is inadequate flights of fire-proof stairs from the for the upper floors late in the day. upper story. to an. outside door on the There is a need for additional water first floor. The old wooden floor in supply. the main hall of the administration 12 building has been replaced by a ceramic be called into requisition in the en tile floor of beautiful design, making deavor to alleviate the inebriate. Som one of the most substantial improvements atic diseases should receive intelligent the hospital has undergone, An ice medical care and· surgical skill. We house was constructed 50' long, 28 1 wide have discerned no specific to eradicate and 18' high with a capacity for 600 T, the craving from the human breast and appease the burning desire for alcohol. Farm: In addition to the present 660 It must be admitted that· what.ever merit acres now owned, the State purehased an the administration of these medications additional 540 acres at a cost of may be found to possess is in great $48,507.75, bringing the total land to measure due to the psychological effect 1200 acres. of the treatment on the patient. We trust the day is not far distant when A special appropriati.on for cement walks fewer homes will be rendered dismal and has been utilized in laying extensive unhappy by the over-powering curse of walks which are ornamental as well as excessive indulgence in alcoholic bever useful, ages. $6000 appropriated by the General Assem 1905 bly for carpet and rugs, $400 for beds, bedding and furniture and $2500 for 1037 patients residing at the hospital. bathtubs, Mechanical restraint is no longer used. A new wing was erected on the greenhouse 38' x 16 1 and an addition to the laundry The Superintendent reported to the Gen of 29' x 21' for drying room at a total eral Assembly: "The association of ine cost of $2500. New washing machines briates with insane is detrimental to added. Two building for hogs construc the insane as they exhibit a tendency to ted, each 96' x 20' at a cost of $1500. annoy and ridicule and make sport of the insane patients, of their weaknesses and Farm: The State acquired an additional eccentricities." 40 acres of land at a cost of $3000 makr ing 1240 acres to date, $2500 spent for Under the inebriate act, the first pat fencing this land. ient was admitted January~lO, 1903 and in the following two years and six 56% of the male patients are employed in months, 252 admissions were men and only some sort of suitable work, 63% of the 7 were women. Of the 252 male inebri female patients are at present working ates, 101 have eloped one or more times. either on the wards or outside the ward Those admitted comprise three catagories area, The primary concern is the effect including: 1. Those who come to the of the indust·ry on the individual. The hospital as a result of their own ini secondary consideration is the pecuniary tiative and are anxious to reform, emoluments of this labor should not be 2. Those "ho manifest no desire to re lost from view. form and who are compelled to do so as a result of having degenerated into such nuisances to their kindred and to the 1906 community as to be no longer tolerated and 3. An intermediate class divested 1058 patients residing in the hospital. of the force of character requisite to Eighty patients died. make them an initiative power either for good or evil. Of course every available The resort to depresso-motor and hypno medical, surgical and moral aid should tic drugs so frequently and constantly 13 employed a few years ago.nas been.almost faced ~'fi:ch·. straw~colored pTessed bri.ck completely tabooed here. with· cut- and: .polished . trii!Unings of best grade ·Bedford Stone, The second floor A new cow barn erected 115' long and 40' of the· center section provided with 22' wide at a cos~ of $4000. by 15' operating room with floor l11id of highest grade white vitreous tile and Amusements and matters tending t.o.create wainscoted 6 1 high· with white enameled diversion are provided for the benefit tile, Equipment .comprising the para of the patients as frequently as the re phernalia· necessary for administration sources at nand will permit. of Scotch douche, vapor bath, needle bath, showe~ bath, sitz bath and peri meal douche, Inc.j.uded are fo11r tubs 1908 constructed for.administering continuous water- hath fitted for the application of 1142 patients residing in the hospital. electric light baths. The building will accomodate 200 patients at a cost of The water S\IPP~Y quite unsatisfactory $125,000. and it is necessax·y on occ.~sion for riv er water to be used partly or entirely. $20,000 appropriated for 8900 feet of track to connect the hospital coalhouse The rewiring of the hospi.tal has been with Ceda:r Rapids division of the Chica finished, .go, Rock Island and Pacific Railway. The new cowba:m just ere11ted in 1906 was 1~10 struck by lightning and completely de stroyed. A new smoke~stack was erected 1176 patients in residenGe and 191 died at a '"oat of $8000. during the biennium. Tuberculosis quite prevalent. 152 head 1912 of cattle were tested on July 16 through July 22, 1908, and Of.1;:hose 128 showed 1252 patients in .the hospital and 214 reaction of tuberculosis and were con died during the period. demned, At present, the herd consists of 21 cows, 21 heifere and a bull all l'he.new greenhouse. building SO' by ~4' free o£ tuberculosis, togethex: wHh x:emodeling the old north wing of the original building eost a to On November 24, 1909 the State chemist, tal of $4500. A 100 feet by 40 feet ex C. V. Kiney, wrote to the Independence tension to t!Je . .,oalhouse erected eosting municipal autho;:it.ies: "Rega~:ding the $623:L A tunnel. of cement construction character of your water, it seems to me 6 feet by 6 fset approximately 500 feet that the water is in unsatisfactory con long was: completed connecting the power dition, It is coming into the wells not house with the ba~~ments of Grove Hall properly filtered or purified, I would and Farmers Lodge costing $5000. advise you to take s:t;eps to rectify the same." There is del:inite need.for more A new.elevator car was purchased (6' x water source here at the hospital. 5.'.) with motor to lift loads of 2000 lhs" at a eost of $3000. Constructed a An Infirmary Building started. The plan new cold storage building 40' by 30'. is "T" shaped, two st;ories high with a The first floor .affords five rooms W'it:h center section of three stories.,,to be walls of meat and cutting room lined 259 feet by 125 feet of concrete and from· floor to qeiling with pure white brick construction. Th,a entire building "Opalite" g:l,ass Ule, ·:and space provided 14 overhead for storage of about 400 tons Floors are of cement, door and window of ice. The basement of the building sills, gable blocks and coping are gray to provide further storage capacity. Bedford cut stone. Total cost $15,842. Building of red brick with slate roof Cement tunnel built 6 1 x 5 1 about 430' costing $6500. long connecting the new laundry with the power house. 1914 New hog house built 96 feet by 20 feet. 1296 patients reside in hospital •••• l81 have died. 1918 Seven food lifts installed in the main 1125 patients in the hospital, 236 have building costing $8000. died. Cost of care now $17.00 monthly. The Thirty-fifth General Assembly, in Due to the war, management found it ex Chapter 187, authorized the steriliza tremely difficult to retain more than tion of certain insane and other defec 80% of usual quota of employees. tives. Three had been sterilized as of this time. Autopsies made on all cases where per mission from relatives can be obtained. Home for .nurses constructed at a cost of Hospital raises own rabbits and guinea $57,000. This is a three story brick pigs for laboratory testing and have at structure 130 feet by 73 feet to accomo present 83 rabbits and 10 guinea pigs. date 92 employees with 52 single rooms and 20 rooms for married couples. Dentist hired to serve the hospital on a full-time basis. He is Dr. F. R. Nice. Four wells drilled giving much needed water supply, the city of Independence A new horse barn constructed at cost of still furnishing 60,000 gallons daily. $6000 and a tunnel connecting the base ment of the laundry with the new barns. Granary 80' x 20' built with cribs on eac.h side and a driveway through the A concrete root cellar for storage was center, and has a capacity in excess of constructed. 5000 bushels of corn in the ear. Also built two silos 20 1 wide and 40' high constructed of hollow tile, a valuable 1920 addition to the dairy equipment. 1362 patients residing in hospital, 229 have died. Care per month per patient 1916 now $2L,. 00. 1294 patients residing in the hospital Tuberculosis still a big killer, only with 182 having expired. 21.7% recovery on patients admitted. Jonathan Bland resigned as gardener It has been stated by the doctors here March 1, 1915 after serving 16 years. that the economic consideration on the part of the county authorities tend to Sixteen drinking fountains purchased and increase county care of chronic insane, installed about the central corridors, they deem this unadvisable. and in wards for the patients' use. Dr. W. P. Crumbacker, Superintendent Erected a laundry building 120 1 x 60'. died on May 14, 1920 of pneumonia. Dr. 15 R. A. Stewart appointed to take his wa:~:ds appointed druggist April 1922. position. Amusements·: Church is .c<>nducted each Sunday afternoon except in the summer. 1922 Dances are held. every Monday, and pic t.uJ:e shows on.Friday, except during the 1517 patients in the hospital. summer. Picnics are given in the grove during the summer months, also band con All patients and attendants are given certs given on the lawn at various times. positive Schick tests. The Wassermann tests, small pox vaccinations are given Modern 160.K. v. X-Ray machine installed to all admissions, As the city of Independence water is 1924 often very muddy and tests unsatisfacto ry, two 180 1 ten inch wells were drilled 1279 patients residing in hospital at a in the spring equipped with Indiana Air cost of $20.00 per patient per month. Lift Pumps and a Worthington Feather Valve Air Compressor. Each well has s Modern garage built to accomodate 15 capacity of 200,000 gallons daily and we cars. Granary erected (capacity 5000 now have an abundance of our own water. bu.) also.a third silo with capacity of 275 tons and two new corn cribs. Ice house increased in size by digging a cellar, gi\dng capacity of 200 tons. 100 black and white walnut trees set out on the grounds. Many maple and boxelder New mangle installed in laundry at a trees replaced by elms. cost of $7190. Hospital dairy herd won total of 21 rib Tuberculosis Cottage completed Sept. l, bons in 1923 at various state fairs, 1922 ..• a two story building of red brick Cattle Congress, etc. with red ten:asium floors. Interior finish in white and mahogany. The building is fireproof and will accomo 1926 date 69 bed patients. Cost $55,000 and known as "Hilltop." 1423 patients in the hospital including the inebriates. Student internes now working with us. We endeavor to give them pr.actic:al work Staff meetings held four times a week, on the wards incltlding taking blood and new cases diagnosed and paroles discuss spinal fluid for Wasserxnanns and. making ed also. spinal cell counts, They assist in ex amining new cases and are privileged to The old smoke stack razed and replaced attend staff meetings. by a netv hollow time one. New machine shed erected anc! wagon shed, bull pen James Netcott, steward for 45 years, re and seed house for the gardener built. A signed October 21, 1921. Fred Murphy new silo replaces the.one which fell. appointed as steward from October 1921 to February 1922, Glenn Greif appointed Amusements: Ladies Auxiliaries of Ind on February 1, 1922. ependence .and.adjacent cities have made frequent .calls upon our soldier boys, Ralph Plummer resigned April 15, 1922 supplying them with reading material, after having been druggist for 19 years. candy, nuts, tobacco and other presents, He will live in Los Angles. Bruce Ed- much to their appreciation. 16 1928 shows to the enjoyment of all. 1428 patients in the hospital. For the 1932 first time, female inebriates are being admitted. 1531 patients in the hospital. June 1, 1927, Mrs. Helen Blackburn (Ind ependence resident) received a certifi Half of the dairy barn was remodeled and cate of graduate attendant and on June equipped as a test barn for official 12, 1928 received the certificate of milk testing. A new. calf she Amusements: Purchased a projectoscope Amusements: It is becoming difficult to machine. The entire Legion band of Wat secure silent picture films. We hope to erloo gave a concert for all of the secure sound on film pictures soon. patients, Picnics are given in the grove as often as possible, while in the winter, chapel parties are.enjoyed, 1930 1934 1462 patients residing in the hospital. Each patient is presented at a staff meeting and diagnosed. Blood Wassermann 1692 patients residing in the hospital. and Schick Test done on each patient and "Our statistics show the reason for our a spine fluid Wassermann when indicated. steadily increasing hospital population. We have had no diphtheria in the last During the biennial period there were two years and no epidemics. 533 first admissions. Of this number 256 were cases of dementia praecox, psycho Modern c. old storage room installed in sis with mental deficiency, epileptic the main building in addition to the psychosis and paranoia. Few if any such newly installed cooling system at the cases recover and they remain in the dairy barn for milk sanitation. A new hospital for as long as 70 years before lumber shed erected and a modern sewage claimed by dea.th. These types of mental plant completed, disease are hereditary, and we must be prepared to take care of them. At pres Amusements: The Ladies Auxiliary of the ent, they occupy about 60% of our beds." American Legion treat the soldier boys ..... From the Superintendent 1 s report of often, They supply them with $2.00 each July 1, 1934. for spending money every month. The residents of Independence have enter Economic situations have made it neces tained us with a number of home talent sary to reduce salaries of all employees 17 and officers and to decrease• numbers of Many patients work about the kitchens, employees, Medical staff reduced to industrial building, engine room, laund fou~, one doctor to 425 patients. Fif ry, garden, butcher shop and art depart teen wards have had.no night attendants ments. Middle and back ward patients for several years. One attendant to 16 who do not work are taken out once or patients at present and overcrowding is twice daily for exercise. acute. morning chapel, Monday night Sunday . ' Major surgery cases are sent to the Un dances, Friday afternoon and evening iversity Hospital at Iowa City accompan picture shows are enjoyed by patients. ied by one of the institution nurses. On the farm at present there are 153. Effective this year, all employees are head of dairy cattle, 532 hogs, 1021 given a complete physical when reporting chickens, 7 acres of orchards, 90 acres for duty. of gardens and of the grains ••••.•. there are 246 acres in oats, 63 ac·res alfalfa Building: New building remodeled using and 180 acres of hay. old brick from dismantled smoke stack and slaughter house to be used for drug In the industrial shops ~ 18 ,. treatment be given. In October 1938, a by profits from the canteen" The !ladies shock treatment room ·was organized for Auxiliary of the American Legion contin those cases as well as manic depressives ues to be active and makes f-requent vis and cases of melancholia. Here they are its, providing all of our patients en given the insulin treatment, the Metra tertainment and the ex-service men with zol treatment and the combined treatment treats and holiday presents. To this of which ninety cases have been ..t:veated, organization we extend sincere thanks. Shock treatment is not a.specific or cure for all cases of this type, but it 1942 is a distinct advance in their treatment and it has been the most stimulating event in psychiatry since the discovery 1749 patients in residence at a cost of of malarial treatment for general para $252.82 per year, lysis. To carry out this work suc:cess fully, and to meet the tntJ.ny requests for There are 260 offic:ars and employees. the treatment requires a.fairly large medical staff which is now most diffi The regular. dentist, Capt, Robert J. cult to secure and retain. Henderson '~as called into the military service on September 4, 1941 as well as two successors. Dr. W. G, Whitney comes 1940 out two days a week, Out" c.onsulting surgeon, Dr. Fred' Marquis 1661 patients residing in hospital at a has pet·formed 91 operations and 13 cases cost of $216.64 par patient par year. weJ:e sent to the Unive:rsH:y of :r.owa Hos pitals .. A fire escspe from the second :floo:r of Farmer's Lodge has been c,onstructed, Electric shack treatment star ted 4\,ugust fire doors at the entran"es into the 1941 with good results, the method is wards fl'om the center' sec·t:ton of the that of KalinowskL 240 caE~!"S treated general hospital have been added, The by this.method to date. first floor of a small building was re modeled at s Qost of $1900 .for· a .libx,ary. Many employees called into servic~ since the wst· wa.s declared last December 1941, The wiring was c:hange<;l hom D.C. to A.C. A laxge numbc>t .le.ft for more lucrative al: a cost of $50,000. A new wate.: tawer jobs and .it is mora .. difficult to fill was erected 100 1 hi.gb. with a .Gapar!ity· of these vsna.nc:l.es, We A total of officers and employees is 238. Starting this year, by adding ad;litional personnel, day attendants work only from Amusements: We continue to have church 6:00 A,M, to 6:00 ~.M. with one day off services each Sundsy morning except in each week and every.faurth Sunday off. the summer, also weekly dances on Monday Night attendants work ft·om 6:00 ~.)1. to night and picture shows .on Friday. A 6:00 A.M. with the same ti!Ue a~f; This number ·of professiona.l entertainments is more satisfactory than the b.ld ar are arranged each winter and we are able rangement of 6:00A.M. to 7:.W j'.M. with to secure a similar group at our summer only one-half day off and eve·cy fourth picnics in the grove, the expense borne Sunday off also. The Night stf:endants 19 worked 7:30P.M. to 6:00A.M. with no 1946 time off at all, A new well drilled to.furnish.350 gal 1725 patients here with cost $79.83 per lons a minute. Only one other well in quarter. There.are 188 employees. use. A chlorinator installed and a wat er softener. A canning factory bupt The Superintendent's !ldsry ·. J:>aieed to which processes 12,000 cans annually. $325 per month. A part~time dentist now:, Middle and back ward patients seldom are Farm: The farm consists of 1360 acres outside for exercise. Amusements still of 1and .•••• 80 acres in orchard, garden, curtailed, and vineyard, having 630 acres soil de pleting in the AAA program and about 470 The hospital has not recovered from the acres soil conserving. The milk cow effects of the war. We still have but herd is 110 and about 2500 chickens are four assistant physicians, no registered raised. We try to produce all the hogs nurses and only 85 attendants. It is needed for the hospital pork usage, diffic~lt to.compete with 'institutions of neighboring states who are paying $600 to $3300 more for physicians. At 1944 tendants salaries have increased but we do not have an eight ho~r work day. 1740 patients residing in the .hospital All refractions are done by Independence at a cost of $69.60 per quarter, .Theile occulists and many patients are supplied are 189 employees. by.our own drug store. An increase of admissions .of both.sexes .Three .. prefabricated homes erected for of advanced age, suffering with arter the fa1-m manager and dairymen, A ground ioscleriot:ic insanity and senile demon dusting program with DDT began, A young tis, many living only a short time and orchard.of over.lOO trees set out. little can be done for them. We con tinue to loose employees also. Amusements: Still unable to resume the Monday night.dances and.the moving pic A paint crew works continuously and car ture· shows are offered on Friday after penters take care of all the minor noons only. Religious services now are repairs. conducted as .. before the war. With the depleted medical and nursing staff, electric shock used only occa 1948 sionally. All urgent operable cases sent to University Hospital. There are now five on the medical staff. l694.. patients. at the. hospital, costing $124.01 per patient per quarter. There The farm has been mechanized, only eight are 222.employees, teams kept, five tractors purchases. Amusements: Due to the lack of attend .The salary of the Superintendent raised ants, Monday night dances were discon to $625.per month, assistant physician's tinued, Sunday church services held with salary raised to $577 per month, physi difficulty and the motion picture shows cians to $400 per month and the business are held on Friday afternoons only, manager to $300.per month. 20 Doctor R. A. Stewart, Sup~rintendent, ulated into some sort· of activity. died May 24, 1948 and Doctor R. W. Robb appointed acting Superintendent. A protestant minister, .Walter· Bell began the' chaplaincy program on January 1,1949. Addresses for tour groups has been re sumed, Time and effort spent in demon March 1949, Ward 14 ·started the open strating clinical cases, in presenting ward: policy· for inebriates and they are facts and dissipating factions regarding given freedom of·the g;rpunds, An alcoh mental disease is in the interest of olic Anonymous chap,ter orga:oized as it all. Sixty-two classes have been so ad is felt thisthe best therilpy for alcoh dressed in the last two yearso olic· patients. The organization "Alcoholic Anonymous" has been of real value in helping the 1950 inebriate patient meet and solve pro blems. A chapter is to be organized at 1632 patients· residing in, the hospitill. the hospital. Cost per quilrter ·of patient care is $152.39. 311 employees. Two duplexes built to provide . quarters for physicians with familieso .General. morale of· the patients and em ployees is undeJ:gp;l.pg"a.slow but condi Amusements: Sunday morning .chapel con tional improvement, doubtless due to tinued, Thursday, Friday and holiday group· · therapy · for .employees which was afternoons picture show. Entertainment introduced by· ·Dr'; Charles C. Graves, twice a month for ex-service men by the Diteator· of.. ,Mental"Hospill:als and contin Auxiliaries to the American Legion and ued by Dr·. Witte. the Veterans of Foreign Wars. Profes sional entertainment on July 4th. Un The· displaced' .physician: gropp_ h,a13: .become scheduled softball games for male pat a wondeufu;l stop~gap, .;rt hils b'11en pos ients during the summer monthso Ping sible· tro emp'loy' twe;rty · of these. physi pong tables, cards, checkers, radios, cians· in: the fpuw:;mji!lt:;a;L . hospd.til],f3 lilnd magazines, books and newspapers are schools .for mentally retarded. available along with pianos on some wards, The· · first· · registered nurses employed since the war, begun last year:, now the · group .numbers· ten. 1949 Care: provided· patients includes: physi cal and ·mental ·examinations, routine Doctor Max E. Witte appointed Superin~ -laboratory tests·, ·diagnosis and treat- tendent.on Janaury 10, 1949, Mr. C, L. ment as·. indicated·, ·including electric Rigby, business manager passed away May ·shock therapy,· · insu1in therapy, occupa 16, 1949 and Carl D. Rinker appointed. tional' therapy·, · music · therapy and art therapy· plus thehydro~thet'apy. X-:~;:ays Out-patient Department opened November are taken. on:.a·.· pal!t-time basis by an 8, 1949 with 240 treatments to date. .x-ray:· -teohnician·. · Chest x~rays. taken on · a11· patients · and· a11 fractures are now January 1949, hydro-therapy department x~rayed. · Under the:·: guidance of a psy re-opened and an average of 3300 treat ahologist·the·RoJ:scharch· tests· are .run ments given each month. Ward therapists on every new· · admission , excep.t seniles are employed to help patients who have .and are very· helpful in diagnosing cases. no interest in anything to become stim- The·Bellewe·Wechler· tests are run when 21 necessaryo June 1950·.·.a:x;rangements made with Indep endence· to: extend· ·.a .. power line from the ·March 1950, ward government· conducted. on city· limits· to· the· hospital · to purchase. the alcoholic ward with the· P 22 1952 renewed ·functional· efficiency, social integration and· · self~respect. Other selected· activities· medically prescribed 1490 patients residing in the · hospital are·· a part ·of the· treatment program. including those 1 on visit 1 and 'guest.' All media of· arts and crafts are used to statis. The name State Hospital at Ind~ obtain the desired results. ependence changed to Independence Mental Health Institute. It is very helpful in Mrs. Eva· Rudyhar joined the staff as the field of public relations and in the Psycho-dramatist in March 1952, and reg attitude of the general public towards ular sessions in· psycho-drama are held. the institution. It has helped improve the mental condi tion of many patients and has created a October .... Student nurses receive: affil. great deal of· ·interest throughout the iate training in psychiatry. Schools hospital. included in affiliation are: Deaconess at Marshalltown, St. Luke's Hospital at It is next to impossible to purchase Cedar Rapids, Mercy Hospital in Cedar clothing for patient needs. There is Rapids and St. Luke's Hospital in Daven also a shortage of furnishings on the port. The first class began with nine wards and new beds are badly needed, It and 112 affiliated during the biennium. is also hard to compete with wages paid men and women in industry. Transorbital lobotomies continued, 151 performed since 1950 when it was initi $1,251,849.01 spent for salaries, ated. An X-ray and laboratory techni $960,843.86 spent for support, and cian employed. Electro-cardiographs are $40,039.92 paid out for repairs,replace done on all admissions. 79% of the vol ments and alterations. untary patients recover or are improved, Majority receive sub-coma insulin treat Amusements: Dances and moving pictures ments. Electro-shock therapy· continues. held once each week. Variety shew·S· are given. Softball games, ping-pong tables The teaching cente:c section of the Oc also cards, checkers, radios, magazine cupational Therapy Department has grad subscriptions, books and newspapers uated four from the University of Minne available .to patients. Some pianos on sota, 19 taken the aide training and 12. wards. Mr. Lloyd Anderson and Mr. Dave completed requirements. Eight are ready Clubine direct recreational therapy. to attend, Employees are graded every six months 1953 under the merit system program.' In~ser vice training is given. Orientation for. all new employees and attendants· receive Dr. Max E. Witte died on November 12, a 9 month psychiatric aide ·course. To 1953 and Dr. Donald L. Kyer was appoint date 90 have graduated as psychiatric ed Superintendent. aides. A seminar held once a week for those who want further instruction. Mrs. Susanna.Van.Vooren named Psychiat ric Aide for the year 1952. Mrs. Mary Agnes Fitzgerald was named the Psychiatric Aide of the year 1951. 1954 About 400 patients are on an industrial assignment where the patient can· realize his worth in re-adjustment to society in 1263 patients in the hospital. The 23 staff consis.ts of se'lllm· phys:ic:J.;ans. and Deuember 4 •••• , ,Dr., Donald Kyer resigned the Superintendent. over· a sto=y· .controversy and · was drpp ped from the payroll. A five~inember com Austin Evans resigned business· manager mittee of· department· heads in charge of and Lawrence Schneider appointed to the daily operations and works closely with position. the Board of Control. The 500 bed Witte Building was comple.ted and ready for use •. It is a three story 1956 building containing men and· women ad mission wards and facilities for elect~ ric and insulin shock treatment. Now 1089 patients residing in the hospital the attic wards c.an be cleared. Cost of with 2895 treated' during the biennium. the building $1,897,290. April 1st, .• Dr. J. 0. Cromwell, formerly A grievance committee established among Superintendent of· Blackfoot, Idaho St'ate the employees. The policy committee Mental Hospital appointed to Superinten holds weekly meetings. The Superinten dency with a salary of $15,000 per year. dent writes a· column · on mental· health In August, Dr . Er Chang Ping came to for the Waterloo Daily Courier and the serve as Assistant Superintendent. Cedar Rapids Gazette. The residency training program for phys Several men from Independence have vol~ icians lost approval in June 1956. The unteered to work evenings with the personnel turnover rate is 160% per year children in the newly organized program. and there are many vacancies for pro fessional persons stemming largely from During the past year, there has been a salary scale. Also competitive bidding decrease in the population, due partly has intensified the problem. to the acute treatment inaugurated .• Other factors involved are movement of The open door policy went into effect patients to county and nursing homes. this year. The patients show better Trial visits are stressed and methods morale, are happier, and more hopeful ••• such as departmental meetings, inspec all are vital elements on the road to tion tours, canteen re~organization, recovery, The Superintendent feels the hospital paper name and policy changes, citizens of Iowa must be educated to introduction of birthday parties and the accept open mental hospitals and the em inebriate program were established, ployees must learn to care for the freed patient as in a general hospital. Mrs. Della Donahue named Psychiatric Aide of the year 1953. Open house 1956 honored Ronald Zimmer as Psychiatric Aide of the year at a pro gram held on the lawn. Tours were of- 1955 fered for visitors, September •• , ,Rev. Char.les Hart joined Mrs. Doris Sanders named · Psychiatric. the staff as Protestant Chaplain and Aide of the year 1954. The award is a established a training program for Wart national citation · from the National burg Seminary students, Also started a Association for Mental Health given an clinical pastoral education summer pro nually to outstanding representatives of gramJol: protestant cler:gy. the profession. This is the fifth con secutive year for the· presentation, Dr, Cromwell 11amed to the "fact finding" 24 training and research sub-committee .. o.f sented· through a skit "Road to Recovery" the survey of Iowa's overall needs and by the pewsonnel portwaying- treatment of facilities with regard to mental illness a patient while in· the· hospital. and mental health. July,,.The Children's Unit activated and Dr. Florence Chambers, concert pianist housed in a ward of the Infirmary Build for 15 years came to work as the Music ing, The Institute now has more doctors Therapist. She feels music therapy on its staff than ever before •• thirteen. helps patients regain good mental health as it stimulates, tranquilizes and helps July •• ,Father Edward Frost assumed du coordination. ties as Catholic Chaplain. A. daily mass attended by patients and staff in the The Out-Patient Department enlarged with newly furnished St. Dymphna Chapel and the addition of three full time profes Sunday mass held in the auditorium to sional persons, a psychiat:cist, a clini accomodate the attendance, cal psychologist and a psychiatric soc ial worker. An appropriation of $250,000 was made to staff s Child~' en' s Unit here and admit children from all over the state. The 1957 appropriation was for 100 children to the age of 21. January 23 ••••• Children moved to Hilltop July 17 and 18 ••• A mass feeding project Building and Pogo area, They had been by the Iowa State Office of Civil De housed with adult patients over all the fense held to train social welfare work hospitaL ers in a 15 county area in the event of a major disaster. February l ••• Dr. William Menninger spoke before the Iowa Mental Health Associa August ••• Governor Herschel Loveless made tion and issued a statement which Dudley a surprise visit to the hospital after Lowry, President made to a joint legis he received criticism of use of some of lative session. Dr. Menninger . called the buildings, At the end of his in treatment given some patients in Iowa spection tour, the Governor indicated mental institutions "actrocious." Mr. cond:l.tions appeared to be satisfactory Lowry commented that "all of Dr .. Mennin considering the facilities. available. ger's statements to the legislature were He was accompanied by the woman who made based on reports by the Ame·cican Psychi the complaint. atric Association and the Governor's Committee on Mental Health," Dr, Helen Barton returned to work on the psychiatric staff in September, March 22,,. The House Board of Control Committee filed a report on its recent inspection of the State Mental Health 1958 Institute at Independence stating that conditions were precisely as it said it 1104 average daily resident population expected to find: There are no snake at a cost of $5.02 per day for care. pits and things aren't as bad in Iowa as There have been 1035 admissions and 771 Dr. Menninger, the famed Kansas psychia discharges during the biennium. The Out trist, described them in his talk, Patient Department treated 397 during the biennium. Fred Miller named Psychiatric Aide of the year 1956 at the Open House. The Janaury l,,,.,,Dr. James Cromwell began Theme of the day's activities was pre- duties as Director of all state Mental 25 Health Institutions in addition to serv with the institute to become acquainted ing as Superintendent here. with and skilled.in.meeting the needs of the emotionally ill. March •••••• There are 107 children under the age of 21 years ih residence. After The State Board of Control helped the much discussion with the Board of Con Legislature to create a Department of trol, the age limit for treatment in the .Mental Health .and to spell out the du Children's Unit defined by the Board of ties of the director and other board of Control as 16 years. Doors closed to ficials.. Dr. J. 0. Cromwell is the Dir further admissions until such time as ector of Iowa's Mental Health Institu the staff can re-evaluate cases, re-sort tions. and discha~ge cases not proper for treatment her~, The staff consists of Dr. S. M. Korson, Superintendent and Dr. Dr. Helen Barton, Psychiatrist and Dir Richard Cameron, Clinical Director have ector of the Unit, one psychologist, been appointed to full memberships on five teacher therapists, one half-time the People.s Hospital consulting staff, teacher therapist and three recreational The Institute-Town relationship is a therapists. step toward the goal of a three year residency program for doctors specializ The Open House honored Mrs. Kathryn ing in psychiatry by offering experience Keller as the nation's outstanding Psy in psychosomatic medicine. Consultation chiatric Aide of the year. This is the with the institute specialists will be 8th straight year that an aide from our made voluntarily by the family doctot', hospital has won this national award. Robert Lappen, Chairman of the Board of October 10,,, ,.• Stcate legislative candid Control gave the address of the day and ates and incumbents toured hospital to Miss Paula Robinson, Executive Director gain first hand knowledge of the work of the Iowa Association for Mental ings of the Institute, the progress and Health made the presentation of the needs to carry .ot.rt a complete· program. award. A patient band played and the Independence High Srohool band presented October .10 •• o.,, .A general practitionli!rs. an hour 1 s concert. Tours we.re lead by seminar begun as.a .pilot project for a hospital personnel. discussion of mental illness and symp toms of depression-among patients. The July l ••••• Dr. Selig M. Korson took over speakers included doctm:s . from the Men the reins ss Supe~rintendent at the.hosp tal Health· Institute. at. Cherokee, the ital. His salary $21,000 a year plus Iowa Psychopathic Hospital and others. maintenance. Dr. Korson served as staff neuropsychiatrist, chief grade, at the .November .zg,,.,,.Five of the state set"v Veterans Administt'etion Center in Bay ices a:ce taking part in a-two-way tele Pines, Flor:l.dao phone circuit. to increase professional skill and.bdng new information to the Sixty student nurses come for training mental health personnel from the State during each 12 week session. A Voca Psychopathic Hospital. The program cov tional Rehabilitation and a Recreational ers seven months and outstanding doctors Therapy Department established. from various parts of the U. s .. will de liver addresses and lead discussions. Rev. Charles Hart, Protestant Chaplain has received notice of certification as chaplain supervisor by the Division of 1959 Welfare of the National Lutheran Council and the theological students affiliated 1039 patients in the hospital. Mmis- 26 sions for the year - 988, average. length April 26 ••••••• 0pen House day attendance of stay one year and majority of pat~ reached 750. The theme was "Operation ients discharged in 4 to 6 months.. Ill Friendship" and the Psychiatric Aide of persons now enter the hospital at an the Year Award went to Leo C. Donovan. earlier stage of illness consequently The national anthem was sung by a pat the diagnosis is easier and the recovery ient. J. R. Hansen, a member of the faster. Board of Control was the speaker. A musical program was presented by the March 18 •••• An organizational meeting of patients and tours were.conducted. the Buchanan County Medical Society was held at M. H. I. Dr. Korson was elected April 28 ••••• A recognition party for 147 the first president. volunteer workers held. The speaker was George Callenius, Chairman of the Board March 18, •.•• Dr, S. M.• Korson pre.sented of Control. A Volunteer Coordinator "The Hospital Disaster Plan. - M. H. I. Department organized which directs all Independence, Iowa" at a national joint volunteer groups giving new volunteers research conference on Utilization of the required instruction and training Mental Hospitals during emergencies at necessary to help them do their work. Battle Creek, Michigan sponsored by the Office of Civil and Defense Mobilization December l •••• The American Medical Asso and the American Psychiatric Associa.tion. ciation ar..d the American Board of Psy Independence M. H. I. was the. first ins chiatry and.Neurology approved M. H. I. titution to develop a Hospital Disaster for.a three year residency program after Plan in Iowa. a stringent on-site inspection. The hospital is one of 35 state mental hos April •• A 200 bed emergency hospital unit pitals. so · app:t:oved. The program to go stored for use in case of man-made or in·to effect July 1, 1960. The residency natural c.atastrophe. The unit is self prog:t:am means that. medical.doctors will sufficient operating and can:.be trans establish residency for one, two or ported on a large. semi-truck. .Other th·ree .years .to .receive training in psy measures such as recei:ving. ·stations, chiatry and·. neurology and thereby qual transportation and communications have ify for the .certification examination in been decided. psychiatry. Dr. Richard Free heads the research, education and training program. ApriL ••• National recogniti:on. for .Indep endence MHI for program . .training for Dr•cember 3, o •• , • o The Ladies Auxiliary to pastors and ministerial students from .the Buchanan .County Medicl;ll Society or the National Lutheran Coun<:il, a·.parti ganized for the pu:t:pose of working for cipating agency o.f the Coum:il · for Na the betterment of the local community. tional Standards •.. Over 100 .students of Mrs .•. Selig Ko:t:son named President and all protestant faiths have participated Mrs, Richard Free, Mrs. Charles White in the program. and Mrs. Chang Ping on the committee, April •...• Richar·d Headley appointed Dir ector of Activities Therapy.• : ... Occupa 1960 tional Therapy plays a very important part in hospital rehabilitation as it helps to re-socialize and gi;res a feel 1022. patients residing in the hospital. ing of satisfaction in helping others. There were 942 admissions with 940 dis Activities are the arm. of psychiatry. .charges. Ten years ago there were 403 They fill in hours for individuals with admissions and 299 discharges. Payroll planned activities. $148,757 per month for 496 employees. 27 The new "open door" p<>l.icy fOJr patien.ts. ~Jot.mty hf()Dles must -be given periodic had gone into effect during 1959 and. ·exmainations ·and· re~evaluations. more than 85% of the hospital wards are now unlocked, It can successfully be November 14 and 15 •••• A two day workshop done now because of tranquilizing med for· social service workers held. The ication and more qualified personnel to guest speaker, Mrs, Helvi Booth, an conduct therapy and other a The hospital has hosted for two years. an December· 1 .• , .The Interium Committee met Upper Iowa University 'off campus' class at· IndeprBndenae and approved $10,200 for center, fi'!:e domrs to be installed. The Commit tee also learned that our statistics The first group of Catholic priests and show that the work of the student nurses seminarians began six-weeks of residen has reduced the number of patients who tial supervised training . progra.-n, The formerly did not respond to treatment. supervisor is Father Edward Frost, Ce. .th Of 126 patients, . only 10 remained unco olic Pastoral Counselor, This is a operative, 16 had been discharged, 22 unique program designed to give clergy had. conva.lescent discharges, 34 still on insights into mental illness, the program and 22 doing some industrial therapy. The program is two years old Iowa has approximately 2500 mentally ill and 238 nurses have taken part in it. patients and 1000 mentally retarded pat ients residing in 86 county homes, Re 20%.of .admissions-are -alcoholics ••• it is habilitation can be accomplished as well a major problem in Iowa, The basic aim in properly operated county homes as in of the. program is to get the patient the state mental institutes, . provided sober,. help him become stable and then basic psychiatric services can be pro remove the need for the drinking. vided to those county homes at regular intervals. The 58th General Assembly December •••• The American Legion and Aux appropriated additional funds and laws iliary conducted a gift shop for pat whereby all patients transferred to ients where veterans can select gifts to 28 be wrapped and sent to their family. ,;ent·was.made. December •.•• Employees of .theW. T. Grant Five schools of Nursing in Iowa are now Company, Waterloo have for three. years affiliating with Independence for a donated toys to Hilltop. The employees. three month· psychiatric student nurse donate the money for the toys instead of program. Between 40 and 45 student exchanging presents. nurses come each quarter from St, Luke's Methodist ·Hospital School of Nursing, December 2 ••• Ronald Zimmer recently.com Cedar Rapids; Allen . Memorial Hospital. pleted a technical course in electro Lutheran School of Nursing, Waterloo; encephalography at the University of Iowa Methodist Hospital School of Nurs Illinois Clinic for Epilepsy in the ing, Des Moines; Evangelical Hospital Neuropsychiatric Institute at the school. School of Nursing, Marshalltown and the The E.E.G. machine records the electric, St. Luke's Hospital School of Nursing, al activity of the brain. The instru,.. Davenport. The program was begun be ment is used in diagnosis and localiza cause students avoided patient contact tion of epilepsy, brain tumors, brain as they did not know how to talk with trauma, cerebral abcesses and many other patients and also the students were not brain diseases. .getting.enough educational experience in working with this type of patient. 1961 June and July •••• The Legislative Interim Committee drew much criticism from many areas when they voted to place a limit April 21 ••.• 3218 persons toured the hos of $18,000.a year on.salaries of employ pital at the 3rd annual Open House. The ees.in hospitals .and.other state. insti scene was a typical .working day at the .tutions. Only the .. Superintendents were hospital. Mrs. Cora Hart was named Psy exempted from the limitation. The feel chiatric Aide of the year. Guest speak,.. ing generally was that such a limit er for the event was. George Callenius, would.down-grade and demoralize the men Chairman of the Board of Control. ·Dr·. .tal health program in. Iowa. One psychi Walter Alvarez, nationally syndicated atrist at Cherokee resigned. The more columnist mentioned the patient struc adequate· treatment of patients and the tured program and recognized •Indepen,.. reduction in custodial type of care has deuce M. H. I. in his column. resulted in the elevation of Iowa from 37th position in the United States to April 26 ••••. A one day clinic on "Aging" the top ten in the country. The total for Protestant ministers was held. Dr. cost in the. long run would be much less Edgar Jackson, Ossawattomie, Kansas and if we give better treatment to the in Dr. John Hege, resident psychiatrist dividual and continue the reduction in were speakers. censuso June 9 ••.•• A three year rewiring project Finally, on July 14th, the 2nd vote re begun. Some of the wiring had scorched sulted in an 8 to 2 decision to rescind. the lath in the walls of some buildings and it is thought that only because of September 19 ••••• Francis Hayes, Direc.tor lack of oxygen, fires had not developed. Social Work.Department elected treasurer Some of the wiring has been in use since of the Northeast Iowa .District of the 1910 when the Institute had converted Iowa. Welfare Association and Mrs •. Anna from gas to electricity and a·portion Pettit elected 3rd Vice President. had been replaced in 1930 when the switch from direct to alternating cur- September 22 ••••• Fifty-eight Psychiatric 29 Aides were graduated in a special cere students who have completed three years mony. of approved residency in America, one Board Certified Internist for Medical Construction begun on a new store room Surgical Service, four psychologists building 97 feet by 97 feet at an esti holding Ph,D degree and six Social work mated cost of $160,000, The structure, ers holding Master's degree. being built by Gethmann Construction Co. of Gladbrook to be of concrete and brick January 9,.,,Dr. Korson received fellow and will be fire resistant. ship from the National Institute of Men tal Health to attend a two-week session November 3 .•• Governor Norman Erbe toured of the Institute in Executive Develop the hospital and presented certificates ment for Psychiatric Administrators. It to longtime employees in an awards cere is the first session of a one-month ins mony. Sixteen employees were honored, titute conducted for programs in govern among them Tom Donnelly for 45 years at ment administration at the University of Independence ••• longest term employee, Chicago. The second unit will be con ducted in the Spring. November 28 ••• A new dress shop in opera tion for patients who have no relatives March 6,, .Negotiations completed to in to pay expenses, where they can select stall gas for use at the hospital. The clothing from the shop. There is a var Iowa Public Service will install a gas iety of colors and styles and about 13% main and the Interstate Power Company of the pateints will use the services. will build a 7,200 volt line both for Alterations are possible and there is additional service. The new electrical also a selection of jewelry, handbags system will pxovide standby and supple and other items. The clothing is pro mentary electrical power to the Insti vided by the state and some is received tute and will be used mainly in the sum through contributions. mer months. A new gas-fired boiler will be added and will be used in the summer to provide heat for cooking and hot 1962 water:o March 6 .••• Four counties will send their Average daily resident population is 892 patients to Chet'okee instead of Indep and the average length of stay has drop endence. Cerro Gordo, Wright, Franklin ped from 5 years to 318 days. The total and Hardin Counties will no longer send full time personnel - 517 and part time persons here. Jackson County patients only 4. The physician to patient ratio will go to Mount Pleasant. The realign now 1 to 48. Voluntary admissions con ment made so that the four institutions stitute 40% of all admissions. will get about the same number of people. Readmission rate of patients in the Out March 23 ••• Civil defense authorities an Patient Department stays just below 15% nounced that the Administration Building while it remains close to 55% for all as well as Grove Hall, Activity Center admissions and 40% just for hospital in (Farmer's Lodge), and Nurses Cottage are patient re-admissions, This is. a n~flec possible fallout shelter areas, They tion of our increased out - patient are.among 21 buildings in Buchanan Coun activities. ty so designated, The present staff consists of five Board April 29 ••••• Edward Zachar received the Certified Psychiatrists, eleven physi Award for the Psychiatric Aide of the cians holding Iowa licenses, two foreign Year by the National Addociation of Men- 30 tal Health. He is the 12th local aide May 6 .: • •.•••• After passing an examination to receive national and local honors in before the Committee on Certification of the aide competition. Speaker for the Mental Health Administrators of the Am event was Msgr. Timothy J. Gannon, Dir erican Psychiatric Association, Dr. ector of the Department of Psychology at Selig Korson was awarded a certificate Loras College, He is a member of the as an approved Mental Health Administra professional advisory board of the state tor. He is a Diplomate of the American director of mental health. A play by Board. of Psychiatry and Neurology and a the patients and tours conducted by the Fellow of the American Board of patients filled the afternoon. Psychiatry. The hospital now a field placement agen The long range goal is to assist in the cy for graduate school in social service establishment of more mental health cen at the University of Iowa, as on-the-job ters or extension clinics in counties in training in final year of study. The .our area that are more remote from the Social Worker plays a vital role in the hospital out-patient location and not overall team care of patients ..•• They yet serviced by any mental health center start planning hopefully for the pat •••• with the hospital service as an ient's discharge to their family from acute treatment center. Major communi the day of admission and work with the ties will have to independently deter families trying to help solve any pro mine, plan and establish such facilities blems that may exist. as. they believe are required. These may include community mental health centers An evening clinic established in the Out or.clinics, special education classes, Patient Department for groups and indi beds for the mentally ill in general viduals who cannot schedule daytime ap hospitals and provisions for the mental pointments. ly ill in nursing homes, custodial homes and county, boarding and foster homes. The children's activities now being ex Other needed facilities might include panded. Dr. Melford Barnes, Child Psy half-way houses, rehabilitation centers, chiatrist, available as consultant to supervised boarding homes and super· residents in psychiatry to help give vised job placements as well as shelter proper treatment. ed workshops. The Dietary Department reorganized using November 13 •••• For the second year in'a a five-week master menu, the same as is row, the employees of the hospital gaVe in all Iowa State Institutions, Train to the United Fund 100%. There are 530 ing schools for all bakers, butchers and employees who donated this year. A com cooks being held which has resulted in mendation for cooperation and enthusiasm up-grading the food service for the and interest was made by Carl Kruempel, benefit of the patients. county c.hairman. The turnover rate in non-professional Iowa is joining many states in develop and lower salaried groups shows a marked ing a section of public information edu decrease due to improved salary scales. cation. Board of Control Divisions are Only 70 now live on campus. Every new developing new or expanded old programs employee rec.eives an initial 10 hour requiring full community participation, orientation course designed to acquaint or community based programs. The coop him with the institution and its poli eration of an informed and understanding cies, followed by further intensive public in regard to problems, policies, training in the department to which he and p·rocedures is imperative. Research is assigned, has shown that despite repeated presen- 31 tation through mass communication media, request for admission is made and a pre the general public is still. largely un admission evaluation is studied includ informed regarding mental illness, men ing the child's past history and current tal retardation, crime, delinquency, problems. If the child is to be admit problems of children and needs of aged. ted, arrangements are made to see the child, both parents, and, if indicated, the referring .. agency. In some cases a 1963 treatment plan that can be carried out in the home community is advised, thus avoiding the expense and other associat January 12 ••••• The Iowa Board of Control ed problems of hospitalization. The re discussing a security mental health hos ferring agency or parents are required pital to provide for all mental cases to retain custody of the child being ad that require security. It is designed mitted. Plans .are made at the time of to alleviate the crowding at Anamosa admission, for an early release. The caused by commitments from the mental acedemic sehool is composed of a princi health institutes. pal and seven teachers, all certified by the State Department of Public Instruc Hilltop Building, built around !900 as a tion. Generally classes are quite small tuberculosis sanitarium, has been remod and some are so emotionally disturbed eled and now has facilities for the 50 that they c. an tolerate only short per bed unit for the children who have been iods at a time. housed in the main buildings. It is the only such facility in Iowa with the ex January .•••• The four county special edu ception of the 10 bed unit in the Psy cation unit of .Buchanan, Clayton, Dela chiatric Ward at University Hospitals at ware and Jones.Counties held a meeting Iowa City. The children range in age here. Dr. Bealka, Director of the from eight to sixteen years and the av Children's Unit spoke on "Who is the erage length of stay is from four to .Emotionally Disturbed Child?" seven months depending enth·ely upon the nature of the child's ,emotional pro February 8 ••••.••• Dr. Daryoush Khoshbin, blems. No mentally retarded or brain native of Teheran, Iran and a resident damaged child is admitted. Overtly de psychiatrist killed in a four-car auto linquent c.hildren are not accepted who mobile accident. Burial.was in Mt. Hope require treatment in a eontrolled set Cemetary. ting. The buildings are old, but exten sive remodeling has made them usable," February 19 ••• The hospital and the W.ood containing recreational areas, day ward State School jointly sponsored a rooms, study area.s and dormitories in conferenee on the trends in mental addition to the offices for the profes health programming and working relation sional staff. ships of the two institutions and the counties which they serve. Panel mem Intensive psyc.hiat:dc treatment during bers were members of boards of super the period of hospitalization in this visors, matrons of county homes, direc unit is the· most important aspect of the tors of relief and .staff from the program. Referrals are made by the in hospitals. dividual county welfare board, school authorities, juvenile courts, other in March 3 .••• A program in Vocational Reha. stitutions and by the parents or rela bilitation begun in Waterloo schools and tives. The most severly disturbed and at the hospital here. Harlan Watson, mentally ill children from over the en Vocational Rehabilitation Counsellor be tire state are received. The initial gan duties as supervisor for one or two 32 days a week at the hospital and the re pital.•. Dr. Hege. studied -under the Na mainder of the week in Waterloo. This tional Institute- of Mental Health Grant. is a demonstration project. broadening the service to include all disabled The second-session of the. third annual. physical and mental. seminar on psychiatry .for general prac tioners held with Dr, A. S. Norse hand March S •••••• Arch Devlin selected as the ling the discussion on ."Treatment of outstanding aide for the past year. He Dep·ression," Dr. Norse. is an Associate has worked at the hospital for 12 years Professor·.- -of Psychiatry at the State and his name will be entered in the Na~ University of. Iowa. Also Dr. Paul tional Association for Mental Health Huston, Director of the Depar.tment of competition. Psychiatry at Iowa City talked on "The Role of .the General Practitioner Provid April 25 •••• The third annual seminar for ing Psychiatric .services," general practitioners held at the hos pital. The session objective is to pro September 15 •••••• Demolition of "Sunny vide practicing physicians with psychi. Villa" l3uilding completed. The building atric concepts and treatment. processes had not been in use for some time and which would be of practical value in the formerly housed female patients. daily practice of medicine. Dr. Milford Barnes, Director of the Des Moines Child A workshop for Public Health I Nurses of Guidance Clinic discussed "The Disturbed District 1 and 5 held sponsored by the Child" and Dr. Max Pepernik, Assistant Director of Nursing Education and Social Professor of Psychiatry from the Depart Service Department and hosted by the ment of Psychiatry at the State Univer hospitaL The workshop geared to devel sity of Iowa also talked,. His topic was opment of interviewing skills. "Marriage Counselling." November ••••• Workship for Northeast area April 28 •..• 0pen House held with 3000 in Health, Education and Welfare Planning attendance. Dr. S. M. Korson, Superin Council held with the goal to integrate tendent, addressed the visitors on the services available in the area. "Progress in Mental Health." Mr. Arc.h Devlin was honored as the outstanding Seven counties in Northeastern Iowa have Psychiatric Aide for 1962 and given na no community psychiatric clinics and tional recognition by the .. N•. A. M. H. hence these counties turn to the Mental This is the 14th successive .annual award Health .Institute .for advice and help at the institute, A remotivation demon with psychiatric problems. Some coun stration was given. ties are also faced with chronic problem ' solving of staff shortages and waiting June 30., •• The first four doctors in our lists for services. They, too, fre three year approved residency training quently refer patients .to.us for clinic program were awarded .certificates of evaluation and .. therapy, An evening completion of training, Dr, Vernon clinic has. been. established for the Kliewer will study further for child working patient •.••• one night a week in psychiatry. Dr. John Hege will begin dividual and group therapy are given on July 1 as the medical superintendent of a limited· scale. the Anamosa Reformatory. Dr. Donald Sanders will go into private practice. Radio broadcasting •• ,.Our.program entit Dr. Laszlo Varga intends to go into the led "Mental Health is Everybody's Bus field of education and research. This iness" now played alternately between is the first three year residency train KOEL,. Olewein and KOUR, Independence. ing program to be completed at the has- These b~roadcas ts cover talks or pane·l 33 discussions from professional staff re and Mental . Health. The .. organization garding the latest tx•eatment methods and will: . promQte a study of the problems timely subjects of interest to t:he gen which are mutual to.,clergymen, psychia eral public. trists, .and, other .physicians, psycholo~ gists, cultural anthropologists, sociol A certificate of Achievement . Award for ogists, .social.workers .and .others in the 1963 given to the hospital for note behavioral .. sciences., . community mental worthy performance in the National Vehi health leaders and.interested laymen. cle Safety Check for Communities. November .... Dr. Phillip H. ,Tenney, resi-. July ll •.• Conference held.for members of dent psychiatrist, had,a p~o:fessional the Iowa Welfare Association, Northeast paper published in "Archives of Neurol District with Francis Hayes, . District ogy", VoL 9, Number 5, 1963, The paper Chairman presiding. Anthony Travisono, was.,. ,entitled . "Methocarbemol in the Superintendent of the Iowa Training .Therapy of Tetanus." School for Boys; James Hoy, Chief of the Social Service at the School; Harlan Wulke, Marshall County Probation Officer 1964 and Irl Carter, Board of Control as guest panelists, Dr. Richard Bealka and 72l.pa:tients ..in ,the hospital, For the David D'Angelo were also on the program, fiscal year 1963, we had the highest level of admissions and. discharges in July 23 .•••. Dr, Bruce Ambler began as the history of the hospital. •••• 1187 ad Clinical Director of the Acute-Intensive missions (592 wer11 voluntary) and 1237 Service, Dr. Manuel Fernando.now Dir~ separations. .53 .3%, .admissions are vol ector of Pathology and Laboratory Ser untary as compared to 15. years ago when vices; Dr" Richard Moore, Director of only 15% were voluntary. Out-Patient Department. Dr. He:r;meneg ildo Kadile appointed staff psychiatrist Turnover of.employees. 38.57%. Not many as well as Dr. Mayeed-ur Rahman, Dr. years ago, the. yearly average was well Nebahat Soykan and Dr. Nihat Soykan. over 100%. ,The .stability .and motivation Dr. Irfan A. Orer rejoined the staff as of the Psychiatric Aides has a great Director of the Medical-Surgical and significance in patient care as aides Geriatric Service, are the· members of the team who spend the most time directly with the patient. August 1.. ,.Mrs, Margaret Maxy Angola, a representative of women's organizations Added to. the .. staff o, o oWayne Wright, M.A. of Uganda, Africa toured the hospital as as Director.of.Alcohol Services; Daniel part of her study of the United States Campbell, M.S.W. as Director of Social and its people. She is a teacher and a Service Department; William Haley, M.S. community development assistant, W., Social Service .Department; Dr. Richard Bealka, Board eligible Child August 14 ••.•• 0ne qundred fifteen North Psychiatrist, Director of the Childrens east Iowa priests attended the second Psychiatric Service and Dr. James Woo workshop in pasto~al, psychiatry. The Sam, Ph.D., joined. the Childrens' Service adolescent, hi~ problems and his rela as,psychologist. tionship with the clergy was ths theme for the workshop, FebJluary. o •• A conference held with chief social workers from all mental health November 26 •••• Rev. Charles Hart elected centers· in our area. The purpose to in to the executive board of the Northeast tegrate·.services of .our respective agen Iowa Branch of the Academy of Religion cies and lead to additional meetings be- 34 tween medical directors, chief social June"""The. announcement made of the book workers and personnel of the Institute" ."Ne:rvo~UJ . Tension, · Behavior and- Body Function" by Dr. Helen Barton to be pub March .4 •• , Seminar for Protestant clergy-. lished in. the fall. Philosophical Li men.centering on "teen-age problems" be brary, the publishers accepted the 450 gan, Series one afternoon each week for page manuscript which is a report of ten 11eeks " . more than 10 years of exploring feelings th~t are called .. nervous tensions which March ..•••• Cornell College students have often produce· fatigue and illness" become volunteers as a part oCtheir ex tra curricular activities" Between 18 June .... ," She Hospital paid .employees in and 20 come each Saturday afternoon" $2oOO·.bills to show .the impact on the. Four coeds work._exclusively at Hilltop community of the $71,500 ·payroll every with the children. two weeks. The action was a result of .movement.underfoot concerning a vote of The Social Service Department has con .the Independence .School- Board to ban tinued to participate actively in. ori certain rural high-school tuition stud enting County Commissions of Hospital ents from attending Independence· school. ization and County Clerks of Court re This would have . -included children of garding the Mental Health Institute and staff· people here. ·The board resinded its role., •• resulting in a better· under its ban and-other conditions· were met. standing as well as a collection of more. Subsequently· reorganization did \take data for the admission of patients and place to include many rural areas. This earlier treatment and care. The hospit unique· event was featured in newspapers al also plays an active role in-the or-i all over the United States, entation of county officers as· to pat ient care and planning •••••• and are seen June 22 •••••• The first group of Catholic regularly in a working relationship to nuns· began supervised training in the bring about greater understanding and · clinical course of· Pastoral Psychology better services. County Homes have who are non-nursing sisters. Th!i!·fSix brought personnel here to receive ori weeks· program is an intensive study of entation to patient care and we: in turn the nature and treatment of· mental dis visit them to demonstrate the technique ease and designed to enable priests, of remotivation for its patients" -Floyd seminarians and sisters to act as better County Home is the first county home in counsel<>'rs· · in the · school and parish, the U!!ited States to use volunteers to They learn· to recognize· · normal behavior presept techniques of :o:emotivation.. Al patterns and· reactions. to everyday lamakee County Home and Floyd County events and to recognize early signs of Home have developed a program with vol future· difficulty·" . Eleven nuns were in unteers participating in . intensive the first: ·program" This is the only training program in . remoti:vation who such: program in the United States. have been certified by the American Psy chiatric Association Remotivation Unit July 23 •••• The Minute Man Flag raised by as being qualified in. this area., . Linn Troop· 47 Boy Scouts for 72% savings bond County Home personnel are learning- tech payroll participation" Fourteen state niques and Marshall and Jones County institutions raised similar flags simul plan to use it" Winneshiek wishes act taneously for over 50% participation in ivities therapy program, the bond· drive. The flag raising took place at 9:20 A.M. Spring •• The Hospital had an exhibit, from the Childrens Program at a convention of July-. " , o The Nurs:tng Ed,~ca tion D!1li?artment school officials in Des Moines, sponsored a workshop for all five af- 35 filiating schools of nursing, These Everybody's Business" a guested informa schools •••• Allen a~ Waterloo, St. Luke's tion program. They are: .KQ!ll., Oelwein; at Davenport.,. 'Evangelical. at Maxaha11- KOUR, Independence KWWL, Waterloo and town, St, Luke's Methodist at Cedar KLWW, Cedar Rapids. Colored slide and Rapids and Iowa Methodist at Des Moines taped narration scripts are used for participated with resource speaker Alice speaking engagements. Robinson, RN, MS and Director of Nursing Education at Vermont, State Hospital, October •••• The hospital adopted the Unit Waterbury, Vermont. The program trains System of organization. Patients remain four classes yearly with over 300 stud in one building throughout the entire ent nurses completing the affiliate stay in the hospital. Formerly patients nurses training course. were shuttled from one building to an other in the course · of· treatment, The The Dietary Department serves 1100 meals system is designed to permit care and three times a day with 33% on modified treatment as an individual in a stable diets. The dietitian writes working environment with secure living condi menus for 12 different variations of tions, continunity of relationship with diets spec.ified by the doctors for their doctor, nurse, p~ychologist, social patients. worker, aide and therapist. It provides for improved application of basic psy Industrial Therapy Department assigns chiatric principles which indicate that approximately 70 jobs each month. Some a patient's recovery depends upon the 40% of the total hospital population establishment of certain relationships take part in the assignmen~s. They pro with other human beings in which he can vide therapy for patients in keeping gradually acquire trust, and maintain them occupied and in as normal a setting that trust until he has recovered, Two as they would find ·;tn the community. equally staffed units were organized, The jobs are assigned according to pat one in the Witte area called the Witte ient needs, interests and capabilities, Unit, named after Dr, Witte a past Sup erintendent, and one in the Main Build August •••• Mrs. Lorna Goede, Clinical In ing· called the Reynolds Unit, named · structor in Nursing Education was award after Dr. Albert Reynolds, the first ed a $1000 scholarship to complete her Superintendent. The units accomodate college work for a B. S. degree, The 200 patients each an~ are staffed with Mary Scott Scholarship is awarded each an equal number of professional person year through the Iowa Association for nel· making up the t:reatment team. Each, Mental Health, Inc. area rec.eives admissions on an alternat ing bl!sis. In addition to the two acute September, ••••• A one.week camping exper intensive t%eatment areas, the hospital ience for both ma.le and female patients ·also has separate geriatric, .medical, planned alternately at Camp Hartml!n in alcohol and children's units and an out Waterloo, Patients eligible wet:e clear patient· depa.rtment, ed and about '40 patients take pat:t weekly. Eight patients and one aide About 20% to 25% of those admitted are were assigned to each cabin with crafts; in the senior.citizen age range and the hiking and meal preparation a regular treatment· is· somewhat different in view part of the daily activity. of the fact that the majority of geriatl~ rics have some. organic brain changes. September •••• The Office of Public Infor Attempts are made at remotivation by the mation created to present the public entire team and with· special projects by various facets of the program. Four the student'c4!1l-i'ses. This has been sue.., radio stations carry "Mental Health is cessful in awakening the patient's in- 36 terest and has given the student nurse a the total treatment program. This and meaningful experience in· caring for this the reorganization into the unit system type of patient, have been possible only because there is enough qualified staff to handle the The patient returning for treatment is programs. assigned to the same area of previous care where personnel and case history December; •••• Dr. Milford E. Barnes, Con are known and available, The treatment sulting Child Psychiatrist from Des process consists of a continuation of Moines and Director of the Des Moines previous care in the hope that the pat Child Guidance Center has been certified ient may be benefitted to the point. by the Committee on Certification in where he will again be able to adjust to Child Psychiatry of the American Board the community. of Psychiatry and Neurology, the Resi dency Review Committee for Psychiatry The alcoholic program is somewhat dif and Neurology, representing the American ferent than the program and treatment of Board of Psychiatry and Neurology and the mentally ill, Of the total admis the Council on Medical Education to con sions about 20% are alcoholics who are duct a residency program in Child Psy referred to the separate ward specializ chiatry in affiliation with our hospital. ing in that program. Attendance is re There· is only one other state hospital quired at lectures,films and .!lroup ther in the United States approved for .this apy sessions. Specific ways of dealing type of residency program.,,. the Metrop~ with the problems .are stressed, Small olitan State Hospital at Waltham, Mass. group psychotherapy sessions with four Dr. Paul Tempel now completing his reg to five patients enables all to discuss ular psychiatric residency here, will be their conflicts and problems in a small the first resident to begin his six intimate setting. Weekly sessions with months training in January 1965 on the the chaplaincy is a part of the rehabil Childrens Service, He will then go to itation process. The chief of the con Des·Moines for further training. tinued treatment service administrates the program and a resident in psychiatry Amusements: A portable electronic piano is assigned to the unit. Dr. Leo B. allows music on the wards,, A stereo Sedlacek serves as consultant from Cedar system installed in the Auditorium and Rapids. speakers planned for the Cafeterias, Musical programs can then be scheduled Approximately 75% of all patients are on a planned basis for enjoyment. In receiving some form of tranquilizing strt,l!llental instructions are provided and medication. Electro-shock therapy is social dances held twice a week, The considered a specialized treatment pro~ air-conditioned Auditorium allows 52 cess averaging four each week, It is the week· usage. In the past, the movies had treatment of choice for endogenous dep to be discontinued in the hot season. ression that might be a suicide risk. The movie· projectionist is employed to Patients with severe depressions respond show films three times a week in addi more rapidly to electro-shock than to tion· to repairing radio and TVs, A new medication alone, It should be remem outdoor area completed and lighted for bered that the use of tranquilizing evening- activities. A nine hole minia drugs does not constitute the entire ture golf course constructed which fur process of treatment of the mentally nished .enjoyment .for·.many. Also during ill. There must be a social milieu and .the· season. patients are taken to base~ the proper therapeutic climate, The ball· .games·, footbaJ.l games as well as open door po.licy and ward government concerts.and.other events.· A total of have helped much and now are a part of 220 volunteers assist in these areas. 37 Addi t.ions and repairs: A new· .heating .also .to·.acquaint others with the treat system in the entire Main Building and ment given in the hospital. remodeling of the system at Hilltop em ploys a new gas-fired boiler. The · February.21 .to 23 ••••• Activities Therapy houses on the grounds used for employees display made by Grace Matousek and Tom now equipped with gas fired furnaces and Atwood of the Occupational Therapy Dep baseboard hot water heating. There are artment was shown at the annual meeting new drinking fountains on all wards. 45 of the Iowa Association for Mental units of new street lights flood the Health in · Des Moines. Dr, William Men grounds. All the wards in the Main ninger was featured· speaker. He praised Building and Infirmary are rewired and the State for its achievements in mental the toilets and bathrooms remodeled over health over the last eight years, but the hospital. New fire doors installed e,dded·: "We haven't much more than begun in Main Building, Grove Hall, Nurses to do what we have to do for this trou Cottage, Hilltop and Infirmary. Rubber bled world, and the trouble begins in tile floors installed on Ward Q. Nurses the minds of men." There is need for Cottage remodeled. The old drug room qualified personnel to help treat ill and morgue building remodeled into Hill persons. Dr. Menninger, president of top School. The hog house rebuilt, a the Menninger Foundation in Topeka spoke barn cleaner and hay conveyor installed to the joint session of the Iowa Legis in the dairy barn. A milking parlor lature about costs: "Eight years ago added to the milk processing building at Iowa paid $3.30 per patient for care, a cost of $23000. Over 20,000 bricks today you spend $10.15 and in three or used to brick up ~he old ventilator and four years the cost will be doubled. heat stacks and trash chutes in the Main America. has made progress but it is only Building. The old Sunny Villa Building a start. Thex·e are more persons in men razed and the ground graded level. The tal hospitals than the total in general Grove Hall Building converted into an hospitals •. It means that to get trained Activity Center housing recreation, mu personnel, we must train them ourselves. sic, occupational therapy and library facilities. An addition built to the Maxc.h 30 ••• The new book."Nervous Tension laundry for sorting space. Some roads Behavior and Body Function" by Dt". Helen surrounding the hospital paved. The Barton went·.on sale. A special display four dormers removed from Main Building, and sale held .at McGr·aw Book Store in the pitched slate shingle roofs were re Independence. roofed with asphalt shingles, Oxygen piped into the Medical-Surgical Ward April 2 ...•••. More than 200 persons from from a bank of oxygen cylinders in a c.ounty departments of social welfare and room built on the basement po:cch, relief · attended workshop on "Hospital and Community." Member·s of the State .Department· of Social .welfare and of the 1965 hospital· staff conducted· the· meeting. Admissions for the year totaled 1410 April ••••• The Junior Chamber of Commerce and discharges .••••• 1574. The average tour·ed .the State. to .obtain support for daily census 551. legislative.action to. allocate state funds for·. a new childrens hospital to January 27-28 •••• Workshop held for coun be constructed here. ty home employees sponsored by the hos pital. Purpose to give all who work May 2 .• "A freer road to patient recovery' with the patients an opportunity to meet, was.the focal point for the annual Open to provide better care for the patients, House. About 3000 .persons toured the 38 hospital, saw remotivation· techniques, .under·.ons .roof. viewed occupational, music and recrea tion therapy in action, June 9 •••• Thirty~fi ve women and men v.ol unteers were honored at the annual re May 4 ••••• ; .Dr. Selig Korson presented a cognition ceremony. James Fields, Dir paper on "Empathic Relationship Therapy ector of Nursing, gave the address and Utili~ing Student Nurses -- Five Year Dr. Selig Korson presented certificates Pilot Study" at the 17th annual meeting to the honorees. of the American Psychiatric Association in New York City. The.paper explained June 10 ••••• MHI hosted the fourth annual the use of student nurses to treat re seminar· on "Psychiatry for General Prac gressed mental patients on whom other titioners" for doctors in the 20 county means have failed. "Sixty. percent of area served by the.hospital. The one the original group of 126 patients as day session had been accredited by the signed to the program ~ years;agp ha:ve American Academy of General Practice and been discharged. Patients receive more was .co-sponsored .by Smith, Kline and tender, loving care which is the basic French .Laboratories. The aim of the ingredient necessary to improvement of clinic was· to provide .the general prac recovery on the mentally ill." Eight titioner with psychiatric concepts and patients were assigned to a team of two treatment which would be of practical student nurses who associate closely ·value to him· in his daily practice. with the patients in occupational ther apy as well as music and recreation. June 11.. The .new .milking parlor complet Mrs. Winifred L. Hayes, former Director ed and .ready· for use. The installation of Nursing Education here, co-authored provides a more efficient operation and the study. ·insures a better product. An increase in herd size is not planned. The herd May 4 •••• At the same meeting in New York has 83 milking cows with a total of 259 City, Dr. Charles E. White and Dr. Harry including· calves, bulls and steers, The Oestreicher were inducted as Fellows of herd has been·.on .an analyzing and test the American Psychiatric Association. .ing.program since 1954 and produces 3000 The honor is given to association mem pounds of milk.daily. bers for meritorious contributions to psychiatry. Dr. White functions as Dir June lS •••• Graduation.exercises held for ector of Education and .Dr, .O!la.treicher 51· psychiatric aides who also received as Clinical Director. certificates· and remotivation pins. Mrs. Louis Sagert, President of the Buchanan On display at the Association of Mental County· Mental· Health Association was the Hospital Chaplains held in conjunction guest· speaker. with the A. P, A. was a program focusing on "Religion and Psychiatry" constructed June •• , .The .6th .supervised training .pro. by Rev. Charles Hart. gx·am for·.Catholic·.clergy and the second for Catholic siste:r;s begun.. The suffii!ISr June 4 .•••• Governor Harold.Hughes signed .session ·is for · six· weeks · of. study in the bill for funds to build the child "Institute and · Clinical Work in Mental rena unit here, The money, $700,000 ts Health." The program is the 8th summer a part of the major improvement bill ap .session. for the Protestant clergy, propriating $5,610,000 from the s.tate general fund for capital improvements. June.27 •••• c. H•. Hutchins, attorney from The House recently passed the bill 104~7 Belle: Plaine .and a member of the :aoard and the Senate 43-12. The building will of .the Iowa State· Commission on Alcohol make room for SO beds with facilities .ism was speaker for the annual alumni 39 picnic of the Alcoholic Unit. tennis demonstration. July ! .... Colonel Robert Henderson, Dir August 3 .••• Problems of the elderly were ector of Dental Service, retired from discussed by Dr. Korson and local wel the Air Force Reserve after more than 30 fare personnel at.a county mental health years active and reserve military ser meeting. The meeting was held to plan vice, future programs to meet the needs of the older citizens in the community. July ! ... Adult Education section has. be gun for patients who are older than 18 October 7-8 •• County public health nurses and who have less than a 9th grade ed from Northeast Iowa attended a two-day ucation. It is intended to help with workshop here •. The.purpose of the meet communicative skills such as reading, ing was .to plan how both the public writing, speaking and listening. It is health nurses as well as the MHI staff aimed to better enable them to adjust can better work.together for the overall more effectively to a productive life improvement of services to those needing outside the hospital. The program is .mental health care. financed under Title II, Department of Public Instruction and two full·-time Oc.tober 8 .•••• An .exhibit .was constructed teachers instruct an average of 50 pat by Rev. Charles Hart to present the cor ients relation of religion and mental health. It was shown. at.the.regional meeting of ·July •• More than 500 patients participat the.American Psychiatric Association in ed in day camp spending five days in St. Louis. crafts and recreational activities. The camp at Wildlife Park continued until October 22 ••••• Dr •. Richard Bealka talked the end of August. with parole, juvenile.and.welfare offic ers at.the Iowa Council on Crime and July 28 ••••••• Announcement was made that Delinquency.on.the topic "Communications farming and dairying operations would With Clients." He counseled never to end at the hospital in the fall. Cattle preach to.but .rather help children ar and land along with the equipment to be rive at their own solutions and allow sold in the fall. "They are no longer the individual to express himself. used to any great extent as a rehabili tation facet for patients because of the November 2 ••. Employees exceeded the goal short stay as patients, and the active of $2,100 for the United Fund to lead therapy program" was the announcement Buchanan County into the drive. made by Dr. Korson and Lawrence Schneid er, Business ~anager. Similar adjust November 23 ••••• A Homemaking program for ments to be made at the other state men women patients begun. Under the direc tal institutions. tion of Mrs. Jean Mahurin, a graduate home economist, the therapy program is August .••.• A new 500 gallon pumper fire the first to be established in Iowa. truck costing $15-16,000 delivered and Kentucky, .Pennsylvania and .Colorado have the old truck sent to another state begun such.work. The primary aim is to ins ti tu tion. retrain women who will be responsible for their own.households upon release August ••••• Members of the staff and pat from the .hospital. Spec.ial emphasis to ients presented a variety show at the be placed on meal.planning, preparation, Buchanan County Fair. The show consist baking, preservation of food, effective ed of country music, humorous readings, use of time and . energy in overall home a German band, dancing and a table making. Care,. construction and repair 40 of garments, making the home. ·mora at delivery of the deed and merchantable tractive, personal care and et'iquette 'to absta~t of title, The condition stated be stressed also. A '-\nique four-room that the premise to be used only for a apartment was created for this project. municipal airport. November ••••••••• The speech class of St. Improvements: A new automstic shirt John's High School, Independence pre press purchased and installed in laundry. sented a three-act comedy "It's Spring Again" for patients. The production was under the direction of James Fields, 1966 Director of Nursing who has done consid erable work in the dramat:l.c a.rts field. There were 1622 pateints admitted and 1659 discharged during the year with an December 1 ••••. Minimum starting wage for average daily count of 366. all employees raised from $235 to $270 per month. Hopeful result to be the z·e In March, 40 women from Black Hawk Coun cruiting of more qualified personnel ty em:olled for training under the Title thus insuring be!cter treatment and c.are li of the ·Economic Opportunity Act. A of patients, portion of the time spent in the class room and the balance in· actual on-the December 14 •• 1046 acres of land auction job in dietary, housekeeping, laund~y ed at a public sale. The land had been and the psychiatric aide areas. A grant divided into seven parcels and bids re of $10,000 was used in this unique pro ceived. 250 ac:res of land was kept by gram, It x·esulted in , ADC mothers ob the state for garden and orchard area in ts.:ining jobs .and so were taken off the addition to beatification of the welfan; rolls. grounds. The total pric,z, received for the farmland was $318,753 and the pur March 4 •• , , • The smalle·r· of the two brick chasers were: L C. VonLehmden, E. A. chimneys was dismantled. It had not Madill, Dr. Robert l!ende:rcson, Leonard been in use for several years as only Ronnebaum, Cyril Handfelt all of Indep one smokestack was needed for both coal endence and Dr· o Ho Lloyd Miller of Cedar and n,atural gas. Rapids. Not included was a t:rcact of 54.54 ar!res whi·ch was withheld for pos March 12 ••• The new. telephone switchboard sible purchase by th 41 ments of social welfare and county re rons· of· county homes on the changing lief from the 20 counties served by In patterns of psychiatric treatment and dependence. Dan Campbell served as rela.tionship between the hospital and chairman of the meeting designed to co the community. ordinate services for recipients. The meeting was sponsored by the Iowa Board May 24 ••• Awards were presented to 23 de of Control and the State Department of partment heads and.individual team cap Social Welfare. tains in. the 1965 .Savings Bond Drive. 70% of the hospital personnel purchased March 30 ••• Red carnations were presented bonds making it possible for the Minute the doctors by the Womens Auxiliary to Man Flag to.remain flying. ;the Buchanan County Medical Society. 'The occasion has been observed national June 1. .. Dr. Paul Haun, Dirac tor of Psy ly since 1935 to honor the medical pro chiatric Education for the State Insti fession and its tradition of service in tutions of New Jersey spoke to the Board honor of Dr. Crawford Long's first use of Control members and representatives of ether for surgery in 1842. of the 14 Boat7d of Control Institutions in Iowa on the "Future Role of State In April 7 and 8 •.• Dr. Richard Bealka spoke stitutions." A panel consisting of per bn "School Pressures - A Cause for Men sons from the Department of Corrections, .tal Illness in Child'l:en?" at the annual Childt7ens· Services and Health discussed elementary teachers conference at the views on the future roles of such in State College of Iowa. Dr. Lucille stitutions in Iowa. Lindberg, Professor of Education at Queens College, City University, New June 14 •••• The.hospital was ruled certi York also talked. fied for the Medicare Program after hav ing been inspected by the State Health April 18 •••• A pastoral psychiatric work Depat7tment •. The. certification means the shop for priests from Northeast Iowa on care and treatment of a patient who "General Counseling and Marriage Coun needs care and.meets the requirements of seling Techniques" held here. the program can have costs paid. April 30 •••• The theme for Open House was September •••••• 120 patients enjoyed Camp "M HI Tells Its Story." The 8th annual Wapaton, the. YWCA Camp .at.Waverly. Age event presented 2700 visitors displays range was·. from the late teens to sixty on various wards and slide films showing plus. Thirty. patients attended each the activities in various areas of the week with two .weeks. camping for women hospital. and two for the men. They attended church in Waverly and a regular camp May 17 •••• Forty-one volunteers were hon atmosphere and experience prevailed. ored for giving of their time in service to patients. Fred Humphery, Instructor September 27 ••••. Father Edward Frost has in Recreational Leadership at the Univ been appointed to the Advisory Board of ersity of Iowa gave the address. the. National Assoc:iation of Catholic Chaplains. The. board considers stan May •••••• County officials from Northeast dards and . .certification of Catholic Iowa attended a two-day conference on chaplains ·.for general, mental and penal ''Hospitalization of the Mentally Ill. •. A hospitals and institutions. Fr. Frost Joint Responsibility." The program in was recently one of the featured speak cluded special sessions for auditors, ers at the 19th annual convention of the hospital commissions, social welfare and Association of . Mental Health Chaplains relief directors and stewards· and mat- at Atlantic City, New Jersey. His topic 42 was "A Catholic View .of-.Confess:Lons.: Re inebriacy .who·.are· admi.tted· ·directly to ligious and Psychological." .. He .has also the Alcoholic Unit· which· is. gea:r;ed to scheduled five workshops for-Catholic treat·.the· problem with a detoxification sisters in Indiana, Kansas, Wisconsin, therapy-. · The unit is a training center New Jersey and Iowa. for Iowa. Comprehensive Alcohol Counsel ors a number of whom have already begun. October 18 .•••• Eighty-four school nurses The program·, is A. A. oriented and the from 13 counties .attended . a .. meeting work.is very closely correlated with the planned for them here. Presen.tation and community and , .various· industries in the open discussions on material · of mutual population· .areas which· employ· patients. interest were held in the workshop. .App-roximately. 700 patients are evaluated October 28 ••. A symposium for .. county home each· year in the· 19.county·homes in our workers in the 20.county area for the area. The·· officials also bring their purpose of explaining and demonstrating patients to the Out-Patient· Department therapies used at the.hospi.talwhich can for evaluating.and into.the· hospital for carry over into the county·homes. necessary- care, treatment and stabilize~ tion. ·Of the discharges from the hospi December 16 ••• Floyd Fox .. retiredc.as .laun tal, 12% went· to nursing· homes and 8% of dry manager. He had. been employed 18 the total, went to county· homes. years. Mrs •. Wilma Fox had .retired in April after 24 yaars.service. January 21 ...... Dr. Richa:rd Bealka talked on the "Community Out-Patient Programs and.the.School" .at the annual Iowa As 1967 sociation for .Mental Health· .meeting in Des· Moines. The average daily census .;for the . year was 370. There .. were 1820cpatients ad February 4 •••• The Winte:r Olympics, a ser mitted and 18-12 discharged. .It follows ies of·. patient pa:rticipation sports that notwithstanding the·. smaller·. number events was· sponsored ·.by the .Fayette of resident patients., . the wo:rk loads of County· .American -Legion and· Auxiliary. the professional-staff havec g:reatly 'in Such-events-as. volleyball, basketball, creased. · State:,c,hospital.... systems: have table- .tennis:; .pocket billiards, darts been upgraded:, .salary.,wise·.and: in·.other :and:.shuf.fleboa:~;d·.interested many in open respects, and:· tlhe:.effort:.:J.n: Iowa· is no competition. longer "'nc·.a: p:toneering:.levs1:. · · The·.aver age· daily cost .pel!: patient·.is·.$-19 .10. Februa:~;y •.•.• A -six-pa:rt· -series of pictures and. story·,of·.a·ativities· at the hospital The· case load , in . the· Ou.t,.Pa.tient: .Depart and· ·various programs· of in~patient and ment· has· ina11easad:.- also,-. to: about· 500 out-.,patient: ,, .services was presented on patients·· thus·· resulting ·.in·· quicker KWWL-.TV·, · Channel 7. The. · series was a tree tment and·, shorte11:. hospi1laliza tion. special· feature of the 6:00 P.M. news. It haqdles· the· follow-.up· · supportive therapy to the· discharged· patients and February 28 ••• Eighteen psychiatric aides also prevention of· hospitalization. graduated from the 120 hour course of study and. training •. The course encom The training.progr.am.for student: nurses passes:. didactic and .·.clinical training has expanded with seven ·hospitals and and· a bonus· for eac:h·.graduate. colleges sending their students · for an eight week residential course. .MaJ:ch. 13-14., •••.•• A two-day workshop for county home .. matrons,, stewards and em Thirty percent of all-admissions .axe for ployees including.the· county boards of. 43 supervisors _held. 'designed .to .c<>ve;r: nurs'" offi!la •. It is bill.number HF572. ing care for the elderly patient, proper handling of m~dications, admissions and July.l,,CapitaJ..investment· at present is patient management, 141 persons attend ~5,746,425.47. A total of 293 acres now ed the two sessions, owned by the state in campus, gardens and orchards. April l8 ••••• Mra. Mary Lake, Chief Tech nologist was isntalled.as President of July 11. •• A disaster drill was conducted the Iowa Society of Medical Techni.cians, .for .and by. employees as .a training pro Over 200 technologists belong to the gram for the. hospital disaster plan and society, civil defense· fallout shelter. The plan is adaptable for two major types of dis April 30 •••••• 0ver 3100.psraons attended aster· either within the hospital or the the Open House. Theme was "Modern Pro community. Since the drill, membe.rs of gramming for Mental Health." Fourteen the staff have assisted with two major displays were set up in the auditorium, tornadoes and·.two .floodings. There have Two slide progx·ams were shown, "The Life been local citizens guested and fed at of the Patient" snd "Alcoholic Service." the· hospital in.accordance with the com Especially featured were Geriatric Unit, munity plan. A police and short wave the Screening Center, the Alcoholic Unit .radio has bean .purchased to assist with along with Physical Therapy, Out-Pat the program" The city fire chief Paul ient, Adult Education . and. Homemaking. Soener and assistant Ken Williams along ,The Student Nurse Activity groups were with Don Parrish, Buchanan County CiviL in session, Defense Director and Dale.White local mortician •••• plus twenty three boys and May 16 •••••• Guest .speaker.for the.annual girls·from the city assisted with drilL Volunteer Recognition Day was Dr. John P. Woods, pastor .of. the Westminister July ••••• The Oelwein Jaycees presented a Presbyterian Church in Cedar . 'Rapids. threa-aat play "George.Washington Slept More than 100 volunteers were honored at Here" to a full house, James Fields, the special.cer~mony from Independence, Director of Nursing, directed the cast. Brandon, Vinton, Rowley, Quasqueton, Winthrop, ,Jesup, Mt, Vernon, Oelwein, September.," •.•••• Two of the boilers have Cedar Falls, Evansdale and Waterloo, bsen.rsmoved from.the power house, They had been replaced. several years ago by May 30. , .A total of 64% of the employees new ones, The boilers were used to pro are enrolled in the bond purchase pro duae ·Steam heat' .for·. genet~ating electri... gram and over half also signed to pur oal current and for heating purposes, chase the Freedom Shares,. The Minute They were obsolete and.no longer used, Man flag is to fly for the third year, September 21 •• , , ,Dr, s. M. Korson talked June •••••• ,A bill was signed by.Governor on ''New Hortzons .of Treatment" at the Hughes to permit the county commission 19th .. annual Mental Health Institute of on hospital insanity committee· to·.commit .the -American Psychiatric Association in a patient for treatment to a local hos Minneapolis. pital as well as to a state hospital. Octobe11 .28,, .Dr. -Richard Bealka spoke at June •••• Gove;rnor Hughes signed into eff the conference ·.for parents of retarded ect a bill to create a merit system of and slo~learning· children at Cedar Falls personnel administration for state em on. "What Parents and Teachers Can do in ployees and to create the office or per Coping With the .. Emotional Problems of sonnel director within the governor's Retarded.and Slo-Learning Children." 44 In late 1967 the hospital was su~veyed ing the 3rd.Battalion.Mechanized 133rd and met the standards for hospitals of Infantry from Oelwein. the Joint Commission on Accreditation of Hospitals. For providing an acceptable The radio program series "Mental Health level of patient care and for maintain is Everybody'.s .Business" presently being ing as its primary objective the safety broadcase. on 9 .radio .stations in ten and welfare of the patients, this cer cities. The .stations are located in tificate of accreditati.on was granted by Independence-Manchester, Oelwein, Water the authority of the Joint Commission on loo, CedarRapids, Marshalltown, Charles Accreditation of Hospitals. The Joint City, Waverly, Decorah and Dubuque. Commission consists of the American Col lege of Surgeons, the American Hospital .The.color slide-audio synchronized pro Association and the American Medical grams of the various facets of the hos Association. pital program are presented to a variety of organizations in the 20 county area. November 1 ••••• The goal for the hospital employees share of the United Fund was The trend of the patient population $3000 and the total reached •.• $3024.50. seems to become more youthful with each year. Reasoning would point out the November •.• A report by the State Auditor fact that the majority or persons be.come published indicating the decline in the more aware of the problems of mental daily patient population at the hospital illness sooner and seek help quicker is due to more sophisticated treatment than had previously been the case. Also programs, the use of new drugs and im .the.stigma .of relatives having mental proved facilities so that patients can porblems is lass great and families are be rehabilitated quicker. more willing.to ask for assistance ear lier •••.• before the illness has been al December 1., .Jack Bickenbach, .. Personnel lowed to cause.severe and incapacitating Director elected treasurer of the newly results. formed Iowa Hospital Personnel Directors Association. More than 30 hospitals Improvements: The .installation of fire send representatives. Problems such as detect:ion and alarm system begun. Con availability of specialized labor skills struc.tion of. Childrens Uni.t Building and effective utilization of sound per begun, A wash space for cars and trucks sonnel management programs will be dis added to the fire station. Rubber tile cussed, The group meets four times each installation begun in Reynolds and In year. firmary Building wards to help make the living areas more homelike. About this A program for senior students in psy same time woodsn beds, dressers, mirrors chology and social work has begun with .and many pictures were put on the wards Wartburg College. Selected students with the feeling of more pleasant sur take part in a residential program for roundings. The patients are urged to one month each. bring and wear their own clothing and accessories •••••• this in the attempt to December 13 ..... Dr. Avni Orer, .int.ernist more quickly rehabilitate them. named President of the Buchanan County Medical Society and Dr. Wm. Stone as Vice President. Both doctors are on the 1968 hospital staff. There were 1809 patients admitt~d to the December 19. oo ... Hilltop Children's Unit hospital during the year and 1746 dis presented gifts from many groups includ- charged, The average daily count 345. 45 The Pastoral Counsslling·F~ogram is nat employees. One.hund~:ed twenty six em ionally accredited by the · Association ployees Were, honored •••••• members of the for Clinical Pastoral Education. The staff who have worked at the hospital aim is to assist the clergy with a basic for 10, 15, 20, 25, 30, 40 and 50 years. understanding of personality development Thomas Donnelly. presently supervisor of and emotional problems of their congre the garden and grounds has spent 52 gations, so that the referrals from them years in service at the hos~ital. Among bring the patient.early for treatment others who hold.records are: Lawrence be fore there is an insidious progress of Schneider 43 years, Fred Ulm 36 years, his mental illness. Dr. Robert Henderson 31 years, Berford Ing 31 years, Edgar Har.bert;s 32 years, A full time Vocational. Rehabilitation Mrs. Mary Fitzgerald and Mrs. Ella counselor works with the staff to place Ritchie 26 years, Dale Henderson, Mrs. patients in jobs suited to their needs Cora Hart and Jackson Megonigle 25 years, and aptitudes after they have improved Mrs. Anna Henderson, Frank Hearn and Rex sufficiently to warrant discharge from Mulvaney 23 years, Mrs. Veda Ulm 22 the hospital. years, Mrs. Helen Freeman 21 years and Mrs. Ida Smith 20 years were the long January 1l •• A OQe-day seminar for judges time honorees. Dr. James 0. Cromwell along with county attorneys, county was guest speaker and presented the cer clerks, parole officers and attorneys in tificates artd pins. The hospital re private P+aC~ice was held to correlate mains the community's largest employer psychiatry and the law dealing witm with a staff of over 500. Mr. Donnelly criminal bahabior and the criminal psy related that the hospital salary in 1916 chopath problems facing the public to was $28 per month in the winter and $33 day. The symposium was "Psychiatry and per month in the summer. Employees the Law," worked all day long every day, and once in a while had a Sunday off. They lived Janaury •• James Fields, Director of Nurs on grounds and could stay out until 11 ing was named President of the Iowa P.M. twice each month and until midnight Health CounciL once a month. In 1916 the hospital own ed one car which was used only on Satur~ January.o •• Helen Moeller, former patient days and Sundays. 60 head of horses published "Tornado", a personal experi were used and as amny as 50 patients ence with mental illness. Mrs. Moeller were assigned to farm work at. times. spent three months here and some of her During work season patients drove the feelings concerning the treatment and many teams of horses and did most of the care were expressed in the book. farm work, in winter hauling over 3400 tons of ice from the river. A patient January 29 •• ,]wo of the color slide-tape often stayed 20 years and only a few programs from the hospital were present were discharged. ed at the 25th annual Iowa Association Mental Health meeting in WateJclooo April •••• Dr. Korson, Superintendent pre sented a paper, based on our improved March 20 •••• Dr. Richard Bealka, Director Geriatric Program entitled "From Custo of the Childrens Unit spoke on. "Family dial Care to Intensive Psychiatric Breakdown: Some Results" at the annual Treatment of the Geriatric Patient" at Spring Institute of the Iowa Corrections the 25th annual meeting of the American Associati2n held in Iowa City. Geriatric Society in New Orleans. It deals with the home-like atmosphere on March 28 •.•. The hospital held a.recogni the two 52 bed wards and the milieu tion porgram and reception for long-time therapy responsible for the quick re~ 46 lease of the elderly patient admitted address. Dr. Korson presented the Cert for treatment. ificates. The Superintendent serves on the follow May 7, ••Mrs. Mary Lake, Chief Technolog ing interdisciplinary committees and ist was presented a plaque as the out holds office on the state level as in standing medical technologist of the dicated: Iowa Society of Medical Technologists 1. Steering Committee on Mental Health for the year 1968. She is currently of the Iowa Academy of General Practice. president of the Society. 2. Chairman of the Liaison Committee of the State and Community Hospitals of the May 1S •••••• Tornadoes struck Oelwein and Iowa Hospital Association. Charles City. Many employees helped at 3. Subcommittee on Nervous and Mental Oelwein and some of the emergency hospi Diseases of the Iowa Medical Society. tal equipment was put to use there. Dr. 4. President-elect of the Iowa Psychi Phillip Tenney assisted throughout the atric Society in 1968. night at Charles City. He is a staff psychiatrist here. May •••• A carpeting was laid in the lobby of the Reynolds Building making the en May 19 ••••• The choir from the St. Paul's trance much more pleasant and giving the Methodist Church of Cedar Falls present hospital a cleaner, quieter and more up ed a concert including selections by the to date appearance. This is in keeping hand bell choir. The group consisted of with the upgrading of facilities. 57 members of the chancel choir. May S ••••••• Theme for the Open House was May 21 ••••.•• 108 volunteers were honored "Careers in Mental Health" and two slide with certificates and pins in the annual programs were shown, "Mental Health In volunteer recognition ceremony. The 108 stitute Today" and the "Student Nurse regularly scheduled volunteers gave over Program". There were also displays con 5770 hours of service to the patients in trasting the environment when the hos 1967. Dr. Charles White, Director of pital was strictly custodial as compared Professional Education and Research was to facilities today. More than 3300 the guest speaker. persons toured from 45 counties in Iowa and also from Wisconsin and Illinois. June 28 ••••••• The fourth work experience Special guests were the Commissioner of program conducted by the hospital and Social Services, Maurice Harmon; Russell Black Hawk County Department of Social Wilson, Chairman of the Board of Control Welfare graduated three dietary aides and Art Kitner and James Patton, State and seven hospital aides •••• a unique and Representatives; also John Ely and John worthwhile' program. Patton, State Senators. May 6 •••••••• Students of St. John's High July 1 ••••• The Department of Social Ser School presented "Was This Murder?" for vice officially implemented to adminis a capacity audience. Director of the ter programs designed to improve the cast was James Fields, Director of Nurs well being and productivity of the ing at the hospital. people of the State of Iowa. Under the legislation, the Board of Social Welfare, May ? •••• Sixteen psychiatric aides grad the Department of Social Welfare, the uated from the 120 hours of didactic Board of Parole and the Board of Control lectures, remotivation techniques and of State Institutions will now be dis practical ward training. Dr. Shirley solved and the Department of Social Ser Kremenak, MHI School Principal gave the vices will administer these programs. 47 July 2,,,More than 300 patients partici ies Therapist was named outstanding pated in the annual carnival. Service student· by· the Iowa Parks and Recreation organizations sponsored booths for the Society. The award is· presented annual entertainment .of patients including: ly to the student .shoWing exceptional Sheehan Tidball American Legion Post #30 leadership qualities and high scholastic of Independence, Department of Iowa Blue standing, Star Mothers, Department of Iowa Amvets Auxiliary, Evansdale Amvets Auxiliary, December S •• , •• Fr. Edward Frost named as Clayton County American Legion, Waterloo chairman of the Archdiocesan Personnel Daughters of Union Veterans and Sons of Advisory Board o£ the Dubuque Diocese. Union Veterans Auxiliary and the Water The board term is two years. loo American Legion Auxiliary. Special features of the afternoon were a tug-o Decembe.r 26, •• The new Childrens Unit now war, an egg catching Gontest and a water occupied by·the children and staff. The fight. name for the building to be. chosen lat.er, Construction began in 1967 and the money September 29.,,The annual MHI A!coholism for the facility was appropriated by the Service alumni picnic featured Maurice 1965 Iowa General Assembly in the amount Harmon, Commissioner o.f .. the State of of $715,000, The school area has eleven Iowa Department of Social Services as classrooms, a study hall, science, au speaker, His topic "The Shape of Things dio-visua:L.and remedial rooms, The one to Come" discussed pllt~poses and obj ac story brick building is divided into tives in the reorganization of the Dep four .major areas ••• group living, recrea artment and the structuring of agency tion and· dining, school and administra programs deal_ing in the rehabilitation tion, The living area consists of four of the alconolic and his family. wards •• three for boys and one for girls. The ratio of boys· to girls has consis September., ••••••• A short wave radio and tently been three to one. There are 42 walkie-talkie with one additional set private. rooms and. four double rooms, were pUrc.hased to be. used fo·r emergency Children range from 7 to 16 years in age purposes, and come from Northeast Iowa as well as the southwest quarter, There are 14 October 25., •• , .Mrs. Helen Freeman, AR.T, offices and two conference rooms in the was awarded certification as an accred administration area, Equipment in 'the ited record tec.hnician by the A\fierfcan building includes closed circuit televi . Association of Medical Record Libracrians, sion, indoor and outdoor recreational The achievement is a result of 1~ years equipment, a variety of audio-visual and of study and successfully passing an science ins·truments •. The· staff consists examination before the board of accred of a child psychiatrist, resident doctor itation examiners, and two social workers, two psycholo gists, three recreational therapists, November 20 and 2l •••••• Over 340 persons nine teachers, twenty nursing personnel., attended the two-day in-service training two dietary worket·s, .one. secretary and program for county home and nursing home two housekeepers. The building program employees including nursing service, was under the direction of Dr. Selig dietary, activities therapy and house Korson after he and Dr. Richard Bealka keeping personnel. Purpose of the meet had made several visits to other such ing was to correlate programs and ser fadlities in various areas of the Unit vices between the hpspital and . sueh ed States, facilities. ' December 31 ••••• Dr. Chester McClure com November·26,,,,Stephen Russell, Activit- pleted residency and became staff member, 48 Improvements: Two 15,000 gallon fuel icatory address at the ceremonies of oil tanks were installed for standby for ficially opening the new Childrens Unit. the gas fired boilers, An electric lift Dr. Korson presided at the dedication was installed by the kitchen to raise and Dr. Richard Bealka and Maurice Har food carts for loading into the van and mon also spoke. Dr. Bealka is the Dir conveying to Childrens Unit, The bakery ector of the Unit and Mr. Harmon the was moved into the kitchen of Reynolds Commissioner of the Department of Social Building. The milking parlor converted Services. into a spray painting building for re finishing equipment, Five wards in the March 18 ••••• A staff improvement program Reynolds Building were tiled. begun to orient all employees t.o the to tal hospital program and to help employ ees recognize patient centered problems 1969 and discuss individual job responsibili ty as it pertains to patient welfare. During the year the population of the The program to be conducted two hours hospital had steadily dropped, The av per week for 14 weeks and made possible erage daily count of patients was 339 by a grant in the amount of $32,000 from with 1786 admitted and 1731 discharged the National Institute of Mental Heal.th. during the year, The grant is available for an 18 month period and possibly for an additional January 10 .•••• Mrs. Gertrude Birchard an period after evaluation. American Legion Auxiliary volunteer from Hazleton was nominated for the Iowa Vol April 16 and l?.,.Conference for librar unteer Health Service award by the Wom ians from Iowa's Department of Social an's Auxiliary to the Buchanan County Services Institutions held here. Morris Medical Society. Mrs. Birchard, a young Lotte, library consultant for the de 72 years, has recorded a total of 1670 partment was the opening speaker. Hosts volunteer hours since beginning her ser for the conference were Mrs. Elaine vice on November 14, 1965. Ficken and Mrs. Jane Hohl both librar ians at the hospital. February 7 •••••• Dr. Korson was appointed to a task force liaison advisory commit April 24 ••• ,Dr. Helen Barton, ch:l,ef psy tee between the American Institute of chiatrist of the Reynolds Unit was.the Architects and the American Psychiatric speaker for the symposium held for area Association. The duties of the group judges, lawyers, county attorneys, pr.ob are to act as a consulting group to ation· officers, social workers, psychia architects and mental hospital adminis trists and other interested persons. trators throughout the United States in The main topic under discussion was the planning of any construction of new men working relationships between the courts tal health facilities. and the mental hospital. More than 75 persons attended. March 1 ••••• 0pen House at the new Child rens Unit with a goodly number touring. April 27, •••• The 11th annual Open House the facilities. Members of the Women's registered more than 200 visitors. The Auxiliary to the Buchanan County Medical theme for the event "Modern Mental Society assisted as hostesses and tour Health Programming" was carried out guides along with members of the staff throughout the hospital giving the pub from the Unit. lic an opportunity to see the progress being made in the care of the emotional March 2 ••••• Carroll Price, former member ly ill. Displays were set in the Child of the Board of Control gave the ded- rena Unit Gymnasium. 49 :April 30,., ,Gradootilln .@xexcie!ls for ten the Midwas-t· !nstitut:e on . .ft'l.dlbi,i!::lma. pt~ycllta:tric ,aides we:!;'e «:.onducted w:!. th They were · Williamc -Reisner,· Laurel • Mc M May 20.,, llO volunteers were honored fot" June- 30.,,, .JJr. Mittzo Tverberg completed the 5898 hours of service to the hospit. residency and remained at the hospital al given the past year. Rev. Kenneth in a staff· · position. He studied under Gamb of Evansdale who had interned in the NIMH grant. the protestant chaplaincy department was the guest speaker for the occasion. July 1".,, .Annual July carnival held for the patients. A picnic dinner of fried May 30 •••••• A special concelebrated mass chicken and the ·'works 1 and a full af was celebra-ted at -St •. Joseph's Chur<:h in ternoon spent at' 13 booths on the carni State Center, in honor of the 25th an -val midway was -enjoyed, There was also niversary in the priesthood of Rev. Ed a variety shol?. ward J, Frost, Catholie Chaplain here. A surprise banquet followed for more July 4, •• Highlight of the Fourth of July than 100 guests. Some 75 guests were was the· t:r:aditional fireworks display • former co-workers of Father Frost, whi10h followed a variety show on the f~Qnt lawn. June l •••• Dr. Korson, Superintendent has assumed the nffics of president of the July l8 ••• The 61st quarterly-staff meet Iowa l' 50 September 5 ••• The new Childrens Unit has November .6 ".,Governor and M!!s, .Robert Ray been named the "J. 0. Cromwell Childrens toured-the hospital and· attended are Unit" in honor of the late Dr. CromwelL ception speaking.briefly to employees, expressing his appreciation for the evi September 9 •.••• A simulated disaster was dent dedication of the employees in the staged for training purposes involving gallant care given to patients, the full hospital staff. The drill in cluded patients from the Cromwell Unit. .December.4 ••• The,Sth annual seminar held The drill involved the Independence Fire for general medical practitioners with Chief and Buchanan County Civil Defense the aim of providing them with psychiat personnel. This was the 2nd simulated ric concepts and treatment which would disaster drill and was designed to as be of practical value in their dai;Ly sist the community in the event of any practice, Dr, Wilfred Dorfman, Director type of disaster. of Clinical Research, Brunswick Hospital Center., Long Island, N. Y. was guest September lS ••• Senior dental students at speaker. the College of Dentistry, University of Iowa began an indo,ctrination course in Improvements:. Farmers Lodge and some of community and hospital dentistry. Two the farm buildings demolished and areas students come each week. The program is leveled. The kitchen in Witte Building under the direction of Dr. Donald J .• discontinued .and all food now prepared Galagan, Dean of the College of Dentist in Reynolds Kitchen. Aluminum doors in ry and Dr. Jess Hayden Jr., Associate stalled in Reynolds Building lobby. Dean And Coordinator of research and Some of the drives around the buildings directed here by Dr. Robert Henderson, now paved" The electric power lines in Director of Dental Service at MHL creased in capacity from power supplier to the hospital, September 15 •••• Wartburg College at Wav erly and the Cromwell Childrens Uni.t be gan an experimental course dealing with 1970 the emotionally disturbed child" The course designed to give students a wmrk The .hospital fast .becoming a short t.erm ing knowledge of the disturbed child and treatment facility. There were 333 pat to provide practical expe:rience in ients· in.the hospital on Janaury 1 and treatment procedu;ces being taught by 315 on December 31. The average daily Neil Evans and Louis Makarowski, psy census was 329, chologists on the Unit staff. Janauocy 9,, ,William Hood Jr., MSW of the October 10 .•• ,Juv,enile court judges held Social Work.Service staff was chosen an a seminar conc.erning "The Emotionally alumni represen·tative on the Minority Disturbed Child in Coutt",. "How Psychia-· Recriutment Committee of the University try Can Help"" This was a state-wide of .Iowa, meeting, February 3 •• , .Dr. Phillip Tenney died of November ••• Travis Cleveland, Director of an.apparent heart attack. Dr. Tenney Activities Therapy was named board was Assistant Director of the Out-Pat representative for the Midwest Region of ient Department and had taken his resi the National Association of State Activ dency here beginning in 1963. He was ities, Therapy and Rehabilitation Pro the staff neurologist and an expert on gram Directors. Purpose of gr'oup is to electroencephalography. exchange information, do research pro jects and set up professional programs. February 8 ••••• Thomas E. Donnelly an em- 51 ployee of the hospital for 52 yeaxs died after a short illness. He had been the farm supervisor for many years. February 22 .• , • , The supplement section to the · Waterloo' Sunday Courier carried a 5 February lO ••• A bronze plaque naming the page article about an eight year old new unit "J. 0. Cromwell Childrens Unit" girl at the Cromwell Childrens Unit in was installed at the entrance to the pictures and .. story. The text and photo building. Mrs. Cromwell participated in graphs were by Jim Humphrey of the Cour the unveiling. The plaque was purchased ier staff and gave the general public with donations by employees here. much insight into the day-to-day life of a child patient at the hospital, During February the annual winter olym pics were held with contests for all February 27,, .Dr, Richard Bealka elected ages and interests from cribbage to arm President of the Independence Rotary wrestling. Club for the year. February 20, .A "Family Centered Therapy" March.,,.The Cromwell Unit School signed seminar presented for staff members of a mutual student teaching contract with Mental Health Centers in Northeast Iowa. the University of Northern Iowa at Cedar Joseph and Eileen Derflinger of Family Falls and the Univeristy of Iowa at Iowa Services of Tarrington, Connecticut were City, Students will spend about 20 the faculty menbers and staff at this hours per week for 16 weeks in the I,Jnit. hospital in addition to other area per sons served as group leaders. The film March 18., .A seminar .for .general practi "In and Our of Psychosis" was used as a tioners and a symposium for county of basis for the seminar. ficials on li.lcoholism an4 52 And many of them have been." ing job that.he.can go to on his release from· the· hospital, May ••••••• Dr. Korson was on the official program at the annual meeting of the There are- four on-going cooperative American Psychiatric Association in San training projects with Wartburg College Francisco. He spoke on the subject: including undergraduate students in psy "Childrens Unit in a State Hosp:l..tal" chology.and social work, pre-ministerial from the viewpoint of the Superintendent. students fo1:· a one month ·experience, a psychology. course earning 3 hours of The remodeling on first floor north cor credit in which students receive their ridor has been completed insofar as the entire course at our Childrens Unit, ceiling and floors are concerned. They now match the south corridor and add The senior dental students rotate much to the total appearance of the Rey through the Dental Department here on a nolds Building. weekly basis, from the University of Iowa and a. cooperative training project May 3 ••••••• The special feature for Open with the Childrens Unit for special ed House was a disaster drill. A portion ucation teachers on a Master's level. of a 200 bed U. S. Civil Defense Emer gency Hospital was set up and a simul The·. University of Northern Iowa sends ated airplane crash was . staged at the student teachers to receive training local airport. The purpose was to show also in the Childrens .Unit. the public how the hospital personnel are mobilized to take care of patients Social Work students from Mt, Mercy Col in any such eventuality. The 12th an lege, Cedar Rapids spend one day a week nual Open House was planned to show the in an educational on-the--job prog~·am. progress being made in the care of the emotionally ill. The renovated Depart May ••• Dr. Laura-Dustan, Dean of the Col ment of Rehabilitation, Education and lege of Nursing at the University of Services was also shown, Iowa was the speaker for the 4th Dis trict Iowa Nurses Association meeting May B•• ,.An agreement was completed with held here. Her topic was "Will you be Kirkwood Community College, Cedar Rapids making the. transition. from diploma to for a four week work experience project degree program?" in Occupational Therapy for students training in this field. May .••• James Fields attended the Ame.rican Nurses Association convention in Flo.rida May 18,,. William Hood .Jr,, MSW, was nam as one of 14 Iowa-delegates, ed new Director of the Jane Boyd Commun ity House in Cedar Rapids. He is a psy May .19.,,,, •• One·-hundred twelve regularly chiatric social worker and was employed scheduled. volunteers were honored for here 10 years. having spent 5622 hours of duty at the hospital in 1969. -During their years of A fully staffed Vocational Rehabilita service, they ha:~re amassed a total of tion Unit is now housed in the buildings 41,914 hours in the hospital. which had been used for Hilltop School and the Bakery. The .Department of Re habilitation, Education and.Services in The.pas.toral training counselors came cludes two evaluators, two.counsalloxs, from as far away as Australia to study two secretaries, one industrial therap techniques of counselling and to learn ist and the supervisor, The emphasis is to identify- prablems and know where to on getting the patient ready for a pay- refer cases. 53 June ••• Dr. Helen Bawton's.article "Eval helping the. patient .. to modify behavior uation of Court Cases in Mental Hospi pat terns and learn·. to act in ·a more. ac tals" was published in the · ·'Iowa Bench ceptable. manner. Dr. Robert Hammer was News' a journal of the Iowa District named ao•·ordinator .of· the program. Court Judges Association. The article discussed referrals and evaluations in September ••••. A new combination fire and an ins ti tu tion. civil defense .. siren has been put into service. costing abou.t $2000. The mount August ••••• Over 52% of the 450 employees ing weight 560 pounds •••• installation is at the hospital participated in the pay some 55 feet·above the. ground pn ·the roll. savings plan for the purchase of roof of the Engineers Building, savings bonds for the 5th consecutive year enabling the hospital to fly the September ••••.• ;Dr. Korson received word Treasury Department's Minute Man flag, from the Board· of Commissioners of thEI Joint Commission on Accreditation of Augsut ••• Dr. Richard Bealka attended the Hospitals that M. H. I. has been fully Seventh International Congress of Child re-accredited; This ·was given to the Psychiatry in Jerusalem, Israel. hospital for providing an acceptable level of patient care and for maintain August 16 ••••• Robert Hickle, chairman of ing as its primary objective the safety the Iowa Commission on Alcoholism . was and·welfare of·the patient. the speaker for the 6th annual alumni picnic of the Alcoholic Service. September 9 .•. Patients from all units in the.hospital participated in the annual August ••••• Dr, Helen Barton attended the Sports Day. The events are a culmina Institute of Psychology and Law at the tion of the summer sports season and University of Southern California and popular with alL Sponsors were the Dr. Chester McClure attended a seminar Department of Iowa.Amvets Auxiliary. on drugs in Oregon. September ••• Gene Oxley, MA, Principal at August 31 •••••• Dr. Selig Korson's report the·Cromwell School named ·as part-time "From Custodial Care to Intensive Treat instructor in clinical psychology at ment of the Geriatric Patient" was pub Wartburg.College in Waverly. lished in the .National Institute of Men tal Health Bulletin from the U. S. Dept. Seven counselo.:r;s began a. year's training of Health, Education and Welfare sent to for alcoholic counselors·in·September. all public and private mental health hsopitals, community centers, state men Octobe·r. 18,., •• Travis Cleveland, Director tal health agencies and the National of Activities Therapy recently·elected Institute of Mental Health Regional secreta:r.:y~treasurer of the National As Offices. sociation of State Activity Therapy and Rehabilitation Program Directors. An adolescent program for boys .and girls from 15 or 16 to 21 has begun. .Referral October ••.• over 99% .of .the .employees have made from within the hospital and de participated in the Buchanan County signed for those who require treatment United Fund Drive. in a relatively closed setting which provides consistency in a structured and October 30 ••••• James Fields, Director of directed activities . program. The pro Nursing elected secretary of the Iowa gram at present will handle 15 boys aud Nurses Association. 8 girls and uses all of the services within the hospital and focuses toward October .••.•• , .• The radio series '!Mental 54 Health is Everybody's Business" now be 2400 who attended Open House. More than ing broadcast over eight stations (AM) 3880 have viewed the slide programs and two FM stations. Six months of reg about the hospital which are shown ular weekly scripts being used. throughout the 20 counties of Northeast Iowa. The trend in patient population has been toward a more youthful age. Of the to tal admissions in 1970 which were 1885 1971 three hundred were under 21 years of age. This includes the 46 patients who were admitted directly to the Cromwell January 1971 ••••. In a recent letter from Childrens Unit. At any given time there the National Institute of Mental Health, are between 100 and 130 patients under we were . informed that our application the age of 25 not including those in the for renewal of our Staff Improvement Cromwell Unit. Grant has been approved in the amount of $19,000. This allows us to continue to November .••. Another cooperative teaching give special attention to .the very im program has begun with Wartburg College portant function of staff improvement. students attending the "Behavior Dis orders of Children" course one day each March 1971 ... A special course of Manage week at the Cromwell Unit. ment Principals is being given at the hospital by Iowa State University. All November 12 and 13 •..•••• "Integration of top echelon supervisory personnel at Mental Health Services" was the program tended these sessions. This program was for the county officials conference. federally funded through our Staff Im Many county officials and staff members provement Program Grant to enhance the from Northeast Iowa participated in the skills of our supervisory personnel. program. April 197l .•• On April 25 we had our 13th December 29 •••..• Two long time employees Annual Open House with a total of 1200 retired after a collective total of 61 visitors, which included visitors from years. Fred and Veda Ulm had begun work 37 counties and Illinois, Wisconsin and in 1936 and 1942 respectively. Fred Ulm Minnesota. was the chief engineer and Mrs. Veda Ulm worked in the business office. May 1971 .•. Word has been received of the approval of an affiliation between the Improvements: A new package boiler and University of Iowa Medical College and feed pump installed. The Witte Building our hospital in the teaching program of walls tuckpointed. The Canteen moved psychiatry. Medical students from the into the area originally housing the college serve a six week clinical clerk Witte Kitchen ...... the effect was a much ship in psychiatry in residence at M. H. larger, brighter and more pleasant snack I. They will have patient responsibili and small shopping space. A new canopy ty under the supervision of preceptors completed at the ambulance entrance at who are staff psychiatrists at the hos the Witte Building. Street lighting was pital. The senior staff will be consid installed at the Cromwell Unit. Air ered as faculty of the Medical School in conditioning was installed in Wards R Clinical Psychiatry. The following fac and S in Witte, in the Canteen and in ulty appointments at the University of the lobby of Reynolds. Iowa have been made: Dr. Selig M. Korson, Assistant Clinical Professor of During the year, 4783 persons toured the Psychiatry and Doctors Bruce Ambler, hospital. This includes approximately Helen B. Barton, Richard J. Moore, 55 considered a milestone in the teaching subject was very timely, namely, Drug program at Independence, which already Abuse and Alcohol. have a number of approved teaching pro grams as follows: Our three year resi September 197l ..•• In line with our out dency training program in psychiatry; reach program to the community we now an approved program in pastoral counse have an affiliation with the Black Hawk lling; our student nursing affiliate County Mental Health Center to work more program, in which nine schools of nurs closely for the benefit of patients ad ing send their student nurses to our mitted to our hospital from that area. hospital for training in psychiatric With this in mind, we are sending our precepts, this includes an out of state psychiatric residents to work one-half school of nursing, namely, the Burge day each week in that center. By reci Hospital School of Nursing in Spring procity the Black Hawk County Mental field, Missouri. There is an approved Health Center sends us their Chief Soc program of practicum training for stud ial Worker one-half day a week. He will ents in special education from the Uni be solely concerned with doing casework versity of Northern Iowa. There is also on patients from Black Hawk and Grundy a program in affiliation with the Uni Counties who are being released and who versity of Iowa Dental College in which will receive follow-up in that Center. senior dental students rotate on the This is an excellent reciprocal relation residency program of one week duration ship which can be of great benefit to each at M.H.I. We are approved in Past our patients from that area. We hope to oral counselling by the Association for expend this to other Mental Health Clinical Pastoral Education, Incorporat Centers. ed and our hospital is joint commission accredited. December 197l ...• Dr. Korson presented a paper entitled "From Custodial Care to June 197l ••• Since this is the end of the an Intensive Psychiatric Treatment Cen biennium it is interesting to note that ter" at the Fifth World Congress of the admissions . and discharges to the Psychiatry in Mexico City. Fifty-three hospital remain quite high. The follow countries were represented at this Con ing are the figured for the past bien gress and the papers were simultaneously nium -- July 1, 1969 to July 1, 1970- translated into other languages. The Admissions 1840, discharges 1860. July paper was based on the progress made by 1, 1970 to July 1, 1971 admissions the hospital in the care of the mentally 1802, discharges 1784. ill. This paper was also selected for publication in the Iowa Medical Journal. August 197l .••... We had our 8th Annual Alumni Picnic of our Alcohol Program. We need no further proof of the efficacy 1972 of our program for alcoholics than to point to the fact that 225 former alco holic patients returned to the hospital February 1972 ••. Professor Schoderbek of for the picnic with their families. All the Management School of the University of them were very happy at their being of Iowa gave a two-day course on Manage able to make a good social adjustment in ment of Objectives. Thirty-one heads of the community following their treatment departments and supervisors took part in here. A nationally renowned speaker the seminar. February 1, 1972 Manage keynoted the program for the day. ment by Objectives has been operational in this hospital. Management by Objec September 9, 197l •.. we had the Seventh tives is a method of management based on Annual Seminar for General Practitioners the premise that too often members of and other community physicians. The management, although they may be extreme- 56 ly qualified, fail to perform with max radio and newspaper coverage. imum effectiveness, merely because they don't know what is expected of them, October 1972 ... This was a particularly They are unaware of the goals sought, busy month for our Outreach Program and the purpose of their work, or how we·ll staff development and training. they are doing in relation to those goals. As a system of managerial lead November 2, 1972 .... we had a state-wide ership, it is of substantial benefit, conference of psychologists. Dr •. Rigby particularly as it relates to several of NIMH Regional Office, Kansas City, key problems in managing in an organiza was the guest speaker, In addition a tion. In brief, Management by Objectiv two day workshop for County Home Per es is a managerial method whereby the sonnel was held on November 15 and 16, supervisor and subordinate managers in This meeting was not only for stewards an organization identify major areas of and matrons, but also all other employ responsibility in 1•hich the person will ees of the county homes. On November work, set some standards for performance 9 a state-wide meeting of Activities and measure the results against those Therapy Directors and staff was held at standards, the hospital. March 1972 ... Dr. Charles White, who has been our Director of Education and Re- 1973 search since 1958, retired. May 5, 1972 ...• A Seminar on the Problem January 1973 ... For the first time in Child, How Psychiatry Can Help was held history there was a genuine fuel short at the Cromwell Childrens Unit under the age and major steps had to be taken to direction of Dr. Richard Bealka. This conserve fuel. We temporarily closed conference was mainly pointed toward down our Activities Building for two juvenile court judges, probation off months and transferred those functions icers and staff members of county de to the Witte Building. We rather reluc partments of social services. Approxi tantly close our greenhouse completely mately 200 people attended this meeting. because of the excessive usage of fuel, We will make every effort to see that On June 28, 1972 the Eighth Seminar for the grounds will have flowers and also General Practitioners and Psychiatrists that plants are purchased for all the was held. The subject was "Is It Anx wards for the enjoyment of our patients. iety or Depression" and it was very well received, April 1973 •.. A sheltered workshop is in full operation on the campus. This is On July 11, 1972 our County-wide Disast in partnership with the Goodwill Indust er Simulated Tornado in Independence ries of Black Hawk County. The workshop took place. All communities interested has ten patients involved who are screen in such a project took part. This in ed by our medical staff and also by our cluded the Independence Fire Department, Vocational and Rehabilitation Department. the Sheriff's Office, the Police Depart They receive a salary which is approved ment and the County Defense Director and by the Department of Labor. A time clock staff. For the first time in the history is part of the equipment. Contracts with of the county, both the Mental Health industries are made by Goodwill Industr Institute and the People's Memorial Hos ies. This new program is an excellent pital took part in the drill simultane one that will help the patients bridge ously. It was considered to be a suc the gap between the hospital and the cessful drill and received wide TV, community, and enable him to gradually 57 accustom himself to a work situation. 22 years, Eva Amfahr - 21 years, Helen Stark - 21 years, Florence Dean - 20 June 1973 •... June 12, 13 and 14 are the years, Betty Crowell - 20 years, Thelma dates of the survey by the Joint Com Duffy - 20 years, Edna Edgeton-20 years, mission on Accreditation of Psychiatric Marian Fenner - 20 years, Esther Johnson Facilities. This is entirely different - 20 years, Mary Lentzkow - 20 years, this year from the survey of previous Anna Pettit - 20 years, and Astrid West years in that psychiatric facilities are brook- 20 years. Those with 15 years actually being examined as purely a psy or more are: Ardeen Green, Deloris Crew chiatric facility. Heretofore there Maralee Hanson, Irene Wittkop,Bernadette were many principles which applied more Aldrich, Helen Barton, Eloise Christen to general hospitals. The examination, sen, Georgia Geltz, Evelyn Johnson, Ruth or survey, is conducted by psychiatric Wallace, Gertrude Stone, Hazel Bundy, personnel. Wilma Raine, Sharon Roberts, Marilyn Wilson, Lorene Wright, Bessie Hertzberg, June 17, 1973 ... The celebration of our Evelyn Hertzberg, Mary Grace Matousek, Hundredth Anniversary. The first pat Eva McKinely, Shirley McPerson, Kathleen ient was admitted to the Mental Health Williams, Verla Payne, Nancy Roper, Mary Institute on May 1, 1973. The program, Lake, Josephine Sloan, Frances Weepie, which was well attended, started off Mary Reader, Freda Rott, Charles Mormann with a band concert by the Independence Wayne Nieth, Ralph Rourke, Ron Zimmer, High School Band and performances by the Freddie Miller, Darrell Elliott, Charles El Mecca Shrine Unites, including the Hart, Marvin Lamphier, Robert Raine, Max Oriental Band, the Clown Unit and the Walker, Donald Thomas, Edward Zachar, Motorcycle Unit. The theme of the pro Burton Broke, Richard Forsythe, Sherman gram honoring our long term employees, Martin, Edward Frost, Charles 0. Jones, who were presented with pins and certifi· Selig Korson, Walter Williams and Vivian cates, also honored our psychiatric Krueger, Those with 10 or more years of aides by including the graduation exer employment are: Leola Forsythe, Augusta cises of the current class in this cele Smedley, Geneva McGee, Edith Swomley, bration. Lawrence Schneider was espe Rose Williamson, Carol Conerd, Kay De cially honored by the presentation of a Grief, Janice Dilts, Jeanne Dorton,Doris certificate sent to him by Governor Ray. Ehlers, Lucille Franck, Nita Havens, J. He was also presented with a pin and Wayne Crawford, Marjorie Byam, Isabelle certificate from the hospital. Mr. Niswonger, Fern Colston,Dorothy Connolly Schneider gave 47 years of conscientious Lillian Greiner, Lucy Hines, Jane Hohl, service to our hospital, the Department Helen Kilby, Ruth Marinus, Vivian M. Mc of Social Services and the State of Grath, Pearl Rider, Edna Schneeman,Sadie Iowa. Other long term employees were Stanford, Margaret Berry, Wanda Birner, especially honored and called to the Gladys Buzzard, Marian Crowell, Bessie rostrum in appreciation for their long Everett, Mildred Freebern, Elizabeth term of conscientious service. They Green, Clara Hines, Maxine Keefe, Thelma were: Edgar Harberts - 37 years, Robert VanLaningham, Frances Kuhn, Fern Pint, Henderson - 36 years, Dale Henderson - Florence Rich,Marian Sattizahn, Franklin 32 years, Anna Henderson - 28 years, Collins, Norma Bickenbach, Lois Briggs, Frank Hearn- 28 years, Jackson Megonigle Lois Brustkern, Margaret Gericke, Archie - 27 years, Helen Freeman - 26 years, Kilby, Pauline Gorton, Ada Heiserman, Ailsa Doyle - 25 years, Mildred Hoffman Ethel Luloff, Ilene Meier, Mary Mishler, - 25 years, Rex Mulvaney - 25 years, Erna Niemann, Clara Peyton, Ruth Vaughn, Naomi Megonigle - 23 years, Phyllis Mul Rose Welber, Helen Werner, Viola Zingg, vaney - 23 years, Carl Roepke- 23 years, Louise Peyton, Mary Rammelsberg, :Philip Verna Ward - 22 years, John Tidball- DeGrief, Helen. Riggle, Anna Wilkinson, 58 Chester Kenny, Kenneth Pilgrim, John T. Atwood, James Fields, Leland Greene, Leslie Leohr, Willis Brewer, John J. Brown, Mervin Fagle, Leroy Riggle, John Keefe, Keith Megonigle, Victor Myers, Richard . Bealka, James Grawe, Charles Hayford, Stanley Holt, Frank Humphreys, Richard Orr, William Raine, Loren See ley, Milton Ward, Bruce Ambler, William Cielieski, Norman Fluke, George Hender son, ·Perry McLane, Richard J. Moore, Wayne Wright, Oscar Weber, Tommy Witte, Harold Luloff and Orville Nuehring. We were honored by having as our speaker, Mr. Kevin J. Burns, Acting Commissioner of the Department of Social Services who delineated the progress made in Mental Health and also had words of praise for those being honored on this date. A special certificate was awarded to Mr. Reeves Hall, publisher .of. the Indepen dence Newspapers in recognition of his unstinted efforts in promoting the cause of mental health in general and the pro grams for the care of the mentally ill at the Mental Health Institute. 59 121f~lllU~~~~~~~ 0927