THE COMMONWEALTH OF MASSACHUSETTS ANNUAL REPORT of the l^o \ NORTHAMPTON STATE HOSPITAL (tM«^) for the Year ending June 30 1962 Department of Mental Health •• • ••• /\J *6 ft* i. I* 1961 - 1962 A NORTHAMPTON STATE HOSPITAL Post Office Address: Northampton, Massachusetts BOARD OF TRUSTEES Mrs. Victoria Kraushar, Northampton, Massachusetts, Chairman Henry 6. Clarke, M.D., Northampton, Massachusetts, Secretary Mr. Francis McKenna, Springfield, Massachusetts Mr. Barney Carlson, Northampton, Maasachusetts Mrs. Una P. Barsalou, Holyoka, Massachusetts Raymond R. Cross, Attorney, Northampton, Massachusetts Roger K. Slavson, Attorney, Northampton, Massachusetts RESIDENT MEDICAL STAFF Harry Goodman, M.D., Superintendent E. Philip Freedman, M.D., Assistant Superintendent Henry Benjamin, M.D., Director of Psychiatry •—•————»—— Director of Psychiatry .... .———. Director of Psychiatry, Springfield Mental Health Clinic Morris Kaplan, M.D., Director of Clinical Psychiatry (in lieu Chief Psychiatrist) Kendall A. Brail, M.D., Senior Psychiatrist (in lieu of Chief Psychiatrist) Shirley Gallup, M.D., Senior Psychiatrist (in lieu of Principal Physician) Willis H. Ploof, M.D., Senior Psychiatrist - Out-Patient Department Boris J. Sohn, M.D., Senior Psychiatrist Jaroslav Pavlivsky, Senior Psychiatrist Clemenclo Torres, M.D., Senior Psychiatrist John Mulligan, M.D., Senior Psychiatrist, Springfield Mental Health Clinic ...........—tnn.i«»»t Senior Physician ..... ....— „t Staff Psychlatriat -.—MMMtMMMWMM, Staff Psychiatrist »"««t«rt *••» •„ staff Psychiatrist ................. ..f Staff Psychiatrist Kai-Chia Ho, M.D., Staff Psychiatrist .. ....—........f staff Psychlatriat Heath D. Bourdon, M.D., Assistant Physician (in lieu of Staff Psychiatrist) ————--..-.....—t Assistant Physician HEADS OF DEPARTMENTS William J. Goggins, Jr., Steward Elisabeth G. Provost, Treasurer Florence L. Eaton, R.N., Director of Nurses Francis H. Carr, Chief Power Plant Engineer Raoul Menard, Maintenance Foreman George K. Haller, Head Farmer Frank C. Sullivan, Fharmacist Mary Lynch, Head Psychiatric Social Worker Eleanor M. Stack, Head Occupational Therapist Millicent Warnock, Dietitian Virginia A. Kielbowicz, Head Housekeeper 1961 - 1962 CONSULTANT STAFF Thomas F. Corriden, M.D., Surgeon Joseph Hahn, M.D., Neuro-surgeon Edward J. Manwell, M.D., Surgeon David B. Junnison, M.D., Surgeon John J. Curran, M.D., Medicine Hugh Tatlock, M.D., Medicine James II. Averill, M.D., Medicine Edmund J. Zlelinskl, M.D., Cardiologist Alfred Hollander, M.D., Dermatologist Donald Freund, M.D., Gynecologist Russell F. Gervais, M.D., Oto-Laryngologist Donald Chrisman, M.D., Orthopedist George A. Snook, M.D., Orthopedist Dr. Thomas J. Crowe, Roentgenologist Dr. Myer Sharpe, Roentgenologist Alfred J. Kaiser, M.D., Anesthetist Ralph M. Tlmberlake, Jr., M.D., Anesthetist John E. Gilbert, M.D., Pathologist Sherwood Davidson, M.D., Psychotherapy Prank E. Dow, M.D., Ophthalmologist Charles A. Gleason, D.M.D., Dentist Peter Laban, D.M.D., Dentist Movement of Population Mala Female Total 1. Number on the books June 30, 1961 .... 974 1,491 2,465 On visit 76 206 382 On escape or A.W.A. .......•••• 6 m 6 in family care • 9 9 In residence 892 1,276 2,168 2. Number of admissions during year 538 516 1,054 Number of discharges during year .... 485 482 967 Number of transfers to other hospitals 5 8 13 Number of deaths during year 73 78 151 3. Number on the books June 30, 1962 .... 949 1,439 2,388 / On visit 81 201 282 On absence 12 27 39 On escape or A.W.A. • •!>•••••••* 3 3 6 In family care .... * 6 6 In residence 853 1,202 2,055 1961 - 1962 To His Excellency, the Governor of the Commonwealth, and the Honorable Council: The Board of Trustees of the Northampton State Hospital herewith submit the Superintendent's one hundred and fourth annual report for the year ending June 30, 1962. Mr. W. Bradford West resigned from the Board in November 1961 and Mr. Raymond R. Cross was appointed to replace him. Mr. Roger K. Slawson replaced Mr. James Cahlllane, whose term expired in February 1962. We thank the retired members for their service to the hospital and thank the Governor and Honorable Council for their choice of replacements. The Board, as in the past, holds monthly meetings at the hospital. The Board continues to be pleased at the progress in care and treatment of patients and are particularly pleased that more students of local colleges are showing marked Interest in the Northampton State Hospital and are hopeful that the public's attitude will continue to change for the better so far as State Hospitals are concerned. We realize that the process of acceptance by the community is slow but are thankful that a positive attitude is beginning to show itself. The Board realizes the hospital's difficulty in administering to its patients with the extreme shortage of medical personnel and wishes to thank the remaining staff for their added efforts for a job well done. Overcrowding is still a problem and the Board concurs with the Superintendent that the insistence on admission of alcoholics and Court cases adds to the burden of the hospital and staff, and diminishes the amount of attention that can be given to the other patients. The Board would appreciate a concerted effort on the part of Alcohol Clinics and Courts to limit hospital admissions of alcoholics and personality disorders and have them examined or treated as out-patients elsewhere. The use of the hospital as a place of safe-keeping for alcoholics should be curtailed and the hospital should not be critlzed for refusing to accept the admission of such persons. 1961 - 1962 We are happy that funds have been allotted to study and plan for replacement of the Main group of buildings, which are inadequate and a fire hazard. We are hopeful that future Legislators will be as generous as the present State Government and allot money for construction when the plans are completed. The problem of caring for the aged still continues. More wards must be converted for the care of geriatric patients. The problem of ward feeding adds to the burden of the dietary department and the ward personnel. We are still hopeful that the plan to convert the Memorial Group into a geriatric unit with the construction of another building is not too far off. The addition of more medical men to the staff seems to be an improbability. We understand that fewer foreign graduates are entering the country and that there is a definite shortage of graduates of American medical schools. Furthermore, there is a reluctance of physicians to enter State Hospital service because of the Ion; working hours, diminished fringe benefits, and not too attractive salary scale. We do not know what the answer to the problem is, but we do know the seriousness of the problem and appreciate the efforts of the hospital adminis tration to maintain an efficient hospital under an extreme handicap. We, therefore, concur with the Superintendent's plan to use ancillary medical personnel, psychological service, occupational therapy service, social service, nursing service, and students to aid in rehabilitation; all of course under the supervision of the medical personnel. The Northampton Research Project has been helpful in stimulating the local colleges in supplying students as volunteers and case aid workers and also several of their teaching staff to help in the counselling of patients. They hope in the future to initiate a teaching program for staff and patients which may aid in recruitment of personnel and earlier rehabilitation of patients. Our Volunteer program has been expanding and we wish to thank all volunteers for their efforts. We also wish to thank the Northampton State Hospital Auxilliary for their help in purchasing articles for the patients to add to their comfort. The Board wishes to thank the Superintendent and all employees of the Northampton State Hospital for their untiring efforts and a job well done under difficult circumstances. -. 5. •• 1961 - 1962 The Honorable John A. Volpe has shown extreme interest in the Mental Health problem and we wish to thank him for his efforts on our behalf. We wish to express our appreciation to Dr. Harry C. Solomon, Commissioner of Mental Health and his Staff, to the Legislature and to other Departments of the State for their interest and cooperation. Respectfully submitted -<JL/ <*z~A-&stS Chairman - Board of Trustees _M.D. jcretary -\ Board of Trustees 6. 1961 - 1962 Superintendent's Report To the Trustees o£ the Northampton State Hospital: The one hundred and fourth annual report of the Northampton State Hospital for the fiscal year July 1, 1961 to June 30, 1962 is hereby submitted in accordance with the provisions of the Department of Mental Health of Massachusetts. Our purpose continues unchanged, - we are responsible for the care, treatment, rehabilitation and custody of mentally ill persons, alcoholics and personality disorders. We must maintain the primary objective of returning patients to the community in a better state of mental health. We are also attempting to retrain and re-educate patients for job placement in the community, and trying to return aged patients to rest homes. In order to do an adequate job, we need more personnel for job training and rehabilita tion, we also need more personnel for community placements and more nursing personnel to care for our patients. This hospital has fewer personnel; physicians, social workers, graduate nurses, and occupational therapists per 100 annual admissions then any other State hospital, and is in next to last place in the number of attendant personnel. This is even true when our quota of positions is filled. Throughout the year we have been working under a considerable handicap; our Medical Staff has been cut in half due to the inability to replace foreign medical graduates; some left because of failure to pass the Educational Council for Foreign Medical Graduates examination, others because their five year limit on licensure had expired and also because the Board of Registration in Medicine failed to license some foreign medical graduates by endorsement or were too severe in their requirements for licensure.