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About Herald and news. (Klamath Falls, Or.) 1942-current | View Entire Issue (May 16, 1963)
American Communities Solve Their Own Mental Health Problems TH E DOCTOR SAYS Specialists Open Arthritis Assay By W. Raps G. BKANDSTADT M.D. Written (or Newspaper Enterprise Assn. Medical science lias made im portant advances on many fronts but there is not now and prob ably never will be a neat solu tion to every problem. In spite of lae lact that there is no speci fic cure for arthritis some ad vances in this field are being made through research. Much of . the support for these advances comes from the Arthritis and Rheumatism Foundation (10 Col umbus Circle, New York 10, N.Y.). Because arthritis affects t h e victim in many ways, best re sults are obtained by using team work. A typical arthritis team may consist of a specialist in arthritis (rheumatologist), an or thopedic surgeon, a physical ther apist, a psychiatrist, an occupa tional therapist, a social worker and a vocational counsellor. Sometimes relieving a victim's baseless tears about his tuture will cause a marked improvement in his arthritis. In every case the patient himself is the most important member of Uie team because, unless he can Be per suaded that he can, be helped, his full cooperation cannot be gained. Farm Chief Wheat Control Plan YREKA Regardless of high- sounding promises now being made, wheat growers have cuarantee of a flat $2 per bushel for so-called certificate wheat if they approve the control plan in the wheat referendum coming up for vote on May 21. This word came from Roger Zwanziger, president of the Siskiyou County Farm Bureau. "The secretary of agriculture is seriously in error when he prom ises that approval of the refer endum will mean $2 wheat," said Zwanziger. "It is true that the plan would set up a -base sup port of $2 for part of the crop, but it would also provide a base rate of $1.30 for the remainder "In other words, the proposal would set up two wheat catego ries. One would include 975 mil lion bushels earmarked for the domestic food market as well as for a substantial part of the exports. This would be certificate wheat, with a $2 base support. The other category would include wheat grown on federal acreage planting allotments in excess of a farm's share of certificate wheat. This could be used for feed, as well as for commercial nonfood uses, and for additional exports. Us base support could be $1 30. "Furthermore," added Zwanzi ger, "actual supports in both cat egories would vary by grade and by place of sale or storage." Zwanziger went on to point out that "many misleading state ments are being tossed about in the propaganda campaign now be ing waged in an attempt to force this referendum down the throats of wheat growers. These range from the erroneous promise of S! wheat. If the referendum-passes, to the just as ridiculous threat that $1 wheat will prevail if the control plan is defeated. "Wheat growers need to look at all of the facts before they vote May 21," he stated. "If they do if they get the true and hon est picture, not just threats and promises they will soundly de feat this supply management; plan and give Congress an op portunity to move ahead on put ting together a really worthwhile: program for wheat." Because arthritis is not one. but a group of diseases, an accurate diagnosis is the first requirement. What is effective treatment for one form of arthritis mav be harmful for another. The next most important factor is early treatment because, once struc tural diaiies in a joint occur, a complete return to normal can not be achieved. On the other hand many patients who have been crippled or even bedridden for many years have been helped by the team approach to the point of getting a job and be coming self-supporting again. There are now over 300 out patient clinics in this country that specialize in arthritis. Work ing as a member of the team, the rheumatologist determines what type of arthritis a victim has and how severe it is apt to become. He treats the underlying cause while the orthopedist applies measures for preventing damage to the joints or in advanced cas es replacing a joint with some metal such as vitallium that will be tolerated by the body and not corrode. The psychiatrist may be called on to treat an emotional prob lem that would interfere with maximal improvement and the physical therapist applies rec ommended measures to help the patient maintain or regain self- sufficiency. These may include a warm whirlpool bath for an af fected limb, a hot paraffin bath, a heat lamp, an electric baker, diathermy or ultrasound, but ex ercise is the most important measure. At first tills may Iv passive with the therapist moving the sufferer s joints but as soon as possible, the patient must be made to move them himself. It is here that the determination of the patient plays a decisive role, Although nearly three million persons in this country each year must quit work or find a new occupation because of arthritis, most of them prefer a job even at a lower salary to the deaden ing prospect of a life of invalid ism. In one state rehabilitated workers paid taxes amounting to twice the cost per year of the entire rehabilitation program The two aspects of the problem that are the saddest are the fact that so many victims do not know of the availability of help and the fact that in their eagerness to get relief many sufferers fall prey to phony "cures." By HELENA FROST ewspaier Enterprise Assn. NEW YORK INE.V - A new I national offensive against mental illness has been launched. During the next five years the attack will be carried into states, cities and towns with the aid of federal funds. Do not expect a blitzkrieg. But with beachheads along the national front, with ef fort and time, it is possible to foresee a day . . . "when reliance on the cold mercy of custodial care will be supplanted by the open warmth of community con cern and capability. . . . These words were used by Pres ident Kennedy in his message to Congress proposing a national pro gram to .combat mental illness and retardation. "Community" is the operative word. The plan is to construct com munity mental health centers that can give comprehensive care from treatment and diagnosis through aftercare and rehabili tation. "Community capability" is a good, hard phrase and is the goal. "Community concern" is tenuous but indispensable to the achieve ment of the goal. Authorities arc convinced that the community cannot care properly for its men tally ill unless it cares about them. "Community concern" can be the open-sesame for the long- forgotten patients i wards of state mental hospitals. Only about a dozen states have adequate facilities and personnel to treat newly admitted patients and to send them home within a few months. "Yes, we still have a long way to go," said Philip E. Ryan, ex ecutive director of the National Association for Mental Health. "But we have come a long way. And now the President's support will help us take a giant stride. Our volunteers and members, our chapters and divisions, are eager to help in the planning of the new community mental health services." More than a million volunteers and members, and 850 chapters and divisions; a great oak grown from the acorn planted by Clif ford Beers in 1909. In that year, released from the horror of a "lunatic asylum." Beers gath ered a few men of heart and vision around him and used his suffering as the cornerstone of the N a t i o n a 1 Committee for Mental Hygiene. In 1950, the or ganization was renamed the Na tional Association for Mental Health. It was all uphill for Clifford Beers and his followers. But "snakepits" have vanished into the Dark Ages of mental illness, except for an occasional anachro nism. Enlightened individuals, groups and states have broken trail in many new directions. the back ' "';'" . , i ' TT .' "Open" hospitals, day or night hospitals, rehabilitation centers and other pilot projects are tlic result. An important trend in the care of the mentally ill is the general hopsital. About 1.000 out of 5,200 general hospitals have psychiatric services of sorts. But there arc not many like this one. . . . "Where is the ward?" The psychiatrist in - charge smiled. "You are looking at it, A wide corridor and open doors, l.arge rooms for two or tour. Couches covered in bright blue or red velveteen and backed with matching pillows. Lamps, desks, and paisley print curtains and large reproductions of g o o d paintings. ... There were smiling nurses, a psychiatric aide, occupational and recreational tlierapists, resident and staff psychiatrists all for iust 16 patients. Now, this isn't a privileged nursing home. More than half the patients pay nothing at all. the city pays for them and you can not tell which is which. And that is a careful part of therapy, as planned by Dr. Rob ert W. Laidlaw at the psychiatric ward on top of the Roosevelt Hos pital in New Y'ork City. They call it Tower Nine: "Be cause it carries no chilly conno tations for the patient." Dr. Laid law explained. "That's why we didn't want the rooms to look i ' i S, I llflfffl fe a?F&.t, mTff iAUfr-? . JS. 4. St-s4J v v-Ya Thursday, May 16, 1W3 PAGE 7 A HERALD AND NEWS, Klamath Falls, Oregon DOCTOR VISITS In the new approach to mental prob lems, viiits by the psychiatrist are informal and relaxed. DORMITORY? Though it appears relaxed and informal as a college dorm, this it a four-person ward in Roosevelt Hospital in New York City. The trend to pleasant sur roundings is typical of the new approach to mental health care. like a hospital. And we have avoided cafeteria meals. We have family-tye service, and the per sonnel eat with the patients. All this has a psychotherapeutic effect."- Clearly, the patient comes first in Tower Nine. The psychiatrists' cubicles, in fact all the 6taff of fices, would just about fit into one of the four-patient rooms. And it works. A young wom an, Mrs. M., put it this way: My friends expected to see me in a white hospital bed, instead they found me in my own clothes lying on the couch and said, 'Just like the college dorm!' And they couldn't believe that some of us went bowling yesterday! Tie thing about this place you (eel secure. Yet they help you to help yourself. You can have four women sharing a room, all of different race, creed, color and income!" Susie approved, too. She had been a patient in an expensive nursing home, yet she says: I like it better here. They treat you as a whole person. You have dignity." Roosevelt Hospital has an out patient service and a Day Care program. A 24-hour emergency psychiatric service was set up 18 months ago under the direction of Dr. Arthur N. Avclla, assistant chief of psychiatry. The small room is next to the admitting area for all emergencies. "This means we have medical help immediately available," Dr. Avella explained. 'The man who cuts his wrists needs bodily care as well as a psychiatrist. It's all part of treating the whole pa tient and recognizing that an emo tional illness can be as much of an emergency as breaking a leg." In oilier words, the psychiatric services ore thoroughly integrat ed into the rest of Roosevelt Hospital, which has 22 attending psychiatrists. Dr. Laidlaw is looking forward to three more floors of small units like Tower Nine. Each unit will have its own lounge, dining room and a pantry with a well stocked refrigerator for Hie pa tient who feels like a snack. Just like home. And here there is someone to help you. You as a person. . . . 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