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. . . .
That is the heart of the mat
ter, the new approach to mental
illness: Palicnts are people.
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Woman Held
On Check Count
A woman who was held by
Pendleton police recently, n d
who Is wanted in Lmatilla Coun
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County Jail for passing worth
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Elva Maxine Price admitted
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One of the checks as cashed
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Klamath Falls, where the wom
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