Dax Report 1962
Transcription
Dax Report 1962
Z!a1. 4 2. u.. , • 6 3. • • 4A. • ~. a 8 - 8 a 9 ~. .9 rg 111). .o 10 10 w illo w co ur tta sm an ia Ya1le1.aM. 11 11 11 12 12 12 14 15 15 15 15 15 15 16 16 16 16 16 16 16 t6 16 .- ElIt16 • • .17 • 18 7. 18 71.. • 20 • 21 • 10. (1) I 10. (I) U .m..... •• r • • • 21 Uenb. 22 22 25 (I) t 41. w illo w 1» 8D (I) .\21 27 29 • .1'1 11 • • 30 1. 30 t. 30 30 30 (') ( ) (,) ( 30 n t\ulat1on. • 81. 2.5 aft. 26 • J) (,) (4) 25 25 co (6) 81> (1) 25 sm - ur SA (5) tta I 25 an i r 8A (3) (4) a. or g • (1) • • 22 31 • • 31 31 up. ta a pi 4qe dlap ••1 I .... .1tl. t 1Jq)N.a1on o~ ~ha OT.re11 • a11 aemo .ral ~ d.tailed kDowl.da. u w1th o~ .t _ • • N the .ental health a.rYl0•• , o~ tlloa. in '10 8~t. the al til 11014 t • •• eat whioh I . .a ..r17 .. haft to 111••• r th. PulJ11 S• ..n.o. 18 1 n.r'. repont. R., riB and I 118 adyant... whioh ..de~. d b. u •• to U •• ad til • ... altout the ..U .... .o led •• to leam rg nrlou eth.r ftD4111&8, reporh IUl4 enquin•• •• 1d."b17 loag.r '1••• ..pl.. m an 1 ia tailed tban would oth.ft1•• hay. been po..lb1e If. uaa1Jl. the o.ua. ot • a1ql. ao1d_t or OT. • ~ ~ uwen1Jlga in • aental .r1¥1q Uln••• , or ;,i thout ur tt without ...rohlDa t r the as boa»l tal 1. In. looldna .t • qap\aa ot • dl••••• ple.. tho ».Uent .gainat the baokpou:A4 t1'¥1na t Th.l"8~ w co in whioh M. oonAition baa er.h re, in oonelderins th~ • re••on e.l1egatloDa, lnto .hloh the Pultl10 ~or 0 s.mo. rta1Jl Coalealon.r illo baa enqu1red with auoh thoroughne••• 1 haye trlec1 w to rOT1.. tJut wbole ••rno. 1n U. broad to piotun t ooourrencu ole.r that k1 ~ ha". t aaD,f T 1'8 und their orilin. pUblioit7 _hi.h 1. • a... und.r1T1 in t . .el". . , r a1\ • ""0•• It 1. quit. tn.. • t lD014enta an reoel". the MA. In thi. • •• tiler ~ an4 ltaokal'0GD4 in whioh the aUep4 l1OhtU\s t r ~1.1d ut I' t h1;h _ dlat l'buoe. do t.aU tor • 1'eIle47 ther 'h~ reneat the ne a.., ta th ot c:\ Nae41.. .ada a" al~~ are 1n • lit -410 1 1D bo]~d thi. NPe t . . . 14... to•• 1~he:P t 1'1aa-UItI t. a1 1 • 4¥ • a1 '1' t.l"'.. 1 4IxpHa. • p ren u.a • 1 report. x, ., \114 appMl' that . . , . ot a' LaehlaJl ark t Un ona e4 theN , ~ro4uo' ot a tlre17 aat1ahotor:r .entrtl o the lfNUUJ7, Pll_U aaion, the Publio 8e"10. 'fl"i 1, the t, the G .ral Health the .eJltal Health Departaat. e11n. that tour ,&1 _ttere In tM. the health _~Ol" Mm lIUatl a WJ7 e. art.e r.. co fro. thia oau.e. or tta t ur I Sc"loe sm Publio Wol'ko Departa Departa a. twe the t1u1 an i ol"lPll.1. .tl0Jl t .,. M w The•• aNl- illo Ca) tbe ",e17 pOOl' 4aalp ldlDp inC ud the 1... ot 111t re.t In tbe pl t tke (It) the iDa equate lUi w alteratloJl rtloulal'lJ' 1Jl the p ( ) tho. 0 ot • • tart h••p1tal. ~ t ot atatt. 01 nal diT1.10118. 'a.ll.ba t, ( ) the lau ~. 40tln1 to and oOIIpzoeheu1 »1aJl whioh abou14 ooyar all t or. t 1 a or g w)doh ha",. 41t1'1oulUM 7 ual~ tor t ratoc •• w 10 T. nelda stat tor illo w rg an ia .o as m ur tt co w -!So- -6- t tbe .,,'al healtil departa.' MoUld hay. tHe a.a.. e to the . PubU• • •rke »epa~t Uld PltbU. 8el"'t'1o. 0 aalon.r, .x.opt tbat In uttar lny.ln... upeDd1ture the eDT ahould ~e 1Dt'onaed. .ral Health DiYial !'hat .'epa W ayol1. the 'Il1d ... ,all duplioaUon .r fil... 1d n , It e• • UJU'Maonabl. that all a.tal aaltll ftl.. (uo1u41q thoa. e01017 relating to aoe unte lmd t'1DaAo.) ehould~. kept tal health Urielon. '1'11 mmQTPRI 0' '1'11 IIlITNe H!WeTI 8pyIQI, sm an 3. ia .o rg 1n the a Ia the pat the Dlraotal' ot'.. Uft7 011D1.al ruponalltUl tlee tAJ'u.at haG had a hi., throup a 1aok ot' a8410al atan, tta . upon ur requlred 1Jl a deyel p1ng aental w co B. 1aaedlato1T n.... dquart.ra. oral l'wlotloDa ot' the !he illo w b. .. d1l~. t'ollodlll eel th .el"r1o., tw. aCDi.1' PaTohiatri.'. '.0 offioere ahould !' al&oft 1Jl the 11' aala17 wo to be at l . .at tho equal ot' that ot' 111 • 8uperint d hay. aJQ' oft'1••1' .Uh a.J'T1.o .th.1' than the tal Dimt I' aDd pNt'ora 17 a.. a. tho PSYC1hiatrist ftia would aea \a. ~o ... u uJ'8-~ ate» to taU, othel'9180 1t' \ha pre. • 'PfI7 b I' ..Uhout ~, una1tl0 to dant. the Ua. to alSa1n1atraUon he baa... at h Hoal~ tal t atria' leaYo., t.ho D1reotol' will apia ona to hk t o11B1 1 1D l'k ot' t.ho ~IIaClIl·t•• • DQaell'01lLa ut- 1»:Dcth1atri tJ.et. tom... at baa4q,uarhn ott .dlI1Jl~atNt1o hie w111 apin n.ff 810na ud tll. ot t a !"rio. 1", A.tur.~ted a NotuN ot' • 4~rta_t 18 -7DIIlIICIO.- _ rg ~ DtfteWP (a4dt q01ab7) Prel.u.n .. .o oa~u lta1a ia Dq sm an .eIRal Beal. ta ldllta b1) 1Ula .t1'ter-eaN ur tta .~c_ w Retl14eaUal Ua1 ta Laohl PaS t. J, S co na18ed .r oPIIeU e1" illo .~re!lI1a\r1. w ( ) Ce1tal. S'III)GonJI10D • -8- t ••• rno. ba. al ....dT b .n pl Me d on thN to be a4 "pone, (1) the nori ..... ( ) t (,) the • Ul"811' 1 ...~ •• 1 t .houl"'e ••1ltJ.. '0 ••t • p 1 t 4apartaeat. at t eral ".pltal•• (1) • ~ (2) 1JlB ..ith Ud.1'Il paoU••• k. U). lIP ,- .a1a ••p1tal•• .1 health tblit. (tlaea. "1"17 treataet .o r . , • a" the 4quart.N o~ ~. rea1.aa1 l' q.lUatno .el"rt •• aa4 pron.4. i atl datloD to~ . . rlF tNata , 50 'be4a). .em•••• N .1'1"10•• 1'or a (6) tal 4.1' (7) S.m.o. (8) So1"rio•• tor alooh Uo•• rtt co u w north "eat. and 1n the ( aed at La illo the a !'h. pI"ino1ple at p.....t e4 1D th ...~e or ed10al atott t. .t..... tl....... tor ohild paTohiatr,r. la..J[II2;~~m~. .1118 toll • as m Ut.r apltal. tal Mspi tala) (250 ~b111tatlon (aaall. (5) an ia '0'0 - (4) p.,.b1atno •• t ) . t int tore roea14 du.ina lal un! ta p ·18 ap1n 001SP1. e1T 1n kHplni( -1 th w aN p oUo.a. ~_e4 0 A.a th .. rk ahow t h " 50 aOINa at au! mabi11 g 1'hl. 1. I • b1. 1 Mel" 1 Xl lUna a ..hi the -9I t • • •'JIIll "'81on the p a t • taken.T r a. a ahould La re.. Jl th... bl11t.tlon h apital w • a' yoldatri. boa. I'll. 1. bu1U. ~ top eJ'de a / d1nc two •• uri \7 f ew ( a.t) h .pital and ad. Parl: tT fWaal~ 1 • lan ard 1n the old (W08t) pen!Jr.nf. Wljf'rl apltal 18 coaplated. no new b 11dl... aho ld b. added tban an adain1at blook. a eoCllal thot-e, oth l' theNPT tre and an oocupat10nal c ret b\'t 'eet rell" ~ .o r rth lIpi tal ahould b. .taMad 1n the g 'l'be bed. should not be lnoreaaed at Hoepl tal. t tre 1n tho the preaaU1"e on aocoaaodaUon. La hlan P.rl: .hould c nUnue t take aax1Jrua ia 0 tty .ecuri\7 caa.a and thoae und.r the In br1at.a Aot an n_ tta sm d the Sex. Of.f'endel" Act. nen When tbe Rehab1l1tation Hoap1tal i. built in the Borth W•• t. 8'WP ISfiBLI8HDl!'1'. 4p ur It 10 abaolutel,r ••••Ual tbat eatabU.haent. and !J'eaIN1'7 CleaNDO. for the aeoeua17 atan .hould co b. Obtained b.fore thee. un1 t. are coaplated. w A1'bltrer,y out. in o.tabU.haat oreato auoh fNatraUon. illo 111 feel1ng and lnaeourit,y' in &AT .erdoo. If oo.tl,r lona .tAT boapl tal beda are to be ayolded e••a17 .tarr of 4ootore and 8001&1 workere w n t to expuad the ..rl,r b.ataot •• rno•• and t.o lIUppl,r unitT aerv1o•• the 00 IIU.t be proYided and hanaport t be aYal1abl. for th... soQ'fHBRN ARM. t .... 18 h a 0 ad It t t oaJl It 18 ••• u14. d • nee4 in the 01 tT 0 atarted t.hro\llb the 01... co-opera tlon tal a U~UT ea1th Ual t oral boapUal • t thh earl,r t.reataet1t un! t. t. 11. eel • • •0021.. 1n... me... bUOD wUh the o.a1blo U 7*1 Hobert HO.pital. !'It re aN. It aee. . ; two alt.m.tty.. to b a. to oou14e:re4 1apl. . .tect. w thb ou. (1) 'Bat a a.w qoh1a\J"1o w1q .boul4 be n tile aU• • t the pN• •t out- hilt pattet 4epazotaut at th. R07&1 Hobart B .1I1ta1 within the aear tutllN (1 - 27ears). 1d aeeel 40 1II.da (4 x 10). ~ roo. ., Thill.. d1n1na roo. ., ottloell, an oocupatlonal thera1l7 4eparta_t (whiob o.J'ou14 111. u.eel tor the wbOle hoqltal) U4 treataent roo... It abo 14 a1.0 lnco~orat. a 4a7 bo.pltal. thq e tranaterred to tbe UJ2.1t 4epen4Sna ia -.:T r- t departaeat .o r the n" out-paU g The ollt-pathnt o11ll.1oa II1ght lIIe held ln 4B (2) tJalees thirs sm an upon whiob 1 • •at eon'f8DlOJrt. unit can be ataned lam.dlshlT a1'tor the pre8ent out-paUent. are olo.eel 1 t would be adTi.a-"le to talc teaporaI~ a.aaure. tta at lea t a. a 0 .... 1' Vau~U8e encuated to th. Cheat ur there oould •• a11T " !be patient. co Hoeplta1 and w1th decoraiion aDd minor alterationa Vauclu•• could .ate a .... r,r 1'01' the ned 5 - 10 , .." until tb. illo au.t';rtoe w .attar.oter" pa7ohlatr1o unit 'bleb would w R07&1 Hobart PlI7chi.tno Un! t oould be bul1 t to houa Jlft t11 prornaol' ot pqoh1at17 in the aed1cal .ohool. 81. appointaent ahoul4, I beU ...., be uonpt th earUest in the cl1n1oal t1e1d and 10 e un1 t 1n tone ROTal Bo'ban Ho.p1 tal reI' hi. IUs ahou14 be read¥ d tJw Ua. the oUn1".l PJ'l)t' ..ora are appointed. to the 11ft aed1cal CReole r AU 1 t U '10 w111 • t (014) Jl .pital, t.hi. • th.n 1. u11d1q p1"Oa 'l'he IS k1 w. p ee1bl. 1'or .... t.1ae a. It will depend t. on 1 t 1 4e:t otlT • to " lhe<!. ted at lAohlan PaR .rin t. o:t w ,. 1n a aoe' aad tor tha Ua belnc the,y .hould In toMre in the 'YaJ7 .aU :taoto17 rg or .al"rioe. th. 1• • t aaUlI1'aotoJT It 1. • 'a UAT reasona, ur o:t t.he o.t laportet. aN t.h••••- MLWB • comflOl!8 an 81m w illo w co ur tta sm M· PRQD88IOl!A.L It 1. a1 ar1 odaUon • 'l'h1. 1e one ~ eo .o 'Yalla 10 to th ~ plated. 0 t.. J'olma Pane 1. ande pat! after hb hi ana o't d. 1'0•. ia all ta lIhould or SERJICI. -1 I' cUtloDa t ~ a t- hOllUuaa loner, ns 1s the pro~esslonal divloion. ta aN t tl oan1a. 8 qulred to ~ 8ervl0.. t qat p react T ta l1aha .o rg 7 ar 1t baa not in oe 1. aoat ~tta1D 11 t mee ~le%1J1 JIWI t p ~ t1 • be fix .taft. ib rtI o~ tal health lt10 oal tion. illo w not a. 8P1» 1nte • to a ap • a t it the 1r tor 1. to laTe two 4eputlea, Psye t:~fist 0 or aON aM auper1n dent., th arle. lnlt t reoru1 ted •• a $, w I' tbe co 14 now aDd eD4181~. ata1't or the acmt 1 hM1th departa T 10 to aa th hether or not the fiDaDoea are an4a, lable to • an4 add sm 1th ur tta t1 a ataada an ia erTloe 1. to uld be .uoh tha a. to t'1Dd the r oat 1 nt l"Ohang_bl. ultable pe ost aJId thi. la nl7 »oa.lbl a • arade at at a 1 1 the 1'0.1 tiona ar • t aoco...datlon all 1n the a 11' thq a1 health • rTioe • partlou1ar p1ao•• .dYl. .~e t t b01U•• (01" aJl e) ahoUld be proT1ded t • tre lnte1"O • ot ... • H r -13tr e a plied 1"nr ( t a till utA IN u on with 11 Jtu to,. d 1'0.. no the I' tM llou.e. proT! ad hI' thea I.e. '0 petar1•• rill be needed tta Nea u4 a4a1Jl1.tNtlTo &aft ur .odod to ran the two hoapUale. 18 hO doubt that tho •• co n.... w no w illo tift • 41081 staff naldoralJ17 m •• 1¥ :tert1lDa•• 1n obtain1ng the a orrl0. • 'Mell • • ".J7 Laohlan Park ho.p1 tal at and Weat Hoap1 tala. aA4 trou, ohlor 11&10 w111 al. -oe sm ~t1I... 18 au1»41ndOd lnto 1'here 10 no a.uoel e.."" .ecUoe1 and legal recorda in tho Deal' it. 3J'4 deputie. to the Dl reotor. adequa 0 tho trioer C' 1St a1x J. t 1 0 t ... 3rd an or 0 h r C' ~oer· ia tiel P Intlng, .o rg _, and Ii 1.... tN pee'. Ifhore 1. al. t_e4la'o1T needed, 1I»ludin II enn' w ~ 1~, 1111J. )• 14 l-.pJ'OT 1.11Ient ottloero" du ff l'd g d ·~~re~tl~ne tel' a 18 loner) ~.. • _11 1 .... WJ.....,"" o Co Prio ~or 1n t Wh1eh .houJ.d work tbaA alght lJo lION ftAto. that til t thon will ~o1Jl r ..lart.. a4 the la k will are eoob d 1,,- I' efn 01' ibat ,88J'001&117 w1 th the 0 ~ • or t ea. u:poo~ed &Il .. oomplete .errioo. It 1. dimoult to aee how the nwabore or PJ'Ot at:t lJe d d w1 thou' • 1 . .1onal J"1g1d aethod o:t t, p&l'tlCN1arlT in the United Iinadoa. x aela.r eel that the Publ10 Serrioe Co • DINrior or tal H th 'h. that to CIOamun1oah th • me 1. M t.o their 4 with tho 0 lt~ .. ta .alan ot r I' eAga ct. -14ot I'N.pond cto d, ot oouno, lto 0 ho hltl1. u.a.ll the neo.... J7 .1'J'aIl. . . ., • • • hoald .,N • t I' the poreon'. It 18 wi a l1kolT thd a&STorlie__t. • nl1. wl11 Ol'll, "'0 pJ'e4aotITo. '11 .tlon .rt.o. •• to ~o w M-' ut aJl4 al.nUolh th. •• ot .0.1.1 811' qual1tlaaUona aII4 their .ppolnt.ont. • 01.1 W. Ol'll." a.t, I ..thor, NpJOdod •• I' 1 ttloora e •• oonald'Nb1e It thi. 10 11l~u.t1oo .0 to tho•• hllh17 tn11led ttl Ol'll who ... Indhpeal1tlo In • a t.l hoalth '1' ON 1. no 4011'bt that aoolal workOl'll, per17 ua04. with olorioal holp aad OU .Told the NOUrreno. ot p'70Matrio an Y1de4, t~port ia ••mo.. t It woulf. .o r t.1 g w 1 .81onor who illA••• 1D. 4bobal1f04 pa\1ont.. '1'hq OU pla ~ 0 .... a.old tha tor p.\1ont• •dId..lon. IlOed tta aD4 In sm t r tho ooaWlitT Nba'bIU taUon 0 t ,aU_to In hoapl tal I ' w ld .IP.ar that tho .al.rio. ot tho expOl'lenCSK on the low .ld. to .w.ft1 ooo.d "oruUa.t. I 4hcuaood tho w on 0I100U"&* co l'lI !'kera and tho.. or tho .oni.r • ..,101 won.N ur • olel under' illo .al 111\7 ot tho ao41oo1 .tart a. a W!Loh ooain. DINotoI' GOneftl tor purpo.o. ot .-plo7DeIlt. w Alroa4¥ oortaln DiI'riot .edloal Ottl .re od othoJ' 81' laU.t. 410al Ortloo" . " cU J'oot17 aploTed 1lT th Health Departaont and oono1aoretieD .boula 'be T t tho .taft ot the .ental HeaUh bolns eaple,ect In tho .... Depal'~aent "17. Prolta'blT tho ... t unaatllhctol7 fl••turo ot tho ••moo h tho ltuildinp. lldiD.p haTo it would.. 1" I 2. en oendeanod, In .OToral aa .. quUo UJln.OO'••l'l17. at.u u14 not At Lachlan P.rit IIU7 WbT 3. w.rd and • TOrT u••tul ... ld nON .. nn.1' part ot tl.1 .000 .tloD -15ra ,. 7 1"\ .r & tl l' It • 2 • ala .1 al17 " that B. It 1. ape us•• UIlJ. .tJ.aj~oto 1. tl ou 7 t teNd . leek 1. qui e aut'- 1. da.J ~ I' • at a.117 t lnt ••p. .la117 11' 1 • _ ra~ lal pat1 t 141np wl thout &lIT po••l 111t7 11.tl0. A 21 ~r' 11tl III th.. ogl. t. It 1 . . ge t.d that a» a La ur tt proTid. ~ 2 odatloa (. 41tled plau haT. be. w te. Superintend_t.r LaohlaD Park). illo , 0.,.' J. _I'd .baulA (2). w 14 be adapted to proYid. a.e apprulaate17 33 patl Ca. es'. au ltatlo21 with the SUp.rintend.'). w 6A • alt.Nd t'er aJProxbat.17 30 patlenta. rtloa) t neo••aa17' oa.l_1. betere deterlorat10n .hould datl0 tn a. (1). er tbat co 6A T adopte4 0 as m an ia Hoap1 tal a. • I' gNaae in the tollowina ordor in regal'd to I' ••• ) ( 1. tl.o the,' lntenano. and th1'W'Eh 1& k 01' 78& .o rg .1' "'~l'10 -=a..., _ .,. \M ~.......' ld ~1 1 bl ahoul4 haT. ••Nd...,. to the . . . .1'4 aboul ki' a. cla aed • al t.red 1I041t1ed ,lu thJlooaa oordl , 121 at to the Ca•• '0 C w.1"4 lIhoul4 e a4ded to &1 Te a41Iqu1L'." a tl.. aDd tollet a uri V nJ'l4. AD oOllJd4~tlon oloae4 0 t to replaoe t to ak. ul't7&1'4 aboul unaatiat 0'017' patient•• 81•• 1 ft1a p1 rill •• whilat e auagea' lr warda order ot alteration , .n 1.t•• _. d x 'tu • "Or x d 11 0 or nald.raUoll ahould be hI" 20 4 pe e4 pa pa" u. 04 ea.a Boapltal are .~ u14 the wi • •• an pat1 •• th. .urt'101nt ~ other da7 .00 ~or ther alteratlona 00111'1."84 wUh the &14 or illo all 1 edation .hou14 w 1t co ur tta I ~o 11ahec1 wh " Uko the sm .houlA exta". _u11~. ia a tbe Il . . 1t. n ~ oaloaU7 poaal_17 " 1n~he a.OIOlllllodatio st. a"lenta. I ahould A 41a~el7. ut4 • a. l ' w1 .o rg or l1abe4 1aa a a ~h. al arUun an4 JatieDt laboUl". A:n¥ ••• enUal "301' work to the 14 DUN.a w 6Q (2). ttl'll it to a4ll1n1atratl"', o1W.al odatl D .bould 00 at t _a reaa1. 4 letea u4 all other tiona ad p.intiDa u4e1"tabJl 111 th the &1d 100 1 ttl. and patlent It au.t M t 8 labour. red that auft101ant quaaU tl.a Ual . .1ntenan a _terial oh •• palat, tlabar. ent et • It »rori4e4 to the hoaplU1 tor a. • requl t l'81n ~he1r NOOan!" It 1. ..eotial nald.rana ll'orea•• tn »atl t a tln V .a17.' t • nel4. 1. t t l" hi 80 Ifta.. tal 4 at f'ON ~eot1 T... 'fll. ao-oDoration ~ e 80"10e. aDd S~»17 Depana t 14 • obtained a t a.old arq deIa)' 1n ~he purobaa. -11- .'ON•• tor b¥ til 11' uae or the.e MJQ" patlet. 1"0 ould be uaetul17 ..,lo7ed. a etatt .ee, .1'. I l' at 1 It 1 • •t ~ d. l' or the aroh1 t .,. at o'b 1n oop1 .. or plana or, t 1Nl1cUnp 1n If.. Zea1aad am4 Viotoria t let.. J'a" Oon.14era'ble t1.e porinteftd • apent with tbe ell d balatet aupennteD4ent ( at Laohlan Park dealsn Ul'0D the propo.ed bu1141Jlge aDd the It 1. 1"8 .'rGDIlT r or _OIl. the l"lno1,1•• in. 1._. reo ot tile a4a1n1atrat1"e 111 0 n-aed1oal) an ia aON that the en! reotlon 'N oooupatlena1 • sm the n to a reT1.1on ot t not 7et tend. NCIGaIlU14M ed1at.. rg ~ 1 tba _. 11. en ao out a hal 4e .lth oonald~rat1on ahould plau or e.. .o .t k. 1 r 4..1 l' aD4 • •001al theM,,. eentre, ahould :tollo. the "aeoul"1V" tb.. "obromo- .arda are put 1'uJ'thel' t e th* ur ,and l ' MT ahroalo ward. aheuld eyer 1.e ereo'ect. co that tON ~ tta (laat) Ho~ltal .aMe in the n illo w A' »nact thereaa" ne raoll! tle. tor 1> tl.t. NON.tlona or re 1n betore din.lon t til hHp1tal. BoweTer. be. equatel1 00 ap10ted a4a1n1.tratl"e omo.. are ne 1'hq aN a., la117 required ~ \h., t ad 10'" t. w are .talD&tlna t 11' treat. l' adeq • t • or aureiq .upezoY1.1on. III the 014 (I••t) B ep1tal are ot e.,e 1al 1Jlpol'taDOe are • 11 • there 111M no ••ourl'" nl'd wh at aa 1'17 datah 14 a at .-1. altorat1OD. t tiro new 1I\l11c11Jl.. al•• nee..aa".. • ~ • th.~N 4 I Pqohl.trl.' auper1nt 00 _t. 1t'Jl a 20 l4ered (a. 1 t .baud .ecur1t.7 •• pl with the -11Nia al.o no 004 ne17 nU1"a n"1'7 04 • It 1. ~1'30 t t t ted _ da. aa a . . .1al beapltal labolt ta. at1 Pln.ID into no hotpltell • 41T1de4 lato tn 110.,1 'th1a aq urana__t ..t eo _ON an If 10a117 1\ 10 ~ be4a abould, \lM.1' sm lno•• ap"l.. t la. adde4 an.r tbe•• _.U u4 In 1J'Ouaatuo•• , tho Pl"MecUq Uon. AJq fUl'th.r a441 Uona tta i4eal tal.. ia .o Laohlaa Pas .hOu14 Aet1D1 te1¥ 'b. U1 he So"loo. baa aug••te4, Ul uld lA. thOl" .al"4 rg It U .0PraU raol 11U . I' Suoh .arde IlU8t ur .bould ... _4. in oth.r ,.ria ot the atat•• In t1M 1t 1 • •uppoae4 tbat the .14 lN1141np ".NI' w co (Weet h.p1\al) .111 b. replaoe4 'b7 a • • hoapUal Boltari aD4 that tho Baat B08pltal will illo tum into tho . . .tal It 1 • •d1'1....1. to N ...... 7 tra1n1nC 00101lT. SO .. 100 .ON8 to.. new ••pUal in a .uUalll. po.1tion n_ w th1. ftol thoup th. 104 U7 not 'bo uae4 tOI' thi. purpo•• to.. 25 7. .N. l ' 1. wUeYe4 that \he 'UaHUon to u•• the .... 'hU~ oNOk to.. t.he on .-tau, ~ ~ tho _041~ tho Bae' .ld. 111. and to ri.. old wl141np on tho ..., 114. ot the .l'Oek to.. • ta11T 4otoot1T. 18 • Pl... 4 ..de t_ecU.at.e17 tor tht. 41Tbi n to ' d . plo • and ( T•• ~ AI.lItet 8uperlntendent -a0410.1) ebnld n.U plana to abH the aeau -1 • in, • a..U.an at tt ltala. • edt .1, 1"ead p t 1 1 tala. tel •••• J'1' .t.tt of' a t.h a tw 1 a • 0 • 1 o d auppl1ed 7 the • DOt •••rY1oe .a a whola .I'rana- •••• 17 Il ia . pltal• &D7 lDd1TI4ua1 h • ta tor the 41aoua. 5 A•• <:. 1 aDd D. sm 1M 11tUnaa haTe an .Mi'lona to the alrea~ or g Dl It 1. • •••'1&1 that plana .boul 1amad1. a1¥ ."a tta •• the ola.elt1 .tl0B,. d.re 04. co • re olearly o~ t ha patlant w lfu ol••• tt1oatlon w illo onaide blT 18p Ted and a ,Gould ~ aoTed to t o l d 1141 Within the .tt.r reala.attio.tion i. ala po•• lbla~ • DUilber ot warda are olo.eel eoa or. '1 i an al d teatlT ., aDd p.vohotl0 patlant. to the new. ••rda that the CUpT the Tar! ua w.rd• 1" p.tlent. who will ....en r ur ta to lap p.t1 1"01' the real"N.JlC a aad on41ng r utl8Oo1 1 t • han41"ul t. in oh. t ad ot _kina .n.ral 01.. warde 1n wh1ch trat bed. thq . N OellO that It 1. to e a1 ... all • • _N 0., and 111 dd , 10"17 w.t mal •• or atart. in .,.. will t t I atan .ta:~Jl-. • 41 0 • la.sln atl 8UOh • • 11' ta tlda U a1~l81. • 7 a1 -20- It' the o~ t the old aquare 1a I"N e u.... .fton • a a stat. lIuaeua 1t la aua-eated that ..... 17 e ude at the tla aun \I1d 71. w. • the PU 11. Depas-ta t.aaed1at817 on h. a r laok bet'oJ"e aD7 1\Irt .xtrea.17 1J:Una rell.. a w and or t alt.~t1one .e8a17 ulnt uk.. e 1t .t17 ror- thia to b. d n•• 0 ataU. t N1 til aU ftr1etlea la a o~ n. . .tt.l" ot' tUtt'1oultT. ad 18.. end_t up n tho qual1 ~ .r the .8",10. t on th. atart and the etatt' NON1. taent or the ael"Y1oe. m an 10 q\Ull1t1' g staff ia .o r • s- 011 ctt tho fte e should be 1.1" nurslng etan need uppoad1q w.1. ur tta s 0.4/11" a N JOeaponelblll"'. !he question t atart 41001pl1 neede att t1 and the .1' alpt oaN blle Serno. 0 ..t..l oonal4er t whothel" the delegation ot hU poW.N to oortaa t' r a1 co sea10r ataff in the _.tal Health Depanaent tt o.a Would r illo w atan4aJ'da 1n the ft. o~ lta1. 00 • • Nlon ot the 14 nunoa Or Iluralq .taft ottl ea, w lato. "1"'&1•• th. t hal a..s.or n D & start p1., a paft, re treq.u apital &D4 b.tt.1" It ..,. ale • a.mor Imn1n& t ,.181to" to the ~dr pride in thelr aD Nea and the • It la raitaont ~o • appo1nta.nt or a re tha~ ~ett.r 41atl'i 1. atatt wlll alao hel ataneta I'll taent b1101t1 w111 all help atatt atatu and mae • partl01patloD .tarr in t aah1.nc. a • ao_ol. in wh1Gh th 41'1,.. 1n .. tul tl0 o~ ral.o the I".U on warde. II ward. a. ntatl.JllIJU,J. w1 I" alUa. loul ate et1t1on ta h .a d ...1&1 -211- A traln1Jsa • or •ua rae hI" aU 00 ,.l...t ff ahould 'It_ u ed tha re. a ...0 . ,~t(~· BolDt*, ri leotllH 0 .u te. tIlCOUl'8 to 01" I'W\ 'It.1 the ed • th"~ _t h U 4an. n.1eTel ab. 1. Pre:PA1'ed U tll tho BUN.. aD4 uld 'Ito lapl"OT'H. l'al"Uoulal"17 !'h. oloth1Jla .b7 t . . . . ot &borU, ! • •h1rta &ad windoh••tere ror • ohildran and fpr the aell. . . aYa1labl_ 1Il t llUaltel" ot t 1. paU_ta w111 to Ita .1'001&1 an i ~ o .peola11¥ bol18ht to w.al". '11"0 aI"Uol•• should _d. tor the hoapi tal aoool"d1Jlc .1" .ada. It 1. "'.17.t Jlg1T ad...1804 that aa 1'UJlda ur tt b 11 U4 k••p th.il" m t ataft41Aa D ooa...... 11.111. all . . UN••••• atrew laoed bT ra'lt co e tNa .tre_ _,t,...••• hI' lllOoat1D oupat1on. aerYloo 18 the la kat fhe tollowina sue..-il0 :zy (1). who 18 t patlent•• dreWbacka to a aatl.taotor" ~ate.t w Ona ot tbe are d.,q A.a GOes • whio U ...a. ala a a t the oharae aecU a1 .taft 1'ozo fincUq ,.U. U •• aa poInted abould keep a patlata In .....17 .. I'd on • rtaual 1"'IOozod ft¥ 1n whioh eaoh 18 • ahould the ba oration cpld Uona &Up.rnaor/b th abatt. IUl4 lbt ot t 0.- ot erwI ••, aN ohaap.r in the end. aON . .tiataotol'7 aDd tIlled qat 01" I" . .ttre•••• with pla.t10 oo....n. illo w 1'11. aore•• 1J1g as are rda an a• • re au taa4a r4 Aa a. or g 0 .... ra11. laUD4l"1•• 'It ... olot ·S.e~~ nUN 1 P q0J181bl., w1th the cd adn•• • t the t ot •• JaU7 Tided •• sa • sible. aha 14 not 'be a 4elq 1 It ...ttl an ia JI.ter1.~. ~here pal t co 0 lnat • A d r ltlq rguU. a • •rg tl0 1nter-.. 4 II1x r to k co.petltiona, uue patl ta lel w illo stan tlnp ahoul ent., qiq ~r 1'k1 e1 t 1a 4.nlSD'lellt and to be held JlUtuaU7 4et.JlII1ne the .ric rte. •• a patl ~a n a el4li;J ..., _..... t 1 v. t all" m;U~~IWiIl· 1. ~ tl••• w the better •• L. 1 l'l"OoeduN. tdoor ... u1 t ua 2'lt4!NIA 1. a tl.,. • e .nl01 • t as m at 81'" to HO. lderatloJl co ur tt 14 'be .h. .o rg tiel tha t the aeoe.. 17 eql11paent It 1. ••• 1n Lao lta1a -23whioh . .neu -»1.04.. haTe .01 t a oter1o~t ua er t t th thro t .0 e7 40 ln t. 1• •at '1' e .ed1oal .t into haY n, ~ rt are reoelY1na ~ otter r pla.e•• t ,. to h.y. 'wo ot t elr t hia,h q ltoth t. but e I. to h pltal tor 0 latter aa .ta .t., pat1 r lona who .t••••• d alooho110. .oattered l'da on17 a • 1t7. who .re ated 1n \he•• pat10llta &ad .pan41 Jl t180 with t ••• re.p treataeJlt oyere1l 011 a • 81 aloo!»I!.. ln the N 0 an ia or. t pol'bapa 11... where th87 a1 .k7 t r a n t . 41.oharged to tbe 11. . weltaN sm ..r17 0•••• • epeoial out- .tt ott1 er'. auperY1alon A1 ohotlo. • It wo ut- tl illo .1.1 eo w th. a "10 p ur tion wlth th on3 tta t •••• 1on ter atter-oaN. whloh w111 .erk w co in tate t tor tho treata t ot the to ne tl .o r Y.ra~o JOe parat1".1T tew 0 g ownor. althougll ••17 t 'rid 4 haY 7 at 1 at t o11n.l a tor alo boll0., will - p 11 up aup.m.lon • do a the p tl g1Te a a 11it.tl 10 alooM11 a. abo 14 d at 1 .t r ... • • Ix aonthlT Jeri da Ao~ ould b. are ••d. t r th cUffloulti.. do not ria thea. a ~1 ut atw.,.. t o~ o'bn ua that thi. co D IDt1u •••p ola117 it th.ir pJlle'rioli. hi.t o 17 1s not well uoh p tHe4 gl. 1 ... or. .pe. t q dr1J1k a1 thOugh thq trou 1 wh w .el1 ple lnadTertent17 , trial illo mO'tQh w will ha P 0 but tltntlon7ahow deno1es under th t It aq et in :'roa the aloohoU a ttl.d within an 1 11'17 • U7 e oourrlJlg in the r the aggre••1T., antisooial people w ecau aN 0 the ohronl0 aloo 110•• ~ ott_ .ollllm~ltT • ted that It 1. ur tta t 1•• 0 ... sm an i re • or g I a. or It w ...... hay d in boapl al. to h ....e ooourMd. • • tl. At Laohlan Park the p 8itton 1. oapllcated d1tt1 ultl•• in the ol••a1t1 atlon ot th .ua. a nWl tlea a aa4 ••oond17, ..~~~1r deteot1.... t1 to 1ftt'lu k t re UDder oe ~ a1 the It 1. 7 pru 1. t t .r. , e .1 thp • dation tor 1 • de high • With ,. • rot 0 1.1 U • •t t er re. -25.e" '&1 U4 uadoub\ed17 their auperYla1M 1aproTec1. II ...rt 1 t.,. 1~ 80, yeralal. a . . . . ould lHt. aNt treatant \hOM. nat I • l' the ••- . . . . . . . . .0 d ~ t"urther. aDd t GoT. e the ria • A. ~ l' are laola'.4 aau r th the o.-un1\7. in h r t e rel1 u t'or the or up t olin! • \e w illo w co ur tta sm an ia . ••t -pat1 tal g t. i - 6 • 1 t tI" will ra T a Nt rded 'f ae1Ul17 S. a r oupled an aJl4 ir 'ra1n1na are sm I' tal he.l~ tta "17 1'or t eparta t it t ia .o r reo. 1 1. rg .~. aponal 1. tor .at ot th whi h 1. r reel • I' w 4epa at e that a An Dep r U,.iq in th tal "¥ D1 NOtoP (0h114 nth i) .bould bep In 01 aer tou h 4....elop. CJl1141'eJl t • , all pent. to the. t-U7 th •• )041e. -.4 tbat tutu 1Datl~utlona. 'f'olunta17 orpni. .tlolUl. I 1. tarde t tlon Departll tel. pro'ride4 _ 1 in Ga 1. in illo taught in tn • people of th1. co her ~ U w t aup ni.ion ur e o Tera11 l:raN M • t 4epa rtllfdlrt. oU~11 alation ahoulcl, .ental Health • 010. •• oolatlon et•• that at • lat.r da\. all It 1a e ,... to e ea tal 4 for Jl1'CItn4ltd topt or 1n the eY r t wo - -- ,,. - -;a,.- 4. .. til th altaI.tiona thta 1. t y. "0 1 .... it .41P'aD'h.re- •• . . 1. pTlq 0 •• 1~0 t .pital ~. d .. u .tl 001.11. t10 al...ea• • ~ aJl4 ~l.. ol'gan1•• Uo • wi ~ 2'OJ01"~ thq aN loooial t ated. rato17 t • •••17 to ha. . a h .. th1. ~ ... an 10.ad ftl"da. t ~o•• 4 al"O a daaaer t. 1.. ... '\h." .1"0. I" 0 011'. 'Jl la••tried g e t_ rltht ».Uollta 1. onl7 .o r fbI" ia • .0 tho sm LaoMe Park 1. Un4ad 1 tal 18 u.04 to.. W. .t (014) • tal tta dotooU...o. Ule 81t.ratiou to W8rd 0 will »l"OT1do 0 ~ tor 1'0.. tho "'0 W be buUt. In illo Oe 0 tll .. t ... t • •il1 ~o t_l... ~o t 4 put up, one hI" Dle. aJld 4. aft uuallT 50 ~ I" MX1JllDI ••01U'itl' .al'd•• .... ot noh p.U.'. olllT tOI'll a ouparatl...e1¥ !he ua11, ponl U ed waN new ... t Ko.pital t.o 50 0 J"4a al"O to thoupt to l'1 tJ' paU 10.. w 10.ed A ae- 20 - 30 w to p... . co 1. A .al'd at ur a ..... a.tiara tOI'7 .OOUH .ard tor aalo. t • • 1. thi I" ward patio a. ot onlT a.. 'Ul. an.r •• .hi h .111 a.edina to • ...ta1Dod ortalv1 .. Uon .bould ..1 111 t t • • • aat1 • • .00U1"1~ d1...1.1on paU. , • -2 • n t a I haY.. ar. I' ~o~.. will haT. towa T tor •• n 1ng .u1 tabl. t oh~ oup.~l 0 tlente. n.N the adT.rt1s.d t.a lUl, •• a 1., 1f II " .. ar4e 1I&k1na eeow:oe n 10 l~ pre.eat. •• a be putt1ng t •• an 0 e t. ha.... point 1Jl DO staft' on t_ H oballa1ng aroUDd at t ataft dUl"ln& the rebuilding s beaoae d1stu!'bed aDd the b. aoollaat1sed to new ftl"l'OUDcUnaa to 1eaftl the . . , ot auperrleing tta 1 t takes a -hll t. 1 tl or a \l1) patl .tart .ye t the there 1. Wl til .11 t the a1teratl • D _ •• r pt.s p.rl••t.r. tl ..4 reltu1l41DC • ••• bUt soae NaPNDC t late aDa . .d. ft rg kad. our1.V 1 ia .o a~ sm an t ~. -th.. diU.rent ward•• ur Th. oa1"8tu1 reolaBeltieatioD ot the ut ot w co patlenu, and partlou1arl,y the aorting the di.turbed a tal deteotl...... tb oourt oa.e. eat preteotlon t r the illo d 'the aloohoU•• 1. the At the... tlao tor thes. patl.nt. to be pUblio. to w seouN17 8llp.rTi.od gl...es the ohaJlce t r t re area oaJl ad to the reu1nder. b. a reater OOM t'reed N • NeTer 1 t _ au tNtion 0 t start the 01 sed waJ"d•• oup t10nal taoilltie•• an Better t in the organi.atlon ot tJl ll1pl'OT a 1011 er work1Dg da7 ak. the d bett I' . a l tlaea wlll hospital • • 1' 1. ~ 'ft... oapul t the aaJ rtt,.. to bellen t " all , . happi.r and decrease thelr tend t1 to 10 ,.. HONltlona, .tatt "al17 repr In fa t I ••• 1 It .taft. w t ,. 't7 well polnt to oonal er -hies 4e1" aN r'1 d1:tr1oul t oon41 tiona 07 w ree ad. 1.e all 01'1 tiel .aaletaDCe r •• qulck17 . .. e. d It 1. 01 ar 1*I~ent 1f1ll ~ e denTed tw ae41cal e ...l.t (acmMleUOll1.) the r-lnt t on o1"t':lolal•• 141ng with aaJQ" exceUen 111U 1A d tat'ted ia It 1• • ebl!ISLng b t t er aub3ect. pi tal than on 18 Mut11Ul OOUll\17. w811 appo1Jlt • sm an ~ op1n1on It 1 nt b~ • ul4 p at&Uldarc1a. 4 eo-. e. 1aDroYe 1\ Ir 1t81' tiona m bospltal. • re a'Y 11ab1 1) co well o-r r ur tta ~ t .eeaa t.. w tthe a1a1n1atra\lon ot the h ftlotora. 1 T01 d e t ut illo w there, to be • bb7 tbJllough get ting • trUle a lack .o rg tor dJ,1"t1cu1 t7 in d't'1ng 1 \al 1 put up ttee. t • r tJw1r t d .. there. 4ra t that ft t 1 t 1. UDI!'OaiJ10ueal, 1 t be ot the hll. t • ha11' haU lit n l' look aft sa 1t. fUll hp rnu. at t ~ lna ata:tr p t1 ta. to fUl.t11 1 t. §pI (1). :u. . . at p.. t' 14 1.t.17 .1' . . the adll1. .10D u1t 1'01' 1 1'01' tbe • t&l17 U1, It' a uld tbe e-1tt.. ,.. 1DTited to beoo•• 1ta Ott1o.1a1 V1a1t.ra' §p, (3). to a »J"1....t. 01' hould 1t 1M t1l1'lled latie1wacUate hoap1 tal. 1'01' plQ"ohlatrlo 0' It ao d u'bUUl ur tta sm an ia .o rg t1 11' there are coup patt.t. :fbI' thta, or i t it ia oorreotl.7 plaoed. 01' »r1Tat. -pftetitlcmera it Ho rt would :t1Dd it worth while to Tial t thare' u1c1 1 t be tamed 1Jlto a ho.a»i tal aD. (4). f'or tiM . . r~ treata t 01' aloobolioa a w RoJ'Al 110M" lm1t 1Jl aeatal hea1th UJdt w the co plta1. or Vauolua. i8 _ect f'o. B ~ 01' illo treatll w ~ tbe earll' Auatn.lulUl A.aoo1at.lon 8701&1at1"1.t., whioh 11'1111.. a CoU. . . in the year 1. tbr the Dipl or the 11114 r . . . . tal U1Ae. ., D l"'f'OlIa aDd (1) ~r 01' 0 l' Pqoh1at17 hold1q an eye.' natlon in Pqchologloal lo41cb • Ita at.aD4arda will •• high •• o~er alailar ex.ina tiona. thDUab it. oonditlona haft been -.dined to tit ill with th ee4a ot' tho•• stat a without. 1IIl1Y ra1tJ cUplo_ f4 their own. ~ ptuatel7 Lach1aJl Pa1'k baa tor , ..0h1Jlg porpo e atE7 ita IX t Men •• it. do.. DOt fUlt11 on41tlons. partloular17 r 01' _dlcal ~an1.ed .u.n. nth regarc1 to -,31- It • t ual... thi• •tate ~~~~h atta1ra 1. o~ ~ N oal .t tt wi • r app e de the baa aemo t DearlT all giTen to It 1. 11ke17 te d :t DUNtDg J"ecl'U1 and that an adTla r'T oo-.ittee b thi. purpoae. aded 0 :tonaed :tor ere1 trai ed DUrae. are .ON tlle!r pa,yohtatl'1o DUft1ng tI'a1ning .o t.l.on wboa are in ~ rg tal Health BerTio.. t att t u.rgen~. 50 regi.tered pqohlatr.lo in Ta.-n.t.a. • in 0 10n eYen 80re !'!Mare are • (2) tee ... ia trh1. n. . .1 eY _1 th the Ronl Bo sm an _MIl there 1. an ea1"17 treataent un! t 1D a.sociation rt Hospital. but thq will n a part o:t their tra1n1nc at Laohlan Park to g1T thea J"OQD4 mcnr1edCe. the Id tta an all Woat Ho pital 1. altered aoae thOUght ahould be traln1Jlg there. (3) Att tra1niq COlU'Se illo l' 1D-••l"Y1c., ooapulaalJ" aDd • b7 • hr Ita moo w olll1tlon g1T .,.• •1 ned 07 aura1Dg tra1ned b7 the dante abould aeD! r JllU"81ng .taff. d b1 c1at'101 ur tartin. a . w co 81 Ten to O~ a:tul ooap1etiCD. It '. __ 1: at; an oral aDd a practical emw.uUon. (4) It wou.ld be ueetul IlJ"ts- etatr were a ~ the _ U ted to keep up the inteDUCe ata.D4ard8 and to -.pI '7 I~ thia were d e artbau. to teaoh th tatloD ooura and the raDotlona f4 tbe Talu • re patlenta. ut ~or Ueat oocupatlon aplUJ. would o~ 1 tude U1U'tIIlaa e he ~~tftr G eral h, the 1I11~eZI4.rat aDd an o~ til I'll killdn.. .1 I I noe t •• w illo w co ur tta sm an ia . or g 1. the