think there can be no question-I do not know because I can only speak for one member of the subcommittee-there will be no question about any lessening of these increases. The question may well be that further increases may be justified here. Now, is there anything else, Senator? I am certainly glad you asked the questions you did. Senator BYRD. Thank you, Mr. Chairman. Senator HILL. Is there anything else that anybody else would like to add? Dr. HELLER. I have nothing, except to say that I thank the committee and you, sir. MENTAL HEALTH ACTIVITIES STATEMENT OF DR. ROBERT H. FELIX, DIRECTOR, NATIONAL INSTITUTE OF MENTAL HEALTH; ACCOMPANIED BY DR. JAMES A. SHANNON, DIRECTOR, NATIONAL INSTITUTES OF HEALTH; DR. LEROY E. BURNEY, SURGEON GENERAL; ROY L. HARLOW, CHIEF FINANCE OFFICER; AND JAMES F. KELLY, DEPARTMENT BUDGET OFFICER APPROPRIATION ESTIMATE "For expenses necessary for carrying out the provisions of sections 301, 302, 303, 311, 312, and 314 (c) of the Act with respect to mental diseases, [$52,419,000] $5,384,000." Summary of changes 1959 actual appropriation... Transfers: Comparative transfer to "Assistance to States, general, Public Extra day of pay (261 days in 1959 and 262 days in The House Committee on Appropriations in acting on the appropriations for the Department of Health, Education, and Welfare for 1960, increased the President's budget by $8,025,000 for "Mental health activities." At the request of the Senate Appropriations Committee the following statement is submitted in explanation of how this increase, if enacted, would be applied. Activity No. 1(a)-Research projects The full amount requested of $18.803,000 was allowed by the House, and in addition it provided an increase of $3,373,000 for expansion of the psychopharmacology program, the mental health projects program (title V), and the regular research projects program. This is an increase of $5,247,000 over the 1959 appropriation. Activity No. 1(b) —Research fellowships The full amount requested of $1,286,000 was allowed by the House, and in addition it provided an increase of $110,000 for additional research fellowships. This is an increase of $251,000 over the 1959 appropriation. Activity No. 1(c)-Training The full amount requested of $18,213,000 was allowed by the House, and in addition it provided an increase of $2,993,000 for additional general practitioner and research training grants. This is an increase of $2,993,000 over the 1959 appropriation. Activity No. 1(d)-State control programs The full amount requested of $4 million was allowed by the House, and in addition it provided an increase of $1 million for expansion of this program. This is an increase of $1 million over the 1959 appropriation. Activity No. 2(a)-Research The full amount of $6,941,000 and 450 positions was allowed by the House, and in addition it provided $231,000 and 12 positions for expansion of clinical neuropharmacological and biometric studies and increased research supportive services. This is an increase of $496,000 over the 1959 appropriation. Activity No. 2(b)—Review and approval of grants The full amount of $916,000 and 81 positions was allowed by the House, and in addition it provided $149,000 and 12 positions for additional staff to service the expanded grant activities and for increased review and approval supportive services. This is an increase of $180,000 over the 1959 appropriation. Activity No. 2(d)—Professional and technical assistance The full amount requested of $1,669,000 and 161 positions was allowed by the House, and in addition it provided $169,000 and 8 positions for additional consultants in special areas and additional technical assistance projects. This is an increase of $253,000 over the 1959 appropriation. For overall budgetary considerations, the Department has recommended that the increase over the President's budget be eliminated by the Senate. Allocations of grant-in-aid funds for mental health Senator HILL. Our next subject will be presented by Dr. Felix, Director of the National Institute of Mental Health. 41001-59-36 Doctor, I understand you are the president-elect of the American Psychiatric Association. I want to congratulate you, sir, on behalf of the committee. Dr. FELIX. Thank you, Mr. Chairman. Senator HILL. We are very proud and happy to hear that. I think Senator Byrd will be happy to concur in that. Senator BYRD. Absolutely. Dr. FELIX. I think it is as much a tribute to the National Institutes of Health as it is to me as a person, and I do not think I should take that as a personal compliment but rather as one of all of the staff who worked so hard on this program. Senator HILL. You have always been very modest and very generous and we are very proud that you are going to be the new president. Dr. FELIX. Thank you, sir. PREPARED STATEMENT Senator HILL. Now you have a prepared statement, I believe, Doctor? Dr. FELIX. Yes, Mr. Chairman, I have, which I can submit for the record and then I will give a summary of it, if you wish. Senator HILL. All right, sir. (The statement referred to follows:) STATEMENT OF DIRECTOR, NATIONAL INSTITUTE OF MENTAL HEALTH, PUBLIC HEALTH SERVICE ON MENTAL HEALTH ACTIVITIES, PUBLIC HEALTH SERVICE Mr. Chairman and members of the committee, the budget proposed for mental health activities is $52,384,000 which with the comparative transfer is the same as 1959, but $2,411,000 greater than the 1959 obligation plan. A review of the research conducted and supported by the Institute during the past year shows increasing emphasis on studies of the brain and its function as an important element in understanding behavior. A dramatic example of this trend in mental health research was provided by a recent scientific television show produced on the CBS Conquest Hour. This show depicted investigations linking neurophysiological structure and function with total behavior. It is obvious that important advances in the campaign against mental illness will come from improvements in our conceptions of how the brain and central nervous system operate, and of how these operations correlate with their observable manifestations-man's actions, his personality, and his social relationships. Scientists doing basic laboratory and clinical research have been improving steadily and increasing the number of tools and techniques at their disposal, and have accumulated useful knowledge about extremely complex physiological and biochemical processes. Behavioral scientists and investigators conducting clinical studies have added new methods to their armamentarium and substantially increased our understanding of basic psychological mechanisms. Both basic and clinical researchers in mental health are now reaching a stage at which they can fruitfully combine efforts to comprehend common problems and to synthesize and interrelate their respective findings. Investigators in Europe and in this country, some of them assisted by National Institute of Mental Health grants, are continuing highly significant experiments which relate central nervous system mechanisms to motivation and drive. They have shown that specific areas of the brain can be activated electrically or, in some cases chemically, to elicit behavior directed to the satisfaction of specific drives. The drives so generated can be used to lead the animal to utilize its intellectual and physical resources in goal-seeking activities. One of these investigators, exploring the separate elements of conflicting drives, has developed a framework for what may prove to be a highly effective approach to the evaluation of the psychological effects of drugs on animals. An Institute investigator is making impressive progress toward characterizing the specific brain loci responsible for activities that contribute to the individual's survival and his part in survival of the species. |