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dditional information submitted for the record by-Continued
“The Community and the Community Mental Health Center,"
article by M. Brewster Smith and Nicholas Hobbs, adopted as
speech presented by Mike Gorman, executive director, National
Committee Against Mental Illness-
Mattison, executive director --
Psychiatric personnel staffing problems.
mentally retarded children, studies on..
center for approximately 100,000 people..
Centers funded under appropriations as of June 30, 1967 (chart)--
Director, National Institute of Mental Health, March 31,
Deaths and deformities involving children, resulting from Ger-
man measles, 1964-65.--
centers, distribution as of March 27, 1967 (chart).
county mental hospitals, 1946-66 (chart)--
Swedish-St. Barnabas Community Mental Health Center,
Minneapolis, Minn. (chart) -
Tacoma (Wash.) Mental Health Center (chart) -
National Association of Social Workers, Inc., letter from Melvin A.
Glasser, chairman, Social Action Commission..
Leopold, Dr. Jonathan P. A., commissioner, Department
Addison, Dr. William P., commissioner of mental health,
Subcommittee on Public Health and Welfare: Correspondence of
1963 re botulism, between the subcommittee, the Food and Drug
MENTAL HEALTH CENTERS CONSTRUCTION ACT
TUESDAY, APRIL 4, 1967
HOUSE OF REPRESENTATIVES,
Washington, D.C. The subcommittee met at 10 a.m., pusuant to notice, in room 2123, Rayburn House Office Building, Hon. John Jarman (chairman of the subcommittee) presiding.
Mr. JARMAN. The subcommittee will please be in order. The hearings today are on H.R. 6431, the Mental Health Amendments of 1967, introduced by Chairman Staggers at the request of the administration. This bill would extend the current program of grants for the construction and initial staffing of community mental health centers; would authorize research, training and demonstration project grants to be made to Federal institutions; and would authorize establishment of a contingency account for the Department of Health, Education and Welfare.
This committee has been active in the field of mental health legislation for over 20 years now, beginning with the initial legislation establishing the National Institute of Mental Health.
In 1955, this committee initiated the Mental Health Study Act of 1955 calling for the establishment of a program of research and study of our resources, methods and practices for diagnosing, treating, caring for, and rehabiltating the mentally ill.
A Joint Commission on Mental Illness and Health was established pursuant to this legislation and the Commission made its final report on December 30, 1960. The Commission recommended establishment of community mental health centers to provide care for the mentally ill close to their homes in a community setting:
The report of this Commission was studied by the executive branch and the Congress and in 1963, President Kennedy recommended to the Congress the enactment of legislation providing Federal matching grants for construction and initial staffing of community mental health centers. Hearings were promptly held on this legislation and legislation was enacted in October 1963 authorizing matching grants for construction of community mental health centers.
In 1965, President Johnson recommended the enactment of legislation providing matching grants for initial staffing of community mental health centers; and this legislation became law in 1965.
The authorization for matching grants for construction is due to expire June 30 this year, and the authorization for grants for initial
staffing is scheduled to expire June 30, 1968; therefore, prompt action on this legislation is required in order that orderly planning may continue.
(The bill, H.R. 6431, and department reports thereon, follow:)
(H.R. 6431, 90th Cong., 1st sess.)
A BILL To amend the public health laws relating to mental health to extend, expand,
and improve them, and for other purposes Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled, That this Act may be cited as the "Mental Health Amendments of 1967".
GRANTS FOR CONSTRUCTION OF COMMUNITY MENTAL HEALTH CENTERS
SEC. 2. (a) Section 201 of the Community Mental Health Centers Act (42 U.S.C. 2681) is amended by striking out "and $65,000,000 for the fiscal year ending June 30 ,1967" and inserting in lieu thereof, "$65,000,000 for the fiscal year ending June 30, 1967, $50,000,000 for the fiscal year ending June 30, 1968, and such sums striking out “1967" and inserting in lieu thereof "1972”.
(b) Section 207 of such Act is amended (1) by striking out "three", and (2) by striking out "1967" and inserting in lieu thereof "1972”.
GRANTS FOR INITIAL STAFFING OF COMMUNITY MENTAL HEALTH CENTERS SEC. 3. (a) Section 221 (b) of the Community Mental Health Centers Act (42 U.S.C. 2688a (b)) is amended bp striking out “1968” each place it appears and inserting in lieu thereof “1972".
(b) The first sentence of section 224 of such Act is amended by striking out "and $30,000,000 for the fiscal year ending June 30, 1968" and inserting in lieu thereof “$30,000,000 for the fiscal year ending June 30, 1968, and such sums as may be necessary for the next four fiscal years". The second sentence of such section is amended by striking out "five" and inserting in lieu thereof "nine".
MISCELLANEOUS AMENDMENTS RELATING TO CONSTRUCTION OF COMMUNITY
MENTAL HEALTH CENTERS
SEC. 4. (a) Section 401 (e) of the Mental Retardation Facilities and Community Mental Health Centers Construction Act of 1963 (42 U.S.O. 2691) is amended by inserting “acquisition,” after “new buildings.".
(b) Paragraph (7) of section 204 of such Act (42 U.S.C. 2684), is amended by inserting before the semicolon at the end thereof "and, effective July 1, 1969, provide for enforcement of such standards with respect to projects approved by the Secretary under this part after June 30, 1967".
PROJECT GRANTS TO FEDERAL INSTITUTIONS
SEC. 5. Effective July 1, 1968, title V of the Public Health Service Act is amended by adding after section 506 (42 U.S.C. 224) the following new section :
"GRANTS TO FEDERAL INSTITUTIONS
"SEC. 507. Appropriations to the Public Health Service available for research, training, or demonstration project grants pursuant to this Act shall also be available, on the same terms and conditions as apply to non-Federal institutions, for grants for the same purpose to hospitals of the Service, of the Veterans' Administration, or of the Bureau of Prisons, Department of Justice, and to *Saint Elizabeths Hospital."
ESTABLISHMENT OF A CONTINGENCY ACCOUNT
SEC. 6. (a) In order to facilitate the more efficient and effective administration of the programs of the Department of Health, Education, and Welfare, there is hereby created in the Treasury of the United States a contingency account which shall be available to the Secretary of Health, Education, and Welfare without fiscal year limitation for use as provided in this section.