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dditional information submitted for the record by-Continued
American Psychological Association:

"The Community and the Community Mental Health Center,"

article by M. Brewster Smith and Nicholas Hobbs, adopted as
official position paper of the American Psychological Asso-
ciation..
“The Critical Need for Additional Mental Health Manpower,

speech presented by Mike Gorman, executive director, National

Committee Against Mental Illness-
American Public Health Association, Inc., letter from Dr. Berwyn F.

Mattison, executive director --
Ewalt, Dr. Jack R., letters from, re-

Psychiatric personnel staffing problems
Relation between economic and social status of families having

mentally retarded children, studies on.
Staffing requirements estimated for community mental health

center for approximately 100,000 people--

Health, Education, and Welfare, Department of:

Authorizations, appropriations, and obligations for construction

and staffing of community mental health centers (chart)------

Centers funded under appropriations as of June 30, 1967 (chart)--
Community mental health centers program status report, by

Director, National Institute of Mental Health, March 31,

1967.-

Community mental health centers progress report.

Construction and staffing grants, number of under present

authority (chart) -

Construction and staffing of community mental health centers,

5-year funding estimate, 1968–72 (table)--

Contingency funds authorized in fiscal year 1967 appropriation

acts --

Deaths and deformities involving children, resulting from Ger-

man measles, 1964-65.---

Grants for construction and staffing community mental health

centers, distribution as of March 27, 1967 (chart).
Muskingum County Guidance Center, Zanesville, Ohio (chart)--
Patients in State and local mental hospitals (chart).
Resident patients, projected and actual numbers in State and

county mental hospitals, 1946–66 (chart).

Supplemental appropriations, chronological history of HEW for

fiscal years 1962–67 (table) -

Swedish-St. Barnabas Community Mental Health Center,

Minneapolis, Minn. (chart)-

Tacoma (Wash.) Mental Health Center (chart) -

National Association for Mental Health:

"Facts About Mental Illness," from 1967 fact sheet..

Harris Poll on mental health clinics, article from April 3, 1967,

issue of the New York Post..

National Association of Counties: County-operated mental health

facilities receiving grants, to date (table)

National Association of Social Workers, Inc., letter from Melvin A.

Glasser, chairman, Social Action Commission-

National Association of State Mental Health Program Directors:

Letters re H.R. 6431, from

Cromwell, Dr. Í. O., director, Division of Mental Health,

State of Iowa.

Evans, Hon. Daniel J., Governor, State of Washington.---

Gambill, Dr. J. R., acting mental health commissioner,

State of Indiana.

Ganser, Dr. L. J., director, Division of Metal Hygiene, State

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34

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37

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of Wisconsin

Guy, Hon. William L., Governor, State of North Dakota..

Haines, Dr. R. A., director, Division of Institutional Man-

agement and Community Mental Health Services, State of

Kansas.-

Hoff, Hon. Philip H., Governor, State of Vermont-

Johnson, Dr. Gordon S., superintendent, Utah State Hospital.

Kerner, Hon. Otto, Governor, State of Illinois..

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113

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114

106

Page

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Additional information submitted for the record by—Continued

National Association of State Mental Health Program Directors Con.

Letters re H.R. 6431, from-Continued

Leopold, Dr. Jonathan P. A., commissioner, Department

of Mental Health, State of Vermont-.-

Lieberman, Dr. Daniel, commissioner, Department of Men-

tal Health, State of Delaware..

Moore, Hon. Dan K., Governor, State of North Carolina.--

Solomon, Dr. Harry C., commissioner, Department of

Mental Health, Commonwealth of Massachusetts----

Telegrams re H.R. 6431, from-

Addison, Dr. William P., commissioner of mental health,

State of Louisiana...

Conte, Dr. William R., Department of Institutions, Olympia,

Wash..

Dempsey, Hon. John, Governor, State of New Jersey

Docking, Hon. Robert, Governor, State of Kansas..

Farabee, Dr. Dale, commissioner, Department of Mental

Health, State of Kentucky....

Hall, Dr. William S., commissioner of mental health, State of

South Carolina...

Jackson, Dr. George W., superintendent, Little Rock, Ark_-

Janis, Martin A., director, Department of Mental Hygiene

and Correction, State of Ohio..

Kinross-Wright, Dr. John, commissioner, Department of

Mental Health, State of Texas.

Kirk, Hon. Claude R., Jr., Governor, State of Florida

Lewis, Dr. Ray, director, Division of Mental Health, State of

Arizona.

McNair, Hon. Robert E., Governor, State of South Carolina-

Miller, Dr. Alan D., commissioner, Department of Mental

Hygiene, State of New York.--

Rockefeller, Hon. Nelson A., Governor, State of New York.

Rogers, Dr. W. D., director, Division of Mental Health,

State of Florida.

Rosenn, Max, secretary of public welfare, Commonwealth of

Pennsylvania -

Smith, Hon. Hulett C., Governor, State of West Virginia --

Ulett, Dr. George A., director, Division of Mental Diseases,

State of Missouri.

Subcommittee on Public Health and Welfare: Correspondence of

1963 re botulism, between the subcommittee, the Food and Drug
Administration, and the Public Health Service --

66

MENTAL HEALTH CENTERS CONSTRUCTION ACT EXTENSION

TUESDAY, APRIL 4, 1967

House of REPRESENTATIVEs, SUBCOMMITTEE on PUBLIC HEALTH AND WELFARE, OF THE CoMMITTEE on INTERSTATE AND FOREIGN CoMMERCE, Washington, D.C. The subcommittee met at 10 a.m., pusuant to notice, in room 2123 Rayburn House Office Building, Hon. John Jarman (chairman o 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 of 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

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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 Aet (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.C. 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.

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