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u), congress. House. Commitlee en interstate and
foreign commerce,

NOV 16
C NATIONAL NEUROPSYCHIATRIC INSTITUTE ACT
43
42
945

HEARING

BEFORE A

SUBCOMMITTEE OF THE COMMITTEE ON
INTERSTATE AND FOREIGN COMMERCE
HOUSE OF REPRESENTATIVES
SEVENTY-NINTH CONGRESS

FIRST SESSION

ON

H. R. 2550

A BILL TO PROVIDE FOR, FOSTER, AND AID IN COORDI-
NATING RESEARCH RELATING TO NEUROPSYCHIAT-
RIC DISORDERS; TO PROVIDE FOR MORE EFFECTIVE
METHODS OF PREVENTION, DIAGNOSIS, AND TREAT-
MENT OF SUCH DISORDERS; TO ESTABLISH THE
NATIONAL NEUROPSYCHIATRIC INSTITUTE;

AND FOR OTHER PURPOSES

SEPTEMBER 18, 19, AND 21, 1945

Printed for the use of the
Committee on Interstate and Foreign Commerce

UNITED STATES
GOVERNMENT PRINTING OFFICE

WASHINGTON : 1945

RC 443 .A 42 1945

COMMITTEE ON INTERSTATE AND FOREIGN COMMERCE

CLARENCE F. LEA, California, Chairman ROBERT CROSSER, Ohio

CHARLES A. WOLVERTON, New Jersey ALFRED L. BULWINKLE, North Carolina PEHR G. HOLMES, Massachusetts VIRGIL CHAPMAN, Kentucky

B. CARROLL REECE, Tennessee LYLE H. BOREN, Oklahoma

CHARLES A. HALLECK, Indiana LINDLEY BECKWORTH, Texas

CARL HINSHAW, California J. PERCY PRIEST, Tennessee

CLARENCE J. BROWN, Ohio OREN HARRIS, Arkansas

EVAN HOWELL, Illinois GEORGE G. SADOWSKI, Michigan

LEONARD W. HALL, New York RICHARD F. HARLESS, Arizona

THOMAS D. WINTER, Kansas JOHN W. MURPHY, Pennsylvania

JOSEPH P. O'HARA, Minnesota EDWARD A. KELLY, Illinois

WILSON D, GILLETTE, Pennsylvania
LUTHER' PATRICK, Alabama
JOHN B. SULLIVAN, Missouri
DWIGHT L. ROGERS, Florida
BENJAMIN J. RABIN, New York
VITO MARCANTONIO, New York

ELTON J. LAYTON, Clerk
F. P. RANDOLPH, Assistant Clerk

PUBLIC HEALTH SUBCOMMITTEE

J. PERCY PRIEST, Tennessee, Chairman
ALFRED BULWINKLE, North Carolina CLARENCE J. BROWN, Ohio
VIRGIL CHAPMAN, Kentucky

THOMAS D. WINTER, Kansas
VITO MARCANTONIO, New York

WILSON D. GILLETTE, Pennsylvania

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CONTENTS

Text of the bill, H. R. 2550..

Report on bill by Federal Security Agency ---------

Report on bill by Bureau of the Budget -------

Statements of -

Parran, Dr. Thomas, Surgeon General, United States Public Health

Service-------

Stevenson, Dr. George S., medical director, National Committee for

Mental Hygiene----

Marquis, Dr. Donald, secretary, American Psychological Association..

Hartshorne, Miss Frances, executive secretary, Connecticut Society for

Mental Hygiene----------

Braceland, Capt. Francis, Chief, Neuropsychiatric Branch, Bureau of

Medicine and Surgery, United States Navy ---

----------

Hershey, Maj. Gen. Lewis B., Director, Selective Service System.---
Challmer, Co. Allen A., Deputy Director, Division of Neuropsychiatry,

Office of Surgeon General, United States Army ---

Meyer, Eugene, president, National Committee for Mental Hygiene,

Washington, D. C...

Baird, Col. John H., Chief, Neuropsychiatry, United States Veterans?

Administration --

Bond, Maj. D. D., Chief, Psychiatric Branch, Office of Air Surgeon,

United States Amry --------

Curran, Dr. Frank J., representing the Emergency Committee of

Neuropsychiatric Societies of New York City-----

Y-------

Baggs, Dr. A. N., medical consultant of the American Legion -----

Wiley, Mrs. Harvey W., chairman, department of legislation, General

Federation of Women's Clubs, Washington, D. C..

Lowe, Mrs. C. B., member of legislation committee, National Congress

of Parents and Teachers ----

--------

Miller, Watson B., Acting Administrator, Federal Security Agency --

Strecker, Dr. Edward A., vice president, American Psychiatric

Society ----

75-81

Shortley, Michael J., Director, United States Office of Vocational

Rehabilitation --

Felix, Dr. Robert H., Chief, Division of Mental Hygiene, United States

Public Health Service-----

Levine, Miss Rae A., representing New York City Committee on

Mental Hygiene------

97

Vogel, Victor H., Office of Educational Rehabilitation

108

Winslow, C. E. A., member, Public Health Council of the State of

Connecticut ---

111

COMMUNICATIONS
Letter from Donald G. Marquis, recording secretary of the American

Psychological Association.-

Letter from Vice Adm. Ross T. McIntire, Surgeon General United States

Navy ---

Telegram from H. A. Carlson, scientific director of research of the Council

on Problems of Alcohol.---

Letter from Sanford Bates, commissioner, Department of Institutions and

Agencies, State of New Jersey ----

Letter from the Illinois Society of Mental Hygiene.--

109

Letter from Dr. Karl M. Bowman, president, American Psychiatric Asso-

ciation.------

109

Letter from Margaret Clark Lefevre, executive secretary, Minnesota Men-

tal Hygiene Society ---

110

ILI 22

H4-2-46RE

108

-----

--

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Page

112

113

114

Letter from Dr. I. E. Riggin, president, Association of State and Territorial

Health Officers.----
Letter from Donna Diamond, president, Association for the Improvement

of Conditions in Mental Hospitals, Inc., New York City--
Letter from Mildred W. Saupe, professor of psychology, Missouri Valley

College, Marshall, Mo.---
Letter from Anderson, H. B., secretary, Citizens' Medical Reference

Bureau, Inc., New York City -----
Letter from mental hygiene committee, health division of the Brooklyn

(N. Y.) Council for Social Planning --
Telegram from Arthur L. Ringle, Seattle, Wash.------

STATISTICAL TABLES AND ARTICLES
1. Physicians recommended and employed in State mental hospitals in

1940---------------------------------------------------------

1940.------------------
2. Total expenditures of State hospitals for mental disease, and per capita

expenditures for maintenance, by divisions and States, in 1941.-
3. Statement entitled “Illiteracy and Educational Deficiency among Selec-

tive Service Registrants, November 1940 to June 1944"---
4. Statement entitled "Mental Disease in Selective Service Registrants" .
5. Article from August 11, 1945, issue of the American Medical Association

Journal entitled “Mental and Personality Disorders in Selective Sery-

ice Registrants," by Col. Leonard G. Rowntree---
6. Estimated initial grants to States for maintenance and operation of a

central mental health office and a minimum of one general mental hy-

giene outpatient clinic for each 500,000 population ----
7. Number of general mental hygiene clinic hours necessary for adequate

service, the number of clinic hours now available, and estimated funds.
8. Report on “Needs in Psychiatric Rehabilitation in New York City," by

the New York City committee on mental hygiene of the State Chari-
c. ties Aid Association.------
9. Editorial from the American Journal of Public Health of June, 1945,
... entitled “New Leadership in Mental Hygiene"------

115

NATIONAL NEUROPSYCHIATRIC INSTITUTE

TUESDAY, SEPTEMBER 19, 1945

HOUSE OF REPRESENTATIVES,
SUBCOMMITTEE OF THE .COMMITTEE ON
INTERSTATE AND FOREIGN COMMERCE,

. Washington, D. C. The committee met at 10 a. m., the Honorable J. Percy Priest, (chairman of the subcommittee) presiding.

Mr. PRIEST. The subcommittee will come to order. We are meeting today for consideration of H. R. 2550, and without objection the bill and report by Federal Security Agency when received will be printed at this point in the record.

(The bill and report are as follows:)

[H. R. 2550, 79th Cong., 1st sess.) A BILL To provide for, foster, and aid in coordinating research relating to neuropsychiatric disorders; to provide for more effective methods of prevention, diagnosis, and treatment of such disorders; to establish the National Neuropsychiatric Institute; and for other purposes

Be it endcted by the Senate and House of Representatives of the United States of America in Congress assembled, That this Act may be cited as the “National Neuropsychiatric Institute Act.”

SEC. 2. For the purposes of conducting researches, investigations, experiments; and demonstrations relating to the cause, diagnosis, and treatment of neuropsychiatric disorders; assisting and fostering similar research activities by other agencies, public and private, and promoting the coordination of all such researches and activities and the useful application of their results; training personnel in matters relating to neuropsychiatric disorders; developing, and assisting States in the use of, the most effective methods of prevention diagnosis, and treatment of neuropsychiatric disorders; there is hereby established in the United States Public Health Service (hereafter in this Act referred to as the “Service") the National Neuropsychiatric Institute (hereafter in this Act referred to as the “Institute”).

SEC. 3. In carrying out the purposes of this Act, the Surgeon General of the Service (hereafter in this Act referred to as the “Surgeon General”) is authorized through the Institute to

(a) conduct, assist, and foster researches, investigations, experiments, and demonstrations relating to the cause, prevention, and methods of diagnosis and treatment of neuropsychiatric disorders;

(b) promote the coordination of researches conducted by the Institute, and similar researches conducted by other agencies, organizations, and individuals;

(c) make available research facilities of the Service to appropriate public authorities, and to health officials and scientists engaged in special studies related to the purposes of this Act;

(d) make grants-in-aid to universities, hospitals, laboratories, and other public or private institutions, and to individuals for such research projects as are recommended by the National Advisory Mental Health Council;

(e) for purposes of study, admit and treat at the Institute, voluntary patients, whether or not otherwise eligible for such treatment by the Service, and patients of Saint Elizabeths Hospital transferred from the hospital pursuant to arrangements made between the Surgeon General and the Superintendent of the hospital with the approval of the Federal Security Administrator;

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