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Mr. CARTER. You have treatment facilities there for one who has delirium tremens?

Mr. PITTMAN. Yes. There have been few cases of delirium tremens. They are brought immediately into treatment, and care is provided so that there is rapid recovery.

Mr. CARTER. Sometimes even with the best treatment we see this. If you see many alcoholics, you will see delirium tremens. There is no

. question about that, and it does take a great deal of care and attention, and there is the problem of how to apprehend promptly those who are in this state as a result of the ingestion of alcohol. That is a problem.

Mr. PITTMAN. I think your point is well made. It is a matter of training on the part of the police, the nurses, and so forth. This can be reduced to a minimum.

Mr. ROGERS. I am interested in how your detoxification center works. What is your budget, or do you have it here? Mr. PITTMAN. I would

be glad to send the whole exhibit to the committee for the record. But, briefly, approximately $350,000 yearly.

(The following information was received by the committee:)

U.S. DEPARTMENT OF JUSTICE, OFFICE OF LAW ENFORCEMENT ASSISTANCE

GRANT ADJUSTMENT NOTICE

Grantee: St. Louis Metropolitan Police Department (Grant No. 284-(S-093)). Title of project: St. Louis Detoxification Diagnostic and Evaluation Center (Adjustment No. 1).

Nature of adjustment: Budget Change (Date, 2-20_68).

To grantee: Pursuant to your request of February 19, 1968, the following change, amendment, or adjustment in the above grant project is approved, subject to such conditions or limitations as may be set forth below :

DANIEL L. SKOLER, Deputy Director, Office of Law Enforcement Assistance. Approval of the attached revised project budget for the project, with changes as follows:

Dec. 1, 1967, to Nov. 30, 1968
Original

Revised approved Change budget budget

$79, 850

- $21, 668
+3, 151

Personnel..
Supplies and communications.
Other:

Space rental (St. Mary's Infirmary).
Food (patients)
Laundry...
Emergency patient fund.

Total award..
Grantee contribution.

+8, 107
+9,635

+525
+250

$58, 182

3, 151 8, 107 9,635

525 250

79, 850 263, 402

0 +47

79, 850 263, 449

Total...

343, 252

343, 299

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(Continuation Sheet-p. 3. item All

Percent of
time devoted

Police Requested Requested Requested Police

Police
department of OLEA of OLEA of OLEA department department
Annual salary contribution (Dec. 24, 1967, (Jan. 1, 1968, (Apr. 1, 1968, contribution contribution
(Dec. 1, 1967, to

to

to (Apr. 1, 1968, (July 1, 1968, to Dec. 31, 1967) Mar. 31, 1968) Nov. 30, 1968) to

to Dec. 23, 1967)

June 30, 1968) Nov. 30, 1968)

To be paid To be paid

by State by State
(Dec. 1, 1967, (July 1, 1968,
to

to
June 30, 1968) Nov. 30, 1968)

PERSONNEL (EMPLOYEES AND CONSULTANTS)

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(1) Employees:

Medical director, Joseph B. Kendis,

M.D..
Assistant medical director, Cornelius

Hogan, M.D.
Chief social worker.
Staff social worker.
3 registered nurses (at $7,300).
5 licensed practical nurses (at $5,000)
11 attendants (1 half time) (at $4,300)
Medical students (at $2 per hour)
Secretary.
Housekeeper..
Planning and Research Division, St.

Louis Police Department, person-
nel:
Division director, Capt. Frank

Mateker
Project codirector, research

associate, Mr. Michael Laski..
Research assistant, Mr. Larry

Pattison.
Patrolman Edwin Pohl
Patrolman Harold Schlegel.
Patrolman Delos Schaefer.
Statistical clerk, Miss Margaret

Bolesina

Chief clerk, Mr. Richard Bumann. See footnotes at end of table.

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(Continuation Sheet-p. 3, item Al-Continued

Percent of
time devoted

Police Requested Requested Requested Police

Police
department of OLEA of OLEA of OLEA department department
Annual salary contribution (Dec. 24, 1967, (Jan. 1, 1968, (Apr. 1, 1968, contribution contribution
(Dec. 1, 1967, to

to

to (Apr. 1, 1968, (July 1, 1968, to Dec. 31, 1967) Mar. 31, 1968) Nov. 30, 1968) to

to Dec. 23, 1967)

June 30, 1968) Nov. 30, 1968)

To be paid To be paid

by State by State
(Dec. 1, 1967, (July 1, 1968,
to

to
June 30, 1968) Nov. 30, 1968)

PERSONNEL
(EMPLOYEES AND CONSULTANTS)--Con.

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St. Mary's Infirmary personnel: s11

cial Science Institute, Washington
University, St. Louis, and consul-

sociate, Social Science Institute,

Washington University, St. Louis-
Consulting psychiatrist (at $40 for 1

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(1) Employees Continued

Administrator
Nursing service director.
Receptionist.
Accountant.
Food manager
Dietician..
X-ray technician
Engineer
Maintenance and repair.
Housekeeper

Laundry manager
(2) Consultants:

David J. Pittman, Ph.D., director, So

tant to the police department.---
Laura E. Root, M.S.W., research as-

visit per week).
(3) FICA:

FICA (at 4.4 percent).
Workman's compensation.

Total,

1 2 registered nurses.
2 1 registered nurse.
33 registered nurses.
43 full-time, 1 half-time attendants.

57 attendants.
64 attendants.
73 attendants.
Note: Total personnel cost (December 1, 1967 to November 30 1968), $162,794.

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C. Supplies, communications, and reproduction:

1. Office (pencils, paper, etc.). -
2. Telephone (local and long distance), tele-

graph, postage..
3. Medical supplies and medications (for patient

treatment).
4. Replacement of sheets (6 sheets per bed, per

year equals 180 at $3.28 each)..
5. Replacement of pillow cases (6 pillow cases

per bed, per year equals ! 80 at $0.78 each).
6. Replacement of towels (50 dozen at $4.90 per

dozen).
7. Replacement of wash cloths (50 dozen at $1.35

per dozen).
8. Laundry soap (46 pounds per month at $0.11

per pound.

Total.

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(Continuation sheet-p. 3, item D]

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D. Other (equipment, miscellaneous and indirect costs):

1. Rental for 3d and 2d floors at St. Mary's in

firmary (19,074 square feet, utilities, 30
beds and bedding, hospital furniture) at

$1.70 a square foot.
2. Food for high protein meals (based upon a

food cost of $4.05 per patient, per day, and

an average daily patient population of 26)..
3. Laundry (a fixed flat fee to be paid on a

monthly basis at $175.16 per month).
4. Emergency patient fund 1.
5. Insurance-For payment of comprehensive

general liability and hospital professional
insurance.

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Total.

76,068

18,517

51,379

6,172

1 The emergency patient fund of $1,000 is necessary to provide indigent alcoholics with bus fare for employment interviews and housing arrangements. These moneys will insure transportation of the indigent to the other agencies of referral which are part of the rehabilitation program. It also provides for temporary food and lodging while the indigent is awaiting employment and/or his first paycheck, or admission to another helping referral agency. This fund, likewise, will cover other necessary minor expenditures of the indigent.

APPLICATION FOR GRANT

BUDGET NARRATIVE

Begin below and add as many continuation pages (4a, 4b, etc.) as may be needed to complete the required justificaiton and explanation of the project budget.

A. PERSONNEL (EMPLOYEES AND CONSULTANTS)

1. Employees.—The budget of this application indicates that a total of fortyseven (47) people, excluding medical students, will be involved in the operation and administration of the St. Louis Detoxification Center. During the period of December 24, 1967 through March 31, 1968, OLEA funds will provide for the employment of: two (2) Registered Nurses, five (5) Licensed Practical Nurses, eleven (11) Attendants (one on a half-time basis), the Medical Students, the Secretary, and the Housekeeper.

It is to be noted that during the period of January 26, 1968 through February 9, 1968, OLEA funds may have to be used for the salary of two Secretaries, and this revised budget includes the funds necessary to cover this situation. The Secretary is terminating employment on January 26, 1968. The replacement Secretary, if obtained, will start employment on January 26, 1968 to provide for a one day “break in" period. Thus, the payroll may include two Secretaries during the period of January 28, 1968 through February 9, 1968.

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