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ment to those directed toward the specific behavioral processes and definits in the retarded. The Central Wisconsin Colony, designed as a research and training facility as well as a residential unit for care and treatment, will work in close coordination with the University of Wisconsin Center.

Total cost: $3,017,335.

Federal share: $2,263,000.

Date of award: January 26, 1967.

Estimated completion date: January 1971.

APPROPRIATIONS AND APPROVED APPLICATIONS FOR MENTAL RETARDATION RESEARCH CENTERS, JAN. 1, 1967

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Since its inception in 1963, fourteen Federal grants totaling $30,348,901 have been awarded under the program of Federal assistance for the construction of university-affiliated facilities for the mentally retarded. This program, authorized under P.L. 88-164, "The Mental Retardation Facilities and Community Mental Health Centers Construction Act of 1963," was established to provide clinical facilities to assist in training physicians and other specialized personnel in the field of mental retardation, or in demonstrating new techniques of specialized services for the mentally retarded.* As nearly as practicable, a full range of inpatient and out-patient services for the mentally retarded must be provided in facilities constructed with such grants.

The project grants to university-affiliated facilities represent a step forward in providing professional and technical manpower essential to the care, education, training, rehabilitation, and diagnostic services required by the mentally retarded. Following are summary descriptions of the types of facilities and programs which have been supported with these funds.

This construction program is administered by the Division of Mental Retardation, Public Health Service, Department of Health, Education, and Welfare. Children's Rehabilitation Institute (John F. Kennedy Institute), Reisterstown, Maryland

One of the first applications to be approved under the program was submitted by the Children's Rehabilitation Institute, Reisterstown, Maryland. A grant of $2,360,250 was awarded, which will aid in the construction of a $3 million facility to be known as the John F. Kennedy Institute. This new clinical facility, to be *See "Mental Retardation Report" for November 26, 1965 and August 22, 1966 for additional information regarding this construction program.

located at the Johns Hopkins University, will train medical students, interns, residents, post-doctoral fellows, psychologists, hospital and public health nurses, social workers, and other specialists in the care of the mentally retarded.

The center will occupy 90,000 square feet of space specifically designed for the conduct of treatment, training, and research. In addition to a 60-bed inpatient unit, a full range of diagnostic and therapeutic services for outpatients will be provided.

Total cost: $3,147,000.

Federal share: $2,360,250.

Date of award: February 4, 1965.

Estimated completion date: June 1967.

Georgetown University, Washington, D.C.

Georgetown University has been awarded a grant of $1,500,000 to aid in constructing a new four-story addition to the Gorman Diagnostic Building on the Georgetown University campus. The new facility will allow for the expansion of the existing mental retardation clinic at the University. The new program will provide complete diagnostic and evaluation services, parent and child counseling, improved professional training programs, and a base for clinical and statistical research in mental retardation. The Georgetown Center will provide a valuable clinical resource to the retarded children of the Washington metropolitan area. Total cost: $2,000,000.

Federal share: $1,500,000.

Date of award: February 5, 1965.

Estimated completion date: January, 1968.

University of Colorado, Denver, Colorado

A Federal grant in the amount of $369,000 has been awarded to the University of Colorado to assist in the construction of a new mental retardation center. The three-story building will provide some 6,400 square feet for medical personnel. clinical psychologists, social workers, nurses, nutritionists, dental hygienist, audiologists, and speech therapists working with the mentally retarded. The project is designed to coordinate existing services and to provide both a regional evaluation and consultation center and a continuing care plan for retarded children from nearby counties. The facility will serve as a regional referral center for mentally retarded children with difficult diagnostic problems or those in need of special laboratory services.

Total cost: $602,84.

Federal share: $369,000.

Date of award: January 3, 1966.

Estimated completion date: January, 1968.

Walter E. Fernald State School, Waltham, Massachusetts

Established in 1947, this school is affiliated with Massachusetts General Hospital and associated with a number of educational facilities in the Boston area. The Federal grant of $724,725 will aid in the construction of a Community Evaluation and Rehabilitation Center on the grounds of the present school. The new facilities will provide programs for carrying out diagnostic and evaluation procedures and for training in most of the medical specialties, special education. psychology, social work, nursing, and other areas. The total construction cost will be approximately $2.6 million.

Total cost: $1,347,000.

Federal share: $724,725.

Date of award: April 10, 1965.

Estimated completion date: September, 1968.

University of California, Neuropsychiatric Institute, Los Angeles, California

A grant of $2,638,335 was awarded to the University of California, Neuropsychiatric Institute to assist in the addition of four more floors which will comprise a mental retardation unit. This unit will provide three 20-bed wards for young. severely retarded children, ambulatory retarded children, and older children with varying degrees of retardation. Diagnostic studies of both outpatients and inpatients will be conducted in the facility. Attention will be focused upon the differentiation of functional retardation associated with emotional disorders from true retardation.

Total cost: $3,517,780.

Federal share: $2,638,335.

Date of award: July 29, 1965.

Estimated completion date, October, 1969.

University of Alabama Medical Center, Birmingham and Tuscaloosa, Alabama The University of Alabama is the second institution to receive a grant for the construction of two university-affiliated mental retardation centers. An award of $2,180,494 has been made to construct training facilities at the University of Alabama Medical Center, Birmingham, and on the main university campus at Tuscaloosa. The Medical School presently maintains a variety of services for the mentally retarded which will be expanded to include an increase in diagnostic capacity and capability and a program of treatment and professional training in the various disciplines. The satellite facility at Tuscaloosa will provide facilities for specialized training of Ph. D. level psychologists in clinical and experimental psychology with content emphasis on mental retardation which will then balance the overall training program insuring truly collaborative, multidisciplinary training.

Total cost: $2,907,326.

Federal share: $2,180,494.

Date of award: November 24, 1965.

Estimated completion date: January, 1968.

Children's Hospital Medical Center, Boston, Massachusetts

The Children's Hospital Medical Center, Boston, was awarded a grant of $863,250 to assist in the construction of a Child Development Research and Evaluation Center. The grant will aid in the addition of two and one-half floors to a new eleven-story outpatient department building which is part of the Medical Center complex, located within the Harvard Medical School area.

In 1929, the Children's Hospital created one of the first inpatient units in the country in which retarded children could be studied and evaluated by a team composed of pediatricians, neurlogists, psychologists, and social workers with consultation available in other appropriate specialties including orthopedic surgery, psychiatry, and neurosurgery. The new facility will permit the hospital to expand its services. Patients will be referred to the new center by other clinics and divisions of the hospital and by physicians and community agencies. Not only the immediate Boston area, but much of New England, will share in the use of the additional services and training resources provided by the new clinical facility.

Total cost: $1,276,500.

Federal share: $863,250.

Date of award: July 6, 1965.

Estimated completion date: June 1967.

Indiana University Medical Center, Indianapolis and Bloomington, Indiana

The mental retardation facility to be constructed at the Indiana University will be operated in two separate physical units: one to be located within the James Whitcomb Riley Hospital Child Development Center, Indianapolis, and the other-the Indiana University Development Training Center-to be located on the campus in Bloomington.

The center at the James Whitcomb Riley Hospital has served as a referral center for all difficult cases in pediatric diagnosis and treatment, and at least 40 percent of these patients are diagnosed as mentally retarded. This center has concentrated a major portion of its activities in the development of programs in all aspects of mental retardation. The new unit will serve primarily as a diagnostic and outpatient treatment center and as a training resource in the field of pediatrics. It will provide consultation services to physicians throughout the State and will screen admissions to the residential center at Bloomington.

The Bloomington center will house 40 children in eight "home units" under the supervision of cottage "parents." Training of specialists in behavioral sciences, speech and hearings, special education, and other areas will be conducted at Bloomington.

A Federal grant of $3,157,231 has been awarded to assist the two Indiana University projects.

Total cost: $4,277,635.

Federal share: $3,157,231.

Date of award: December 9, 1965.

Estimated completion date: April, 1968.

University of Tennessee, Memphis, Tennessee

The University of Tennessee has been awarded a grant of $3,199,710 to aid in the construction of a Child Development Center as a part of the University of

Tennessee Medical Center which serves Western Tennessee, Eastern Arkansas, Northern Mississippi and the Southeastern tip of Missouri. Although a Child Development Center was established in December, 1956, this grant will provide the applicant with an opportunity to plan additional training programs for the disciplines in such a way as to bring about an interdisciplinary effort and will emphasize the contribution that each discipline will make in the amelioration of the problem for the mentally retarded. The Center will serve as a referral center to meet the increased demands for services to the mentally retarded in the service area. Close liaison will be maintained in developing Special Education classes in public schools for the educable and trainable and the development of a day care program for the severely retarded. A pre-school program for the mildly and moderately retarded and the development of sheltered workshops and the development of special classes for children with visual perceptual motor handicaps is planned.

Total cost: $4,266,280.

Federal share: $3,199,710.

Date of award: March 30, 1966.

Estimated completion date: November, 1969.

University of North Carolina, Chapel Hill, North Carolina

University of North Carolina will receive a Federal grant of $500,811 for the construction of a University-Affiliated Facility for the Mentally Retarded which will be known as the Child Development Center. The Center will have as its primary function the training of professional and specialized personnel in the diagnosis, treatment and management of retarded children. Other major responsibilities include the development of working relationships with practicing physicians and State supported clinics with problem patients who will be accepted and returned to the community after a comprehensive work up at the Center. The Child Development Center will have two related units: (1) the outpatient facility for intensive evaluation and (2) a day care facility for the retarded children. The outpatient facility will be staffed by a multidisciplinary team which will evaluate deviations from normal development and the establishment of treatment programs for the retardate and their problems. Longitudinal follow up will be a part of the clinic operations. The day care center will also be utilized as part of the treatment program and will likewise involve a wide variety of the necessary disciplines needed for the care, education and training of the mentally retarded.

Total cost: $667,748.

Federal share: $500,811.

Date of award: November 17, 1966.

Estimated completion date: November, 1969.

New York Medical College, New York, New York

The New York Medical College has been awarded a Federal grant of $3 million for assistance in constructing a center for mental retardation as an integral part of the Medical Center complex. The Medical College has operated a retardation center since 1950 and has an ongoing multidisciplinary approach to service, training, and research in the field. The expanded facility will allow an additional 500 patients annually to be accepted for evaluation and service. A 28-bed inpatient wing will provide intensive diagnostic, treatment, and training resources. Training programs will be conducted in pediatrics, neurology, psychiatry, and ophthalmology as well as in nursing, rehabilitation, and behavioral sciences.

The professional staff at the New York Medical College has gained national recognition in the field of mental retardation, and this Federal support will allow the applicant to enlarge the spectrum of training in mental retardation for all disciplines. All levels of retardation, from profound to mild with associated handicaps, will be represented in the clinical population, and provision is made for reevaluation and follow-up therapy. Additional numbers of professional and specialized personnel interested in the field of mental retardation will be accommodated within the proposed facility.

Total cost: $4,000,000.

Federal share: $3,000,000.

Date of award: December 10, 1965.

Estimated completion date: May, 1969.

Georgia Department of Public Health, Atlanta and Athens, Georgia

The Georgia Department of Public Health has been awarded a grant for the construction of a University-Affiliated Mental Retardation Center known as the

Georgia Retardation Center located in Atlanta and a satellite facility of the Center to be built at the University of Georgia campus in Athens. The Atlanta facility will house a high calibre treatment program that provides the basis for the clinical training of a complete range of professional personnel to work in community and institutional programs for the retarded. The Athens facility will provide space for an indepth evaluation of outpatients with emphasis being placed on training in special education, the habilitative services, and speech and hearing. In addition, professional training will be conducted in the other disciplines needed for the diagnosis and treatment, education, training and care of the mentally retarded.

Total cost: $4,125,550.

Federal share: $3,094,163.

Date of award: August 25, 1966.

Estimated completion date: November, 1970.

University of Oregon, Portland and Eugene, Oregon

University of Oregon and the University of Oregon Medical School has been awarded a grant totalling $3,706,500 with which they propose to construct a university facility for the mentally retarded consisting of two facilities, one in Portland on the Medical School campus and one in Eugene. Both units will become the components of an ongoing professional training and demonstration program for the mentally retarded. The proposed interrelationships between the two centers and the intercampus plan is based on the successful experience in a similar program in speech pathology and an ongoing pilot project in mental retardation which is presently being carried on at both campuses. The School of Social Work and the Department of Special Education at Portland State College will also participate in the training program to meet the training needs for the mentally retarded of the State. The proposed center will make it possible to coordinate and expand present clinical services presently being provided into one coordinated exemplary program directed towards the diagnosis and treatment of the mentally retarded. The Center will have as its objectives the further development of ongoing training programs; the expansion of the mental retardation laboratory clinic; the development and enrichment of curriculum development; the provisions of an adequate number of specialized personnel needed within the communities of the State for the mentally retarded; and the introduction of the multidiscipline team concept for exemplary patient care; and the training of graduate and post-graduate students in the biomedical and behavioral sciences; development of short term courses in institutes for practitioners in medicine. dentistry, and the allied health professions.

Total cost: $5,072,000.

Federal share: $3,706,500.

Date of award: July 27, 1966.

Estimated completion date: June, 1970.

University of Miami, Miami, Florida

The grant awared to the University of Miami for the construction of a facility for the mentally retarded will be located on the campus of the School of Medicine and within the immediate vicinity of the Jackson Memorial Hospital and the National Children's Cardiac Hospital which are teaching hospitals for the Medical School. The proposed program will provide clinical services for the mentally retarded and will serve as a focus for mode! of training practices and management of the mentally retarded. The promotion, expansion and initiation of training for research and biomedical, behavioral, educational, and social areas will be some of the objectives of the training programs. The programs will be devoted to seeking the causes and means of prevention as well as the methods of ameliorating the effects of mental retardation. The facility is expected to provide an opportunity to make training in mental retardation a part of the learning experience of all medical, nursing, and of undergraduates and graduate students in psychology. social work, special education, speech, and law. It is proposed that in addition to providing specialized services for the diagnosis and treatment, education, training and care of the mentally retarded that this facility will be a training site for professional personnel which will be interrelated on a multidisciplinary basis with the biomedical, social and behavioral aspects of mental retardation. Patient services will be on a multidisciplinary integrated approach to all clinical activity and comprehensive diagnosis will be a multidisciplinary function. Total cost: $4,872,575.

Federal share: $3,054,432.

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