providing you with funds for such a program, let alone such programs all across this country. I am sorry to have interrupted you, but I wanted to ask about the Foster Grandparent program also. This is a program that has been of great interest to me. I know of no other program that I have ever seen converted into action by any kind of, by any government that does so much for so many people with so little money.

It is a program which does involve elderly citizens actively and constructively in our society and they provide affection and training to needy children. The children themselves gain from this program and the real parents gain from it. What is the administration doing in this case? You didn't mention the figure.

ADMINISTRATION'S PROPOSAL FOR FOSTER GRANDPARENT

Mr. AHRENS. Well, I hate to tell you, but there is only something like $10 million currently in the Foster Grandparent program and they want to cut it back to $7.5 million. And our grandparents in the city of Chicago read the newspapers and hear these things over the news media.

I have seen what happens at places like Chicago State Hospital, with respect to youngsters who couldn't even be diagnosed, because they were both emotionally disturbed and mentally retarded. Over a period of a few months, just the work, the attention, the affection of these older people who had been trained to be foster grandparents, made the difference. In a whole ward-they were able to diagnose the youngsters in it and the ward was transformed.

It leads me to believe, too, that we ought to build on these kinds of things. We could not only do more for our elderly, but possibly for our elderly in the State mental hospitals, but where the younger people could work with them. We ought to put enough money in for the Foster Grandparent program to expand, and try it the other way around also.

PENTAGON P/R COSTS EQUALS BUDGET REQUEST FOR AOA

Senator STEVENSON. Senator Percy mentioned the SST a moment ago.

The budget requests for the Administration on Aging is roughly equal to what the Pentagon would have spent just for its public relations activities. Maybe we can save a little money there, too. Senator PERCY. If I recall, I voted for the full amount, but they cut the $15 million out of it.

Senator STEVENSON. Mr. Ahrens, is it true that Mayor Daley has said that the city would seek Federal funding for Senior Citizens Patrol of the nursing homes.

Mr. AHRENS. Yes.

Senator STEVENSON. Could you amplify or explain that?

Mr. AHRENS. This is an idea that came about in relation to the Foster Grandparent concept.

This is a program that would take into account not only the fact that everyone wants to stay in their community, in independent liv

ing, but that, maybe, the elderly themselves ought to be involved in the policing of these nursing homes and extended care facilities. We thought we might draft a proposal and seek Federal funding, just as we did with the local Foster Grandparent program. We would recruit, screen and place elderly people with the Board of Health and then continue to provide them with in-service training. Possibly they could have a 20-hour-a-week schedule, as our foster grandparents work. The Senior Citizen Patrol of the elderly would inspect the nursing homes and also visit the patients who are in these homes. So we are going to get busy and draft a proposal.

Senator STEVENSON. This would be a proposal under what Federal program?

Mr. AHRENS. I don't know at the moment.

I thought possibly under title VI of the Older Americans Act, but I really have difficulty figuring out what is happening to the funding in Washington at the moment.

I have somebody researching title IV with respect to the Social Security Act and other Federal legislation to see where the money might be.

Senator STEVENSON. There is, of course, also the possibility that Congress will, in the near future, pass the Manpower Development Act, which, as you know, includes substantial sums of money for the employment of the needy people in the public sector which just might offer some opportunities for employment of elderly as well as the people of all ages to help with the care of the elderly.

At this point we don't know whether that bill will get by the White House. It didn't in the last session, but I do expect it will pass in the Congress.

Mr. AHRENS. We gave that bill study last year and we estimated some 5,000 older people could be placed in useful activity in the city of Chicago.

ARE FEDERAL REQUIREMENTS FOR TITLE III FUNDING MET?

Senator STEVENSON. Has the State of Illinois met the Federal requirements for title III funding under the Older Americans Act?

Mr. AHRENS. Well, this is what troubles us and why I mentioned Illinois Senate bill 147.

The Federal Government issued new regulations last August 5, which were to be enforced on March 15 of this year. They require that every State office on aging be either a separate agency reporting to the Governor, or if it is in another department, that it be equal to the top function in that department.

This is not so at present in Illinois. Our current office is only a section in the Public Aid Department where, in my estimation, it doesn't belong anyhow.

I have been unable to get a copy of the new State plan that was to be filed, but my assumption is that the old State plan was just refiled without any updating to meet the requirements for which the deadline was March 15.

Therefore, we are subject to withholding of title III funds for every project under title III in the State.

So the city was concerned. We knew there was a cutoff date in

April for introduction of legislation in the Illinois Legislature. Some senators-Senator Esther Saperstein of Chicago was the chief sponsor-introduced Illinois Senate bill 147, which was reported out "do pass" 2 weeks ago by the Senate Public Welfare Committee and I think is before the Appropriations Committee now.

I do have here a fact sheet on the bill which I would like to submit.*

S. 147 would set up a State office that would meet Federal requirements.

In addition, it would double the appropriation for the office which is minute in any event. It now gets only gets $100,000 a year. It will get $200,000 a year and it would enable Illinois to do a more effective job in statewide planning and evaluation. This gets back to what we were talking about on the discharge program of elderly patients, which was truly poorly planned.

A State office that was better placed and funded would have made sure that that kind of thing didn't happen.

Senator STEVENSON. We hear a lot, Mr. Ahrens, about revenue sharing and the pressure being brought to bear in the Congress at the moment to try to get the Federal Government to turn over large sums of money to the States to be spent as they see fit.

What State programs do we have now for the care of the elderly outside of our custodial care in our mental institutions?

Mr. AHRENS. Well, apart from title III funds, it would be hard to think of any programs except those funded by the city of Chicago. Senator STEVENSON. When I was Treasurer, not too long ago, we had a rather substantial earmarked fund in the Treasury for our race horses in Illinois. I can't seem to recall anything for the care of the elderly.

Mr. AHRENS. The city of Chicago provides for my office-$0.25 million for personnel. We were the first municipal office on aging in the Nation. New York City has one that is, I believe, Federally funded. Philadelphia set up a commission 2 or 3 years ago, and I think San Francisco now has a Commissioner on Aging. The city of Chicago, through our division and other related support activities of our department, annually puts $0.5 million to $0.75 million of corporate funds into our work for the elderly. The State of Illinois apparently is putting into its work for the elderly only the $100,000 it allocates to its State office on an annual basis.

Senator STEVENSON. That answers the question.
Thank you very much, Mr. Ahrens.

Mr. AHRENS. Thank you, Senator.

Senator PERCY. Thank you, Senator Stevenson.

I think we shall excuse both of you with our gratitude and appreciation.

I am terribly sorry to have asked you to do more work when you leave, but I am certain that we will benefit from it very much, ineed. Thank you.

The Committee will call one witness who, because of time, was unable to testify yesterday.

We will call now Dr. Jack Weinberg; and Mr. Daniel A. Slader will be the next witness to be called.

*Retained in committee files.

Is Dr. Weinberg here?

Dr. WEINBERG. Yes.

Senator PERCY. Dr. Weinberg is director of Illinois State Psychiatric Agency and, Dr. Weinberg, we are pleased to have you here. If you have a prepared statement, we would appreciate copies of it. Dr. WEINBERG. No, sir, I haven't.

Senator PERCY. I understand you don't have extra copies yet?
Dr. Weinberg. No, sir.

Senator PERCY. If you have a statement to be submitted, the statement as a whole will be incorporated, Dr. Weinberg, in the records of these proceedings and distributed, of course, to all committee members, and if you would care at this time, in the interest of time, to summarize your thoughts, perhaps that would be the easiest way to facilitate it.

1

Dr. WEINBERG. Thank you, Mr. Chairman.
First I would like to correct my title.

I am Clinical Director of the Illinois State Psychiatric Institute. Senator PERCY. And I am saying you are Chairman of the Committee on Aging of the Group for the Advancement of Psychiatry. Dr. WEINBERG. That is right.

Senator PERCY. It is wrong in our agenda as originally printed? Dr. WEINBERG. Yes, I wanted to correct the statement, that I am not the director, but the Clinical Director of the Illinois State Psychiatric Institute, which is a training and research institute for the Department of Mental Health and therefore, I come to you both as a concerned citizen, as a psychiatrist within the Department of Mental Health, as Chairman of the Committee on Aging of the Group for Advancement of Psychiatry and a member of the Task Force on Aging of the American Psychiatric Association.

STATEMENT OF DR. JACK WEINBERG, CLINICAL DIRECTOR, ILLINOIS STATE PSYCHIATRIC INSTITUTE

I cite the above to indicate that I have been involved in the area of aging for even a longer period of time than Mr. Ahrens who is the same age as I am, only I show mine, having been greatly concerned with the problem.

I am grateful to the Senate Special Committee on Aging for having come to the State of Illinois, not so much to investigate, I hope, nor to put the finger on anyone because we are all culpable, but rather to shed some light on the problem and to see what it is that we can do about improving the quality of life of our elderly citizens. I am not going to catalog the ills of the nursing home industry and of related facilities.

We have all heard of them, and only too often, and only yesterday you have heard a number of people who presented their feelings as well as their findings about their relatives in nursing homes.

HUMAN RESPONSIBILITY IS IMPORTANT ISSUE

Throughout I have heard and continue to hear the need for very respectable aspects of fiscal responsibilities both on the part of the

Government and on the part of the nursing homes, but what gets lost is the human responsibility which I think is much more important and which brings me to an important issue.

I think that the great uproar about nursing homes must be seen not only in the context of what happens to individuals in that situation, but also in the context of the entire philosophy of the concept of a nursing home.

Other aspects, expectations that we set up for individuals when we state that they are going to go to a nursing home must also be considered.

The appelation, the very words "nursing home" are misnomers in many instances.

They seem to make a promise and, I believe, an implicit contract with the individual who comes into the nursing home, that this is going to be a home. And the very word home conjures up a host of feelings, a constellation of concepts of what it should be like.

No matter how bad, one's own home, that which one calls home might be. When at the end of the day we all say "I am going home," we imply that we are going to a place where we are going to be understood, taken care of, given warmth, food, shelter, and even love.

Is this given to the elderly when they enter a nursing home? The word nursing, too, implies the promise of providing nursing carethe type of nurturing that a mother gave to the infant when she nursed the infant.

These implied concepts and exceptions are lost and are not fulfilled when an individual enters a home called a nursing home, a facility for their long-term care...

I think also that it is important for us to realize that when we speak of programs to return people to the community, then we again conjure up a new concept fraught with emotional connotations.

What does a community mean?

Are we returning many of the people who go to nursing homes to their community or communities?

The fact is that many of the elderly are placed in nursing homes which are located in communities far away from the families of the old and certainly far away from the place where these people spent most of their adult and mature years. We are creating communes for the sick elderly within communities in which they have had no

roots.

CRITICIZES DEPARTMENT OF MENTAL HEALTH PROGRAM

Here I address myself, of course, to the criticism that has been leveled at the Department of Mental Health, for having released so many elderly people into the communities.

I must state that I am one of those who criticized the program severely. I criticized it not because of its philosophical concept, but rather because of the notion, the idea of transferring inordinately large numbers of people into nursing homes from mental hospitals.

I was amazed when, about 2 years ago, the new Governor of the

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