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ncial, and vocational erza

ervision. * * * are eligible for Federal cs ul. This bill would ers

cies contemplated in the

community-children, ehabilitated for emplossa ons coming within the young am. abilitation facilities for the ze blind are often lessere 7s, the adjustment train

part of their rehabilitati facilities is in the deve ise in presenting the one fized in S. 2738 would I give us these facts. wing the present stara : posal.

POSAL

They need to be expanded into full-scale facilities and to increase patient
capacity.
(hart (—Partial rehabilitation facilities (map)

It is believed that 38 partial facilities exist. Note the geographic distribution.
Some of these partial facilities could be expanded under S. 2758 into comprehen-
sire facilities which could handle many more patients and the more severe
disabilities.
Chart RBlind rehabilitation facilities (map)

Experience has shown that the problems of the blind are different from those
in other groups of disabled and that special centers to meet their needs are
desirable. The great need of the blind is to adjust to blindness. That thousands
have done so, and lead normal and useful lives, is the best proof that such adjust-
ment is possible. Like general centers, rehabilitation centers for the blind may
be classified as comprehensive and partial. There are 7 comprehensive centers
and 13 partials known at the present time. Geographic distribution is limited,
indicating that particularly in the West and Far West blind persons do not
have access to these facilities.
Chart S-Vocational rehabilitation, past and proposed programs

The President's proposal for the expansion of the vocational-rehabilitation
program calls for an increase in the number of persons rehabilitated from the
present 60,000 annually to 200,000 annually by the fiscal year 1959. To meet
this goal would require a great expansion of comprehensive rehabilitation
facilities.
Chart T--Facilities required for President's rocational rehabilitation recom-

mendations
To accomplish the 1959 goal set by the President, it is estimated that at least
20 percent of those served in the vocational-rehabilitation program will need to
be referred to comprehensive rehabilitation facilities in order to accomplish their
rehabilitation. On this basis we would need, by 1959, rehabilitation facilities
that would serve at least 40,000 disabled persons per year under the vocational
rehabilitation program alone. In addition, comprehensive rehabilitation facil-
ities must serve children, aged persons, and others who need to be rehabilitated
to self-care but who will not necessarily reenter the labor market.
Chart T-- Proposal to increase number and capacity of comprehensire rehabilita-

tion facilities It is estimated that the present capacity of comprehensive facilities in the country is 8,000 persons per year. The precise unmet need is unknown, but it is known to be large. It is estimated that to construct capacity in a comprehensive rehabilitation facility for one additional person per year will cost $1,500. Assuming that $10 million Federal funds will be fully matched by $8 million State and local funds, the increased capacity to be expected will amount to about 12,000 disabled persons annually.

en hospital load
ion, the point that the te

of rehabilitation facilitar can be made capable of conte

Also, self-care often .

pital, in a rocational seu

Tbilitation facility

ensive and integrated ser

with the problems of the sis of both legs, or one 10 o care for themselres or

reduces the handicappis zely disabled are gain

much can be done when

rice in three basic areas Pre disability creates and on successful treatmenin sability. Comprehensir on of all serrices anos eam. Concentration 2

ps in the country is sit is he so described. Ever irr tremendously. Soos each of the 3 basic fielik es hare very limited porn ts. Large areas of the

rehabilitation serrice only been able to estab rices. Typicalls, there the perchosocial and

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PARAPLEGIA
QUADRIPLEGIA
HEMIPLEGIA

ACCIDENT
AMPUTATIONS

DISEASE
CEREBRAL PALSY
MULTIPLE SCLEROSIS

CONGENITAL
HEART DISEASE
PARALYSIS
SPEECH IMPEDIMENT
HEARING DEFECT

BLINDNESS
Lesser Infirmities
SIMPLE AMPUTATIONS

LESS SEVERE PARALYSIS
MINOR SPEECH & HEARING IMPEDIMENTS . FRACTURES

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23 COMPREHENSIVE REHAB, FACILITIES IN OPERATION TODAY

ALYSS *LRES

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0 38 PARTIAL

FACILITIES

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