Complete Annual Report of the Illinois Department of Public Welfare

Manteno State Hospital
July 1, 1960 - June 30, 1961
Dr. Richard J. Graff, Superintendent

With a resident population of 7,087 on June 30, 1961, Manteno State Hospital remains the largest hospital in Illinois for the care and treatment of the mentally ill. Patient population was the care and treatment of the mentally ill. Patient population was reduced 228 from June 30, 1960, and the average daily population for the fiscal year showed about the same reduced, 208. Admissions increased slightly, but less than in the preceding year. Admissions increased slightly, but less than in the proceeding year. Admission of patients in the older age group continued high, and many were infirm or semi-infirm.

The medical staff consisted of 33 full-time physicians as of June 30, 1961. The position of clinical director remains unfilled. Some training is being provided by consultants from the Illinois State Psychiatric Institute.

As fully rounded a care and treatment program as possible was provided by staff and facilities. Use of tranquilizing drugs was increased; however, the traditional electroshock and insulin coma therapies were continued and hydrotherapy to a limited extent. Indicated acute medical and surgical procedures were provided. Tuberculosis case finding surveys and treatment took care of the needs of more than 500 patients with chest diseases.

The general health of the patients remained good. There were no epidemics of contagious diseases and the public health service continued to provide all the standard immunizations for patients and employees. Three full-time dentists cared for the dental needs of patients.

This hospital receives a large number of alcoholic patients - on an average day, 250 are in residence. The Division of Alcoholism provides a mental health educator to counsel the patients following medical treatment, and frequent meetings of Alcoholics Anonymous supplement services of the Division.

A psychiatric consultant is doing research with a group of schizophrenic patients.

The clinical and bacteriological laboratories made the standard tests and examinations. Semiannual chest x-ray service, which also supplied all other needed x-rays to medical staff. One electroencephalographic technician made tracings on selected cases.

The psychology service provided individual and group psychotherapy, so far as staff time permitted, in addition to diagnostic evaluations and psychological testing. It maintained its own inservice training program with the assistance of a consulting psychologist, and took advantage of the Department's employment-education program for advanced training. In addition, psychologists helped in other staff training programs and in community mental health education. Staff members conducted many groups of students and other interested persons on informational tours of the hospital. Results of a research study "Effect of Ditran on the Variability of Motor Performance in Schizophrenics" was presented by a supervising psychologist at the Illinois Psychological Association meeting in Springfield.

In addition to its intramural services to patients, the social service staff provided services to an increased number of patients on conditional discharge (551 on June 30 as compared to 511 a year before) and those on family care (142 as compared to 121 a year earlier). The letter program has shown an upward trend for several years. To improve the present staff,, an in-service training program was conducted.

Total nursing service personnel decreased from 807 as of June 30, 1960 to 782 at the end of fiscal 1961; graduate nurses dropped from 38 to 35. More aides completed in-service training courses - 309 as compared to 210 in fiscal year 1960. Thirty-three completed the aide I course; 177, aide II; and 99, aide III. Plans are to move the training classes from their basement quarters to an employee's residence which will be vacated for that purpose.

Cottage 22, formerly a staff cottage, was remodeled to provide offices and conference rooms for nursing staff. An added convenience was a drive-in bulletin board illuminated at night on which staff members can find their assignments without leaving their cars.

The activity therapies staff of 49 (June 30) provided a wide variety of occupational and recreation activities. A patient planning committee assisted in the planning and execution of programs. The three-day Fourth of July carnival featured Chris, the Brazilian monkey. The patients' Christmas pageant was based on a United Nations theme, Yuletide as it is observed in other lands. The Easter pageant and cantata "Behold the King" depicted scenes in Christ's life with beauty and reverence. Patients from Kankakee State Hospital were guests. From time to time there were other hospital-wide programs in addition to innumerable ward parties and special interest group meetings. In August, the Cisco Kid appeared with his famous horse and dog and gifts of some thousands of autographed photographs. The Hallowe'en dance utilized the patients' orchestra.

Patients attended many programs outside the hospital, including the Kankakee Community Concert series. A group visited the Chicago Art Institute and a bus load was taken to the county fair.

Efforts were made by the staff to fit occupational and recreation programs to the patients' special interests and needs. A hobby night was one step in this direction.

Rehabilitation service included counseling and vocational training.

The activity therapies staff participates in the department's training school conducted at this hospital and also maintains its own year-round in-service training program. Field training was provided by the staff for students from the University of Illinois and Southern Illinois University.

Volunteers from a wide area provided a continuous program of plus services for patients. As of June 20, 134 individual volunteers were providing weekly services, 20 groups were participating on a monthly basis and 10 groups occasionally. Hours of service for the fiscal year totaled 17,818. In addition, veterans groups and their auxiliaries continued their services to veteran patients throughout the year.

Religious services were provided by full-time Protestant and Catholic chaplains and by part-time representatives of other faiths.

Relations between the hospital and the surrounding communities have been friendly and mutually helpful. Open House drew many visitors who were conducted on tours of the various hospital facilities, patients serving as hosts and hostesses. Volunteers provided baby sitters.

The fire protection and security staffs provided 24-hour service to insure safety of patients. A fire in the coat room of Barton Cottage caused $1,000 damage to the building and $2,000 to patients' clothing. The 30 patients were evacuated by nursing personnel without injury or panic.

Preparations are being made for a clothing center, to be completed during the coming year, where patients will have a better opportunity to select their clothes. For several years, volunteers have conducted programs-semiannual Hat and Purse Bars and fashion shows-to make patients more conscious of and attentive to their personal appearance as well as to provide those without adequate wardrobes with attractive articles of clothing. This service is an important contribution to their well-being and rehabilitation.

Much new furniture-chairs, tables and beds-was placed on patient wards, dining rooms, and day rooms. Soil-resistant mattresses were supplied to many wards. Forty-eight unit heater and 78 fluorescent light fixtures were installed on ward locations and new aluminum screens on four cottages. The patients' Amusement Hall received new stage curtains and chairs.

Other locations received new equipment: dietary service, five dishwashers and 20 rotary toasters; the laundry, a 60-inch unloading extractor and a shirt press; the acute hospital, several items including two autoclaves; and the power plant, a new steam analyzer for the three turbines.

A violent windstorm did much damage to roofs. Repairs of all flat deck roofs have been completed and many repairs have been made on roofs.