Conference of Officers in Charge of Government Hospitals Serving Veterans of the World War
History
Conference of Officers in Charge of Government Hospitals Serving Veterans of the World War
Medicine, Military; Military hospitals; World War, 1914-1918 -- Veterans -- Medical care -- United States
We have believed all along that the proper method of treating the
pyscho-neurotic, so-called, is in out-patient clinic and we have
attempted to develop out-patient clinics with the old dispensaries
maintained by the Public Health Service; but the question of personnel
again entered into it, and we were unable to develop as many
out-patients clinics as we should like. We think, however, that the
mild, mental case, as General Sawyer has said, is far better off in the
outside world than he is in an institution. If such cases go to a
hospital, it tends to have their symptoms crystallized and they believe
they are sicker than they really are. In other words, they seek out some
minor physical disability as a peg on which to hang what they think is a
grave disorder.
The question of compensation for these cases is an important one which
must be worked out. The man who believes he is seriously ill when he has
but a minor defect, if he has compensation and has a weak will, will not
make a strenuous effort to get back on his feet. The question of maximum
compensation for these cases many times interferes with rehabilitation.
We believe that this is a new method of handling mental patients and it
may serve as a copy to other States to prevent this enormous building
program which every State has had to go through and which has not met
the needs of the insane.
Compensation for epileptics and their examination is a very important
question and has been a serious problem to us.
We find among neuroses not infrequently mild convulsions. We don’t know
a great deal about these convulsions; some are epileptic and some are
not. The true epileptic, however, has great difficulty in making a go in
the outside world. The number of convulsions per month is not an
indication of his disability, entirely, because the passage of the
Employees Compensation Act in the several States, has interfered with
the employment of men with an epileptic past.
It is as hard for the man who has a seizure once a month to get a
position as the one with four, so the question of treating epileptics is
one largely of social service and compensation.
The hospitalization of epileptics has not been a success in the hands of
the Public Health Service. One of the Western States that built a large
colony for epileptics some years ago has now turned it into an
institution for feeble-minded.
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