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                    <text>- 2 -
Third, since a considerable amount of planning is already being done for a
number of projects, hospital authorities, counties, and municipalities,
which affects the community's health picture, ways must be found to make
maximum use of this capability, and coordinate it into a community-wide
comprehensive planning effort. Finally, planning must preserve and encourage
the highest level of professional competence in the entire health system,
and must make use of the insights of all concerned in the community health
system.
The overall task of putting together such an organization is thus seen to be
a problem in "systems" analysis and development, Since the total resources
of the community are likely to remain smaller than the demands which an ideal
health system will place on the resources, rational and just methods of
assigning priorities to the various needs must be developed. A cost-benefit
analysis is essential to any such decision process, and, considering the
literally hundreds of specific health needs in the community, it is likely
that the cost-benefit model must rather soon make use of modern computer
techniques.
The Partnership for Health law requires that such planning be d o n e ~
people rather than for people. Therefore, maximum participation of health
"consumers", healthprofessionals, governmental units and agencies, and other
community organizations is a necessity. The law is telling the States and
communities that they will be given increasing responsibility and power to
determine their own best health interests, and that the current Federal
practi~e of funding health-related projects through specific project-type
grants (such as for specific facilities and specific disease processes)
will phase into a system of "plock" grants to the states for use as local
emphasis requires. Eventually, only communities which have organized themselves for comprehensive health planning may be eligihle to receive Federal
support.
The current Atlanta area project is a pioneering effort. No other communities
in the country have progressed far enough along these lines to provide
patterns as to what~ should do (or avoid). We have an opportunity to be
of service not only to our own community, but to others as well.
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              <text>-2-

Third, since a considerable amount of planning is already being done for a
number of projects, hospital authorities, counties, and municipalities,

which affects the community's health picture, ways must be found to make
maximum use of this capability, and coordinate it into a community-wide
comprehensive planning effort. Finally, planning must preserve and encourage
the highest level of professional competence in the entire health system,

and must make use of the insights of all concerned in the community health
system.

The overall task of putting together such an organization is thus seen to be
a problem in "systems" analysis and development. Since the total resources
of the community are likely to remain smaller than the demands which an ideal
health system will place on the resources, rational and just methods of
assigning priorities to the various needs must be developed. A cost-benefit
analysis is essential to any such decision process, and, considering the
literally hundreds of specific health needs in the community, it is likely
that the cost-benefit model must rather soon make use of modern computer
techniques.

The Partnership for Health law requires that such planning be done with
people rather than for people. Therefore, maximum participation of health
"consumers", health professionals, governmental units and agencies, and other
community organizations is a necessity. The law is telling the States and
communities that they will be given increasing responsibility and power to
determine their own best health interests, and that the current Federal
practice of funding health-related projects through specific project-type
grants (such as for specific facilities and specific disease processes)
will phase into a system of "block" grants to the states for use as local
emphasis requires. Eventually, only communities which have organized them-
selves for comprehensive health planning may be eligible to receive Federal
support.

The current Atlanta area project is a pioneering effort. No other communities
in the country have progressed far enough along these lines to provide
patterns as to what we should do (or avoid). We have an opportunity to be

of service not only to our own community, but to others as well.
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                    <text>·February, 1969
CCMPREHENSIVE AREAWIDE HEALTH PLANNING
In 1966, the United States Congress enacted Public Law 89-749, the "Partnership for Health" act. Under this law, the States, and through them, areas
within the States, must assume responsibility for comprehensive health
planning. The Congress declared that "fulfillment of our national purpose
depends on promoting and assuring the highest level of health attainable
for every person, in an environment which contributes positively to healthful
individual and family living; that attainment of this goal depends on an
effective partnership, involving close intergovernmental collaboration, official
and voluntary efforts. and participation of individuals and organizations;
. that Federal financial assistance must be directed to support the marshalling
of all health resources--national, State, and local--to assure comprehensive
health services of high quality for every person, but without interference
with existing patterns of private professional practice of medicine, dentistry,
and related healing arts".
The Atlanta metropolitan area was the first in Georgia to apply for and
receive an "organizational grant" for the purpose of defining and developing
an organization which will be capable of doing comprehensive health planning
and obtaining community participation and support in the planning effort.
This grant, from the U.S. Public Health Service, through the Georgia Office
of Comprehensive Health Planning, supports the Community Council of the
Atlanta Area in the professional and organizational effort necessary to
instigate such an organization. Dr. Raphael B. Levine, of the Lockheed- ·
Georgia Company Systema Sciences Research Laboratory, has been named
Director of the Comprehensive Areawide Health Planning, to accomplish these
organizational objectives.
r
The term "comprehensive" means that every aspect of the health picture in
the five-county metropolitan area must be taken into account in the planning
process. This includes not only the treatment of illness and injury, but
their prevention, and the compensation for any lasting effects which they
may leave. Thus, in addition to the manifold activities of medical and
paramedical personnel in the variety of health t reatment facilities, planning
must consider environmental controls of the air, water, soil, food, disease
vectors, housing codes and construction, waste disposal, etc. It must
consider needs for the training of health personnel, for the improvement of
manpower and facilities utilization, and for the access to health care.
It includes the fields of mental health, dental health, and rehabilitation.
It must be conc e rned with the means of paying for preventive measures and
for health care.
The term "planning" means, first, that problem areas and potential problem
areas in the entire f i eld must be identified,and their magnitude s assessed.
The trends of the problems must also be assessed, and projected for future
years. Technical and organizational bottlenecks must be identified, and
"planned around". Second, the community's resources ·in meeting its health
needs must be equally carefully identified and projected, in terms of professional and subprofessional skills, facilities, and financial resources .
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              <text>February, 1969

COMPREHENSIVE AREAWIDE HEALTH PLANNING

In 1966, the United States Congress enacted Public Law 89-749, the “Partner-
ship for Health" act, Under this law, the States, and through them, areas
within the States, must assume responsibility for comprehensive health
planning. The Congress declared that “fulfillment of our national purpose
depends on promoting and assuring the highest level of health attainable

for every person, in an environment which contributes positively to healthful
individual and family living; that attainment of this goal depends on an
effective partnership, involving close intergovernmental collaboration, official
and voluntary efforts. and participation of individuals and organizations;
_that Federal financial assistance must be directed to support the marshalling
of all health resources--national, State , and local--to assure comprehensive
health services of high quality for every person, but without interference
with existing patterns of private professional practice of medicine, dentistry,
and related healing arts".

The Atlanta metropolitan area was the first in Georgia to apply for and
receive an “organizational grant" for the purpose of defining and developing
an organization which will be capable of doing comprehensive health planning
and obtaining community participation and support in the planning effort.
This grant, from the U. S. Public Health Service, through the Georgia Office
of Comprehensive Health Planning, supports the Community Council of the
Atlanta Area in the professional and organizational effort necessary to
instigate such an organization. Dr. Raphael B. Levine, of the Lockheed-
Georgia Company Systems Sciences Research Laboratory, has been named
Director of the Comprehensive Areawide Health Planning, to accomplish these
organizational objectives. ;

The term "comprehensive" means that every aspect of the health picture in
the five-county metropolitan area must be taken into account in the planning
process. This includes not only the treatment of illness and injury, but
their prevention, and the compensation for any lasting effects which they
may leave. Thus, in addition to the manifold activities of medical and
paramedical personnel in the variety of health treatment facilities, planning
must consider environmental controls of the air, water, soil, food, disease
vectors, housing codes and construction, waste disposal, etc. It must
consider needs for the training of health personnel, for the improvement of
manpower and facilities utilization, and for the access to health care.

It includes the fields of mental health, dental health, and rehabilitation.
It must be concerned with the means of paying for preventive measures and
for health care.

The term “planning” means, first, that problem areas and potential problem
areas in the entire field must be identified,and their magnitudes assessed,
The trends of the problems must also be assessed, and projected for future
years. Technical and organizational bottlenecks must be identified, and

"planned around”. Second, the community's resources in meeting its health
needs must be equally carefully identified and projected, in terms of pro-
fessional and subprofessional skills, facilities, and financial resources,
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                    <text>unity
of'the
EUGENE T . BRANCH. Chairma,1 ,;j 1hr: Boctr,J ,;/ f)irt!1..'l&lt;'r.\
CECIL ALEXANDER . t ' 11:r:" Chair1111/t1
JOHN !ZARO .
~
Vice Chainn,w
MRS. THOMAS H. GIBSON. S,:cr.:1ar.1·
DONALD H . GAREIS. frea1ur,:r
DUANE W. BECK.
ONE THOUSAND GLENN BUILDING, 120 MARIETTA ST., N. W.
f
~
E,e,utiv,• Director
ATLANTA, GEORGIA
"{t--6 r ~rl/)
A
_
~ i, ,'(-4/.fP
~
30303
TELEP.fc!~
~
~
6 November 1969
~
The Honorable Sam Massell, Jr.
Pryor Street, S. W.
Atlanta, Georgia
40
Dear Mr. Massell:
We would like to add our congratulations to the many you have
been receiving, on your election. We should also like to add our
pledge of support and cooperation in your efforts to keep Atlanta
a great and evolving city.
As you know, the Community Council of the Atlanta Area has had
an organizational grant from the Department of Health, Education,
and Welfare to bring into being a new agency for "comprehensive
areawide health planning" for the six-county metropolitan area.
The basic work is larg ely complete. A 52-member " Metropolitan
Atlanta Council for Health" has been established, a detailed
proposal for a five-year work program has been prepared and submitted,
and an organizational structure for carrying out comprehensive
health planning has been created.
However, a number of new r and rather bold departures from tradition
have been made , in an effort to implement, fully, the vision of
Public Law 89- 749, the "Partnership for Health" act. Th ese involve,
in particular, an enhanced role for MACLOG in coordinating health
planning with other major planning activities, and real and
meaningful participation in planning and decision-making by poor
and black citizens of the community .
Your g uidance and help in both these areas are urgently needed.
It is not an exaggeration to say that two or three decisions by
you, now, can have an extremely important impact, not only on the
success of health planning in this metropolitan area, but also on
race relations in all aspects of community life, and even on the
threatened "abolish Atlanta" movement. Howard Atherton is giving
his full backing to the proposals we would like to place before you.
�{
BOARD OF DIRECTORS
Cecil Alexander
Ivan Allen, 111
Luther Alverson
Rolph A. Beck
Eugene T. Branch
Napier Bur,on, Jr , M. D
W . L. Calloway
Bradley Currey, Jr.
Campbell Dosher
• Albert M. Davis, M. D.
Rav J. Efird
Jock P. Etheridge
Rufus J. Evans, M D.
Robert L. Foreman Jr.
Jomes P. Furniss
Donald H Gore1s
Lorry L Geller~tedt, Jr.
Mrs. Thor,10s H. G1b,;,1n
H. M. Gloster
John Godwm, M. D.
Elliott Goldstein
Vivion Henderson
Mr,. Hc-len Howard
William', Howland
Mrs. Edmund W Hughes
Horry E. Ingram
John Izard
Joseph W Jones
Wolter M. Mitchell
Phil Normore
A B Padgett
Mrs. Rhodes L Perdue
J Will am Pinbton, Jr
W R. Pruitt
T O Vinson , M. D.
Rev. Allrsor, Williams
John C. Wilson
ADVISORY BOARD
J. G. Bradbury
Jomes V. Carmichael
R. Howard Dobbs, Jr
Edwin I. Hatch
Boisfeu i Ilet Jones
Mills B. Lone Jr.
William W Moore, Jr., M . D.
Lucien E Oliver
W. A. Porker, Sr.
Richard H R,ch
John A. S,bley
Lee Tolley
Elbert P Tutt le
William C Wardlow, Jr.
George W. Woodruff
�- 2 -
If at all possible, we would like to see you for about 45 minutes
some ti me during the next ten days to fill you in on the details.
You may recall that one of us (RBL) at your September 17th talk
to the Emory-Grady Family Planning Clinic staff brought up the
question of planning versus crisis-meeting. Your answer stressed
the importance of planning to prevent crises. We believe this
is such an opportunity.
Sincerely yours,
A. B. Padgett, hairman pro tem,
Metropolitan Atlanta Council
j f /~°f Health
~
l~Me~e~~or
Comprehensive Areawide He alth
Planning
Encl : statement on compreh ensive areawi de
health planning
n ews letters (Nos. 1 apd 6)
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              <text> 

 

499

ne

|

EUGENE T. BRANCK, Coreen of (lie Kennil al Direcrer

CECI ALEXANDER, lie ¢
| JOHN IZA Ilow Chairs

MRS. THOMAS H, GISBSO

DONALD H, GAPEIS, /ri A aA 2 MY
| PUAWNE ¥ C. alkecuhl oH

ve Livector

ao

E THOUSAND GLENN BUILDING, 120 MARIETTA ST., N. W. ATLANTA, GEORGIA 30303 TELEPHONE #50

—

6 November 1969 or

The Honorable Sam Massell, dr.
hO Pryor Street, S. W.
Atlanta, Georgia

Dear iir. Massell:

We would like to add our congratulations to the many you have
been receiving, on your election. We should also like to add our
pledge of support and cooperation in your efforts to keep Atlanta
a great and evolving city.

As you know, the Community Council of the Atlanta Area has had
an organizational grant from the Department of Health, Education,
and Welfare to bring into being a new agency for "comprehensive
areawide health planning" for the six-county metropolitan area,
The basic work is largely complete. A 52-member "Metropolitan
Atlanta Council for Health" has been established, a detailed
proposal for a five-year work program has been prepared and submitted,
and an organizational structure for carrying out comprehensive
health planning has been created.

However, a number of new,and rather bold departures from tradition
have been made, in an effort to implement, fully, the vision of
Public Law 89-719, the "Partnership for Health" act. These involve,
in particular, an enhanced role for MACLOG in coordinating health
planning with other major planning activities, and real and
meaningful participation in planning and decision-making by poor
and black citizens of the community.

Your guidance and help in both these areas are urgently needed.
It is not an exaggeration to say that two or three decisions by
you, now, can have an extremely important impact, not only on the
success of health planning in this metropolitan area, but also on
race relations in all aspects of community life, and even on the
threatened "abolish Atlanta" movement. Howard Atherton is giving
his full backing to the proposals we would like to place before you.
Ceci! Alexander
Ivan Allen, II!
Luther Alverson
Rolph A. Beck
Eugene T. Branch

Napier Burson, Jr.,

W. L. Calloway
Bradley Currey, Jr.
Campbel! Dasher

 

Ray J.

BOARD OF DIRECTORS

* Albert M. Davis, M. D.

Efird

Jack P. Etheridge

Rufus J. Evans, M. D.

Robert L. Foreman, Jr.
M. D. James P. Furniss

Donald H. Gareis

Larry L. Gellerstedt, Jr.

Mrs. Thomas H. Gibson

J. G. Bradbury
James V. Carmichael
R. Howard Dobbs, Jr.
Edwin i. Hatch
Boisteuillet Jones

 

ADVISORY BOARD

H. M: Gloster

John Godwin, M. D.
Elliott Goldstein
Vivian Hendersen
Mrs. Helen Howard

William S. Howland

Joseph W. Jones
Walter M. Mitchell
Phil Narmore

A. B. Padgett

Mrs. Rhodes L. Perdue

Mrs. Edmund W. Hughes WR, Pruitt

Harry E. Ingram
John lzard

Mills B, Lane, Jr.

William W. Moore, Jr., M.D.
Lucien E. Oliver

W. A. Parker, Sr.

Richard H, Rich

T. O. Vinson, M. D.
Rev. Allison Williams
John C. Wilson

 

John A. Sibley

Lee Talley

Elbert P. Tuttle

William C. Wardlow, Jr.
George W. Woodruff

J. William Pinkston, Jr.
If at all possible, we would like to see you for about 5 minutes
some time during the next ten days to fill you in on the details.
You may recall that one of us (RBL) at your September 17th talk
to the Emory-Grady Family Planning Clinic staff brought up the

question of planning versus crisis-meeting.
the importance of planning to prevent crises.

is such an opportunity.

Your answer stressed
We believe this

Sincerely yours,

DQ f Sf~Hf~-
( -

A. B. Padgett, Chairman pro tem,
Metropolitan Atlanta Council

for, Health

aplyael B. Levine, |Director
Comprehensive Areawide Health
Planning

Encl: statement on comprehensive areawide

health planning
newsletters (Nos. 1 and 6)
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                    <text>C
C
A
A
omni.unity
ouncil of' the
tlanta
rea inc.
EUGENE T. BRANCH, Chairman of the Board of Directors
DUANE W. BECK, Executive Director
1000 GLENN BUILDING, 120 MARIETTA STREET, N.W.
ATLANTA, GEORGIA 30303
ALENE F . UHRY, Editor
TELEPHONE 577-2250
January, 1970
S P E' C I A L
E D I T I O N
LOOKING AHEAD
Eugene Branch, Chairman of the Community Council's Board of Directors,
has carefully reviewed our activities of the year just ended, and now
looks ahead to 1970.
We believe Communique readers will be interested in the following
program Mr. Branch envisions:
The beginning of a new year is a good time for an organization to
pause long enough to·consider where it is in the achievement of its goals
and where it is going.
Since others are due the credit, I think it not immodest of me to say
that I believe the Council did a good job in 1969. However, rather than
dwell on the 1969 activities, it would seem more helpful to mention some
of the activitie~ which will be given priority in 1970.
In addition to the
normal and on-going activities of the Social Research Center and Permanent
Conference, the following illustrate the activities which will be given
emphasis in 1970:
1.
Community Coordinated Child Care (4-C)
The 4-C program is a federal program designed to develop a coordinated
program to provide services to children--and thus make better use of the
community's funds and resources in providing such services. Atlanta was
named a pilot community and the Council was named the delegate agency. A
Steering Committee composed of parents, representatives of day care agencies
and organizations has been elected and is at work. Much of our staff time
will be devoted to this activity. This is an outgrowth of our Child
Development Project.
2.
Day Care Action Subcommittee
~he very fine work of this Subcommittee will be continued in 1970. Its
function is to stimulate interest in day care and help develop new day
care resources.
In 1969 -the Subcommittee published a Day Care Manual
which provides a step-by-step guide to those interested in planning and
developing a day care center. The response has been so enthusiastic that
we are swamped with requests by church groups and others for technical
assistance. This important activity also arose out of our Child Development Project.
�3•.
Coordination of Services and Planning
One of the most important on-going activities of the Council is that of
bringing together planning and service agencies in an effort to provide
coordination of planning and services. The existing funds and resources
for dealing with our urgent urban problems are extremely limited and all
agencies have an obligation to jointly plan and coordinate their activities
in dealing with the problems which are their major ooncern. Space does not
permit an adequate description of the Council's work activities in coordination but periodic reports will be given in Communique.
4.
Emergency Assistance
Every effort to identify the most urgent problems in our five-county area
has resulted in high priority being given to the need for developing more
resources for emergency assistance. There are many aspects of the problem.
An Emergency Assistance Committee has been organized and has begun to funotion. It has determined to work first on developing resou1·ces to deal with
the problems arising out of evictions. Hundreds of families are evicted
each year and there is no organized program to help the evicted families
with such needs as storage space for furniture, temporary shelter, food etc.
5.
Other Special Activities
(a) Welfare Committee. Practically everyone agrees that our entire
welfare program must be overhauled. A Welfare Committee is studying various
income maintenance programs, including the Administrationts Family Assistance Act, and will make periodic reports.
(b) Advisory Committee for Information and Referral. This Committee
was formed to assist in the improvement of information and referral service
in the metropolitan Atlanta area and to devise means for improving services
to meet the most urgent needs identified by such service. Among other
things, this Committee will help focus attention on the most serious ummet
needs in our area.
(c) Fourteenth Street Multi-Purpose Center. The Council has leased a
house on Juniper Street to be used as a community center for the Fourteenth
Street area. It is functioning and has been well-received. The focus will
be on a voluntary medical clinic, a counseling center and a twenty-four
hour inform~tion and referral· service. This facility is being operated at
the present time entirely by volunteers. The Center can meet a great neea
and we'll keep you up to date on its activities in Communique.
(d) Interagency Council ~ Alcohol ~ Drugs.
This Council is simply
a "coming together' of established agencies concerned with problems related
to the use of alcohol and drugs. It provides a means by which such agencies
can work together. The Council has divided itself into the following five
Task Forces: Resources and Existing Facilities and Services, Education,
Treatment and Counseling, Speakers Bureau, and Legal Aspects and Legislation. You've received some information on this important and interesting
activity and more will be forthcoming.
(e) Expanded Public Information Service. We have improved our methods
of getting valuable information to the general public and will give greater
emphasis to this activity. The information gathered by our Research Center
and through our various programs, if properly and attractively passed on to
the general public, will provide our area with a better informed citizenry.
This greater understanding of our problems will in time result in an
improvement in services and funds to meet the problems.
�The above are simply illustrative of the variety of activities in
which the Council is engaged. The Child Development Project revealed the
need for further work on such problems as retardation of children, the need
for twenty-four hour child care, learning difficulties etc.
Volunteer Atlanta
The Council is a .sponsor of Volunteer Atlanta and will continue to
assist this project. As you may recall, Volunteer Atlanta was brought
about largely by the Council and is sponsored by the Council, the Atlanta
Chamber of Commerce, the Atlanta Junior League, the Community Chest, and
E.O.A. Its object is to recruit, train and place volunteers in public
and private agencies throughout the five-county area. We think this can be
one of the most important projects begun in the Atlanta area during recent
years.
Assistance to Groups
The Council is receiving an ever increasing number of requests for
technical assistance from agencies, neighborhood groups, and civic organizations. Agencies are requesting assistance in reviewing their prog1·ams;
neighborhoods are seeking assistance in the drafting of proposals for
resident-determined programs; and civic organizations are asking for suggestions as to the type of programs in which they might be effectively involved
Thus, technical assistance to neighborhood groups and direct service
agencies is becoming a major role of the Council. We think this role
should be emphasized and that means must be devised to adequately provide
such assistance. The Council is·basically a collection of staff, accumulated information and experience, and skill, and whenever its assistance
can make agencies, neighborhood groups, churches and civic organizations
more effective in their work, we add to the funds and resources being put
to effective use in our community. This type of . assistance is one of the
most important functions t _he Council can perform.
Program Development
During the early part of 1970, we expect to organize a Program Development Committee for the Council. This Committee will be made up of Board
members and individuals who are not on the Board. Its function will be to
provide a means for continually reviewing the work activities of the Councii
and assisting in the establishment of priority for its programs. The
Council is a social planning organization which can be an important
resource in the community only if it retains its vitality and flexibility.
If the Council had become rigid in devising its programs, its people and
resources would not have been available to engage in some of the activities
described above which maintain a balance between continuity in those activities which look to long range improvement and flexibility sufficient to
give the community the benefit of the skill and information available
through the Council's resources. The Program Development Committee will
provide a means for retaining the Council's vitality and balance in its
work activities.
Obviously there is a great deal to be done to make our five-county
area a better place in which to live. I think it equally obvious that
there is a great deal with which to do the job if we plan and work together
with imagination, enthusiasm and a sense of urgency. So let's roll up our
sleeves and see what we can accomplish together in 1970.
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Community
Council of the

Atlanta
EUGENE T. BRANCH, Chairman of the Board of Directors

Area inc. DUANE W. BECK, Executive Director ALENE F. UHRY, Editor

1000 GLENN BUILDING,120 MARIETTA STREET, N.W. ATLANTA, GEORGIA 30303 TELEPHONE 577-2250

January, 1970

SPECIAL EDITION

—— eee eee

LOOKING AHEAD

Eugene Branch, Chairman of the Community Council's Board of Directors,
has carefully reviewed our activities of the year just ended, and now
looks ahead to 1970,

We believe Communique readers will be interested in the following
program Mr, Branch envisions:

The beginning of a new year is a good time for an organization to
pause Tong enough t6’consider where it is in the achievement of its goais
and where it is going.

Since others are due the credit, I think it not immodest of me to say
that I believe the Council did a good job in 1969. However, rather than
dwell on the 1969 activities, it would seem more helpful to mention some
of the activities which will be given priority in 1970. In addition to the
normal and on-going activities of the Social Research Center and Permanent
Conference, the following illustrate the activities which will be given
emphasis in 1970:

il. Community Coordinated Child Care (4-C)

The 4-C program is a federal program designed to develop a coordinated
program to provide services to children--and thus make better use of the
community's funds and resources in providing such services, Atlanta was
named a pilot community and the Council was named the delegate agency, A
Steering Committee composed of parents, representatives of day care agencies
and organizations has been elected and is at work. Much of our staff time
will be devoted to this activity. This is an outgrowth of our Child
Development Project.

2. Day Care Action Subcommittee

The very fine work of this Subcommittee will be continued in 1970, Its
function is to stimulate interest in day care and help develop new day
care resources, In 1969 the Subcommittee published a Day Care Manual
which provides a step-by-step guide to those interested in planning and
developing a day care center, The response has been so enthusiastic that
we are swamped with requests by church groups and others for technical
assistance, This important activity also arose out of our Child Develop-
ment Project.
ae Coordination of Services and Planning

One of the most important on-going activities of the Council is that of
bringing together planning and service agencies in an effort to provide
coordination of planning and services, The existing funds and resources
for dealing with our urgent urban problems are extremely limited and all
agencies have an obligation to jointly plan and coordinate their activities
in dealing with the problems which are their major ooncern., Space does not
permit an adequate description of the Council's work activities in coordi-
nation but periodic reports will be given in Communique,

4, Emergency Assistance

Every effort to identify the most urgent problems in our five-county area
has resulted in high priority being given to the need for developing more
resources for emergency assistance. There are many aspects of the problem,
An Emergency Assistance Committee has been organized and has begun to funG-
tion. It has determined to work first on developing resources to deal with
the problems arising out of evictions. Hundreds of families are evicted
each year and there is no organized program to help the evicted families
with such needs as storage space for furniture, temporary shelter, food etc,

5. Other Special Activities

(a) Welfare Committee, Practically everyone agrees that our entire
welfare program must be overhauled. A Welfare Committee is studying various
income maintenance programs, including the Administration's Family Assis-
tance Act, and will make periodic reports.

(b) Advisory Committee for Information and Referral, This Committee
was formed to assist in the improvement of information and referral service
in the metropolitan Atlanta area and to devise means for improving services
to meet the most urgent needs identified by such service, Among other
things, this Committee will help focus attention on the most serious ummet
needs in our area,

(c) Fourteenth Street Multi-Purpose Center. The Council has leased a
house on Juniper Street to be used as a community center for the Fourteenth
Street area, It is functioning and has been well-received, The focus will
be on a voluntary medical clinic, a counseling center and a twenty-four
hour information and referral: service, This facility is being operated at
the present time entirely by volunteers, The Center can meet a great need
and we'll keep you up to date on its activities in Communique.

(ad) Interagency Council on Alcohol and Drugs. This Council is simply
a “coming together" of established agencies concerned with problems related
to the use of alcohol and drugs. It provides a means by which such agencies
can work together. The Council has divided itself into the following five
Task Forces: Resources and Existing Facilities and Services, Education,
Treatment and Counseling, Speakers Bureau, and Legal Aspects and Legisla-
tion. You've received some information on this important and interesting
activity and more will be forthcoming.

(e) Expanded Public Information Service, We have improved our methods
of getting valuable information to the general public and will give greater
emphasis to this activity. The information gathered by our Research Center
and through our various programs, if properly and attractively passed on to
the general public, will provide our area with a better informed citizenry,
This greater understanding of our problems will in time result in an
improvement in services and funds to meet the problems.
The above are simply illustrative of the variety of activities in
which the Council is engaged, The Child Development Project revealed the
need for further work on such problems as retardation of children, the need
for twenty-four hour child care, learning difficulties etc,

Volunteer Atlanta

The Council is a sponsor of Volunteer Atlanta and will continue to
assist this project. As you may recall, Volunteer Atlanta was brought
about largely by the Council and is sponsored by the Council, the Atlanta
Chamber of Commerce, the Atlanta Junior League, the Community Chest, and
E.O.A, Its object is to recruit, train and place volunteers in public
and private agencies throughout the five-county area, We think this can be
one of the most important projects begun in the Atlanta area during recent
years,

Assistance to Groups

 

The Council is receiving an ever increasing number of requests for
technical assistance from agencies, neighborhood groups, and civic organi-
zations, Agencies are requesting assistance in reviewing their programs;
neighborhoods are seeking assistance in the drafting of proposals for
resident-determined programs; and civic organizations are asking for sugges-—
tions as to the type of programs in which they might be effectively involved
Thus, technical assistance to neighborhood groups and direct service
agencies is becoming a major role of the Council. We think this role
should be emphasized and that means must be devised to adequately provide
such assistance, The Council is’ basically a collection of staff, accumu-
lated information and experience, and skill, and whenever its assistance
can make agencies, neighborhood groups, churches and civic organizations
more effective in their work, we add to the funds and resources being put
to effective use in our community. This type of assistance is one of the
most important functions the Council can perform,

Program Development

During the early part of 1970, we expect to organize a Program Develop-
ment Committee for the Council. This Committee will be made up of Board
members and individuals who are not on the Board. Its function will be to
provide a means for continually reviewing the work activities of the Council
and assisting in the establishment of priority for its programs. The
Council is a social planning organization which can be an important
resource in the community only if it retains its vitality and flexibility.
If the Council had become rigid in devising its programs, its people and
resources would not have been available to engage in some of the activities
described above which maintain a balance between continuity in those acti-
vities which look to long range improvement and flexibility sufficient to
give the community the benefit of the skill and information available
through the Council's resources, The Program Development Committee will
provide a means for retaining the Council's vitality and balance in its
work activities.

Obviously there is a great deal to be done to make our five-county
area a better place in which to live. I think it equally obvious that
there is a great deal with which to do the job if we plan and work together
with imagination, enthusiasm and a sense of urgency, So let's roll up our
sleeves and see what we can accomplish together in 1970,
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                    <text>C
C
A
A
ommunity
ouncil 0£ the
tlanta
rea inc.
EUGENE T. BRANCH, Chairman of the Board of Directors
DUANE W. BECK, Executive Director
1000 GLENN BUILDING, 120 MARIETTA ST•REET, N.W.
ATLANTA, GEORGIA 30303
ALENE F. UHRY, Editor
TELEPHONE 577-2250
January, 1970
SPECIAL
EDITION
LOOKING AHEAD
Eugene Branch, Chairman of the Community Council's Board of Directors,
has carefully reviewed our activities of the year just ended, and now
looks ahead to 1970.
We believe Communique readers will be interested in the following
program Mr. Branch envisions:
The beginning of a new year is a good time for an organization to
pause long enough to· consider wher·e it is in the achi-evement of its goals
and where it is going.
Since others are due the credit, I think it not immodest of me to say
that I believe the Council did a good job in 1969. However, rather than
dwell on the 1969 activities, it would seem more helpful to mention some
of the activities which will be given priority in 1970. In addition to the
normal and on-going activities of the Social Research Center and Permanent
Conference, the following illustrate the activities which will be given
emphasis in 1970:
1.
Community Coordinated Child Care (4-C)
The 4-C program is a federal program designed to develop a coordinated
program to provide services to children--and thus make better u se of the
community's funds and resources in providing such services. Atlanta was
named a pilot community and the Council was named the delegate agency. A
Steering Committee compos ed of parents , representatives of day care agencies
and organizations has been elected and is at work. Much of our staff time
will be devoted to this activity. This is an outgrowth of our Child
Development Project.
2.
Day Care Action Subcommittee
The very fine work of this Subcommittee will be continued in 1970. Its
function is to stimulate interest in day care and help develop new day
care resources. In 1969 ,the Subcommittee published a Day Care Manual
which provides a step-by-step guide to those interested in planning and
developing a day- care center. The response has been so enthusiastic that
we are ~wamped with requests by church groups and others for technical
assistance. This important activity also arose out of our Child Development Project.
�3.
Coordination of Services and Planning
One of the most important on-going activities, of the Council is that of
bringing together planning and service agencies in an effort t o provide
coordination of planning and services. The existing funds and resources
for dealing with our urgent urban problems are extremely limited and all
agencies have an obligation to jointly plan and coordinate their activities
in dealing with the problems which are their major ooncern. Space does not
permit an adequate description of the Council's work activities in coordination bµt periodic reports will be given in Communique.
Emergency Assistance
4.
Every effort to identit'y the most urgent problems in our five-county area
has resulted in high priority being given to the need for developing more
resources for emergency assistance. There are many aspects of the problem.
An Emergency Assi8tance Committee has been organized and has begun to funotion. It has determined to work first on developing resources to deal with
the problems arising out of evictions. Hundreds of families are evicted
each year and there is no organized program to help the evicted families
with such needs as stor age space for furniture, temporary shel ter, f ood etc.
5.
Other Special Activities
(a) Welfare Committee. Practically everyone agrees that our entire
welfare program must be overhauled. A Welfare Committee is studyi ng various
income maintenance programs, including the Administration's Fami l y Assist ance Act, a nd will make periodic reports.
(b) Advisory Committee for Information and Referral. This Commi t tee
was formed to a s sist in theimprovement ofinformation and referral servi ce
in the metropolitan Atlanta area and to devise means f or improving s ervices
to meet the most urgent needs i dentifi e d by such service. Among other
thi ngs , thi s Commi ttee wi ll help focus a ttention on the mos t seri ous ummet
need s i n our a r ea .
(c) Fourteenth Street Multi-Purpose Center. The Counci l has leased a
house on Jun i pe r Street to be used as a community c en ter f or the Four t een th
Street area . I t is functioni ng a nd has bee n well -received. The focu s will
be on a vol un tar y med i c al c linic, a c ounseling c ent er a nd a twenty-four
hour information and referral serviceA This facility is being operated at
the present t i me entire ly by voluntee r s. The Center c an meet a great need
and we'll keep you up to da te on its a ctivities in Communique .
.
This Counc il is simply
(d ) Interagency Council on Alcohol and Drugs .
a " coming toget her of establ ished agencies c oncerned with problems related
to the use of alcohol and drugs. It provides a means by which such agencies
can work together. The Council has divided itself into the following five
Task Forces: Resources and Existing Facilities and Services, Education,
Treatment and Counseling, Speakers Bureau, and Legal Aspects and Legislation. You've received some information on this important and interesting
activity and more will be forthcoming.
-
--
(e) Expanded Public Information Service. We have improved our methods
of get·ting valuable information to the general public and will give greater
emphasis to this activity. The information gathered by our Research Center
and through our various programs, if properly and attractively passed on to
the general public, will provide our area with a better informed citizenry.
This greater understanding of our problems will in time result in an
improvement in services and funds to meet the problems.
�The above are simply illustrative of the variety of activities in
which the Council is engaged. The Child Development Project revealed the
need for further work on such problems as retardation of children, the need
for t wenty-four hour child care, learning difficulties etc.
Volunteer Atlanta
The Council is a sponsor of Volunteer Atlanta and will continue to
assist this project. As you may recall, Volunteer Atlanta was brought
about largely by the Council and is sponsored by the Council, the Atlanta
Chamber of Commerce, the Atlanta Junior League, the Community Chest, and
E.O.A. Its object is to recruit, train and place volunteers in public
and private agencies throughout the five-county area. We think this can be
one of the most important projects begun in the Atlanta area during recent
years.
Assistance to Groups
The Council is receiving an ever increasing number of requests for
technical assistance from agencies, neighborhood groups, and civic organizations. Agencies are requesting assistance in reviewing their programs;
neighborhoods are seeking assistance in the dr--dfting of proposals for
resident-determined programs; and civic organi zations are asking for suggestions as to the type of programs in which they might be effectively involved
Thus, technical assista nce to neighborhood groups and direct service
agencies is becoming a major role of the Council. We think this role
should be emphasized and that means must be devised to adequately provide
such assistance. The Council is · basically a collection of staff , accumulated information and experience, and skill, and whenever its assi s tance
can make agencies, nei ghborhood groups , churches and civic organizations
more effective i n their work, we add to the funds and res ources being put
t o effecti ve use in our communi ty. This type of . ass ist ance is one of the
mos t important functions ~he Counc i l can perform.
Program Development
Duri ng the e arly part of 1970, we expect to organize a Program De ve l opment Commit tee for t he Council . This Commi ttee will be made up of Board
members and i ndividuals who are n~t on t he Board. Its f unction wi ll be to
provide a means f or c onti nual ly reviewing the work a c t i vit ies of the Councii
a nd assi s t i ng i n the est a bli s hment of priori ty for i t s programs. The
Council is a s oc ial pl anning organization which can be an important
resource in the community onl y if it ret ains i ts vital ity and flexibility.
If the Council had become rigid in devising its programs, its people and
resources would not have been a vailable to engage in some of the activities
described above which maintain a balance between continuity in those activities which look t o long range improvement and fl exibility sufficient to
give the community the benefit of the skill and information available
through the Council ' s resources. The Program Development Committee will
provide a means for retaining the Council's vitality and balance in its
work activities.
Obviously there is a great deal to be done to make our five-county
area a better place in which to live. I think it equally obvious that
there is a great deal with which to do the job if we plan and work together
with imagination, enthusiasm and a sense of urgency. So let's roll up our
sleeves and see what we can accomplish together in 1970.
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Com LUAIty
Council of the |

Atlanta
EUGENE T. BRANCH, Chairman of the Board of Directors

Area INC. DUANE W. BECK, Executive Director ALENE F. UHRY, Editor

1000 GLENN BUILDING,120 MARIETTA STREET, N.W. ATLANTA, GEORGIA 30303 TELEPHONE 577-2250

January, 1970

he ie ar Ae) ae eae CO a

LOOKING AHEAD

Eugene Branch, Chairman of the Community Council's Board of Directors,
has carefully reviewed our activities of the year just ended, and now
looks ahead to 1970,

We believe Communique readers will be interested in the following
program Mr. Branch envisions:

The beginning of a new year is a good time for an organization to
pause long enough to consider where it is in the achievement of its goals
and where it is going.

Since others are due the credit, I think it not immodest of me to say
that I believe the Council did a good job in 1969. However, rather than
dwell on the 1969 activities, it would seem more helpful to mention some
of the activities which will be given priority in 1970. In addition to the
normal and on-going activities of the Social Research Center and Permanent
Conference, the following illustrate the activities which will be given
emphasis in 1970:

1G Community Coordinated Child Care (4-C)

The 4-C program is a federal program designed to develop a coordinated
program to provide services to children--and thus make better use of the
community's funds and resources in providing such services, Atlanta was
named a pilot community and the Council was named the delegate agency. A
Steering Committee composed of parents, representatives of day care agencies
and organizations has been elected and is at work. Much of our staff time
will be devoted to this activity. This is an outgrowth of our Child
Development Project.

2. Day Care Action Subcommittee

 

The very fine work of this Subcommittee will be continued in 1970, Its
function is to stimulate interest in day care and help develop new day
care resources, In 1969 the Subcommittee published a Day Care Manual
which provides a step-by-step guide to those interested in planning and
developing a day care center, The response has been so enthusiastic that
we are swamped with requests by church groups and others for technical
assistance, This important activity also arose out of our Child Develop-
ment Project.
ie Coordination of Services and Planning

One of the most important on-going activities of the Council is that of
bringing together planning and service agencies in an effort to provide
coordination of planning and services, The existing funds and resources
for dealing with our urgent urban problems are extremely limited and all
agencies have an obligation to jointly plan and coordinate their activities
in dealing with the problems which are their major ooncern, Space does not
permit an adequate description of the Council's work activities in coordi-
nation but periodic reports will be given in Communique,

4, Emergency Assistance

Every effort to identify the most urgent problems in our five-county area
has resulted in high priority being given to the need for developing more
resources for emergency assistance, There are many aspects of the problem,
An Emergency Assistance Committee has been organized and has begun to fun@=
tion. [It has determined to work first on developing resources to deal with
the problems arising out of evictions, Hundreds of families are evicted
each year and there is no organized program to help the evicted families
with such needs as storage space for furniture, temporary shelter, food etc,

5. Other Special Activities

(a) Welfare Committee. Practically everyone agrees that our entire
welfare program must be overhauled. A Welfare Committee is studying various
income maintenance programs, including the Administration's Family Assis-
tance Act, and will make periodic reports.

(b) Advisory Committee for Information and Referral, This Committee
was formed to assist in the improvement of information and referral service
in the metropolitan Atlanta area and to devise means for improving services
to meet the most urgent needs identified by such service, Among other
things, this Committee will help focus attention on the most serious unmet
needs in our area,

(c) Fourteenth Street Multi-Purpose Center. The Council has leased a
house on Juniper Street to be used as a community center for the Fourteenth
Street area, It is functioning and has been well-received, The focus will
be on a voluntary medical clinic, a counseling center and a twenty-four
hour information and referral service, This facility is being operated at
the present time entirely by volunteers, The Center can meet a great need
and we'll keep you up to date on its activities in Communique.

(d) Interagency Council on Alcohol and Drugs. This Council is simply
a "coming together” of established agencies concerned with problems related
to the use of alcohol and drugs. It provides a means by which such agencies
can work together, The Council has divided itself into the following five
Task Forces: Resources and Existing Facilities and Services, Education,
Treatment and Counseling, Speakers Bureau, and Legal Aspects and Legisla-
tion, You've received some information on this important and interesting
activity and more will be forthcoming,

(e) Expanded Public Information Service, We have improved our methods
of getting valuable information to the general public and will give greater
emphasis to this activity. The information gathered by our Research Center
and through our various programs, if properly and attractively passed on to
the general public, will provide our area with a better informed citizenry.
This greater understanding of our problems will in time result in an
improvement in services and funds to meet the problems,

 
The above are simply illustrative of the variety of activities in
which the Council is engaged, The Child Development Project revealed the
need for further work on such problems as retardation of children, the need
for twenty-four hour child care, learning difficulties etc,

Volunteer Atlanta

The Council is a sponsor of Volunteer Atlanta and will continue to
assist this project. As you may recall, Volunteer Atlanta was brought
about largely by the Council and is sponsored by the Council, the Atlanta
Chamber of Commerce, the Atlanta Junior League, the Community Chest, and
E.0.A, Its object is to recruit, train and place volunteers in public
and private agencies throughout the five-county area, We think this can be
one of the most important projects begun in the Atlanta area during recent
years,

Assistance to Groups

The Council is receiving an ever increasing number of requests for
technical assistance from agencies, neighborhood groups, and civic organi-
zations, Agencies are requesting assistance in reviewing their programs;
neighborhoods are seeking assistance in the drafting of proposals for
resident-determined programs; and civic organizations are asking for sugges-
tions as to the type of programs in which they might be effectively involved
Thus, technical assistance to neighborhood groups and direct service
agencies is becoming a major role of the Council. We think this role
should be emphasized and that means must be devised to adequately provide
such assistance, The Council is’ basically a collection of staff, accumu-
lated information and experience, and skill, and whenever its assistance
can make agencies, neighborhood groups, churches and civic organizations
more effective in their work, we add to the funds and resources being put
to effective use in our community. This type of assistance is one of the
most important functions the Council can perform.

Program Development

During the early part of 1970, we expect to organize a Program Develop-
ment Committee for the Council, This Committee will be made up of Board
members and individuals who are not on the Board, Its function will be to
provide a means for continually reviewing the work activities of the Councii
and assisting in the establishment of priority for its programs. The
Council is a social planning organization which can be an important
resource in the community only if it retains its vitality and flexibility.
If the Council had become rigid in devising its programs, its people and
resources would not have been available to engage in some of the activities
described above which maintain a balance between continuity in those acti-
vities which look to long range improvement and flexibility sufficient to
give the community the benefit of the skill and information available
through the Council's resources, The Program Development Committee will
provide a means for retaining the Council's vitality and balance in its
work activities.

Obviously there is a great deal to be done to make our five-county
area a better place in which to live. I think it equally obvious that
there is a great deal with which to do the job if we plan and work together
with imagination, enthusiasm and a sense of urgency. So let's roll up our
sleeves and see what we can accomplish together in 1970,
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                    <text>C
C
A
A
~mmunity
ouncil of' the
tlanta
rea inc.
EUGENE T. BRANCH, Chairman of the Board of Directors
DUANE W. BECK, Executive Director
1000 GLENN BUILDING, 120 MARIETTA STREET, N.W.
ATLANTA, GEORGIA 30303
ALENE F. UHRY, Editor
TELEPHONE 577-2250
January, 1970
SPECIAL
EDITION
LOOKING AHEAD
Eugene Branch, Chairman of the Community Council's Board of Directors,
has carefully reviewed our activities of the year just ended, and now
looks ahead to 1970.
We believe Communique readers will be interested in the following
program Mr. Branch envisions:
The beginning of a new year is a good time for an organization to
pause long enough to consider where it is in the achrevement of its goals
and where it is going.
Since others are due the credit, I think it not immodest of me to say
that I believe the Council did a good job in 1969. However, rather than
dwell on the 1969 activities, it would seem more helpful to mention some
of the activities which will be given priority in 1970. In addition to the
normal and on-going activities of the Social Research Center and Permanent
Conference, the following illustrate the activities which will be given
emphasis in 1970:
1.
Community Coordinated Child Care (4-C)
The 4-C program is a federal program designed to develop a coordinated
program to provide services to childre n--and thus make better use of the
community's funds and resources in providing such services. Atlanta was
named a pilot community and the Council was named the delegate agency. A
Steering Committee composed of parents, representatives of day care agencies
and organizations has been elected and is at work. Much of our staff time
will be devoted to this activity. This is an outgrowth of our Child
Development Project.
2.
Day Care Action Subcommittee
~he very fine work of this Subcommittee will be continued in 1970. Its
function is to stimulate interest in day care and help develop new day
care resources. In 1969 ,the Subcommittee published a Day Care Manual
which provides a step-by-step guide to those interested in planning and
developing a day care center. The response has been so enthusiastic that
we are swamped with requests by church groups and others for technical
assistance. This important activity also arose out of our Child Development Project.
�3.
Coordination of Services and Planning
One of the most important on-going activities of the Council is that of
bringing together planning and service agencies in an effort to provide
coordination of planning and services. The existing funds and resources
for dealing with our urgent urban problems are extremely limited and all
agencies have an obligation to jointly plan and coordinate their activities
in dealing with the problems which are their major concern. Space does not
permit an adequate description of the Council's work activities in coordination but.. periodic reports will be given in Communique.
4.
Emergency Assistance
Every effort to identify the most urgent problems in our five-county area
has resulted in high priority being given to the need for developing more
resources for emergency assistance. There are many aspects of the problem.
An Emergency Assi8tance Committee has been organized and has begun to function. It has determined to work first on developing resources to deal with
the problems arising out of evictions. Hundreds of families are evicted
each year and there is no organized program to help the evicted families
with such needs as storage space for furniture, temporary shelter, f ood etc.
5.
Other Special Activities
(a) Welfare Committee. Practically everyone agrees that our entire
welfare program must be overhauled. A Welfare Committee is studying various
income maintenance programs, including the Administration ' s Family Assis tance Act, and will make periodic reports.
{b) Advisory Committee for Information and Referral. This Committee
was formed to a s s i st in the improvement of information and referral service
in the metropolitan Atlanta area and to devise means for improving servi ces
to meet the most urgent ne eds identi f ied by such s e rvice. Among o t he r
things , thi s Committe e will he lp f ocus attention on t he most serious ummet
needs in our area.
(c) Fourte enth Street Mult i -Purpose Cente r. The Council ha s leased a
hous e on Juni per Street to be used as a community cen ter f o r t he Four t eenth
St reet area . I t is funct i oning and has been well -receive d . The foc u s will
be on a volunt a r y medica l clini c, a counsel i ng c enter and a t wenty-four
hour informati on and ~eferral service . This facilit y is being operated at
t he pre sent t ime entire ly by volunteers . The Center can meet a great neea
a nd we 'l l keep you up to da t e on i t s activi ti e s i n Communique.
(d ) Interagency Counc il on Al c ohol a nd Drugs .
Th is Council is simply
a " coming together ' of establ ished agencies concerned with problems related
to the use of alcohol and drugs. It provides a means by which such agencies
can work together. The Council has divided itself into the following five
Task Forces: Resources and Exis ting Facilities and Services, Education,
Treatment and Counseling, Speakers Bureau, and Legal Aspects and Legislation. You've received some information on this important and interesting
activity and more will be forthcoming.
-
--
(e) Expanded Public Information Service. We have improved our methods
of get·ting valuable information to the general public and will give greater
emphasis to this activity. The information gathered by our Research Center
and through our various programs, if properly and attractively passed on to
the general public, will provide our area with a better informed citizenry.
This greater understanding of our problems will in time result in an
improvement in services and funds to meet the problems.
�ll
The above are simply illustrative of the variety of activities in
which the Council is engaged. The Child Development Project revealed the
need for further work on such problems as retardation of children, the need
for twenty-four hour child care, learning difficulties etc.
Volunteer Atlanta
The Council is a .sponsor of Volunteer Atlanta and will continue to
assist this project. As you may recall, Volunteer Atlanta was brought
about largely by the Council and is sponsored by the Council, the Atlanta
Chamber of Commerce, the Atlanta Junior League, the Community Chest, and
E.O.A. Its object is to recruit, train and place volunteers in public
and private agencies throughout the five-county area. We think this can be
one of the most important projects begun in the Atlanta area during recent
years.
Assistance to Groups
The Council is receiving an ever increasing number of 1·equests for
technical assistance from agencies, neighborhood groups, and civic organizations. Agencies are requesting assistance in reviewing their programs;
neighborhoods are seeking assistance in the drafting of proposals for
resident-determined programs; and civic organizations are asking for suggestions as to the type of programs in which they might be effectively involved
Thus, technical assistance to neighborhood groups and direct service
agencies is becoming a major role of the Council. We think this role
should be emphasized and that means must be devised to adequately provide
such assistance. The Council is.basically a collection of staff, accumulated information and experience, and skill, and whenever its assistance
can make agencies, neighborhood groups, churches and civic organizations
more effective in their work, we add to the funds and resources being put
to effective use in our community. This type of . assistance is one of the
most important functions the
Council can perform.
t
Program Development
During the early part of 1970, we expect to organize a Program Development Committee for the Council. This Committee will be made up of Board
members and individuals who are n~t on the Board. Its function will be to
provide a means for continually reviewing the work activities of the Councii
and assisting in the establishment of priority for its programs. The
Council is a social planning organization which can be an important
resource in the community only if it retains its vitality and flexibility.
If the Council had become rigid in devising its programs, its people and
resources would not have been available to engage in some of the activities
described above which maintain a balance between continuity in those activities which look to long range improvement and flexibility sufficient to
give the community the benefit of the skill and information available
through the Council's resources. The Program Development Committee will
provide a means for retaining the Council's vitality and balance in its
work activities.
Obviously there is a great deal to be done to make our five-county
area a better place in which to live. I think it equally obvious that
there is a great deal with which to do the job if we plan and work together
with imagination, enthusiasm and a sense of urgency. So let's roll up our
sleeves and see what we can accomplish together in 1970.
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              <text>| | l
Community ;
Council of the

ls a a re
Atlanta
EUGENE T. BRANCH, Chairman of the Board of Directors

Area inc, DUANE W. BECK, Executive Director ALENE F. UHRY, Editor

1000 GLENN BUILDING, 120 MARIETTA STREET, N.W. ATLANTA, GEORGIA 30303 TELEPHONE 577-2250

January, 1970

SPECIAL EDITION

——— eee ——_—

LOOKING AHEAD

Eugene Branch, Chairman of the Community Council's Board of Directors,
has carefully reviewed our activities of the year just ended, and now
looks ahead to 1970,

We believe Communique readers will be interested in the following
program Mr, Branch envisions:

The beginning of a new year is a good time for an organization to
pause long enough to consider where it is in the achievement of its goals
and where it is going.

Since others are due the credit, I think it not immodest of me to say
that I believe the Council did a good job in 1969, However, rather than
dwell on the 1969 activities, it would seem more helpful to mention some
of the activities which will be given priority in 1970. In addition to the
normal and on-going activities of the Social Research Center and Permanent
Conference, the following illustrate the activities which will be given
emphasis in 1970:

u, Community Coordinated Child Care (4-C)

The 4-C program is a federal program designed to develop a coordinated
program to provide services to children--and thus make better use of the
community's funds and resources in providing such services, Atlanta was
named a pilot community and the Council was named the delegate agency. A
Steering Committee composed of parents, representatives of day care agencies
and organizations has been elected and is at work. Much of our staff time
will be devoted to this activity. This is an outgrowth of our Child
Development Project,

2. Day Care Action Subcommittee

The very fine work of this Subcommittee will be continued in 1970, Its
function is to stimulate interest in day care and help develop new day
care resources, In 1969 the Subcommittee published a Day Care Manual
which provides a step-by-step guide to those interested in planning and
developing a day care center, The response has been so enthusiastic that
we are swamped with requests by church groups and others for technical
assistance, This important activity also arose out of our Child Develop-
ment Project.
3. Coordination of Services and Planning

One of the most important on-going activities of the Council is that of
bringing together planning and service agencies in an effort to provide
coordination of planning and services, The existing funds and resources
for dealing with our urgent urban problems are extremely limited and all
agencies have an obligation to jointly plan and coordinate their activities
in dealing with the problems which are their major ooncern., Space does not
permit an adequate description of the Council's work activities in coordi-
nation but periodic reports will be given in Communique.

4, Emergency Assistance

Every effort to identify the most urgent problems in our five-county area
has resulted in high priority being given to the need for developing more
resources for emergency assistance, There are many aspects of the problem,
An Emergency Assistance Committee has been organized and has begun to funG=-
tion. It has determined to work first on developing resources to deal with
the problems arising out of evictions, Hundreds of families are evicted
each year and there is no organized program to help the evicted families
with such needs as storage space for furniture, temporary shelter, food etc,

5. Other Special Activities

(a) Welfare Committee, Practically everyone agrees that our entire
welfare program must be overhauled. A Welfare Committee is studying various
income maintenance programs, including the Administration's Family Assis-
tance Act, and will make periodic reports.

(b) Advisory Committee for Information and Referral. This Committee
was formed to assist in the improvement of information and referral service
in the metropolitan Atlanta area and to devise means for improving services
to meet the most urgent needs identified by such service, Among other
things, this Committee will help focus attention on the most serious unmet
needs in our area,

(c) Fourteenth Street Multi-Purpose Center, The Council has leased a
house on Juniper Street to be used as a community center for the Fourteenth
Street area, It is functioning and has been well-received. The focus will
be on a voluntary medical clinic, a counseling center and a twenty-four
hour information and referral service, This facility is being operated at
the present time entirely by volunteers, The Center can meet a great need
and we'll keep you up to date on its activities in Communique.

 

(d) Interagency Council on Alcohol and Drugs. This Council is simply
a “coming together" of established agencies concerned with problems related
to the use of alcohol and drugs. It provides a means by which such agencies
can work together, The Council has divided itself into the following five
Task Forces: Resources and Existing Facilities and Services, Education,
Treatment and Counseling, Speakers Bureau, and Legal Aspects and Legisla-
tion. You've received some information on this important and interesting
activity and more will be forthcoming.

(e) Expanded Public Information Service, We have improved our methods
of getting valuable information to the general public and will give greater
emphasis to this activity. The information gathered by our Research Center
and through our various programs, if properly and attractively passed on to
the general public, will provide our area with a better informed citizenry,
This greater understanding of our problems will in time result in an
improvement in services and funds to meet the problems,

 
The above are simply illustrative of the variety of activities in
which the Council is engaged, The Child Development Project revealed the
need for further work on such problems as retardation of children, the need
for twenty-four hour child care, learning difficulties etc,

Volunteer Atlanta

The Council is a sponsor of Volunteer Atlanta and will continue to
assist this project. As you may recall, Volunteer Atlanta was brought
about largely by the Council and is sponsored by the Council, the Atlanta
Chamber of Commerce, the Atlanta Junior League, the Community Chest, and
E.0,A, Its object is to recruit, train and place volunteers in public
and private agencies throughout the five-county area, We think this can be
one of the most important projects begun in the Atlanta area during recent
years,

Assistance to Groups

The Council is receiving an ever increasing number of requests for
technical assistance from agencies, neighborhood groups, and civic organi-
zations, Agencies are requesting assistance in reviewing their programs;
neighborhoods are seeking assistance in the drafting of proposals for
resident-determined programs; and civic organizations are asking for sugges-
tions as to the type of programs in which they might be effectively involved
Thus, technical assistance to neighborhood groups and direct service
agencies is becoming a major role of the Council. We think this role
should be emphasized and that means must be devised to adequately provide
such assistance, The Council is’ basically a collection of staff, accumu-
lated information and experience, and skill, and whenever its assistance
can make agencies, neighborhood groups, churches and civic organizations
more effective in their work, we add to the funds and resources being put
to effective use in our community. This type of assistance is one of the
most important functions the Council can perform.

Program Development

During the early part of 1970, we expect to organize a Program Develop-
ment Committee for the Council. This Committee will be made up of Board
members and individuals who are not on the Board. Its function will be to
provide a means for continually reviewing the work activities of the Councii
and assisting in the establishment of priority for its programs. The
Council is a social planning organization which can be an important
resource in the community only if it retains its vitality and flexibility.
If the Council had become rigid in devising its programs, its people and
resources would not have been available to engage in some of the activities
described above which maintain a balance between continuity in those acti-
vities which look to long range improvement and flexibility sufficient to
give the community the benefit of the skill and information available
through the Council's resources, The Program Development Committee will
provide a means for retaining the Council's vitality and balance in its
work activities,

Obviously there is a great deal to be done to make our five-county
area a better place in which to live. I think it equally obvious that
there is a great deal with which to do the job if we plan and work together
with imagination, enthusiasm and a sense of urgency. So let's roll up our
sleeves and see what we can accomplish together in 1970,
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�</text>
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              <text>MUNICIPALITIES

Clayton

DeKalb

Douglas

35
cl

fy

Gwinnett

wh .

Non-Wh.

Attend.

 

- Marietta
Breen - Decatur
~ Forest Park

i Cobo

x

oe

 

PROVIDERS

“Miller - Ga. Psychiat.

-wicFall - Am. Soc. H, Assocs

 

 

Fortson - Cobb Med
MeLendon - Atl. Med.
Vinton - Dekalb Med
Wells - Fulton Med

x x

 

Gulley - No. Ga. Dent
Hamby - No. Dist. Bent -
Cantrell - Fulton P.H.D,

™

%

 

“Vinson - Dekalb PVHVD:
Burge - Atl. Hosp. Dist
Pinkston - Grady Hosp

_Richardson - Emory Med Sch

“RMR [re MM DO *

 

“Lane - Ga. State H. Sei.
Lott ~ - 5th Dist Nurs
Beck - Ga. Heart Assoc

mm MWK WMI KR ORI Km Ow

So OR OS ON

 

“Wade - Nat Assoc Soc Work
Jockers ~ Med. Tech, Soc

' Robinson - Grady (semi-skil }

_Ccutini - Healtn Ins.

Mm MK ARM

és

x

x

ma EO a DO one Lee eh a a ey

 

PGOR &amp; NEAR POOR

-

 

Gardner - Atl EGA
Freeman- Atl EQOA
Mooney + Atl EOA
_Glenn - Cliayton EGA

Oe om

x

x

 

‘Souder ~ Clayton ECA
SandexrsDeKalb-Rockdale EOA
Broughton - Gwinnett EOA

_dJohnson - MCdel Cities

&gt; joe

*

mM De | Oe

Whar

ox

 

. Lovett-- Model Cities
Cofer - Grant Park PTA
*s Hewthorne PTA
Griffin - So. Douglas PTA

Ot 1K

x

se Ra

a

 

Mathews - Nat. Welf Rignts
Barnes - Southsiae Comp H.
Griggs - Tenants Urited FF
_Marshali - Ati NAACP

x OO

 

 

 

 

Kimoson - Atl Urban League

BUSINESS &amp; LABOR

 

le eM

 

 

fuller = Atl. © of CofC’:

a

 

 

Wright - Atl Labor Counc

 

 
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                    <text>REPORT OF THE NOMINATING COMMITTEE - JANUARY 1970
The Nominating Committee, consisting of Hon, L. H. Athe rton, Rev. E. B.
Broughton, Mr. A. B. Padge tt, and Dr. R. E. Wells, present the following slate
for consid erati on of the Metropolitan Atlanta Council for Health:
For President:
Dr. Robert E. Wells
For Vice Presid ent
Council Func t ion:
Mr. Lyndon A. Wade
For Vic e Presid e nt
Liaison &amp; PR:
Hon. Thomas M. Callaway , Jr. *
For Vice President
Spe cial Needs:
Re v. Ervin B. Broughton
For Vice Presid e nt
Project Review:
Dr. Luthe r Fortson
For Vic e President
Administration:
Mr. Gary Cut ini
For S ecretary:
Mrs. Loretta Barnes


Has not signifie d acceptance of the nomination as of 19 January 1 970.


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              <text> 

REPORT OF THE NOMINATING COMMITTEE - JANUARY 1970

The Nominating Committee, consisting of Hon. L. H. Atherton, Rev. E. B.
Broughton, Mr. A. B. Padgett, and Dr. R. E. Wells, present the following slate
for consideration of the Metropolitan Atlanta Council for Health:

. For President:

For Vice President

Council Function:

For Vice President
Liaison &amp; PR:

For Vice President
Special Needs:

For Vice President
Project Review:

For Vice President
Administration:

For Secretary:

Dr. Robert E. Wells

Mr. Lyndon A. Wade

Hon. Thomas M. Callaway, Jr.*
Rev. Ervin B. Broughton

Dr. Luther Fortson

Mr. Gary Cutini

Mrs. Loretta Barnes

*Has not signified acceptance of the nomination as of 19 January 1970.
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                    <text>EU G ENE T . BRANCH. C..:Ju.:irm:l rl
E !...L I O TT G O LD STE I N , 1:ic,: C/::1i r m an
A. 6 . P AD'SETT . t' : {:r Cl:::in,:.:'1
M
ns .
T H O t-.1 A S H . GI O S ON . Si·c r,·ra ry
R A LPH A. BC:CK . lr,:,t\ ttr r r
DU ANE
O ME TH O U
AN D GLENN B UILD IN G , 120 MARIET TA ST.,
.
J.
w.
BEC K, £\·e(·urivc D ireC({}1'
ATL
• T A , G EO
IA
3 0 3 03
·;-:• 2L c P H ONE 577-2~50
19 January, 1970
Members of the Metropolitan Atlanta Council for Health
TO:
. FRO.ii:
A. B. Padgett, Chairman pro tern
Meeting Notice
SUBJ:
The. annual meeting of MACHealth will be he l
January 1970. Pl a ce of the meeting
will be Room 409, 101 Marietta Street Building. Time wi 1 be 12:00 Noon.
Principal business of the meeting will be the election of officers for the year
1970. Persons elected will s erve until the next annual meeting in January, 1971,
or until their successors are qualifj_ed. Enclosed with this meeting notice is
the r e port of the Nominating Committee . Persons have been nominated for each
of the seven offices, and for a replacement on the Nominating Committee in case
Dr. Wells is elected preside nt. (The president serves, ex officio, on the
Nominating Committee.)
The s e 'p ond page of the Nominating Cammi ttee report indicat es the d istribution
of oner , two-, and three -year terms for persent members of the Council. This
is to insure that one -third of the elected members of the Council are elected each
year in the future. The selection f or l e ngth of term was done by drawing number s
out of a hat, but assuring that specific groups (such as medi cal society
members, h ealth providers as a whol e group, et c.) have a reasonable di stribu t ion
of 1-, 2-, and 3-year terms.
With the .possible exce ption of our first meet ing last June, this is. like ly to
l;&gt;e the most important meeting of MACHealth's history. Your attendance i s
urgently requested. If you c annot make it, be sure your a lternate at tends~
A. B. Padgett, Chairman pro tern
.JP/RBL/la
I s..
P.
, I regret to ha ve to tell you that, becau se of budgeta'ry. probl ems , we
will 'be unabl e to hold our " getting to know you" me eting on ·7 February.
Vie shall try to schedul e it for March.
ABP
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              <text>: EUGENE T. BRANCH, Chairanun
? ; er
( c ‘e ys SY Ey my ra i‘? ELLIOTT GOLOSTEIN, airmare
| _ wt gut Dente Deed eet bel i

A. B, PADGETT, Fice Chualriienn

4 4 a
&gt;£ may ig ea een ae ee oe MRS, THOMAS H, GIBSON, Seeretary
} : tt Rive Sinaia Stor wis Naa? ly Wc Noe RALPH A. BECK. Treasurer

‘

 

eo, 3 3 Ee IIe: DUANE W. BECK, Fvecutive Director

ONE THOUSAND GLENN BUILDING, 120 MARIETTA ST., N. YW. ATLANTA, GEORGIA 30503 TELEPHONE

19 January, 1970

TO: Members of the Metropolitan Atlanta Council for Health
. FROM: A. B. Padgett, Chairman pro tem
SUBJ: Meeting Notice

The annual meeting of MACHealth will be held. 29 January 1970. Place of the meeting
will be Room 409, 101 Marietta Street Building. Time will be 12:00 Noon.

Principal business of the meeting will be the election of officers for the year
1970, Persons elected will serve until the next annual meeting in January, 1971,
or until their successors are qualified. Enclosed with this meeting notice is ~~
the report of the Nominating Committee. Persons have been nominated for each

of the seven offices, and for a replacement on the Nominating Committee in case
Dr. Wells is elected president. (The president serves, ex officio,. on the
Nominating Committee.)

The second page of the Nominating Committee report indicates the distribution

of one-, two-, and three-year terms for persent members of the Council, This

is to insure that one-third of the elected members of the Council are elected each
year in the future. The selection for length of term was done by drawing numbers
out of a hat, but assuring that specific groups (Such as medical society

members, health providers as a whole group, etc.) have a reasonable distribution
of 1-, 2-, and 3-year terms.

With the possible exception of our first meeting last June, this is likely to
be the most important meeting of MACHealth's history. Your attendance is
urgently requested. If you cannot make it, be sure your alternate attends}

QB. Cbg ll

A. B. Padgett, Chairman pro tem

 

ABP/RBL/la
P, S. I regret to have to tell you that, because of budgetary problems, we
will be unable to hold our "getting to know you" meeting on 7 February.

We shall try to schedule it for March,

ABP
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                    <text>I
L
C
C
uncil
A tlanta
A rea inc.
DUANE W, BECK.
ONE THOUSAND GLENN BUILDING, 120 MARIETTA ST., N. W.
£,ecuti,·e Director
ATLANTA, GEORGIA
30303
TELEPHONE S77-2250
January 8, 1970
Mr. Dan E. Sweat, Jr.
Chief Administrator
Office of the Mayor
City Hall
. Atlanta, Georgia 30303
Dear Mr
0
Sweat:
The Interagency Council on Alcohol and Drugs is composed
of 150 public and private agency and organization representatives who are concerned and interested in the problem of alcoholism and drug abuse. It is chaired by Dr. James L. Goddard
whose background in Public Health and Pure Foods and Drugs has
lent immeasurable support and knowledge to the Council. The
Interagency Council was established to carry on a program of ·
e ducation, coordinate existing services and stimulate the developme nt of new ones .
At present there is a tremendous amount of public interest
in drug abuse and many groups are eager to do something about
it . There are now 4 proposals rf or Drug Treatment Centers which
the Interagency Council is e valuating in order to make recommendations f or implementation. The se pl ans all require support
from the city administration. Since the Council is composed of
and has access to most of the drug specialists in the area the
judgment s it makes s hould be valid and obj e ctive . We wi ll be
glad to supply you with our findings and act as a clearing house
for all drug treatment proposals . In this way we can be sure
that the city gets the best kind of services and the kind it
really need s.
Sincerely,
k&lt;«Y1
tt! A(lL
Duane w. Beck
Executive Director
Copy to:
DWB:cfh
Clarence L. Greene
Office of the Mayor
�•
{
BOARD OF DIRECTORS
Cecil Alexander
Ivon Allen, Ill
Rolph A. Beck
Eugene T. Branch
Ben1omin D. Brown
Charlie Brown
W. L. Collowo,
Campbell Dosher
Albert M. Dov,-, , M. D
Roy J Efird
J Rufus Evans, M. D
Robert L. Foreman, Jr.
Jomes P. Furniss
Donald H . Goreis
Larry L. G.ellerstedt, Jr
Mrs. Thomas H Gibson
H. M Gloster
Elliott Goldste,n
Allen 5. Hardin
Vivion Henderson
Mrs Helen Howard
John Izard
Ira Jackson
Joseph W. Jones
Alex B. Locy
Mrs Maggie Moody
Mrs John L. Moore Jr .
A. B. Padgett
Mrs. Rhodes L. Perdue
Les H. Persells
J William Pinkston, Jr.
L D. Rizk
J Randolph Taylor
Nat Welch
Allison Williams
John C. W,i5on
John E. Wright
ADVISORY BOARD
J. G. Bradbury
Jomes V. Corm,chael
R. Howard Dobl1s Jr
Edwin I. Hatch
Boisfeu,llet Jones
Mil is B. Lone, _ r
William W. Moore, Jr., M D
W. A. Parker, Sr.
Richard H. Rich
J ohn A Sibley
Lee Tolley
P. cston Upshaw
William C Wardlow, Jr.
George V\' Woodruff
�</text>
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              <text>E THOUSAND GLENN BUILDING, 120 MARIETTA ST... M. W AT

 

2»
Tt Wen VID ye ee es oe
Co RELIZLUAIALE WwW

 

January 8, 1970

Mr, Dan E, Sweat, Jr,
Chief Administrator
Office of the Mayor
City Hall

Atlanta, Georgia 30303

Dear Mr, Sweat:

The Interagency Council on Alcohol and Drugs is composed
of 150 public and private agency and organization representa-
tives who are concerned and interested in the problem of alco-
holism and drug abuse, It is chaired by Dr, James L, Goddard
whose background in Public Health and Pure Foods and Drugs has
lent immeasurable support and knowledge to the Council, The
Interagency Council was established to carry on a program of
education, coordinate existing services and stimulate the devel-
opment of new ones,

At present there is a tremendous amount of public interest
in drug abuse and many groups are eager to do something about
it, There are now 4 proposals for Drug Treatment Centers which
the Interagency Council is evaluating in order to make recommen-
dations for implementation, These plans all require support
from the city administration, Since the Council is composed of
and has access to most of the drug specialists in the area the
judgments it makes should be valid and objective, We will be
glad to supply you with our findings and act as a clearing house
for all drug treatment proposals, In this way we can be sure
that the city gets the best kind of services and the kind it
really needs,

Sincerely,

“r | : :
ji / ff} ‘ pf fa, 4) JP
Ki ((/ A [ te / LA S Le

Duane W, Beck
Executive Director

Copy to: Clarence L, Greene
Office of the Mayor

DWB: cfh
Cecil Alexander
Ivan Allen, III
Ralph A. Beck
Eugene T. Branch
Benjamin D. Brown
Charlie Brown

W. L. Calloway
Campbell Dasher

Albert M. Davis, M. D

BOARD OF DIRECTORS

Ray J. Efird ©
J. Rufus Evans, M. D.

Robert L. Foreman, Jr.

James P. Furniss
Donald H. Gareis

Larry L, Gellerstedt, Jr.
Mrs. Thomas H. Gibson

H. M. Gloster
Elliott Goldstein

 

Allen S. Hardin
Vivian Henderson
Mrs. Helen Howard
John Izard

Ira Jackson

Joseph W. Jones
Alex B. Lacy

Mrs. Maggie Moody

Mrs. John L. Moore,

 

 

A. B. Padgett
Mrs. Rhodes L. Perdue
Les H. Persells
J. Williom Pinkston, Jr.
L. D. Rizk
J. Randolph Taylor
Nat Welch
Allison Williams

Jr. John C, Wilson
John E. Wright

 

J. G. Bradbury
James V. Carmichael
R. Howard Dobbs, Jr
Edwin |. Hatch
Boisfeuillet Jones

Richard H. Rich

ADVISORY BOARD

Mills B. Lane, Jr.
William W. Moore, Jr, M.D.
W. A. Parker, Sr.

 

John A, Sibley

Lee Talley

Preston Upshaw
William C. Wardiaw, Jr.
George W. Woodruff
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                  <elementText elementTextId="23842">
                    <text>I ',
C
O
P Y
L AW O FF I C ES
ROBERT T .1JON'ES . JR.
FRANCIS M. BIRO
ARTHUR HOWELL
EUGENE T .·BRANCH
EDWARD \c?IKAN E
JONES , BIRD
PO BER T' L .fOREMAN, JR.
FO UR TH
LYMAN H. H'f.LLIARD
FRAZER DURRETT, JR .
EARLE B . MAY.JR.
TRAMMELL E .VICK E RY
RALPH WIL LI AMS . J R .
J. DONALLY SMIT H
WILLIAM B.WASSO N
C. DA L E HA R MAN
PEGRAM HARRISON
CHARLES W. S M ITH
CHASE VANVALKENBU R G
RICHARD A. ALLISON
F". M.BIRD. JR.
PEYTON S. HAWES. JR.
RAWSON FOR E MAN
MARY ANN E. SEA RS
ARTH U R HOW EL L Ill
VANCE Q. RANKIN Ill
CYRUS E . HORNSBY Il l
RICHARD M . ASBILL
FLO O R
&amp;
HOWELL
HAAS - H OWEL L
BU IL D I NG
ROBERT P. JONES
ATLANTA , GEORGIA 30303
RALPH WI L LIAMS
1903·1960
January 20, 1970
T E LEPHON E 5 2 2-2508
AR E A CODE 404
Honorable Sam Massell
Mayor, City of Atlanta
68 Mitchell Street , S. W.
Atlanta, Georgia 30303
Dear Mayor Hassell :
It gives me genuine pleasure to enclose a courtesy copy
of the 1969 Directory of Community Ser vices published by the
Conmunity Council of the Atlanta Area,. Inc . We have been very
pleased with the reception given this publication and trust th t
it will be of value to you .
Yesterday I chatted briefly with Dan Swe t about our com.,.
munity center in the hippie district and the work the Council is
doing in the area of alcohol and drug abu e . A council w s
formed a short time ago composed of organizations concerned with
the problem of alcohol and drug buse . Bee use of the tremen•
dous interest in this rea, I und r t nd that now approxim -t ly
150 organization h ve expre ed a desire to work through some
ort of council . The Community Council has b en providing st ff
as istance end guidance to the proj ct . I told Dan that w would
get up a su
ry of wh th s been don
nd th present propos d
plan for continu d coordin ted effort on thi pt-0blem.
I am aw re of the many critic 1 problems with which you ar
now concern d and 1 told Dan that we would beg d to it down
with both of you nd discus som of our ctiviti
t your con•
venienc .
Be t p raon 1 reg ,:d ·- .
Siner ly,
Eug


je


nclo ur
T
n
at
T. Br nch
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              <text>‘easy

REEF

SEE.

PPR nS ET Oa a ee

a

ss

—

= a

fi

4 f ;

, COPY i “

he L CoM , (irs eat
ROBERT TONES, JR. LAW OFFICES
FRANCIS M. BIRD = p | G)
ARTHUR HOWELL i
EUGENE fomanen JONES, BIRD &amp; HOWELL IA * Crp Ame
EDWARD, RIKANE
ROBERT L. FOREMAN, JR. FOURTH FLOOR HAAS-HOWELL BUILDING
LYMAN H. HILLIARD ROBERT FP JONES
F T, i h
PRAPeH OCR EAT Ie ATLANTA, GEORGIA 30303 1879-1956
TRAMMELL E.VICKERY RALPH WILLIAMS
RALPH WILLIAMS, JR. 1903-1960
J. DONALLY SMITH
WILLIAM B.WASSON
¢. DALE HARMAN =
Segal HaReSON January 20, 1970 Tee Ges Seve aos

CHARLES W. SMITH
CHASE VAN VALKENBURG
RICHARD A. ALLISON
FL M. BIRD, JR.
PEYTON S. HAWES, JR.
RAWSON FOREMAN
MARY ANN E. SEARS
ARTHUR HOWELL Ill
VANCE ©. RANKIN Ill
CYRUS E.HORNSBY Ill
RICHARD M.ASBILL

Honorable Sam Masselil
Mayor, City of Atlanta
68 Mitchell Street, S. W.
Atlanta, Georgia 30303

Dear Mayor Massell:

It gives me genuine pleasure to enclose a courtesy copy
of the 1969 Directory of Community Services published by the
Community Gouncil of the Atlanta Area, Inc. We have been very
pleased with the reception given this publication and trust that
it will be of value to you,

Yesterday I chatted briefly with Dan Sweat about our com-
munity center in the hippie district and the work the Council is
doing in the area of alcohol and drug abuse. A council was
formed a short time ago composed of organizations concerned with
the problem of alcohol and drug abuse. Because of the tremens
dous interest in this area, I understand that now approximately
150 organizations have expressed a desire to work through some
sort of council. The Community Council has been providing staff
assistance and guidance to the project. I told Dan that we would
get up a summary of what has been done and the present proposed
plan for continued coordinated effort on this problem.

I am aware of the many critical problems with which you are
now concerned and I told Dan that we would be glad to sit down
with both of you and discuss some of our activities at your con-
venience,

Best personal regards.
Sincerely,

ETB:jis Eugene T. Branch
Enclosure

ce: Mr. Dan Sweat
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                    <text>USO
COUNCIL OF GREATER ATLANTA, lNC.
151 Spring Street, N.W. • Atlanta, Georgia 30303 • 525-4976
Executive Director
Lloyd R. Hoon
Honorary President
Hon . Ivan Allen, Jr.
President
Mr. Robert H. Phillips
October 17, 1969
Vice Presidents
Mr. James R. Brown
Mr. Hampton L. Daughtry
Mr. J. lee Morris
Secretary
Mrs. Harold Marcus
Treasurer
Mr. James C. Blyth e
Past President
Brig. Gen. J. R. Ranck, ret.
M&lt;emben
Mr. Bernard Abrams
Mr. Ashton J. Albert
Mr. Carter T. Barron, Jr.
Mr. Jame, S. Briggs
Mr. E. R. Brooks
Mr. John S. Candle r II
Mr. Walter Cates
Mr. Rodney Cook
Rev. Howard W . Creecy, Sr.
Mr. Richard Culberson
Mr. Richard Dolson
Col. Harold Dye
Mrs. John 0 . Eichler
Mr. Jerry Fields
Mr. Hilton Full e r
Mr. Nip Galphin
Mr. R. Ellis Godsha ll
Dr. Marvin Goldste in
Mr. Ha rry Goodma n
M r. Donald M. Hastings, Sr.
Mr. Robe rt D. He nnessey
Mr. M. L. Howell
Mr. Howard Kle in
Mr. David L. Kun kler
Mr. C. D. l e Bey
Mr. P. Harvey Lewis
Mr. Marti n Libowsky
Mr. Seymour W . Liebman n
Mr. E. A. McGuire
M r. Robe rt Marti n
Mr. W . R. Masse ngale
Dr. Harmo n D. Moore
Judge Sam Phillip McKenzie
Brig. Alfred J. O sborne
Mrs . Louis Rege nste in, Jr.
Rev. James Sche re r
M r. M ichae l Sert ich
Mr. l. M. Shadgett
Mr. Donall y Smith
Dr. Horace Tate
Mr. Lyndon Wade
M r. William Waronke r
Mr. J. R. Wi lson, Jr.
Mrs. P. Q . Yancey
Advisory Council
Mr. Clayton Cosse'
Mr. James Dodd
Dr. Harry A. Fifield
Mr. W ill iam Fran kel
Mr. Ra lph H. Garrard
Gen. Alvan C. Gillem, re t.
Dr. W illi am S. Jackson
Mr. Irving K. Kale r
Mr. Hugh Mercer
Rabbi Jacob Rothsch ild
Mr. C. l. Sneed
Gen . (Lt.) John L. Th rock mor to n
Mr. T. Clack Tucker
Mr. Robert B. Wallace, Jr.
Mr. Horace T. Wa rd
The Honorable Ivan Allen, Junior
Mayor of Atlanta
City Hall
Atlanta, Georgia 30303
Dear Mayor Allen:
As you know, you are the
We regret your departure from
and congratulate you for your
contributions to this city as
Honorary President of our Council.
the office of Mayor, but recognize
wonderful accomplishments and
its Mayor.
We would hope your departure from that office might be our
gain as we would like very much to have you as a member of the
Council for 1970. The Council meets at a simple lunch four times
a year with a good deal of the work done behind the scenes by key
people and corrnnittees. We wou],d be honored to have you as a member
of our Council. We have some very enthusiastic people supporting
it . Incidentally, Blanche Theabom is just joining us and will be
a new member for next year. We are trying to make our Council
more representative of major and important segments of our corrnnunity.
Won't you let us have your acceptance?
great job you have done for a g reat city.
Again, thanks f or the
Cordially yours,
R.H. Phillips, President
Copy to Mr. Llo yd R. Hoon
USO MEMBER AGENCIES
THE YOUNG MEN'S CHRISTIAN ASSOCIATION ° THE NATIONAL CATHOLIC COMMUNITY SERVICE • THE NATIONAL JEWISH WELFARE BOARD
THE YOUNG WOMEN 'S CHRISTIAN ASSOCIATION • THE SALVATION ARMY O THE NATIONAL TRAVELERS AID ASSOCIATION •
USO IS SUPPORTED THROUGH UNITED FUND
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              <text>Ho
Ho

Ns on a

norary President

n. Ivan Allen, fr.

President

Mr

. Robert H. Phillips

Vice Presidents
Mr. James R. Brown

Mr

. Hampton L. Daughtry

Mr. J. Lee Morris
Secretary

Mr

s. Harold Marcus

Treasurer

Mr. James C. Blythe

Past President

Bri

g. Gen. J. R. Ranck, ret.

Members

Mr.

. Bernard Abrams

Mr. Ashton J. Albert

Mr.

Mr.
Mr.
Mr.

. Carter T. Barron, Jr.
James 5S. Briggs

E. R. Brooks

John S. Candler II

Mr, Walter Cates

Mr.

Rodney Cook

Rev. Howard W. Creecy, Sr.
Mr. Richard Culberson

Me. Richard Dolson

Col. Harold Dye

Mrs. John O. Eichler

Mr. Jerry Fields

Mr.
Mr.

Mr.

Hilton Fuller
Nip Galphin
. R. Ellis Godshall

Dr. Marvin Goldstein
Mr. Harry Goodman
Mr. Donald M. Hastings, 5r.

Mr.
Mr.

Mr.

Mr.

Mr.

Mr.

Mr.
Mr.
Mr,

. Robert D. Hennessey
. ML. Howell
Howard Klein

. David L. Kunkler

Cc. D. LeBey

. P. Harvey Lewis

Mr. Martin Libowsky
Seymour W. Liebmann
E. A. McGuire

Robert Martin

Mr. W. R. Massengale

Dr. Harmon D. Moore
Judge Sam Phillip McKenzie
Brig. Alfred J. Osborne
Mrs. Louis Regenstein, Ir.
Rev. James Scherer

Mr
Mr
Mr.
Dr.
Mr.
Mr
Mr.

. Michael Sertich

. L. M. Shadgett

. Donally Smith
Horace Tate

. Lyndon Wade

. William Waronker

- J. R. Wilson, Jr.

Mrs. P. Q. Yancey
Advisory Council

Mr
Mr

Dr.

Mr.

. Clayton Cosse’
. James Dodd
Harry A. Fifield
. William Frankel

Mr. Ralph H. Garrard
Gen. Alvan C. Gillem, ret.
Dr. William 5. Jackson

Mr
Mr.

. Iving K, Kaler
. Hugh Mercer

Rabbi Jacob Rothschild

Mr

. C. L. Sneed

Gen. (Lt) John L. Throckmorton

Mr.

. T. Clack Tucker

Mr. Robert B, Wallace, Ir
Mr. Horace T. Ward

COUNCIL OF GREATER ATLANTA, INC.

151 Spring Street, N.W. ® Atlanta, Georgia 30303 ® 525-4976

Executive Director
Lloyd R. Hoon

October 17, 1969

The Honorable Ivan Allen, Junior

‘Mayor of Atlanta

City Hall
Atlanta, Georgia 30303
Dear Mayor Allen:

As you know, you are the Honorary President of our Council.
We regret your departure from the office of Mayor, but recognize
and congratulate you for your wonderful accomplishments and
contributions to this city as its Mayor.

We would hope your departure from that office might be our
gain as we would like very much to have you as a member of the
Council for 1970. The Council meets at a simple lunch four times
a year with a good deal of the work done behind the scenes by key
people and committees. We would be honored to have you as a member
of our Council. We have some very enthusiastic people supporting
it. Incidentally, Blanche Theabom is just joining us and will be
a new member for next year. We are trying to make our Council
more representative of major and important segments of our community.
Won't you let us have your acceptance? Again, thanks for the
great job you have done for a great city.

Cordially yours,

R. H. Phillips, President

Copy to Mr. Lloyd R. Hoon

USO MEMBER AGENCIES

THE YOUNG MEN’S CHRISTIAN ASSOCIATION © THE NATIONAL CATHOLIC COMMUNITY SERVICE ® THE NATIONAL JEWISH WELFARE BOARD
THE YOUNG WOMEN’S CHRISTIAN ASSOCIATION * THE SALVATION ARMY © THE NATIONAL TRAVELERS AID ASSOCIATION «

USO IS SUPPORTED THROUGH UNITED FUND
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                    <text>October 22, 1969
Mr . R . H . Phillips
President
Council of Greater Atlanta,, Inc.
151 Spring Street,, N. W .
Atlanta, Georgia 30303
Dear Bob:
Please excuse me from making any decisions
concerning additional responsibilities at this time .
I will be glad to discuss the matter of the Council
with you .a fter the fir t of the year.
{
Gratefully.
Ivan Allen. J,:.
Mayor
IAJr:ja
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              <text>October 22, 1969

Mr. R.H. Phillips

President

Council of Greater Atlanta, Inc.
151 Spring Street, N.W.
Atlanta, Georgia 30303

Dear Bob:

Please excuse me from making any decisions
concerning additional responsibilities at this time.

I will be glad to discuss the matter of the Council
with you after the first of the year.

é
Gratefully,

Ivan Allen, Jr.
Mayor

IAJr:ja

 

SS

 

 

ieee
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                    <text>June 4 , 1969
· mfr. Raphael B . Levine, Director
Comprehensive Area Wide Health Planning
. Community Council of the Atlanta Area, Inc.
1000 Glenn Building
120 Marietta Street, N. W .
Atlanta, Georgia 30303
Dear Dr. Levine:
Thank you £or your letter outlining the organization and function
of the Metropolitan Atlanta Council for Health .
As you know, the Fulton County Department of Health is the official
agency £or health matters affecting the City of Atlanta and , normally,
programs involving health and health planning would be the responsibility
of the County Health Department as far as the City of Atlanta is
concerned.
I understand, however, that the Comprehensive Area ..
wid Health Planning Program which will be carried on by the new
Metropolit n Atlanta. Council for Health will involve re responsibility
for developing policy and all the broad aspects of health including
environmental sanitation, water pollution; etc.
I
Since the City of Atlanta does have major responsibility for production
and distribution of potable w ter and for collection and dis po l of
solid w st and also sew ge treatment nd disposal, I can understand
why th City of Atlant should hav a representativ on th Health
Council. Since both th Sanitation Division nd the Wat r Pollution
C ontrol Division fall within the rea of r sponsibility of th Public
Works Commltt e of th Board of Ald ~m n,. I am asking Alde:l!"man
G. Ev rett Millie n, Ch lrm n of this C ommitt , to repr sent th
City on the Council.
Sincer ly yours,
Ivan Allen, Jr.
Mayor
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              <text>aS Se ee eee

June 4, 1969

‘Bi. Raphael B. Levine, Director
Comprehensive Area Wide Health Planning

. Community Council of the Atlanta Area, Inc.

1000 Glenn Building
120 Marietta Street, N. W.
Atlanta, Georgia 30303

Dear Dr. Levine:

Thank you for your letter outlining the organization and function
of the Metropolitan Atlanta Council for Health.

As you know, the Fulton County Department of Health is the official
agency for health matters affecting the City of Atlanta and, normally,
programs involving health and health planning would be the responsibility
of the County Health Department as far as the City of Atlanta is
concerned, I understand, however, that the Comprehensive Area-
wide Health Planning Program which will be carried on by the new
Metropolitan Atlanta Council for Health will involve area responsibility
for developing policy and all the broad aspects of health including
environmental sanitation, water pollution, etc.

Since the City of Atlanta does have major responsibility for production
and distribution of potable water and for collection and disposal of
solid waste and also sewage treatment and disposal, I can understand
why the City of Atlanta should have a representative on the Health
Council. Since both the Sanitation Division and the Water Pollution
Control Division fall within the area of responsibility of the Public
Works Committee of the Board of Aldermen, I am asking Alderman
G. Everett Millican, Chairman of this Committee, to represent the
City on the Council,

Sincerely yours,

Ivan Allen, Jr.
Mayor
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                    <text>March 16, 1967
RECENT COURT DECISIONS ON ALCOHOLISM:
IMPLICATIONS FOR ATLANTA AND THE STATE OF GEORGIA
Skid Row has long been recognized as the bilge of our communities. And
the derelict inebriates who reside there represent perhaps the lowest form of
humanity. For centuries, these derelict alcoholics have been virtually ignored,
not only by the average citizen, but indeed by the very public officials who are
charged by statute with caring for them. Instead of receiving the attention and
help that they deserve and so urgently need, they have received nothing but private
disdain and public condemnation. They have been herded mercilessly through our
courts and jails, in every city in this country, and especially in Atlanta, in an
endless and futile parade.
Early last year two United States Courts of Appeals sought to put an end to
this senseless parade. These courts recognized, as anyone who stops to think
about it must recognize, that this was a parade as much of our nation's blind
stupidity as it was of the serious affliction -- chronic alcoholism -- from which
these unfortunate people are suffering. It is these legal decisions, and the
ramifications that they will inevitably have upon Atlanta and the entire State of
Georgia, which I will discuss t oday. I will be as forthright as I can be in my
r emarks . And I trust that you, in turn , will be forthright in your comments and
criticisms of my suggestions.
I
I t is appropriate to begin by asking whether Atlanta has a problem of this
kind . A~t er all , i f you are f ortunate enough to have no Skid Row, to have no
derelict alcoholics , or to provide humane an(\, enlightened treatment for your
chronic inebriate population , then we need proceed no further.
The f acts that have been made available to me da~onstrate t h at Atlanta doe s ,
i ndeed , have a very grave pr oblem. Both a Georgi a statute and an Atlanta or dinance
prohibit public i nt oxication. I n At l ant a, t here were 40, 811 arre sts f or dr unkenness
during 1966, and an additional 6,494 arr ests f or "drunk and dis orderly , " making
a grand total of 47,305 arrests for intoxication. And this figure would be
substantially i ncreased if arrests for other offenses closely related to intoxi cat i on , such as vagr ancy and loiter ing , wer e included .
The recent Report of the President' s Commision on Law Enforcement and
Administration of J ustice, released~. t o the public just l ast month, has singled
out Atl anta and the District of Columbi a as the two jurisdict i ons where chronic
inebriate offenders ar e most harshly persecuted with constant arrest and convict i on
f or public intoxicat ion. On a per capit a basis , the District of Columbia seems
to have outstripped Atlanta slightly i n i t s zeal to put these men in jail,
according to the 1965 statistics used by the President's Commission. As a result
of the Easter case, however, Atlanta may by now have taken over from the District
of Columbia the dubious distinction of being the Nation's leading exponent of
the theory that sick men should be arrested and convicted for displaying the
symptoms of their illness in public.
During one sample month, November 1966, approximately one-thi rd of the
persons arrested for int oxication in Atlanta paid a $15 fine before coming to
court. By paying this fine, they avoided the distasteful experience of appearing
�-2-
in Drunk Court. The remaining two-thirds apparently could not raise $15 and
therefore had no choice but to be brought before the Court.
I have made no study of the Atlanta drunkenness offenders, and therefore
can only extrapolate from national data and rely upon local data obtained from
your State officials. But a national sur-vey conducted during the past two years
has indicated that between 9(f/o and 95°/o of the drunkenness offenders who are not
able to pay a fine upon arrest, and who therefore are forced to appear in Drunk
Court, have very serious drinking problems. As I shall describe later, these
statistics have been confirmed with a vengeance in our District of Columbia
Drunk Court during the past 12 months. ,And I would imagine that the situation is
no different in Atlanta.
In a study conducted by Emory University during 1962 and 1963, it was found
that 6,000 chronic alcoholics accounted for 30,000 arrests. More recently , the
Emory staff has concluded that Atlanta has a population of up to 12,000 individual
chronic inebriate offenders. Whether the correct figure is 6,000 or 12,000,
or somewhere between, it is readily apparent that the problem is staggering.
It could be dismissed only by assuming what the President's Commission on Crime
in the District of Columbia has described as "a callous disregard for human life."
And it can be attacked onlycy- what that Commission has characterized as "a
determination for the first time to grapple with the deep-seated disabilities
of the City's derelicts."
Now let us look at the kind of help given to these people by the City of
Atlanta. Again, I rely upon information that has been furnished to me.
It is my understanding that , as a result of the first Emory study, a
comprehensive plan to attack the problem of the chronic inebriate offender in
At lanta was drawn up. Although bits and snatches have been implemented, it has
basically gone unheeded.
Drunken derelicts who are arrested receive no routine medical treatment,
and are t aken to Grady Memorial Hospital only if they exhibit a serious medical
p.robl em. Nor is medical help or rehabilitation services available at the Stockade,
where they are sent after conviction.
Paradoxically, Atlanta has a reput ation throughout the country of progres s ive
t reatment f or alcohl ics. The Georgian Clini c is frequently cit ed f or its work -but I was dist ressed to learn just a few days ago that it has only 50 beds , and
is expected to serve not just Atlanta, but the entire State of Georgia. The
Emory Universit y Alcohol Pr oject has also been r eceiving nation-wide at tent ion -but , again, I was distressed to l earn t hat its pat ients apparent l y come onl y from
prison, not from t he streets, and only f or vocational rehabilitation, not f or
general treatment f or their alcoholism.
Finally, your Stat e Legislature has enacted a statute for t he r ehabi l i t ation
of alcohol ics. But a perus al of that statute r eadi ly demonst rat es that i t is
far more punitive than any criminal statute could be. Upon determination that
an individual is a chronic alcoholic who is in need of hospitalization, and
upon agreement by the Department of Health to admit the individual as a patient,
that man can be held against his will for an indeterminate length of time. There
is not even a r equirement that the court find that he is dangerous to the public
safety, or that the Department of Health has adequate and appropriate treatment
programs and facilities for him. Ant it is readily apparent that in Atlanta and
the State of Georgia today, there is no adequate and appropriate treatment program
or facilities for derelict alcoholics.
�·3Thus, there is no question but that Atlanta and the State uf Georgia do
have a problem. There is good reason for a.1.1. of you to come here today to consider
this matter.
II
The problem of public -drunkenness has been with us for centuries. Under
early English common law, public intoxication was not considered criminal. activity.
Drunkenness was considered entirely proper unless it resulted in an illegal
breach of the peace.
Mere public intoxication was first made a criminal offense by an English
statute in 1606. And, today, it remains a criminal offense, with varying
penalties, in virtually every part of the United States.
We need not trace, today, the history of the criminal law as it has applied
to alcoholism from 1606 to the present. Suffice it to say that the early courts
concluded that, because alcoholism is a voluntarily-acquired disease, an alcoholic's
drinking must be deemed to be voluntary as a matter of law. And since it is a
well-established legal principle that an individual is responsible for all of
his voluntary acts, alcoholics have been held criminally liable for their public
intoxication, and any anti-social behavior it has caused, down through the years.
The health professions have recognized, of course, that an alcoholic does
not drink voluntarily. In 1947, the United States Congress enacted a District
of Columbia statute, based upon the best available medical testimony, which
explicitly recognized that an alcoholic has lost control over his drinking.
In 1956, the American Medical Association officially recognized chronic alcoholism
as an illness which should properly be treated by physicians. And in 1966,
the courts caught up to the legislatures and to the medical profession.
III
{
I would like to take a moment to describe the two recent court decisions
because of their fundamental importance to the subject we are considering today.
Both cases were based upon the conclusion that chronic alcoholism is no,;-,
universally accepted as an illness. In Easter v. District of Columbia, the
United States Court of Appeals for the District of Columbia Circuit held that
because a chronic alcoholic drinks involuntarily, as a result of the disease
with which he is afflicted rather than as a result of his own volition, he
cannot be branded as a criminal. The Court recognized that public intoxication
is only a symptom of the disease of chronic alcoholism, and ruled that common
law principles preclude criminal conviction merely for exhibiting a symptom of
a disease in public.
In Driver v. Hinnant, the United States Court of Appeals for the Fourth
Circuit reached the same result, but on Constitutional. grounds. The Fourth
Circuit held that to convict a chronic alcoholic for his public intoxication,
which is merely the inherent symptom of a serious illness, would violate the
prohibition against cruel and unusual punishment contained in the Eighth
Amendment to the United States Constitution.
�These decisions represent rare unanimity in our Federal courts. A total
of 11 judges considered these t wo cases -- the f u l l ~ ~ court of 8 judges
in the Easter case, and a panel of 3 judges in the Driver case. Not one judge
dissented from the conclusion that an alcoholic may no longer be convicted for
his public intoxication.
It makes no difference whether this result is reached by the Constitutional
approach used in the Driver case, or by the common law approach of the Easter
case. The conclusion is the same. No longer may the age-old problem of the
chronic inebriate be handled by the criminal process. A new method of handling
this problem must, under these decisions, be found by our local communities.
The Easter and Driver decisions are not legally binding in the courts of
the State of Georgia. But it is just a matter of time before the results of
those cases will become applicable here. Unlike public officials in the District
of Columbia, you still have a little time to head off a real crisis before it
occurs. Georgia has the choice whether to take advantage of· the time le:f't before
action is fol'ced upon it, or simply to sit back and ignore the problem. I would
certainly urge that immediate action be taken, that intelligent long-range plans
be formulated, and that the type of chaos that has followed the Easter decision
in the District of Columbia thereby be avoided. I will now turn to discuss the
planning and the new procedures that should be instituted in Atlanta and the
State of Georgia.
IV
No individual, and no single group, can possibly undertake a program to
replace the present revolving door handling of indigent inebriates thr ough the
courts and j ails of Georgia, by a modern program of rehabilit ation end public
health faci lit i es . I t will t ake a community of effor t, among all public offi cials
and all interested pr i vate groups , to make a revoluti onary pr ogr am of this kind
become meaningful. I will therefore discuss the role that I believe the police ,
the pr osecuting attorneys, the judiciary, ahd public health personnel should play
in undert aking new procedures f or handling t he chr onic court inebriat e pr oblem.
In discussing this, I shall rely heavily upon t wo aut hor itat i ve reports
just recently issued: t he Repor t of the Presi dent 's Commission on Crime in the
District of Col'l:.mbia , rel eased ·t o t he public on January 1 of t his year, and t he
Report of t he President 's Commission on Law Enfor cement and Administ rat i on of
Justice , rel eased on February 19. I acted as a consult ant t o both Commissions,
and I am happy to state that the Commissions and I were in virtually complete
agreement on the recommendations t hat they should make with regard to the handling
of public i ntoxication by local communiti es . The t wo Repor ts are, in my opinion ,
essential reading f or anyone inter ested in the chronic court inebriat e problem.
A. Let us first examine the police handling of chronic inebr iate off enders.
I n my opini on, it is not a fals e arrest for a policeman to charge an unknown
inebri.at e wit h public intoxication, even a:rter the Easter and Driver decisions.
The police cannot be required , at their peri l, to malte a j udgment on the street
as to whether an intoxicated indivi dual is or is not a chronic alcoholic.
In the case of known alcohol ics, however, thi s problem raises a far more
difficult legal issue . To some , the availability of the defense of chronic
alcoholism still seems more properly an issue for the courts than for the police.
But to a growing number of responsible lawyers, who have watched the District
of Columbia police persecute chronic inebriates by daily arrest a:f'ter the
�-5Easter and Driver decisions, any police detention of a lmo·wn chronic al.coholic
for his public intoxication should be condemned as illegal, as well as unconscionable.
This is therefore still an unresolved l egaJ. issue.
But more important, the community should not place the police in jeopardy
in this way. There is no reason why the police should be burdened with the
ignoI!lJ.m.ous taslc of sweeping chronic inebriates off the public streets. Last
September I 1-ras called upon to assist a man who had been arrested 38 times for
drunkenness in the District of Columbia just since the Ea.ster decision . When you
take into consideration the amount of time he spent incarcerated in jail and in
various hospitals, this amounted to 1 arrest for eveey 2 days that he appeared
on the public streets. Cert a ~ , the answer to the Easter and Driver decisions
is not just to arrest derelict alcoholics eveey day, duly bring them to trial,
and then immediately release them onto the streets without assistance, only to
repeat the process over and over again. This succeeds in speeding up the revolving
door, and in the persecution and further degradation of chronic inebriates. It
cannot contribute to the elimination of these abuses, as the Easter and Driver
decisions demand.
In my opinion, the police can and should take two immediat e steps to end
the revolving door process, pending development of a broader community program
which I will discuss later in this talk. First, they should assist any drunken
person to his home, whenever that is possible. Second, where an individual is
unable to talrn care of himself, the police should assist him to an appropriate
public health facility where he can receive the necessaey medical attention.
Under no circumstances should they arrest known al.coholics time and time again.
The question arises, of course, whether the police may properly assume
responsibility for intoxicated individual.s and escort them to an appropriate
public heal.th f acility to received proper medical attention. If the inebriate
does not consent, would the police incur liability
f or a false arrest?
,{
I have long been of the view that the police have duties of a civil nature,
When a
policeman escorts a heart attack victim to the hospital, he certainly is not
arresting him. Thus, in my opinion, the police have not only a right, but
indeed a duty , to talce unwilling intoxicated citizens, who appear to be unable
to take care of themselves, whether or not they are alcoholics, to appropriate
public health facilities. Certainly, this question should be resolved immediately
preferably by enactment of a state statute, in order to lay the necessary legal
foundation for the proper medical handling of alcoholics.
i.a addition to their responsibility fo1· enforcing the criminal l aw .
I am confident of one thing about our police personnel. Once new procedures
are instituted for handling the chronic court inebriate as a public health problem,
the police will be only too happy to cooperate. The police have long suffered under
the public's command that they daily sweep this human refuse from the streets, a
task which provided no possible benefit for their unfortunate victims. They will
be only too happy to see the old system replaced by procedures which will allow
them to help these people back on the road to recoveey, rather than just push
them further down into their sodden Skid Row environment.
B. With regard to the handling of chronic alcoholics by prosecuting attorneys,
it is instructive to refer to the Canons of Ethics of the American Bar Association.
Canon 5 provides that "the primary duty of the lawyer engaged in public prosecution
is not to convict, but to see that justice is done."
�-6This does not mean, of course, that a prosecutor is obligated to defend the
man that he is prosecuting. It does mean, however, that he is obligated to make
certain that an innocent man is not convicted. And in the context of the Easter
and Driver decisions, this means, in my judgment) that a prosecuting attorney is
obligated either to drop the charges, or at the very least to inform the judge of
the relevant facts , whenever he has reason to believe that a defendant may have
available to him the defense of chronic alcoholism. It is then up to the judge
to protect the defendant's rights.
A truly responsible prosecutor, moreover, would take it upon himself to review
the defendant's record prior to any court proceeding, and to make appropriate
recommendations to the court on his own motion. The prosecutor is, after all, an
arm of the court and a representative of the community. As such, he cannot
properly remain neutral . He should therefore take affirmative steps to make
recommendations for the non-criminal handling of ar.y chronic alcoholic he is
assigned to prosecute.
Of course , prosecutors are not qualified to diagnose alcoholism. In most
instances , however, the defendant's past record will readily demonstrate a
drinking problem, and will be quite sufficient to lead a prosecutor to recommend
to the court that an appropriate medical examination be made.
The problem, in short, is not to devise ingenious methods by which the
prosecutor may responsibly exercise his public duty . Rather, the problem is to
educat e prosecuting attorneys about alcoholism, and to persuade them to take time
from their demanding duties to assist the alcoholics with whom they come in
contact in their daily work.
C. Let us now examine the judicial handling of chronic court inebriates.
Once a judge becomes aware, through any information, of any kind, from any
sour ce, that a defendant charged with public intoxication may have available to
him t he defense of chronic alcoholism, he is , in my opinio~clearly obligated to
make cer tain that the defense is adequatelf presented, Cases in the District
of Columoia, involving the analogous defense of mental illness, hold that even
if the defendent protests, the judge is required to inject the defense into the
case on his 01-m motion, to make certain that an innocent man is not convicted.
Fai lure to do so is reversible error , as an abuse of the judge's discretion. And
a decision handed down by the United States Supreme Court in March of last year
i s l1holly consistent u ith this position. There is no reason why these pr ecedents
dealing with t he insanity defense should not be equally applicable to the defense
of chronic alcohol i sm. The D.C. Crime Commission concluded that they are applicable
and that they compel the t r ial judge sua sponte to protect the alcoholic defendent 's
legal rights .
This means, of course , incr eased r esponsibili t y f or the judiciary. Under t he
Easter and Driver decisions, each t r i al judge i s obligated to take affirmative
action to bring to an immedi ate end the tradit i onal "r evolving door" handling of
the chronic court i nebriate in his court . No judge , in my opini on, may properly
remain neutral, s imply wai t ing f or a de fendant t o r aise t he defense of alcoholism .
I have already ment i oned r ecent i nformat i on which suggest that, throughout
the country, approximately 90-95% of the drunkenness offenders who appear before
the courts have serious drinking problems. In my judgment, this statistic in
itself places upon trial judges an obligation to inquire into the possibilit y of
the defense of chronic alsoholism for virtually every drunkenness offender who
appears in the courts. A failure to under take this inquiry amounts, in m..v view,
t o a der ogation of judicial responsibility.
�-7Some will contend that, because the Easter and Driver decisions are not
binding upon the courts of Georgia, it is neither permissible nor desirable for
local judges to apply these decisions in their own courts, even though they may
believe them to be a proper statement of law. Some trial judges believe that,
until an appellate decision is handed devm in their jurisdiction, they are
compelled to follow the old view of the law even though they disagree with that
view. In my opinion, this is an erroneous concept of a trial judge's responsibility
to the community.
A trial judge has an obligation, usually stated in his oath of office, to
uphold the Federal and State constitutions. That obligation is far deeper, and
far more important, than the principle of stare decisis. If a trial judge is
convinced that the Easter and Driver decisions are correct statements of the law,
he is in my opinion obligated to implement them in his O'\lm court without waiting
for an appellate court to order him to do so . A municipal court judge in
California recently took it upon himself to declare the local intoxication law
unconstitutional, as applied to a chronic alcoholic, and I have not heard it
seriously suggestai that he overstepped his judicial authority .
The second way in which local judges have avoided applying these decisions
is by refusing to raise the defense of alcoholism on their own motion. It
requir es lit tle imagination to realize that the average Skid Row dereli ct does
not read the Federal Reports, much less the newspapers , and has absolutely no
knor:1ledge whr-i.t ever about his legal rights. Even if he did understand, in some
vague wa:y, ';hat he might have a defense to the charge of intoxication, he
probably could not begin to understand the ramifications of raising that defense.
And of course, none of these derelicts are represented by counsel. Thus , unless
the t r ial judge assumes the obligat ion of protecting this man 's rights , those
r i ghts never 'Hill be protected.
In those areas wher e the j udges have not r aised the def ense of alcoholism
on t heir own motion, it has only very s~ldom been r ais ed by t he defendant s .
Joe Driver, himself, has been convi cted for public i ntoxication in Dur ham on
more than one occas i on after the Fourth Circuit handed down t he decision which
bears his name. I find this perversion of l aw enfor cement intolerable.
Many of t he j udges who have chosen not t o follow the Easter and Driver
decisions have done s o because of a s i ncer e convicti on t hat i t would be more
inhumane t o t hr ow derelict alcoholics back out i nt o the st reet s, to an uncertain
fate, than it would be to throw t hem into jail , where t hey will at least be cared
for . I have no quarrel with the sincerity and humanit y of' these judges . But
I :firmly believe t hat what passes f or humanity in the short run becomes the worst
f orm o:f cruel and unusual punishment in the long run.
Acquiescence in the criminal handling of alcoholics virtually precludes
ever breaking out of the revolving door method of handling alcoholics i n our
courts. To the extent that the judici ary and the local Bar permits t he community
t o handle derelict alcoholics as criminals, the communi ty may have l ittle or no
incentive to change that procedure . Edmond Burke once said that "All that is
required for the triumph of evi l is that good men remain silent and do nothing."
If the good men in the judiciary and t he Bar remai n silent and do nothing, the
Easter and Driver decisions could go do~m i n Georgia history as a theoretically
intriguing, but practically meaningless, judicial aberration. And the evil of
handling alcoholics as criminals could be perpetuated in this State.
�7
-8One example of what a vigorous and conscientious local court can accomplish
may be seen in the activities of the District of Columbia Court of General
Sessions since the Easter decision was handed down on March 31 of last year.
A majority of the judges in that Court concluded that they are obligated to
raise the defense of alcoholism sua sponte for virtually all of the defendants
who apeear in the Drupk Court charged with public intoxication. As of March 9,
1967 , 4,382 individuals had been adjudged chronic alcoholics, and therefore can
never again be convicted of public intoxication in the District of Columbia.
And I would estimate that only a handful of those 4,382 individuals raised the
Easter defense by themselves. In vir tually all cases, the trial judge raised
the issue on his own motion and referred the defendant to a court psychiatrist
for diagnosis.
The response of the District of Columbia Government to the Easter decision
had initially been one of disint erest and disinclination ·to act. Our Court ,
by making it clear that the decision would be implemented vigorously, soon
forced public officials to abandon this posture of indifference.
These public officials then attempted to put into operation wholly inadequate
procedures 1·1hich &gt; in effect, would have done no more than change the sign over
our local Workhouse to read "Hospital" rather than "Jail." Again, our courts
responded by refusing to commit any adjudicated alcoholics to this new so-called
heal th facility, when testimony proved that adequate treatment fo r alcoholics
was not available there . As a result, comprehensive treatment programs and moder n
facilities ~.... a now coming into being. These programs and facilities could not
have been r:.ade possible ,-,ere i t not for the courage and sense of community
responsibility of our local judges . This was judicial integrity at i ts pinnacle.
Our communit y , and judges thr oughout the country, can t ake great pride in t hese
men .
Some of you mi ght think that the press and the citizens ' groups in the
Distri ct of Columbia would have heaped a~us e upon our judiciary f or r eleasing
this tremendous number of derel i ct alcoholi cs upon the community . These derelicts
certai nly did not present a pleasing s i ght to the eye, and some undoubtedly died
who might have lived had t hey been s ent t o jail . But the publi c di d not blame
t he j udiciary . Just the opposite was true. Our judges have been publicl y
praised f or r efusing to continue t o puni sh intoxi cated alcoholi cs, i n spit e of
t he community prob.1_ems thi s has raised . But the publ i c press, citizens' groups,
the Bar As sod a.tion , and the Pr esident ' s Crime Commission, have severely
1..: r.1. tj c&gt;i !7.ed the District of Columbia official s who have faile d to provide public
health facilities f or derelict alcohol i cs . And I believe that the same at titude
would prevail in any communit y in the United States i n which the judiciary and
t he Bar similarly had the courage t o l ead the wa:y t o new, more humane procedur es
fo r t he handling of its chr onic inebr iate population.
D. Correctional officials should have little or no r esponsi bili ty f or t he
t r eat ment of chronic alcoholics. If the prosecuting att orneys and t he judiciary
adequat ely perform their funct ions , chr onic alcoholics will no longer populate
our prisons , as they curr ently do . And it i s quite clear that a prison set ting
is hardly t he atmospher e i n which t o att empt to persuade a chronic inebriate
offender to change his ways .
There will remain in our prisons , nevertheless, some who have been properly
convicted of more s erious crimes , who have a drinking problem unrelated to
those crimes. It would obviously be wise for public health personnel to suggest
to correctional officials that some form of appropriate treatment be provided
for these people while they are still in jail~ in order to head off :future
alcoholism problems .
�-9E. The primary responsibility for developing practicaJ. programs for helping
our chronic inebriate population necessarily rests, however, with professional
public health personnel: doctors, nurses, social workers, and others working
in the area of alcoholic rehabilitation. A judge can find an alcoholic not
guilty of a given crime with which he is charged, but he cannot develop an
effective rehabilitation program, nor can he order state or federal health
officie.ls to build facilities and develop ad.equate programs. A prosecutor can,
similarly, only exercise his discretion to prosecute or to drop charges. And
lawyers can defend chronic alcoholics charged with crime but cannot offer them
the treatment necessary to prevent s:i.Jllilar court appearances dey after dey after
dey. In the last analysis, therefore, we must all rely upon public health
personnel to initiate changes in the present procedures.
They ,;-d ll readily find that when new procedures for handling chronic
inebriates are presented, the police, the courts, and local attorneys will offer
their full cooperation. But the point that concerns me most, I must admit, is
that up to nm-r the health professions have not greeted the Easter and Driver
decisions vrith the sense of challenge and responsibility that I had hoped for.
Now is the time for them to step fO!"l•r ard with imagination and dedication to
present new procedures for handling inebriates, new treatment programs designed
to rehabilitate alcoholics, and new legislative proposals to develop an appropriate
legal structure under which these new objectives mey be properly pursued. Unless
this happens in the State of Georgia, the opportunity afforded by the Edster and
Driver decisions may be wasted, and the efforts that have been made to adopt an
enlightened :i..egal approach toward the chronic inebriate offender may be in vain.
One would hope that these new procedures will come voluntarily from the
health professions. If they do not, however, then all law enforcement personnel
in the State -- the police, the prosecutors, the judiciary, and the local Bar -should take every step possible to force these new programs into existence. The
legal profession ha.s long assumed the du~y of a public protector of the rights
and liberties of all citizens. We must be as zealous in protecting the rights of
our derelict population as we are in protecting the rights of those citizens
who are more fortunate in life. I have already described what we have accomplished
in the District of Columbia in just one year. Comparable humane results can be
obtained in Atlanta.
In an article that appeared in the Atlanta Constitution on March l of this
year, a representative of the Atlant a Area Community Council was reported t o be
pleading for time, and to be making efforts to forestall legal action in Atianta
that would push f or adoption of the Easter and Driver decisions as binding law
in Georgia. I most sincerely hope that there is no deley here, and that plans
for a test case move .ahead rapidly . Such a case would be a necessary catalyst
to speed up the reforms that are so badly needed in Atlanta's handling of its
chronic inebriates.
Of course, police and lawyers are not competent to decide exactly what type
of non-criminal publj_c health procedures are most likely to result in rehabilitation
of chronic inebriates. But 1·re are competent, and we do have the duty, to make
certain that the present criminal procedures are not continued. The public cannot
be expected to respect a system of criminal justice that condemns sick people to
jail because they are sick. We need drastic changes in the handling of chronic
inebriates in our local courts , and the legal profession has the power and the
duty to make those changes.
�-10-
v
Because of my interest in this problem, I have discussed with a number of
public health authorities the type of new procedures that might be adopted for
handling chronic inebriates. I will now outline, for your consideration, my mm
conclusions, and those of the two Crime Commissions appointed by the President,
about appropriate new procedures •
For pur:Poses of my analysis, I separate what we might refer to as the derelict,
or Skid Row, or homeless inebriates, on the one hand, from the inebriates who do
have homes, families, and personal resources upon which they can rely. Although
the derelict inebriates represent a relatively small proportion of the total
alcoholic population -- ranging from 3 to 15 per cent, depending upon the statistics
on which you choose to rely -- they obviously represent the vast bulk of the chronic
inebriate problem in our courts and jails.
I would begin by suggesting, as I already have above, that any inebriate who
has a home and family to take care of him should be escorted promptly to that home
by the police, rather than arrested. Of course, if it appears to the policeman
that the inebriate is in medical danger, he should either be taken directly to a
medical facility or his family should be informed that medical help would appear
to be required.
Perhaps at. some future time, when we have completely solved the problem of
handling drun:.rnn derelicts, we will be able to provide public facilities and programs
also for in8briates who are not direct public charges. But at this time, when we
cannot even begin to handle our drunken derelict population, I see no reason why
we should also attempt to take charge of those who do have resources of their own,
beyond making certain that they do get back home safely.
Thus, I would concentrate ourpublic resources almost completely upon the
chronic inebriate derelict. And my init ial suggestion is that the old criminal
method of handling this population should be discarded and replaced by civil
procedur es. This should be done, in my opinion , regardless whether all or only
part of the derelict inebriates found on the streets may have available to them
the defense of chronic alcoholism provided by the Easter and Driver decisions.
Let us examine for a moment whether there is any valid public policy reas on
why a legislatu?e should brand an intoxicated person who is causing no public
disturbance as a criminal. We must f ace r eality. The public intoxication laws
in the District of Columbia never have been , and never will be, enforced uniformly
upon the public as a Hhole . And I doubt that the situation in Atlanta is different.
Police do not pick up intoxicated party-goers emerging from elegant dinner parties
or our suburban country clubs. I will not be the firs t to point out that there
are as many intoxicated people on the streets of the exclusive residential areas
of our cities as there are in the Skid Row areas, and you will not be surprised
that very few of the prosperous drunks are arrested. Public intoxication statutes
are enforced against the poor , and in particular, the homeless man.
Should we as a civilized nation enact criminal. laws aimed solely at a very
small, virtually defenseless, esthetically unac.c eptable segment of our population,
with the intent of simply sweeping them off the street and into oblivion? In my
opinion, the public intoxication statutes now on the books have no redeeming
social purpose, regardless of the issue of alcoholism, and they should not be
retained. Even worse, by substituting criminal sanctions for public health
measures, these statutes preclude the use o£ preventive techniques to head off
�-ll-
incipient alcoholism problems. Disorderly conduct statutes are quite sufficient
to protect the public from harm and these statutes should both be retained and
fully enforced.
The two Crime Commissions appointed by the President have, for these reasons,
recommended that the·· present public intoxication statute be amended to require
disorderly conduct in addition to drunkenness. And the President's Commission on
Crime in the District of Columbia has explicitly recognized that the usual manifest ations of drunkenness , such as staggering, or falling dmm, or noisiness,
do not constitute any threat of harm to the public, and should not be considered
illegal disorderly conduct.
What, then, should be done ·with derelict inebriates found intoxicated on
the streets? I 1·1ould suggest a three- part program.
First , an i nebriate who, in the judgment of the poli ce or authorized public
health personnel, is unable to take care of himself, should be brought to a
detoxification center that is staffed with public health personnel, to receive
whatever medical help for his acute intoxication may be necessary. This should be
a voluntary facility. The individual might be required to r emain there for some
specified period of time in order to make certain that he will again be able to
t ake care of himself when he leaves. But be will not have been arrested, and
could not be detained f or a longer per iod against his will.
Second, those inebriates who have a drinking problem will be encouraged to
remain for a longer period of time in an in-patient diagnostic center, wher e a
complete work-up can be prepared on his medical , social, occupational , f ami ly, and
ot her personal history. In my view, this should also be a completely voluntary
f acility. A genui ne offer of meani ngful ass i stance should be the only inducement
used to persuade an inebriate to make use of it. And I might add that , never
befor e in our hi story, has any community reached out to these unfortunate people
wit h such an offer.
Third, a net work of after-care facilities should be establi shed t o provide
f ood, shelter,. cl othing , vocational rehabi l itation, and appropriate treatment ,
rather than simpl y dumping t he derelict back onto Skid Row. Perhaps t he most
important aspect of this pa.rt of the program would be residential facilities, to
pr ovide an enti r ely new at mosphere that will, hopefully, reverse the process of
degradation that has graduall y f orced t he dereli cts d°"m to their present posit i on.
As with the other facilities, these should, in my judgment, be entirely voluntary.
I would like t o emphasize that a new program of this nature should not, in
opinion, contain a long-term residential in-patient treatment facility of the
type now used to house the mental}S' ill. I would oppose any such facility on
both medical and legal grounds.
my
First, the public health authorities with whom I have conferred have convinced
me that long-term involuntary commitment to a residentiaJ. facility makes effective
treatment for alcoholism more difficult. From their viewpoint, incarceration in
a health facility has the same degrading effect on the derelicts as incarceration
in jail. Both rob the inebriate of any willingness to attempt to find his we;y out
of his present situation in life, and make him more passively dependent upon
institutionalization. Those who are currently running programs inform me that
voJuntary out-patient care, when supported by residential facilities, has been
highly successful. If the community will only reach out to the derelict a1coholic
with adequate and appropriate help, he will respond. Once the crutch of jail is
removed, derelict inebriates voluntarily ask for assistance with their problems.
�-12My second reason for opposing involuntary commitment procedures is on
constitutional. grounds. We can aJ.1 agree, I believe, that the derelict inebriate
poses no threat of actual. harm to society. And he poses no greater threat of
harm to himself than do airplane test pilots, epileptics, mountain climbers,
cigarette smokers, Indianapolis Speedway drivers, and any number of people who
may refuse medical. as~istance for their non-communicable illnesses. None of
these people are involuntarily committed to institutions, nor could they be.
I therefore see no constitutional. basis for depriving chronic alcoholics of
their freedom . against their will.
The type of program that I have outlined is not a Utopian dream. It has
been recommended by both Presidential. Crime Commissions, And although there was
some dispute among the 28 members of these two Commissions, there was no dispute
whatever on these recommendations. In his February 6th message to Congress on
Crime in America, President Johnson specifically singeld out these recommendations
for public attention. And Congressman Elliott Hagan of Georgia has now introduced
a bill in the House of Representatives, H.R. 6143, that would adopt this approach
for the District of Columbia. It is, therefore, an entirely realistic and
_practlcal objective, and not just an idealistic hope.
Of course, a program of the type that I outline will not eliminate the problem
of the chroni c inebriate. There will undoubtedly be a significant number of
hard-core inebriates who will not change their ways regardless of what type of
treatment program is offered voluntarily or forced involuntarily upon them. We
must, therefore, forthrightly face the question of what should be done with them.
Since we can no longer handle them as criminals, as a result of the Easter
and Driver decisions, we are left with two choices. We can either warehouse them
forever on some type of an alcoholic farm, or we can process them thr ough the type
of pr ogram I have descr ibed above. In my judgment, it would be unwise to institute
a warehous ing system. Those who are close to the treatment of al.coholics tell me
that they are not willing ever to write ~ff the possibility of helping even the
most hard- core chronic alcoholic. They cannot determine ahead of time who can be
helped, or bow long it will take. In their judgment, warehousing of alcoholi cs ,
r egardless of bow incalcitrant they may seem, is not medically warr anted. And a.
warehous i ng operation is, in my opinion, clearly indefensible f rom a constitutional.
viewpoi nt.
The President's Commission on Crime in the District of Col umbia squar ely
faced this pr oblem, and came to the following conclusion:
"For t hese unf or t unate people, humani t y demands that we stop treat ing them
as crimi nals and provide volunt ary supportive services and resi dential.
facilities so that they can survive i n a decent manner. "
This would require, of course, a complete overhaul of the present civil commitment
system in the State of Georgia. And it should, in my opinion, begin immediately.
VI
The alcoholism movement has too long suffered, I believe, from a. defeatist
attitude. In the District of Columbia we have shown not only that the public will
accept the Easter decision, but al.so that it will not tolerate a Government that
refuses to help derelict alcoholics.
�-13Today , in Atlanta, you are t aking a major step forward. But a conference
like this one is just the beginning . What we need now are man- to-man
confrontations among public officials, without fanfare or publicity, in whi ch
pr actical solutions to pr essing problems are worked out on a sensible basis.
If I have one message to leave with you today, I would urge you to st art
the job immediately.
TaJ.k Presented By Peter Barton Hutt To The Atlanta Bar Association,
Atlanta, Georgia, March 16,
1967.
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              <text>March 16, 1967
RECENT COURT DECISIONS ON ALCOHOLISM:

IMPLICATIONS FOR ATLANTA AND THE STATE OF GEORGIA

Skid Row has long been recognized as the bilge of our communities. And
the derelict inebriates who reside there represent perhaps the lowest form of
humanity, For centuries, these derelict alcoholics have been virtually ignored,
not only by the average citizen, but indeed by the very public officials who are
charged by statute with caring for them. Instead of receiving the attention and
help that they deserve and so urgently need, they have received nothing but private
disdain and public condemnation. They have been herded mercilessly through our
courts and jails, in every city in this country, and especially in Atlanta, in an
endless and futile parade.

Early last year two United States Courts of Appeals sought to put an end to
this senseless parade. These courts recognized, as anyone who stops to think
about it must recognize, that this was a parade as much of our nation's blind
stupidity as it was of the serious affliction -- chronic alcoholism -- from which
these unfortunate people are suffering. It is these legal decisions, and the
ramifications that they will inevitably have upon Atlanta and the entire State of
Georgia, which I will discuss today. I will be as forthright as I can be in my
remarks. And I trust that you, in turn, will be forthright in your comments and
criticisms of my suggestions.

I

It is appropriate to begin by asking whether Atlanta has a problem of this
kind. After all, if you are fortunate enough to have no Skid Row, to have no
derelict alcoholics, or to provide humane and, enlightened treatment for your
chronic inebriate population, then we need proceed no further.

The facts that have been made available to me denonstrate that Atlanta does,
indeed, have a very grave problem. Both a Georgia statute and an Atlanta ordinance
prohibit public intoxication. In Atlanta, there were 40,811 arrests for drunkenness
during 1966, and an additional 6,494 arrests for "drunk and disorderly," making
a grand total of 47,305 arrests for intoxication. And this figure would be
substantially increased if arrests for other offenses closely related to intoxi-
cation, such as vagrancy and loitering, were included.

The recent Report of the President's Commision on Law Enforcement and
Administration of Justice, released. to the public just last month, has singled
out Atlanta and the District of Columbia as the two jurisdictions where chronic
inebriate offenders are most harshly persecuted with constant arrest and conviction
for public intoxication. On a per capita basis, the District of Columbia seems
to have outstripped Atlanta slightly in its zeal to put these men in jail,
according to the 1965 statistics used by the President's Commission. As a result
of the Easter case, however, Atlanta may by now have taken over from the District
of Columbia the dubious distinction of being the Nation's leading exponent of
the theory that sick men should be arrested and convicted for displaying the
symptoms of their illness in public.

During one sample month, November 1966, approximately one-third of the
persons arrested for intoxication in Atlanta paid a $15 fine before coming to
court. By paying this fine, they avoided the distasteful experience of appearing
wDe

in Drunk Court. The remaining two-thirds apparently could not raise $15 and
therefore had no choice but to be brought before the Court.

I have made no study of the Atlanta drunkenness offenders, and therefore
can only extrapolate from national data and rely upon local data obtained from
your State officials. But a national survey conducted during the past two years
has indicated that between 90% and 95% of the drunkenness offenders who are not
able to pay a fine upon arrest, and who therefore are forced to appear in Drunk
Court, have very serious drinking problems. As I shall describe later, these
Statistics have been confirmed with a vengeance in our District of Columbia
Drunk Court during the past 12 months. And I would imagine that the situation is
no different in Atlanta.

In a study conducted by Emory University during 1962 and 1963, it was found
that 6,000 chronic alcoholics accounted for 30,000 arrests. More recently, the
Emory staff has concluded that Atlanta has a population of up to 12,000 individual
chronic inebriate offenders. Whether the correct figure is 6,000 or 12,000,
or somewhere. between, it is readily apparent that the problem is staggering.

It could be dismissed only by assuming what the President's Commission on Crime

in the District of Columbia has described as "a callous disregard for human life."
And it can be attacked only ty what that Commission has characterized as "a
determination for the first time to grapple with the deep-seated disabilities

of the City's derelicts."

Now let us look at the kind of help given to these people by the City of
Atlanta. Again, I rely upon information that has been furnished to me.

It is my understanding that, as a result of the first Emory study, a
comprehensive plan to attack the problem of the chronic inebriate offender in
Atlanta was drawn up. Although bits and snatches have been implemented, it has
basically gone unheeded.

Drunken derelicts who are arrested receive no routine medical treatment,
and are taken to Grady Memorial Hospital only if they exhibit a serious medical
problem. Nor is medical help or rehabilitation services available at the Stockade,
where they are sent after conviction.

Paradoxically, Atlanta has a reputation throughout the country of progressive
treatment for alcohlics. The Georgian Clinic is frequently cited for its work --
but I was distressed to learn just a few days ago that it has only 50 beds, and
is expected to serve not just Atlanta, but the entire State of Georgia. The
Emory University Alcohol Project has also been receiving nation-wide attention --
but, again, I was distressed to learn that its patients apparently come only from
prison, not from the streets, and only for vocational rehabilitation, not for
general treatment for their alcoholism.

Finally, your State Legislature has enacted a statute for the rehabilitation
of alcoholics. But a perusal of that statute readily demonstrates that it is
far more punitive than any criminal statute could be. Upon determination that
an individual is a chronic alcoholic who is in need of hospitalization, and
upon agreement by the Department of Health to admit the individual as a patient,
that man can be held against his will for an indeterminate length of time. There
is not even a requirement that the court find that he is dangerous to the public
safety, or that the Department of Health has adequate and appropriate treatment
programs and facilities for him. Ant it is readily apparent that in Atlanta and
the State of Georgia today, there is no adequate and appropriate treatment program
or facilities for derelict alcoholics.
a3

Thus, there is no question but that Atlanta and the State of Georgia do
have a problem. There is good reason for all of you to come here today to consider
this matter.

It

The problem of public drunkenness has been with us for centuries, Under
early English common law, public intoxication was not considered criminal activity.
Drunkenness was considered entirely proper unless it resulted in an illegal
breach of the peace.

Mere public intoxication was first made a criminal offense by an English
statute in 1606. And, today, it remains a criminal offense, with varying
penalties, in virtually every part of the United States.

We need not trace, today, the history of the criminal law as it has applied
to alcoholism from 1606 to the present. Suffice it to say that the early courts
concluded thet, because alcoholism is a voluntarily-acquired disease, an alcoholic's
drinking must be deemed to be voluntary as a matter of law. And since it is 4
well-established legal principle that an individual is responsible for all of
his voluntary acts, alcoholics have been held criminally liable for their public
intoxication, and any anti-social behavior it has caused, down through the years.

The health professions have recognized, of course, that an alcoholic does
not drink voluntarily. In 1947, the United States Congress enacted a District
of Columbia statute, based upon the best available medical testimony, which
explicitly recognized that an alcoholic has lost control over his drinking.
In 1956, the American Medical Association officially recognized chronic alcoholism
as an illness which should properly be treated by physicians. And in 1966,
the courts caught up to the legislatures and to the medical profession.

III

I would like to take a moment to describe the two recent court decisions
because of their fundamental importance to the subject we are considering today.

Both cases were based upon the conclusion that chronic alcoholism is now
universally accepted as an illness. In Easter v. District of Columbia, the
United States Court of Appeals for the District of Columbia Circuit held that
because a, chronic alcoholic drinks involuntarily, as a result of the disease
with which he is afflicted rather than as a result of his own volition, he
cannot be branded as a criminal. The Court recognized that public intoxication
is only a symptom of the disease of chronic alcoholism, and ruled that common
law principles preclude criminal conviction merely for exhibiting a symptom of
a disease in public.

In Driver v. Hinnant, the United States Court of Appeals for the Fourth
Circuit reached the same result, but on Constitutional grounds. The Fourth
Circuit held that to convict a chronic alcoholic for his public intoxication,
which is merely the inherent symptom of a serious illness, would violate the
prohibition against cruel and unusual punishment contained in the Eighth
Amendment to the United States Constitution.
“dis

These decisions represent rare unanimity in our Federal courts. A total
of 11 judges considered these two cases -- the full en banc court of 8 judges
in the Easter case, and a panel of 3 judges in the Driver case. Not one judge
dissented from the conclusion that an alcoholic may no longer be convicted for
his public intoxication.

It makes no difference whether this result is reached by the Constitutional
approach used in the Driver case, or by the common law approach of the Easter
case. The conclusion is the same. No longer may the age-old problem of the
chronic inebriate be handled by the criminal process. A new method of handling
this problem must, under these decisions, be found by our local communities.

The Easter and Driver decisions are not legally binding in the courts of
the State of Georgia. But it is just a matter of time before the results of
those cases will become applicable here. Unlike public officials in the District
of Columbia, you still have a little time to head off a real crisis before it
occurs. Georgia has the choice whether to take advantage of the time left before
action is forced upon it, or simply to sit back and ignore the problem. I would
certainly urge that immediate action be taken, that intelligent long-range plans
be formulated, and that the type of chaos that has followed the Easter decision
in the District of Columbia thereby be avoided. I will now turn to discuss the
planning and the new procedures that should be instituted in Atlanta and the
State of Georgia.

IV

No individual, and no single group, can possibly undertake a program to
replace the present revolving door handling of indigent inebriates through the
courts and jails of Georgia, by a modern program of rehabilitation and public
health facilities. It will take a community of effort, among all public officials
and all interested private groups, to make a revolutionary program of this kind
become meaningful. I will therefore discuss the role that I believe the police,
the prosecuting attorneys, the judiciary, and public health personnel should play
in undertaking new procedures for handling the chronic court inebriate problem.

In discussing this, I shall rely heavily upon two authoritative reports
just recently issued: the Report of the President's Commission on Crime in the
District of Columbia, released to the public on January 1 of this year, and the
Report of the President's Commission on Law Enforcement and Administration of
Justice, released on February 19. I acted as a consultant to both Commissions,
and I am happy to state that the Commissions and I were in virtually complete
agreement on the recommendations that they should make with regard to the handling |
of public intoxication by local communities. The two Reports are, in my opinion,
essential reading for anyone interested in the chronic court inebriate problen.

 

A. Let us first examine the police handling of chronic inebriate offenders.
In my opinion, it is not a false arrest for a policeman to charge an unknown
inebriate with public intoxication, even after the Haster and Driver decisions.
The police cannot be required, at their peril, to make a judgment on the street
as to whether an intoxicated individual is or is not a chronic alcoholic.

In the case of known alcoholics, however, this problem raises a far more
difficult legal issue. To some, the availability of the defense of chronic
alcoholism still seems more properly an issue for the courts than for the police.
But to a growing number of responsible lawyers, who have watched the District
of Columbia police persecute chronic inebriates by daily arrest after the
-5-

Easter and Driver decisions, any police detention of a known chronic alcoholic
for his public intoxication should be condemned as illegal, as well as unconscionable,
This is therefore still an unresolved legal issue.

But more important, the community should not place the police in jeopardy
in this way. There is no reason why the police should be burdened with the
ignominious task of sweeping chronic inebriates off the public streets. Last
September I was called upon to assist a man who had been arrested 38 times for
drunkenness in the District of Columbia just since the Easter decision. When you
take into consideration the amount of time he spent incarcerated in jail and in
various hospitals, this amounted to 1 arrest for every 2 days that he appeared
on the public streets. Certainly, the answer to the Easter and Driver decisions
is not just to arrest derelict alcoholics every day, duly bring them to trial,
and then immediately release them onto the streets without assistance, only to
repeat the process over and over again. This succeeds in speeding up the revolving
door, and in the persecution and further degradation of chronic inebriates. It
cannot contribute to the elimination of these abuses, as the Easter and Driver
decisions demand.

In my opinion, the police can and should take two immediate steps to end
the revolving door process, pending development of a broader community program
which I will discuss later in this talk. First, they should assist any drunken
person to his home, whenever that is possible. Second, where an individual is
unable to take care of himself, the police should assist him to an appropriate
public health facility where he can receive the necessary medical attention.
Under no circumstances should they arrest known alcoholics time and time again.

The question arises, of course, whether the police may properly assume
responsibility for intoxicated individuals and escort them to an appropriate
public health facility to received proper medical attention. If the inebriate
does not consent, would the police incur liability for a false arrest?

I have long been of the view that the police have duties of a civil nature,
in addition to their responsibility for enforcing the criminal law. When a
policeman escorts a heart attack victim to the hospital, he certainly is not
arresting him. Thus, in my opinion, the police have not only a right, but
indeed a duty, to take unwilling intoxicated citizens, who appear to be unable
to take care of themselves, whether or not they are alcoholics, to appropriate
public health facilities. Certainly, this question should be resolved immediately
preferably by enactment of a state statute, in order to lay the necessary legal
foundation for the proper medical handling of alcoholics.

I am confident of one thing about our police personnel. Once new procedures
are instituted for handling the chronic court inebriate as a public health problem,
the police will be only too happy to cooperate. The police have long suffered under
the public's command that they daily sweep this human refuse from the streets, a
task which provided no possible benefit for their unfortunate victims. They will
be only too happy to see the old system replaced by procedures which will allow
them to help these people back on the road to recovery, rather than just push
them further down into their sodden Skid Row environment.

B. With regard to the handling of chronic alcoholics by prosecuting attorneys,
it is instructive to refer to the Canons of Ethics of the American Bar Association.
Canon 5 provides that "the primary duty of the lawyer engaged in public prosecution
is not to convict, but to see that justice is done."
«=

This does not mean, of course, that a prosecutor is obligated to defend the
man that he is prosecuting. It does mean, however, that he is obligated to make
certain that an innocent man is not convicted. And in the context of the Easter
and Driver decisions, this means, in my judgment, that a prosecuting attorney is
obligated either to drop the charges, or at the very least to inform the judge of
the relevant facts, whenever he has reason to believe that a defendant may have
available to him the defense of chronic alcoholism. It is then up to the judge
to protect the defendant's rights.

A truly responsible prosecutor, moreover, would take it upon himself to review
the defendant's record prior to any court proceeding, and to make appropriate
recommendations to the court on his own motion. The prosecutor is, after all, an
arm of the court and a representative of the community. As such, he cannot
properly remain neutral. He should therefore take affirmative steps to make
recommendations for the non-criminal handling of ary chronic alcoholic he is
assigned to prosecute.

Of course, prosecutors are not qualified to diagnose alcoholism. In most
instances, however, the defendant's past record will readily demonstrate a
drinking problem, and will be quite sufficient to lead a prosecutor to recommend
to the court that an appropriate medical examination be made.

The problem, in short, is not to devise ingenious methods by which the
prosecutor may responsibly exercise his public duty. Rather, the problem is to
educate prosecuting attorneys about alcoholism, and to persuade them to take time
from their demanding duties to assist the alcoholics with whom they come in
contact in their daily work.

C. Let us now examine the judicial handling of chronic court inebriates.
Once a judge becomes aware, through any information, of any kind, from any
source, that a defendant charged with public intoxication may have available to
him the defense of chronic alcoholism, he is, in my opinion, clearly obligated to
make certain that the defense is adequately presented. Cases in the District
of Columoia, involving the analogous defense of mental illness, hold that even
if the defendent protests, the judge is required to inject the defense into the
case on his own motion, to make certain that an innocent man is not convicted.
Failure to do so is reversible error, as an abuse of the judge's discretion. And
a decision handed down by the United States Supreme Court in March of last year
is wholly consistent with this position. There is no reason why these precedents
dealing with the insanity defense should not be equally applicable to the defense
of chronic alcoholism. The D.C, Crime Commission concluded that they are applicable
and that they compel the trial judge sua sponte to protect the alcoholic defendent's
legal rights.

This means, of course, increased responsibility for the judiciary. Under the
Easter and Driver decisions, each trial judge is obligated to take affirmative
action to bring to an immediate end the traditional "revolving door" handling of
the chronic court inebriate in his court. No judge, in my opinion, may properly
remain neutral, simply waiting for a defendant to raise the defense of alcoholism.

I have already mentioned recent information which suggest that, throughout
the country, approximately 90-95% of the drunkenness offenders who appear before
the courts have serious drinking problems, In my judgment, this statistic in
itself places upon trial judges an obligation to inquire into the possibility of
the defense of chronic alsoholism for virtually every drunkenness offender who
appears in the courts. A failure to undertake this inquiry amounts, in my view,
to a derogation of judicial responsibility.
ay

Some will contend that, because the Easter and Driver decisions are not
binding upon the courts of Georgie, it is neither permissible nor desirable for
local judges to apply these decisions in their own courts, even though they may
believe them to be a proper statement of law. Some trial judges believe that,
until an appellate decision is handed down in their jurisdiction, they are
compelled to follow the old view of the law even though they disagree with that
view. In my opinion, this is an erroneous concept of a trial judge's responsibility
to the community.

 

A trial judge has an obligation, usually stated in his oath of office, to
uphold the Federal and State constitutions. That obligation is far deeper, and
far more important, than the principle of stare decisis. If a trial judge is
convinced that the Easter and Driver decisions are correct statements of the law,
he is in my opinion obligated to implement them in his own court without waiting
for an appellate court to order him to do so. A municipal court judge in
California recently took it upon himself to declare the local intoxication law
unconstitutional, as applied to a chronic alcoholic, and I have not heard it
seriously suggested that he overstepped his judicial authority.

The second way in which local judges have avoided applying these decisions
is by refusing to raise the defense of alcoholism on their own motion. It
requires little imagination to realize that the average Skid Row derelict does
not read the Federal Reports, much less the newspapers, and has absolutely no
knowledge whetever about his legal rights. Even if he did understand, in some
vague way, “hat he might have a defense to the charge of intoxication, he
probably could not begin to understand the ramifications of raising that defense.
And of course, none of these derelicts are represented by counsel. Thus, unless
the trial judge assumes the obligation of protecting this man's rights, those
rights never twill be protected.

In those areas where the judges have not raised the defense of alcoholism
on their own motion, it has only very séldom been raised by the defendants.
Joe Driver, himself, has been convicted for public intoxication in Durham on
more than one occasion after the Fourth Circuit handed down the decision which
bears his name. I find this perversion of law enforcement intolerable.

Many of the judges who have chosen not to follow the Easter and Driver
decisions have done so because of a sincere conviction that it would be more
inhumane to throw derelict alcoholics back out into the streets, to an uncertain
fate, than it would be to throw them into jail, where they will at least be cared
for. I have no quarrel with the sincerity and humanity of these judges. But
I firmly believe that what passes for humanity in the short run becomes the worst
form of cruel. and unusual punishment in the long run.

Acquiescence in the criminal handling of alcoholics virtually precludes
ever breaking out of the revolving door method of handling alcoholics in our
courts. To the extent that the judiciary and the local Bar permits the community
to handle derelict alcoholics as criminals, the community may have little or no
incentive to change that procedure, Edmond Burke once said that "All that is
required for the triumph of evil is that good men remain silent and do nothing."
If the good men in the judiciary and the Bar remain silent and do nothing, the
Easter and Driver decisions could go down in Georgia history as a theoretically
intriguing, but practically meaningless, judicial aberration. And the evil of
handling alcoholics as criminals could be perpetuated in this State.
-8-

One example of what a vigorous and conscientious local court can accomplish
may be seen in the activities of the District of Columbia Court of General
Sessions since the Easter decision was handed down on March 31 of last year.

A majority of the judges in that Court concluded that they are obligated to
raise the defense of alcoholism sua sponte for virtually all of the defendants
who apeear in the Drunk Court charged with public intoxication. As of March 9,
1967, 4,382 individuals had been adjudged chronic alcoholics, and therefore can
never again be convicted of public intoxication in the District of Columbia.
And I would estimate that only a handful of those 4,382 individuals raised the
Easter defense by themselves. In virtually all cases, the trial judge raised
the issue on his own motion and referred the defendant to a court psychiatrist

for diagnosis.

The response of the District of Columbia Government to the Easter decision
had initially been one of disinterest and disinclination to act. Our Court,
by making it clear that the decision would be implemented vigorously, soon
forced public officials to abandon this posture of indifference.

 

These public officials then attempted to put into operation wholly inadequate
procedures which, in effect, would have done no more than change the sign over
our local Workhouse to read "Hospital" rather than "Jail." Again, our courts
responded by refusing to commit any adjudicated alcoholics to this new so-called
health facility, when testimony proved that adequate treatment for alcoholics
was not available there. As a result, comprehensive treatment programs and modern
facilities ue now coming into being. These programs and facilities could not
have been rade possible were it not for the courage and sense of community
responsibility of our local judges. This was judicial integrity at its pinnacle.
Our community, and judges throughout the country, can take great pride in these
men.

Some of you might think that the press and the citizens' groups in the
District of Columbia would have heaped abuse upon our judiciary for releasing
this tremendous number of derelict alcoholics upon the community. These derelicts
certainly did not present a pleasing sight to the eye, and some undoubtedly died
who might have lived had they been sent to jail. But the public did not blame
the judiciary. Just the opposite was true. Our judges have been publicly
praised for refusing to continue to punish intoxicated alcoholics, in spite of
the community problems this has raised. But the public press, citizens' groups,
the Bar Association, and the President's Crime Commission, have severely
criticized the District of Columbia officials who have failed to provide public
health facilities for derelict alcoholics. And I believe that the same attitude
would prevail in any community in the United States in which the judiciary and
the Bar similarly had the courage to lead the way to new, more humane procedures
for the handling of its chronic inebriate population.

D. Correctional officials should have little or no responsibility for the
treatment of chronic alcoholics. If the prosecuting attorneys and the judiciary
adequately perform their functions, chronic alcoholics will no longer populate
our prisons, as they currently do. And it is quite clear that a prison setting
is hardly the atmosphere in which to attempt to persuade a chronic inebriate
offender to change his ways.

There will remain in our prisons, nevertheless, some who have been properly
convicted of more serious crimes, who have a drinking problem unrelated to
those crimes. It would obviously be wise for public health personnel to suggest
to correctional officials that some form of appropriate treatment be provided
for these people while they are still in jail, in order to head off future
alcoholism problems.
ie

E. The primary responsibility for developing practical programs for helping
our chronic inebriate population necessarily rests, however, with professional
public health personnel: doctors, nurses, social workers, and others working
in the area of alcoholic rehabilitation. A judge can find an alcoholic not
guilty of e given crime with which he is charged, but he cannot develop an
effective rehabilitation program, nor can he order state or federal health
officials to build facilities and develop adequate programs. &lt;A prosecutor can,
similarly, only exercise his discretion to prosecute or to drop charges. And
lawyers can defend chronic alcoholics charged with crime but cannot offer them
the treatment necessary to prevent similar court appearances day after day after
day. In the last analysis, therefore, we must all rely upon public health
personnel to initiate changes in the present procedures.

They will readily find that when new procedures for handling chronic
inebriates are presented, the police, the courts, and local attorneys will offer
their full cooperation. But the point that concerns me most, I must admit, is
that up to now the health professions have not greeted the Easter and Driver
decisions with the sense of challenge and responsibility that I had hoped for.
Now is the time for them to step forward with imagination and dedication to
present new procedures for handling inebriates, new treatment programs designed
to rehabilitate alcoholics, and new legislative proposals to develop an appropriate
legal structure under which these new objectives may be properly pursued. Unless
this happens in the State of Georgia, the opportunity afforded by the Easter and
Driver decisions may be wasted, and the efforts that have been made to adopt an
enlightened iegal approach toward the chronic inebriate offender may be in vain.

One would hope that these new procedures will come voluntarily from the
health professions. If they do not, however, then all law enforcement personnel
in the State -- the police, the prosecutors, the judiciary, and the local Bar --
should take every step possible to force these new programs into existence. The
legal profession has long assumed the duty of a public protector of the rights
and liberties of all citizens. We must be as zealous in protecting the rights of
our derelict population as we are in protecting the rights of those citizens
who are more fortunate in life. I have already described what we have accomplished
in the District of Columbia in just one year. Comparable humane results can be
obtained in Atlanta.

In an article that appeared in the Atlanta Constitution on March 1 of this
year, a representative of the Atlanta Area Community Council was reported to be
pleading for time, and to be making efforts to forestall legal action in Atlanta
that would push for adoption of the Easter and Driver decisions as binding law
in Georgia. I most sincerely hope that there is no delay here, and that plans
for a test case move ahead rapidly. Such a case would be a necessary catalyst
to speed up the reforms that are so badly needed in Atlanta's handling of its
chronic inebriates.

Of course, police and lawyers are not competent to decide exactly what type
of non-criminal public health procedures are most likely to result in rehabilitation
of chronic inebriates., But we are competent, and we do have the duty, to make
certain that the present criminal procedures are not continued. The public cannot
be expected to respect a system of criminal justice that condemns sick people to
jail because they are sick. We need drastic changes in the handling of chronic
inebriates in our local courts, and the legal profession has the power and the
duty to make those changes.
lie
V

Because of my interest in this problem, I have discussed with a number of
public health authorities the type of new procedures that might be adopted for
handling chronic inebriates. I will now outline, for your consideration, my own
conclusions, and those of the two Crime Commissions appointed by the President,
about appropriate new procedures.

For purposes of my analysis, I separate what we might refer to as the derelict,
or Skid Row, or homeless inebriates, on the one hand, from the inebriates who do
have homes, families, and personal resources upon which they can rely. Although
the derelict inebriates represent a relatively small proportion of the total
alcoholic population -- ranging from 3 to 15 per cent, depending upon the statistics
on which you choose to rely -- they obviously represent the vast bulk of the chronic
inebriate problem in our courts and jails.

I would begin by suggesting, as I already have above, that any inebriate who
has a home and family to take care of him should be escorted promptly to that home
by the police, rather than arrested. Of course, if it appears to the policeman
that the inebriate is in medical danger, he should either be taken directly to a
medical facility or his family should be informed that medical help would appear
to be required.

Perhaps at some future time, when we have completely solved the problem of
handling drunken derelicts, we will be able to provide public facilities and programs
also for incbriates who are not direct public charges. But at this time, when we
cannot even begin to handle our drunken derelict population, I see no reason why
we should also attempt to take charge of those who do have resources of their own,
beyond making certain that they do get back home safely.

Thus, I would concentrate ourpublic resources almost completely upon the
chronic inebriate derelict. And my initial suggestion is that the old criminal
method of handling this population should be discarded and replaced by civil
procedures. This should be done, in my opinion, regardless whether all or only
part of the derelict inebriates found on the streets may have available to them
the defense of chronic alcoholism provided by the Easter and Driver decisions,

Let us examine for a moment whether there is any valid public policy reason
why a legislature should brand an intoxicated person who is causing no public
disturbance as a criminal. We must face reality. The public intoxication laws
in the District of Columbia never have been, and never will be, enforced uniformly
upon the public as a whole. And I doubt that the situation in Atlanta is different.
Police do not pick up intoxicated party-goers emerging from elegant dinner parties
or our suburban country clubs. I will not be the first to point out that there
are aS many intoxicated people on the streets of the exclusive residential areas
of our cities as there are in the Skid Row areas, and you will not be surprised
that very few of the prosperous drunks are arrested. Public intoxication statutes
are enforced against the poor, and in particular, the homeless man.

Should we as a civilized nation enact criminal laws aimed solely at a very
small, virtually defenseless, esthetically unacceptable segment of our population,
with the intent of simply sweeping them off the street and into oblivion? In my
opinion, the public intoxication statutes now on the books have no redeeming
social purpose, regardless of the issue of alcoholism, and they should not be
retained. Even worse, by substituting criminal sanctions for public health
measures, these statutes preclude the use of preventive techniques to head off
Bake

incipient alcoholism problems. Disorderly conduct statutes are quite sufficient
to protect the public from harm and these statutes should both be retained and

fully enforced.

The two Crime Commissions appointed by the President have, for these reasons,
recommended that the present public intoxication statute be amended to require
disorderly conduct in addition to drunkenness. And the President's Commission on
Crime in the District of Columbia has explicitly recognized that the usual mani-
festations of drunkenness, such as staggering, or falling down, or noisiness,
do not constitute any threat of harm to the public, and should not be considered
illegal disorderly conduct.

What, then, should be done with derelict inebriates found intoxicated on
the streets? I would suggest a three-part program.

First, an inebriate who, in the judgment of the police or authorized public
health personnel, is unable to take care of himself, should be brought to a
detoxification center that is staffed with public health personnel, to receive
whatever medical help for his acute intoxication may be necessary. This should be
a voluntary facility. The individual might be required to remain there for some
specified period of time in order to make certain that he will again be able to
take care of himself when he leaves. But he will not have been arrested, and
could not be detained for a longer period against his will.

Second, those inebriates who have a drinking problem will be encouraged to
remain for a longer period of time in an in-patient diagnostic center, where a
complete work-up can be prepared on his medical, social, occupational, family, and
other personal history. In my view, this should also be a completely voluntary
facility. A genuine offer of meaningful assistance should be the only inducement
used to persuade an inebriate to make use of it. And I might add that, never
before in our history, has any community reached out to these unfortunate people
with such an offer.

Third, a network of after-care facilities should be established to provide
food, shelter, clothing, vocational rehabilitation, and appropriate treatment,
rather than simply dumping the derelict back onto Skid Row. Perhaps the most
important aspect of this part of the program would be residential facilities, to
provide an entirely new atmosphere that will, hopefully, reverse the process of
degradation that has gradually forced the derelicts down to their present position.
As with the other facilities, these should, in my judgment, be entirely voluntary.

I would like to emphasize that a new program of this nature should not, in
my opinion, contain a long-term residential in-patient treatment facility of the
type now used to house the mentally ill. I would oppose any such facility on
both medical and legal grounds.

First, the public health authorities with whom I have conferred have convinced
me that long-term involuntary commitment to a residential facility makes effective
treatment for alcoholism more difficult. From their viewpoint, incarceration in
a health facility has the same degrading effect on the derelicts as incarceration
in jail. Both rob the inebriate of any willingness to attempt to find his way out
of his present situation in life, and make him more passively dependent upon
institutionalization. Those who are currently running programs inform me that
voJuntary out-patient care, when supported by residential facilities, has been
highly successful. If the community will only reach out to the derelict alcoholic
with adequate and appropriate help, he will respond. Once the crutch of jail is
removed, derelict inebriates voluntarily ask for assistence with their problems.
«12.

My second reason for opposing involuntary commitment procedures is on
constitutional grounds. We can all agree, I believe, that the derelict inebriate
poses no threat of actual harm to society. And he poses no greater threat of
harm to himself than do airplane test pilots, epileptics, mountain climbers,
cigarette smokers, Indianapolis Speedway drivers, and any number of people who
may refuse medical assistance for their non-communicable illnesses. None of
these people are involuntarily committed to institutions, nor could they be.

I therefore see no constitutional basis for depriving chronic alcoholics of
their freedom. against their will.

The type of program that I have outlined is not a Utopian dream. It has
been recommended by both Presidential Crime Commissions, And although there was
some dispute among the 28 members of these two Commissions, there was no dispute
whatever on these recommendations. In his February 6th message to Congress on
Crime in America, President Johnson specifically singeld out these recommendations
for public attention. And Congressman Elliott Hagan of Georgia has now introduced
a bill in the House of Representatives, H.R. 6143, that would adopt this approach
for the District of Columbia. It is, therefore, an entirely realistic and
practical objective, and not just an idealistic hope.

Of course, a program of the type that I outline will not eliminate the problem
of the chronic inebriate. There will undoubtedly be a significant number of
hard-core inebriates who will not change their ways regardless of what type of
treatment program is offered voluntarily or forced involuntarily upon them. We
must, therefore, forthrightly face the question of what should be done with them.

Since we can no longer handle them as criminals, as a result of the Easter
and Driver decisions, we are left with two choices. We can either warehouse them
forever on some type of an alcoholic farm, or we can process them through the type
of program I have described above. In my judgment, it would be unwise to institute
a warehousing system. Those who are close to the treatment of alcoholics tell me
that they are not willing ever to write off the possibility of helping even the
most hard-core chronic alcoholic. They cannot determine ahead of time who can be
helped, or how long it will take. In their judgment, warehousing of alcoholics,
regardless of how incalcitrant they may seem, is not medically warranted. And a
warehousing operation is, in my opinion, clearly indefensible from a constitutional
viewpoint. ;

The President's Commission on Crime in the District of Columbia squarely
faced this problem, and came to the following conclusion:

"For these unfortunate people, humanity demands that we stop treating them
as criminals and provide voluntary supportive services and residential
facilities so that they can survive in a decent manner."

This would require, of course, a complete overhaul of the present civil commitment
system in the State of Georgia. And it should, in my opinion, begin immediately.

VI

The alcoholism movement has too long suffered, I believe, from a defeatist
attitude. In the District of Columbia we have shown not only that the public will
accept the Easter decision, but also that it will not tolerate a Government that
refuses to help derelict alcoholics.
2138

Today, in Atlanta, you are taking a major step forward. But a conference
like this one is just the beginning. What we need now are man-to-man
confrontations among public officials, without fanfare or publicity, in which
practical solutions to pressing problems are worked out on a sensible basis.

If I have one message to leave with you today, I would urge you to start
the job immediately.

 

Talk Presented By Peter Barton Hutt To The Atlanta Bar Association,

Atlanta, Georgia, March 16, 1967.

 
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                    <text>C
C
A
A
Cl,uirman of the Board of Dirt•cton
hce Chairman
MRS RHODES L. PERD U E, Secrewry
w. L. CALLOWAY, A.,.\OC!Gtt• Se,reran•
A B PADGETT, Treasurt'r
JAMES P . FURNISS
om unity
ouncil o:f he
tlanta
rea inc.
CECIL ALEXANDER.
DUANE
w.
ONE THOUSAND GLENN BUILDING, 120 MARIETTA ST., N. W.
BECK .
Exe,111i1e Direc/or
ATLANTA, GEORGIA
30303
TELEPHONE 577-2250
INVITATION LIST FOR MEETING ON THE
CHRONIC ALCOHOLIC COURT OFFENDER
Co-sponsored by
Community Council of the Atlanta Area, Inc.
Metropolitan Atlanta Crime Commission
Tuesday, April 18
3:00 P.M.
Conference Room, Trust Company of Georgia
1.
Dr. John Venable, Director
State Board of Health
47 Trinity Avenue, S. W.
Atlanta, Georgia
2,
Dr. P. K. Dixon, Chairman
State Board of Health
Gainesville, Georgia
3.
Dr. Addison Duval, Director
Division of Mental Health
Department of Public Health
47 Trinity Avenue S. w.
Atlanta, Georgia
4.
J . William Pinkston, Executive Director
Grady Memorial Hospital
80 Butler Street, S. E.
Atlanta, Georgia
5.
Mr. Edgar J. Forio, Chairman
Fulton - DeKalb Hospital Authority
P. 0 . Drawer 1734
Atlanta, Georgia
6.
Dr. John Hackney, Commissioner of Health
Fulton County Health Department
99 Butler Street, S. E.
Atlanta, Georgia 30303
-
�-2-
7.
Mr. P. D. Ellis, Chairman
Fulton County Health Department
3230 Peachtree Road, N. E.
Atlanta, Georgia 30305
8.
Dr. T. O. Vinson, Director
DeKalb County Health Depar tment
126 Trinity Place West
Decatur, Georgia
9.
Dr. John R. Evans, Chairman
DeKalb County Board of Health
Stone Mountain, Georgia
10.
Mayor Ivan Allen, Jr.
City of Atlanta
204 City Hall
Atlanta, Georgia
11.
Ri chard C. Freeman, Chairman Police Committee
Board of Aldermen, City of Atlanta
1116 First National Bank Building
Atlanta, Georgia
12 .
John M. Flanigan, Chairman Prison Committee
Board of Aldermen, City of Atlanta
245 Third Avenue, s. E.
Atlanta, Georgia
13 .
He nry L. Bowden, City Attorney
Wi lliam Oli ver Building
Atlanta, Georgia
14.
Judge Robert E . Jones
165 Decatur Street, S. E.
At lant a, Geor gi a
15.
J udge E.T. Brock
165 Decat ur Street, S . E.
Atlanta , Geor gi a
16,
Judge T. C. Little
165 Decatur Street,
Atlanta, Georgia
s.
E.
Judge Robert Sparks
165 Decatur Street,
Atlanta, Georgia
s.
E.
[
17.
18 .
Police Chief Herbert T. Jenkins
165 Decatur Street, s. E,
Atlanta, Georgia
�-3-
19.
James H. Aldredge, Chairman
Commission of Roads &amp; Revenues, Fulton County
Fulton County Administration Building
165 Central Avenue, S.W.
Atlanta, Georgia 30303
20.
Charles Brown, Fulton County Commissioner
Fulton County Administration Building
165 Central Avenue, s.w.
Atlanta, Georgia 30303
21.
Walter M. Mitchell, Fulton County Commissioner
Fulton County Administration Building
165 Central Avenue, S.W.
Atlanta, Georgia 30303
22.
Harold Shea ts, County Attorney
Fu l ton County Court House
Atlanta, Georgia 30303
23.
James P. Furniss, Chairman
Board of Directors
Community Council of the Atlanta Area, I nc.
C &amp; S Nationa l Bank
Atlanta, Ge or gia 30303
24.
Brince Manning, Chairman
Board of Commissioners, DeKalb County
DeKalb Building
Decatu r , Geo rgi a 30030
25.
Geor ge Hearn, Assistant At t orney Genera l
St a te of Georg ia
r
J udi cial Bu ilding
At l a n ta , Ge o rgia 30303 .
26.
Paul Cadenhead, Chairma n
Community Council Advisory Commit t ee on Alcoholism
2434 Bank of Geo rg ia Building
Atlant a , Geo rgia 30303
27.
Eugene Branch , Chairman , Permanent Conference, CCAA, Inc,
401 Haas-Howell Building
Atlanta, Georgia 30303
28.
Charles Methvin, Di rector
State Alcoholic Rehabilitation Unit
1260 Briarcliff Road, N.E.
Atlanta, Georgia 30306
29.
Jack Watson
King &amp; Spalding
Trust Company of Georgia Building
Atlanta, Georgia
30303
�-4 30.
Captain Ralph Hulsey
City Prison Farm
561 Key Road, S.E.
Atlanta, Georgia 30316
31.
Dr. James A. Alford
Alcohol Rehabilitation Project
41 Exchange Place, S.E.
Atlanta, Ga. 30303
32.
Mrs. Marian Glustrom, Planning Associate
Community Council of the Atlanta Area, Inc.
1000 Glenn Building
Atlanta, Ga. 30303
33.
Duane w. Beck, Executive Director
Community Council of the Atlanta Area, Inc.
1000 Glenn Building
Atlanta, Ga. 30303
34.
James L. McGovern, Executive Director
Metropolitan Atlanta Commission on
Crime &amp; Juvenile Delinquency
52 Fairlie Street, N.W.
Atlanta, Ga. 30303
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              <text>PPaNa

 

#20 MARIETTA ST... N. W. ATLANTA, GEORGIA 30303

INVITATION LIST FOR MEETING ON THE
CHRONIC ALCOHOLIC COURT OFFENDER

Co-sponsored by
Community Council of the Atlanta Area, Inc.
Metropolitan Atlanta Crime Commission

Tuesday, April 18
3:00 P.M.
Conference Room, Trust Company of Georgia

Dr. John Venable, Director
State Board of Health

47 Trinity Avenue, S. W.
Atlanta, Georgia

Dr. P. K. Dixon, Chairman
State Board of Health
Gainesville, Georgia

Dr. Addison Duval, Director
Division of Mental Health
Department of Public Health
47 Trinity Avenue S. W.
Atlanta, Georgia

J. William Pinkston, Executive Director
Grady Memorial Hospital

80 Butler Street, S. E.

Atlanta, Georgia

Mr. Edgar J. Forio, Chairman
Fulton - DeKalb Hospital Authority
P. QO. Drawer 1734

Atlanta, Georgia

Dr. John Hackney, Commissioner of Health
Fulton County Health Department

99 Butler Street, S. E.

Atlanta, Georgia 30303
10.

ll.

12.

13,
14,
15,
16.
Le.

18,

Mr. P. D. Ellis, Chairman
Fulton County Health Department
3230 Peachtree Road, N, E.
Atlanta, Georgia 30305

Dr. T, O. Vinson, Director
DeKalb County Health Department
126 Trinity Place West

Decatur, Georgia

Dr. John R. Evans, Chairman
DeKalb County Board of Health
Stone Mountain, Georgia

Mayor Ivan Allen, Jr.
City of Atlanta

204 City Hall
Atlanta, Georgia

Richard C, Freeman, Chairman Police Committee
Board of Aldermen, City of Atlanta

1116 First National Bank Building

Atlanta, Georgia

John M, Flanigan, Chairman Prison Committee
Board of Aldermen, City of Atlanta

245 Third Avenue, S. E.

Atlanta, Georgia

Henry L. Bowden, City Attorney
William Oliver Building
Atlanta, Georgia

Judge Robert E. Jones
165 Decatur Street, S. E.
Atlanta, Georgia

Judge E, T. Brock
165 Decatur Street, S. E.
Atlanta, Georgia

Judge T. C, Little
165 Decatur Street, S. E,
Atlanta, Georgia

Judge Robert Sparks
165 Decatur Street, S. E.
Atlanta, Georgia

Police Chief Herbert T. Jenkins
165 Decatur Street, S. E,.
Atlanta, Georgia
19,

20.

ZT 6

22.

aos

24,

25.

26.

2s

28.

29.

~3e
James H. Aldredge, Chairman
Commission of Roads &amp; Revenues, Fulton County
Fulton County Administration Building
165 Central Avenue, S.W.
Atlanta, Georgia 30303

Charles Brown, Fulton County Commissioner
Fulton County Administration Building

165 Central Avenue, S.W.

Atlanta, Georgia 30303

Walter M. Mitchell, Fulton County Commissioner
Fulton County Administration Building

165 Central Avenue, 5S.W.

Atlanta, Georgia 30303

Harold Sheats, County Attorney
Fulton County Court House
Atlanta, Georgia 30303

James P, Furniss, Chairman

Board of Directors

Community Council of the Atlanta Area, Inc.
C &amp; S National Bank

Atlanta, Georgia 30303

Brince Manning, Chairman

Board of Commissioners, DeKalb County
DeKalb Building

Decatur, Georgia 30030

George Hearn, Assistant Attorney General
State of Georgia é
Judicial Building

Atlanta, Georgia 30303

Paul Cadenhead, Chairman

Community Council Advisory Committee.on Alcoholism
2434 Bank of Georgia Building

Atlanta, Georgia 30303

Eugene Branch, Chairman, Permanent Conference, CCAA, Inc.
401 Haas-Howell Building
Atlanta, Georgia 30303

Charles Methvin, Director

State Alcoholic Rehabilitation Unit
1260 Briarcliff Road, N.E.

Atlanta, Georgia 30306

Jack Watson

King &amp; Spalding

Trust Company of Georgia Building
Atlanta, Georgia 30303
30,

al.

32.

33,

34,

Captain Ralph Hulsey
City Prison Farm

561 Key Road, S.E.
Atlanta, Georgia 30316

Dr. James A, Alford

Alcohol Rehabilitation Project
41 Exchange Place, S.E.
Atlanta, Ga, 30303

Mrs. Marian Glustrom, Planning Associate
Community Council of the Atlanta Area, Inc,
1000 Glenn Building

Atlanta, Ga. 30303

Duane W. Beck, Executive Director
Community Council of the Atlanta Area, Inc,
1000 Glenn Building

Atlanta, Ga, 30303

James L. McGovern, Executive Director

Metropolitan Atlanta Commission on
Crime &amp; Juvenile Delinquency

52 Fairlie Street, N.W.

Atlanta, Ga, 30303
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                    <text>"IMPACT OF THE EASTER DECISION ON THE DISTRICT OF COWMBIA"
by
Richard J . Tatham
(D.C . Department of Public Health)
This is Richard J . Tatham, Chief of the Office of Alcoholism and Drug Addiction
Program Development, for the District of Columbia Department of Health. I've
been asked to relate to you some of our recent experiences in the District of
Columbia which have resulted from a U. S. Court of Appeals decision last March 31,
1966, in the case of DeWitt Easter vs the Court of Columbia. As many of you know,
the result of this court decision was a reversal of court decisions which found
DeWitt Easter to be guilty of the crime of intoxication, in spite of the fact
that he had clearly established that he was a chronic alcoholic . This decision
was appealed to the US . Court of Appeals and it was found that alcoholism is an
illness and that it would constitute cruel and unusual punishment for a sick
person to be convicted and punished for exhibiting a symptom of his illness in
public, and it was further established that the essential comm.on law element of
criminal intent is lacking when an alcoholic becomes intoxicated. As a result of
this case, the Court of General Sessions began utilizing the Alcoholic Rehabilitation Act of 1947, which authorized that court, in the District of Columbia, to
suspend criminal. hearings whenever a defendant was suspected of having an
alcoholism. problem and to commit that person to the Department of Public Health
for diagnosis, classification, and treatment. The 47th Statute had been used
on the average of 100 times each year between the years 1950 and 1963, and was ,
therefore, nothing new to the court or to the Health Department . However, in more
recent years its use was discontinued as the court began to develop its own probation program for alcoholic offenders . Last year the U. S. Court of Appeals
strongly urged the District of Columbia to use its 47th Statute once again and as
a result of t his admoniti on some 3500 indi viduals have been adjudi cat ed under the
47th Statute to be chronic alcoholics and the majority of these have been
committed to the Health Department for t r eatment . At the time of the Easter
Decision , the D.C. Health Department operated t hree alcoholism t reatment facil i t i e s; namely, an outpatient clinic , known as the Alcoholic Rehabilitati on Cl i nic ;
a hospi t al unit for intensi ve medical care at the D.C. General Hospital; and, a
brand new comprehensive i n-patient, out-patient uni t at our Area C Mental Heal.th
Center. However, the l atter faci l i ty was only in i t s begi nning phases with a
skeleton staf f and was not really able to participate appreciably to handle a
court alcoholic pr oblem. Likewise , the in-pat ient f acility at D.C . Gener al Hospit aj
concentrat ed on t he shor t -t erm i ntensive treat ment f or del irium t remens,
hallucinosis, and ot her serious complicat i ons of alcoholism, and so ver y few of
the court- committed alcoholics were eligi ble f or t his service. The only remaini ng
t reatment facility i s our out-patient clinic. Now in the month immediat ely
following t he East er Deci sion , only s i x patient s were commi tted to t he Health
Department. In the month of May, the number jumped up t o 100 and by June, 300
new patients were committed to us . By this t ime, patients were being t r ansported
from the court t o t he out -pati ent cl i nic by the busl oad with as many as 50 or
more arriving at a time. The out-patient clinic had no choice but to accept these
in spite of the fact that the clinic was not designed t o accommodate the needs of
the patients we were receiving. Utter chaos followed. All attempts to utilize
existing Health Department resources resulted only in the addition of a few parttime people on an over-time basis in order that the clinic could operate evenings
and Saturdays. Now, nine months after the Easter Decision, the same situation
prevaiis ~Tith one exception - we now have an additional facility - a 425-bed,
extended-care rehabilitation center located just outside the District of Columbia
in Occoquan, Virginia. This facility opened November 14, 1966, and was filled to
�-2-
capacity in less than six weeks, so once again the Health Department is unable
to accommodate all the patients who require in-patient treatment and these
patients are once again going to our out-patient clinic.
A recent article in the Washington Post indicated that the Director of this outpatient clinic is threatening to leave the Health Department unless the situation
is alleviated somehow . The patients are still coming to clinic in droves. While
they are there, they have entered into fights with other patients, members of the
clinic staff have been assaulted, patients have urinated and expectorated in the
clinic and this has created a situation which threatens the entire survival of a
treatment program that has been in existence since 1949 .
..
The solution of this problem is not a simple one. One mlght believe that the
Health Department had not anticipated the reversal in the Easter Case; however,
this is not true. Well in advance of the Easter Decision, the Health Department,
along with representatives from Vocational Rehabilitation, Correction, Administration, and Welfare Departments prepared an ad hoc report dealing with the
possible impact of an Easter Decision, This report clearly pointed out same of
the problems which might arise and also outlined certain new services and facilities
which might be needed. However, no action was taken by our Board of Commissioners.
The reason for this included the fact that the Commissioners had no assurance that
the Easter Case would be reversed and even if it would be reversed they had no
assurance that the impact would be great. For example, even though the Easter
Case would be reversed, the judges in our local courts might insist that the
question of alcoholism would have to be introduced by the defendant himself and
many alcoholics appearing in court, of course, would choose not to introduce the
problem of alcoholism. By avoiding the question of alcoholism they could return
to their workhouse where they have been long-time residents - they lmew that they
would serve an average of 21 days and the9 could be released without any pa.role
or any other obligations . However, if they should bring up the question of
alcoholism, they might very well be committed to the Health Department for 90 days
with a possibility that a second 90-day committment would follow. With this in
mind, there was much speculation that the courts would not use the Easter Decision
as a base of future action in very many cases. In addition to this, the problem
was complicated by the fact that the corporation counsel, lmown in other cities
as a prosecuting attorney, felt very strongly that according to the definition of
our 1947 Statute, there could not possibly be more than 20 or 30 chronic alcoholics
in the entire District of Columbia. Activities since then have proven quite the
contrary. The pr oblem has become so great that it was necessary to set up a
court-coordination program and patient control system in order to just keep track
of the ~ultitude of patients being committed to us by the court. The situation
became so bad that the Health Department was instructed that it must cut off all
voluntary patient admissions at its treatment facilities in order to make room for
the court-co!filllitted patients.
In evaluating the problems that have occurred since the Easter Decision, the
Department has consistently fallen back on its basic comprehensive community
mental health plan, which points out the needs for various facilities ranging
f'rom the extended care rehabilitation center we now operate to mental health
center alcoholism units providing both in-patient and out-patient treatment to
detoxification centers to residential facilities such as hostels and half-way
houses. The big problem, obviously, is the magnitude of the program which we
have proposed and the fact that one or two components of the program still do not
alleviate the problem of handling court-committed patients. Until a. complete
�-3system is available and operating which can provide all of the services needed
by this particular patient population, there will be chaos in treating the chronic
court offender. If we do not have community based residential facilities, then
we will either have to expand our in-patient hospital at Occoquan, Virginia.,
or we will have to substitute out-patient treatment with all its inadequacies
for this homeless pat'ient group.
The District of Columbia is presently spending approximately $3,000,000 per year
on the alcoholic patients seen by the Health Department. Of this figure,
approximately $1,000,000 a year is expended on the care of alcoholics having
psychosis who are admitted to St . Elizabeths Hospital and paid for by the Health
Department on a contract basis. The other $2,000,000 accounts for our present
services at the rehabilitation center, at the Area C alcoholism unit and at our
out-patient clinic. Also, the figure includes the cost of providing our court
coordination and patient control system, a small alcoholism TB Program at
Glendale Hospital, and our new demonstration detoxification unit.
As we are busily trying to expand our services to accommodate the needs of the
court-committed patients, we are faced with a new problem which has come to light
within the past few weeks in Washington. Our information indicates that two new
bills are to be introduced to Congress this session. One by the administration,
a second by Congressman Hagan from Georgia. Each bill would introduce a new
concept in law enforcement as each would remove intoxication from the criminal
code entirely. This would mean that if either of these bills wa.s passed, an
individual could not be arrested for being intoxicated only in the District of
Columbia. It would mean that if an intoxicated person is helpless, has no place
to go, he could be escorted by a police or Health Department official to a health
facility for detoxification. He would be kept in such a detoxification faciltiy
until his blood alcohol content returned to the legal limits of sobriety and then
could be continued in treatment for alcoholism as a voluntary patient or released
outright. This would mean that our att~ntion to the problems of getting
sufficient hospital care resources for court-committed alcoholics would shift
almost immediately to the problem of obtaining sufficient in-patient detoxification
resources within the community itself. I think this is an excellent example of
bow dynamic the field of alcoholism bas become as a public health problem and
indicates the importance of planning coupled with flexibility; and, above all, it
impresses with the importance of the ma,enitude of the problem. Most communities
have never accepted the f'ull impact of the statement that alcoholism is the nations
third or fourth public health problem. We have mouthed this saying without
real izing the financial impact that it carries . As I said earlier , our community
is eX]?endir-g approximately $3,000,000 a year on alcoholics. Now I'm talking
about the Health Departments budget - I'm not adding to this figure what the
Police Department, what the courts, what the Department of Corrections , and other
departments are allocating to the care of alcoholics - just the Health Department.
This $3,000,000 figure, in our estimation, will probably have to be doubled to a
$6,000,000 annue.l. figure just to take care of the immediate emergency problems
arising from the Easter Decision and the possible new legislation which would
remove intoxication frcm the criminal code. Now, in creating these new services,
of course we would hope any new program would be considered an additional resource
for voluntary patients also; but, it's interesting to note that our 1947 Statute
and the Easter Decision and the possible new statutes removing intoxication from
the criminal code, all focus on the alcoholic who is a. law offender and quite often
the most important patient in this group is the chronic drunkenness offender with
fifty or more previous arrests for drunkenness. This means that today, alcoholism,
even though a public health problem, is reaching the public's attention through
the judicial activities of the community and of the nation; that a complete
�-4revision of some rather well established principles is being questioned; and
that new approaches are being encouraged; and that these new approaches will
require new funds of considerable magnitude unless the community is satisfied
that the treatment of the chronic alcoholic offender should consist of removing
him from the streets only - and I think this is a very real problem that we
face in firmly maintaining that alcoholism, the skid row alcoholic, the chronic
drunkenness offender, is to become truly a public health problem. That the high
quality treatment, the high standards of services that we provide other alcoholic
patients are made available to the chronic drunkenness offender - now this does
not mean that the chronic offender necessarily can benefit from the same type of
treatment that our other alcoholic patients are involved in; but it does mean
that whatever services are provided for them, they are the highest possible
quality of services to meet the needs of this important patient population.
I have been impressed as I have visited many alcoholism facilities throughout this
nation with the fact that even though the Easter Decision is more than nine months
old and that a similar decision in the case of Joe B. Driver in the Fourth
Circuit Court of Appeals at Richmond, Virginia, have established a new legal
precedent, and that these precedents have been set on both a constitutional and
common-law basis and there is no doubt that tbe precedent will spread from state
to state and circuit to circuit; yet in spite of all these things, many alcoholism
programs do not seem to be planning to take care of this situation when it
inevitably happens in their own state and community and I was, therefore, very
pleased to see that in Atlanta there is planning being initiated and that the
Community Council here in Atlanta is drafting a proposal which will be submitted
as an answer to the problems that can arise here; that there are a number of
people interested in the chronic alcoholic offender; and that services are being
demonstrated now which can be extremely important in meeting the treatment, the
rehabilitation, the residential, and other needs of this impoverished group. We
fe el quite strongly in the District of Columbia that we have been bogged down in
our own problems for over a year and that it's now perhaps our responsibility to
communicate our experiences and observations to others throughout the country and
Canada in order that some of the problems, the mistakes, and the frustrations experienced in Washington can be minimized elsewhere and it has been with this
thought in mind that I have shared these comments with the staff of the Georgian
Clinic and others who might come into contact with this tape recording.
Richard J . T~tham , Chief
Office of Alcoholism &amp; Drug Addict i on
Program Development
Government of the District of Columbia
Department of Public Health
Washington, D.C.
RJT:
2-24-67
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              <text>"IMPACT OF THE EASTER DECISION ON THE DISTRICT OF COLUMBIA"
by
Richard J. Tatham
(D.C. Department of Public Health)

This is Richard J. Tatham, Chief of the Office of Alcoholism and Drug Addiction
Program Development, for the District of Columbia Department of Health. I've
been asked to relate to you some of our recent experiences in the District of
Columbia which have resulted from a U.S. Court of Appeals decision last March 31,
1966, in the case of DeWitt Easter vs the Court of Columbia. As many of you know,
the result of this court decision was a reversal of court decisions which found
DeWitt Easter to be guilty of the crime of intoxication, in spite of the fact
that he had clearly established that he was a chronic alcoholic. This decision
was appealed to the U.S. Court of Appeals and it was found that alcoholism is an
illness and that it would constitute cruel and unusual punishment for a sick
person to be convicted and punished for exhibiting a symptom of his illness in
public, and it was further established that the essential common law element of
criminal intent is lacking when an alcoholic becomes intoxicated. As a result of
this case, the Court of General Sessions began utilizing the Alcoholic Rehabili-
tation Act of 1947, which authorized that court, in the District of Columbia, to
suspend criminal hearings whenever a defendant was suspected of having an
alcoholism problem and to commit that person to the Department of Public Health
for diagnosis, classification, and treatment. The 47th Statute had been used

on the average of 100 times each year between the years 1950 and 1963, and was,
therefore, nothing new to the court or to the Health Department. However, in more
recent years its use was discontinued as the court began to develop its own pro-
bation program for alcoholic offenders. Last year the U.S. Court of Appeals
strongly urged the District of Columbia to use its 47th Statute once again and as
&amp; result of this admonition some 3500 individuals have been adjudicated under the
47th Statute to be chronic alcoholics and the majority of these have been
committed to the Health Department for treatment. At the time of the Easter
Decision, the D.C. Health Department operated three alcoholism treatment facili-
ties; namely, an outpatient clinic, known as the Alcoholic Rehabilitation Clinic;
a hospital unit for intensive medical care at the D.C, General Hospital; and, a
brand new comprehensive in-patient, out-patient unit at our Area C Mental Health
Center, However, the latter facility was only in its beginning phases with a
skeleton staff and was not really able to participate appreciably to handle a
court alcoholic problem. Likewise, the in-patient facility at D.C. General Hospitai
concentrated on the short-term intensive treatment for delirium tremens,
hallucinosis, and other serious complications of alcoholism, and so very few of
the court-committed alcoholics were eligible for this service. The only remaining
treatment facility is our out-patient clinic. Now in the month immediately
following the Easter Decision, only six patients were committed to the Health
Department. In the month of May, the number jumped up to 100 and by June, 300
new patients were committed to us. By this time, patients were being transported
from the court to the out-patient clinic by the busload with as many as 50 or
more arriving at a time. The out-patient clinic had no choice but to accept these
in spite of the fact that the clinic was not designed to accammodate the needs of
the patients we were receiving. Utter chaos followed. All attempts to utilize
existing Health Department resources resulted only in the addition of a few part-
time people on an over-time basis in order that the clinic could operate evenings
and Saturdays. Now, nine months after the Easter Decision, the same situation
prevails with one exception - we now have an additional facility ~ a 425-bed,
extended-care rehabilitation center located just outside the District of Columbia
in Occoquan, Virginia, This facility opened November 14, 1966, and was filled to
-2-

capacity in less than six weeks, so once again the Health Department is unable
to accommodate all the patients who require in-patient treatment and these
patients are once again going to our out-patient clinic.

A recent article in the Washington Post indicated that the Director of this out-

patient clinic is threatening to leave the Health Department unless the situation
is alleviated somehow. The patients are still coming to clinic in droves. While
they are there, they have entered into fights with other patients, members of the
clinic staff have been assaulted, patients have urinated and expectorated in the

clinic and this has created a situation which threatens the entire survival of a

treatment program that has been in existence since 1949.

The solution of this problem is not a simple one. One might believe that the
Health Department had not anticipated the reversal in the Easter Case; however,
this is not true. Well in advance of the Easter Decision, the Health Department,
along with representatives from Vocational Rehabilitation, Correction, Adminis-
tration, and Welfare Departments prepared an ad hoc report dealing with the
possible impact of an Easter Decision, This report clearly pointed out some of
the problems which might arise and also outlined certain new services and facilities
which might be needed. However, no action was taken by our Board of Commissioners.
The reason for this included the fact that the Commissioners had no assurance that
the Easter Case would be reversed and even if it would be reversed they had no
assurance that the impact would be great. For example, even though the Easter
Case would be reversed, the judges in our local courts might insist that the
question of alcoholism would have to be introduced by the defendant himself and
many alcoholics appearing in court, of course, would choose not to introduce the
problem of alcoholism, By avoiding the question of alcoholism they could return
to their workhouse where they have been long-time residents - they knew that they
would serve an average of 21 days and then could be released without any parole

or any other obligations. However, if they should bring up the question of
alcoholism, they might very well be committed to the Health Department for 90 days
with a possibility that a second 90-day committment would follow. With this in
mind, there was much speculation that the courts would not use the Easter Decision
as @ base of future action in very many cases, In addition to this, the problem
was complicated by the fact that the corporation counsel, known in other cities

as a prosecuting attorney, felt very strongly that according to the definition of
our 1947 Statute, there could not possibly be more than 20 or 30 chronic alcoholics
in the entire District of Columbia. Activities since then have proven quite the
contrary. The problem has become so great that it was necessary to set up a
court-coordination program and patient control system in order to just keep track
of the x~ultitude of patients being committed to us by the court. The situation
became so bad that the Health Department was instructed that it must cut off all
voluntary patient admissions at its treatment facilities in order to make room for
the court-committed patients.

In evaluating the problems that have occurred since the Easter Decision, the
Department has consistently fallen back on its basic comprehensive community
mental health plan, which points out the needs for various facilities ranging
from the extended care rehabilitation center we now operate to mental health
center alcoholism units providing both in-patient and out-patient treatment to
detoxification centers to residential facilities such as hostels and half-way
houses. The big problem, obviously, is the magnitude of the program which we
have proposed and the fact that one or two components of the program still do not
alleviate the problem of handling court-committed patients. Until a complete
eeu

system is available and operating which can provide all of the services needed

by this particular patient population, there will be chaos in treating the chronic
court offender. If we do not have community based residential facilities, then
we will either have to expand our in-patient hospital at Occoquan, Virginia,

or we will have to substitute out-patient treatment with all its inadequacies

for this homeless patient group.

The District of Columbia is presently spending approximately $3,000,000 per year
on the alcoholic patients seen by the Health Department. Of this figure,
approximately $1,000,000 a year is expended on the care of alcoholics having
psychosis who are admitted to St. Elizabeths Hospital and paid for by the Health
Department on a contract basis. The other $2,000,000 accounts for our present
services at the rehabilitation center, at the Area C alcoholism unit and at our
out-patient clinic. Also, the figure includes the cost of providing our court
coordination and patient control system, a small alcoholism TB Program at
Glendale Hospital, and our new demonstration detoxification unit.

As we are busily trying to expand our services to accommodate the needs of the
court-committed patients, we are faced with a new problem which has come to light
within the past few weeks in Washington. Our information indicates that two new
bills are to be introduced to Congress this session. One by the administration,

a second by Congressman Hagan from Georgia. Each bill would introduce a new
concept in law enforcement as each would remove intoxication from the criminal
code entirely. This would mean that if either of these bills was passed, an
individual could not be arrested for being intoxicated only in the District of
Columbia, It would mean that if an intoxicated person is helpless, has no place
to go, he could be escorted by a police or Health Department official to a health
facility for detoxification. He would be kept in such a detoxification faciltiy
until his blood alcohol content returned to the legal limits of sobriety and then
could be continued in treatment for alcoholism as a voluntary patient or released
outright. This would mean that our attention to the problems of getting
sufficient hospital care resources for court-committed alcoholics would shift
almost immediately to the problem of obtaining sufficient in-patient detoxification
resources within the community itself. I think this is an excellent example of
how dynemic the field of alcoholism has become as a public health problem and
indicates the importance of planning coupled with flexibility; and, above all, it
impresses with the importance of the magnitude of the problem. Most communities
have never accepted the full impact of the statement that alcoholism is the nations
third or fourth public health problem. We have mouthed this saying without
realizing the financial impact that it carries. As I said earlier, our community
is expending approximately $3,000,000 a year on alcoholics. Now I'm talking

about the Health Departments budget - I'm not adding to this figure what the

Police Department, what the courts, what the Department of Corrections, and other
departments are allocating to the care of alcoholics - just the Health Department.
This $3,000,000 figure, in our estimation, will probably have to be doubled to a
$6,000,000 annual figure just to take care of the immediate emergency problems
arising from the Easter Decision and the possible new legislation which would
remove intoxication from the criminal code. Now, in creating these new services,
of course we would hope any new program would be considered an additional resource
for voluntary patients also; but, it's interesting to note that our 1947 Statute
and the Easter Decision and the possible new statutes removing intoxication from
the criminal code, all focus on the alcoholic who is a law offender and quite often
the most important patient in this group is the chronic drunkenness offender with
fifty or more previous arrests for drunkenness. This means that today, alcoholism,
even though a public health problem, is reaching the public's attention through
the judicial activities of the community and of the nation; thet a complete
alfe

revision of some rather well established principles is being questioned; and
that new approaches are being encouraged; and that these new approaches will
require new funds of considerable magnitude unless the community is satisfied
that the treatment of the chronic alcoholic offender should consist of removing
him from the streets only - and I think this is a very real problem that we

face in firmly maintaining that alcoholism, the skid row alcoholic, the chronic
drunkenness offender, is to become truly a public health problem. That the high
quality treatment, the high standards of services that we provide other alcoholic
patients are made available to the chronic drunkenness offender - now this does
not mean that the chronic offender necessarily can benefit from the same type of
treatment that our other alcoholic patients are involved in; but it does mean
that whatever services are provided for them, they are the highest possible
quality of services to meet the needs of this important patient population.

I have been impressed as I have visited many alcoholism facilities throughout this
nation with the fact that even though the Easter Decision is more than nine months
old and that a similar decision in the case of Joe B. Driver in the Fourth
Circuit Court of Appeals at Richmond, Virginia, have established a new legal
precedent, and that these precedents have been set on both a constitutional and
common-law basis and there is no doubt that the precedent will spread from state
to state and circuit to circuit; yet in spite of all these things, many alcoholism
progrems do not seem to be planning to take care of this situation when it
inevitably happens in their own state and community and I was, therefore, very
Pleased to see that in Atlanta there is planning being initiated and that the
Community Council here in Atlanta is drafting a proposal which will be submitted
as an answer to the problems that can arise here; that there are a number of
people interested in the chronic alcoholic offender; and that services are being
demonstrated now which can be extremely important in meeting the treatment, the
rehabilitation, the residential, and other needs of this impoverished group. We
fecl quite strongly in the District of Columbia that we have been bogged down in
our own problems for over a year and that,it's now perhaps our responsibility to
communicate our experiences and observations to others throughout the country and
Canada in order that some of the problems, the mistakes, and the frustrations ex-
perienced in Washington can be minimized elsewhere and it has been with this
thought in mind that I have shared these comments with the staff of the Georgian
Clinic and others who might come into contact with this tape recording.

Richard J. Tatham, Chief

Office of Alcoholism &amp; Drug Addiction
Program Development

Government of the District of Columbia

Department of Public Health

Washington, D.C.

RJT: 2-24-67
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                    <text>r
C
C
A
A
Choirman of the Board of Din •ctms
Vice Chairman
MRS . RHODES L. PERDUE, Secrerwy
w . L. CALLOWAY. As .. ocrare ,S'ecrerary
A. B. PADGETT, Treasurer
JAMES P. FURNISS
ommunity
ouncil o:f the
tlanta
rea inc.
CECIL ALEXANDER .
DUANE W . BEC K.
ONE THOUSAN D G LE NN BUILDING, 120 MARIETT A ST., N. W.
Exenuhe Director
ATLANTA, GEORGIA
30303
TELEPHONE 577-2250
Report 67-1
March, 1967
TREATMENT PLAN FOR THE CHRONIC ALCOHOLIC COURT OFFENDER
This report is the result of the work of the Advisory Committee on
Alcoholism of the Community Council of the Atlanta Area, Inc., and
was compiled and written by staff of the Council. Approved by the
Executive Committee of the Community Council on March 2, 1967.
Paul Cadenhead, Chairman
Mrs. Marian Glustrom, Staff, CCAA
Eugene Branch, Chm., Permanent Conferenc e
Mrs. Inez B. Tillison, Assoc. Dir., CCAA
Committee Members
Asa Barnard, Division of Vocational Rehabilitation
Paul Cadenhead, Atlanta Bar Association
Chaplain Joseph Caldwell, Candler School of Theology
T. A. Carroll, Alcoholics Anonymous
Grover Causby, Georgia Department Family &amp; Children Services
Dr. Sheldon Cohen, Fulton County Medical Society
Mrs. Marian J. Ford, Travelers Aid
Dr. Vernelle Fox, Georgian Clinic
s. C. Griffith, Jr., Atlanta Hospital Council
Bruce Herrin, Emory Univ, Alcohol Vocational Rehabilitation Pr oject
Dr . Sidney Isenberg, Fulton County Medical Society
Henry Jackson, St. Jude's House, Inc.
Wilbu r Stanley, Georgia Department of Education
Mrs . Nita Stephens, Fulton County Dept. Family &amp; Child r en Se rv ices
Ma jo r John St ra ng , Salvation Army
Reve r end Russell St r ange, Atl a nt a Union Mission
Ernest Wr i ght , Geo r g i a De pa rtmen t of Labor
�•
TREATMENT PLAN
for
THE CHRONIC ALCOHOLIC COURT OFrENDER
I.
Background
The problem of the chronic alcoholic court offender is not a new one in
Atlanta. The courts and many other agencies have been aware of it for many
years, and attempts have been made to meet it. Over 10 years ago, Municipal
Court judges became concerned with the problem because it was occupying an
increasing amount of the court's time.
It became increasingly evident that
repeatedly arresting these individuals, trying them, sentencing them, and
having them pay fines, serve time or both, was not allev iating the problem.
Even turning these individuals over to a higher court as habitual drunkards
helped only to the extent that men spe nding 12 months in prison could no t
be rearrested and appear in court during that time. A large percentage of
those who did serve 12 months in prison were back in jail for "plain drunk"
within days and sometimes even hours after being released from prison.
At a bout this time, the judge s were approached by several individual s , some
o f whom were ex-alcoholics, who volunt e ered their services a s a Helping Hand
Society to do wha t they could to help t hese individuals c a ught in what is
regarded as the "revolving door of drunkenness"--arrest-jail-release-drunkenne s s-arrest, etc. At this same time, Mr. He nry Jackson, who had 18 years
of e x tensive e x p e rience working with alcoholics, was added to the Municipa l
Court staff as the Director of the Alcohol i c Rehabilitation Prog ram.
Jud ge J a mes E. Webb a cce pt e d the offers o f h e lp a nd se t up a sys tem where b y
ind i v iduals who were brought to court for pla in public intoxication could,
by request , be probated to the Helping -Hand Soci e ty. At the discretion o f
the judge and r e pre sentatives of the Helping Hand Society, a n individual wa s
acce pte d on the p r og ram, and for a probation per iod o f 60 d a ys h e was e x p ected t o coope r a t e with the Soci e ty.
The program cons i sted o f t h ree e s sentia l things:
1) b ei ng a friend to t h e i n d i v i du a l wi t h a d r inking p rob l em;
2 ) he l ping him find f ood, clo t h i ng a nd s h e l ter ; 3 ) p rovid ing fe l lowship for
the ind i vidual in a new envi r onment away from drinking establishment s.
Because o f the l ack of p r oper f a c i l i t ies to carry out the f u nction s of the
Helping Hand Society, t he pro gram, a l thou gh s u c c es s f u l with s ome, was u nab l e
to reach the majori t y o f the chro nic court offenders, a n d t h e Municipal Court
caseload continued to grow at an a l arming rate.
In 1961, Ju dge Webb and the lea d er s of th~ Helping Ha n d Society decided that
if an increase in facil it ie s for the treatme nt of alc o holism we re at their
disposal, they could do a better j ob of rehabilitating larger numbers of
chronic alcoholic court offenders.
They approached the Community Council of
the Atlanta Area, Inc. The Council re~ommended that further study be done.
The City of Atlanta, Fulton County, and a group of business leaders agreed
to provide the funds for a one year study to be made by the Department of
Psychiatry of Emory University. The study was designed to gather data,
�Page 2
analyze the data, and make recommendations based on this data to better deal
with the problem of the chronic alcoholic court offender and his family.
The
study began on July 1, 1962 and ended June 30, 1963. The following is a
summary of the committee's recommendations:
1.
That a new facility, an Intensive Treatment Center, be established with
City and County funds to provide inpatient and outpat i ent services using
a multi-discipline approach. That these services be coordinated with
all other treatment and rehabilitation services for alcoholism.
2.
To continue the present Helping Hand Halfway House, with some City and
County funds made available for this facility, as a model for the establishment and development of other halfway houses in the community.
3.
That at least one Alcoholic Information and Referral Center be established
on an experimenta l basis, in one of the neighborhood areas of particularl y
heavy drinking, this Center to be staffed primarily with volunteers.
4.
To provide better training to policemen in the recognition of "intox icatio~' and its various causes.
5.
That there be medical screening in the City Jail of all intox icated p r i s oners immediately following the arrest of these persons.
That t hose in
need of any medical attention be immed i atel y transferred to Grad y Memorial Hospital for this medical ca r e.
6.
Tha t the lega l procedures now e x isting be r evised so that an individual
can be processed from the time o f his arrest un t il disposition o f hi s
case h a s been mad e by the multi-Qiscipline team previousl y mentioned .
7.
Tha t some of t h e approaches to alcoholics at the Cit y Pri s on Fa rm be mod i f ied so that trea t ment and rehabilitation can be c a rried out in this
setting. Tha t an effort be made in the Ci ty P r ison Fa r m to eva lu a t e the
mental a nd phy sic a l condition of the alcoholic prisoners and a p r og ra m
o f re h a b i li tat ion be ins t ituted for e a ch of these pe r sons.
Some st ride s have bee n made in implementing these r e c omme nd a tio n s , bu t we
s t ill have a l o ng way to g o a s wi l l be s e en i n ot h e r sectio n s o f this repo rt.
Lack o f funds , s hortage o f sta f f a nd publ i c apa thy have combine d to hi n der
pro gre ss.
Recent events, ho wever, have mad e it i mperative t ha t we deve l o p and carry
o ut plans f o r the chronic alc o h ol ic c ourt offender.
There have been two court case s c o ncerning the chronic alcoholic which have
grave implications for Atlanta. On e decision, in the Easter Case, was handed
down by the U. s. Court of Appeal s in Washington, D. C., and the other, t!~e
Driver Case, by the Fourth U. S. Circuit Court of Appeals in Richmond, Virginia . Both decisions were similar and indicative of what path other courts
will take.
�--
- - - - --
Page 3
The decisions stated that chronic alcoholics could not be charg ed with
drunkenness because they have lost the power of self-control in the use of
intox icating beverages.
In Washington, the judge said that a 1947 federal
law on rehabilitation of alcoholics described chronic drinkers as sick
people who needed proper medical and other treatment. However, commi t ment
for treatment of chronic alcoholics as contemplated b y Congress was not
mandatory. The accused may be released but he may not be punished.
It was
a l s o the judge's decision tha t chronic alcoholism is a "defense t o a cha rge
of public intoxication and, therefore, is not a crime, however, this does
not absolve the voluntarily intoxicated person of criminal responsibility
for crime in general under applicable law."
The case is now coming up bef o r e the Supreme Court a nd there is every reason
to _b e liev e that the deci sion will be upheld. Therefore, it is o n ly a matt e r
o f t i me b efore At l a nt a is fa c e d wi t h t he p r oblem a nd some planni ng mu s t be
done so that facilities for rehabilitative services for the chronic alcoholic will be available, otherwise, there will be chaos and confusion with
wa sted effort, time and money .
The p r oblem is a compli ca ted one. Trea tment of the a lcoholic--to b e effec t ive and l ast ing --requ ire s coordinat ion of se rvic es a nd a combi n ation o f
many resources and practices. A multi-disciplinary, as well a s a f a mily
centered and reaching out approach, must be used.
Trea tment should be dire cte d to thr ee mai n g oals :
1.
Pe rma n e n t sep ara tion o f t h e a lcoho l i c f rom alcohol.
2.
Repa iring the physical and emotional d a mage a nd preventing f u rt her
d a ma ge .
r
3.
Chang i ng c o mmu nity institu t ion s, p rog rams and services t o meet the
s pecial n e e ds a nd p robl e ms o f t h e a l coholic. Communi ty r e sou r c e s
shou ld b e ma d e as r e adi l y a vailabl e a nd easi l y accessibl e as ot h ers .
In a ddition, a n y pla nning f o r the chronic a lcoholic cou r t
be integrat e d wi th the pl anni ng b ei ng done f o r a l l o the r
f o r other phases of mental h ea l th and physica l i l lness .
p art o f the s a me problem and should not b e s egme nt e d, i f
II.
o ffe nd er shou ld
a lcoholics and
They are a ll a
at a ll po ssibl e .
Target Populati on in Atlanta
A.
Ove r half o f t he arre sts ma de b y the At l a nta Polic e De pa r tme n t i n 1 9 6 6
for non-traff ic o ffe nses i n v olve d pu b l ic i ntoxi cation.
1.
Total non-traffic arrests - 79 , 092 ( does not include juveniles)
2.
Arre s ts involving dru nken ness - 47,305. These consist of approximately 1 2,000 ind ividua ls and that about one-half, or 6,000, of
these individuals were arrested on this charge from 2 to 20 times
�Page 4
during the year.
It is difficult to say how many of these can be
rehabilitated fully or t o some e xtent.
From the experience of the staff of the Emory University Alcohol Project
in their three and a half years of operation, it is their belief tha t with
the proper a pproaches, facilities and staff, a conside r able number of
these persons might be at least partially rehabilitated.
They a r e not
willing to dismiss the poss i bility of assisting even t he mos t ha r d-core
chronic alcoholic.
It is sometimes extremely difficult to determine accur~tely in advance just who can be helped or how long it might take.
They
. believe that it is essential to at least make a sincere effort to treat
each one of these individuals.
It is rea lly only through giving e a ch of
them an opportunity for t reatment and rehabilitation t hat we c a n determ i n e
whether or not they can be helped.
I t is conceivable that approximat ely
10,000 of thi s g roup o f 12,000 alco hol i c off ende rs can be as sisted to
improve their total well-being significantly.
B.
Characteristics of the Chronic Alcoholic Court Offender
1.
2.
Gene r al Characteristics:
a.
Produc t o f a limited social envi r onment who has never a t ta ine d
more than a minimum of integration within the community.
b.
Depe ndent p e rsonali t y without much individua l r esourc e f ulness .
c.
Ind i vidu a l who has di ffi cul ty in communicati ng with others .
The following specific data has b e en taken from the original s t udy
{
done by Emory Universit y :
a.
Average age of white ma l e - 48. 0 year s
Negro ma l e - 42.9 years
b.
Ra t e o f t u b e r c ulo s i s in thi s group was fou nd t o b e t e n times
g reat er than the ra te i n the genera l popula tion .
c.
1 0 % of the white males and 3 . 6 % of t h e Ne gro ma l es had been
hospita l ized in a me nta l ho s pita l p reviou sly.
d.
50 % o f the whi t e mal es we n t b eyond the eigh t h grad e in schoo l.
In t hi s grou p, there wa s no corre l a tion b e tween the number of
court appearances and l e vels of education .
e.
The Negro ma l es did d e mo nst rate a c or re l ation of the lev e l of
e ducation with the numb er o f court appearances.
1)
50% of the Negro males in the 1-2 court appearance group
went throu gh the n i nth grade.
�Page 5
f.
2)
50% in the 3-6 court appearance group went through the
eighth grade.
3)
50% in the 7 or more court appearance group went only
through the seventh grade.
Employment
1)
77% of the Negro males were classified as unskilled labor;
while 32% of the white males were in this gr.map.
2)
40.9% of the white males had had special job training;
while only 24.8% of the Negroes had.
3)
52% of both races were unemployed.
4)
26% of the white males and 14% of the Negro males were
receiving some type of financial assistance.
5)
At the time of arrest, 42% of the white males and only
6% of the Negro males had money available to pay a fine.
r
III.
Elements to be considered in a Treatment Plan for the Chronic Alcoholic
Court Offender
A.
Legal and Legislative
1.
Legislation to give city authority to spend funds for local alcoholic rehabilitative measure s.
The city of Atlanta is in a peculiar position. Under the Reorganization Plan of 1951, health functions were made the responsibility
of the county and police functions were made the responsibility of
the city.
Therefore, city police can arrest an alcoholic for public drunkenness, but the city cannot spend tax money to rehabilitate him, since rehabilitation is a health function.
The FultonDeKalb County Hospital Authority says alcoholism is a chronic illness and it assumes no responsibility for chronically ill.
The
Fulton and DeKalb County Health Departments have no outpatient
clinics for the alcoholic. The State Health Department feels that
it has no responsibility for the alcoholic until reasonable rehabilitative measures have been made at the local level.
2.
There must be a change in the police handling of chronic inebriate
offenders. The following quotation from Peter Barton Hutt, the
attorney who presented the appeal in the Easter Case in the Distric
of Columbia, gives an indication of some of the problems involved:
�Page 6
"With regard to the police handling of chronic inebriate off enders ,
it is my opinion that it is not a false arrest for a pol i ceman to
charge an unknown inebriate with public intoxication, even after
the Easter and Driver decisions. The police should not be required, at their peril, to make a judgment on the street as to
whether an intoxicated individual is or is not a chronic alcoholic.
"In the case of known chronic alcoholics, however, this problem
raises a far more difficult legal issue. To some, the a vailability
of the defense of chronic alcoholism still seems more properly an
issue for the courts than for the police .
"But more impor ta nt, the community should not place the police in
j eopard y in thi s way. There is no reason why the police should be
bu r dened with the ignominious task o f swee pi ng chronic inebria tes
off the public streets. I was recently called upon in the District
of Columbia to assist a man who had been arrested 38 times since
the Easter decision. When you take into consideration the amount
of time he spent incarcerated in jail and in various hospitals,
this amounted to 1 arrest for every 2 days that he appeared on
public streets. Certainly, the a nswer to the Easter and Dri ver
decisions is not just to arre st dere lict alcoholics every day,
duly bring them to trial and then immediately release them back on
the streets without assistance, only to repeat the process over
and over again. This succeeds only in speeding up the "revolvi ng
door," a nd in further pe rsecution a nd deg rada t ion of chr onic inebriates . It c a nnot contribute to the elimi na tion o f these a bu ses ,
a s the Easte r a nd Dr iver de c i sions de ma nd .
"In my opinion, the police can .and should take t wo immedi a te steps
to end the revolving door process, pe nding de velopment of a br oad er
community p r og r a m tha t I will d iscu s s l a ter in this t a lk. Fi rst,
they should assi s t a ny d r unken person t o hi s home , whe ne ver that
i s possible . Se cond, where a n indi vidua l i s u nable to take care
o f himself , the poli ce s hould as.sist hi m to an appr opriate public
heal th faci l ity where he can r ec eive the ne c e s s ary a tte n t ion.
Under no cir cumsta nces should they arre st known a lcohol i c s time
a nd time again .
"The question arises, o f c ourse, whether the police may properly
assume responsibility f or intoxi cated individuals and escort them
to an appropriate public health facility to receive proper medical
attention. If t he ineb riat e does not consent , would the police
incur liability for a fal s e arrest? I have l ong been o f the view
that the police have duties o f a civil nature, in addition to
their responsibility for enforcing the criminal law. ~hen a policeman escorts a heart attack victim to the hospital, he certainly is
not arresting him. Thus, in my opinion, the police have both a
right and a duty to take unwilling intoxicated citizens who appear
to be unable to take care of themselves, whether or not they are
alcoholics, to appropriate public health facilities. And I might
�Page 7
add that, in the oral argument in the Easter case, all 8 of the
judges indicated agreement with this proposition. Nevertheless,
law enforcement officers have expressed considerable apprehension
about the possible liability of policemen for false arrest under
these circumstances. Certainly, this question should be resolved
immediately, preferably by enactment of state statutes, in order
to lay the necessary legal foundation for the proper medical
handling of alcoholics."
3.
The court procedure must also be modified.
Peter Barton Hutt:
Again, the quotes are
"With regard to the judicial handling of chronic court inebriate s ,
once a judge becomes aware, through any information of any kind,
from any source, that a defendant charged with public intoxication
may have available to him the defense of chro_nic alcoholism, he
is, in my opinion, clearly obligated to make certain that the defense is adequately presented. Cases in the District of Columbia,
involving the analogous defense of mental illness, hold that even
if the defendant protests, the judge is required to inject the
defense into the case sua sponte, which means of his own motion,
to make certain that an innocent man is not convicted. Failure to
do so is reversible error, as an abuse of the judge's discretion.
And a decision handed down by the United States Supreme Court in
March of this year is wholly consistent with this position. There
is no reason why these precedents should not be equally applicable
to the defense of chronic alcoholism.
"This means, of course, increased responsibility for the judicia ry .
Under the Easter and Driver d~cisions, each trial judge is obligated to take affirmative action to bring an immediate end to the
traditional "revolving door" handling of the chronic court inebriate in his court. No judge, in my opinion, may properly remain
neut r al, simply waiting for a defendant to raise the defense of
alcoholism.
"Indeed, statistics I have reviewed suggest that, throughout the
cou nt r y, a ppr oximately 90-95 per cent of the drunkenness o f fende r s
who appear before the courts have serious d r inking problems . In
my judgment, this statistic in itself places upon trial judges an
obliga tion to inquire into the possibility of the defense of
chronic a lcoholism fo r virtually eve r y dr unkenness offender who
a ppear s i n the courts . A fa i lu r e to u nderta ke this inqu i ry amount s ,
in my vi ew, to a de r ogat i on of judic ial r espon sibi lity.
"Thi s al so me an s t he d emi se o f t he so- cal l e d court honor or probationary programs f o r al coholics which have s prung up all over the
country as the judiciary 's ad hoc answe r t o the failure of public
health officials t o treat alcoholism as a disea s e. If a defendant
is found t o be elig ible f or a court alcoholic program, then obviously he should not be convicted in the first place. The Easter
�Page 8
and Driver decisions are, in my judgment, fundamentally in conflict
with any type of judicially-sponsored post-conviction program for
the treatment of alcoholism.
However benevolent such programs may
be, constitutionally they are a thing of the past. For my part,
I shall be very happy to see the courts step aside in this area,
and to see public health officials take over problems which the y
should have taken over many years ago."
B.
4.
Legislation to provide for involuntary commitment of alcoholic
until rehabilitation process is complete.
Should be on a health
and treatment basis rather than through courts with penal approa ch .
5.
The responsibilities of the state and local communities must be
defined and clarified.
6.
The responsibility of after-care when the patient has been rele a sed
from the hospital should be determined. Who follows-up--the state
or local community?
Treatment Facilities
1.
Intake Center and Detoxification Unit
Before any kind of evaluation, diagnosis or therapy can beg in , it
is necessary that the individual be detox ified as quickl y a nd as
safely as possible so that the effects of acute intox ific a tion are
no longer present. There is no doubt that the hospital is t he
best setting f or such treatment.
Eme r genc y measures a re a t h a nd ,
the staff is av ailable a nd all necess a r y equipment is the re .
In
Fulton and DeKalb County, Grady Memorial Hospital seems to be the
logical place for a Detox ification Cente r .
It is authorized to
t a ke care of e me r gencie s , it has spa ce and is convenientl y l oc at ed .
I t does t ake c a re of alcoholics in i ts emergency clinic.
Ex pe r i ence h a s shown that there is v ery little difficult y encoun tered
i n t r ea ting a lcoholics . Recor ds of hospitals that h a v e a dmi t t e d
the s e pa t i ents wi ll con fi r m t he re port that most of t h e se p a tients
of fer no mo r e d i f fi culty t han an y o t her s i ck pe r son .
I t is d i ffic u l t to es tima t e how many b e ds At l a nt a would need t o take c are of
the probl em to a f a i r l y adequ a t e d e g ree.
St. Lou is , Mis souri,
o pened a 30 - bed unit t o s erve the en t i r e c ity. Officia ls r e p o rted
t h a t in the fir st two mo n t hs o f op e r ati on , the s t a t ion ope rated
a t or near capa c i t y wi th o n l y the al coh o lics fr om t wo p olic e
districts.
It i s o b vi ous t h at if fa c i l ities e x i st the y will be
used. Based o n the St. Louis experience, which was c o ncerne d with
a lower rate of arre sts than Atlanta has, it is felt that approximately 100 beds would be needed.
Staff f o r 24 hour duty would
be required. This would mean:
9 regist e red nurses, 9 licensed
practical nurses, 15 attendants (nurses aides or orderlies) .
Exact plans would have to be worked out in detail with Grady Mem-
ori al Hospital and other professional people who are concerned
and working with the problem.
I
�Page 9
2.
Inpatient Diagnostic-Evaluation Center
Following the individual's detoxification, he could be transferred
to an inpatient diagnostic-evaluation center where a complete
work-up could be prepared on his medical, social, occupational,
family and other personal history.
This could conceivably be the present City Prison Farm, which,
when alcoholics can no longer be incarcerated there, would have
room. Alterations and modifications in the structure would have
to be made, but this would not present much of a problem.
The Center should have a multi-disciplinary team approach . Its
staff should consist of medical, psychiatric, psychologica l,
soci a l work, vocationa l, and rehabilita tion personnel. The individual would stay approximately 5 or 6 days or until plans were
complete for future treatment.
It is hoped that as much as possible treatment would be on a
voluntary basis and that commitment would be only used when absolutely necessary. Full coopera tion a nd willingness of the individ~al to under go treatment would f a cil i tate the rehabili t ative
process.
3.
Outpatient Rehabilitative Treatment
The s u c c es s o f the Emory Universi ty Voca tiona l Rehabilitat i on
Alcohol Proj e c t d emonst r ates tha t these me n can be tre a t ed s uccessf ully in an outpa t ient setting. Even those who will become
only partially self-sustaining should be treated as those who
eventually wi ll be fully rehabili t ated.
The most i mpor t a nt a nd unique f eatu re o f t he p r oposed method o f
treating t he chronic a lcohol ic cou rt o ffend er is based on the
recogniti on that t hese i nd i vi duals are to ta l l y d e pe nd e nt upon
o t her s to ta ke care of them. Knowing a nd accepting this ma kes
the t ask o f r e ha bil ita t i on l ess d iffi cult a nd more cer t a i n.
Any outpatient service should be based on t he Emory Pro j ect and
its experience should be f ull y ut i lized. The servi c e should
use a multi-disciplinary approach. Represented on the staff
should be vocational re habilitation counselors, social workers,
clinical psyc hol ogists, chapl ains, physicians and psychiatrists.
The main emphasis in rehabi litation should be on "reaching out"
for the clients rather than the traditional waiting for the
client to request services. This reaching out is necessary because of the passive, dependent nature of the alcoholic. Once
he is involved in the rehabilitation process, he must be continuously supported until his total dependency can be changed so
that he is sufficiently independent to function in society and
to maintain employment.
�Page 10
4.
Inpatient Extended Care Program-Rehabilitative Service
The Georgia Health Code Act No. 936 (H.B. 162) 1964 session of
the General Assembly, 88-403, states:
"The administrative responsibility for alcoholic rehabilitatio~
as provided herein shall be vested in the Department of Health.
The Department of Health shall study the problem of alcoholism,
including methods and facilities available for the care, custody,
detention, treatment, employment, and rehabilitation of alcoholics. The Department of Health shall promote meetings for the
discussion of the problems confronting clinics and agencies
engaged in the treatment of alcoholics and shall disseminate information on subject of alcoholism for the assistance and guidance of residents and courts of the State. The Department of
Health is hereby authorized to establish and maintain hospitals,
clinics, institutions, outpatient stations, farms, or other facilities for the care, custody, control, detention, treatment,
employment, and rehabilitation of alcoholics, and is further
authorized to accept for care and custody alcoholics voluntarily
applying for treatment or or dered hospitalized by court order
as hereinafter provided, and is further authorized to confine
and detain such alcoholics for treatment and rehabilitation,"
This, then, definitely places the responsibility on public heal t h
and any planning should be done with this in mind. Also, as with
all othe r phases of the plan, this should be inte grated and coo r dina ted with the state and local plans for me ntal he alth .
In a conference Community Councilr staff had with the State Mental·
Health Di vision, it was pointed out that it was the policy of
the Menta l Health Division to require that all local mental
health pr ogra ms should include some provision for the care o r
ha ndl i ng o f chronic alcoholic s . The e xact me thods to be uti lized
are no t s pecifi ed , but t hi s proble m must be considered a nd pr o vided for in some manner in any mental health program at the
local l e ve l, Dr. Donald Spille, Executive Director of the Metropolitan Atlanta Me ntal Health Associa tion, Inc., is a member
of t he Community Counc il's Committee on Alcohol i sm a nd wi ll help
keep the Committe e advi s ed on me ntal hea l t h program p lans.
The inpatient extended care rehabi l itative service could be part
of a reg i onal ho spi t a l or a center by itself. The s t re ss s hould
be o n rehabilita t i on t o prepare t he individua l to be a selfsustaining member of soci e ty .
Treatment techniques should include:
a.
b.
c.
d.
Counseling and e valuation
Physical therapy
Work therapy
Group therapy
�Page 11
e.
f.
g.
h.
i.
Self government
Lectures and films
Drug therapy
Recreation therapy
Pastoral counseling
Specific plans should be developed by experts in the field.
At present, we have the Georgian Clinic located in Atlanta and
supported by the Georgia Department of Public Health. Fees
charged to the patient are based on income. It is a 50-bed resident patient hospital and also provides day care and night care,
This serves all residents of Georgia and the patient must be
free of alcohol for 24 to 48 hours, There are also a few private
· hospitals or sanatoriums that accept chronic alcoholics but facilities are extremely limited and almost nonexistent for those
who cannot pay.
C.
Supportive Services
1.
Housing - a great many of these individuals have no place to
live. Some need temporary shelter while undergoing treatment.
Some place must be provided for them which will give them support
and keep them from drinking. Others will need more permanent
arrangements if they cannot return to their own homes or live
independently.
The following are some of the kinds of housing that are recommended:
a.
Hostel - a semi-institution preferably in town. Should have
a structured program with some medical personnel in attendance. Can be large, serving several hundred individuals.
There is nothing like this in Atlanta.
b.
Halfway homes - smaller , more individual, less structured.
St. Jude's Hou s e, Inc,, is at present the only halfway house
i n Atlanta. It is supported by r ents from residents, contr ibutions from churches, individuals and foundations . I t has
b eds fo r 40 r esidents and provides meals fo r an i ndefini te
pe r iod of time in a protective setting . The men must be
20 year s a nd older , must ha ve an a rrest r ecor d fo r drunke nnes s , mu s t be s creened psychologically a nd phy sical l y by the
Emory Univer s i t y Alcoho l Pr oject , The y mu s t also be sui t a b le
for employmen t .
c.
Shelters for homele ss men that include alcoholics.
The Atlanta Union Mission which i s supported by individual
c ontributions and f e e s . The Mi s sion provides shelter , food,
�Page 12
clothes, Christian counsel and employment for indig~nt men. On
the average, 200 men are taken care of per night. Approximately
85% of these are alcoholics.
The Salvation Army provides over 700 men with shelter a week.
About 90% of these are alcoholic. It does not accept anyone in
a severe drunken state since no medication or special treatment
is available. These are sent by cab to Grady Hospital or turned
over to the police. The men from the Emory Project will occupy
a special section. The Army staff is responsible for giving the
medication prescribed and will see that the men cooperate with
treatment.
Women alcoholics are housed at 242 Boulevard, N.E. Since August,
1966, there have been 4. Women are always referred to Grady Hospital, the Emory Project or the Georgian Clinic.
d.
Individual rooming houses or hotels. The Emory University Alcohol,
Project now has a staff member developing these facilities. With
help and supervision, many of these places could be made acceptable, kept from deteriorating and provide pleasant places to live.
In most of the "flop houses" and cheap hotels, the man is exposed
to other drinkers and the atmosphere is not conducive to a
healthy state of mind.
e.
Social clubs where individual can go when not in treatment or
when not working. A.A. meetings provide a form of this.
f.
Facility for individual who cannot be rehabilitated but will
always remain partially depend~nt on treatment. Social improvement, even if it implies dependency upon the hospital, is perhaps the most that can be expected as a goal of therapy for this
group.
1)
Farm where he c an be self-sup porting.
2)
Work outside of facilities with aid of treatmen t, but
return to facility f o r night a nd free time.
Atlanta Union Mission Rehabilitation Farm for alcoholics and
the aged will open in May. It will house 32 alcoholics to begin
with and the master plan calls f or 64. In order to be accepted ,
the client must be without a d rink for at least 48 hours, sign a
statement of his own free will of intent to stay a minimum of 60
days, to cooperate with the staff and i ts program of worship,
work and education. The client will not be permitted to leave
the mission farm for the first 2 weeks and afterwards only when
accompanied by Mission Farm personnel~ There will be a charge
of $62.50 per month for every man. However, his ability to pay
will not determine his acceptance.
�Page 13
2.
Financial Assistance - part of society's basic obligation is to provide for the destitute. This allows them income while undergoing
treatment and supplements income of those who need permanent care.
The Fulton County Department of Family &amp; Children Services cooperate
completely with the existing facilities for treatment of the chronic
alcoholic. The individual receives temporary financial assistance
as long as he is cooperating and undergoing treatment. The Special
Service Section, which carries a reduced caseload, takes care of
most of the alcoholics so that they can be given more intensive case
work. When an individual applies for financial help and is an alcoholic, every attempt is made to get him to treatment.
D_
Public · Educa tion
Public apathy ha s been one of the most severe obstacles in working with
the chronic alcoholic court offender. As a rule, he is a forgotten man,
relegated to a flop house or prison and given up as a hopeless case. He
remains a burden to society a nd is one of the most important contribut ors
to the rese rvoir of poverty in this country. Once the public underst a nds
and its intere s t is arou s ed, the resul t ing action c an become a powerful
force in accomplishing a constructive objective.
A public education program should concern i tself with the following
aspects:
1.
Deve lop community leade rship to alert people to the need s and pot e nt ial of a n a dequa t e a nd sympa thet i c a ppr oa ch to the pr oblem.
2.
Ac knowledging that alcoholism is a public health problem and, the r ef o r e, a public r e sponsibility .
3,
Showing t hat the penal appr oa ch t o the publ i c alco holi c is expensive
and inhumane. I t has only perpe tuated t he pr oblem and in no way
eased it.
4.
Demons t rating t ha t the re is no s i mple so l ut i on. That t rea t ment o f
the public alcoholic to be effec tive and lasting requires c oordination of s e rvices and a comb ina t i o n of many resou rces and programs.
5.
Unde r stand i ng of the pub lic alcoholic and home l e ss i nd i vidu al.
6.
Expl aining of problems a r ising in developing programs and service .
a.
b.
c.
7,
Legal and l egi s l ative
Economics or fu nd ing
Facilities and services tha t have t o be developed
Describing and explaini ng kind of comprehensive plan Atlanta needs,
element s involved and how we go a bout implementing such a pl an.
�Page 14
A public education program should be directed at public officials,
special interest groups, as well as the general public.
The Metropolitan Atlanta Council on Alcoholism, working with the Community Council, could be the motivating force behind an education program.
E.
Central Registry and Information Retrieval
The full extent of Atlanta's alcoholic problems is not known. The United
States Public Health Service considers alcoholism the fourth most serious
health problem in the country and the picture in Atlanta is most likely
no different than that in any other city. According to the national
average, it is estimated that there are from 20,000 to 25,000 alcoholics
in Metropolitan Atlanta. This is far from a complete number for statistics are not available for those using private facilities and for those
that never come to the attention of the public. We know that in 1965,
48,783 arrests were made in Atlanta involving drunkenness. We have
these isolated figures but nothing complete , and some agency should be
charged with the responsibility of keeping accurate statistics on alcoholics and facilities available for rehabilitation.
In addition, the need for a central clearing house has been felt by many
agencies. Alcoholics seek help in many places and often at the same
time, and there is no way of knowing where they have been or what treatment they have received. A central clearing house or central registry
cannot succeed, however, unless it rec e ives the full cooperation of all
participating agencies. The Metropolitan Atlant a Council on Alcohol i s m
might be a ble to orga nize one under a special grant so that mone y would
be available for trained staff.
{
F.
Staff Training
Befor e a ny k ind o f servic e o r program c an be i n s tituted, personnel on
a ll levels must be available. At the prese nt, the r e is a sever e short age of staff and there is a pressing need for training in the field.
Inducements must be made so tha t individuals will be interested in working i n the are a o f a lcohol ism. All facil i t ies and p r ograms conc erned
with t he t reatment o f the a lcoholic s hou ld be i nvolved with the training
program and this should ag~i n be coor d inated wi t h the St ate ' s comprehensive plan for ment al il l ness o f which training is an i mpor t a n t part .
The Geor g i a n Clini c ha s a n extensive training program which could be e xpanded. The Clinic cou ld po s sibly act a s t he c oor d ina t ing agency for
a training program.
G.
Evaluation
For a program of this kind, there should be a built-in system of evaluation of services. Only on the basis of such an evaluation would we be
�Page 15
able to strengthen and develop the program, accomplish any worthwhile
long-range planning, and establish accurate guidelines for the further
development of the program.
The Research Division of the Community Council will help develop the
evaluation and the plan for it will be incorporated in the final report,
Community Council of the Atlanta Area, Inc.
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              <text>JAMES P. FURNISS Chuirinan of the Board ef Direcrars
tIL ALEXANDER, Fic

      
 

|
|
| MRS. RHODES L. PERDUE, ser
Cn ‘Te 2 L. CALLOWAY, -lssoctate Secrerars
all ao de PADGETT
|
- |
:
|
|
aaa inet |
Gy Jil, DUANE W. BECK. Executive Dire
GLENN BUILDING, 120 MARIETTA ST., N. W- ATLANTA, GEORGIA 30303 TELEPHONE &amp;S77-2250

Report 67-1
March, 1967

TREATMENT PLAN FOR THE CHRONIC ALCOHOLIC COURT OFFENDER

 

 

This report is the result of the work of the Advisory Committee on
Alcoholism of the Community Council of the Atlanta Area, Inc., and
was compiled and written by staff of the Council. Approved by the
Executive Committee of the Community Council on March 2, 1967.

Paul Cadenhead, Chairman Eugene Branch, Chm., Permanent Conference
Mrs. Marian Glustrom, Staff, CCAA Mrs. Inez B. Tillison, Assoc, Dir., CCAA

Committee Members

Asa Barnard, Division of Vocational Rehabilitation

Paul Cadenhead, Atlanta Bar Association

Chaplain Joseph Caldwell, Candler School of Theology

T. A. Carroll, Alcoholics Anonymous

Grover Causby, Georgia Department Family &amp; Children Services

Dr. Sheldon Cohen, Fulton County Medical Society

Mrs. Marian J. Ford, Travelers Aid

Dr. Vernelle Fox, Georgian Clinic

S. C. Griffith, Jr., Atlanta Hospital Council

Bruce Herrin, Emory Univ. Alcohol Vocational Rehabilitation Project
Dr. Sidney Isenberg, Fulton County Medical Society

Henry Jackson, St. Jude's House, Inc.

Wilbur Stanley, Georgia Department of Education

Mrs, Nita Stephens, Fulton County Dept. Family &amp; Children Services
Major John Strang, Salvation Army

Reverend Russell Strange, Atlanta Union Mission

Ernest Wright, Georgia Department of Labor

 

 
TREATMENT PLAN
for
THE CHRONIC ALCOHOLIC COURT OFFENDER

 

Background

The problem of the chronic alcoholic court offender is not a new one in
Atlanta. The courts and many other agencies have been aware of it for many
years, and attempts have been made to meet it. Over 10 years ago, Municipal
Court judges became concerned with the problem because it was occupying an
increasing amount of the court's time. It became increasingly evident that
repeatedly arresting these individuals, trying them, sentencing them, and
having them pay fines, serve time or both, was not alleviating the problem.
Even turning these individuals over to a higher court as habitual drunkards
helped only to the extent that men spending 12 months in prison could not
be rearrested and appear in court during that time. A large percentage of
those who did serve 12 months in prison were back in jail for "plain drunk”
within days and sometimes even hours after being released from prison.

At about this time, the judges were approached by several individuals, some
of whom were ex-alcoholics, who volunteered their services as a Helping Hand
Society to do what they could to help these individuals caught in what is
regarded as the "revolving door of drunkenness''--arrest-jail-release-drunk-
enness-arrest, etc. At this same time, Mr. Henry Jackson, who had 18 years
of extensive experience working with alcoholics, was added to the Municipal
Court staff as the Director of the Alcoholic Rehabilitation Program.

Judge James E. Webb accepted the offers of help and set up a system whereby
individuals who were brought to court for plain public intoxication could,
by request, be probated to the Helping‘Hand Society. At the discretion of
the judge and representatives of the Helping Hand Society, an individual was
accepted on the program, and for a probation period of 60 days he was ex-
pected to cooperate with the Society. The program consisted of three essen-
tial things: 1) being a friend to the individual with a drinking problem;
2) helping him find food, clothing and shelter; 3) providing fellowship for
the individual in a new environment away from drinking establishments.

Because of the lack of proper facilities to carry out the functions of the
Helping Hand Society, the program, although successful with some, was unable
to reach the majority of the chronic court offenders, and the Municipal Court
caseload continued to grow at an alarming rate.

In 1961, Judge Webb and the leaders of the Helping Hand Society decided that
if an increase in facilities for the treatment of alcoholism were at their
disposal, they could do a better job of rehabilitating larger numbers of
chronic alcoholic court offenders. They approached the Community Council of
the Atlanta Area, Inc. The Council recommended that further study be done.

The City of Atlanta, Fulton County, and a group of business leaders agreed
to provide the funds for a one year study to be made by the Department of
Psychiatry of Emory University. The study was designed to gather data,
Page 2

analyze the data, and make recommendations based on this data to better deal
with the problem of the chronic alcoholic court offender and his family, The
study began on July 1, 1962 and ended June 30, 1963. The following is a
summary of the committee's recommendations:

1. That a new facility, an Intensive Treatment Center, be established with
City and County funds to provide inpatient and outpatient services using
a multi-discipline approach, That these services be coordinated with
all other treatment and rehabilitation services for alcoholism.

2. To continue the present Helping Hand Halfway House, with some City and
County funds made available for this facility, as a model for the estab-
lishment and development of other halfway houses in the community.

3. That at least one Alcoholic Information and Referral Center be established
on an experimental basis, in one of the neighborhood areas of particularly
heavy drinking, this Center to be staffed primarily with volunteers.

4. To provide better training to policemen in the recognition of "“intoxi-
cation" and its various causes.

That there be medical screening in the City Jail of all intoxicated pris-
oners immediately following the arrest of these persons. That those in
need of any medical attention be immediately transferred to Grady Memor-
ial Hospital for this medical care.

6. That the legal procedures now existing be revised so that an individual
can be processed from the time of his arrest until disposition of his
case has been made by the multi-discipline team previously mentioned.

7. That some of the approaches to alcoholics at the City Prison Farm be mod-
ified so that treatment and rehabilitation can be carried out in this
setting. That an effort be made in the City Prison Farm to evaluate the
mental and physical condition of the alcoholic prisoners and a program
of rehabilitation be instituted for each of these persons.

Some strides have been made in implementing these recommendations, but we
still have a long way to go as will be seen in other sections of this report.
Lack of funds, shortage of staff and public apathy have combined to hinder
progress.

Recent events, however, have made it imperative that we develop and carry
out plans for the chronic alcoholic court offender.

There have been two court cases concerning the chronic alcoholic which have
grave implications for Atlanta, One decision, in the Easter Case, was handed
down by the U. S. Court of Appeals in Washington, D. C., and the other, the
Driver Case, by the Fourth U. 8. Circuit Court of Appeals in Richmond, Vir-
ginia, Both decisions were similar and indicative of what path other courts
will take.
Il.

Page 3

The decisions stated that chronic alcoholics could not be charged with
drunkenness because they have lost the power of self-control in the use of
intoxicating beverages. In Washington, the judge said that a 1947 federal
law on rehabilitation of alcoholics described chronic drinkers as sick
people who needed proper medical and other treatment. However, commitment
for treatment of chronic alcoholics as contemplated by Congress was not
mandatory. The accused may be released but he may not be punished. It was
also the judge's decision that chronic alcoholism is a "defense to a charge
of public intoxication and, therefore, is not a crime, however, this does
not absolve the voluntarily intoxicated person of criminal responsibility
for crime in general under applicable law."

The case is now coming up before the Supreme Court and there is every reason
to believe that the decision will be upheld. Therefore, it is only a matter
of time before Atlanta is faced with the problem and some planning must be
done so that facilities for rehabilitative services for the chronic alco-
holic will be available, otherwise, there will be chaos and confusion with
wasted effort, time and money.

The problem is a complicated one. Treatment of the alcoholic--to be effect-
ive and lasting--requires coordination of services and a combination of

many resources and practices. A multi-disciplinary, as well as a family
centered and reaching out approach, must be used.

Treatment should be directed to three main goals:
l. Permanent separation of the alcoholic from alcohol,

2. Repairing the physical and emotional damage and preventing further
damage. ‘

3. Changing community institutions, programs and services to meet the
special needs and problems of the alcoholic. Community resources
should be made as readily available and easily accessible as others.

In addition, any planning for the chronic alcoholic court offender should
be integrated with the planning being done for all other alcoholics and
for other phases of mental health and physical illness. They are all a
part of the same problem and should not be segmented, if at all possible,

Target Population in Atlanta

 

A, Over half of the arrests made by the Atlanta Police Department in 1966
for non-traffic offenses involved public intoxication.

1. Total non-traffic arrests - 79,092 (does not include juveniles)
2. Arrests involving drunkenness - 47,305, These consist of approx-

imately 12,000 individuals and that about one-half, or 6,000, of
these individuals were arrested on this charge from 2 to 20 times
Page 4

during the year. It is difficult to say how many of these can be
rehabilitated fully or to some extent.

From the experience of the staff of the Emory University Alcohol Project
in their three and a half years of operation, it is their belief that with
the proper approaches, facilities and staff, a considerable number of
these persons might be at least partially rehabilitated. They are not
willing to dismiss the possibility of assisting even the most hard-core
chronic alcoholic. It is sometimes extremely difficult to determine accur-
ately in advance just who can be helped or how long it might take. They
believe that it is essential to at least make a sincere effort to treat
each one of these individuals. It is really only through giving each of
them an opportunity for treatment and rehabilitation that we can determine
whether or not they can be nelped. It is conceivable that approximately
10,000 of this group of 12,000 alcoholic offenders can be assisted to
improve their total well-being significantly.

Characteristics of the Chronic Alcoholic Court Offender
1. General Characteristics:

a. Product of a limited social environment who has never attained
more than a minimum of integration within the community.

b. Dependent personality without much individual resourcefulness.
ce. Individual who has difficulty in communicating with others.

2. The following specific data has been taken from the original study
done by Emory University: .

a. Average age of white male - 48.0 years
Negro male - 42,9 years

b. Rate of tuberculosis in this group was found to be ten times
greater than the rate in the general population,

c. 10% of the white males and 3.6% of the Negro males had been
hospitalized in a mental hospital previously.

d. 50% of the white males went beyond the eighth grade in school.
In this group, there was no correlation between the number of
court appearances and levels of education.

e. The Negro males did demonstrate a correlation of the level of
education with the number of court appearances.

1) 50% of the Negro males in the 1-2 court appearance group
went through the ninth grade.
Page 5

2) 50% in the 3-6 court appearance group went through the
eighth grade.

3) 50% in the 7 or more court appearance group went only
through the seventh grade.

Employment

1) 77% of the Negro males were classified as unskilled labor;
while 32% of the white males were in this group.

2) 40.9% of the white males had had special job training;
while only 24.8% of the Negroes had.

3) 52% of both races were unemployed.

4) 26% of the white males and 14% of the Negro males were
receiving some type of financial assistance.

5) At the time of arrest, 42% of the white males and only

6% of the Negro males had money available to pay a fine.

III. Elements to be considered in a Treatment Plan for the Chronic Alcoholic
Court Offender

A. Legal and Legislative

 

l.

Legislation to give city authority to spend funds for local alcc-
holic rehabilitative measures,

The city of Atlanta is in a peculiar position. Under the Reorgan-
ization Plan of 1951, health functions were made the responsibility
of the county and police functions were made the responsibility of
the city. Therefore, city police can arrest an alcoholic for pub-
lic drunkenness, but the city cannot spend tax money to rehabili-
tate him, since rehabilitation is a health function. The Fulton-
DeKalb County Hospital Authority says alcoholism is a chronic ill-
ness and it assumes no responsibility for chronically ill. The
Fulton and DeKalb County Health Departments have no outpatient
clinics for the alcoholic. The State Health Department feels that
it has no responsibility for the alcoholic until reasonable rehab-
ilitative measures have been made at the local level.

There must be a change in the police handling of chronic inebriate
offenders. The following quotation from Peter Barton Hutt, the
attorney who presented the appeal in the Easter Case in the Distric
of Columbia, gives an indication of some of the problems involved:
Page 6

"With regard to the police handling of chronic inebriate offenders,
it is my opinion that it is not a false arrest for a policeman to
charge an unknown inebriate with public intoxication, even after
the Easter and Driver decisions, The police should not be re-
quired, at their peril, to make a judgment on the street as to
whether an intoxicated individual is or is not a chronic alcoholic.

"tn the case of known chronic alcoholics, however, this problem
raises a far more difficult legal issue. To some, the availability
of the defense of chronic alcoholism still seems more properly an
issue for the courts than for the police.

"But more important, the community should not place the police in
jeopardy in this way. There is no reason why the police should be
‘ burdened with the ignominious task of sweeping chronic inebriates
off the public streets. I was recently called upon in the District
of Columbia to assist a man who had been arrested 38 times since
the Easter decision, When you take into consideration the amount
of time he spent incarcerated in jail and in various hospitals,
this amounted to 1 arrest for every 2 days that he appeared on
public streets. Certainly, the answer to the Easter and Driver
decisions is not just to arrest derelict alcoholics every day,

duly bring them to trial and then immediately release them back on
the streets without assistance, only to repeat the process over

and over again. This succeeds only in speeding up the "revolving
door," and in further persecution and degradation of chronic in-
ebriates. It cannot contribute to the elimination of these abuses,
as the Easter and Driver decisions demand.

"In my opinion, the police can and should take two immediate steps
to end the revolving door process, pending development of a broader
community program that I will discuss later in this talk. First,
they should assist any drunken person to his home, whenever that

is possible. Second, where an individual is unable to take care

of himself, the police should assist him to an appropriate public
health facility where he can receive the necessary attention.

Under no circumstances should they arrest known alcoholics time

and time again.

"The question arises, of course, whether the police may properly
assume responsibility for intoxicated individuals and escort them
to an appropriate public health facility to receive proper medical
attention. If the inebriate does not consent, would the police
incur liability for a false arrest? I have long been of the view
that the police have duties of a civil nature, in addition to
their responsibility for enforcing the criminal law. When a police-
man escorts a heart attack victim to the hospital, he certainly is
not arresting him, Thus, in my opinion, the police have both a
right and a duty to take unwilling intoxicated citizens who appear
to be unable to take care of themselves, whether or not they are
alcoholics, to appropriate public health facilities. And I might
Page 7

add that, in the oral argument in the Easter case, all 8 of the
judges indicated agreement with this proposition. Nevertheless,
law enforcement officers have expressed considerable apprehension
about the possible liability of policemen for false arrest under
these circumstances. Certainly, this question should be resolved
immediately, preferably by enactment of state statutes, in order
to lay the necessary legal foundation for the proper medical
handling of alcoholics."

The court procedure must also be modified. Again, the quotes are
Peter Barton Hutt:

“With regard to the judicial handling of chronic court inebriates,
once a judge becomes aware, through any information of any kind,
from any source, that a defendant charged with public intoxication
may have available to him the defense of chronic alcoholism, he
is, in my opinion, clearly obligated to make certain that the de-
fense is adequately presented. Cases in the District of Columbia,
involving the analogous defense of mental illness, hold that even
if the defendant protests, the judge is required to inject the
defense into the case sua sponte, which means of his own motion,
to make certain that an innocent man is not convicted. Failure to
do so is reversible error, as an abuse of the judge's discretion.
And a decision handed down by the United States Supreme Court in
March of this year is wholly consistent with this position. There
is no reason why these precedents should not be equally applicable
to the defense of chronic alcoholism.

"This means, of course, increased responsibility for the judiciary.
Under the Easter and Driver decisions, each trial judge is obli-
gated to take affirmative action to bring an immediate end to the
traditional "revolving door" handling of the chronic court inebri-
ate in his court. No judge, in my opinion, may properly remain
neutral, simply waiting for a defendant to raise the defense of
alcoholism.

"Indeed, statistics I have reviewed suggest that, throughout the
country, approximately 90-95 per cent of the drunkenness offenders
who appear before the courts have serious drinking problems. In

my judgment, this statistic in itself places upon trial judges an
obligation to inquire into the possibility of the defense of
chronic alcoholism for virtually every drunkenness offender who
appears in the courts, A failure to undertake this inquiry amounts,
in my view, to a derogation of judicial responsibility.

"This also means the demise of the so-called court honor or proba-
tionary programs for alcoholics which have sprung up all over the
country as the judiciary's ad hoc answer to the failure of public
health officials to treat alcoholism as a disease, If a defendant
is found to be eligible for a court alcoholic program, then obvi-
ously he should not be convicted in the first place. The Easter
Page 8

and Driver decisions are, in my judgment, fundamentally in conflict
with any type of judicially-sponsored post-conviction program for
the treatment of alcoholism. However benevolent such programs may
be, constitutionally they are a thing of the past. For my part,

I shall be very happy to see the courts step aside in this area,
and to see public health officials take over problems which they

should have taken over many years ago.

Legislation to provide for involuntary commitment of alcoholic
until rehabilitation process is complete. Should be on a health
and treatment basis rather than through courts with penal approach.

The responsibilities of the state and local communities must be
defined and clarified.

The responsibility of after-care when the patient has been released
from the hospital should be determined. Who follows-up--the state
or local community?

B. Treatment Facilities

1.

Intake Center and Detoxification Unit

Before any kind of evaluation, diagnosis or therapy can begin, it
is necessary that the individual be detoxified as quickly and as
safely as possible so that the effects of acute intoxification are
no longer present. There is no doubt that the hospital is the
best setting for such treatment. Emergency measures are at hand,
the staff is available and all nécessary equipment is there. In
Fulton and DeKalb County, Grady Memorial Hospital seems to be the
logical place for a Detoxification Center. It is authorized to
take care of emergencies, it has space and is conveniently located.
It does take care of alcoholics in its emergency clinic. Exper-
ience has shown that there is very little difficulty encountered
in treating alcoholics. Records of hospitals that have admitted
these patients will confirm the report that most of these patients
offer no more difficulty than any other sick person. It is diffi-
cult to estimate how many beds Atlanta would need to take care of
the problem to a fairly adequate degree. St. Louis, Missouri,
opened a 30-bed unit to serve the entire city. Officials reported
that in the first two months of operation, the station operated

at or near capacity with only the alcoholics from two police
districts. It is obvious that if facilities exist they will be
used. Based on the St. Louis experience, which was concerned with
a lower rate of arrests than Atlanta has, it is felt that approx-
imately 100 beds would be needed. Staff for 24 hour duty would

be required. This would mean: 9 registered nurses, 9 licensed
practical nurses, 15 attendants (nurses aides or orderlies).

Exact plans would have to be worked out in detail with Grady Mem-
orial Hospital and other professional people who are concerned
and working with the problem,
Page 9

Inpatient Diagnostic-Evaluation Center

Following the individual's detoxification, he could be transferred
to an inpatient diagnostic-evaluation center where a complete
work-up could be prepared on his medical, social, occupational,
family and other personal history.

This could conceivably be the present City Prison Farm, which,
when alcoholics can no longer be incarcerated there, would have
room. Alterations and modifications in the structure would have
to be made, but this would not present much of a problem.

The Center should have a multi-disciplinary team approach. Its
staff should consist of medical, psychiatric, psychological,
‘social work, vocational, and rehabilitation personnel, The indiv-
idual would stay approximately 5 or 6 days or until plans were
complete for future treatment.

It is hoped that as much as possible treatment would be on a
voluntary basis and that commitment would be only used when abso-
lutely necessary. Full cooperation and willingness of the indiv-
idual to undergo treatment would facilitate the rehabilitative
process.

Outpatient Rehabilitative Treatment

The success of the Emory University Vocational Rehabilitation
Alcohol Project demonstrates that these men can be treated suc-
cessfully in an outpatient setting. Even those who will become
only partially self-sustaining should be treated as those who
eventually will be fully rehabilitated.

The most important and unique feature of the proposed method of
treating the chronic alcoholic court offender is based on the
recognition that these individuals are totally dependent upon
others to take care of them. Knowing and accepting this makes
the task of rehabilitation less difficult and more certain.

Any outpatient service should be based on the Emory Project and
its experience should be fully utilized. The service should
use a multi-disciplinary approach. Represented on the staff
should be vocational rehabilitation counselors, social workers,
clinical psychologists, chaplains, physicians and psychiatrists.
The main emphasis in rehabilitation should be on “reaching out”
for the clients rather than the traditional waiting for the
client to request services. This reaching out is necessary be-
cause of the passive, dependent nature of the alcoholic. Once
he is involved in the rehabilitation process, he must be contin-
uously supported until his total dependency can be changed so
that he is sufficiently independent to function in society and
to maintain employment.
Page 10

Inpatient Extended Care Program-Rehabilitative Service

The Georgia Health Code Act No. 936 (H.B. 162) 1964 session of
the General Assembly, 88-403, states:

"The administrative responsibility for alcoholic rehabilitation
as provided herein shall be vested in the Department of Health.
The Department of Health shall study the problem of alcoholism,
including methods and facilities available for the care, custody,
detention, treatment, employment, and rehabilitation of alcohol-
ics. The Department of Health shall promote meetings for the
discussion of the problems confronting clinics and agencies
engaged in the treatment of alcoholics and shall disseminate in-
formation on subject of alcoholism for the assistance and guid-
ance of residents and courts of the State. The Department of
Health is hereby authorized to establish and maintain hospitals,
clinics, institutions, outpatient stations, farms, or other fac-
ilities for the care, custody, control, detention, treatment,
employment, and rehabilitation of alcoholics, and is further
authorized to accept for care and custody alcoholics voluntarily
applying for treatment or ordered hospitalized by court order

as hereinafter provided, and is further authorized to confine
and detain such alcoholics for treatment and rehabilitation."

This, then, definitely places the responsibility on public health
and any planning should be done with this in mind. Also, as with
all other phases of the plan, this should be integrated and co-
ordinated with the state and local plans for mental health.

In a conference Community Council’ staff had with the State Mental
Health Division, it was pointed out that it was the policy of

the Mental Health Division to require that all local mental
health programs should include some provision for the care or
handling of chronic alcoholics, The exact methods to be utilized
are not specified, but this problem must be considered and pro-
vided for in some manner in any mental health program at the
local level. Dr. Donald Spille, Executive Director of the Met-
ropolitan Atlanta Mental Health Association, Inc., is a member
of the Community Council's Committee on Alcoholism and will help
keep the Committee advised on mental health program plans.

The inpatient extended care rehabilitative service could be part
of a regional hospital or a center by itself. The stress should
be on rehabilitation to prepare the individual to be a self-
sustaining member of society.

Treatment techniques should include:

a. Counseling and evaluation
b. Physical therapy

c. Work therapy

d. Group therapy
Page ll

e. Self government

f. Lectures and films
g. Drug therapy

h. Recreation therapy
i. Pastoral counseling

Specific plans should be developed by experts in the field.

At present, we have the Georgian Clinic located in Atlanta and
supported by the Georgia Department of Public Health. Fees
charged to the patient are based on income, It is a 50-bed resi-
dent patient hospital and also provides day care and night care.
This serves all residents of Georgia and the patient must be

free of alcohol for 24 to 48 hours. There are also a few private

‘hospitals or sanatoriums that accept chronic alcoholics but fac-

ilities are extremely limited and almost nonexistent for those
who cannot pay.

C. Supportive Services

Lig

Housing - a great many of these individuals have no place to
live, Some need temporary shelter while undergoing treatment.
Some place must be provided for them which will give them support
and keep them from drinking. Others will need more permanent
arrangements if they cannot return to their own homes or live
independently.

The following are some of the kinds of housing that are recom-
mended:

a. Hostel - a semi-institution preferably in town. Should have
a structured program with some medical personnel in attend-
ance. Can be large, serving several hundred individuals.
There is nothing like this in Atlanta,

b. Halfway homes - smaller, more individual, less structured.

St. Jude's House, Inc., is at present the only halfway house
in Atlanta. It is supported by rents from residents, contri-
butions from churches, individuals and foundations. It has
beds for 40 residents and provides meals for an indefinite
period of time in a protective setting. The men must be

20 years and older, must have an arrest record for drunken-
ness, must be screened psychologically and physically by the
Emory University Alcohol Project. They must also be suitable
for employment.

ec. Shelters for homeless men that include alcoholics.

The Atlanta Union Mission which is supported by individual
contributions and fees. The Mission provides shelter, food,
 

Page 12

clothes, Christian counsel and employment for indigent men. On
the average, 200 men are taken care of per night. Approximately
85% of these are alcoholics,

The Salvation Army provides over 700 men with shelter a week.
About 90% of these are alcoholic. It does not accept anyone in
a severe drunken state since no medication or special treatment
is available. These are sent by cab to Grady Hospital or turned
over to the police. The men from the Emory Project will occupy
a special section. The Army staff is responsible for giving the
medication prescribed and will see that the men cooperate with
treatment.

Women alcoholics are housed at 242 Boulevard, N.E. Since August,
1966, there have been 4. Women are always referred to Grady Hos-
pital, the Emory Project or the Georgian Clinic.

Individual rooming houses or hotels. The Emory University Alcohol
Project now has a staff member developing these facilities. With
help and supervision, many of these places could be made accept-
able, kept from deteriorating and provide pleasant places to live.
In most of the "flop houses" and cheap hotels, the man is exposed
to other drinkers and the atmosphere is not conducive to a

healthy state of mind.

Social clubs where individual can go when not in treatment or
when not working. A.A. meetings provide a form of this.

Facility for individual who cannot be rehabilitated but will
always remain partially dependent on treatment. Social improve-
ment, even if it implies dependency upon the hospital, is per-
haps the most that can be expected as a goal of therapy for this
group.

1) Farm where he can be self-supporting.

2) Work outside of facilities with aid of treatment, but
return to facility for night and free time.

Atlanta Union Mission Rehabilitation Farm for alcoholics and

the aged will open in May. It will house 32 alcoholics to begin
with and the master plan calls for 64, In order to be acceptec,
the client must be without a drink for at least 48 hours, sign a
statement of his own free will of intent to stay a minimum of 60
days, to cooperate with the staff and its program of worship,
work and education. The client will not be permitted to leave
the mission farm for the first 2 weeks and afterwards only when
accompanied by Mission Farm personnel. There will be a charge
of $62.50 per month for every man. However, his ability to pay
will not determine his acceptance.
Page 13

2. Financial Assistance - part of society's basic obligation is to pro-
vide for the destitute. This allows them income while undergoing
treatment and supplements income of those who need permanent care.

The Fulton County Department of Family &amp; Children Services cooperate
completely with the existing facilities for treatment of the chronic
alcoholic. The individual receives temporary financial assistance
as long as he is cooperating and undergoing treatment. The Special
Service Section, which carries a reduced caseload, takes care of
most of the alcoholics so that they can be given more intensive case
work. When an individual applies for financial help and is an alco-
holic, every attempt is made to get him to treatment.

Public’ Education

Public apathy has been one of the most severe obstacles in working with
the chronic alcoholic court of fender. As a rule, he is a forgotten man,
relegated to a flop house or prison and given up as a hopeless case. He
remains a burden to society and is one of the most important contributors
to the reservoir of poverty in this country. Once the public understands
and its interest is aroused, the resulting action can become a powerful
force in accomplishing a constructive objective.

A public education program should concern itself with the following
aspects:

1. Develop community leadership to alert people to the needs and poten-
tial of an adequate and sympathetic approach to the problem.

2. Acknowledging that alcoholism is a public health problem and, there-
fore, a public responsibility.

3. Showing that the penal approach to the public alcoholic is expensive
and inhumane. It has only perpetuated the problem and in no way
eased it.

4. Demonstrating that there is no simple solution. That treatment of
the public alcoholic to be effective and lasting requires coordina-
tion of services and a combination of many resources and programs.

5. Understanding of the public alcoholic and homeless individual.

6. Explaining of problems arising in developing programs and service.
a. Legal and legislative
b. Economics or funding

c. Facilities and services that have to be developed

7. Describing and explaining kind of comprehensive plan Atlanta needs,
elements involved and how we go about implementing such a plan.
Page 14

A public education program should be directed at public officials,
special interest groups, as well as the general public.

The Metropolitan Atlanta Council on Alcoholism, working with the Commun-
ity Council, could be the motivating force behind an education program.

Central Registry and Information Retrieval

 

The full extent of Atlanta's alcoholic problems is not known. The United
States Public Health Service considers alcoholism the fourth most serious
health problem in the country and the picture in Atlanta is most likely
no different than that in any other city. According to the national
average, it is estimated that there are from 20,000 to 25,000 alcoholics
in Metropolitan Atlanta. This is far from a complete number for statis-
tics are not available for those using private facilities and for those
that never come to the attention of the public. We know that in 1965,
48,783 arrests were made in Atlanta involving drunkenness. We have
these isolated figures but nothing complete, and some agency should be
charged with the responsibility of keeping accurate statistics on alco-
holics and facilities available for rehabilitation.

In addition, the need for a central clearing house has been felt by many
agencies. Alcoholics seek help in many places and often at the same
time, and there is no way of knowing where they have been or what treat-
ment they have received. A central clearing house or central registry
cannot succeed, however, unless it receives the full cooperation of all
participating agencies. The Metropolitan Atlanta Council on Alcoholisn
might be able to organize one under a epecsat grant so that money would
be available for trained staff.

Staff Training

Before any kind of service or program can be instituted, personnel on
all levels must be available. At the present, there is a severe short-
age of staff and there is a pressing need for training in the field.
Inducements must be made so that individuals will be interested in work-
ing in the area of alcoholism. All facilities and programs concerned
with the treatment of the alcoholic should be involved with the training
program and this should again be coordinated with the State's comprehen-
sive plan for mental illness of which training is an important part.

The Georgian Clinic has an extensive training program which could be ex-
panded. The Clinic could possibly act as the coordinating agency for

a training program.

Evaluation

For a program of this kind, there should be a built-in system of evalu-
ation of services. Only on the basis of such an evaluation would we be
Page 15

able to strengthen and develop the program, accomplish any worthwhile
long-range planning, and establish accurate guidelines for the further

development of the program.

The Research Division of the Community Council will help develop the
evaluation and the plan for it will be incorporated in the final report.

Commu nity Council of the Atlanta Area, Inc.
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                    <text>l
JAMES L. MCGOVERN
l
i
E X ECUTI V E D I RECTOR
I
'
METROPOLITAN
ATLANTA COMMISSION ON CRIME
AND JUVENILE DELINQUENCY, INC.
52 FAIRLIE STR EE T
A TLA NTA, G EORGIA 30303
524-3869
April 10, 1967
Honorable Ivan Allen, Jr.
Mayor of the City of Atlanta
204 City Hall
Atlanta, Georgia


Dear Mayor Allen:
-
--2
- - - ---·
The Community Council of the Atlanta Area, Inc. ----a.n~
the Metropolitan Atlanta Commission on Crime and Juvenile
Delinquency, Inc. are co-sponsoring a meeting to be held
Tuesday, April 18 at 3:00 p.m. in the conference room of
the Trust Company of Geor g ia to discuss the problem of the
chronic a lcoholic court o f fender.
We feel that such a conference at this time is imperative
in view of the recent decisions of the federal Courts of Appeal
which held that the chronic alcoholic should not be confined
as a criminal but rath e r should be t re at e d as one in need o f
me dic a l a ss is tanc e .
Enclosed is a l ist o f tho se pers o ns invi t e d to attend
this meeting as well as some materi
a l relating to the problem
{
of the alcoholic and a tr e atment plan prepared b y the Communit y
Council.
We are hop eful t h a t a n ov e r a ll pl a n in whic h t h e repr e sent a t ives o f the City, County a n d S t a t e will pa rti cipa t e wil l
be f o rt h coming .
Your s
L. McGovern
JLM: ls
Enclosure
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              <text>JAMES L. MCGOVERN
EXECUTIVE DIRECTOR

eee ee

METROPOLITAN ATLANTA COMMISSION ON CRIME
AND JUVENILE DELINQUENCY, INC.

52 FAIRLIE STREET
ATLANTA, GEORGIA 30303
524-3869

April 10, 1967

Honorable Ivan Allen, Jr. Y wh
Mayor of the City of Atlanta “ Sil

204 City Hall
Atlanta, Georgia ean

Dear Mayor Allen:

The Community Council of the Atlanta Area, Inc:~and_
the Metropolitan Atlanta Commission on Crime and Juvenile ~
Delinquency, Inc. are co-sponsoring a meeting to be held
Tuesday, April 18 at 3:00 p.m. in the conference room of
the Trust Company of Georgia to discuss the problem of the
chronic alcoholic court offender.

We feel that such a conference at this time is imperative
in view of the recent decisions of the federal Courts of Appeal
which held that the chronic alcoholic should not be confined
as a criminal but rather should be treated as one in need of
medical assistance.

Enclosed is a list of those persons invited to attend
this meeting as well as some material relating to the problem
of the alcoholic and a treatment plan prepared by the Community
Council.

We are hopeful that an overall plan in which the repre-

sentatives of the City, County and State will participate will
be forthcoming.

Yours very t . ;
i é

mes L. McGovern
JLM:1s

Enclosure
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                    <text>l
f:.1·:.!.
lI
I
'I
I
·!
NEW SLOT FOR THE VOLUNTEER
A Talk With
Joyce Black and Dr. Timothy Costello
Waiting for a bus or subway th~t · role in city government. To find out
and what the Board of Estimate does,
never comes, sending a child ·off to a
if similar bureaus could be used to adbut the subtle kinds of things: Why
school that doesn't open, or trying to
does it take so long to get things done? .
vantage in Detroit, Chicago, Los Ankeep warm in an apartment that has
Why can't you always solve a problem
geles, or even in Waterloo, Iowa, we
in
the most ration~! way? Sometimes
no heat is all part of everyday life in
met with Dr. Costello and Mrs. Black
there
are community blocks and politiNew York City. But, a new form of
in the Deputy Mayor's office, and we
cal considerations that are quite legitigovernment, which New Yorkers have
asked them:
come to· think of as " the Lindsay
mate but keep you from doing things
Why do you11se volunteers in New York's
style," has emerged. By efficiently
in what my wife would say is the
city government?
common-sense way.
using an almost untapped resource
Dr. Costello: I think there is a simple
known as "volunteer power," the naDo volunteers need any special skills?
answer and a. subtle answer. The simtion's largest and most problem~prone
Dr. Costello: Volunteerism is a very,
ple answer is that we need to render
city is surviving the urban crisis.
perhaps ten times as many service.s as
very sensitive activity requiring proBack in 1965, when the Federal govwe're able to with the amount of civil


 ernment first launched its "war on


fessional skills. One of the skills re- .
quired is learning to build a demand
service people w~ have. Beyond that,
poverty," New York City's Economic
for volunteer help that doesn't outdo
Opportunity Committee (the local advolunteers bring something that you
your-supply, and that doesn't produce
ministrative anti-poverty agency)
cannot get from the person whose serfound itself inundated with offers
a demand in agencies where volunteers
/ vices you're buying. They bring spirit,
of help from numerous individuals and
don' t belong and won't be properly
I a sense of dedication, freedom from
used. The desirable thing would be to
organizations. Mrs. Ruth Hagy Brod,
j being captured by procedures, motivathen an EOC staff member, was asked
have a Director of Volunteers in every
1 tion and willingness to wor_
k - someto channel these offers into neighboragency of city government who would
I times under conditions where you
hood anti-poverty agencies.
report to us on what the agency is
l couldn't pay someone else to work.
The complexities of the city made
looking
for. We're flooded with deI don't know if this concept is origMrs. Brod'3 task a monumentally commands from agencies, many of which
inal with me, but for a little while, for
'.·plicated one and an advisory comwe don't want to meet because they're
a long while maybe, many people felt
mittee of community leaders was soon
not suitable, and many of which we
that New York was such a big, sophis'.f ormed to assist her in conducting a
can't meet because we just haven't got
ticated, cosmopolitan town, that it was
study of the patterns and potentials of
an adequate s~pply of volunteers.
nobody's home town. But that's not
/volunteerism in New York City. The
the way people feel now. They're beHow does the VCC work with city
· result of their study was this: Antiagencies?
ginning to feel that it ·is their home
poverty agencies were unable to absorb
town ; they want to be involved in it;
Mrs. Black: We tried to divide the
any significant number of volunteers,
they want to do something for it. This
Council's activities into two sectors,
but there was a great potential for
is true of big business and it's also true
with program development in _b oth the
them in almost every d~£i!!~ent of
of the people living in Staten Island,
public- sector and in the private, nonci_!¥__$0Vemment. Out of this study, the
Queens, or Manhattan. They want to
profit sector - better known as the
VE!.u,n~ C:02@.~at~ _g Co1:1_~~!1.- the
say "I'm doing something for my city."
volunteer sector. If an agency desires
- f!!_~ cent~al vo~n~er bureau_to_be coMrs. Black: We hope this kind of proour advice in developing volunteer
si:onsored by city__ g!)verz.:,.men,t..ill.d..th_e
gram will be duplicated in other cities
programs, we 'a re available, and we
voluntary sector - was born.
for similar reasons. Once you're in· - rn December 1966, the VCC was
also will seek them out if we feel that
volved with a city in the public s·ector,
officiaily inaugurated by Mayor Lindthere should be a use of volunteers
you understand many things that you
say. Deputy Mayor Timothy Costello
there. We've been very fortunate in
never understood before, and you can
was named Chairman, and Mrs. Hiram
New York because we do have an uninterpret th em to the community in a
D. Black (AJLA's Director of Region
derstanding administration and a Depmuch· better way.
·
III) was named Co-Chairman. Mrs.
uty Mayor who took us under his
Brod was appointed Director.
Dr. Costello: Maybe the point that
wing. The Council h as to fi t into a slot
During the first two years of its
is being made is a lesson in civics. I \ 1 in the city; this type of program -just
operation, the VCC h as played a vital
don't mean just where City Hall is, 11 c°an't--be off bii"its ""'o~w=n~.- -- - -
l
14
�I
Dr. Costello: That's right, you simply
What docs the VCC do?
th
Mrs. Black: It does two things. It re· can't graft it on to something at is
not receptive to it. It won't work. The . emits volunteers interviews them and


'CC is kind of a prototype; we're try-( ) ) re~h~~tot~i!ditiqnal ;;;-no~t~a~


m~ to :~courage c~llege st~dents _a nd '---' ditio~~l ·settii'-i~, d;pencling on what
umvers1hes to contribute their services,
k.m d o f service
· th ey wan t t o d o an d
,
but this won't work unless you ve got -. . __ w h a t th e1r
· h ours are. Bu t 1·t a1so 1s
· a
receptivity
in
the
top
level
of
admini-'
d
I
t
k
"
d
f
·
1 r;z_ program- eve opmen m o agency.
•
•
strahon all the way down. the
~
D.___
- M
· ay b e th e term ;,-mar~
. lme.
r. C_os t-e1·-1o:
riage maker" ought to come into this
Does the VCC suggest projects or placement for volunteers in other agencies?
picture, too, because Ruth Brod and the
Dr. Costello: Yes . It creates them.
people around her are frequently
matchmakers. There might be some
You've got a creative gro~p of volu'~group who have ideas for something to
teers who suggest things either because they have an idea or because I do, but they haven't got the resources.
somebody comes in and says: "Look, _,
1 They may not have a .bus to provide
this is what I can do; is there any place I transportation, they may not have the
I can do it?" That's how VCC promoney to . underwrite something, or
grams begin. You look for some place
they may not have access to somewhere the volunteer can do what he
thing. So Mrs. Brod finds somebody
wants to do. That's pretty much what
who has what the group needs and
happened with Riker's Island_ am I
puts them together. For example, in
correct, Joyce?
Operation Suburbia, she put the famMrs. Black: Yes. When men are reilies in ghettos .and the families in
leased from prison _ from Riker' s
suburban areas together, and she put
Island - very often they come out
the coffee house people (See Junior
without anything: withouf a family,
League Magazine, Sep t.I O ct. '68) towithout funds, without a heavy winter
gether with some people who had
coat. Ruth Brod was telling me the
money. The Council is always trying
other day that she had to get a winter
to spin programs off. _j__ _
coat for one of the men. He couldn't
Mrs. Black: We act as a ~atalyst. And
I think this is a word that we should
get a job either, because no one wants
use more and more because volunteer
to give a job to a newly-released pris, organizations are not going in where
oner. In a sense, the volunteer involved
they're not wanted. Not only do we
with these men is going to be involved
have to be asked to participate J:mt we
in the buddy system. Each prisoner,
also work with the people in the innerwhen he is released, is now being met
city by not inflicting or imposing any
by one of our staff people and taken
of our thinking upon them. This is
to a place where he is employed or
certainly the way of the future, and
trained by a union. We also find a
it's
the way they want it.
place for him to live, and give him
pocket money obtained from private
Many city agencies are· ' troubled with
sources to supplement him until he gets
quick changeover of personnel, money
difficulties, and a host of other problems.
his welfare check, which isn't for two
Does this make it more difficult for you
weeks after. he is released.
to find volunteers to work with them?
Dr. Costello: This is exactly where vol-:
unteerism comes in. There is no com-i ivlrs. Black: Not really. We do not put
bination of services that the city can 1 volunteers into a situation wher·e there
I
is no one to supervise and train them.
provide which would do all of these
The Council doesn' t actually train volthings: that is, reach out and obtain a
unteers; the t_raining is. done in the
job, worry about whether the man has
individual agencies.· If we went into
a coat or carfare, worry about where
,
t~ n~g, wi?d have to have a couple
he is going to sleep or eat. Because
1 of hundred people on the staff. W e
these men sometidies fail - they don't
give them only a ~11 .o rientation to
report for duty, or they goof off - the
volunteers go back and talk them into .' the fiel~ _of volunteerjsm: .
trying again. There's no service like _.Dr. Costello: Som~times the word "volthat. You simply can't buy that kind of
unteer" applies to a group of people
service anywhere.
who are part of the target population
16
...
_
_
~-I.
i:' ...--. ,'
·~:
'
I
·-,
./:
,,
themselves. That is, they have an idea,
and they want to do something. So you
don't send white middle-class people
into that neighborhood to help those
people. They are already there, they
just need a little support, a little
money, a little access, a little building,
a little equipment, or whatever, to continue their own volunt~ry efforts in
their community. And that's · a new
kind·of volunteerism.
I know Ruth was very upset one day
when I suggested that maybe you
couldn't ask poor people to volunteer;
they are too busy. And she said,
"You can't deny them the opportunity
to be part of a volunteer program. Now
you may have to provide carfare occasionally, or a little baby-sitting
money, but you've got to give them the
chance to give something as well as to
take something."
Have any of your volunteers had problems in the inner-city areas?
Mrs. Black: We haven't had trouble
because we simply don't send anybody
unless they're truly wanted and 9 sked
for. Of course, the other thing is that
if. we were sending some volunteer
for a specific reason - into part of
the Haryou complex, for example we would most likely send a black person in who probably would be acc-epted. This is a complex situation.
Dr. Costello: No p sychiatrist would
ever attempt to treat a patient unless
II
�all over the place: in the Rent and
Rehabilitation Department; in the Po~
lice Department, in the M ayor's Action
Center - everyplace. _
,r~
What do you see for the future? In what
direction do you see the Council moving?
-t
Mrs. Black: One of our goals is to have
'
.





'r
it move into other. cities. Our first
phase of operation is over - th~p_h_ase
·
- in the publi~ sector.- Now--;-·t1:1.e second
/ --phase is to more fully develop prog) am.s in ~ hich the volun_'.eer sector
' '---/4.nd t ti[""puolic;__sector. cooper_&lt;!te. I see
··
-· ·
the -VCC moving more and more in
/
the direction of coop erative prog~~s.
r'
I also see it moving into more programs in the inner-city and into areas
where no one has ever before thought
of using volunteers.
In the future, we want a main office
in the heart of the city at City Hall,
the patient wanted help, and I think
and then we plan to d·ecentralize. We'll
the same rock-bottom principle applies
keep our central off.ice, but we also
to volunteer assistance - you don't
hope to have Borough offices. Our
impose it on anyone who hasn't asked
most recent proposal asks for fund s to
for it. That is not to say that yoi:t don't
establish
the Borough. oJfices on a mocultivate the demand . You don't sit
with a fubile ~'nit going
bile
basis,
back in your ivory tower and wait for
around
recruiting
and int ervie~ ng .
people to come. It wouldn't happen
We
feel°
thatthis
..
would
be less· exlike that. Nor would we send anybody
pensive
than
opening
an
office
in each
down to Harlem and say, "Here are
Borough. We've got a lot "of people in
some people; they' re eager; they talk
Queens 0 ho don't want to volunteer
English. Can't you use them?" No
in Brooklyn or in Manhattan and vice
good, it wouldn't happen that way.
versa. We need Borough offices .in
Does the Council do a lot of work with
order to reach all the people who really
any of the new-line poverty agencies such
want to volunteer. Maybe next year
as the Urban Coalition?
we can tell you that we have decenMrs. Black: We h ave been working
tralized. Or maybe in a couple of years .
with Urban Coalition, and Mrs . Brod
Do you feel that the Council has become
ha.s been developing volunteer proa fairly needed component in dty govern~
grams with them. Because it's just
ment? (You probably can't call it essential
getting off the ground, the Urban Coabecause volunteers are certainly not an
lition hasn't been as involved with
essential component.)
volunteers as they wished to be, or
Dr. Costello: If y ou talk about good
hope to be in the future. _Eventu ally
government in the largest sense - inthey want to have a pretty strong
volving people, and reducing the guilt
volunteer program, and they've recentthat people feel, giving them the
ly hired a D~ :_ctor of Volunteers.
chance to contribute. things that you
WJiat about MEND or UPACA or any of
can' t buy - then -it's essential. N ow
the grass roots community organizations?
if you're talking abou t the minimum
society, where you just get a minimum
Mrs. Black : Yes, we h a"e worked with
of services, and minimum involvement
t he comm uni t y organ i zati on s from citizens, then of course it's not
UPACA is one. But don't forget we are
essential. But in terms of good spi rit,
also working within th e city in public
people for
departments . When we started, we
morale, and the capacity
getting to know the other side cif life only had volunteers in the hospitals
and in the schools . Now we have them
both sides - then I think volunteerism
,~ \ .;;: 6
of
is essential for the health of society.
No doubt about it.
Would it be safe to say that you think
volunteers are becoming a more important part of society?
Dr. Costello, I certainly do. I've been
reading Herman Kahn's book, The
Year 2,000, and he says that increasingly we are not only developing primary occupations and secondary occupations, but also tertiary occupations.
Woman's prime role is becoming less
central to her life, and less capable of
satisfying her full range of interests.
Mgst of us are going to have to find
volunteer activities in order to fulfill
all the capacities and needs we have.
It's going to become Increasingly important, not only in terms of what the
city needs, but in terms of what the
individual needs.
People are getting less personal satisfaction than they used to because
they're becoming mechanized or automated; the human element is taken out
of them. You have that kind of a job;
so you earn your living that way. But
you really satisfy yourself on what you
plan to do on a voluntary basis, because you've got some command of
what is going to take place there.
Do ·you think the role of the volunteer in
government will be increasing - not just
in New York City, but in other cities, and
possibly on the national level?
Dr. Costello: We distinguish ourselves
from the. national level because certainly it' s hard to bring volunteers
from all over the country to Washington. And the · Federal government
· doesn' t get represented in any dramatic
way at the city level. I think the cities
are the places where you can r eally do
~ - I -~-;uld °"s-ay that ihvecanget
other cities to do what we've been doing, and if we can continue to build
relationships between different segments of society by h aving volunteers
from these various groups work together, then we've made a mighty contribution. You can legislate integration. You can kind of force it by housing. But the real integration comes
wh en people ch oose to work together
on a problem and solve common goals.
And, this is something th at can be
accomplished by volunteerism alone.
Barbara Bo nat and Christine Rodriguez
17
I
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              <text> 

 

 

NEW SLOT FOR THE VOLUNTEER

A Talk With
Joyce Black and Dr. Timothy Costello

Waiting for a bus or subway that -

never comes, sending a child off to a
school that doesn’t open, or trying to
keep warm in an apartment that has
no heat is all part of everyday life in
New York City. But, a new form of
government, which New Yorkers have
come to think of as “the Lindsay
style,” has emerged. By efficiently
using an almost untapped resource
known as “volunteer power,” the na-
tion’s largest and most problem-prone
city is surviving the urban crisis.

Back in 1965, when the Federal gov-
ernment first launched its “war on
poverty,” New York City’s Economic
Opportunity Committee (the local ad-
ministrative anti-poverty agency)
found itself inundated with offers
of help from numerous individuals and
organizations. Mrs. Ruth Hagy Brod,
then an EOC staff member, was asked
to channel these offers into neighbor-
hood anti-poverty agencies,

The complexities of the city made
Mrs. Brod’s task a monumentally com-
‘plicated one and an advisory com-
mittee of community leaders was soon
formed to assist her in conducting a
‘study of the patterns and potentials of
volunteerism in New York City. The
result of their study was this: Anti-
poverty agencies were unable to absorb
any significant number of volunteers,
but there was a great potential for
them in almost every department of
city government. Out of this study, the
Volunteer Coordinating Council — the

~| first central volunteer bureau to 0 be co-

sponsored by city government and the
voluntary sector — was born.

In December 1966, the VCC was
officially inaugurated by Mayor Lind-
say. Deputy Mayor Timothy Costello
was named Chairman, and Mrs. Hiram
D. Black (AJLA’s Director of Region
III) was named Co-Chairman. Mrs.
Brod was appointed Director.

During the first two years of its
operation, the VCC has played a vital

14

role in city government. To find out
if similar bureaus could be used to ad-
vantage in Detroit, Chicago, Los An-
geles, or even in Waterloo, Iowa, we
met with Dr. Costello and Mrs. Black

in the Deputy Mayor’s office, and we
asked them:

Why do you use volunteers in New York's
city government?

Dr. Costello: I think there is a simple
answer and a.subtle answer. The sim-
ple answer is that we need to render
perhaps ten times as many services as
we're able to with the amount of civil
service people we have. Beyond that,
volunteers bring something that you
cannot get from the person whose ser-
vices you’re buying. They bring spirit,
\a sense of dedication, freedom from
| being captured by procedures, motiva-
| tion and willingness to work — some-
times under conditions where you
couldn’t pay someone else to work.

I don’t know if this concept is orig-
inal with me, but for a little while, for
a long while maybe, many people felt
that New York was such a big, sophis-
ticated, cosmopolitan town, that it was
nobody’s home town. But that’s not
the way people feel now. They’re be-
ginning to feel that it is their home
town; they want to be involved in it;
they want to do something for it. This
is true of big business and it’s also true
of the people living in Staten Island,
Queens, or Manhattan. They want to
say “I’m doing something for my city.”
Mrs. Black: We hope this kind of pro-
gram will be duplicated in other cities
for similar reasons. Once you’re in-
volved with a city in the public sector,
you understand many things that you
never understood before, and you can
interpret them to the community ina
much’ better way.

Dr. Costello: Maybe the point that
is being made is a lesson in civics. I
don’t mean just where City Hall is,

é

and what the Board of Estimate does,
but the subtle kinds of things: Why

does it take so long to get things done? |

Why can’t you always solve a problem
in the most rational way? Sometimes
there are community blocks and politi-
cal considerations that are quite legiti-
mate but keep you from doing things
in what my wife would say is the
common-sense way.

Do volunteers need any special skills?

Dr. Costello: Volunteerism is a very,
very sensitive activity requiring pro-
fessional skills. One of the skills re-
quired is learning to build a demand
for volunteer help that doesn’t outdo
your supply, and that doesn’t produce
a demand in agencies where volunteers
don’t belong and won’t be properly
used. The desirable thing would be to
have a Director of Volunteers in every
agency of city government who would
report to us on what the agency is
looking for. We're flooded with de-
mands from agencies, many of which
we don’t want to meet because they’re
not suitable, and many of which we
can’t meet because we just haven’t got
an adequate supply of volunteers.

How does the VCC work with city
agencies?

Mrs. Black: We tried to divide the
Council’s activities into two sectors,
with program development in both the
public sector and in the private, non-
profit sector — better known as the
volunteer sector. If an agency desires
our advice in developing volunteer
programs, we are available, and we
also will seek them out if we feel that
there should be a use of volunteers
there. We've been very fortunate in
New York because we do have an un-
derstanding administration and a Dep-
uty Mayor who took us under his
wing. The Council has to fit into a slot
in the city; this type of program just

| can't be off on its own,

—

 

 
i

is aes

may

ed A et

 

 

 

Dr. Costello: That’s right, you simply
can’t graft it on to something that is
not receptive to it. It won't work. The
VCC is kind of a prototype; we're try-,

ing to encourage college students and —

universities to contribute their services,
but this won’t work unless you've got _
receptivity in the top level of admini-,
stration all the way down the line.

Does the VCC suggest projects or place-
ment for volunteers in other agencies?

Dr. Costello: Yes. It creates them.
You've got a creative group &gt; of volun-
teers who suggest things either be-
cause they have an idea or because
somebody comes in and says: “Look,
this is what I can do; is there any place |
I can do it?” That’s how VCC pro-
grams begin. You look for some place
where the volunteer can do what he
wants to do. That’s pretty much what
happened with Riker’s Island — am I
correct, Joyce?

Mrs. Black: Yes. When men are re-
leased from prison — from Riker’s
Island — very often they come out
without anything: without a family,
without funds, without a heavy winter
coat. Ruth Brod was telling me the
other day that she had to get a winter
coat for one of the men. He couldn’t
get a job either, because no one wants
to give a job to a newly-released pris-
oner. In a sense, the volunteer involved
with these men is going to be involved
in the buddy system. Each prisoner,
when he is released, is now being met
by one of our staff people and taken
to a place where he is employed or
trained by a union. We also find a
place for him to live, and give him
pocket money obtained from private
sources to supplement him until he gets
his welfare check, which isn’t for two
weeks after he is released.

Dr. Costello: This is exactly where vol-'
unteerism comes in. There is no com-.

bination of services that the city can
provide which would do all of these
things: that is, reach out and obtain a

_ job, worry about whether the man has 3
a coat or carfare, worry about where

he is going to sleep or eat. Because
these men sometimes fail — they don’t
report for duty, or they goof off — the
volunteers go back and talk them into
trying again. There’s no service like
that. You simply can’t buy that kind of
service anywhere.

16

What does the VCC do?

Mrs. Black: It does two things. It re-
~ cruits volunteers, interviews them, and
) jrefers them ‘to traditional or non-tra-

ditional settings, depending on what

kind of service they want to do and
~ what their hours are. But it also is a
/ 2 program- -development k kind of agency.

"Dr Costello: Maybe the term “mar-

riage maker” ought to come into this
picture, too, because Ruth Brod and the
people around her are frequently
matchmakers. There might be some
group who have ideas for something to
do, but they haven’t got the resources.
They may not have a bus to provide
transportation, they may not have the
money to underwrite something, or
they may not have access to some-
thing. So Mrs. Brod finds somebody
who has what the group needs and
puts them together. For example, in
Operation Suburbia, she put the fam-
ilies in ghettos and the families in
suburban areas together, and she put
the coffee house people (See Junior
League Magazine, Sept./Oct. “68) to-
gether with some people who had
money. The Council is always trying
to spin programs off. _|
Mrs, Black: We act as a catalyst. And
I think this is a word that we should
use more and more because volunteer
\organizations are not going in where
they’re not wanted. Not only do we
have to be asked to participate but we
also work with the people in the inner-
city by not inflicting or imposing any
of our thinking upon them. This is
certainly the way of the future, and
it’s the way they want it.

Many city agencies are ‘troubled with
quick changeover of personnel, money
difficulties, and a host of other problems.
Does this make it more difficult for you
to find volunteers to work with them?

‘Mrs. Black: Not really. We do not put
‘ volunteers into a situation where there
is no one to supervise and train them.
The Council doesn’t actually train vol-
' unteers; the training is, done in the
\ individual agencies. If we went into
‘ training, we’d have to have a couple
| of hundred people on the staff. We
_ give them only a small orientation to
the field of volunteerism.
_Dr. Costello: Sometimes the word “vol-
unteer” applies to a group of people
who are part of the target population

[os

 

themselves. That is, they have an idea,
and they want to do something. So you
don’t send white middle-class people
into that neighborhood to help those
people. They are already there, they
just need a little support, a little
money, a little access, a little building,
a little equipment, or whatever, to con-
tinue their own voluntary efforts in
their community. And that’s a new
kindof volunteerism.

I know Ruth was very upset one day
when I suggested that maybe you
couldn’t ask poor people to volunteer;
they are too busy. And she said,
“You can’t deny them the opportunity
to be part of a volunteer program. Now
you may have to provide carfare oc-
casionally, or a little baby-sitting
money, but you've got to give them the
chance to give something as well as to
take something.”

Have any of your volunteers had prob-
lems in the inner-city areas?

Mrs. Black: We haven't had trouble
because we simply don’t send anybody
unless they’re truly wanted and asked
for. Of course, the other thing is that
if we were sending some volunteer
for a specific reason — into part of
the Haryou complex, for example —
we would most likely send a black per-
son in who probably would be ac-
cepted. This is a complex situation.

Dr. Costello: No psychiatrist would
ever attempt to treat a patient unless

 

a
 

 

: a

irs

 

 

the patient wanted help, and I think
the same rock-bottom principle applies
to volunteer assistance — you don’t
impose it on anyone who hasn’t asked
for it. That is not to say that you don’t
cultivate the demand. You don’t sit
back in your ivory tower and wait for
people to come. It wouldn’t happen
like that. Nor would we send anybody
down to Harlem and say, “Here are
some people; they’re eager; they talk
English. Can’t you use them?” No
good, it wouldn’t happen that way.

Does the Council do a Jot of work with
any of the new-line poverty agencies such
as the Urban Coalition?

Mrs. Black: We have been working
with Urban Coalition, and Mrs. Brod
has been developing volunteer pro-
grams with them. Because it’s just
getting off the ground, the Urban Coa-
lition hasn’t been as involved with
volunteers as they wished to be, or
hope to be in the future. Eventually
they want to have a pretty strong
volunteer program, and they've recent-
ly hired a Director of Volunteers.

What about MEND or UPACA or any of
the grass roots community organizations?

Mrs. Black: Yes, we haye worked with
the community organizations —
UPACA is one. But don’t forget we are
also working within the city in public
departments. When we started, we
only had volunteers in the hospitals
and in the schools. Now we have them

all over the place: in the Rent and
Rehabilitation Department, in the Po-
lice Department, in the Mayor's Action
Center — everyplace. .

What do you see for the Future? In what
direction do you see the Council moving?

Mrs. Black: One of our goals is to have
it move into other cities. Our first

~ phase of operation is over — the phase

dof, ere volunteer oe eae

oe the publics sector cooperate. I see

the VCC moving more and more in
the direction of cooperative programs.
I also see it moving into more pro-
grams in the inner-city and into areas
where no one has ever before thought
of using volunteers.

In the future, we want a main office
in the heart of the city at City Hall,
and then we plan to decentralize. We'll
keep our central office, but we also
hope to have Borough offices. Our
most recent proposal asks for funds to
establish the Borough. offices on a mo-
bile basis, with a mobile unit going
around recruiting and interviewing.
We feel that this would be less ex-
pensive than opening an office in each
Borough. We’ve got a lot of people in
Queens who don’t want to volunteer
in Brooklyn or in Manhattan and vice
versa. We need Borough offices .in
order to reach all the people who really
want to volunteer. Maybe next year
we can tell you that we have decen-
tralized, Or maybe in a couple of years.

Do you feel that the Council has become
a fairly needed component in city govern-
ment? (You probably can’t call it essential
because volunteers are certainly not an
essential component.)

Dr. Costello: If you talk about good
government in the largest sense — in-
volving people, and reducing the guilt
that people feel, giving them the
chance to contribute. things that you
can’t buy — then-it’s essential. Now
if you're talking about the minimum
society, where you just get a minimum
of services, and minimum involvement
from citizens, then of course it’s not
essential. But in terms of good spirit,
morale, and the capacity of people for
getting to know the other side of life —
both sides — then I think volunteerism

is essential for the health of society.
No doubt about it.

Would it be safe to say that you think
volunteers are becoming a more impor-
tant part of society?

Dr. Costello: I certainly do. I’ve been
reading Herman Kahn’s book, The
Year 2,000, and he says that increas-
ingly we are not only developing pri-
mary occupations and secondary occu-
pations, but also tertiary occupations.
Woman’s prime role is becoming less
central to her life, and less capable of
satisfying her full range of interests.
Most of us are going to have to find
volunteer activities in order to fulfill
all the capacities and needs we have.
It’s going to become increasingly im-
portant, not only in terms of what the
city needs, but in terms of what the
individual needs.

People are getting less personal sat-
isfaction than they used to because
they’re becoming mechanized or auto-
mated; the human element is taken out
of them. You have that kind of a job;
so you earn your living that way. But
you really satisfy yourself on what you
plan to do on a voluntary basis, be-
cause you’ve got some command of
what is going to take place there.

Do you think the role of the volunteer in
government will be increasing — not just
in New York City, but in other cities, and
possibly on the national level?

Dr. Costello: We distinguish ourselves
from the. national level because cer-
tainly it’s hard to bring volunteers
from all over the country to Washing-
ton. And the’ Federal government
doesn’t get represented in any dramatic
way at the city level. I think the cities
are the places where you can n really do
things. I would say that if we can get
other cities to do what we've been do-
ing, and if we can continue to build
relationships between different seg-
ments of society by having volunteers
from these various groups work to-
gether, then we’ve made a mighty con-
tribution. You can legislate integra-
tion. You can kind of force it by hous-
ing. But the real integration comes
when people choose to work together
on a problem and solve common goals.
And, this is something that can be
accomplished by volunteerism alone.

Barbara Bonat and Christine Rodriguez

17

 

oa

 

 
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      <tag tagId="39">
        <name>Box 3</name>
      </tag>
      <tag tagId="58">
        <name>Box 3 Folder 15</name>
      </tag>
      <tag tagId="57">
        <name>Folder topic: Community Council of the Atlanta Area | 1966-1969</name>
      </tag>
    </tagContainer>
  </item>
</itemContainer>
