Sotu rdoy, July 20, 1.974 THE MICHIGAN DAILY Poge Nine Saturday, July 20, 1974 THE MICHIGAN DAILY Page Nine Mental WASHINGTON (A - A new :ivil rights movement, work- ing through law suits in federal :ourts, could have a profound impact on the nation's publicly supported mental institutions. If successful, ° the strategy :ould force every state to spend more time and money to guar- antee individual treatment and humane conditions for patients in institutions for the mentally ill and mentally retarded. AND IT could inject the pow- er of the federal courts into a local government function in a prolonged way that has happen- ed only once before - in school desegregation. The movement, coalescing from the efforts of numerous local reformers, gained new strength in 1972 when a hand- ful of attorneys formed the Men- tal Health Law Project as a nonprofit private corporation bent on winning legal recogni- tion of the rights of mental pa- tients. About the same time, the Jus- tice Department was gearing up for its own attack. Assistant Atty. Gen. Stanley Pottinger, head of the depart- ment's civil rights division, calls the effort "one of the two or three last great frontiers of civil rights." THE LAWSUTTS contend states have not just a moral and medical duty, but an obli- gation imposed by-the Constitu- tion, to nrovide treatment to pa- tients involuntarily committed to mental institutions. This argument, like those em- nloved successfully in the civil rights battles of the 1960s, re- lies on the 14th Amendment and its nromise that no state shall "deprive any person of life, liberty, or nronerty, without due process of law " Dting the past 14 years, the arg isent was oresentedain sev- eral federal district courts on behalf of individual Patients. Bit the mixed results attract- ed little attention and establish- ed no clear-cut legal principle with national application. A SERIES of apinions in 1971 and 1972 by a judge in Alabama gave the movement the imnetus it had sought. Chief U.S. Dis- trict Judge Frank Johnson sle- clared uneonivocally that na- tients committed to institutions "inowestionably have a conyit- ttional right to receive -irh individual treatment as will giva each of them a realistic onor- t'nity to he cured or to improve his or her mental condition." He said flrther, "There catA patients: New civil rights fight be no legal or moral justifica- tion for the state of Alabamao's failing to afford treatment - and adequate treatment from a medical standpoint - to the several thousand patients w h o have been civillly committed to Bryce Hospital for treatment purposes. "To deprive any ci'izen oft his or her liberty upon the al- truistic theory that the coifine- ment is for humane therapeitic reasons and then fail to provide adequate treatment viola.-es the very fundamentals of due pro- cess." NOT ONLY (lid the ia nc con- demn the state's attitude, bet he also ordered state officials to submit nlans for imaroving Bryce Hosnitri, Searcy Hospital and Partlow State Sciool and Hosnital and he retained jiris- diction over the case t anake sere that the imorovemnnts were put into effect. By doing so, Johnson fallowed the pattern of federal cGuits which have supervised the ion- plemeotation of school desegre- gation plans with a forc '-over- whelming the opposition in state legislatures and local govern- ments. Alabama appealed Johnson's decision to the U.S. Court of Anneals in New Orleans, which heard the case more than ) year ago but has yet to issue a ruling. IN ANOTHER case, r-ising the same issue in a much more limited way, the appellate court ruled two months ago that pa- tients in state mental institu- tions have a clear constiiution- al right to treatment. It was the first time in his- tory that the question na-d been decided by a federal aipeals court, which carries consider- ably more weight than the dis- trict courts. Justice Denartment lawyers say they were encouraged by the decision, written by Judge John Wisdom for the three-judge annellate nanel which neard and rejected Florida's appeal of a district court decision awarding $38,500 in damages to a pa- tient virtually ignored by the doctors during 15 years of con- finement in a mental hospital. BUT THE lawyers are cau- tious in their hope for an ap- neals court oninion upholding Judge Johnson's much broader order. For one thing, the Flor- ida case involved a single pa- tient rather than a sweeping command to alter a state svs- tem. And the Alabama case will be decided by a different set of judges. Under normal court pro- cedure, three of the nine appel- late judges serving a specific geographic region decide each case for the court Judge Wis- dom was assigned. to both the Alabama and Florida cases. But his two colleagues on the Ala- bama case were not on the Flor- ida case and may take a dif- ferent view, In addition, the Alabama case will be decided in conjunction with a Georgia case in which the district judge ruled that pa- tients have no constitutional right to treatment and suggest- ed that the issue was not a matter for the courts to decde. THAT IS the only major case in which a judge hasa reseCed the claimed right to treatment on constitutional grounds. At any rate, the issue seems certain to reach the Supreme Court in a few years. The ulti- mate result will affect more than 30,000 patients in state and county institutions for the mentally ill and about 200,000 in institutions for the retarded. Perhaps no section of Amer- ican society has prOduced more horror stories than these insti- tutions. The opinion written by Judge Wisdom in the case of Kenneth Donaldson offers a glimpse. Donaldson was committed to RENTALS STEREOS TVs AIR CONDITIONERS ouarenteed repair service done right in our shop Hi Fi Studio 215 S. ASHLEY 668-7942 769-0342 a Florida State Hospital in 1957 after a brief hearing. Donald- son's father petitioned for the commitment in a county court proceeding similar to those of most other states. ACCORDING TO testimony, the judge told Donaldson ne was being sent away for only a few weeks. He was diagnosed as a "paranoid schizophrenic" A Christian Scientist, he refused medication and electroshock treatments and "no other ther- apy was offered," Wisdom wrote. "Donaldson was usually con- fined in a locked room where, according to his testimony, there were about 60 beds, with little more room between beds than was necessary for a chair; his possessions were kept under the bed," Wisdom related. "At night, he was often wak- ened by some who had fits and by some 'soho would torment other patients, screaming n d hollering.' Then there was ')e fear, always the fear you have in your heart, I suppose, when you go to sleep that nasybe somebody would jump on y sa during the night.' A third of t.e patients in the ward were :rim- inals," the judge contin-ed, quoting from Donaldson's teSi- mony. "IN SHORT," Wisdom con- cluded, "he received only the kind of subsistence level cus- todial care he would have re- ceived in a prison, and perhips less psychiatric treatment than a criminally committed inmate would have received." 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