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                  <text>December 20. 1968
Dr 9

“on

Franklin

“at“
Roouevclt Hospital

D.

Honttoae, Rev tbrk
Dan: Dr. Knekow.

Br. Roubteak and I with to thank you for the splendid
intereating visit that we had last wmak. I hava also
received the notes you sent and have read thaae before sending than

welcoma and

on to Dr. Yraeéman.

for taxaarch at your haspital art indeed
I will encourage Dr. Frﬁeﬂman ta establish the relationship
ahich will parmit mambers mi this staff to participat$ 1n the
apocial programs which the VA has astablsshed. In raading the
vaports. I was most intareﬁtqd that half the patients were unéer
Mb yum-'3 of age and that. 0f these, half remaineé less than two weeks.
tuggasting that the population is mare acute than wag initially rapt.»
vented.
bright
‘

an&amp;

The apportunity

Again, our thanks for your euthuaiasm and I truat Dr.
Praodaan and uh: staff hare will have an occasion to discuss thin
Vitit soon.

linceraly yours,
Fink, .5.
Professor of Paychiatty

Max

112'

�December 15, 1968
To: Dr. A. M. Freedman, Chairman
From:

Max

Subject:

Fink, M.D.

Visit to

VA

Hospital, Montrose, December 11,

1968

At your suggestion, I visited Montrose VA and was
receved enthusiastically by the Director, Dr. Rackow. Dr. Roubicek
accompanied me on the visit. We met two of his associates and visited the
research facilities in experimental psychology and chemistry, and
the projected space for additional research programs. Dr. Rackow was

most

enthusiastic, cordial

and cooperative.

hospital is at least 1 hour from our present facility.
It is a typical chronic care institution with the majority patients
in residence for more than a decade. Schizophrenia is the principal
diagnosis, but alcoholism, brain damage and psychopathy are frequent.
Depressive states are rare.
The

1

Dr. Rackow has no resident physrﬁcians and is unhappy with
the present Dean's Committee which has emphasized committments elesewhere
in preference to his institution. He asks that a research and/or training
relationship be established, and anticipating the move to Westchester

asks

if it

could be done now.

Advantages: The VA has funds and has shown a flexibility in
other centers that is greater than other chronic care institutions. THe
center can provide funds, space and chronic mentally ill for a large
scale research and training situation, especially in research methodology.
Dr. Rackow

is enthusiastic

and cooperative.

Disadvantages: Distance from the present site is the
principal drawback. All the advantages of the VA center can be
provided by Manhattan State Hospital, if the Director of that
hospital could be convinced of the merit of cooperating as Dr.
Rackow sees it.
Employees recommended to the VA would have to sign loyalty
and
non—citizens are not permitted on the preserve in any
oaths,

official capacity.

Recommendations:
If an American

citizen of high academic stature could be
found, interested in developing the research or teaching program,
the opportunity would be of importance as both a source of salary
supplementation of senior staff, of patient populations for research,
and of much needed laboratory space.

The same could be develOped more cheaply, with less
travel restrictions, and with less dependence on citizenship, in
the state services. If we need such a facility (and we do) I would
urge another effort at developing the relationship at Manhattan

�State Hospital; and

Rackow.

for

VA

if that fails, reconsider discussions with

Dr.

(Note: Dr. Rackow will need a proposal and candidates
funds by early Spring for funding in 1969—1970)

(Note 2: Dr. H. C. Denber has volunteered to allow the
of
his ward for the students and residents, and would consider
use
-expanding his facility under your auspices. This solution would
not allow for our staff to write orders and treat patients directly

unless Dr.

Diamond

agrees Specifically).

Max

Fink,

M.D.

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