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An Oral History of the West Seneca Developmental Center (1961-2011) Civic Engagement and Public Policy Research Fellowship Michael A. Rembis, Director, Center for Disability Studies UB Civic Engagement Research Fellow Assistant Professor, Department of History David A. Gerber, Director Emeritus, Center for Disability Studies Distinguished Professor, Department of History

An Oral History of the West Seneca Developmental … mental retardation through grants for construction of research centers and grants for facilities for the mentally retarded and

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An Oral History of the West Seneca Developmental Center (1961-2011)

Civic Engagement and Public Policy Research Fellowship

Michael A. Rembis, Director, Center for Disability Studies UB Civic Engagement Research Fellow

Assistant Professor, Department of History

David A. Gerber, Director Emeritus, Center for Disability Studies Distinguished Professor, Department of History

Civic Engagement

Laura Mangan - UB 2020 Civic Engagement & Public Policy Research Initiative

Digital Humanities Small Research Project Funding

Kathryn Lawton – GRA

Douglas Platt - Museum Curator, MUSEUM OF disABILITY HISTORY

Doug Kane - External Experts

Christian P Marks - SBSIRB Administrator

Former Employees and Residents – West Seneca

WSDC Oral History Project - CE-PP

Why engage in oral history?

UC Berkeley's website on the Disability Rights and Independent Living Movement Temple University, Institute on Disabilities – “Visionary Voices” project

Schwler, Speak-easy: People with mental handicaps talk about their lives in institutions and in the community (1990)

Pelka, What We Have Done: An Oral History of the Disability Rights Movement (2012)

WSDC

“West Seneca Developmental Center opened in October 1962 for the stated purposes of relieving overcrowded conditions in other state

facilities and for serving Western New York State. In 1974, the name was changed from West Seneca State School to West Seneca Developmental Center to reflect a change in philosophy and

mission…” -KL

A (very) brief history of institutions…

1830s-1900

New York State Care Act of 1890

Presenter
Presentation Notes
1850 - US census counted 15,610 mentally ill people in a population of 21 million. 1870 - Approximately 45,000 “insane” persons were being treated in institutions throughout the country. 1880 - the US census codified 7 types of “insanity:” mania, melancholia, monomania (obsession or paranoia), paresis (general or partial paralysis), dementia, dipsomania (alcoholism), and epilepsy and counted 91,997 mental ill people in a population of 50 million; 1 in every 554 Americans In the same year, approximately 74,000 mental patients were being treated in 139 hospitals throughout the United States. 1851: Asylum for Idiots in Albany established (not for mentally ill, but for mentally retarded and developmentally disabled indviduals).  The institution moved to Syracuse in 1854. 1863-1882: State boards of charity were formed to act as central oversight committees and to develop policies for the humane treatment of the insane. 1870s-1880s: Asylums were gradually placed under the authority of Boards of Charities.  Institutions housing criminals, the poor, orphans, and the handicapped were also placed under control of these boards.  All of these facilities provided   custodially oriented care. 1873: The State appointed a State Commissioner in Lunacy. This was the first move toward creating a separate state policy for the mentally ill. 1889: The position of Commissioner of Lunacy was abolished in lieu of a new 3-member State Commission in Lunacy. This move signaled the final separation of policy concerning insane persons from that focusing upon the indigent.  It also led to a reorganization of institutional mental health care. 1878-1893: Several schools for "feeble minded" individuals and people with epilepsy were established: Neward, Oneida and Craig Colony for Epileptics..  Letchworth, another facility for epileptics, opened in 1909. 1890s: New York State Care Act of 1890. For the first time the state assumed full responsibility of all mentally ill instate. Distinctions between acute and chronically mentally ill were eliminated. It was believed that hospitals could provide care that was more economical and individualized and facilitate more accurate classification of patients.  Other legislation formally changed the names of all state "lunatic asylums"--these facilities were now called "state hospitals." 1896: Several significant institutions were absorbed by the state: Brooklyn State Hospital, Manhattan State Hospital, Central Islip State Hospital, Kings Park State Hospital.  Gowanda State Hospital opened in 1898, bringing the number of state hospitals to 13.

A (very) brief history of institutions…

1860s-1940s

Presenter
Presentation Notes
1900 – 126,137 patients in 131 state institutions 1929 – 272,527 Americans are in institutions 1940 – 419,374 patients in 181 institutions. 1950 – More than 500,000 patients in institutions throughout the U.S. Total expenditures reach $500 million annually less than $2 per day, per patient.

Congress Responds

1946 – U.S. Congress passes the Mental Health Act

leading to the creation of the National Institute of Mental Health.

By the early 1950s… Spending on mental hospitals increases 100 percent

Mental hospital employee rises from 79,740 to more than 100,000

Shift in the philosophy governing most mental hospitals away from custodial care to intensive treatment and release

beginning of “de-institutionalization” in the United States

Still over 500,000 institutionalized people in the US

1949: The New York State Mental Health Commission was formed.

1949: The State mental health system included 27 facilities, and the state's inpatient census was the largest in the nation.

1955: New York’s inpatient population peaked at 93,600

Council of State Governors – mid-1950s

Congress Continues Reform and Research

1955 – U.S. Congress passes the Mental Health Study Act creating the Joint Commission on Mental Illness and Mental Health

1961 – Federal spending on mental health research increases tenfold to $100.9 million

1963 – President John F. Kennedy signs the "Mental Retardation Facilities and Community Health Centers Construction Act of 1963”

Public Law 88-164, 77 STAT 282, "to provide assistance in combating mental retardation through grants for construction of research centers and grants for facilities for the mentally retarded and assitance in improving mental health through grants for construction of community mental health centers, and for other purposes.” (10/31/1963) Speaking before Congress in February 1963, President Kennedy described community care as “a bold new approach.” Kennedy assured Congress that when the new plan was “carried out, reliance on the cold mercy of custodial isolation will be supplanted by the open warmth of community concern and capability (Quoted in Torrey 1988, 108).”

The End of Institutionalization?

1965 – U.S. Congress creates the Medicaid and Medicare programs

providing federal subsidies for care in nursing homes, but no such subsides in state mental hospitals.

Between 1965 and 1970, the population of institutionalized mental patients decreases by 140,000

with most of those patients going into nursing homes.

1972: Two new federal Social Security programs, Supplemental Security Income (SSI) and Social Security Disability Insurance (SSDI)

dramatically altered care, allowing them to live independently.

1980 – Census of U.S. state institutions sets the in-patient population at 132,164, down from 559,000 in 1955.

Willowbrook: the Last Great Disgrace (1972)

http://www.youtube.com/watch?v=k_sYn8DnlH4

In 1974, the name was changed from West Seneca State School to West Seneca Developmental Center to reflect a change in philosophy and mission…

The West Seneca oral history project…

Disability & Oral History

Disability is a powerful analytical concept for understanding some of the broad changes of the last five decades.

Disability is not simply the artifact of change; it is constitutive of those changes.

Interview Notes…

…the way many former residents prospered in the community was especially powerful evidence …of the necessity of ending the hold of the large residential institution [on] their understandings of not simply the welfare of the former residents, but the concept …of developmental disability, as it had been employed at the start of their careers.

They came to understand, by virtue of close observation of individuals under their care, the way in which residents acquired an institutional personality by virtue of institutionalization. Shed the institutional connection, the reasoning went, and new possibilities might emerge for these individuals.

The interviewees understand the irony of their careers what they learned in the case of their emerging understandings had the effect of diminishing their professional authority when measured against the assumptions that had guided them as professionals when they entered work in disability service provision…

The latter point is especially significant as a reflection of the emerging theme of skepticism about bigness and bureaucratic management

experience seemed to indicate that not only did the large institution not accomplish the goals they had brought to working within it, but instead worked against accomplishing the goal of assisting the residents.