US Naval Hospital Corps School - Yearbook (San Diego, CA)

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NEUROPSYCHIATRIC ERVICE In 1949 the Neuropsychiatric Service of the U. S. Naval Hospital, San Diego, California, became a separate and dis- tinct Service, the Chief of the Service reporting directly to the Executive Officer and the Commanding Officer of the hospital. The Service is divided into three Branches, Psychiatry, Neurology and Clinical Psychology. Throughout the many years that the Service has been in existence, the physical facilities for the housing of the patients have been scattered over the Compound and the services provided have been varied. This was dependent upon the rise and fall in the patient census during the two major armed conflicts of recent years. It was not until January, 1958, that the Neuropsychiatric Service was able to be housed under one roof, the 36 Building at the south end of the beautiful lower patio. This move of the scattered facilities into the building brought about a centralization of the Neuropsychiatric ad- ministrative offices, an admission ward, the closed wards, the Neurology Clinic and wards, the Electroencephalography section, the convalescent and rehabilitation psychiatric wards, the offices of Clinical Psychology, and also made possible space for occupational therapy in the building, as well as a conference and study room for the Neuropsychiatric profes- The Neuropsychiatric Service at this hospital is charged with providing a diagnostic and testing service, the care, cus- tody, treatment and disposition of patients with mental or emotional disorders and nervous system diseases. The Psychiatric Branch of the Service specifically provides observation, care and treatment of mental and emotional dis- orders, including the functional and organic psychoses, the psychoneuroses, the character and behavior patterns, dis- orders of intelligence and transient personality disorders. An open admission ward, as well as a maximum security psy- chiatric ward are maintained for observation, care and treat- ment of all patients admitted with a psychiatric diagnosis. A graduated open ward environment and a rehabilitation pro- gram are maintained for patients recovering from acute psychiatric disorders. Patients who are in need of prolonged specialized treatment are transferred to the designated Spe- cial Psychiatric Treatment Centers. The records of patients not being returned to duty are processed to appear before an appropriate Medical Board with the proper recommended disposition. A Neuropsychiatric Record Office is maintained for preparation of medical rec- ords and the necessary reports. sional staff. Captain Robert L. Wagner, MC, USN, dictating to Miss Gladyce England fSecreta1'yl. CAPTAIN ROBERT L. WAGNER, MC, USN Chief, Neuropsychiatry Service 6 l

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APPOINTMENT DESK - Left to right: Lieut fj.g.J Bertha Lihera- DEPENDENT CYSTOSCOPY CLINIC: Patients waiting for Cystos- tore, NCg Roger Lachanco, HN. copy as part of diagnostic work up. 5 gym'- P Xlil, , I JM: 5' jk- ' '. gun, iii I if , .IWW V 2 Th. Mt, - ' ' WPI ., ,..:-':i29. : K , Q . ff ,,,gnl ' CONSULTATION - Left to right: Lieut. Cj.g.J Liberatoreg Captain CLUINICI- Left 50 fight? Selmer Griffiths, HMI: Captain Talbot. Talbotg Johanna Sumner Cpatientl. UUUHIYSIS and C1iUiC W0Yk UP' INTRAVENOUS-PYELOGRAPHY - Left to right: Griffith, HMIQ Honeycutt, HNQ Lieut. fj.g.J Liberatorcg Lieut. Cowellg Harriet Christy fpatientl.

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The Neurological Branch provides diagnoses, observation and treatment for all patients with organic diseases of the nervous system other than those considered Neurosurgical or Medical, and the Clinical Psychology Branch administers, interprets and reports the psychological tests for diagnostic purposes. The Electroencephalography Laboratory is a function of the Neurology Branch and is supervised by the Head of Neurology. An Electroencephalography School is operated for the instruction of technicians in this specialized field, and graduates such technicians every four months. The rehabilitation program for the patients admitted to the Neuropsychiatric Service makes full use of many of the facilities available on the Compound. One such is the Occu- pational Therapy Department, whose technicians visit and bring to the Neuropsychiatric wards a stimulating variety of crafts. The recreation program is pushed to the maximum with the arts and crafts, movies, television, music, games, and specially arranged entertainment programs by volunteer or- ganizations. The physical education facilities are provided by Special Services of the hospital and include touch football, swimming and bowling. There has been a steady and progressive move toward the establishment of the newer concepts in psychiatric therapies. ts z ..- Q, LT, ' . . , 4' I f- il, K e.e. f ' A , 'af H , 2 Y 1 5 f . - Q. .,. DIAGNOSTIC STAFF CONFER- ENCE - Left to right: Lieut. S. P. Bucksbaum, MCg Lieut. A. C. Finger, MCg Lieut. R. H. Cook, MCg Captain R. L. Wagner, MCQ Lieut. Comdr. W. M. Morris, MCQ Comdr. D. E. Lloyd, MCg Lieut. E. L. Auman, MCQ Lieut. H. A. Shapiro. Mcg Lieut. F. L. Mc- Guire, MSC. NURSES AND CORPSMEN hw., ., A l A 2 A ,