-TH* CAJtOUKA TIMES &TOKDAY, OCTOBBB **lo7o

By MARKPINSKY

"The distance from theWoohrorth's lunch counter InGreensboro of 1960 to theDurham County Communitylimy Health Center today Is

10 yam and 67 miles..D». Jbcquetyne Jackson, as-

rfstant piofseen r of MedicalSock logy, pauses, smilessweetly, and than leans acrossthe large deak In her office Inthe Psychiatry Department ofthe Duke Medical Center.

"... But the distance we'vecome," she continues, "fromprotesting lunch counter segre-ption to questioning the quali-

ty of psychiatric csre svailabieto poor black people repre-sents .a quantum leap in thesophistication of the CivilRights Movement."

Judging from her Hat of

credentials. Dr. Jackson ap-pears well qualified to makethat obaai latlon. She is thefirst and only black woman

on the Duke faculty. Afterearning her Ph.D. at Ohio Stateshe served on the faculties ofSouthern University in BatonRouge, La., Jackson State Col-lege in Jackson, Miss., andHoward University in Washing-ton, D. C. Her Ph.D. disserta-

tion was a comparison of thegoals and techniques of theMontgomery Improvement Af-

eodatton (bftohring the buboycott begin In 1965, led bya young minister named Mar-

tin Luthar King, Jr.), the Ala-bama Christian Movement forHuman Rights, (led by theRev. Fred Shuttlesworth,) andthe Tuskegee CMc Associa-tion. More recently, ahe has

served as state secretary of theNorth Carolina Committee forMore Representative PoliticalParticipation since its Incep-tion In 1968. Today she Is one

of a smal group of black andwhite professionals looking In-to complaints of inadequatemental health care for poorblacks in this city and county.

Some of the questions beingasked by this group include:

Can white psychiatric per-sonnel ever provide effectivemental health care to thoseblack people whose minds havebeen warped by white racismand by-products?

Are white psychiatric per-sonnel making adequate effortstoward acquiring the educationand, in some cases, re educa-tion necessary to deal withnew developments in blackpsychiatry?

Are community mentalhealth programs doing enough,if anything, in the way of re-cruiting and hiring full-timeblack staff members on a pro-

fessional level and advertising

their servicee In the black com-munity?

Are the problems at chronicheroin addiction and chronicateohbUm, conditions whichoften take root In the fertilesoil of the ghetto's dwpah andpoverty, being treated as the

pbyrfoktglcal and psychologi-

cal conditions most expertsrecognise them to be?

Is the massive and largely

undisturbed presence of heroinjn the blsck community st

Isast partly the result of Inten-

tionally lax law enforcement,eqiecialiy in light of the recent

storm of concern over drugs inmiddle clsss white highschools?

Are county snd state men-tal health facilities sdequate to

the needs of any poor people,white or black?

Is the increasing trend to-

ward regional centralization ofcontrol of mental health facili-ties one which may, dependingupon the key director, affectadversely identification, label-ing and subsequent treatmentand discharge modes for black,low-income persons especially?

For ExampleDr. Jackson herself was in-

volved in a case this summerwhich concerned the "special"problems of one black girl.

An outstanding high schoolstudent from a small North

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Carolina town and winner ofseveral regional scholarshipawards, the girl received a fullscholarship from Duke. How-ever, it turned out that the girlpreferred to attend another,predominantly black state uni-versity and, consequently, wasdepressed and upaet before sheeven arrived on the Duke cam-pus. Against her wishes, shewas persuaded to join the uni-versity's Summer Transitions!Program for incoming stu-

dents. To further complicatematters, her father was totallydisabled and the scholarshipand prestige of Duke increaaed.the pressure on the girl to re-main at Duke.

Her condition worsened un-til she wss admitted to

Duke on psychiatric grounds.Her attending psychiatrist re-commended that she be trans-ferred to John B. Um-stead Hospital in Butner, butthrough the intervention ofanother, exceptionally compe-

tent white psychiatrist s moreappropriate treatment was setup. Nonetheless, had Dr. Jack-son not bean notified of thesituation by staff people fromthe Transitional Program andacted to bring in the secondpsychiatrist, the girl might still

be atUmstead,receiving "treat-ment" for her "illness."

SmackAnother incident, incor-

porating the worst aspects ofthe present situation in Dur-ham County, was related by ayoung Durham County socialworker, Lex Varella. A recentDuke graduate, Varella re-

counts the incident with resig-nation tempered slightly by awry, Kafka-like sense of theabsurd* 1

When he arrived at his of-fice in the Department of So-cial Services about nine onemorning several months ago,he found a young black wo-man, whom he had seen pre-

viously, waiting to see him.She said that she had beenwaiting on the steps of the So-cial Services building sinceseven. She told Varella that she

Tiad a $65 a day heroin habit,that she had had a fix earlierthat morning and that she

would be unable to get or useany more. The woman hadcommitted herself to Umsteadbefore and was willing to dothe same thing at this time.Because of this and her visiblyserious condition, Varellathought that there would beno problem in gettihg her tdthe hospital before 11 a.m.,when she would be needingher next fix.

Unfortunately, he was mis-taken. First he called the Dur-

ham County Community Men-tal Health Center, locatedacross the street from the So-cial Services building and ex-plained in detail the woman'scondition. They offered her anappointment two weeks fromthat day. Varella insisted to

the secretary that it was anemergency. She referred himto a social worker who ex-plained that "heroin addictionis not an emergency."

Next he called the DukePsychiatric Out-Patient Clinic.He was told that he was in-deed "fortunate," in thatthere had been a cancellationfor 11 a.m. Had there been nocancellation he would have hadto go to "Emergency" andclaim that she was suicidal inorder for someone to see her.They drove over to Duke andsaw the psychiatrist then on"screening." The psychiatristMid that he was "new," anddidn't know much about com-mittment procedure at Um-stead. He called there and wasinformed that'"under no cir-cumstances is heroin addictionan 'emergency.'"

The Umatead staffer sug-gested instead that theyattempt gaining admission un-der the next highest priority,which is "Judicial commit-ment." This involves getting anaffidavit filled out by "somereliable citizen" and filing itwith the clerk of the SaptriorCourt. The clerk then "directstwo physicians, not related tothe patient by blood or mar-

PAINFUL CORNSyiflAMAZING LIQUID ?Ti JRELIEVES PAIN AS WETITDISSOLVES CORNS AWAYNow remove corns the fair, east war

? with FMROMC. Liquid Fittione re-lieves pain miuntly, works below iheikin line to dissolve corns awar in justdays. Get Freeione...acall druf counters.

-Poor And Blocks RunningLast In'Coreriage to perform the examina-tion. If they agree the patientuee4 treatment in a psychia-

tric hospital, they sign and (lie

the affidavit to that effectwith the elerk. The dsrk thenhoMl an' Informal hiking at

which time he examines thepatient, affidavits and witnes-ses and may then Issue a com-

mitment order."IP.M.

By this time It was after 1jtML add the woman was be-ginning to actively .exhibitwithdrawl symptoms. The psy-chiatrist signed the affidavitwhich Varella had broughtalong and looked around for asecond physician, who wasmaking his morning rounds,was willing to sign the affida-vit he rounded up his medicalstudents, made the woman rollup her sleeve, and began lec-turing his students on the path-ology of drug; addiction.

Prior to leaving the hospitalfor the Courthouse, it was

necessary to locate a notarypublic to notarize the affica-vit. At 2 p.m. they found a no-tary. Riding from the hospitalto the Courthouse, Varella no-tices that the woman was ex-tremely nervous and sweatinga great deal. The clerk com-pleted filling out the papers by2:30, but by then the womanwas undegoing acute withdrpwascreaming, vomiting and con-vulsing on the first floor of theCourthouse.

At 4:30, after some minorclerical problems, the womanwas admitted to John UmsteadHospital.

Umstead

Kent Slate Graduate ReceivesMaster? Degree in Education

CUsries Richard Msyhnson -jrf Charles V. Stephensand ttie erandeon of Re*, and

work at Michigan State Uni-versity, LanMng, Michigan. Heentered Kent State University,Kent Ohio In *69 and receivedIda masters degree in Educa-tion August 29th.

Faternity.Charles also plana to iMtk''

on his doctorate In Phyeholo-;iy-

J/STEPHENS

Mrs. C. L. Stephens receivedhis master's degree.

He is a graduate of CentralHigh School of Graham, 1965.He entered Wilberforce Univer-sity Wilberforce, Ohio in thefall of 64 and received hisB. A. degree in '69.

He has done his research

The head of the DurhamCounty Unit of John B. Um-stead Hospital, Dr. Jesse Mc-Neil, is "desperately concern-ed with heroin addiction in theblack community of Durham."However, in addition to the ab-

sence of any heroin addictioncenter in Durham County or atUmstead, he points out that,according to North Carolinastate law, it is presently illegalto prescribe or dispense Metha-done, synthetic drug most suc-cessful thus far in treatingheroin addiction.

He alao saved as Counselorat Kent Univoraity and he alaoa member of Alpha Phi Alpha

CUMBERLAND, MdA magistrate gave

three college students achoice between a jail term'or writing a 2,000-Word es-say on one at the city'swar memorials. The threewere found guilty of defac-ing 40 stop signs by add-ing the word "war" after"atop." All three agreed towrite the essays.

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