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DOCUMENT RESUME

ED 044 852 EC 030 611

TITLE New Jersey State Plan for the Construction of MentalRetardation Facilities.

INSTITUTION New Jersey State Dept. of Institutions and Agencies,Trenton. Div. of Mental Retardation.

PUB DATE Dec 69NOTE 99p.

EDRS PRICE EDRS Price MF-$0.50 HC-$5.05DESCRIPTORS Administrative Policy, *Construction Programs,

*Facilities, *Mentally Handicapped, *Services, StatePrograms, *State Surveys

IDENTIFIERS New Jersey

ABSTRACTThe plan details recommended procedures for the

construction of mental retardation facilities in New Jersey. TheMental Retardation Planning Board and State Board of Control aredescribed and members listed. Stated are methods of administration ofthe planning and construction program, and the basic program goalsand policies. Four major regions of the state are delineated forplanning purposes. Existing Services and Facilities are inventoriedin detail. The final chapter outlines assigned priorities forconstruction applications from the four service regions. (KW)

I.

EW JERSEY STATE PLAN.

for the

CONSTRUCTION

MENTAL :RETARDATION

FACILITIES

O

STATE OE NEW JERSEY

1 DEPARTMENT OF INSTITUTIONS AND AGENCIESDIVISION OF MENTAL RETARDATION

TRENTON

1910

New eisey Department of Institutions- and Agencies

State Board' of Control

HONORABLE WILLIAM, T. CAHILL,GOVERNOR (ESC- OFFICIO)

Raymond A. Brown

Mrs .;Philip: IselinMrs:: Steiens Baird-

Llo d B. Wescott, President

"7--JA-gles D.':CbmpeonJoluq,Magoitern-,-Ir,Senator Robert -H: Weber

Watsh,-Vice Preiident

LIOy.44.)iccorlde, Ph.D., toininisSiOner(EX- OFFICIO)'.

r

1969 - 1970

New. Jersey State Plan

for the Construction of

Mental Retardation Facilities

U.S. DEPARTMENT OF HEALTH. EDUCATION 8 WELFARE

OFFICE OF EDUCATION

THIS DOCUMENT HAS BEEN REPRODUCED EXACTLY AS RECEIVED FROM THE

PERSON OR ORGANIZATION ORIGINATING IT. POINTS OF VIEW OR OPINIONS

STALED DO NOT NECESSARILY REPRESENT OFFICIAL OFFICE OF EDUCATION

POSITION OR POLICY.

Division of Mental RetardationNew Jersey Department of Institutions and Agencies

Trenton, New Jersey 08625

December, 1969

EC0306

FOREWORD

This Plan for the Construction of Mental RetardationFacilities drafted by the State of New Jersey is inaccordance with Public Law 88-164 as amended.

This Construction Plan was developed with particuJarregard to the total needs of the mentally retarded asoutlined in the NEW JERSEY COMPREHENSIVE PLAN TO COMBATMENTAL RETARDATION.

Since publication of the 1967-68 Plan, extensive effortshave been made to secure latest available data onexisting and planned facilities. This data, togetherwith the advice and recommendations of the New JerseyMental Retardation Planning Board and the State Board ofControl has resulted in the development of the Planpresented herein.

Revision of the basic Plan will continue as modern trendsof thought in services for the retarded develop.Suggestions for improvement of the Plan will always bewelcomed and will be given consideration in the develop-ment of future revisions and amendments.

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Table of Contents

Foreward II

Chapter I

Chapter II

Chapter III

Chapter IV

Chapter V

Chapter VI

Chapter VII

Appendix

Official State AgencyA. Designation of State Agency 1

B. State Agency Organization Chart 3

Advisory Council ListingA. State Board of Control 4B. Mental Retardation Planning Board 6

Methods of Administration 8

Basic Program Goals and Policies 20

Delineation of Service Areas 27

Inventory of Existing Services andFacilities 39

Determination of Priorities 79A. Priorities by RegionB. Method of Determining Regional

PrioritiesC. Ranking and Weighting of FactorsD. Detailed Data on FactorsE. Regional Construction PrioritiesF. Priorities Within Regions

III

83

Chapter I

DESIGNATION OP STATE AGENCY

The Department of Institutions and Agencies has been designated asthe sole agency to administer and supervise the programs of grants-in-aid made available to the State of New Jersey under the MentalRetardation Facilities Construction Act of 1563.

AlialnEITY_UPTATILACIENQX

The Department of Institutions and Agencies' authority to administerthe program was granted by Chapter 83, Laws of 19117, an amendmentto the Revised Statutes, Title 30.

THE NEW (maw MENTAL RETARDATIONmAniNg BOARD

The New Jersey Mental Retardation Planning Board was established byExecutive Order #40 on May 2, 1968. This same Executive Order alsoabolished the Advisory Council on Construction of Mental RetardationFacilities, the Inter-Departmental Committee on Lifetime Disabilityand the Governor's Advisory Council on Lifetime Disability. It isthe duty of the New Jersey Mental Retardation Planning Board to:

1. Foster cooperation and communication between and among state,county, municipal, voluntary and private agencies in the pro-vision of services to the mentally retarded.

2. Study and review the nature and extent of State services.for thementally retarded, and to recommend program and constructionpriorities to assure that crucial and pressing problems of thementally retarded receive proper and adequate attention.

3. Call to the attention of both private and public agencieswithin this State, federal programs in or related to mentalretardation, in order to assure the most effective use ofavailable resources.

1

4. Study, review and comment upon plans and applications for theconstruction of mental retardation facilities submitted pursuantto Public Law 88-164 (1963) and to focus public attention onlong-term capital and program needs and their related budgetaryimplications.

Encourage and support pertinent research efforts and preventivemeasures, stimulate planning at the community level, and reviewlaws and practices relating to the mentally retarded.

6. Propose training and scholarship programs to prepare profes-sionals to work with the mentally retarded.

7. Promote public awareness of the needs and problems of thementally retarded.

2

STA

TE

AG

EN

CY

OR

GA

NIZ

AT

ION

CH

AR

T

State Board

of

Control

Commissioner

Division of

Community &

Professional

Services

Division of.

Business

Management

Division

of Legal

Affairs

Division of

Division of

Medical'

Division of

Division of

Division

Correction

Assistance

Mental

Mental

of

-

and Parole

& Health

Health &

Retardation

Public

Services

Hospitals

Welfare

Chapter TI

Advisory Council Listing

State Board of Control

B. Mental Retardation Planning Board

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-r

STATE BOARD OF CONTROL OF INSTITUTIONS AND AGENCIES

The Honorable William T. Cahill, Governor Ex officioState House, Trenton, New Jersey 08625

Mr. John J. Magovern, Jr. 6-30-77President, Mutual Benefit Life Insurance Company, Inc.Box 520, Newark, New Jersey 07101

Mr. Frank E. Walsh, Vice President 6-30-77741 Sterling Drive, Orange, New Jersey 07050

Mrs. Philip H. (Betty o.) Iselin 6-30-76198 Port-au-Peck Avenue, Oceanport, New Jersey 07757

Senator Robert H. Weber 6-30-75134 North Pearl Street, Bridgeton, New Jersey 08302

Mr. James D. Compton 6-30-74375 Murray Hill Parkway, East Rutherford, N. J. 07073

Mrs. Stevens Baird 6-30-7325 Sutton Place, New York, N. J. 10022 (Route 10)

Mr. Lloyd B. Wescott, President 6-30-72135 West Hanover Street, Trenton, N. J. 08625

Frank J. Hughes, M.D 6-30-71123 North Brown Street, Gloucester, N. J. 08030

Mr. Raymond A. Brown 6-30-7026 Journal Square; Jersey City, N. J. 07306

Lloyd W. McCorkle, Ph.D., CommissionerState Office Building, 135 West Hanover Street, Trenton, N. J. 08625

Miss Norma Prynoski, SecretaryState Office Building, 135 West Hanover Street, Trenton, N. J. 08625

5

NEW JERSEY MENTAL RETARDATION PLANNING BOARD, (Executive Order No. 40 - May 2, 1968)

Governmental

Richard E. Bjork, Ph.D.

John Ellis

James Cowan, M.D.

Maurice G. Kott, Ph.D.

Daniel Ringeiheim, Ph.D.

William T. Reach

Non-Governmental

Herbert Feist(Region III)Vice Chairman

Clarence N. York, Ed.D.(Region IV) Chairman

William H. Campbell(Region IV)

Mrs. Peter J. Ora(Susann R.) (Region I)

Mrs. Paul McG. Moffett(Region I) (Laurine Oliver)

Address

Dept. of Higher Education22S West State StreetTrenton, N. J. 08625

Dept. of Labor and IndustryJohn Fitch PlazaTrenton, N. J. 08625

Department of HealthJohn Fitch PlazaTrenton, N. J. 08625

Dept. of Insts. and Agencies135 West Hanover StreetTrenton, N. J. 08625

Department of Education225 West State StreetTrenton, N. J. 08625

Dept. of Community Affairs363 West State StreetTrenton, N. J. 08625

99 Bayard StreetP.O. Box 990New Brunswick, N. J. 08902

437 East Kings HighwayHaddonfield, N. J. 08033

Bark Ridge RoadWenonah, New Jersey 08090

10 Paddock RoadFranklin, N. J. 07416

1261 Prospect StreetWestfield, N. J. 07090

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Term DateExpires Appointed

Ex officio

Ex officio

Ex officio

Ex officio

Ex officio

Ex officio

6-30-72 (7-1-66)*7-1-68

6-30-72

6-30-72

6-30-71

6-30-71

6-30-71

(6-17-64)*7 -1-68

(1-28-68)*7 -1-68

7-23-69

7 -1-68

NEW JERSEY MENTAL RETARDATION PLANNING BOARD

Name

Mrs. Paul Rauschenbach(Marian M.)(Region I)

Msgr. Joseph A. Dooling(Region I)

Mrs. James L. Mayberry, R.N.(Mineva A.)(Region III)

James Harry Smith(Region I)

Address

612 East 29th Street

Term DateExpired Appointed

6-30-71 7 -1-68

Mount Carmel Guild 6-30-70744 Broad Street - Suite 702Newark, N. J. 07102

2 Thrush Drive 6-30-70East Brunswick, N. J. 08816

275 Fuller TerraceOrange, N. J. 07050

(6-17-6/1)*

7 *68

(5-25-66)*7 -1-68

6-30-70 7-23-69

*Date of appointment to Advisory Council which preceded the Mental RetardationPlanning Board.

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Chapter III

Methods of Administration

1. Publicizing the Plan

A. Advertisement

At least 30 days prior to the submission of the State Planto the Social and Rehabilitation Service a general descrip-tion of the plan will appear as a paid public notice indaily newspapers serving the major metropolitan areas ofthe State. At least one such notice shall appear in eachof the four designated planning regions. In addition amore detailed news release will be supplied to newspapersof general circulation. All notices will include a state-ment indicating that the plan is available for review andcomment within the 30 days.

B. Distribution

Copios of the State plan will be made available upon request,and in addition copies will be sent to all parties known tobe or interested in rendering service to the mentallyretarded in the State.

2. Project Construction Schedule

A Project Construction Schedule will be developed by the Depart-ment following approval of the Plan by the Social and Rehabili-tation Service for those projects on which construction can becommenced immediately. This schedule will contain necessarydata on approved projects.

A. Preparation Schedule

Various factors will necessarily enter into the preparationof such a Schedule. Among these are:

a. A determination of priorities based on the need in eacharea of the State with.reference to all categories ofeligible projects.

b. An analysis of the ability of applicants to commenceconstruction within a reasonable period of time. Suchability will be measured by the applicant's financialstatus to construct, maintain and operate the proposedproject. .

c. The necessity for planning to maintain an adequatebalance between the various categories of facilitiesso as to prevent an overdevelopment or underdevelopmentof any one type.

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I

B. Limitations on Construction

In the preparation of the Project Construction Schedule,sufficient projects P,111 be included therein so as to. .

utilize all of the anticipated annual allotment which maybe received from the Federal Government. However, itshall be noted that the extent of the Federal participationis, in the last analysis, based upon the actual funds appro-priated by Congress and, while it is reasonably expectedthat the funds authorized in the Act will be available,notice is given that the amount of the Congressional appro-priation made available to the State of New Jersey willdetermine the number of projects in which the Federalgovernment will share construction costs.

C. Removal From Schedule

After the Construction Schedule has been submitted to theU.S. Public Health Service and approved, a project may notbe removed or superseded thereafter unless the applicant:

a. Fails to submit the required information.

b. Fails to comply with the requirements of the StatePlan.

c. Makes a voluntary request that the application be with-drawn or that action on the application be deferredbeyond the period of time covered by the Schedule.

The removal or exclusion of a project from the Project Con-struction Schedule does not, of itself, change the priorityrating and such projects will be considered for inclusionin later schedules. If a high priority project is super-seded on this schedule, but within the period of timecovered by such schedule is able to establish compliancewith the financial and other requirements of the State. Plan,then it shall take its proper place on the amended orsucceeding schedule in accordance with its priority rating.

D. Expediting Highest Priorities

The Department will make every effort to expedite theapproval of projects in the highest priority groups. How-ever, applications out of the order of priority may beprocessed if:

a. The Department has afforded reasonable opportunity fordevelopment and presentation of projects in the orderof priority, and

b. If the Department certifies that financial resourcesfor the construction, maintenance and operation ofprojects of higher priority are not then available.

The priority of a project under the State Plan shall notbe affected by the fact that other projects of lowerpriority have previously been approved and recommendedby the State Agency.

3. Deadline for Submission of Applications

No deadlines for receiving applications or letters of intentto apply for Federal assistance will be established. Potentialapplicants will however be notified of the dates on which theMental Retardation Planning Board will meet to consider appli-cations. Completed applications must be received within 15days of such meeting to be considered.

4. Standards of Construction and Equipment

The general standards of construction and equipment shall bethose adopted by the Bureau of Medical Facility Constructionand Planning within the Department and shall not be lower thanthose contained in the. regulations.

5. Inspection of Construction Projects by the State

A. State Responsibility

The Department, through its Bureau of Medical FacilityConstruction and Planning will set up an adequate inspec-tion service to determine that the work on the projectsis being carried out according to the terms of the FederalLct, the State Plan and each separate contract.

The Bureau will have responsibility for inspecting allapproved projects to determine that the work is progress-ing satisfactorily and that all purchases are being madeaccording to regulations.

B. Manner and F

Inspections will be made by a member of the Bureau asfrequently as required to supervise the proper completionof projects and shall be mandatory at such times as theapplicants request installment payments (usually at 25, 50,75, 90, and 100 percent of completion) and before certifi-cation for payment is made by the Department.

C. Certifying Claims for Payment

As construction work progresses, the Department will certifythat each installment payment of Federal funds requested byand certified as payable to the applicant represents a trueclaim for all work and services.

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a. That the amounts requested by the applicant for paymentactually represent expenditures made or obligationsincurred in the construction of the approved facility.

b. That the claim presented for work performed, materialsand equipment delivered and services rendered is sup-ported by and subject to an audit of all bills, worksheets and other material of an accounting or financialnature for the period covered by the installment claim.Payment of installment claims, except the final install-ment, may be made subject to an audit at a later dateso as not to delay completion of the project. However,all audits which are required shall be completed andapproved before final payment is made.

c. A verification that all-of the work, materials andequipment and service for which payments are requestedis essential to the satisfactory completion of the pro-ject as approved, and that all of the costs are suchas may be participated in by the Federal government.The verification of these facts is*largely within theknowledge of the applicant and the project's architectand contractor. Consequently, the project contractor,the architect and the authorized agent of the applicantmay be required to execute affidavits setting forth thevalidity of the claim.

d. That the work for which an installmer.:. payment isrequested has been performed according to the approvedplans and specifications and that the value of thecompleted work is equivalent to the amount of theclaim for which payment is requested.

D. Submission of Inspection Reports

After the completion of any inspection (construction orfiscal) by a representative of the Bureau, a written reportshall be prepared promptly and submitted to the Chief ofthe Bureau covering the details of such inspection andverifying that an inspection of construction and reviewof accounts was made which substantiates the claim, andrecommending or disapproving payment. The written approvalshall be identified by project number, name and location.It shall bear the date of inspection and signature of thereporting officer. All records of inspections shall bereadily accessible and available for review by properlyauthorized persons.

'E. Disapproval of Claim; Notice

After the fiscal inspection or audit has been made, theapplicant shall be notified of the results of such inspec-tion. The notices shall clearly indicate whether theinspection resulted in an approval of the applicant'sclaim or whether the request for payment was denied orapproval deferred. If.the claim is not approved, thenotice shall set forth the reason why and the stepswhich the applicant must take to conform. On submissionof satisfactory proof that the necessary steps have beentaken to comply with the reasons for non-approval setforth in the notice, a field inspection shall be made bya representative of the Bureau to substantiate the validityof the adjusted claim.

6. Construction Payments

A. The State agency shall certify to the Social and Rehabili-tation Service the amount of payments due to an applicantfor the cost of work performed and materials and equipment,furnished. Payments shall be made as follows:

a. The first installment when not less than 25 percentof the construction of the project has been completed;

b. A second installment when not less than 50 percent ofthe construction of the project has been completed;

c. A third installment when not less than 75 percent ofthe project has been completed;

d. A fourth installment when the project is 95 percentcompleted; and

e. The final payment when the project is completed andfinal inspection by a representative of the SurgeonGeneral is made and the amount certified as due andpayable as determined by the audit.

However, there shall be no steadfast requirement.limit-ing the requests for payment to the above separatestages. If there are exceptional circumstances delayingpayment of the final installment, then the Departmentmay recommend additional installments prior to thefinal payment but not to exceed six in all.

B. Inspection by S'.ate Agency

As a basis for certification. by the State Agency thatpayment of an installment is due an applicant, the StateAgency shall make adequate inspections to determine thatthe work has been performed upon a project, or purchaseshave been made, in accordance with the approved plans andspecifications.

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C. Allowable Costs

Allowable costs (such as architect's fees, local inspec-tion costs and cost of equipment) may be included in theapplicant's request for payment at any of the above stagesprovided that, at the time of such request, the applicanthas received such services and that delivery and paymentof the equipment has been made and acknowledged.

D. Payment of State Aunn

After the Department has certified to the Social andRehabilitation Service that payment is due to the applicant,it will await the receipt.of such funds from the Federalgovernment. As soon as the Social and RehabilitationService approVes the claim and the Federal funds are for-warded to the State, the Department will authorize promptpayment to the applicant of the installment certified asdue and payable.

E. Custodian for Federal Funds

Treasurer, State of New Jersey, care of Department ofInstitutions and Agencies is authorized to act as custodianfor federal funds received by the State as payments of theFederal share of approved construction projects.

7. Personnel Standards

The personnel standards of the Department are regulated by theState Civil Service Laws administered by the New Jersey CivilService Commission. The Department will continue to operatein this manner to the end that staff members shall be coveredby and work within the State's established merit system.

The Department shall observe all of the rules and regulationsof the State Civil Service Commission in its administrationof this plan and shall follow the approved methods of personneladministration as required by the Commission in the recruitment,selection, appointment, promotion and separation of its personnel.

The Civil Service Commission has already given the U.S. PublicHealth Service full details of the law, its rules, regulationsand operating procedures in relation to the merit systemfunctions it is performing. However, the Department, togetherwith the Civil Service Commission, will furnish on request suchadditional data and material as is required by the Social andRehabilitation Service to supplement the information alreadyavailable.

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8. Conflict of Interest

No full-time officer or employee of the State Agency, or anyfirm, organization, corporation, or partnership which suchofficer or employee owns, controls, or directs, shall receivefunds from the applicant, directly or indirectly, in paymentfor services provided in connection with the planning, design,construction or equipping of the project.

9. Financial Records

A. State Records

The Department will comply with the regulations by main-taining necessary accounting records and.controls. Allsuch documents, accounting records and controls shall beretained on file for a period of at least 5 years beyondparticipation in the program. The. Administrator, Socialand Rehabilitation Service, or a duly authorized represen-tative, shall have access to all such records and projectdocuments.

B. Recipient Records

The Department will require that recipients of Federal fundsmaintain adequate financial records and controls, retainsuch records and documents for a period of at least 5years after final payment of Federal funds, and makesuch records and project documents available to theComptroller General of the United States or his dulyauthorized representative.

10. Fair Hearing Procedures

A. Guarantee of Fair Hearing; Examples of Appeals

Any applicant who has requested Federal aid and is dis-satisfied with any action by the State Agency regardingsuch application may request a fair hearing by the Depart-ment and appeal its decision. Examples of the actions whichare subject to appeal'include (a) denial of the right tomake a formal application; (b) rejection or disapprovalof an application or claim and (c) refusal to reconsideran application.

B. Informal Adjustment

The Department will make every effort to adjust anygrievance which arises without the necessity of a formalappeal and on request of, an applicant will review anydecision. However, this informal reconsideration of adecision shall not, in any manner, impair the right of anapplicant to appeal in a formal manner.

C. Formal Appeal

When a formal appeal is made, the applicant shall proceedin the following manner:

a. A written request shall be sent to the Department within30 days following the date of the action or decisionby the State Agency.

b. The request may be made in letter form and should setforth the reason for the applicant's dissatisfaction.

D. Notice of Hearing; Representation; Conduct of Hearing

a. Following receipt of the formal appeal the applicantwill be notified in writing of the time, date andplace of the hearing, but in no case will such hearingbe deferred for more than 30 days following formalrequest. Every effort will be made to have the hearingconducted at a time and place convenient to the applic.ant.

b. The appellant shall be entitled to be represented, eitherby counsel or friends. Other parties interested andconcerned by the decision of the Department shall beadmitted to such proceedings subject to a determinationby the presiding officer as to the reasonableness oftheir being present.

c. The proceedings shall be conducted in an informalmanner and evidence may be presented as desired pro-vided it is subject to reasonable procedures ofadmissibility and methods of presentation.

d. The appellant shall be given the right to present hiscase, examine all evidence and to question opposingwitnesses.

E. Selection of Presiding Officer

To insure a fair consideration of the applicant's case,the presiding officer shall be a person who is not a staffmember of the Bureau or a person who did not actively par-ticipate in the action on which the appeal is based. TheCommissioner of the Department of Institutions and Agenciesshall name the presiding officer who may be; (a) the Depart-ment's legal officer; (b) a committee of three, any one orall of whom may be members of the Hospital Advisory Council;(c) a disinterested third party competent to act in thesematters.

F. Records of Hearing.

The hearing shall be made a matter of stenographic recordby a qualified stenographer and there shall be appended to

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the completed records all exhibits offered in evidence. Atthe applicant's request a transcript will be made and willbe kept available for examination at the office of theDepartment.

G. Recommendation of Presiding Officer

The presiding officer shall prepare a written opinionbased on the facts presented at the hearing and submit itwith his recommendations to the Chief, Bureau of MedicalFacility Construction and Planning for appropriate claim.

H. Notice of Decision

As soon thereafter as practical, and notto exceed 30 daysfollowing.the final day of the hearing, a written noticeof the decision reached by the Department shall be mailedor forwarded to the applicant. This decision shall befinal and binding on both the applicant and the Departmentif it is consistent with the law and regulations.

11. Minimum Standards of Maintenance and Operation

The regulatory powers.of the Department in respect tostandards of maintenance and.operation for all facilitiesfor the' mentally retarded including those aided underTitle I, Part C, P.L. 88-164, as amended are derived fromSections 30:1-15 through 30:1-15.2 of the Revised Statutesof New Jersey.

Section 30:1-15 confers power of visitation and inspectionas follows:

30.1 -15. Inspection of local and privateinstitutions; reports

The State board shall have power of visitationand inspection of all county and city jails orplaces of detention, county or city workhouses,county penitentiaries, county mental andtuuberculosis hospitals, poor farms, almshouses,county and municipal schools of detention, andprivately maintained institutions and noninsti-tutional agencies for the care and treatment ofthe mentally ill, the blind, the deaf, thementally retarded, or other institutions, andnoninstitutional agencies conducted for thebenefit of the physically and mentally defective,or the care of dependent or convalescent childrenor both. Any member of the State board or com-mittee thereof, or the commissioner or his dulyauthorized agent, shall be .admitted to any andall parts of any such institutions at any time,

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for the purpose of inspecting and ob:7;erving thephysical condition thereof, the methods ofmanagement and operation thereof, the physicalcondition of the inmates, the care, treatmentand discipline thereof. The State board maymake such report with reference to the resultof such observation and inspection and recom-mendation with reference thereto, as, it maydetermine. As amended L.1965, c. 59, sec. 2.

Section 30:1-15.1 requires that there be standardsestablished and requires at least annual inspection ofall residential facilities providing diagnosis, care ortreatment of the mentally retarded as follows:

30:1 -151. Residential facilities for mentallyill; duty to inspect; report

Inspection and approval of all residentialfacilities within the State providing diagnosis,care or treatment of the mentally ill or thementally retarded shall be a responsibility ofthe State Board of Control. The State board shallhave the duty and is hereby authorized to setstandards, and through its agents, includingprofessionally qualified persons, to visit andinspect as often as is necessary, but at leastonce a year, all residential facilities whichprovide diagnosis, care or treatment of thementally ill or mentally retarded, whetherState, county, municipal, public or private,in order to determine the conditions underwhich such persons are lodged, cared for, main-tained or treated, and in order to assure thatadequate standards of care and treatment aremaintained, that civil liberties of individualsreceiving care are preserved and that the publicmay be informed of the adequacy of these facilities.

The State board and the commissioner, or theiragents, shall have the right of admission to allparts of any building or buildings in which men-tally ill or mentally retarded persons are lodged,cared for or treated, as often as may be necessary.The extent and results of such visitation andinspection shall be included in the annual or anyspecial report of the State board with such recom -.mendations as it may deem necessary. Such reportshall be available to the public. L.1965, c.59,sec. 3.

Departmental Administrative Order 1:15 effective September 5,1967 assigned to the Division of Mental Retardation theresponsibility for developing standards and procedures formaking inspections as follows:

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The Division of Mental Retardation shall inspect atleast once a year all private and public institutionalfacilities providing congregate maintenance and personalcare of mentally retarded persons for which the respon-sibility of inspection is not otherwise assigned inthe preceding sections of this Order.

The Division of Mental Retardation in collaborationwith the Bureau of Community Institutions shall developstandards and procedures for making inspections ofprivate and public facilities, excluding those in theDepartment of Institutions and Agencies, for approvalby the Hospital Licensing Board and the State Board ofControl. Consistent with Administrative Order 1:44the Division of Mental Retardation shall developstandards and procedures for making inspections ofDepartment of Institutions and Agencies facilitiesfor approval by the State Board of Control.

Results of inspections of private and public facilitiesexcluding the Departments' facilities will be submittedby the Division of Mental Retardation to the Bureau ofCommunity Institutions for presentation to the HospitalLicensing Board and with their recommendations to theState Board of Control. Results of inspections ofDepartment facilities shall be forwarded through theOffice of the Commissioner to the State Board ofControl. Copies of the results of inspections ofDepartment facilities shall also be made availableto the President of the Board and Chief ExecutiveOfficer of institution inspected.

The Manual of Standards for Private Licensed Institutionsfor the Mentally Retarded is available from the Divisionof Mental Retardation upon request. All potentialapplicants.contemplating residential facilities are pro-vided with a copy of this manual.

12. Transfer of Allotments

The Department will act in accord with the regulations aspublished in the Federal Register in determining transfer ofallotments to another State or to community mental healthfacilities. The specific procedures are as follows:

Transfer of allotment to another State. A State maysubmit a request in writing to the Administrator thatits allotment or a specified portion thereof be addedto the allotment of another State for the purpose ofmeeting a portion of the Federal share of the cost ofa project for the construction of a facility for thementally retarded in such other State. In determiningwhether the facility with respect to which the requestis made will meet the needs of the State making therequest and that use of the specified portion of suchState's allotment, as requested by it; will assist incarrying out the purposes of Part C of Title I of the

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Act, the Administrator shall consider the accessibilityof the facility, and the extent to which services willbe made available to the residents of the State makingthe request.

Transfer of allotment to the allotment for communitymental health facilities. A State may submit a requestin writing to the Administrator that a specified portionof its allotment be added to the allotment to such Stateunder Title II of the Act for the construction of commu-nity mental health centers. The Administrator shalladjust the allotments of such State upon either:

(1) Certification by the State agency that it has affordeda reasonable period of time, not less than 6 months, dur-ing which application could be made for the portion sospecified and that no approval applications for suchfunds were received during that period of time; or

(2) A determination satisfactory to the Administratorthat the need for community mental health centers issubstantially greater than for facilities for the men-tally retarded, such demonstration to include theconcurrence of other views of the State advisory councildesignated under section 134(a) (3) of Title I, Part Cof the Act.

13. Participation Rate

Federal Share

The Federal share shall not exceed 40% of the totalestimated costs in which the federal government mayparticipate.

14. Assurances of Non-Discrimination

The State Agency will obtain assurance from each applicant thatall portions and services of the entire facility for the con-struction of which or in connection with which, aid under theact is sought will be made available, without discrimination onaccount of race, creed, color or national origin; and that noprofessionally qualified persons will be discriminated againston account of race, creecl, color, or national origin withrespect to the privilege of professional practice in the facility.

Each construction contract is subject to the condition that thegrantee shall comply with the requirements of, and give theassurances required in Executive Order 11114, June 22, 1963(28 F.R. 6485), and the applicable rules, regulations and pro-cedures prescribed pursuant thereto by the President's Committeeon Equal Employment Opportunity (28 F.R. 9812).

- 19 -

Chapter IV

Basic Program Goals and Policies

1. Program Goals

A. The basic goals and objectives of the planning and construc-tion program take into consideration the fact that the retardedrequire 'a wide range of medical, educational, and social ser-vices which must be prescribed and related so as to providea continuing program of assistance. Provisions are made andwill be made for two types of special-purpose facilities:

(a) Short-term Care Facilities - These are facilitiesthat have at least three different kinds of purpose.Their purposes are to serve:

(i) Those who really need long-term care but whoby reason of their age or some other conditionmust wait for admission to the regular mentalretardation institution.

(ii) Those who have good potential for permanentreturn to the community but who need a specialkind and period of adjustment before finalrelease.

(iii) Those who need intensive care because of theirdisabling condition.

(b) Long-term Individual and Group Care Facilities - Theseare private and state facilities that have relevanceto a consideration of state mental retardation insti-tutions. They are:

(i) Privately run nursing or family care homes forolder persons.

(ii) Special care units for persons with life-timemultiple-handicaps like severe retardationand blindness.

Since it has 'oeen established that there is a causal relationshipbetween mental retardation and poverty special emphasis will beplaced on providing services for the poor in disadvantaged areas.

Services required by the retarded encompass many professions,including education, sociology, medicine, and psychology. Thespecific services and combinations thereof required by eachretarded person vary and may change during his life-span.

- 20 -

B. Generic services for the retarded are recommended in the NewJersey Comprehensive Plan to Combat Mental Retardation (1966).It is recommended:

1. That there should be a minimum of one comprehensivediagnostic and evaluation facility in each region,with special attention given to major populationareas in the state.

2. That clinics providing diagnostic and/or otherservices essential to the mentally retarded seekto include related activities, such as: familyevaluation, counseling, life planning, providingfor continuity of services, and assuring thatremedial treatments are being provided.

3. That state and/or federally aided diagnostic andcounseling services be available in all parts ofthe state, either without cost or at nominal costto the family.

4. That, within each region, Division of MentalRetardation offices and diagnostic clinics forchildren with developmental defects serve as"fixed points of referral" to provide informa-tion, consultation, and referral services forthe retarded and their families.

5. That the Department' of Institutions and Agenciesestablish-activities centers for the adultmentally retarded who are not capable of shel-tered or competitive employment and who do notrequire care in an institution.

6. That for those retarded whose needs could be metbest in a semi-sheltered environment, the Denartment of. Institutions and Agencies developcommunity-oriented small group living centersto.provide shelter and other required services.

7. That the Department of Institutions and Agenciescontinue the present Purchase of Care Program andextend the scope of the program to purchase careon both a group-residential and individual-homebasis.

8. That for those retarded needing temporary residen-tial care, the Department oC Institutions andAgencies make provision for chort-term placement.

- 21 -

That there be intensification of efforts to establishsound vocational oriented secondary school programsfor the mentally retarded.

10; That courses of instruction be made available tothe adult retarded by way of education programsunder local sponsorship.

11. That children too immature or too severely handi-capped to.be.eligible for admisSion to approvedspecial education programs be provided with adaily program of care and habilitation designedto foster maximum development of their potentials.

C. In order to coordinate the mental retardation planning programwith other programs*in the State to insure that the interestsof the retarded are served in other programs, the same StatePlan has.made the following recommendations. It is recommended:

1. That the Department of Health stimulate an overalleffort to provide optimal medical care to everyexpectant mother and newborn infant.

2. That more programs of prevention through publiceducation be undertaken by the Department ofHealth.

3. That continued program expansion, including protec-tive immunization, be undertaken by the Departmentof Health for the systematic and continuous healthsupervision of infants and young children.

4. That the Department of Health expand services forearly detection of conditions arising from inbornerrors of metabolism.

5. That the Department of Health develop a high riskregister indicating those children needing immediatesupervision and follow-up.

6. That the:Department of Health encourage medical*personnel Caring for infants and young children toMaintain detailed developmental records particularlyon high risk groups.

7. That the Department of Health and the New JerseyState Dental Society seek to assure that dentalservices be made available to all retarded.

- 22 -

8. That the Joint Commission for Accreditation ofHospitals should require the availability offacilities for prenatal care, screening forinborn errors of metabolism, and other preven-tive measures.

9. That the Department of Health be responsible forthe orderly development of diagnostic facilitiesfor handling all disorders of a developmentalnature, including mental retardation.

10. That the Department of Education develop a uniformmethod to identify each retarded child in need ofspecial education and promote the expansion ofeducational diagnostic and evaluation services toprovide for the early detection of learningdisabilities.

11. That mental hygiene clinics and community mentalhealth centers provide services to mentallyretarded persons requiring psychological an0psychiatric treatment.

12. That all social agencies identify those personsin their caseload known or suspected to bementally retarded and consult the regional"fixed points of referral" for recommendations.

13. That all social agencies determine that theirretarded clients are receiving all servicesto which they are entitled and make specialprovisions for those unable to benefit fromexisting services.

14. That local groups, both public and private,continue to expand their activities in thefield of recreation for the mentally retarded.

15. That social agencies refer those adult retardedwho might profit from vocational services tothe Rehabilitation Commission.

16. That pUblic welfare agencies make availablethe services of professional persons qualifiedto counsel families having a retarded member.

17. That the Department of Education provide andstimulate state and local leadership in thedevelopment, administration, and supervisionof special education services for retardedchildren.

- 23-

18. That the Department of Education stimulate thedevelopment of projects to broaden the learningopportunities of preschool children, particu-larly those who reside in homes where suchopportunities are lacking or limited.

19. That the Department of Education seek to enrichthe curricula for mentally retarded children toinclude physical education, recreation, music,art, crafts, science, and other experiences.

20. That the'Department of Education expand super-vi6ory and consultative services through thechild study teams, while the responsibility forthe administration and supervision of programsmust be accepted by local boards of education.

21. That the Department of Education require thatneeded services of school psychologists, speechcorrectionists, health personnel, school socialworkers, remedial educators, guidance workers,and other specialized personnel for continuouseducational appraisal be available within eachlocal school district.

22. That the Rehabilitation Commission and theDivision of Employment Security make a jointeffort to identify and develop more jobopportunities for the mentally retarded.

23. That the Rehabilitation Commission be respon-sible for the orderly development and/oroperation of sheltered workshop facilities.

24. That present work study programs, suitablydesigned for the needs and abilities of theretarded, be expanded and new ones developedby the Rehabilitation Commission and theDepartment of Education.

25. That the Department of Civil Service maximizeopportunities for the employment of thementally retarded in state service.

- 214 -

2. Policies

A. Planning of services and facilities for the mentallyretarded will involve full participation of governmental,voluntary, or other agencies having a major responsibilityto the mentally retarded, to the end that effectivecoordination be achieved. Any agency or group having asignificant potential for contributing some element to theoverall program for the retarded will also be encouragedto participate in the planning process.

Coordination with construction plans developed under othersections of the Public Health Service Act will be effected.The Commissioner of Institutions and Agencies as thedesignated state official responsible for the administrationof Title I and II of PL 88-164, the Comprehensive PlanningProject in Mental Retardation (PL 88 -156), and the Hill-Burton Program will provide necessary integration.

B. Planned facilities for the mentally retarded will be locatedso as to be readily accessible to the population served andto professional staff. General community services andfacilities will be available to the mentally retarded tothe fullest extent possible.

Facilities and services will be planned to meet or exceedexisting standards and will be based on the total andcomplete needs of the mentally retarded rather than on theavailability of financial support.

Mental retardation facilities areas having the highestrelative need will be considered in that order when grantsare allocated.

C. The projelted extent, character, and location of neededservices and facilities will be based on the analyses andevaluation of adequately developed data and other quanti-tative and qualitative considerations. The selection ofhigh priorities for inclusion in short-range plans will bebased on the urgency of heeds and the feasibility of meetingthese needs quickly, and must be consistent with and anatural progression toward long-range goals.

Projected needs for continuing in-service training ofpersonnel will be explicitly considered as part of Stateand community planning for the retarded.

D. rriority will be established for the organization of newservices to complete the array necessary for a comprehensiveprogram. Existing services suitable for the retarded willbe identified and considered in relation to one another.Where feasible and appropriate, existing facilities willbe improved.

-25-

Planning of services and facilities for the retarded willbe related to other forms of community planning and tosocial and economic trends.

Planning agencies and organizations, will stimulate thedevelopment of programs for the prevention of mentalretardation concurrently with programs providing facilities

. and services for the retarded. These planning groupsshould develop procedures to evaluate their activities ona continuing, basis.

-2

Chapter V

Delineation of Service Areas

The State of New Jersey has been divided into four (4) majorregions for planning purposes. Justification for this delinea-tion is as follows:

1. The regions are.of sufficient size and concentra-tion to permit the development of a full range ofservices consistent with the needs of the retardedand giving full consideration to all levels ofretardation and age groupings.

2. The regions permit programming of needed servicesand facilities without unnecessary and costlyduplication

3. Access within each region is well maintained by asystem of highways and freeways. For the mostpart, travel time between urban centers in eachregion and their contingeflt suburban areas doesnot exceed one hour.

4. The regions are appropriate for various adminis-trative purposes. Because this delineation hasbeen developed along county boundaries, themechanism for effective coordination with othercounty-based departments and agencies is avail-able and operable.

5. The regions are identical with the public healthregions of the State which permits effectivecoordination between these departments.

6. The population in each region tends to share anidentifiable economic base.

7. The regions tend to be urban areas with theirtributary suburban and rural development.

-27-

IV

CAMDEN

ATLANTIC

CAPE MAY

GLOUCESTER

SALEM

CUMBERLA ND

IIWARREN

SUSSEX

MORRIS

SOMERSET

HUNTERDA

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-2

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PASSA IC

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UNION

III

MIDDLESEX

MONMOUTH

MERCE2

BURLINGTON

OCEAN

POPULATION ESTIMATES BY' REGION

1967 1970 1975

Region I Bergen 901,550 982,689 1,071,131

Essex 960,410 1,046,846 :1,141,062

Hudson 608,740 663,526 723,243

Passaic .458,06 0 . 499,285 544,220

Union 571,190 622,597 678,630

Total 3,499 950 .3,814,943 4,158,286

Region II Hunterdon 65,120 70,980 77,368

Morris 350,640 382,197 416,594

Somerset 194,220 211,699 230,751

Sussex 65,240 71,111 77,510

Warren 72,900 79,461 86,612

Total 748,120 815,448 888,835

Region III Burlington 306,540 334,128 364,199

Mercer 307,130 334,771 364,900

Middlesex 566,240 617,201 672,749

Monmouth 439,880 479,469 522,621

Ocean 157,970 172,187 187,683

Total 1,777,760 1,937,756 2,112,152

Region IV Atlantic 183,320 199,818 217,801

Camden 460,490 501,934 547,108

Cape May 54,000 58,860 64,157

Cumberland 125,350. 136,631 148,927

Gloucester 163,160. 177,844 193,849

Salem 66,250 72,212 .78,721

Total 1,052,570 1,147,299 1,250,553

State Totals 7,078,400 7,715,446 8,409,826

-29-

TRAVEL

TIME

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I-HOUR-AVERAGE

DRIVING

TIME

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AVERAGE SPEEDS &

OTHER CONDITIONS

FOR DIFFERENT' AREAS)

REGION I

Counties: Bergen, Essex, Hudson, Passaic, Union

Region I constitutes the urban northeast of New Jersey. As canbe seen from the population figures for this region, there is alimited growth potential. The median age for Region I is thehighest of all the regions. This is in many ways indicative ofthe older urban cities as well as older suburbs which arecharacteristic of this region. As a complement to the medianage, the region has the, lowest percentage of the populationunder five years which is another important indicator of thetype of growth that might be expected. Region I has thesmallest land areas - only 703 sq. mi. - and the largest popu-lation - 3,499,950 (1967) which gives it the highest density -4,978 persons per sq. mi. Region I has the smallest amount ofundeveloped land and agricultural land, a total of 37.7% of theland area. The industrial land, however, represents the highestpercentage for all of the regions, 5.9%. The low percentage oftotal dwelling units that are single family dwelling units(44.8%) is influenced by the high density development thatdoes not lend itself to single family dwelling units. Region Iis well served by many major routes including the New JerseyTurnpike and the Garden State Parkway. Other major routesinclude - Route 17 and 4 serving the northeast section of theregion, Routes 3, 23, 1, 9 and 22 serving the bulk of the region,and several new interstate routes. The major barrier to futuredevelopment is the fact that the most usable land has alreadybeen developed. Left are those sections of wetlands and steepslopes that do not lend themselves to extensive development.The most notable example of this is the Hackensack Meadowswhich lies vacant in the midst of the highly urbanized andindustrialized region.

At the present time facilities for the retarded in this regionare as follows:

Diagnostic and Evaluation Clinic, Day Facility 4

Clinic OnlyDay Facility Only 28Residential Facility Only 1

There are plans to construct one new Diagnostic and EvaluationClinic, Day Facility and to add to two existing ones. Fivenew Day Facilities Only are contemplated.and additions will bemade on three others. These plans will enable this region toprovide service to approximately 600 additional retardates.

-32-

SUSSEX

MORRIS

WARREN

HUNTEROONSOMERSET

-33-

REGION II

REGION' II

Counties: Hunterdon, Morris, Somerset, Sussex, Warren

Region. II has the lowest population figure for 1967 - 748,120of all of the regions and the lowest density as well - 352persons per sq. mi. Region II has the highest percentage ofland devoted to agriculture use - 34.0% and the lowest per-centage devoted to industrial use - 0.6%. The entire regionhas a rural farm characteristic, with the notable exceptionsoccurring in the southern and central sections of the regionwhere the growth has far exceeded the remaining sections ofthe region. Region II has the largest percentage of totaldwelling units devoted to single family - 87.5% in 1967.This is a good indicator of the suburban rural characteristicof the region. The population growth of the region hassuffered somewhat due to the excessive slopes that occur inthe western section of the region. Here are the ridges of theKittatinny Mountains and other smaller ranges. The region alsocontains a large number of lakes compared to the other regionsand these have lent themselves to summer as well as yeararound development. Some of the future development of thisregion is contingent upon the development of adequate highwaysand roads to serve the area. Much of the traffic is nowhandled on a few routes - 23, 206, 94, 46, 69. Several newinterstate routes have opened up sections of the region -namely 80 in the central section and 78 in the southernsection of the region. The Tock's Island Project that isplanned for the northern section of the region should bringnew interest into the region and spur development to a certaindegree.


Day Facility Only 19Residential Facility. Only 1

Clinic Only 2

There are plans to construct three more Day Facilities Only andto add to an existing one. A. new State Institution will alsobe constructed. Additions will also be made to an existingDiagnostic and Evaluation Clinic, Day Facility, ResidentialFacility. These plans will enable this region to provideservice to approximately 550 additional retardates.

-34-

REGION III

MIDDLESEX

MERGER

MONMOUTH

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BURLINGTON

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-35-

REGION III

Counties: Burlington, Mercer, Middlesex, Monmouth, Ocean

Region III'contains the heart of the suburban section of New,Jersey. Here are the fastest growing areas of New Jersey andavailable undeveloped land as well as a rapid conversion ofagricultural land to suburban use. This area has. the lowestmedian age, an important indicator of the young families thatare typical of.this area of the State. There are no majorimpediments to future. development. The most notable excep-tion to this is the large area devoted to federal use - andthe large area devoted to state forest. These two areas havetended to limit the east-west development that might haveoccurred in the southern section of this region. The northernsection of this region has been greatly influenced by the.northeast and is a rapidly growing area of the State. . Althoughalmost 30% of the region is devoted to agricultural uses, theseare concentrated in the southern section of the region for themost part. The region is well served by. he Turnpike and theParkway as well as routes 72, 70, 130, 1, 9 and many others.

At the. present time facilities for the retarded in this regionare as follows:

Diagnostic and Evaluation Clinic 2

Residential FacilityDay Facility Only 19Clinic Only 1

Residential Facility Only 1Diagnostic and Evaluation Clinic, 1Day Facility

There are plans to construct four new Day Facilities Only andto add to two existing ones. Additions will also be made ontwo existing Diagnostic and Evaluation, Residential Facilities.These plans will enable this region to provide service toapproximately 150 additional retardates. .

-36-

,1 GLOUCESTER.$'....

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ATLANTIC

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-37-

REGION IV

Counties: Atlantic, Camden, Cape May, Cumberland, Gloucester,Salem

Region IV has a high percentage of its available land undev-A-oped - a total of 44.4% in 1967. These are the southern mostareas of New Jersey and are strongly influenced by the factthat they are surrounded on three sides, by water - the AtlanticOcean on the east, the Delaware. Bay on the south, and theDelaware River on the west. Although many recent developmentsboth in terms of bridges and ferries have aided this lack ofaccess, this area still remains one of the least accessibleof all the regions. Physically speaking, the region displaysthe following characteristics - low and level land not impededby any excessive slopes, a degree of wetlands and marshes alongthe shores of the interior rivers, and especially along theocean- side, and very fertile soils. There is a strong agri-cultural orientation and the industrial activity is found infringes along the Delaware River. The high percentage ofpersons over 65 - 10.1% is influenced by the fact that many ofthe areas in the eastern section of the region lend themselvesto retirement communities and this trend has been growing overthe past few years. The location of Philadelphia has causedmuch of the western section of the region to orient itselftowards suburbanization and new industrialization, whichcontracts sharply with the rural nature of the southern sectionof the region. The eastern section has a high degree of theState's resort activity. The bulk of the transportationfacilities are oriented toward east-west movement, i.e., fromthe Philadelphia area to the resort areas. These are mainly,routes - 30, 42, 40, 322, 49, 47 and the new Atlantic CityExpressway. The western section is well served by the NewJersey Turnpike and Route 130, as well as the new route 295.


Diagnostic and Evaluation Clinic 2

Day Facility, Residential FacilityDiagnostic and Evaluation Clinic, Day Facility 6

Clinic Only 1

Day Facility Only 13Residential Facility Only 2

There are plans to construct three new Day Facilities Only, onenew Diagnostic and Evaluation Clinic, Day Facility, ResidentialFacility, one new Diagnostic and Evaluation Clinic, Day Facility,two new Diagnostic and Evaluation Clinics, ResidentialFacilities, and to make additions to an existing ResidentialFacility Only. These plans will enable this region to provideservice to approximately 400 additional retardates.

-38-

INSTRUCTIONS for completing Form PHS-4774-1, Inventory General DataMental Retardation Facilities Construction Proomm

1. Enter name or number of service area.

From Stet) File Information, Form A, obtain the following data:

2. Enter the city or town, county, and name of facility, listing all facilities in each city or town consecutively inalphabetical order.

3. Check one: A diagnostic/evaluation clinic; B day facility; C residential facility.

4-5. Enter type of ownership of property and sponsorship of programs within facility, using the following codes:

NONPROFIT PUBLIC PROPRIETARY01 Community nonprofit association 11 City 21 Individual02 Church 12 County 22 Partnership03 Fraternal order 13 State 23 Corporation04 Other nonprofit 14 Other public 24 Other proprietary

6. Enter interest program sponsor has in property, using the following codes:

A own; B rent or lease; C free use.

From State File Information, Form B, obtain the following data:.

7. Enter number of buildings in facility by design classification in the following coded columns:

A originally designed as a facility for the mentally retarded.B remodeled into a facility for the mentally retarded.C not designed or remodeled as a facility for the mentally retarded.

8. For the originally designed buildings ,(Item 7A), enter in column 8 a, the number Suitable; and in column 1 b,the number Unsuitable on the basis of established criteria for structural adequacy.

From State File Information, Form C, Item 3, obtain the following data:

9. Enter total number of different mentally retarded individuals served by the facility.

10. a, b, c, and d. Enter the number mentally retarded individuals served by level of retardation.

11. a, b, and c. Enter the number mentally retarded individuals served for each specified age group.

INSTRUCTIONS for completing Form PHS-4774-2, Inventory Servile DataMental Retardation Facilities Construction Program

1. Enter name or number of service area.

2. From State File Information, Form A, enter the city or town, county, and name of facility listing all facilitiesin each city or town consecutively in alphabetical order.

From State File Information, Form C, obtain the following data:

3. Enter caseload for diagnostic and evaluation clinic program.

4. In column 4a, enter the total number of persons served in the day facility program. (See Item 4(b) of Form C).

38 A

INSTRUCTIONS for completing Form PHS-4774.2, Inventory Services Data (conc.)

For columns 4 b through 4 f, enter the caseload for each of the specified services, as shown on Form C,Items 4 b-1 through 4 b-5.

5. In column 5a, enter the total number of persons served in the residential facility program. (See Item 4(c)of Form C).

For columns 5 b through 5 f, enter the caseload for each of the specified services, as shown on Form C,Items 4 c-1 through 4 c-5.

INSTRUCTIONS for completing Form 4774-3, Summary and Programming Data ReportMental Retardation Facilities Construction Program

GENERAL: For each city or town recorded on Form PHS-4774-1, a summarization of existing facilities andservices should be entered in the appropriate columns. Similarly, information should be recordedby city or town, for additional facilities and services programmed within a four year period. Thusthe data will be grouped so as to reveal the total mental retardation construction program withina particular city or town.

SPECIFICALLY:

1. Enter name or number of area.

2. Enter the name of the e 'linty in cotumn 2 a, and the city or town in column 2 b, for each of the existingand programmed facilities.

3. Enter "E" for existing and "P" for programmed facilities. For every entry of "E" or "P," there should becorresponding totals in columns 4 through 9.

4. Enter total number of "E" and "P" facilities in a particular city or town.

5. Check appropriate columns for both existing and programmed facilities. (See Form PHS-4774-1). Type ofProgram codes are as follows:

A diagnostic/evaluation clinic; B day facility; C residential facility.

6. Check appropriate columns (6a-f) for both existing and programmed services. For existing services, refer toForm PHS-4774-2, and for programmed services, use definitions contained in Sec. 54.101 of Regulations.

7. Check appropriate columns (7a-d) for both existing and programmed services. For existing services, seeForm PHS-4774-1.

8. Check appropriate columns (8a-c) for both existing and programmed services. For existing services, seeForm PHS-4774-1.

9. For "E" in column 3, record total number of mentally retarded individuals served, as shown on FormPHS-4774-1, column 9.

For "P" in column 3, enter the total number of additional mentally retarded individuals for whom additionalservices are programmed.

38 B

ti

Chapter VI

Inventory of Existing Services and Facilities

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FISCAL YEAR

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ARC Day Care Center

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INVENTORY.

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FISCAL YEAR

1969-70

STATE

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Burlington County

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Burlington County

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II

II

II

II

Morristown

Morristown

Morristown

Pompton Plai

Randolph

Manville

Manville

Morris

Morris

Morris

,Morris

Morris

Somerset

Somerset

Child Evaluation Center

Morristown Memorial

Hospital

Morris County Unit ARC

Morristown Pre School

Program

Occupational Training

Center for the Handi-

capped

Valley Organization for

Life Training, Inc.

Morris Unit ARC

Randolph Pre School Pros

Raritan Valley Unit ARC

Somerset Activity Center

Somerset County Uay

Care Center

100

10

70 6

13

29

10

10

25

13

10

70

13

30

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STATE

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page

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Program

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Activities Program


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Pre School Program

8

21 8 8

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III

III

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Bordentwon

Hainesport

Hainesport

Hainesport

Mount Holly

Mount Holly

New Lisbon

Burlington E.R. Johnstone Training

& Research Center

Burlington Burlington County Unit

ARC - Day Care Center

Burlington Burlington County Unit

ARC-Independent Living

Program

urlington Burlington County Unit

ARC-Pre School Program

urlington Drenk Memorial Guidance

Center

urlington Occupational Training

Center of Burlington

County

Burlington State Colony at New

Lisbon

100

13

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13

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1969-70

ST

AT

E

N .J

.

Pag

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pages

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OF

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12a

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2c3

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III

III

III

III

III

III

III

Trenton

Mercer.

Trenton

Mercer

Trenton

Mercer

Trenton

Mercer

Trenton

Mercer

Avenel

Middlesex

Metuchen

Middlesex

New BrunswickMiddlesex

Mercer County Unit ARC

Adult Activities Center


Day Care Center


Occupational Trng. Center


Pre School Program


Young Adult Class

Woodbridge State School


Metuchen Day Care Prog.


Anna Starr Independent

Living Center

13

37

70

15

13 8 6

55

13

26

15

13

13

37

15

13

13

37

70

15

13

70

997

997

997

431

997

997

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MBUREAU OF TrSE BUDGET HO. 83-R0-116

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7 S

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1969

-70

STATE

N.J

.

Pag

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4d4e

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5o5b

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III

III

III

III

III

New Brunswick

Old Bridge

Perth Amboy

Piscataway

Red Bank

Middlesex

Middlesex

Middlesex

Middlesex

Monmouth


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Program


Old Bridge Day Care Prog


Perth Amboy Pre School

Program


Piscataway Pre School

Program

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Day Care Center

10 8

10

.

8

73

11

10

10

25

37

10

10

73

ST

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PR

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RA

MBUREAU OF THE BUDGET NO. 33-R0-118

INV

EN

TO

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SERVICES DATA FOR MENTALLY RETARDED PERSONS SERVED ONLY

FISCAL YEAR

1969

-70

I

STATE

N.J

.Pa

ge30

of39

page

s

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LOC

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ITY

TO

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Y C

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IN S

ER

VIC

ES

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1.:

w <

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0 Wa.

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3

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D

2a2b

2c3

4a4b

4c4d

4e4f

4g5a

513

Sc5d

5e5f

5g

III

III

III

III

Red Bank

lonmouth

Bricktown

Ocean

Bricktown

Ocean

Lakewood

Ocean

Monmouth County Unit AR

Sheltered Workshop


Pre School Program


Sarah Miller Training

Center

Ocean County

Sheltered Workshop

.

-

27 5

21

70

55

8

26

13

27

21

70

27

70I

ST

AT

E T

OT

AL

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SR

S -

RS

A -

48 -

2S

TA

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PLA

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MM

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ITY

ME

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AT

ION

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CIL

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ON

ST

RU

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PR

OG

RA

MBUREAU OF THE BUDGET NO. 83-RO-118

INV

EN

TO

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ER

VIC

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DA

TA

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TA

LLY

RE

TA

RD

ED

PE

RS

ON

S S

ER

VE

D O

NLY

FISCAL YEAR

1969

-70

STATE

N .J

.

Pag

eaio

f39

page

s

< W X 4

LOC

AT

ION

43 t

tr)-

2, I

- 0

04U

zM-1 0 Z

< 4 > -

IO

W U

DA

Y F

AC

ILIT

YR

ES

IDE

NT

IAL

FA

CIL

ITY

CITY

OR

TOWN

COUNTY

NA

ME

OF

FA

CIL

ITY

TOTAL

NUMBER

SERVED

AVERAGE DAILY CASE

LOAD IN SERVICES

AVERAGE DAILY CASE

LOAD

;ItSERVICES

Z 9E

n acr

0 P

.1 ;

il, > D

CU

" Z E t- it IX I-

z 0 i- < g 0 w

0 z .1.

CC I-

W Er < 0 -i < z 0 L' III ^-

0 W 0

.tc

0W

z1-

u)

171)

gx

0to

3

TO

TA

LNUMBER

SERVED

0(L

)r.

.8

<z

M°

<< , > 0

la

w 2 1- < ILI

CC I-

z 0 I- < u M 0 w

0 Z Z < CC I-

u CC U -i < a -) 1- to M U

0 tc2

%w

x1_

u)

j Y w E i 0 En

3

TOTAL

NUMBER

SE

RV

ED

2a2b

2c3

4a4b

4e4d

4e4f

Ag

5a5b

5c5d

5e51

IV

IV

IV

IV

IV

IV

IV

Atlantic City

Egg Harbor

City

Pleasantville

Atco

Camden

Camden

Cherry Hill

Atlantic

Atlantic

Atlantic

Camden

Camden

Camden

Camden

Atlantic County Unit ARC

Pre School Program


Day Care Center


Day Care Center

Happy Times Center

Goodwill Industries of

Southern New Jersey

Our Lady of Lourdes Hospl i

Camden County

Day Care Center

8

10 3 7

56

15

30

17

15

10

42

35

15

30

10

56

15

30

32

15

ST

AT

E T

OT

AL

-70-

agin

glie

dO

NE

S.ga

r pm

1111

111

lom

41-

`

SR

S-R

SA

-48-

2STATE PLAN

FORM APPROVED

CO

MM

UN

ITY

ME

NT

AL

RE

TA

RD

AT

ION

FA

CIL

ITIE

S C

ON

ST

RU

CT

ION

PR

OG

RA

MBUREAU OF TtlE BUDGET NO.

INV

EN

TO

RY

-SERVICES DATA FOR

ME

NT

ALL

YRETARDED PERSONS SERVED

ON

LY

53-R0-1i13

FISCAL YEAR

1969-70.

STATE

N.J.

Pag

e32

of39

page

s

W IX < -71

LOC

AT

ION

NA

ME

OF

FA

CIL

ITY

DA

Y F

AC

ILIT

YR

ES

IDE

NT

IAL

FA

CIL

ITY

_..Z

>.

- w -0

zI- w 0

04 z U a

-0,

za-

--

> 4

ow U

TO

TA

LN

UM

BE

RS

ER

VE

D

AV

ER

AG

E D

AIL

Y C

AS

ELO

AD

IN S

ER

VIC

ES

TOTAL

NU

MB

ER

SE

RV

ED

AV

ER

AG

E D

AIL

Y C

AS

ELO

AD

IN S

ER

VIC

ES

CIT

YOR

TOWN

COUNTY

y).

0 M

Z -

Ja

4 -> 0 w

I- z I- 4 A/ B f-

z 0

ui

I- Z W I- 4 W B 1-

z 0 r < U M 0 La

1) E 4 B I-

et < U ..t < 0 1... u) D U

0 ta 0

.rc

0t- _a

Mla

gc

mc)

u) ;

TOTAL

NUMBER

SE

RV

ED

2a2b

2c46

4c4d

4e4f

4gS

a5b

5c5d

5e5f

IV IV

IV

IV

IV IV

IV

Haddonfield

Haddonfield

Lakeland

Lindenwald

West

Collingswood

Wildwood

Crest

Woodbine

Camden

Camden

Camden

,Hospital-

Camden

Camden

Cape May

Cape May

The Bancroft School

League to Aid the

Retarded - Nursery School

Camden County Psychiatric

Juvenile Clinic

Camden County Unit ARC

Occupational Training

Center

Community Child Guidance

Clinic of Camden County

Cape May County Unit ARC

Day Care Center

State Colony P'6. Woodbine;

489

55

99

393

1123

35

35

.

12

142

63

35

30

35 8

393 35

35

10

35

103

1188

103 100

1671167

75

15 1103

450'11671188

ST

AT

E T

OT

AL

-71-

SR

S -

RS

A -

48 -

2S

TA

TE

PLA

NC

OM

MU

NIT

Y M

EN

TA

L R

ET

AR

DA

TIO

N F

AC

ILIT

IES

CO

NS

TR

UC

TIO

N P

RO

GR

AM

INV

EN

TO

RY

- S

ER

VIC

ES

DA

TA

FO

R M

EN

TA

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RE

TA

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ED

PE

RS

ON

S S

ER

VE

D O

NLY

LOC

AT

ION

CIT

YO

RT

OW

NC

OU

NT

Y

NA

ME

OF

FA

CIL

ITY

NO2

W 4 0

000

0 Z j

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TO

TA

LN

UM

BE

RS

ER

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D

FORM APPROVED

BUREAU OF THE BUDGET NO.

18

DA

Y F

AC

ILIT

Y

FISCAL YEAR

1969-70

STATE

N .J

Pag

e3

ofrig

_pag

es

RE

SID

EN

TIA

L F

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ILIT

Y

TO

TA

LN

UM

BE

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D

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AG

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Y C

AS

ELO

AD

IN S

ER

VIC

ES

IV

a

Vineland

3

Cumberland American Institute for

Mental Studies Thug.

School Unit

IV Vineland

Cumberland Cumberland County Unit

ARC-Day Care Center

IV Vineland

Cuberlan Cumberland-Salem Unit

ARC-Occupational Center

IV Vineland

Cumberlan' Cumberland-Salem Unit


IV Vineland

Cumberlan Vineland State School

IV Pitman

Gloucester Gloucester County Unit

ARC-Day Care Center

IV Woodbury

Giouceste Abilities Center

10

40 20

0 0 2<

aw 4b

4c4d

0 4e

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C 0

W X 3e

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0N tr

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5bi

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7

12 5

15

28

8

12

16

48 5

12 15

20 7

12

12

15

28

28

343

1902

60 1

2016

0

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Chapter VII

Determination of Priorities

A. Priorities by Region

Upon the recommendation of the Mental Retardation PlanningBoard the New Jersey State Plan for the Construction ofMental Retardation Facilities has assigned priorities forconstruction applications on the basis of the four serviceregions identified in the Plan. All projects, regardlessof type, will therefore be considered for approvalprimarily in accordance with the priority of the regionin which they are located.

B. Method .ef Determining Regional Priorities

Federal guidelines require that the following seven factors bebe considered in determining regional priorities:

1. Need for services and facilities.2. Percent of families with low incomes.3. Per capita income.4. Education (median school years completed).5. Health (rate of infant mortality).6. Special needs of particular groups.7. Availability of community resources.

It is further specified that each of the seven factors beassigned a weight based upon relative importance indetermining regional needs. Factors #6 and #7 may notbe weighted more than one (1) without special approval.Weights were assigned to each of the seven factors by theMental Retardation Planning Board as follows:

Factor Weight

Need for services and facilities 5

Families with loW income 2

Per capita income 2

Education 2

Health 2

Special needs of particular groups 1

Availability of community resources 1

C. Ranking and Weighting of Factors

1. Ranking

Data to establish the relative need (rank) in each of thefour regions for each of the seven factors was gatheredas follows:

-79-

1. Ranking cont'd

a. Need for Services and Facilities - Survey datafrom the inventory of existing services andfacilities (Chapter VI) was used to determine thepresent availability of services and facilities.The relative need for each region was computed bysubtracting this figure from the total numberestimated to need service in each region (1% ofthe population). Each region was then rankedin terms of relative needs as follows:

Region IIIRegion IIRegion IRegion IV

Greatest need

Least need

b. Percent of Families with Low Income - The UnitedStates Department of Commerce 1960 Census data wasused to determine the percentage of fatilies in .eachregion with annual incomes under $3,000. Each regionwas then ranked in terms of this factor as follows:

Region IV Greatest % of lowincome families

Region IIIRegion IRegion II Smallest % of low

income families

c. Per Capita Income - The United States Department ofCommerce Supplementary Reports were used, to establishthe per capita income for each of the.four regions.Regions were then ranked from lowest to highestper capita income as follows:

Region IV

Region IIIRegion IIRegion I

Lowest per capitaincome

Highest per capitaincome

Education ;- Data was developed to provide informationon the median number of school years completed byresidents in each of the four regions. Regionswere then ranked from lowest to highest number ofschool years completed as follows:

Region IV

Region IRegion IIIRegion II

- 80 -

Lowest number of schoolyears completed

Highest number of schoolyears completed

e. Health - Data provided by the Public HealthStatistics Program, New Jersey Department ofHealth, on infant mortality per 1,000 livebirths was used in accordance with the require-ment that this factor be based on the rate ofinfant mortality. Regions were ranked from highto low infant mortality as follows:

Region IVRegion IRegion IIIRegion II

High infant mortality

Low infant mortality

f. Special Needs of Particular Groups - Regionalrankings for this factor dealing with the needs

I` of those mentally retarded individuals withadditional handicaps and those beyond school agewere assigned by the State Agency and the New JerseyMental Retardation Planning Board. Planning Boardmembers representing other departments in Stategovernment were particularly helpful in assigningthe ranks which follow:

Region I Greatest needRegion IIIRegion IVRegion II Lowest need

[1 g. Present Availability of Community Resources - Thisfactor deals with the availability to the mentallyretarded of generic services providing health,welfare, education, rehabilitation and employmentservices, and their utilization by the mentallyretarded. Rankings were jointly assigned by theState Agency and the Mental Retardation PlanningBoard from the region of greatest need to the regionof lowest need as follows:

Lii

L

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Region II Greatest needRegion IVRegion. IIIRegion I Lowest need

2. Weighting of Factors

Once the rank of each of the four regions was established foreach of the seven factors, the weights noted in section Babove were applied to obtain a product (rank x weightYforeach factor within each region. The regions were then rankedagain on the basis of the arithmetic sum of these products.The following chart summarizes this process.

- 81 -

SUMMARY OF REGIONAL PRIORITIES

Region I

Rank x

Region II Rank x

Region III

Rank x

Region IV

Rank x

Factor

Rank* W ight** Wight

Rank Weight Weight

Rank Weight Weight

Rank Weight Weight

Need for

25

10

3.

515

45

20

15

5Services

Low T

22

41

22

32

64

28

Income

Per Capita

12

22

24

3.

26-

42

8Income

Education

32

61

22

22

44

28

Health

32

61

22

22

44

28

Special

41

41

11

3- 4

.3

21

2Needs

Availabiliy

of Resources

11

14

14

21

23

1

Total

33

Total

30

Total.

45

Total

42

* Rank - 4 represents greatest need; 1 represents least need:

** Weight - 5 represents greatest weight; 1 represents least weight.

*** Greatest need represented by iii.ghest total.

D. Detailed Data on Factors

Regional determination of rankings for each factor wasmade'from data found in the appendix.

E. Regional Construction Priorities

In accordance with the data established in the table onthe previous page, applications for construction projectsof relatively equal scope and merit will be judged on thebasis of the following priorities:

Region IIIRegion IVRegion IRegion II

Highest priority

Lowest priority

F. .Priorities Within Regions

If there are two or more applications from within the sameregion, priority will be assigned to the facility offeringthe more comprehensive range of services taking into con-sideration the regional needs for service as identifiedin the Appendix.

-83-

Appendix

COMPARATIVE DATA ON SEVEN FACTORSFOR FOUR SERVICE REGIONS

Factor 1. - Need for Services and Facilities

Region I,- Population 3,499,950

Counties: Bergen, Essex, Hudson, Passaic, Union

Type of Services Available

1. Diagnostic Services 2,090

2. Treatment'Services 0

3. Educational Servicesa. Pre-School 79b. School Age 8,370

4. Day Training Services 171

5. Vocational Services 432

Total 11,142

Services required: (1% of population)Services still needed:% of Services not met:

Relative Service-lieeds Within'Region

Treatment-SerVices'Day'Training ServicesVocational ServicesPre - School ServicesSchool Age ServicesDiagnostic Services

High Need

Low Need

- 84 -

35,00023,858

68.2%

Factor 1. - Need for Services and Facilities (continued)

Region II - Population 748,120

Counties: Hunterdon, Morris, Somerset, Sussex, Warren

T7pe. Of Services Available

1. Diagnostic Services 250

2. Treatment Services 0

3'. -Educational Servicesa. Pre-School 50b. School Age 1,716

4. Day' Training Services 77


Total 2,184

Services Required: (1% of population) 7,481Services still needed: 5,297% of Services not met: 70.8%

Relative Service.NeedSWithin-Region

Treatment Services High NeedVocational ServicesDay Training ServicesDiagnottic'ServicesSchool Age ServicesPre-School Services Low Need

- 85 -

Factor 1.. - Need. for Services and Facilities (continued)

Fsgion III,- Population 1,777,760

Counties: Burlington, Mercer, Middlesex, Monmouth, Ocean

Type of Services Available

1. DiagnostIc Services 100

2. Treatment Services 0

3. Educational Servicesa. Pre-School 65b. School Age 4,574

4. Day Training Services 160


Total 5,065

Services Required: (1% of population)Services still needed:% of Services not met:

Relative Service Needs Within Region

Treatment Services"Diagnostic ServicesVocational ServicesDay Training ServicesSchool-Age ServicesPre-School Services

High Need

Low Need

- 86 -

17,77812,712

71.5%

Factor 1. - Need for Services and Facilities (continued)

Region TV'- Population 1,052,570

Counties: Atlantic, Cape May, Cumberland, Gloucester, Salem

Type of'Services Available

1. DiaghoStic Services 162

2. Treattent Services 0

3. Educational Servicesa. Pre-Schoolb. School Age

4. Day Training Services

5. Vocational Services

Total

Services'Required: (1% of population)Services still needed:% of Services not met:

Relative Service Needs Within ReFlon

Treatment ServicesDay-Training"ServicesVocational ServicesDiagnotticServicesPre-School ServicesSchool Age Services

High Need

Low Need

- 87 -

554,214

71

185

4,687

10,5265,83955.5%

Regional Summary of Unmet Needs for

Services and Facilities

RegionPopulation

(1967).Services Needed.(1% of Population)

NeedsMet

Needs NotMet

Percent ofNeeds not

Met

I 3 4)9,950 35,000 11,142 23,858 68.2%

II 748.420 7,481 2,184 5,297 70.8%

III 1,777,760 17,778 5,066 12,712 71.5%

IV 1,052,570 10,526 4,687 5,839 55.5%

Ranking of Unmet Needs

% Unmet Needs Rank Need

Region III 71.5% 4 Greatest

Region II; 70.8% 3

Region I 68.2% 2

Region IV 55.5% 1 Least

-88-

111

Factor 2, Percent of Families With Low Incomes

atEIRYLI

BergenEssexHudsonPassaicUnion

No. of Families Under $3,000 %under $3,000Ratio

Region/State

210,529242,735164,812109,824135,129

13,45431,20320,96413,49510,480

Total 863,029 89,596 10.3% .90/1

Region II

Hunterdon 14,117 2,024Morris 65,817 4,561Somerset 36,623 2,880Si,ssex 12,774 1,968Warren 16,778 2,727

Total 146,109 14,160 :9.7% .85/1

Region III

Burlington 50,684 5,687Mercer 66,447 7,645Middlesex 110,156 8,847Monmouth 83,901 12,028Ocean 29,088 5,918

Total 340,276 40,125 11.8% 1.03/1

Region IV

Atlantic 41,825 9,635Camden 100,849 11,332Cape May 12,696 3,296CumberlandGloucester

27,17934,536

5,2684,634

Salem 14,687 2,416

Total 231,772 36,581 15.8% 1.38/1

State Total 1,581,186 180,462 11,4%

Low Income Ranking

Ratio Rank Need

Region IV 1.38/1 4 GreatestRegion III 1.03/1 3Region I .90/1 2Region II .85/1 1 Least

U.S. Census Population 1960 U.S. Dept. of Commerce

-89-

Factor 3 Per Capita Income

RatioPopulation Per CapitaRegion I 1960 Income Mean Region/State

Bergen 780,255 2,721Essex 923,545 2,454Hudson 610,734 2,040Passaic 406,618 2,091Union 504,255 2,629

Total 3,225,407 2,421 1.07/1

Region II

Hunterdon 54,107 2,040Morris 261,620 2,531Somerset 143,913 2,385Sussex 49,255 1,911Warren 63,220 1,771Total 572,115 2,31J 1.02/1

Region III

Burlington 225,129 1,994Mercer 266,392 2,215MiddleSex 433,856 2,074Monmouth 334,401 2,073Ocean 108,241 1,844Total 1,368,019 2,070 .92/1

Region IV

Atlantic 160,880 1,797Camden 392,035 2,090Cape May 48,555 1,761Cumberland 106,850 1,755Gloucester 134,840 1,868Salem 58,711 1,892Total 901,871 1,934 .86/1

State 6,066,782 2,260

Region IVRegion IIIRegion IIRegioh I

Per Capita Income Ranking,,

Ratio Rank Need

.86/1 4

.92/1 3

1.02/1 21.07/1 1

Greatest

Least

U.S. Census Population 1960 U.S.D. of Commerce Supplementary Reports

- 90 -

Factor 4 - Education

Median School Years Completed by Counties and Sex -25 Years Old and Over

Computed Median for RatioRegion I Male Female Mean Region Region/State

Bergen 11.9 11.8 11.9Essex 10.6 10.6 10.6Hudson 9.2 9.2 9.2Passaic 9.4 9.4 9.4Union 11.7 11.6 11.7

10.6 1/1

Region II

Hunterdon 10.2 11.1 10.7Morris 12.1 12.1 12.1Somerset 11.2 11.8 11.5Sussex 10.5 11.3 10.9Warren 9.5 10.3 9.9

11.0 1.03/1_,

Region III

Burlington 11.1 11.3 11.2Mercer 10.3 10.5 10.4Middlesex 10.7 10.8 10.8Monmouth 11.3 11.5 11.4Ocean 10.5 10.9 10.7

10.9 1.02/1

Region IV

Atlantic 9.5 9.8 9.7Camden 10.3 10.3 10.3Cape May 9.4 10.1 9.8Cumberland 8.9 9.4 9.2Gloucester 10.0 10.4 10.2Salem 9.4 10.5 9.9

9.9 .93/1Total State 10.6

25 or older - 3,599,856

Education Rankin&

Ratio Rank Need

Region IV .93/1 4 GreatestRegion I 1/1 3Region III 1.02/1 2

Region II 1.03/1 1 Least

Fa6iviii, 5 - Health. .

Infant Mortality byAegions )iates'per 1,000 live births. .

Mean RatioRegion I Number 'ARate ifTea Region/State

Bergen 192 15.9Essex 500 .29.6Hudson 252 :23.9Passaic 173 21.2Union 162 20.4Total 1,279 22.2 1/1

Region II

Hunterdon 16 16.2Morris 128 21.0Somerset 55 18.0Sussex 23 18.7Warren 18 15.9

Total 240 17.9 .81/1

Region III

Burlington 102 22.2Mercer 120 23.3Middlesex 192 19.6Monmouth 171 23.8Ocean 52 17.4

Total 637 21.3 .95/1

Region IV

Atlantic 84 29.8Camden 154 19.4Cape May 17 21.4Cumberland 63 27.3Gloucester 68 25.1Salem 25 423.5Total 411 24.4 1.09/1

State Total 2,578 22.2

Ratio

Health Ranking

Rank

Region IV 1.09/1 4 High Infant MortalityRegion I 1.00/1 3Region III .95/1 n

d.

Region II .81/1 1 Low Infant Mortality

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