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Nebraska Psychiatric Institute

Two-Way CCTV, at NPI, c. 1967

From the McGoogan Health Sciences Library Special Collections and Archives

While the Department of Psychiatry worked to provide more physicians across Nebraska, NPI filled the gap with closed-circuit television (CCTV) therapy and training. The new system allowed 150 people to see and hear inside the interview and treatment rooms.

In 1948, the state of Nebraska authorized a partnership between state hospitals and the University of Nebraska College of Medicine for teaching and treatment purposes, creating the Nebraska Psychiatric Unit at Douglas County Hospital at 42nd and Woolworth Streets in Omaha. Cecil L. Wittson, MD, was brought on as the director of the Nebraska Psychiatric Unit in 1950 and simultaneously appointed the director of mental health by the State Board of Control. This appointment charged Dr. Wittson with the responsibility of coordinating psychiatric treatment, training, and research in state operated facilities. In 1951, Douglas County Hospital gave notice that the Nebraska Psychiatric Unit would need to vacate due to space constraints. This propelled Dr. Wittson to fundraise for a new facility on UNMC’s campus. The new $1,500,000 structure, paid for by the State Board of Control and federal funds, expanded the program, which became known as the Nebraska Psychiatric Institute (NPI) in January 1955. The completed building was dedicated on April 30, 1955.

 

 

 

 

Nebraska Psychiatric Institute, c. 1955

From the McGoogan Health Sciences Library Special Collections and Archives

NPI featured facilities for day therapy, educational programs, and research laboratories. With UNMC faculty managing most of the institute on campus, NPI’s incorporation into UNMC was inevitable.

Designed by architect John Latenser, Jr., NPI was the first area on the campus to focus on a pleasant environment, with plenty of light, open spaces, and nice furniture. The new building had facilities for inpatients, outpatients, and day-patients in the treatment areas. The original 96 inpatient beds included 60 for adults, 10 for geriatric research, and 26 for children. The activity areas included an occupational therapy shop, lounge and music room, gymnasium, beauty shop, and outdoor patio. NPI offered training programs for psychiatrists, psychologists, psychiatric aides, psychiatric social workers, nurses on the graduate level, occupational therapists, group and recreational workers, and EEG technicians. By 1958, NPI received the American Psychiatric Association’s Mental Hospital Service Award, recognizing them as a national leader in mental health care.

A research wing was added to NPI in 1960, and the following year the College of Medicine received the largest single grant ever received to that date by the University of Nebraska. The National Institute of Mental Health awarded the College of Medicine $1,745,000 for NPI to continue expanding "mental retardation" projects underway. Dr. Wittson's success and creativity led the University Board of Regents to appoint him dean of the College of Medicine in 1964. With Dr. Wittson's promotion, LaVern C. Strough, MD, became NPI's acting director, succeeded in 1968 by Merrill T. Eaton, MD. Recognizing changes in the delivery of mental health services and the needs of the state, the Nebraska legislature placed NPI entirely under the authority of the Board of Regents of the University in 1975. The end of NPI came on July 1, 1985, when responsibility for the patient care services was taken over by University Hospital.

 

NPI Finding Aid

Trail Blazers at NPI

Wolf Wolfensberger, PhD, at NPI, c. 1964

From the McGoogan Health Sciences Library Special Collections and Archives

Wolf Wolfensberger, PhD

In 1964, Wolf Wolfensberger, PhD, joined the team at the Nebraska Psychiatric Institute (NPI), where he focused on integrating persons with disabilities into the community, a principle known as normalization. His work led to the theory of social role valorization (SRV), which addresses the inequality faced by vulnerable groups. Dr. Wolfensberger worked closely with Frank J. Menolascino, MD, then clinical director of NPI and a pediatric psychiatrist. Together they championed the deinstitutionalization movement and developed one of the nation’s first community-based support programs for persons with disabilities. This program, Eastern Nebraska Community Office of Retardation (ENCOR), is still active today under the name Duet, a developmental disability service provider.

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Wolf Wolfensberger Collection

Legacy

SRV

Dr. Wolfensberger discussing citizen advocacy

From the McGoogan Health Sciences Library Special Collections and Archives

Dr. Wolfensberger discussing advocacy

Transcript

Even very enlightened parents can sometimes overlook things, aspects of competence and adult roles in their handicap children. A very prominent parent leader, very adaptive in many respects, one day was asked by a young adult friend of her young adult severely cerebral palsied son, “oh Mrs. So-and-so, how old is your son now?” He knew very well how old he was, well her son was twenty-one or something years old and he says, “why is your son not registered to vote?” Well, what happened is the twenty-first birthday in those days had come and gone and it just hadn’t rung a bell with the mother that her son was now legally of age and could have registered and voted and what have you. It took a peer, a friend, an advocate to bring that problem to attention in a competent family, in a supportive family mind you. So even a competent, supportive family may not always be enough.

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Reba Benschoter, PhD, in the Nebraska Psychiatric Institute Studio, c. 1967

From the McGoogan Health Sciences Library Special Collections and Archives

Reba Benschoter, PhD

Joining UNMC in the early 1960s, Reba Benschoter, PhD, worked with Cecil Wittson, MD, and engineer Van Johnson to develop increased access and improved mental health care for rural Nebraskans using video technology. She served as project director on a National Institute of Mental Health grant, which supported creation and operation of the first U.S. two-way closed-circuit interactive telemedicine system, extending UNMC psychiatric services to Norfolk State Hospital in rural Nebraska. Dr. Benschoter’s groundbreaking work on CCTV is credited as one of the first telehealth education programs in the nation. Based on this success, similar services were established in rural Nebraska Veterans Administration hospitals to improve staff education and patient care. These programs enabled psychiatrists at metropolitan hospitals to provide services to rural programs while UNMC worked to train more students at NPI to fill the gap in rural health access.

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Oral History

Reba A. Benschoter, PhD, c. 2001

From the McGoogan Health Sciences Library Special Collections and Archives

Dr. Benschoter received the J.G. Elliott Award in 2001 for her significant contributions to medicine and health programs in Nebraska. The J.G. Elliott Award is the most prestigious award given annually by the UNMC Chancellor, President of the University of Nebraska, and the Board of Regents.

 

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Van Johnson, Chief Project Engineer at NPI’s control system, c. 1960

From the McGoogan Health Sciences Library Special Collections and Archives

Van Johnson

Van Johnson began his career at NPI on April 23, 1956. Under the direction of Cecil Wittson, MD, Johnson managed the installation and operation of one of the first telehealth education programs in the United States. In 1963, as the chief project engineer working closely with Reba Benschoter, PhD, he was involved in the planning and implementation of the first long distance two-way medical television system in the country. In 1968, Johnson was appointed chief television engineer and later manager of television services in Biomedical Communications, UNMC’s campus-wide media service. In this position he led the development, installation, and operation of new educational technology systems in every building constructed at UNMC until his retirement in 1994. Johnson’s management of the statewide educational television network to support interactive rural health education made UNMC a national leader in distance learning programs.

 

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Richard Hart Young, MD, c. 1929

From the McGoogan Health Sciences Library Special Collections and Archives

Richard Hart Young, MD

Richard H. Young, MD, joined the faculty at the University of Nebraska College of Medicine in 1933 as an instructor in the Department of Neurology and Psychiatry. He led the department as chair from 1948 until his untimely death in 1953. During his tenure, Dr. Young oversaw the foundation of the Nebraska Psychiatric Unit and, with his father, George Young, Sr., MD, managed the foundation of the Psychiatric Department at Lutheran Hospital. Several facilities have been named in honor of Dr. Young and his contributions to mental health care in Nebraska including the Richard Young Center in Omaha and the CHI Health Richard Young Outpatient Clinic in Kearney.

 

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Cecil Wittson, MD, c. 1955

From the McGoogan Health Sciences Library Special Collections and Archives

Cecil L. Wittson, MD

In 1950, Cecil L. Wittson, MD, came to Nebraska where he became director of the Nebraska Psychiatric Institute and held the position until 1964. During this time, he joined the faculty in the Department of Neurology and Psychiatry, becoming chair of the department in 1953. Dr. Wittson maintained these dual leadership roles until 1964 when he was named dean of the University of Nebraska College of Medicine. He became president of the University of Nebraska Medical Center in 1969, and in 1971 was named chancellor of the institution. He retired in 1972 and became chancellor emeritus.

 

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LaVern Craig Strough, MD, c. 1960s

From the McGoogan Health Sciences Library Special Collections and Archives

Lavern Strough, MD, is pictured here delivering a lecture via CCTV at NPI.

LaVern Craig Strough, MD

LaVern C. Strough, MD, joined the Department of Neurology and Psychiatry as an assistant professor in 1951 and joined the team at the Nebraska Psychiatric Institute (NPI) as director of out-patient services in 1955. During his tenure at NPI he also served as director of education and training. In 1964, he stepped in as acting chair of the department as well as acting director of NPI when Cecil L. Wittson, MD, became dean of the College of Medicine. Dr. Strough stepped down from these positions in 1968 and moved to Worthington, Minnesota, where he joined the Worthington Medical Clinic.

 

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Merrill Thomas Eaton, MD, at his desk at NPI, c. 1973

From the McGoogan Health Sciences Library Special Collections and Archives

Merrill Thomas Eaton, MD

Prior to joining the faculty at UNMC, Merrill Thomas Eaton, MD, served as a faculty member in the Department of Psychiatry at the Kansas University School of Medicine from 1949 to 1960. Dr. Eaton and his wife, Louise Foster Eaton, MD, joined the UNMC Department of Psychiatry in 1960. He became chair of the department as well as director of the Nebraska Psychiatric Institute (NPI) in 1968. He oversaw various transitions at NPI including its final closure in 1985.

Dr. Eaton stepped down as chair of the department in 1985 but continued to teach at UNMC until 1988. He and his wife also maintained a private practice in Omaha from 1960 to 1988, focusing on child psychiatry

 

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Frank J. Menolascino, MD, c. 1973

From the McGoogan Health Sciences Library Special Collections and Archives

Frank J. Menolascino, MD

Frank J. Menolascino, MD, joined the faculty of the Department of Psychiatry in 1958. Dr. Menolascino also joined the team at the Nebraska Psychiatric Institute (NPI) as the clinical director and a pediatric psychiatrist. At NPI, Dr. Menolascino worked closely with Wolf Wolfensberger, MD, developing a lifelong friendship. The two men worked together to develop community activism and support for persons with intellectual disabilities as well as championing the deinstitutionalization movement in Nebraska. They also helped create the Eastern Nebraska Community Office of Retardation (ENCOR), the first community-based support program in Nebraska and one of the first in the United States for individuals with intellectual disabilities.

 

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