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Alaska Mental Health Enabling Act
The Alaska Mental Health Enabling Act of 1956 (Public Law 84-830) was an Act of Congress passed to improve mental health care in the United States territory of Alaska. It became the focus of a major political controversy after opponents nicknamed it the "Siberia Bill" and denounced it as being part of a communist plot to hospitalize and brainwash Americans. Campaigners asserted that it was part of an international Jewish, Roman Catholic or psychiatric conspiracy intended to establish United Nations-run concentration camps in the United States.
The legislation in its original form was sponsored by the Democratic Party, but after it ran into opposition, it was rescued by the conservative Republican Senator Barry Goldwater. Under Goldwater's sponsorship, a version of the legislation without the commitment provisions that were the target of intense opposition from a variety of far-right, anti-Communist and fringe religious groups was passed by the United States Senate. The controversy still plays a prominent role in the Church of Scientology's account of its campaign against psychiatry.
The Act succeeded in its initial aim of establishing a mental health care system for Alaska, funded by income from lands allocated to a mental health trust. However, during the 1970s and early 1980s, Alaskan politicians systematically stripped the trust of its lands, transferring the most valuable land to private individuals and state agencies. The asset stripping was eventually ruled to be illegal following several years of litigation, and a reconstituted mental health trust was established in the mid-1980s.
Alaska possessed no mental health treatment facilities prior to the passage of the 1956 Act. At the time of the Act's passage, Alaska was not a U.S. state, being constituted instead as a territory of the United States. The treatment of the mentally ill was governed by an agreement with the state of Oregon dating back to the turn of the 20th century. On June 6, 1900, the United States Congress enacted a law permitting the government of the then District of Alaska to provide mental health care for Alaskans. In 1904, a contract was signed with Morningside Hospital, privately owned and operated by Henry Waldo Coe in Portland, Oregon, under which Alaskan mental patients would be sent to the hospital for treatment. A commitment regime was established under which a person said to be mentally ill was to be brought before a jury of six people for a ruling on insanity. The patient was routinely sent to prison until his release or transfer to Portland; at no point in this ruling was a medical or psychiatric examination required.
By the 1940s, it was recognized that this arrangement was unsatisfactory. The American Medical Association conducted a series of studies in 1948, followed by a Department of the Interior study in 1950. They highlighted the deficiencies of the program: commitment procedures in Alaska were archaic, and the long trip to Portland had a negative effect on patients and their families. In addition, an audit of the hospital contract found that the Sanatorium Company, which owned the hospital, had been padding its expenses. This had enabled it to make an excess profit of $69,000 per year (equivalent to over $588,000 per year at 2007 prices).
The studies recommended a comprehensive overhaul of the system, with the development of an in-territory mental health program for Alaska. This proposal was widely supported by the public and politicians. At the start of 1956, in the second session of the 84th Congress, Representative Edith Green (D-Oregon) introduced the Alaska Mental Health Bill (H.R. 6376) in the House of Representatives. The bill had been written by Bob Bartlett, the Congressional Delegate from the Alaska Territory who later became a U.S. Senator. Senator Richard L. Neuberger (D-Oregon) sponsored an equivalent bill, S. 2518, in the Senate.[citation needed]
The Alaska Mental Health Bill's stated purpose was to "transfer from the Federal Government to the Territory of Alaska basic responsibility for the hospitalization, care and treatment of the mentally ill of Alaska." In connection with this goal, it aimed:
The bill provided for a cash grant of $12.5 million (about $94 million at 2007 prices) to be disbursed to the Alaskan government in a number of phases, to fund the construction of mental health facilities in the territory. To meet the ongoing costs of the program, the bill transferred one million acres (4,000 km2) of federally owned land in Alaska to the ownership of the proposed new Alaska Mental Health Trust as a grant-in-aid—the federal government owned about 99% of the land of Alaska at the time. The trust would then be able to use the assets of the transferred land (principally mineral and forestry rights) to obtain an ongoing revenue stream to fund the Alaskan mental health program. Similar provisions had applied in other US territories to support the provision of public facilities prior to the achievement of statehood.
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Alaska Mental Health Enabling Act
The Alaska Mental Health Enabling Act of 1956 (Public Law 84-830) was an Act of Congress passed to improve mental health care in the United States territory of Alaska. It became the focus of a major political controversy after opponents nicknamed it the "Siberia Bill" and denounced it as being part of a communist plot to hospitalize and brainwash Americans. Campaigners asserted that it was part of an international Jewish, Roman Catholic or psychiatric conspiracy intended to establish United Nations-run concentration camps in the United States.
The legislation in its original form was sponsored by the Democratic Party, but after it ran into opposition, it was rescued by the conservative Republican Senator Barry Goldwater. Under Goldwater's sponsorship, a version of the legislation without the commitment provisions that were the target of intense opposition from a variety of far-right, anti-Communist and fringe religious groups was passed by the United States Senate. The controversy still plays a prominent role in the Church of Scientology's account of its campaign against psychiatry.
The Act succeeded in its initial aim of establishing a mental health care system for Alaska, funded by income from lands allocated to a mental health trust. However, during the 1970s and early 1980s, Alaskan politicians systematically stripped the trust of its lands, transferring the most valuable land to private individuals and state agencies. The asset stripping was eventually ruled to be illegal following several years of litigation, and a reconstituted mental health trust was established in the mid-1980s.
Alaska possessed no mental health treatment facilities prior to the passage of the 1956 Act. At the time of the Act's passage, Alaska was not a U.S. state, being constituted instead as a territory of the United States. The treatment of the mentally ill was governed by an agreement with the state of Oregon dating back to the turn of the 20th century. On June 6, 1900, the United States Congress enacted a law permitting the government of the then District of Alaska to provide mental health care for Alaskans. In 1904, a contract was signed with Morningside Hospital, privately owned and operated by Henry Waldo Coe in Portland, Oregon, under which Alaskan mental patients would be sent to the hospital for treatment. A commitment regime was established under which a person said to be mentally ill was to be brought before a jury of six people for a ruling on insanity. The patient was routinely sent to prison until his release or transfer to Portland; at no point in this ruling was a medical or psychiatric examination required.
By the 1940s, it was recognized that this arrangement was unsatisfactory. The American Medical Association conducted a series of studies in 1948, followed by a Department of the Interior study in 1950. They highlighted the deficiencies of the program: commitment procedures in Alaska were archaic, and the long trip to Portland had a negative effect on patients and their families. In addition, an audit of the hospital contract found that the Sanatorium Company, which owned the hospital, had been padding its expenses. This had enabled it to make an excess profit of $69,000 per year (equivalent to over $588,000 per year at 2007 prices).
The studies recommended a comprehensive overhaul of the system, with the development of an in-territory mental health program for Alaska. This proposal was widely supported by the public and politicians. At the start of 1956, in the second session of the 84th Congress, Representative Edith Green (D-Oregon) introduced the Alaska Mental Health Bill (H.R. 6376) in the House of Representatives. The bill had been written by Bob Bartlett, the Congressional Delegate from the Alaska Territory who later became a U.S. Senator. Senator Richard L. Neuberger (D-Oregon) sponsored an equivalent bill, S. 2518, in the Senate.[citation needed]
The Alaska Mental Health Bill's stated purpose was to "transfer from the Federal Government to the Territory of Alaska basic responsibility for the hospitalization, care and treatment of the mentally ill of Alaska." In connection with this goal, it aimed:
The bill provided for a cash grant of $12.5 million (about $94 million at 2007 prices) to be disbursed to the Alaskan government in a number of phases, to fund the construction of mental health facilities in the territory. To meet the ongoing costs of the program, the bill transferred one million acres (4,000 km2) of federally owned land in Alaska to the ownership of the proposed new Alaska Mental Health Trust as a grant-in-aid—the federal government owned about 99% of the land of Alaska at the time. The trust would then be able to use the assets of the transferred land (principally mineral and forestry rights) to obtain an ongoing revenue stream to fund the Alaskan mental health program. Similar provisions had applied in other US territories to support the provision of public facilities prior to the achievement of statehood.