It is necessary, then, that we endeavor to find existing magazines and to get these magazines to allot to us space that may be used for the publication of such articles as are deemed of sufficient import to be of value to the workers of the country. Such existing magazines must of necessity be the organs of some other organizations. Those other organizations must be convinced that there is some value to its own subscribers in the inclusion of this new information within its covers. On the other hand, we must feel that through the use of the particular magazines selected we are receiving information which will be of value from their organization. These magazines should also make possible the distribution of rehabilitation material which it contains not only to our own group but to those others whose cooperation is vitally necessary for the success of our work. Such magazines should be of a national character and also have a very wide circulation.

When the executive committee of this conference met in Washington this spring it was felt, after discussion, that the big problem confronting us is placement, that our work is largely industrial in its nature, since its objective is employment or reemployment for disabled persons. Industry is really the market for our goods. It was felt that some means should be found to more closely affiliate the work of rehabilitation with industry. Then since industry is our market, if we are to sell and develop our work, we must advertise where the advertising will reach the consumers of our product; we must make the employers of the country understand the bigness of this movement of rehabilitation and of its direct value to them in the adjustment or readjustment of people in their own plants. They must be made to see the value of having an official organization that can select the person that is particularly adapted to a particular job, and in this manner reduce the chances of accident and of continued turnover amongst their help.

For this purpose a magazine which was reaching industry was deemed best to meet our greatest need at this time. The "National Safety News" is issued by an organization whose work, by its very nature, is closely affiliated with the work of rehabilitation, as is shown by this convention held in conjunction with and through the courtesy of the National Safety Council. It was deemed by the committee that if possible arrangements should be made to obtain space in the "National Safety News" for the publication of such material as I have referred to.

As I have said, the work of these two organizations is closely affiliated. Safety is for the purpose of reducing accidents and therefore, if carried out to 100 per cent perfection in all industry and all walks of life, would eliminate the need of a rehabilitation service with the exception of those cases that arose from disease, and, even

here, preventive medicine, which again is a safety measure, perfected to the same degree would remove this group.

The two services are allied in their relationship to industry as a change in job is often imperative if prevention only is to be considered, and yet such an adjustment is also rehabilitation. Accident prevention not only involves all safety mechanical appliances, lectures, education, etc., but it involves surgical and medical inspection, the adjustment of jobs because of a lung condition, a heart condition, an eye condition, or deafness, which is not only accident prevention but also rehabilitation. Adjustment is often necessary to overcome a disability, but at the same time it is necessary to prevent accident. The analysis of the qualifications of an individual to determine the type of work for which he is best suited, the training to develop certain knowledge for jobs for which he is qualified naturally, the supplying of artificial appliances, etc., not only may be a rehabilitation feature, but may be an accident preventive feature, and thus increase further the logical association of the two services.

We all recognize the fact that safety perhaps will never attain 100 per cent perfection. Accidents will happen and disease will destroy certain faculties and reduce the physical resistance of an individual. At the present time the activities of the safety movement are devoted to prevention, and the readjustment or restoration which follows an accident which was not prevented fall in the larger plants upon the industrial doctor and personnel manager, or in the small industries and amongst those employers who hire very few men upon the injured man himself.

Undoubtedly the personnel man, upon whom devolves this duty of readjustment after an accident, is often the safety man of the plant or a member of the safety council. In such a case the duties and responsibilities of the individual must, of necessity, lap over from the preventive side into the curative side. It is for these reasons that we believe that rehabilitation is really supplementary to safety. If safety measures do not prevent an accident, why should not the safety council be presenting information, through its files, in regard to the service which is available and can be used in surmounting the obstacle caused by the accident?

Both services are intimately tied up with the matter of compensation, one reducing the cost because of safety appliances, proper health conditions, etc., and the other, in the readjustment of the individual after accident, often making possible his more speedy return to industry.

The rehabilitation worker is necessarily interested in increased safety service because of the unhappiness and economic loss that is brought emphatically to his attention through the cases that he

handles. Perhaps more than anyone else the rehabilitation workers of the country know the misfortune that follows accidents in industry and therefore there is perhaps no body of workers more interested in the safety movement and no organization which could more logically ally itself with the National Safety Council.

We have asked the National Safety News to grant to us space each month to devote to information on rehabilitation and we believe that the inquiries arising from their own members during the first year would result in their being perfectly willing to enlarge this allotted space.

We have pointed out that the material would contain information that would be of interest and assistance to the members of the council, as well as of interest to the rehabilitation workers. These articles would cover the field of physical reconstruction written by leading orthopedic surgeons and on tuberculosis and cardias trouble from the industrial standpoint. We should obtain contributions of material from the large national organizations, such as the National Tuberculosis Association. We would obtain discussions on the subject of the neurotic and the malingerer and the mental attitude of disabled workers. The preparation of disabled people through training would be discussed. All of these subjects would prove of intense interest to the personnel and safety men in industry.

In asking for this space, we have pointed out these various things to prove that we believe that the service that they would render to their own members by including within their covers this material on rehabilitation is of sufficient value and interest to warrant its use, discarding even the probability of an enlarged subscription among the rehabilitation workers of the country. The direction of this publicity must be in the hands of a person or persons actively engaged in the work of civilian rehabilitation.

The plan of organization which suggests itself for carrying on this matter of publicity is the appointing of a publicity director who would be responsible for keeping in touch with the various State workers throughout the country and with others whose work is affiliated with the work of rehabilitation. All these people being acquainted with this central bureau of publicity should send this publicity director information in regard to any or all articles that they may run across that bear at all on the subject of rehabilitation in order that he may transmit the information in the monthly pamphlet to the whole group. From such information he will also be able to select such material as seems of value and interest to both safety and rehabilitation workers for publication in the National Safety News. There should also be sent to this publicity director articles on all things touched upon in this discussion and he, in turn, should encourage those engaged in the work and in allied works to write on

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certain matters that are brought to his attention. The director should endeavor to place articles on the various phases of the work where they will most advantageously promote the work of rehabilitation. I feel confident that the information which is distributed through the National Safety News is going to arouse the interest of the personnel and safety workers, and that we will have inquiries sent to this publicity director in regard to these matters. It will be one of his duties to see that answers are made to these inquiries. A question can often be referred to a particular section best qualified to answer it, which will, in most cases, be the rehabilitation service of the particular State in which the industry is located.

Whether or not there is a need for a publicity committee for this particular purpose is questionable, inasmuch as travel is prevented and the delay incident to a transmittal of suggestions and ideas back and forth through the mail between committee members would be a delay which might not be justified by the results. The matter of expense would be principally postage and stationery. Another expense would be the multigraphing or the mimeographing of the monthly pamphlet, but it would be the duty of this publicity man to reduce the expense during the first year to a minimum.

In setting up this plan, as I have already said, it is not deemed permanent or final, but as a means of getting something started which will tie together the members of this conference and assist us all in the three points which I have made in this discussion. First, publicity and information to coordinate the work of the various State rehabilitation bureaus and to carry through these various State workers information that will arouse the interest, develop and coordinate the work that is being done by others for disabled persons; second, to effect a means of publicity that will sell the idea to industry, to both large and small employer; and, third, to spread to the public information regarding the work of rehabilitation that will arouse their interest and enthusiasm so that the future moral support of the work will be assured.

In this manner will be destroyed mistaken ideas in regard to rehabilitation. It will be shown how it is really a part of industry, how it affects the work of the doctor and the surgeon, how it is a part of every hospital, how it affects compensation, charitable organizations, and the community, and how, by welding together all these services that affect the disabled person, definite constructive progress can be made toward the economic and social welfare of the people. Chairman FAULKES. There have been three topics presented for discussion and probably there are some questions in your minds relative to them. The last talk on "Publicity " had to be presented to you in incomplete form. It has not been possible to get a conference

with the directors and executive committee of the National Safety Council before to-morrow, so we do not know what action will be taken relative to the tentative proposal by Mr. Elton.

I shall now ask Mr. Sullivan to start the discussion.

DISCUSSION

THE FUTURE OF THE NATIONAL PROGRAM

OSCAR M. SULLIVAN, Director of Reeducation, Minnesota

The first principle that I would emphasize in connection with the national program is that continued development of every activity in the rehabilitation field or fields closely related to it is very desirable. Large, as most of the workers have conceived the field, even the most farseeing have at times failed to realize its vastness and its tremendous scope. There is room in it and need in it for every activity, public and private, that is willing to cooperate and to correlate with every other branch. All of the money, public and private, that can possibly be secured for a long time can be put to sound and wholesome use.

Keeping in mind the principle just laid down, let us see what bearing it has upon the question of the continuance of Federal aid and administration. It is worthy of note that the Federal part of the rehabilitation work has two aspects-first, the Federal advisory service, and second, the Federal subsidy. The Federal advisory service is intentionally placed first in this statement. It is believed to be more important. It is providing and can continue to provide a service in collating information and assisting State agencies and giving national leadership which no other plan could entirely replace. It therefore becomes incumbent upon the rehabilitation workers to see that this is continued no matter what happens to the Federal subsidy. The Federal subsidy has been very helpful and would continue to be helpful for a considerable period of years, and probably is needed for a considerable period of years. On the other hand, many of the States can gradually replace the Federal money with State money but they can not replace the Federal advisory service.

If the worst possible contingency should come about and the States should be deprived both of Federal service and Federal subsidy the nearest substitute as a unifying force would probably be found to be the national organization of the rehabilitation workers. Efforts would have to be made to develop this into a strong body and to use it as a clearing house and focusing point.

Constant and unremitting efforts to secure publicity for the rehabilitation movement are an essential part of the national program.