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V S afiii'fi’i'lfi ' W! a??? s. 5H '[ , a” . . f .wi . v r- k 4 I < f. fivvw k. a, it‘ t I .v , i 7% ., 1%‘ 5%2aléwf»? m. w), . w . . “ M ‘n. H . ..L . 35p 5- 1919 “ M B 3 Q o .H a l “The Redemption of the Disabled” A Review of the Book of that Title by Garrard Harris, of the Research Division of the Federal Board for Vocational Education BY J. Broadfield Warren New York I 9 I 9 “The Redemption of the Disabled” iii \~ \ fia-classeé F ~ “The Redemption of the Disabled” In undertaking recently to review the volume entitled “The Re- demption of the Disabled” by Garrard Harris, of the Research Division of the Federal Board for Vocational Education (New York, 1919, D. Appleton & Co.,) I was struck with the familiarity of some of the material, and was, therefore, led further to seek the source. It was found that in writing a considerable section of the book a signed volume by another author was rather heavily drawn upon. The volume referred to is “The Evolution of National Systems of Voca- tional Reeducation for Disabled Soldiers and Sailors” by Douglas C. McMurtrie, and published by the Federal Board for Vocational Education. It appears that not all of this book was written by Mr. MclVlurtrie but that he was responsible editorially for the whole text. What was not actually written by him was prepared by assis- tants on his staff and under his direction. Such work by others is credited in footnotes to the individual chapters. - The use of existing documents is, of course, essential in the prepara- tion of any work of a synthetic nature. But it is usual to give credit where extensive use is made of material from another source. In the present instance, this is not legally obligatory because the volume from which the material is drawn was not copyrighted, being issued as a government document. Nor would there be any desire on the part of writers regarding the rehabilitation of the cripple that their data be not most fully utilized. ' The circumstances of copyright, however, do not affect the tra- ditional obligations of writers and scholars. In view of the extent to which material has been drawn by Mr. Harris from one source, it would be well to examine the degree to which he has made acknowledgment of the assistance. ‘ We read in the author’s preface: Much of the material was obtained from original sources opened to the Federal Board for Vocational Education in its studies on the subject of. vocational rehabilitation of the disabled in Europe. Other data, public documents of other nations and similar material, have been available, were drawn upon where occasion required and fitted to their places in the narra- tive. Acknowledgment of very valuable assistance and contribution f iv “The Redemption of the Disabled” of material by Dr. John Cummings of the Research Department of the Federal Board is appreciatively made, as well as the advice and interest of the editor of this series throughout all stages of the book’s preparation. This would, look as though most of the source material came from the Research Department (in other places called Research Division) of the Federal Board for Vocational Education. It may be noted further that there is no mention at any point in . the text of the Harris book of Mr. McMurtrie or the Red Cross Insti- tute. Some of the illustrations which were provided direct to D. Appleton & Company at their request by the Red Cross Institute are properly and courteously credited. The official and authoritative character of the Harris volume has been much stressed. It contains a foreword by Dr. Charles A. Prosser, Director of the Federal Board for Vocational Education. Says Dr. Prosser: As Mr. Harris is connected in an editorial capacity with the Board, he speaks ‘with an intimate knowledge of its work and plans. Combining with this a deep and enthusiastic interest in the whole problem of the handi- capped man and a rare ability to write in an attractive way, he has been able to make what I regard as a most distinct contribution to the literature of the whole subject. Those interested in a popular comparative study of the schemes of the belligerents for the vocational rehabilitation of their disabled men will find that'the author has not only looked forward toward the work before the Federal Board, but has also summarized clearly the plans and policies of our allies and pointed out the essential oneness of aim and the necessary differences in procedure between each of them and our own country. The present review will not attempt a critical evaluation of the literary standards of'Mr. Harris. There will simply be presented in parallel columns extracts from the two volumes referred to. It is to be feared that Mr. Harris went to un’due trouble in reversing the order of sentences which already read clearly, and in changing terms like “50 years” to “half century.” Quite likely, however, Mr. Harris, with that “rare ability to write in an attractive way” so admired by Dr. Prosser, did not feel he could lend his sanction to the English style of the original, and therefore directed ‘his efforts to its improve- ment and embellishment. ~ The volume entitled “The Evolution of National Systems of Voca- tional Reeducation for Disabled Soldiers and Sailors,” signed by Mr. A “The Redemption of the Disabled” v McMurt‘rie, was, according to my information, prepared entirely at the Red Cross Institute for Crippled and Disabled Men, and the manu- script was deliveredcomplete to the Federal Board for Vocational Education. Even the illustrations were furnished by that Institute. Immediately following publication, the Federal Board sent out to the newspaper press of the country a publicity story on the book. This story read as follows: The Federal Board for Vocational Education has just issued the “Evolu- tion of National Systems of Vocational Education for Disabled Soldiers,” being Bulletin No. 15 of the series of this board. Coming at this particular time, when the problem of what will be done with our own wounded and disabled men is of growing interest to the country generally, the Bulletin has the considerable value of timeliness, in addition to its intrinsic worth as the only complete exposition of what other nations are doing for their own who are suffering disabilities as one of the fortunes of war. There is, additionally, the value of being an absolutely authoritative publication, with material drawn from official sources abroad and issued by the Federal Board for Vocational Education, which, by unanimous vote of the Congress, has been charged with the high and great responsibility of reeducating and rehabilitating for vocational usefulness the disabled men of the United States land and naval forces. The Federal board has been engaged upon the study of war rehabilitation work since August, 1917, and was the first of the governmental agencies to move for the reeducation of our war wounded and crippled defenders. The Bulletin is a volume of 320 pages illustrated with many photographs showing progress made in other countries in refitting men to take up again the battle of civil existence. It shows how science and the wonders of specialized reeducation are able to neutralize what would otherwise be serious handicaps that would place the subjects thereof in the category of human junk. It is a most inspiring message of hope and confidence to every man who is in the armed forces, and those subject to call, and the families and rela- tives of all of these men. 'It assuredly dispels any fear that a man may have of becoming a wounded or decrepit burden, either upon society, the State, or his relatives. Mere remnants of men are shown who have been turned into useful wage-earning, self-supporting, and self-respecting citi- zens who supplement their pensions with well-paid labor, and in many instances have larger revenues than before being injured. The volume deals with the subject of rehabilitation generally, its prin- ciples, the attitude of the public toward the disabled man, and the outlook vi “The Redemption of the Disabled” ' and viewpoint of the men themselves. It then takes up the various coun- tries—~France, Belgium, Great Britain, Italy, Germany, Austria-Hungary, Canada, and other British dominions. Copies of this interesting and valuable ‘document, the first the United States Government has issued upon this absorbing subject, may be had without cost upon application to the Federal Board for Vocational Educa- tion, ()uray Building, Washington, D. C. Doubtless the inference to be drawn from this story that the book was the product of Federal Board enterprise, and the omission of any reference to the author or the organization which prepared the material from thousands of sources and at vast expenditure of time and effort, is entirely accidental. In view of the usual generous prac- tice of the Board in acknowledging outside assistance, such a con- clusion is inevitable. We may now proceed to the presentation of extracts in parallel columns. For convenience the volumes are designated as “Harris book” and “MclVIurtrie book.” It should be noted that the latter volume was published months prior to the appearance of the former. It need hardly be pointed out that I presume to make no charge of plagiarism against Mr. Harris. I am only reprinting extracts from two books for the information and delectation of the reader. New York, 1919 “The Redemption of the Disabled” I The Chapters on Germany HARRIS BOOK In a Government so highly centralized as was that of Germany, it is somewhat sur- prising to find the position taken that reedu- cation and care of the crippled soldier are not a governmental function. Responsi- bility for the wounded soldier, in so far as he requires physical and medical care was admitted and discharged, but all responsi- bility for reeducation and return to civil life was held to belong to private charity, or to the different states of the Empire, if they cared to assume it. Germany at the beginning of the war was in much better condition to deal with the prob- lem of rehabilitation than any of the other belligerents. For many years she had been a leader in orthopaedic surgery and the rehabilitation of cripples, and possessed many specialists of‘ international eminence in these lines. She possessed also a society of long stand- ing, the German Federation for the Care of Cripples, whose membership comprised 58 cripples’ homes, some of which had a cen- tury of service behind them. MCMURTRIE BOOK There are two outstanding features about the German system of care for war cripples. In the first place, it is not a system in the sense in which Italy, Canada, France, and England have systems. In all these coun- tries, the work is more or less unified under one authority; they make, in varying degrees, an attempt at even distribution of schools and hospitals. In Germany there is no real central authority. The schools ‘are of varying types and most unevenly dis- tributed. , The second feature is the volunteer charac- ter of the work. The matter of reeducation is wholly in private hands and is not even supervised by the Imperial Government. In this respect the German Government takes less part in the work than the Govern- ment of any other nation. These two fea- tures, lack of system and lack of government control, have been the subject of wholesale condemnation from writers of other nations. As far as can be seen, however, the volume of work done and the efficiency of individual institutions rank extremely high. As a matter of fact, the lack of centralization in the German system need not indicate essential insufficiency. There are two obvious causes for it. In the first place, Germany was the country, which, of all others, had, when the war broke out, the most foundation for caring for cripples. The organization of the volunteer work for the care of war cripples began a few days after the declaration of war, through the activity of the Deutsche Vereinigung fur Kriippelfiirsorge (German Federation for the Care of cripples). This society, as has been mentioned, is an institution of long standing, having as members 58 cripple homes, some of them founded almost a century ago. 2 “The Redemption of the Disabled” HARRIS BOOK There had been developed during the last half century 54 cripples’ homes, ranging in size from six to 300 beds. These had among them 221 workshops, teaching 51 trades. The German system of social insurance also had devoted much study to the treatment and reéducation of cripples. The sick-benefit societies and employers’ accident-insurance associations had hospi- tals, which were also available. The Red Cross established orthopaedic hos- pitals at centers where needed, and in 1918 it was estimated that there were 200 insti- tutions of the sort in the country, amply adequate to care for all war cripples. A few days after war was declared, at the request of the Empress, the cripples’ homes threw open their doors to war cripples. MCMURTRIE BOOK There had been developed, during 50 years’ experience, 54 cripple homes, ranging in size from six beds to 300. Some of them were already taking adults as well as children; they had among them 221 workshops, teaching 51 trades. Another agency which had promoted the study of the care and training of cripples was the German system of social insurance. Under the insurance laws there are two agencies responsible for the care of indus- trial cripples. The Krankenkassen (sick- benefit societies), to which employers contribute one-third and employees two- thirds, take charge of a workman‘ for the first 26 weeks of illness. After that, the Berufsgenossenschaften (employers’ acci- dent insurance associations) support him for the rest of the time, or in case of per- manent invalidity. As a consequence, both Krankenkassen and Berufsgenossen- schaften have excellent hospitals. At the outbreak of the war cripple homes, Krankenkassen and Berufsgenossenschaften, all offered their hospitals to the war depart- ment. Beside this, the Red Cross established some orthopedic hospitals in localities where there seemed a lack, and private individuals and charitable institutions did the same. . Dr. Leo Mayer, recently of the Orthopedic Hospital Am Urban, Berlin, states that there must be at present about 200 such institutions and that it may confidently be said that Germany’s facilities for giving orthopedic treatment to crippled soldiers are quite adequate. Immediately after the outbreak of the war, the Kaiserin, at Dr. Biesalski’s suggestion, sent a telegram to the Vereinigung fiir Kruppelfiirsorge, asking that the German cripple homes throw open their doors to war cripples. “The Redemption of the Disabled” 3 HARRI S B OOK The director of the Federation began a tour of the country under the auspices of the Red Cross, urging the formation of volun- tary committees for the care of war cripples, and spreading the doctrine which has be- come a fundamental of orthopaedic treat- ment, namely, that almost any cripple can be made fit to work again, and that educa- tion for work should be the regular treat- ment. Many volunteer committees were formed in cities, some of the states and provinces formed committees, and the work was started under various auspices and plans. The general local organization had so far progressed that the Federation called a conference in February, 1915, to coordinate the work. Officials of the various states and provinces and representatives of the medical profes- sion, teachers, employers, workmen,‘ the military authorities, large social-welfare organizations, the Red Cross, sick-benefit societies, the state accident-insurance asso- ciations, and so on, were present. The policy of the Imperial Government was made clear. This was, in brief, that the Government, through the Ministry of “far, should be responsible for the wounded sol- dier in so far as he required physical care, but that all responsibility for reeducation and return to industrial life should belong to private charity or to the diHerent states of the Empire. There was a great deal of criticism in the convention of the Government's attitude, but as late as 1918 there had been no change. The states, provinces, local communities MCMURTRIE BOOK Further than this, Dr. Biesalski undertook a tour of Germany under the auspices of the Red Cross, in which he visited all the princi- pal cities, urging the formation of voluntary committees for the care of war cripples. The gospel he preached was one which had been the creed of leading German ortho- pedists for many years, namely, that almost any cripple could be made fit to work again and that education for work should be the regular treatment. The immediate result was the formation of volunteer committees in many cities and of larger ones in some States and Provinces and starting of work in all parts of the Em- pire under various auspices and with various plans. By February, 1915, this local organization had proceeded so far that the Vereinigung fur Krtippelfiirsorge, under the auspices of the Kaiserin, called a special meeting in Berlin to compare notes and lay down the guiding principles. At the meeting, there were present officials of the various States and Provinces, represen- tatives of the medical profession, the teach- ers, the employers, the workmen, the military authorities, and of the large social welfare organizations, the Red Cross, the sick benefit societies, the State accident insurance associations, etc. The general principle was laid down as above, that the Imperial Government, through the War Department, should be responsible for the wounded soldier in so far as he required physical care, but that all responsibility for reeducation and return to industrial life should belong to private charity or to the different States of the Empire, if they care to take it up. The private societies and the individual states were left to finance their part of the work with any support they could get. There was obvious, even at this early 4 “The Redemption of the Disabled” HARRIS BOOK and private charity had permanently foisted upon them the burden and the duty of the Imperial Government in regard to the muti— lated men who had been injured in uphold- ing its cause. As the work proceeded, Army authorities expressed great appreciation, and promised to consult with the private agencies as to ‘the assignment of men to different hospitals and not to remove or discharge men sud- denly, without regard to the interests of their training. They also promised that private agencies should have facilities for visiting the hos- pitals for teaching and vocational advice, and that Army officers should be instructed to cooperate in every way. There was a good deal of friction with local military authorities and many difficulties between individual commanders and the volunteer agencies in their districts, but apparently their relations, were finally adjusted. The work has gone forward in various ways, the Imperial Government always evading the duty and unloading it on civilian, local and state charity and sense of obligation. Germany has 26 states, and each state has its provinces. Bavaria alone of the states has financed and entirely directed the work within its borders, with the aidof advisory committees of local people who actually help. MCMURTRIE BOOK meeting, the split of opinion as to this division of responsibility. Several speakers stated definitely that the Imperial Govern- ment ought to control and plan the work or, at least, to finance it. No government representative, however, had been author- ized to make any promises on this subject and the aloof attitude then assumed has continued, under growing criticism. The general understanding, however, was a thoroughly cordial one. The military authorities expressed themselves as deeply grateful for the volunteer work and in full cooperation with it. They promised to consult with the private agencies as to the assignment of men to different hospitals and not to remove or discharge men suddenly without regard to the interests of their training. They also promised that private agencies should have facilities for visiting the hospi- tals for teaching and vocational advice and that army doctors should be instructed to cooperate with them in every way. There has, at times, been friction between individual military commanders and the volunteer agencies in their districts. Germany is divided into twenty-six states the largest of which, Prussia, has twelve provinces, each larger than many of the other states. I. Work financed and directed entirely by the state government—Bavaria stands alone under this head. The whole work is financed and managed by the state under the ministry of the interior, assisted by an advisory committee of representative citi- “The Redemption of the Disabled” 5 HARRIS BOOK All of the Prussian'provinces but one, which means about half of Germany, have initiated and directed the work, but with private cooperation and support, using to the full all existing schools, alms- houses and hospitals; the provinces furnished the funds with the understanding that the Kingdom of Prussia, and ultimately the Imperial Government, must take over the burden. The city of Berlin assumed responsibility for its own cripples on the same basis, but there was no commitment from the Imperial Government, which merely donated the entirely inadequate sum of 5,000,000 marks. The Imperial Government asserted exclu- sive responsibility for medical treatment, through the Ministry of \Var, and all hos- pitals where wounded receive treatment were under military authority and disci- pline. The principle upon which rehabilitation work proceeds is that practically every cripple can be made fit to work again. This is accepted in Germany as a finality on the subject. MCMURTRIE BOOK zens. The various government officers ' throughout the state are the officers of the cripple welfare work and each one has an advisory committee of local people to help with the actual case work. 2. Work initiated and directed by the government but with private cooperation and support—Under this head fall all but one of the Prussian provinces, including more than half of Germany. The plan was to use, to the full, all existing provincial institutions, such as schools, almshouses, and hospitals. The funds were furnished by the province, but with the understanding that the State of Prussia and, ultimately, the Imperial Government, must take over the burden. The city of Berlin assumed the responsi- bility for its own cripples on the same under- standing. It also is the medium through which any funds contributed by the Imperial Govern- ment are distributed. So far, these have consisted only in one grant of five million marks which is almost negligible compared with what the private organizations are spending. The responsibility for medical treatment, as stated above, is exclusively the province of the Imperial Government, as represented by the war department. All hospitals where wounded soldiers are treated, whether for first surgical care or later convalescent care, are under military authority and disci- pline. The principle upon which the orthopedic treatment proceeds is that practically every cripple can be made fit to work again. This attitude is assumed by all the German writers. 6 “The Redemption of the Disabled” HARRIS BOOK The director of the Federation for the Care of Cripples asserts that from 90 per cent. to 95 per cent. of all war cripples treated are returned to industrial life. Dr. Leo Mayer states that of 400 cases treated at the hospital of Am Urban, only two were unable to go back to work, but whether these were selected and hand- picked cases to demonstrate upon is not known. The whole German scheme of rehabilitation, then, is thus summarized: No charity, but work, for the war cripple. Cripples must be returned to their homes and their old conditions; as far as possible, to their old work. Cripples must be distributed among the mass of the people just as though nothing had hap- pened. There is no such a thing as being “crippled” while there exists the iron will to overcome the handicap. There must be the fullest publicity on the sub- ject; first of all, among the cripples themselves. There seems small difficulty in handling the men. This is due to the fact that they are partly under military discipline, and also that the schooling is started early, before the “pen- sion psychosis” has taken hold of their minds. The appeal to them is a patriotic one, in effect, that no man is a worthy citizen of the Fatherland who does not use his will to overcome his handicap. A great deal of literature has been published to fix this idea among the cripples and the public as well; and the motto, “The German will conquers!” is iterated constantly. Men are treated in the orthopaedic hospitals from two to six months, until they are MCMURTRIE BOOK Dr. Biesalski states that from 90 per cent - to 95 per cent of all war cripples treated are returned to industrial life. Dr. Leo Mayer says that of 400 treated at the hospital Am Urban, only two were unable to go back to work. The scheme, as expressed by Dr. Biesalski, Germany’s leading orthopedic surgeon, is as follows: I. N 0 charity, but work for the war cripple. 2. Cripples must be returned to their homes and their old conditions; as far as pos- sible, to their old work. 3. Cripples must be distributed among the mass of the people as though nothing had happened. 4. There is no such thing as being crippled, while there exists the iron will to over— come the handicap. 5. There must be the fullest publicity on this subject, first of all among the cripples themselves. Reports point. to very little difficulty met with among the men. This is due to the fact that they are partly under military discipline and also to the very early beginning of schooling before “pension psychosis” has time to get a foot- hold. The appeal made to them is a patriotic one, to the effect that no man is a worthy citizen of the Fatherland who has not the will to overcome his handicap. Much literature has been published on the subject, the motto being Der Deutsche l/Ville Siegt! (The German Will Conquers!) The time of treatment for a man in the or- thopedic hospital is ‘from two to six months. “The Redemption of the Disabled” 7 HARRIS BOOK ready to go back to the Army or are pro— nounced unfit for further work in the active military establishment. Even if reported unfit, the Army does not discharge them until they are pronounced fit to go back to civil life. But if a man has a relapse after his dis- charge, or if a further and expensive treat- ment might improve his condition, the mili- tary authorities take no further notice of him. He is at the mercy of private charity, being rated now as a civilian. Reéducation and medical treatment are simultaneous, for the reason that experience has shown that best results are had only by getting hold of the patient at the earliest stage of convalescence. The fact that the Imperial Government will not contribute anything toward reeducation is another consideration impelling the local committee to use the time the man is in the hospital as far as possible, for the purpose of saving on his maintenance. Trade training in the military hospital thus ‘begins usually as soon as the man is out of bed. The local “care committee” of voluntary or privately supported workers sometimes has its workshops in the hospital, and sometimes at some place outside to which the men are transported daily. MCMURTRIE BOOK Men are kept here until they are ready to go back to the army or are pronounced defin- itely dienstunfahig, unfit for service. Even if they are so unfit, the war department does not discharge them until they are pronounced by the physician physically fit to go back to civil life. It sometimes happens that a man has a relapse after discharge or that a further, expensive treatment might improve his condition. In this case, the military author- ities take no responsibility and private charity must attend to him as a civilian. The chief thing to be noted about reeduca- tion in Germany is that it goes on at the same time as the medical treatment, the two processes are simultaneous, not con- secutive as is largely the case in England. This has two causes: First, there is the strong conviction among all cripple welfare workers that results can be obtained only by getting hold of a patient at the earliest possible moment of convalescence, and second, the fact that, since the Imperial Government does not pay anything toward reeducation, it is more economical for the care committees to attend to it while the men are in the hospitals and thus save themselves the expense of maintenance. The usual plan of the care committees, as has been said, is to give men their trade training while they are still in the military hospital, beginning it, in fact, as soon as they are able to be out of bed. Given this plan for the housing of the men, there are two possible arrangements for the workshops. Either the care committee can maintain workshops in the hospitals, or it can use a separate building to which the men are transported every day. 8 “The Redemption of the Disabled” HARRIS BOOK As every city has its technical school as part of the educational system, these fur- nish equipment ready to hand, and usually also a staff of teachers, specialists in voca- tional training. The hospital at Niirnberg is perhaps the most complete example of the manner in which Germany is handling the problem of reéducating and refitting her permanently disabled men. Most of the work is carried on in direct connection with the institution, although some work is done in connection with the city schools. The discipline being military, men are as- signed by the director to the shops to spend a certain number of hours each day. The civilian instructors do not attempt to force the assigned men to work, but the knowledge that curtailment of privileges or rations may be ordered by the military authorities is a compelling incentive: the example of other pupils who are interested and making progress, however, is generally sufficient for even the most apathetic. In a few of the hospitals, notably the Kor- tan agricultural school, it has been possible to assign disabled soldiers——ofiicers—as in- structors, and-in such cases the discipline is entirely military. There are 900 beds at the N tirnberg hos- pital, which occupies three buildings. These were not constructed for the purpose, but were turned over to the authorities by the city of N iirnberg, furnished with all modern orthopaedic equipment. The facilities include a large piece of land and 12 workshops. ' The shops are fitted with machinery and tools, the gift of patriotic manufacturers. ‘ MCMURTRIE BOOK There are excellent facilities for this, since every town has at least one trade school. The N tirnberg hospital is the most complete example of this plan to hand, though even this hospital, which was fortunate enough to obtain space and equipment for work- shops, does not manage the reeducation problem exclusively within its own walls, but works in close connection with the city schools. Since the discipline of the hospital is mili— tary, the men can be assigned by the director to different shops to spend a certain number of hours every day. The civilian instructor does not actually force them to work, but the example of other pupils is usually enough for an apa- thetic man. In a very few hospitals, such as the agri- cultural school at Kortau, it has been pos- sible to assign crippled officers as instructors and the discipline is entirely military. The N firnberg hospital has 900 beds. It occupies three new hospital buildings, turned over to the military authorities by the city of Ntirnberg and furnished with all the modern orthopedic equipment. The school facilities include a large-sized piece of land and twelve workshops, the latter fitted up with machinery and tools which are the gift of private manufacturing firms. “The Redemption of the Disabled” 9 HARRIS BOOK The teaching is done by professional instruc- tors, who donate their services, and by fore- men from manufacturing shops whose ser- vices are donated by their employers. The instruction is in two classes—general and theoretical instruction in the schools of N iirnberg, and practical work in the hos- pital workshops. The branches taught under the auspices of the N iirnberg institution are typical. They embrace left-hand writing, improved writing with right hand, typewriting, stenog- raphy, commercial courses, general course for industrial Workers, farm bookkeeping, theoretic course for building trades (car- penters, joiners, locksmiths, and the like), theoretic course for builders (masons, plas- terers, plumbers), decoration and design, theoretic course for machinists, left-hand drawing, office management, practical work in shops, tailoring, painting, bookbinding, printing, locksmithing, shoemaking, sad- dlery, weaving (both hand and machine), orthopaedic mechanics, machine-tool work, carpentry, farming, paperhanging, toy— making, blacksmithing, brushmaking. Each course has regular hours, and the teachers, volunteers from the various trades, demand that work be turned out that is strictly up to commercial standards. MCMURTRIE BOOK The teaching is by professional teachers who have volunteered their services, and foremen from manufacturing shops, whose services are donated by their employers. The instruction at this hospital resolves itself into two divisions—general and theoretic instruction in the schools of Ntirnberg, and practical shop work in the hospital work- shops. ' The curriculum is as follows: A. Theoretic work (special classes held by vol- unteer teachers in Nurnberg schools, with occasional class at hospital). . Left-handed writing. Improved writing with right hand. Typewriting. . Stenography. Commercial course. General course for industrial workers. Farm bookkeeping. Theoretic course for the building trades (carpenters, locksmiths, etc.). OOQOUI-bbdwv-i 9. Theoretic course for building trades. (masons, plasterers, etc.). 10. Decoration and design. II. Theoretic course for machinists. 12. Left-handed drawing. 13. Office management. B. Practical work (in workshops with volun- teer foremen or teachers). Tailoring. Painting. Bookbinding. Printing. Locksmithing. Shoemaking. Saddlery. \Veaving (by hand and machine). Orthopedic mechanics. 10. Machine tool work. II. Carpentry. 12. Farming. 13. Paper hanging. 14. Toymaking. 15. Blacksmithing. 16. Brushmaking. @CQQOUI-PQJMH These courses all have regular hours and insist on the men turning out work which is up to commercial standard. 10 “The Redemption of the Disabled” HARRIS BOOK At Diisseldorf there are 50 hospitals. Here the local committee has taken possession of a school building equipped with shops and tools, and offer 20 courses to men from all hospitals. Where the men go out from the hospitals for training, it is called “outdoor instruction” and is not under military discipline. Attendance is not compulsory, and men cannot be punished for misbehavior, but the school reserves the right to refuse pupils who are idle or are subversive of order. In addition to the courses given at N tirnberg the Dusseldorf institution provides instruc- tion in general education, telegraphy, course for store clerks, agriculture, handicrafts, electrical work, metal work, carpentry and cabinet work, graphic trades (printing, lithography, etc.), cardboard and leather work, plastering, upholstery, and dental laboratorv work. MCMURTRIE BOOK In a large town, like Diisseldorf, where there are fifty hospitals, the committee has taken entire possession of a school building equipped with shops and tools and gives twenty courses open to men from all the hospitals. We may allude to them for convenience as the indoor plan, that where the instruction is given in the hospital, and the outdoor plan, when the men are taken out to school. The instruction in institutions of the outdoor type is not under military discipline. Attendance is not compulsory and men can- not be punished for misbehavior, but the school reserves the right to refuse such pupils as seem idle or subversive of order. The Dusseldorf school, which has issued the fullest report obtainable, offers the following curriculum. .4. General education. I. Preliminary course. (a) Civics. (b) German—writing, grammar, etc. 2. Manual training (as preparation for trade training). 3. Education of one—armed and left- handed men. B. Theoretic trade courses. 4. Building trades. 5. Metal-working trades. (a) Course for machinists. (1)) Course for draughtsmen. 6. Commercial course. 7. Course for railway and postal em- ployees and lower positions in civil service. (a) Office work. (b) Telegraphy. 8. Course for store clerks. 9. Agricultural course. IO. Course in handicraft as preparation for journeyman’s and master tests. “The Redemption of the Disabled” 1 1 HARRIS BOOK It is considered in Germany that the one- armed man has the greatest handicap, and there are special schools for his training at Strassburg, Baden-Baden, Heidelberg, Munich, Wurzburg, Kaiserlautern, Lud- wigshaven, Niirnberg, Erlangen, Frankfurt, Hanover, Chemnitz, and Dusseldorf. A school for one-armed men means special courses for them given in regular city schools where the men later will be taught trades. The course includes instruction in the ordi- nary acts of life made difficult by the loss of a hand. Six weeks usually puts a one-armed man in condition to go on with regular training. One-armed teachers are employed, and much of the work is in convincing the stu- dents that the handicap can be overcome by a little practice. Left-hand writing is given all who have lost the right arm, and excellent script is usually attained in from 12 to 20 lessons. MCMURTRIE BOOK C. Practical trade courses with shop work. 11. Electrical work. 12. Metal work. 13. Carpentry and cabinet work. 14. Locksmithing. I 5. Stone masonry and carving. 16. Graphic trades (printing, lithography, etc.). 17. Bookbinding, cardboard, and leather work. 18. Painting and plastering. 19. Upholstery and decorating. 20. Dental laboratory work. It is recognized in Germany that the one- armed man has the greatest handicap, and special arrangements are made for his train- ing. Besides exercises and instruction in the hospitals, there are schools for the one- armed at Strassburg, Baden Baden, Hei- delberg, Munich, Wurzburg, Kaiserslautern, Ludwigshafen, Niirnberg, Erlangen, Frank— furt a. M., Hanover, Dresden, Chemnitz, Dusseldorf. A school for the one-armed means, as a rule, special courses for one-armed men given in the regular city schools where the men will afterward be taught a trade. The course includes instruction in the ordi- nary acts of life which are made difficult by the loss of a hand, such as eating, washing, dressing, tying knots, using simple tools. Six weeks is said to be enough to put a one- armed man in condition to go on with regular training. A great part of the teacher's duty is to convince the men that these things are all possible and need only a little practice. For this purpose one-armed teachers, preferably industrial cripples who have worked out their methods by long practice are the most useful. . . An essential part of the course is left- handed writing for those who have lost the right arm. Samples of left-handed writing from Niirnberg show excellent script after from twelve to twenty lessons. 12 ' “The Redemption of the Disabled” HARRIS BOOK Left-hand drawing, designing and modelling are usually added to impart deftness. Men are taught to use the typewriter, sometimes with a special apparatus added on the stump of the lost arm, and sometimes with a shift key worked with the knee. All the schools emphasize physical training and at Heidelberg, under a regular gym- nasium instructor, the men do almost all the athletic feats possible for two-armed men. The Heidelberg school has a list of a hun- dred occupations suitable for one-armed men, and believes that as a rule these men are able to continue in their old trades. Of those being reéducated at Heidelberg, only five per cent. have been obliged to take up another trade. It is held that the best oppor- tunity is in a narrower specialization in the old trade; for instance, a carpenter can take up polishing ‘and wood inlay, a tailor can become a cutter, and so on. The most important point is held to be for employers so to arrange their work as to reserve for one-armed men the places they are able to fill. There are ten agricultural schools for war cripples. The one at Berlin accommodates 200 and trains cripples as farm teachers. The instruction in the main is of that simple sort useful for small farms. The chief need is to fit the small peasant farmer to go back to his own holding where, with the help of his wife and children, he may manage truck gardening, poultry raising, and the like. The possibilities of farm machinery seem not to have been gone into. MCMURTRIE BOOK Left-handed drawing, designing, and model- ling are often added as a matter of functional reeducation. Men with clerical experience are taught to use the typewriter, sometimes using the stump, sometimes a special prosthesis, and sometimes with a shift key worked with the knee. All the schools put great emphasis on phys- ical training. In the school at Heidelberg, under a regular gymnasium instructor, the men do almost all the athletic feats possible to two-armed men. Dr. Kilnssberg, of the Heidelberg school, states that he has made a list of one hundred occupations suitable for the one-armed man. He gives the following conclusions drawn from his own experience: I. One-armed men are, as a rule, able to con- tinue with their old trade. Of those at Heidel- berg, only five per cent were obliged to take up another. 2. The best opportunity for the one—armed man is in narrower specialization within his own trade. For example, the carpenter can take up polishing and wood inlay, the tailor can become a cutter, etc. 3. The most important point is for employees to rearrange their work so as to reserve for one- armed men the places they are able to fill. There are in the empire ten regular agri- cultural schools for war cripples, which are listed in the appendix. The largest appears to be the farm at Struveshof, Berlin, which accommodates 200 and trains cripples as farm teachers. It would appear that the instruction is of the simple type useful for small farms, and that the matter of farm machinery and its adaptation to the war cripple had not been gone into. The chief need is to fit the small peasant farmer to go back to his own holding, where he may, with the help of his wife and children, manage truck-gardening or'poultry-raising. “The Redemption of the Disabled” I 3 HARRIS BOOK Among additional agencies, nearly all of the larger employers of labor, such as Krupp, are maintaining hospitals to take care of their former employees who return disabled from the front, and in many of these there is room to care for other disabled men. Work is provided after discharge according to the capabilities of the disabled men. Most of the large concerns have shown much enthusiasm. The matter of placement is simplified by the German creed that “a man must go back to his former trade, and if possible to his former position.” There are several agen- cies to which the cripple can turn, but there is no uniform manner of fitting the men back into industry, the regular municipal system of employment bureaus working in conjunction with private enterprise and associations. The Government has an enormous number of places at its disposal, as the railways are Government-owned. The Government has promised that all disabled former employees will be taken on, if not in their old posi- tions, then in kindred ones; and according to a late decision of the Government, these men are to be paid without consideration of their pensions. MCMURTRIE BOOK Many firms have made experiments toward retraining their own crippled employees. The firm of Friedrich Krupp, at Essen, has a hospital on its own grounds to which its former employees are transferred from the military reserve hospital for final ortho- pedic treatment. While at this hospital, they work as many hours a day as they are able, under medical supervision, in a special shop built for reeducation purposes. They receive, while working, a minimum payment of ten marks a month, and any- thing they make which can be used is paid for at regular piecework rates. When their training is complete, a place is made for them in the shop. Cripples who were not former employees are also trained whenever there is room for them. The problem of placement is much simpli- fied by the German creed that a “man must go back to his former trade and, if possible, to his former position.” This makes place- ment more a matter of resorting and fitting a man into the niche reserved for him than of studying possible new combinations. Although the creed is uniform, there is no uniform machinery for putting it into practice. The agencies to which a cripple may turn are five: The care committee. The public employment bureau. Government service. Employers’ and workmen's associations. Miscellaneous charitable and private initia- tive. Ul-bbdkoi—i The Imperial Government has, of course, an enormous number of positions at its disposal, since the railways, as well as all the post office and civil service positions are included. The government has already promised that all former employees in any of these lines will be reemployed, if not in their old ca- pacity, in a kindred one. These men, according to instructions from the imperial chancellor, are to be paid without considera- tion of their pensions. 14 “The Redemption of the Disabled” HARRIS BOOK The Post Office will give all future agencies and sub-agencies in agricultural districts to war cripples, provided they are fit for the positions and wish to settle on the land. There are no reliable statistics of the general proportion of cripples who return to work. The German habit of bragging taints all their statements with suspicion. However, the provincial care committee of the Rhine Province for June, 1917, gives the following figures: number of unemployed cripples dealt with by the 43 local care committees under the provincial committee, 927; of these there were, willing to work, 209; work shy, 92; temporarily unfit for work, 395; permanently unfit, 231. As to the proportion of cripples going back to their old trades, of 454 applicants for work at Coblenz in two months, the per- centage of men going back to their old trades was 89, although only 42 per cent. had so intended. At Baden, out of 204 applicants, 188 went back, although only 95 had so intended. From 115, middle of page to top of page 1 18 are statistics, etc., followed by Austria- Hungary. MCMURTRIE BOOK The post-office department has decided to give all future agencies and subagencies in the rural districts to war cripples, provided they are fit for the positions and want to settle on the land. There are no statistics to show to what extent the ideal of the volunteer workers is realized and the cripple is reabsorbed into the mass of the people. Dr. Biesalski states that from 90 to 95 per cent are thus re- absorbed. The general statement is made by most writers, that the difficulty of getting cripplessettled in work is lessening very much, owing to the wide publicity employed and the systematic way in which the care committees get hold of the men. Figures from the provincial care committee of the Rhine Province, for June, 1917, give the proportion of cripples who go back to work as follows: “The total number of - unem- ployed cripples dealt with by the 43 local care committees under the provincial com- mittee was 927. Of these, there were: willing to work, 209; work shy, 92; tem- porarily unfit to work, 395; permanently unfit, 231.” As to the proportion of cripples going back to their old trade, an indication may be-had from the statistics published by the com- mittees of Coblenz and the agricultural advice ofiice at Baden. Of the 454 appli- cants for work at Coblenz in two months, the percentage going back to their old trade was 89 per cent, although only 42 _ per cent had so intended. At Baden, out of 204 applicants, 188 went back to their former trade, although only 95 had so intended. a “The Redemption of the Disabled” 15 The Chapters on Austria-Hungary HARRIS BOOK In November, 1914, the Ministry of the Interior of Austria-Hungary made the first move toward an organization to assist the disabled soldiers of the Dual Monarchy. For many reasons, but mainly that of diver- sity of linguistic and economic conditions, the care of the war disabled and invalids was entrusted to the various “crownlands,” or states. ‘ f A commission for each crownland was cre— ated, its duties being to provide medical care and vocational reeducation for the war in- valids of the crownland and the necessary facilities therefor. The institutes for the advancement of in- dustry which exist in every crownland were ordered to cooperate, and the same order was given to all the public trade schools. A decree of the Minister of \Var dated June 8, 1915, made vocational reeducation of war invalids obligatory and defined the functions of the various agencies. The military authorities provide the wounded with all medical assistance, bear the cost of manufacture and repair of artificial limbs as long as the patient stays in the military service, and bears the cost of maintenance of the soldiers in non-military institutions. They keep the wounded under control until recuperated to capacity to work or until dis- charged as invalids. MCMURTRIE BOOK The first official step in the care for disabled soldiers was made in November, 1914. About the same time, the Austrian ministry of the interior also started an organization for assistance to disabled soldiers. In view of the great variety of linguistic and economic conditions in the empire, it was deemed advisable to intrust the care for invalids to the several crownlands. In the capital of each crownland a Landes- kommission was created, for the purpose, among other things, of providing medical care and vocational reeducation for the war invalids of the crownland, and of creating the necessary institutions. The ministry of public works also took up the matter of reeducation through the in- stitutes for advancement of industry (Ge- werbeforderungsinstitute), which exist in every crownland. These institutes, as well as all the public trade schools, were instructed to help in the reeducation work. A decree of the minister of war, of June 8, 1 91 5, made vocational reeducation of invalids obligatory. At the same time, the functions of the military and of the civil authorities were delimited as follows: I. The military authorities provide the wounded with the first medical assistance; they bear the cost of manufacturing and re- pairing the artificial limbs as long as the patient stays in military service; they bear the cost of the maintenance of soldiers in non-military institutions; they keep the wounded under their control until he has recuperated his capacity to work, or until he is discharged as an invalid. 16 “The Redemption of the Disabled” HARRIS BOOK The military authorities, in cooperation with the civil authorities, provide the final treat- ment and vocational reeducation. The civil authorities organize the employ- ment service. A wounded man is not dis- charged from military service until he is able to return to a civilian occupation. The Government early proceeded to open orthopaedic hospitals, at Vienna and other points. The Vienna hospital is the largest. It had 2,000 beds in January, 1915, and preparations were under way to add 1,000 more. It has been filled with patients since it opened. Reéducation is the principal purpose of this institution. The aim is to refit the man to enable him to go back to his former occu- pation or a related occupation in the same trade. This hospital claims to have attained this result in 95 per cent. of the cases treated. After having undergone preliminary treat~ ment, each patient in the Vienna hospital is assigned to a workshop. There are 42 barracks capable of accommodating 100 men each, and the shops are scattered among the barracks. In one of the halls is a collection of agricul- tural implements and machinery, with such modifications as are necessary to fit the devices for the use of men with artificial limbs, and the men who go into agriculture are encouraged to handle them. MCMURTRIE BOOK 2. The military authorities, in cooperation with the civil authorities, provide the final treatment and the vocational reeducation. 3. The civil authorities organize the em- ployment service. The wounded is not to be discharged from military service until he is able to return to a civilian occupation. The largest institution for the care of invalids is the Vienna orthopedic hospital with its schools for invalids. It opened on january 20, 1915, with 1,000-beds. Four weeks later it was filled to capacity; it has since been extended several times.' By the end of 1915 the hospital, with its branches and annexes, had 2,000 beds and preparations were under way to add 1,000 more. The purpose of the educational action is the vocational reeducation of invalids. The first object in view is always reeduca- tion in the former occupation of the patient, or in a connected occupation in the same trade, and, according to the commander of the hospital, this result is attained in all but 5 per cent of cases. Each patient, after having completed the preliminary orthopedic treatment, is as- signed to a workshop. The workshops were at first established in a public school. But later a garden city was created, con- sisting of 42 barracks, with 100 men in each. The shops are now distributed among those barracks. With the assistance of several agricultural schools there has been assembled in one hall a collection of agricultural machines and implements. The men wearing prosthe- tic appliances are trained in’handling them, and the necessary modifications are made in the implements so as to adapt them to the prostheses. “The Redemption of the Disabled” 17 HARRIS BOOK There is an estate in connection with the hospital where training in agriculture is carried on under the direction of a physician and a one-armed teacher. A_ special school has been created for one- armed men, directed by a one-armed archi- tect. The Vienna schools for invalids do not attempt to turn out thoroughly skilled work- ers. The education is complete only in the case of the invalids who can be entirely re- stored to their former callings or adapted to some easier branches of their former trades. The primary purpose is to find the most suitable occupation for the invalid, and then to give him the preparatory instruction, the elements of a theoretic and practical trade education. The specialization in skilled trades is left to other institutions or regular vocational schools, with which arrangements have been made regarding the training of these men. Instruction is given in photography, lithog- raphy, printing, compositor’s work, metal working, electricity, motion-picture oper- ating, and the like. The Vienna school is under military control but the administration is mixed. The medi- cal director is a military official; the tech- MCMURTRIE BOOK An estate has been put at the disposition of the hospital by a private person, on which _practical training in agriculture is carried on under the direction of a physician and of a one-armed teacher. A special school has been created for one- armed men, which is directed by the one- armed architect, Karl Grosselfinger. The Vienna schools for invalids do not see their object in preparing thoroughly trained skilled workers. The reeducation which they give is complete only in the case of invalids who can be completely restored to their former occupation, or of those who have to be adapted to some easier work in their former trade. Its primary purpose is to find the most suitable occupation for the invalid, and to train him in the use of prostheses. In ad- dition it gives him the first elements of a theoretic and practical trade educa- tion. The specialization in skilled trades is left to other institutionshnamely, to the regular vocational schools, which, through the cooperation of the ministry of public works ' and of the trade associations, except for final training the men sent by the schools for invalids. Thus, in September, 1915, the ministry of public works instituted courses in graphic arts for former workers of the graphic trades (photographers, lithographers, prin- ters, compositors, etc.). In March 1916, the same ministry started at the Imperial Technological Trade Museum at Vienna a special course for training war invalids, in the first place former metal workers, residents of Vienna and Lower Austria in the super- vision and management of electro-technical works, and also as moving-picture operators. The school is under military control, but its administration is mixed. Besides the “medical director,” who seems to be a 18 “The Redemption of the Disabled” HARRIS BOOK nical director is not. These two direct all the reeducation work and advise the pa- tients in the choice of an occupation. Patients are not discharged until able to re- turn to the Army or to their former occupa- tions in civil life. In the latter case, the patient does not leave the hospital before employment is found for him. In this placement of men, the hospital works with the public Board for Vocational Advice of Vienna and with representatives of the Ministry of Public \Vorks. When the patient is an independent land- owner or artisan, the hospital before dis- charge makes an inquiry to ascertain whether the revenue to be expected from his enterprise would be sufficient for the support of the invalid. All cases discharged are kept on the records of the hospital and observed as to condi- tions of work and earnings. The policy of the Austrian Government has - been to handle the physical disablements in institutions of large size located in the large cities, usually in the capitals of the various crownla nds. At the beginning of 1915, such institutions were in operation in Prague, Reichenberg, Troppan, Teschen, Graz, Cracow, Linz, Mehor-Ostrian, and several of the larger industrial centers. The railways have an organization of their own to take care of injured employees and . O ‘ maintain a convalescent home as well. MCMURTRIE BOOK military official, there is a “technical director,” supplied by the Vienna office for the advancement of industry, of the ministry of public works. These two officials advise the patients in the choice of an occupation and direct all the reeducation work. The patient leaves the institution only when he is able either to return to the army, or to his former occupation in civil life. In the latter case, he is not‘ discharged before the hospital finds employment for him. In procuring employment, the hospital co- operates with the public board for vocational advice of Vienna, to which it assigns its own physicians, and with a representative of the ministry of public works. In the case of independent landowners or craftsmen, the hospital, before discharging them makes an inquiry to ascertain whether the revenues that can be expected would be sufficient for the support of the invalid. The discharged men are in all cases kept on the records of the hospital and observed as to the conditions of work and earning. The general tendency in Austria has been to create institutions of a large size, on the Vienna model, and to concentrate them in large cities, of which there are relatively few in Austria. They are created mostly in the capitals of the different crownlands and by the initiative of the local Landeskommis- sionen. By the end of 1915, institutions for crippled soldiers existed in Prague, Reichenberg, Troppau, Teschen, Graz, Cracow, Linz, Mehr-Ostran, and in several of the largest industrial cities. ’ The railway administration has an organiza- tion of its own for the care of its employees disabled in the war. It has created a home for convalescents at’ the cost of 600,000 crowns. . . ' - “The ‘Redemption of the Disabled” 19 HARRIS BOOK The placement of~ the rehabilitated was made a governmental policy on june 28, 1915, when a decree was issued causing the creation of an employment service in every kingdom and crownland of the Empire with offices at the various capitals. The effort is always made to get the inva- lid back with his former employer or fail- ing this, to get the man back in his former occupation, or one closely allied with it, and, if possible, always at the man’s home or near by. Those injured men unable to re- turn to their previous occupations are passed upon by the vocational council and if necessary transferred to the schools for invalids. A record of each invalid is kept for at least six months after his placement, and his wel- fare is closely watched. _If he is discharged from his employment the matter is looked into and reinstatement accomplished when possible. All injured men who are'able to work and willing to work are maintained until they are placed in positions. They are given board, lodging and clothes at the Vienna barracks and a small subsidy in cash. Men entirely disabled and incapable of work are assigned to special homes prepared for them. Employers are asked to give the invalids, even those with diminished capacity, suita- ble employment at fair wages. Invalids whose capacity has not been diminished are to receive the same wage as other workmen in the same group, and are to be covered by the same collective wage agreements when- ever such are in force. MCMURTRIE BOOK The placement of war invalids became a fea- ture of public policy when the minister of the interior, by a decree of June 28, 1915, prescribed'the creation of an employment service in every kingdom and crownland. . . The bureau always endeavors first to find employment with the former employer of the invalid, or if this is possible, in his former occupation, or in one related to it. Those invalids who are unable to return to their former occupation are examined by the vocational council and given the necessary advice. If necessary, they are referred to the schools for invalids. Efforts are always made to place the man at his old home. All invalids for whom employment has been procured by the bureau are kept on record fo least six months and are controlled through inquiries addressed to their em- ployers, to the local authorities, etc. If the man is dismissed, the cause of the dismissal is ascertained and, when possible, an attempt is made to have it repealed. .\ All invalids who are fit and willing to work are suppported until employment is obtained for them. They receive board, lodging and clothes at one of the barracks of the Vienna ortho- pedic hospital, and exceptionally a small subsidy in cash. Those who are entirely disabled for work are assigned to special homes. The employers are asked to give the invalids ——even those with diminished capacity—a suitable employment at a fair remuneration. Invalids whose capacity has not been diminished are to receive the same wages as other workmen in the same group; they are to be covered by all collective wage agreements wherever such are in force. 20 “The Redemption of the Disabled” HARRIS BOOK Remuneration of invalids with diminished capacity is to be fixed by agreement be- tween employers and employees, or, when the employee deals with the labor organiza- tion, the terms are arranged between the latter and the employer. When work is paid for by the piece, no dis— tinction is to be made between invalids and others, and the pension received by the in- dividual from the military authorities in no case shall be taken into account. Appeals are issued to the working classes to help the returning invalid to develop his full capacity for work. In Hungary the problems of the war invalids were first attempted by the Red Cross and private organizations. This system was abandoned where a Government institution called the I nvalidment was created. The same law decreed that orthopaedic appli- ' ances should be supplied gratuitously, and made the reeducation of disabled soldiers obligatory, the treatment and reeducation to last not more than a year. Final treatment and reeducation could be given in State institutions, or institutions under military control, or by the Hungarian Red Cross. MCMURTRIE BOOK The remuneration of invalids with dimin- ished capacity is to be fixed by agreement between the employers and the employees, or, wherever the employer as a rule deals with the labor organization with regard to conditions of employment, between the employer and the organization. Wherever work is paid by the piece the invalids are to receive the prevailing rates. The pension paid by the military authorities shall in no case be taken into account in fixing the wages. The working class is appealed to help the returning invalids to develop their full capacity to work. ' Following a decree of the Hungarian pre- mier, a census was taken, at the end of 1914 and the beginning of 1915, of all war invalids in Hungary. On February 1, 1915, a national conference on the problem of war cripples took place. An executive commission was elected with the secretary of state as chair- man. The commission at first confined it- self to the organization of medical care and of the reeducation of cripples. The employ- ment functions were not considered as a state affair and were left to a commission of the Red Cross. In September, 1915, how- ever, several decrees put all the matter of care for war cripples on a highly centralized basis. Both commissions were dissolved and replaced by a Royal Hungarian Office for Invalids. These decrees provided‘ that orthopedic appliances should be supplied gratuitously. The reeducation of disabled soldiers in their former or in a new occupation was made obligatory. The treatment and reeducation were not to last more than one year. Final treatment and reeducation could be given in state institutions which were to be created by the Office for Invalids or in the institutions under military control, or in those of the Hungarian Red Cross. “The Redemption of the Disabled” 21 HARRIS BOOK Special reexamination commissions were established at Budapest, Pressburg, Kolozo- var and Zagreb, appointed by the Hungarian Premier from medical and industrial circles. Injured men refusing prostheses or treat- ment, or to follow the plans for reeducation, have to appear before these commissions. Those who persist in their refusal against the findings of the commissions forfeit all or a part of their claims to pensions, except in the case of those who have been in active military service for ten years or more. All of the medical institutions were created anew under the Inoalidment. The start was made at Budapest with four hospitals accommodating 4,500, and by the middle of 1916 there were over 10,000 places at the hospitals at Budapest alone. Similar institutions exist at Pressburg, Kolozavar, Kassar, and other cities. The school at Budapest is the largest, ac- commodating 700 in 1916. The object of the education appears to be mainly to turn out independent small crafts- men. As high as 90 per cent. of the pupils are peasants, and the classes with the largest attendance are those for shoemakers, tailors, harnessmakers, cartwrights, lock- smiths, and cabinet makers. Illiterates are trained in reading and writ- ing, and stenography and typewriting are taught in some of the schools. Similar insti- tutes exist at Pressburg, Kassar and K010- zovar. MCMURTRIE BOOK Special reexamination commissions were established at Budapest, Pressburg, Kolozs- var, and Zagreb; the chairman and mem- bers are appointed by the premier from medical and industrial circles. Invalids refusing to use prostheses, to submit to the treatment, or to follow the reeducation, have to appear before these commissions. Those who persist in their refusal, in spite of the findings of the commission, forfeit all or part of their claim to a pension, except those who have been in active military service for 10 years or more. The institutions under the control of the Office for Invalids are officially divided in three classes: (I) Institutions for medical care. All the medical institutions were created anew. These creations started in Budapest with four hospitals for 4,500 patients; by the middle of 1916, there were over 10,000 places at the Budapest hospitals for invalids. Besides Budapest, similar institutions exist at Pressburg, Kolozsvar, Kassa, and several other cities. Of the schools for invalids, the largest is that of Budapest (700 pupils at the beginning of 1916). Up to 90 per cent of the pupils are peasants. The object of the reeducation is to form small independent craftsmen. The shops having the largest number of pupils are those for shoemakers, tailors, harness makers, cartwrights, locksmiths, cabinetmakers. Similar schools are found in Pressburg, Kassa and Kolozsvar. Alongside with vocational training, instruction in reading and writing is given to illiterates. Those who have interrupted the elementary or 22 _ “The Redemption of the Disabled” HARRIS BOOK At the Institute for the Blind at Budapest the inmates are taught carpet weaving, brushmaking, massaging, and the like. As there are a number of invalids who can- not advantageously be placed in industry, special cooperative schools have been created to deal with them. An employment service is maintained by the I nvalidment which does not ask for private or local or trade cooperation. - Casualties of the Austro-Hungarian armies from the beginning of the war to the end of May, 1918, according to ofi‘icial statistics were slightly over 4,000,000; of these it is claimed that from all causes the total of ' lives lost was over 1,500,000. MCMURTRIE BOOK high school education are given an oppor- tunity to continue it. In some of the schools instruction is also given in typewriting, stenography, and bookkeeping. At the Institute for the Blind at Budapest (140 patients) blind soldiers are taught car-pet making, brush making, massage, etc. For the benefit of those invalids who can not be advantageously placed in private enterprises, special cooperative shops have been created. The employment service of the Office for Invalids seems to be organized in a rather bureaucratic way. No cooperation has been asked either of local or of trade organiza- tions. The Chapters on Australia HARRIS BOOK In the first years of the war, the work of “repatriation,” as it is called, in Australia was entirely in the hands of private philan- thropy and patriotism. An Australian Soldiers’ Repatriation Fund of considerable proportions was raised, but it finally became evident that private efforts were not meeting the problem. MCMURTRIE BOOK The work of reinstating returned soldiers in civil life is known in Australia as “repa- triation.” When the necessity of providing aid for returned soldiers first began to claim public attention in Australia, a number of patriotic men, acting in a private capacity, formed an organization to take up the work. Through private contributions, supple- mented by Government grants, this organi- zation raised a large fund, known as the Australian Soldiers’ Repatriation Fund, which was used to supply systematic aid to discharged and disabled Australian sol- diers. . “The Redemption of the Disabled ” 2 3 HARRIS BOOK They were diverse and divergent, without central cohesion or authority. The conviction grew that, as the country had called the men for overseas service, the Nation should direct their return to and establishment in civil life. As a result, the Australian Soldiers Repa— triation Act was passed by the Common- wealth Parliament in September, 1917, plac- ing the whole work in the hands of the Repatriation Commission of seven members. The Minister of State for Repatriation is chairman, and two of the members are re- turned soldiers. The Commission's duty is to plan the general course of repatriation and supervise the work of putting it into effect. The active work of carrying out the plan is done through state repatriation boards, which, under the Act, are established in the capital of each state. Each state board has seven members, all appointed by the Governor-General, and each board has as members two returned soldiers or sailors. Under the direction of the state boards are district or local boards. MCMURTRIE BOOK It was seen that the work would be more costly than had been anticipated, and that its nature and extent were such that it could not be properly discharged by undirected and uncoordinated private endeavor. The nation had put forth an organized effort to enroll these men in the army, and it was felt that it should make an equally organ- ized effort to return them to civil life. Acting on this principle, the Government introduced a bill creating the machinery necessary to enable it to undertake the work of repatriation. The bill was passed by the Commonwealth parliament in September, 1917, and is known as the Australian sol- diers’ repatriation act. It places the control of the general policy of repatriation in the hands of a repatriation commission of seven members. The minister of state for repatriation is- chairman of the commission, and the other ‘ members are persons appointed by the governor general. Two of the members of the commission must be returned soldiers. The duties of the commission are to plan the work of repatriation and to see that its plans are carried into effect. The actual work of carrying out the plans of the central commission is placed in the hands of state repatriation boards, created in the capital city of each state by the repatriation act. Each state board, like the central commis- sion, consists of seven members appointed by the governor general. Two members of these boards also must be returned soldiers or sailors. Further decentralization of the work is pro- vided for by the creation of local or district boards in each state to act as agents or deputies of the state boards. 24 “The Redemption of the Disabled” HARRIS BOOK The Repatriation Commission was author- ized by the Act to take over all the properties and securities of the Australian Soldiers Repatriation Fund, but all sums needed for carrying on the work are appropriated by the Government. N o voluntary contributions are sought for the central Fund, ‘this being supported by the national treasury, but local committees are given rather a free hand in raising and disbursing funds, except that their activities are controlled and their books are audited by the state boards. - ‘ The first duty of the Repatriation Com- mission is to register the condition and re- quirements of all returned soldiers before their arrival in the country. The voyage out on the returning transports is utilized for this purpose. All registrations of soldiers that show a need for help are dealt with by the state boards assisted by local committees. The latter are expected to investigate em- ployment opportunities and they use the system of placement agencies for the re- turned men. Curative workshops are attached to the larger hospitals, and advanced technical training is given to those who are so dis- abled as to require it. MCMURTRIE BOOK By the terms of the repatriation act the repatriation commission was authorized to take over the properties and securities of the Australian soldiers’ repatriation fund. All additional sums necessary for carrying on the work are to be appropriated by Parlia- ment for the purpose. ~ The commission will make no appeals for private contributions to the central fund, as that fund is to be entirely supported by the national treasury, but the local committees may raise funds in their districts and dis- burse them. Their activities in this connec- tion are controlled by the state board, and their books are subject to auditing by the state board. The first task of the repatriation commis- sion, according to Senator Millen, would be to register the condition and requirements of all returning soldiers. An effort would be made to secure this registration before the arrival of the soldiers in the country, possi- bly on the transports or even before their departure from England, in order that the commission might know as early as possible with what numbers they would have to deal and the needs, wishes, and aptitudes of the individuals. All registrations, which in fact amount to applications for employment, would be dealt with, according to Senator Millen’s statement, by the state boards, assisted by the local committees. Local committees would be expected to investigate employment opportunities and to form really a chain of labor agencies for returned soldiers. In order to provide the proper help for men whose disabilities prevent them from secur- ing remunerative work without retraining, the repatriation commission, according to Senator Millen, will provide preliminary training in curative workshops attached to the hospitals and more advanced training in some way yet to be determined upon. The “The Redemption of the Disabled” 2 5 HARRIS BOOK For the totally disabled, homes are estab- lished for those who choose to become in- mates, and a special allowance of 10s. a week is granted those who prefer to be cared for by relatives or friends. Artificial limbs are provided by the Govern— ment military authorities. The matter of establishing men upon the land has received a great deal of attention. Probably in none of the countries engaged in the war has there been a higher per- centage of men who desire to get on the land. A questionnaire submitted to the Australian soldiers brought replies from 40,000 who wished to become land holders and Cultivators. At a conference held in February, 1917, between representatives of the Common- wealth and the state Governments on the subject of land settlement as a repatriation measure, a plan was worked out whereby it could be accomplished. As the states possess the crown lands, have land departments and control land legisla- tion, they undertook to provide the land and place the soldier settlers on it. A The Commonwealth Government was to have as its part the lending to each settler of a sum of money sufficient to enable him to make improvements and buy seeds, plants, stock, and the like. MCMURTRIE BOOK repatriation commission, in conjunction with the minister of defense, has already taken steps to establish curative workshops in connection with the hospitals in Sydney and Melbourne. For the totally incapacitated, Senator Mil- len suggested that homes might be estab- lished for those who chose to become inmates of them, and that a special allowance of 10 shillings a week might be granted to others who preferred to be cared for by their friends or families. Artificial limbs are provided by the defense department, which manufactures them in two factories established as an emergency measure in Melbourne and Sydney. Land settlement is an important part of Australian repatriation plans. . . Some time ago Australian soldiers in camp both at honie and abroad received cards on which they were asked to state their wishes as to future occupation. From their replies it appeared that some 40,000 wished to go upon the land. At a conference held in February, 1917, between representatives of the Common- wealth and the State governments, the usefulness of land settlement as a repatria- tion measure was recognized, and arrange- ments were made to divide the cost between the Commonwealth and the several States. It was agreed that as the States-possessed Crown lands, had land departments, and controlled land legislation, they should undertake to provide the land and to place the soldier settlers on it. The Commonwealth government undertook to loan to the settler a sum of money which would enable him to make improvements, and to buy seeds, plants, stock, etc. 26 “The Redemption of the Disabled” HARRIS BOOK The usual limit of advance is 500l. sterling but in some cases 750l. sterling is allowed. The land is usually given free for the first five years; after that period small payments are required. The money for equipment is loaned‘at seven per cent., of which five per cent. covers the interest charge and two per cent. goes toward amortization of the capital amount. It has been agreed also between the Com- monwealth Government and the states that training farms should be established in order to equip the soldier settlers in some measure for their new tasks, the cost of such training farms to be divided equally between the Commonwealth and the state. MCMURTRIE BOOK The limit of these loans was fixed at first at £500, but the States have asked the Commonwealth to increase this to £750 in some cases. In general, land is given free for the first five years; after that small payments are required. The money for equipment is loaned at 7 per cent, of which 5 per cent covers the interest charge and 2 percent goes toward amortiza- tion of the capital amount. It has also been agreed between the Com- monwealth government and the States that training farms should be established in order to equip the soldier settlers in some measure for their new tasks. The cost of such training farms is to be divided equally between the Commonwealth and the State. The Chapters on New Zealand HARRIS BOOK The Government of New Zealand has established machinery called the Discharged Soldiers’ Information Department, which is charged with obtaining employment for returned soldiers and‘ assisting them by every possible means in the readaptation to civil life, with especial reference to the men who have suffered impairment of ' earning power and are permanently disa- bled; The Department is actively assisted in its work by local committees in all principal towns. These committees are composed of influ- ential citizens and representatives of local patriotic societies. MCMURTRIE BOOK There has been established in New Zealand a special department of the Government to obtain suitable employment for the returned soldier and also, by any other means, to assist in his readaptation to civilian life. As most of the men discharged from the forces up to the present time are those who have been invalided home from the front, it follows that the major activity of the Discharged Soldiers’ Information Depart- ment has been looking out for the welfare of crippled and disabled men. An important factor in the departinent’s work is the chain of local committees. The personnel of these committees is drawn, almost without exception, from-influential citizens who are officers or members of the local patriotic societies. “The Redemption of the Disabled” 9 27 HARRIS BOOK They afford an enormously valuable as- sistance in dealing with particular cases. New Zealand is able, by reason of her geographical location, to obtain complete ' data of every man invalided home. The long voyage of the transports gives time for every man to be recorded and classified and a full report of his case card indexed before arrival at a home port. The Government has instructed all of its departments that ex-members of the expe- ditio'nary forces are to be given preference for all vacancies they are qualified to fill, and the Information Department has con- ducted a propaganda to obtain preference in employment opportunities for the re- turned men. All agencies have been utilized —farmers’ unions, patriotic organizations, local authorities, and private employers have all been interested. The Department keeps a card index of . men waiting for employment, one set being classified according to occupation and an- other according to residence; offers of employment also are suitably indexed. A statement of the number of candidates for employment in each district is sent weekly to the local committee. MCMURTRIE Boox In fact the committees are often sub- committees of these societies, and if not in this relation, are in most intimate touch with them. Knowing the resources and opportunities in their home community, the members of a local committee are able intelli- gently to advise regarding the course of action in an individual case under discussion. The New Zealanders have laid special stress on the importance of getting in touch with every single returning man, inquiring regarding his situation, and offering such assistance as is available. To this end arrangements were made for representatives of the department to board each incoming transport, and to obtain in preliminary form from the men themselves the items of information desired for record. Later on this sytem was further improved through arranging to have the principal data listed by the military authorities on board the transports while still at sea. The infor- mation is then completed by the depart- ment’s officers upon arrival in port, and the cards for the central register are written up without delay. The department has conducted a propa- ganda to secure preference in employment opportunity for returned men. It has com- municated with local authorities, patriotic organizations, farmers’ unions, and private employers and has found the response, on the whole, extremely favorable. The Gov- ernment has instructed all the departments that ex-members of the expeditionary force are to be given preference for all vacancies which they are qualified to fill. The department keeps a double card index of the men awaiting employment. One set of‘ cards is classified according to occu- pation; a second according to district of residence. Offers of employment are like- wise suitably indexed. A statement indicating the number of candi- dates for employment in each district is sent out weekly to thelocal committees. 28 “T he Redemption of the Disabled” HARRIS BOOK Up to january, 1918, the total number of men registered was 14,240, this including the general type of invalid as well as physical disablements. Of this total 10,195 cases had been dis- posed of, that is, had found employment, returned to old employment, rejoined the forces, failed to reply to repeated communi- cations, or left New Zealand. There were 1,420 cases in course of being personally interviewed—men not ready for work, and the like. There were 219 on the register of those wanting employment, this class being composed mainly of men who had just been discharged. There were 2,406 recorded as “not ready for action”—men not discharged from the Army, and 2,000 of this number represented a contingent that arrived in two weeks preceding the date of the report. The efforts to get men to_ take special training are reported as “not encouraging; and the response has been indifferent.” The Department endeavors to dissuade men capable of more skilled occupations from taking on such casual employment as those of messenger and elevator boys, but many of the returning soldiers decline to avail themselves of the facilities offered for training in new trades. One of the reasons, entirely erroneous and unfounded, is given as fear that the man’s pension will be cut down if he increases his earning capacity. MCMURTRIE BOOK Up to January, 1918, the total number of men who had been registered by the department was 14,240. This number in- cluded the general type of invalid as we'll as the men physically disabled. The cases were subject to the following classification : Disposed of (i. e., employment found, returned to old employment, re- joined forces, failed to reply to re- peated communications, left New Zealand. etc.) . 10,195 Under action (i. e., men in course of being personally interviewed, men who have stated that they are not yet ready for work, etc.) 1,420 On “Employment wanted register” (chiefly men who have just been dis- charged from the army) . . . . . 219 Not ready for action (i. e., men who have not yet been discharged, in- cluding upwards of 2,200 men ar- riving during the two weeks pre- ceding date of this report) 2,406 Total 14,240 The results of an effort to provide special ‘training or reeducation for disabled men have not, on the whole, been encouraging. Although the opportunities are brought systematically to the attention of the men, the response has been indifferent. The advantage of training for disabled men in contradistinction to acceptance of imme- diate makeshift employment is ‘argued by the department in a recent booklet: Although the department endeavors to dis- suade men capable of more skilled work from taking up billets such as messengers, lift men, and other temporary jobs, with the risk of con- stantly recurring unemployment, very many disabled soldiers decline to avail themselves of the facilities offered for training them in new trades, either because of wrong ideas on the subject or through ignorance of‘ the thorough tuition that can be afforded them. Some no doubt are tempted by the immediate offer of good wages; others, although assured to the “The Redemption of the Disabled” 29 HARRIS BOOK 0 Arrangement has been made with the De- partment of Agriculture to take on a limited number of men for instruction at state farms. Here will be taught dairying, fruit farming cropping, poultry raising, bee culture and market gardening. In scientific training, Lincoln College, at Wellington, takes a limited number of stu- dents in agricultural and pastoral subjects. Clerical training for disabled soldiers is provided free of expense to the Govern- ment or the men by the New Zealand Society of Accountants. Reports are that “a considerable number have entered the classes, but with few ex- ceptions the attendance has been desultory and progress poor, and it has lately been intimated to the Department that the coun— cil of the Society is now considering whether it is justified in continuing the expenditure of some hundreds of pounds sterling, for such unsatisfactory results.” Disabled men incapacitated for returning to their former occupations are offered free tuition at the various technical schools through the country. At \Vellington Technical College, courses are provided in building construction, paint- ing, decoration and sign writing, carpentry and joinery, plumbing, machine work, jewelry making, metalwork, plastering and modelling. MCMURTRIE BOOK contrary, appear afraid that their pensions will be reduced in consequence of their training. This fear is baseless. For agricultural training arrangements have been made with the agricultural department to accept a limited number of men for in- struction at the State farms. Among the various branches of farm work are dairying, fruit farming, cropping, poul- try raising, bee culture, and market gar- dening. ' In scientific training in agricultural and pastoral subjects the authorities of Lincoln College, Wellington, have placed at the disposal of ex-soldiers five scholarships of £20 each, and have agreed to take non- resident pupils at a nominal fee. Clerical training for disabled soldiers is being provided free of expense to the Government or the men by the New Zealand Society of Accountants. I According to the annual report of the Dis- charged Soldiers’ Information Department, “a considerable number of men have from time to time entered for the classes, but it is understood that with few exceptions the attendance has been desultory and the progress poor, and it has lately been inti- mated to the department by the secretary that the council of the society is now con- sidering whether it is justified in continuing the expenditure of some hundreds of pounds for such unsatisfactory results.” For disabled men who can not return to their former occupations there is offered free tuition at various technical schools throughout New Zealand. I At the \Nellington Technical College, for example, instruction is provided in building construction, painting, decoration and sign writing, carpentry and joinery, plumbing, machine work, jewelry making, metal work, plastering and modeling. 30 “The Redemption of the Disabled” HARRIS BOOK Training for the disabled soldiers has been inaugurated also at the technical schools at Christchurch, Dunedin and Invercargill. The most popular subjects are reported as being wool-classing and machine-tool work. Up to December, 1917, there had been en- rolled in reeducation classes only 63 men. Men partially or totally blind are given training at the Jubilee Institute. The Government grants to men taking training a “training allowance” of one pound per week, irrespective of pension payments, and the Government has allowed disabled men to accept positions at rates of pay less than those fixed by current awards or agree- ments and minimum-wage legislation. The Government also allows the training of disabled men in private factories; this legislation was necessary because of the peculiar labor situation in New Zealand. The establishment of special schools for the reéducation of war cripples has been urged by various individuals and organizations: The minister in charge of the Discharged Soldiers’ Information Department, how- ever, declined to approve or support the scheme, giving as his reason the very limited use that had been made of existing facilities and the unlikelihood that special buildings, MCMURTRIE BOOK Training for disabled men has more recently been inaugurated at the technical schools at Christchurch, at Dunedin, and at Inver- cargill. The most popular subjects of instructions in these schools are wool-classing and machine- tool work. ' Up to December, 1917, there had enrolled in reeducational classes 63 men. By arrangement with the Jubilee Institute for the Blind training is provided for men partially or totally blinded at the front. To remove any possible financial obstacle to men desiring to undertake training, the Government some time ago decided to grant maintenance allowances not in excess of £1 a week—irrespective of pension pay- ments—to men attending classes. The question of allowing disabled men to accept positions with private employers at rates of pay less than those fixed by current awards or agreements and minimum wage legislation was taken up by the labor department early in 1916, and under an order in council then approved, 14 under- rate permits prescribing weekly wages of from £2 10s. to £1 15s. have been issued. A later order in council, of greater impor- tance, provided for the training of disabled men in private factories or workshops. As this question represents one of the moot points in the rehabilitation field, the rulings of the order will be given in full detail. The establishment of special reeducational institutions for war cripples has been urged by various individuals and organizations. The recommendation has elicited from the minister in charge of the Discharged Soldiers’ Information Department the fol- lowing comment: During the last few weeks the question of the establishment of special training colleges for “The Redemption of the Disabled” I 31 HARRIS BOOK apparatus and institutions would be used to any greater extent. Because of the doubt that the results would justify the ex- pense, nothing has been done toward creat- ing special schools. MCMURTRIE BOOK disabled men has been urgedon the attention of the department. The gentlemen concerned in this movement have shown most praise- worthy interest in the welfare of our returned men, and which, in so far as it manifests a lively interest in our soldiers, must command the sympathy and respect of us all. I gather from the correspondence which has come under my notice that the promoters of the ‘scheme have in mind the provision of training colleges and farms for men still undergoing hospital treat- ment, and if this is correct the question more properly appertains to the work of the Depart- ment of Public Health than to the Discharged Soldiers’ Information Department. So far as the latter department is concerned, I regret that I can not at present see my way to support a scheme of the character suggested. The small extent to which existing facilities have been availed of would not, in my opinion, jus- tify the large expense which the institution of special training colleges with expensive buil- dings, apparatus, and staff would involve. The Chapter on South Africa HARRIS BOOK Men of the British forces disabled in opera- tions in Africa are given medical care in‘ hospitals in principal centers of the Union of South Africa. Those requiring artificial limbs are sent ultimately to the hospital at Richmond, near London. N0 provision appears to have been made by the Union Government for the reeduca- tion and placement of disabled men. The matter is left to local and private initiative. In Capetown and other places there are local boards for vocational education which attempt to provide both reeducation and employment. MCMURTRIE BOOK Soldiers disabled in operations in Africa receive medical care in‘institutions in the principal centers in the Union, those of them in need of artificial limbs being sent ulti- mately to Richmond to be looked after while they‘are being fitted. With regard to reeducation and placement of the disabled it does not seem that any provisions have been made by the Union Government. The matter'is practically left to local and private initiative. There are found in Cape Town and in some other places local boards for vocational education of disabled soldiers, who endeavor to provide both reeducation and employ- ment. 32 “The Redemption of the Disabled” HARRIS BOOK In other places associations have ‘been formed for the purpose of finding work for and extending general relief to discharged and returned men. The association at Johannesburg is reported to have obtained a promise from the Union Government that no man would be dis- charged from the base hospitals until he was fit to receive civil employment or his relatives were willing to undertake his care. In 1917 the Johannesburg Relief Associa- tion organized for the care and relief of re- turned soldiers and declared reeducation of these men to be one of its chief purposes. Plans were made to ascertain the capabili- ties of each man, decide the proper class of work for him, and so on. The training was to be given in technical institutions and in public and private workshops. A survey of these facilities was made, preliminary organ- ization work done, and employers inter- ested and asked to give places to the men. The South African soldiers disabled in mili- tary operations in Europe, on the other hand, are well taken care of as regards reedu— cation. At Richmond Park, near London, the South African Military Hospital has been in operation for some time. _ To enter the course of training is optional, but having entered, the man must submit to military discipline and incur military penal- ties for failure to obey the rules. The idea of obtaining the benefits of reedu- cation has appealed strongly to the South African disabled and the percentage of those going in for reeducation is as high as 90 per cent. The work begins at an early stage of con- valescence. MCMURTRIE BOOK .In many places returned soldiers’ associa- tions have been formed for the general relief of discharged men. The Johannesburg Association is reported to have obtained, in November, 1916, from the Government a promise that no man would be discharged from the base hospital until he was fit to resume civil employment or until his relatives were willing to under— take his care. In July, 1917, a Johannesburg and Reef organization for the relief of returned disabled soldiers declared reeducation to be one of its chief purposes. It was planned to ascertain for each man the suitable form of employment; training was to be given in technical institutions and in public or private workshops; em- ployers were asked to assist in the work. For the treatment and reeducation of South African soldiers, of those mainly who belong to forces engaged in Europe, the South African Military Hospital in Rich- mond Park, near London, has been created. The training is voluntary, but if a man elects to undergo it, and so long as he elects to continue it, he is obliged to submit to military discipline and is liable to military penalties if he fails to conform to the rules. ' The percentage of disabled men who go in for reeducation is extremely high—over 90 per cent at present. The reeducation begins at a very early stage in convalescence. “T he Redemption of the Disabled” 33 HARRIS BOOK When a man arrives at the hospital he is classified in one of three classes: (I) cer- tainly unfit for further military duty; (2) doubtful; (3) expected to become fit. If he falls into the first class his reeducation commences at the earliest possible moment. The curriculum is varied and broad. It in- cludes bookkeeping, shorthand, typewriting, secretarial work, accounting, metal working carpentry and cabinet making, electricity, stationary-engine operating, and the like. Only instructors of high skill are employed. The result is that work fully up to expert standards is turned out. The men realize that they are being given an extraordinary opportunity and they are very anxious to avail themselves of it. The training does not cease when the men are discharged from the hospital. Quarters have been provided on the grounds where those not needing further hospitaltreatment can live comfortably until they finish their courses. They remain in uniform and under military discipline as long as they are in the school. A number of the graduates have passed ex~ aminations of the London Chamber of Commerce and the National Union of Teachers. MCMURTRIE BOOK When a man reaches the hospital he is at once put into one or other of the three categories, namely: (I) certainly unfit for further active military service, (2) doubt— ful, (3) expected to become fit. If the commanding medical officer is of the opinion that he will not be able to return to active military service, no time is lost in commencing his reeducation. The subjects taught include those of general education, including bookkeeping, short- hand, typewriting, secretarial work, and accounts; and also, metal working, carpen- try, cabinetmaking, electricity, cinemato- graphy, and engine working, etc. The arrangements are noticeable in that highly skilled professional instructors are employed. As the result, not only.is work up to the standards of experts being turned out, but the men realize that an extraordinary op- portunity is being afforded them, and are proportionately keen to avail themselves of the courses. The training does not stop when a man is discharged from the hospital, a comfortable hostel having been erected in the grounds, where those no longer in need of hospital treatment can live while they continue their courses. Such men continue to wear their uniform and remain under military discipline. Several of them have already passed exam- inations of the London Chamber of Com- merce, and the National Union of Teachers, first classes being obtained in quite a considerable proportion of instances. 34 “The Redemption of the Disabled” The Chapter on India HARRIS BOOK The Imperial Indian Relief Fund‘, among other functions, has that of extending relief to permanently disabled soldiers and their families. Bureaus have been established at various centers for the employment of disabled men, for placement purposes, and the like. Chambers of commerce and such associa- tions are cooperating in finding civil employ- ment for disabled, discharged and pensioned soldiers. There are military hospitals at Bombay, Cawnpore and Umballa, and Red Cross hospitals at Mussorie and Delhra Dun. The marine hospital at Bombay takes care of all cases requiring artificial limbs. Orthopaedic and organic treatments are given at the other hospitals. In May, 1917, a technical school for dis- abled soldiers was established at Bombay, called Queen Mary’s School. Funds were raised mainly through efforts of Lady Wil- lingdon, wife of the Governor of Bombay. The institution accommodates 200 men. Disabled soldiers in various parts of the country who want to attend are provided with railway fare, a return ticket and travel- ing expenses. The school is under joint military and civil administration and finance. The military authorities defray the charges of fitting arti- ficial limbs and teaching their use. MCMURTRIE BOOK The imperial Indian relief fund has among its many functions, that of assisting per- manently disabled soldier and their families. Bureaus have been formed at various cen- ters for the employment of disabled men. The Bengal Chamber of Commerce early in the war addressed a circular to its members, calling attention to the subject of civil employment for pensioned soldiers and indicating the ways in which they could be reached through their military units. Orthopedic and electrotherapeutic treat- ment is given at a number of hospitals, namely, at the military hospitals at Bom- bay, Cawnpore, Umballa, and the Red Cross hospitals at Mussorie and Dehra Dun. Artificial limbs are provided at the Marine Lines War Hospital at Bombay, which takes in all cases requiring these appliances. In May, 1917, through the efforts of Lady Willingdon, wife of the governor of Bombay, a technical school for disabled soldiers was established at Bombay, under the name of Queen Mary’s Technical School for Dis- abled Indian Soldiers. There is accommodation for 200 men. Men from upcountry who desire to enter the school are provided with a return railway ticket and traveling expenses. The school is under a joint military and civil administration and is financed jointly. The military authorities defray the charges of fitting of artificial limbs and teaching of their use. “The Redemption of the Disabled” 35 HARRIS BOOK The educational side of the work is under civilian auspices, the cost being met in part by the Bombay Women’s Branch of the Indian War Relief Fund and in part by private subscriptions. Training courses average six months in _ length. The selection of a trade to train for is optional; each man takes that which most appeals to him and in which he thinks his chances are best. The men are fed, supplied with clothes and given quarters, and those graduating in a trade requiring tools are usually supplied with a set on leaving. Among the subjects taught are tailoring, hosiery knitting, dyeing, making of arti- ficial flowers, carpentry, elementary engi- neering, motor-car mechanics, stationary engineering, agriculture, poultry farming, truck gardening, and the like. A placement committee is attached to the institution, constantly endeavoring to find employment for the men. They are used as tailors in regiments and at Army clothing departments and as chauf- feurs in the Army mechanical-transport de- partments. Others are used as turners, fitters, machinists, engine drivers, ammuni- tion-box makers, and the like, in Govern- ment dock yards, ordnance factories, and arsenals. Private factories and workshops also absorb numbers of them. It is estimated that the skilled men ‘are able to add from 20 to 100 rupees per month to their pensions as a result of their training and subsequent placement in some line of work. MCMURTRIE BOOK The educational part of the work is under purely civilian auspices. The costs are provided partly by the Bombay Women’s Branch of the Indian War Relief Fund, and partly by private subscription. The duration of the training is of six months or more. ‘ Each man is at liberty to select his trade. The men are supplied with clothes, bedding, food, etc., during their stay at the school. At leaving, they are in many cases supplied with a set of tools. There are classes in tailoring, hosiery knitting, dyeing, making of artificial flow- ers, .carpentering, elementary engineer, motor-car driving, oil-engine driving, agri~ culture, poultry farming, etc. A committee of the institution endeavors to find employment for the men. They are placed as tailors in regiments or at the army clothing department; as chauffeurs at the army mechanical transport department; as turners, fitters, machine men, engine drivers,_ammunition-box mak- ers, in Government dockyards, ordnance factories, and arsenals; finally in private factories and workshops. It has been estimated that skilled men should be able to add from 20 to 100 rupees a month to their pensions. 36 “The Redemption of the Disabled” The Chapter on Italy HARRIS BOOK Italy at the beginning of the war had practically no facilities for the work of caring for and rehabilitating disabled men. There wereifew social organizations compe- tent to undertake it; there were only a few homes for cripples, really no system of edu- cation for them, and no factories for the manufacture of artificial limbs. Diverse and scattered private agencies began the work, and these initial efforts were later adjusted and coordinatedfortheworkinhand. The Milan Institute dei Rachitice, which served as a model for succeeding institutions, was the only institution really started to meet the emergency during the first year of Italy’s participation in the war. A provincial committee was organized in Lombardy in connection with the Milan Institute for the purpose of giving ortho- paedic treatment to injured men. This com- mittee was planned to work in close coopera- tion with the military authorities, and the institution was made a military reserve hospital, the officers being given military rank. Men were sent there direct from the field hospitals and given orthopaedic treat- ment under military discipline. The Gov- ernment and the Lombardy committee shared the expense of buildings and upkeep, the Government paying an agreed sum per day for each man’s board, and the com- mittee making a small allowance to the man. After the men have been given orthopaedic treatment, if they desire it and the committee decides they are suitable subjects for vocational education, they are transferred to a subsidiary convalescent home for trade training, this also being carried out under military control. MCMURTRIE BOOK This is very natural, because Italy, on her entrance into the war, had almost no facili- ties for such work. She had no artificial- ‘ ' limb factories, scarcely any cripple homes or system of education for cripples, and very few social organizations competent to undertake it. It began in scattered private efforts which were later coordinated and brought more or less under Government control. The Milan school, which is still the largest and most scientific, became the model for succeeding institutions. The other Pro- vinces were much slower in organizing, and after the first 12 months of Italy’s partici- pation in the war, the Milan school was still the only one fairly started. Even before Italy entered the war Lombardy had organized a committee, the Comitato Lombardo per i Soldati Mutilati in Guerra (Lombard Committee for Soldiers Crippled in War), which worked in connection with the Milan Instituto dei Rachitici (Institute for Rachitics) to give orthopedic treatment and trade training to war cripples. The work was done in close cooperation with the military authorities. The institute was con- stituted a militaryv reserve hospital, its officers being given military rank; men were sent there direct from the field hospitals and given their orthopedic treatment under mili- tary discipline. After this, if they desired it and the committee found them suitable, they were transferred to a subsidiary convales- cent home for trade training, this also under military discipline. The Government and the Lombard committee shared the expense of buildings and maintenance. The Govern- ment paid the committee 3.50 a day for each man’s board, and the committee allowed the men a small allowance. “The Redemption of the Disabled” 37 HARRIS BOOK The choice of trade or occupation is volun- tary with the patient. In November, 1917, there were in all 24 provincial committees operating on the Lombardy plan, capable of accommodating about 20 per cent. of all the war cripples. There was no coherency among the provin— cial committees, and the lack of coordination led to the formation of a voluntary national federation of committees for the assistance of blind, lame and crippled soldiers. Its function was, in the main, advisory, and the local committees were independent of it. These local committees have no common standard of organization. In Lombardy and Sicily, for instance, there is only one committee for the whole province and the work is concentrated in the largest city; in other provinces there are groups of small committees working in coordination and running several small separate schools. The main function of the federation was to coordinate and supervise the work of local committees, to inform them of new develop- ments in the work, and to devote its main energies to legal measures for the care of War cripples. A monthly magazine was published by the federation, handling topics of special interest. The Italian government on March 25, 1917, passed a law creating the National MCMURTRIE BOOK All the schools were modeled on that at Milan, where training was under military discipline, but the choice of training was voluntary. In November, 1917, there were altogether 24, accommodating about 20 per cent of all the war cripples. The committees in each Province worked together in a sort of loose affiliation, but a more definite coordination was felt to be necessary, so the next step in organization was taken and there was formed a voluntary national association, the Federazione Na- zionale dei Comitati di Assistenza ai Militari Ciechi, Storpi, Mutilati (Federation of Committees for the Assistance of Blind, Lame, and Crippled Soldiers). The function of the federation is mainly advisory, and the local committees keep their independence and initiative. Their method of organization varies in different Provinces. In Lombardy and Sicily, for instances, there is only one committee for the whole Province, and the work is concentrated in the largest city. In Tuscany and Venetia there is a group of small committees, all working in coordination and running several small separate schools. The work of the fedeoation is to coor- dinate and supervise the work of the local committees and to keep them informed of new developments in the work and to con- cern itself with legal measures for the care of war cripples. It publishes a monthly magazine, describing the work of local committees and discussing possible new measures. Finally, March 25, 1917, there was passed the law providing for the Opera Nazionale 38 “The Redemption of the Disabled” HARRIS BOOK Board for the Protection and Assistance of ‘War Invalids. This law is the real basis for Italian reedu- cational work. The scope of authority of the Board is to provide medical treatment if treatment sup- plementary to that given by the Army medical authorities is needed, and to afford material relief for reeducation, placement, claiming and adjustment of pensions. The National Board, which replaced the voluntary federation of committees, did not take over these duties. It is supervisory and cooperative, and fills in gaps where they appear. The schools of reed ucation remain under the management of local committees, the Board acting in a supervisory and inspecting capacity. It issues charters to new com- mittees and calls in those previously granted when suitable standards are not reached. The Board is composed of 19 members. Four are elected by Parliament, two Sena—i tors and two Deputies. The Crown appoints the other 1 5 on the sug- gestion of the Prime Minister, as follows: five ministerial nominees representing the _ ministries of the Interior, War, Navy, Treasury, and Industry and Labor; two nominees of the Surgeon-General possessing special technical qualifications; three nomi- nees of the volunteer associations for the care of war cripples; and four elected by the National War Cripples Association. MCMURTRIE BOOK per la Protezione ed Assistenza degli Invalidi della Guerra (National Board for the Protection and Assistance of War Invalids). This law and the supplementary regulations published by the Minister of the Interior in August, 1917, forms the basis for all reedu- cational activities and states the limits of Government and private responsibility. The functions of the board are stated to be assistance to war cripples in— 1. Medical treatment (in so far as this is not covered by the military authorities). Material relief. Reeducation. Placement. Claiming of pensions. (.A-IAOJN This does not mean that these activities are actually to be taken over by the board. It merely supervises and assists, filling in the gaps wherever necessary. The reeducation schools are to remain, as before, under the management of the local committees, but the board is to supervise and inspect, giving charters to new commit- tees and revoking charters of those which do not come up to the standards. . . This board consists of 19 members. Four are elected by Parliament—2 senators and 2 deputies. The other 15 are appointed by royal decree on the suggestion of the prime minister, as follows: Five ministerial nominees, repre- senting the departments of the interior, war, navy, treasury, and of industry, com- merce and labor; two nominees of the sur- geon general, who shall have special tech- nical qualifications; three nominees of the volunteer associations for the care of war cripples, one from the actual institu- tions caring for war cripples; four elected by the National War Cripples’ Association. “The Redemption of the Disabled” 39 HARRIS BOOK Annual appropriation is made for the sup- port of the Board from the budget of the Ministry of the Interior, and it is under the direction of the Minister of that govern- mental division. A report must be made to him annually which he is required to present to Parliament. The headquarters of the Board is in Rome, the office quarters and force being supplied by the Government. It is supposed to have an authorized repre— sentative in every locality and thus to work in close connection with all the societies and institutions over the country having to do with war cripples and their rehabilitation. The law creating the National Board pre- scribes generally the system for treating ‘cripples in all parts of Italy. After the first surgical treatment, cripples are to be sent to one of the nine military reserve hospitals for orthopaedic treatment, located at Turin, Milan, Genoa, Verona, Bologna, Florence, Rome, Naples and Palermo. The soldier in each case is to be assigned to the hospital nearest his home, or when this is not possible, to the next nearest. At these hospitals the men are given func- tional reeducation, massage and mechano- therapy, and furnished with temporary arti- ficial limbs at the expense of the Govern- ment. \Vhen the cure has progressed to a point at which reeducation can be commenced, the patient is given usually a month’s leave and allowed to visit his home. MCMURTRIE BOOK The board is under the minister of the in- terior. It must render a report to him every year, which he in turn must present to Parliament._ A yearly appropriation is set .aside for it from the budget of the department of the interior. The board has its office in Rome, with the offices of the ministry of the interior, its office force being furnished by the Government. It is supposed to work in very close con— nection with the societies and institutions all over the country, which are concerned with war cripples, and thus to have an authorized representative in every 10- cality. The law above mentioned, in addition to creating the national board, fixes the general system for treatment of cripples all over the country. Crippled soldiers, after their first surgical treatment, are to be sent to military centri di cure fisiche ed orthopediche (centers for physical and orthopedic treatment). There are nine of them in the country, located in the army corps districts of Turin, Milan, Genoa, Verona, Bologna, Florence, Rome, . Naples, and Palermo. A soldier is in each case to be sent to the center nearest his home, or if that is not possible to the next nearest. At the centers the men are to receive functional reeducation, massage, and me- chanotherapy, and to be furnished with a temporary artificial limb at the expense of the Government. When their cure has so far progressed that they will profit most from reeducation, they are dismissed from the orthopedic hos- pital on breva licenza (short leave) and al- lowed to visit their homes. ‘ 40 “The Redemption of the Disabled” HARRIS BOOK On the expiry of the furlough, those desig- nated by the hospital as capable of reedu- cation must present themselves, under mili- tary orders, at the nearest reéducational schooL The men not so ordered are only those hope- lessly crippled or those who have given proof that they do not need reeducation or can attend to their own rehabilitation. Under the law the compulsory stay at the school is limited to 15 days. In that time the man is fitted with his per- manent artificial limb or other apparatus, which is selected for him by the Government experts. During the time of adjustment, the authori- ties bend every effort to convince him of the value of reeducation. If he agrees to take the training, he remains under military discipline; if he refuses, he is discharged by the local military authority and must shift for himself as best he can with his pension. When a man is'accepted for reeducation, he remains a member of the Army, and may stay at the school pursuing his course for a maximum of six months. The Ministry of War pays the school for his maintenance, and maintains his family at the same rate as though the student were in active service. If the training is not complete at the end of six months, the Board may keep the stu- dent longer at its own expense. If ready to go sooner, or if ,he is unruly or proves to be unfit for training, the local military commander may discharge him at any time. MCMURTRIE BOOK . After the term of leave, generally a month, has expired, those designated by the center as capable of reeducation must present themselves as part of their military duty at the nearest reeducation school. The men excused from this duty are those hopelessly crippled or those who give proof that they do not need reeducation or can attend to their own. The compulsory stay of any man at the school is limited by the law to 15 days. During that time he is fitted with his permanent- prosthesis, which is selected for him by the school at the expense of the Government. The school also has every opportunity to convince him of the value of reeducation. If he consents to training he remains under military discipline. If he refuses he re- ceives his discharge from the local military authority. When a man is accepted for reeducation he remains as a regular member of the army. He may remain at the school for a maximum period of six months. During this time the war department pays the school 3.50 lire a day for his main~ tenance, pays the man a regular sum, ac- cording- to his rank (a private has 20 centesimi, 4 cents a day) and maintains his family at the same rate as though he were in active service. ' If his training is not complete at the end of six months, the national board may retain him longer at its own expense. If he is ready to go sooner, or if he is un- ruly or unfit for training, the local military commander may discharge him at any time. ' “T he Redemption of the Disabled” 41 * HARRIS BOOK \Vhen a man enters the school, a commit- tee consisting of the head physician, direc- tor of the school, and an inspector from the Ministry of Industry and Labor or a person designated by the National Board passes upon his case. Proper consideration is given to the wishes of the cripple or his relatives or representative and of the repre- sentative of the \Var Cripples Association attached to the staff. The trade the man is to be trained for is then decided upon. The same committee decides when a man's training has been completed, and authorizes his dismissal from the school. A cripple leaving the institution, after hav- ing done conscientious work and become really able to support himself, may be given a money prize by the National Board. After discharge from the schools and the Army, the National Board is expected to assist the cripples. Those needing continued medical care, on account of developing illness or relapse, are provided for in convalescent homes. For men who have no families to return to, yet require some looking after, it pays board in private families, who are required to render regular accounts and reports to the Board. For all men capable of earning their own living, the Board is supposed to find positions. Public employment bureaus are subsidized by the State, and provincial and communal employment bureaus also are expected to attend to the placement of war cripples without charge. MCMURTRIE BOOK As soon as a man has entered the school his trade is decided upon. The decision is made by a committee consisting of the head physi- cian and the director of the school, an inspector from the department of industry and labor, or a person delegated by the national board, due consideration being given to the wishes of the cripple and to the representative of the war cripples attached to the staff. The same committee decides on the man’s dismissal from the school when his training is complete. On his dismissal the national board and the local military authority must be notified. If a man leaves the school furnished with a certificate that he has satisfactorily completed his reeducation, the national board may give him a money prize. Certi- ficates are to be given only to those‘men who have done conscientious work and who have become really able to support them- selves. After men are discharged from the schools and from the army the national board is ex- pected to provide as well as possible for their future. For those who need further medical care because of relapse or developing illness it provides in convalescent homes at which it pays for their treatment. For those who have no families to return to and yet need a certain amount of care it pays for board in private families, which must render a regular account to the board. For all men capable of earning their own living it is supposed to find positions. Public employment bureaus subsidized by the State and also provincial and communal employment bureaus are to attend to the placement of war cripples without charge. 42 “The Redemption of the Disabled” HARRIS BOOK All employees in civil service or in charita- ble institutions who have become war disa- bled have a right to reinstatement if physi- cally able to do the work. A list of civil-service positions to be re- served for war cripples has been published. Men applying for them must have a physi- cian’s certificate that they are able to do the work, and of such men the most eligible will be chosen. In competitive examinations for civil-service positions, other things being equal, war cripples will be given the preference. Private firms are obliged to reinstate their employees crippled in the war if the em- ployee can pass an examination, medically, proving fitness for the particular work. The examination and certificate are fur- nished by the National Board, which also arbitrates between the cripple and his employer in case the latter refuses reinstate- ment without reason. The National Board looks after the inter- ests of the cripples in settling pensions or in any legal difficulties in which they may be- come involved, and also acts as guardian for those of unsound mind. It is the means of procuring loans for in- jured soldiers on the security of their pen- sions to be used for the purpose of buying land. Pensions are not to be affected in any way by either reeducation or employment of those receiving them. Accident-insurance companies are obliged to insure war cripples on the same terms as any other workman, and the companies are not allowed to charge a higher premium to stores or factories where war cripples are em- ployed unless the number of these passes a certain proportion. MCMURTRIE BOOK All employees in civil service or in charitable institutions who have become war cripples have a right to reinstatement if pronounced physically able to do the work. There is published also a list of civil- service positions which will be reserved for war cripples. ‘ Men applying for them must have a physi- cian's word that they are able to do the work, and among such men the most eligible will be chosen. In competitive examinations for civil-service positions, other things being equal, war cripples will be given precedence. Private firms are obliged to reinstate their employees crippled in the war if the em- ployees can pass a medical examination proving their fitness for the particular work. The medical examination and the necessary certificate is to be'furnished by the national board, which also arbitrates between the cripple and the employer in case the latter refuses reinstatement without reason. The national board looks after the. interests of cripples in the settling of pensions and in any legal difficulties in which they may become involved and acts as guardian to any who are of unsound mind. Loans for' buying land or establishing themselves in business are made to soldiers on security of pensions. Pensions are not in any way to be af- _ fected by either reeducation or employment of war cripples. Accident insurance companies are obliged to insure war cripples on the same terms as any other workmen. They are not allowed to charge a higher premium to stores or fac- tories where war cripples are employed unless the number of these passes a certain proportion. ' “The Redemption of the Disabled” 43 HARRIS BOOK If there is a particularly large number of war cripples in any establishment, a slightly higher premium may be agreed upon with the Ministry of Industry and Labor. The problem of reeducation in Italy is com- plicated by the fact that 80 per cent. of the population are peasants with no back- ground of experience in any trade and very illiterate. The result is that the reeducation schools must include a much longer elementary- school course than is required in other coun- tries, and that the trades taught cannot be so advanced and specialized. _ The character of the Italian school is formal and institutional, in order to impress the primitive minds with which it has to deal. The general plan of the schools has more in common with that of a regular public school for children than with those in Germany, for instance, where the discipline is not mili- tary and the trades taught are suited to mature and experienced men. Most of the Italian students reside in the schools under military discipline, although day pupils are taken. The men are required to take an elementary course when necessary, and an intermediate course before beginning a trade. On finishing each course they are graduated with ceremonies, and given a diploma be- fore being promoted to the next. On completing the school work, they receive a certificate stating their fitness to follow a trade and support themselves, and usually are given prizes from the committee and chief citizens of the town. It has been found that these ceremonies are a decided help in keeping up the men’s inter- est and pride in their work. MCMURTRIE BOOK If there is a particularly large number of war cripples in any establishment, a slightly higher premium may be agreed upon with the minister of industry and labor. Reeducation constitutes a special problem in Italy, because such a large proportion (80 per cent) of the men to be reeducated are peasants with no background of experi- ence in any trade and very often illiterate. The result is that the reeducation schools must include a much longer elementary school course than is necessary in other countries and that the trades taught can not be so advanced and specialized. The whole character of an Italian school is formal and institutional, as it must be in order to impress the primitive mind with which it has to deal. The general plan of the schools has much more in common with that of a regular public school for children than is the case in Germany, for instance, where discipline is not military and the trades taught are suited to mature and experienced men. Most of the men reside in the school under military discipline, though day pupils are takeniftheyreturntotheirhomesatnight. . . Almost all the men are required to take an intermediate and sometimes an elementary school course before beginning a trade. At the conclusion of each course they are graduated with proper ceremonies and given adiploma before being. promoted to the next. On being graduated from the school they receive a certificate stating their fitness to follow a trade and support themselves and generally prizes from the committee and the chief citizens of the town. . It is found that this sort of ceremony is a decided help in keeping up the men's in- terest and pride in their work. ' . 44 “The Redemption of the Disabled” HARRIS BOOK This opportunity for education, even though compressed into the short space of six months, has proved a great opportunity for the illiterate peasants of Italy. It means a mental discipline and a founda- tion of learning that is foreign to the small, remote hamlets from which many of them come and to which the feeling of national unity has not really penetrated. Many of the promoters of these schools feel that the seeds of national development and real patriotism are being planted thereby. Much is expected of private initiative. Each school is under the direction of a volun- teer local committee which works in close touch with the National Board. Its work includes founding the school, arousing public interest in it, attending to the practical direction with help in disci- pline, raising funds to aid in its support, and placing the men when they leave. The National Board supports the commit- tees and stimulates their organization in the areas where none exists. The National Board operates an employ- ment office to help the local committees in the placement of graduates of the reeduca- tion schools, and publishes employment in- formation in its bulletin. The trade school of the Institute at Milan accommodates 500, and the courses are basketry, leather work and inlay, tailoring, O MCMURTRIE BOOK This chance at an all-round education, even though compressed into a six-month period, is a real opportunity for the illiterate agri- cultural laborers of southern Italy. It means an amount of mental discipline and a general background of information which is unkn n in the small hamlets from which they (we. Many of these hamlets are so remote and primitive that the feeling of national unity has not really penetrated to them and the promoters of the schools feel that aside from special help to cripples they are of real use in national develop- ment. This means that a great deal is still expected of private initiative. Each school is under the direction of a vol- untary local committee called a Comitato di Assistenza, which must work in close touch with the national board. The work of this committee includes found- ing the school and arousing public interest in it, attending to the practical direction with help in discipline from the war depart- ment, raising funds to aid in its support, since the 3.50 lire a day paid for each man by the Government does not cover expenses, and placing the men when they leave. The national board is, of course, expected to be of great support'to the committees and to stimulate their formation in the still large areas where none exist. The national federation had almost from the first an employment office, whose function was to assist the committees in placing their discharged pupils. This office made inquiry among large firms in the country as to their willingness and ability to employ cripples and was able to publish in its monthly magazine the names of several. The trade school is situated in the suburbs of Milan. It has become so popular that it has had to be twice enlarged and now ac- “The Redemption of the Disabled” 45 HARRIS BOOK shoemaking, wood carving, making of wooden shoes, saddlery, broom and brush making, telegraphy, and general mechanics. The courses are adapted to the Italian civilization, which includes a larger propor- tion of handicraft trades than that of any ‘of the other countries, with notable speciali- zation work, such as at Florence, which is celebrated for its toys, Venice, long famed for its art in wrought iron and stamped leather, and other points that are famed for particular handicraft work of one kind or. another. Italy recognizes her backwardness in agri- culture, and in five of the schools—~Perugia, Palermo, Spezia, Turin and Padua, agricul- tural courses have been instituted, with indications that, owing to its importance, this education will be given in all of the institutions. It has been difficult to convince the Italian cripples of the value of reeducation. At Bologna 28 per cent. of the men eligible refused to take it. “The conservative peasant mind,” declares an Italian report, “is hard to appeal to.” Military discipline in the schools appears to be the only workable plan, and even under this system 12 men were expelled from the Bologna institution for various causes in one year. The idea of the value of reeducation does not seem to sink into the mentality of many of them, but it must be considered that the percentage of ignorance and illite- racy is perhaps higher in Italy than in any of the other leading Allied countries. Italy although late in entering the war, has nevertheless developed in a remarkably MCMURTRIE BOOK commodates 500. These teach car- pentry, tailoring, shoemaking, basketry, leather work, wood inlay and wood carving, the making of wooden shoes, saddlery, broom and brush making, mechanics. For men with some education the most popular course is telegraphy. The trade courses taught at Milan are in general those of the other institutions. Italy is particularly fortunate in having a great many famous handicrafts which still fetch high pay and are well adapted to cripples. Many schools, for instance, have a course in bookbinding, which has reached great artistic perfection in Italy. Florence is famed for its manufacture of toys, and Venice teaches the old Venetian arts of wrought iron and stamped leather. This is beginning to be realized by a few of the schools, and there is an ardent propaganda to spread the idea further. At present there are agricultural courses in only five schools—Perugia, Palermo, Spezia, Turin, and Padua. It has been hard to convince the Italian cripples of the value of reeducation. At Bologna, 28 per cent of the men eligible refused it. The conservative peasant mind is hard to appeal to. When they are in school, military discipline is agreed to be the only plan workable. Even thus men are sometimes expelled for in- fringement of rules, at Bologna, 12 in a year. The idea of reeducation is too new for men to be willing to stick to it the length of time necessary without some external authority. The interest in scientific care for cripples‘ is very keen. Though the subject was not 46 “T he Redemption of the Disabled” HARRIS BOOK short space of time, efficient facilities not only for caring medically for her disabled, but also for conserving them economically and vocationally. The work is progressing, and the war crip- ples of Italy have formed a National Associa- tion with headquarters at Milan. The spirit of brotherhood is being fostered, and the Association also acts as intermediary between cripples and employers, maintain- _ ing the rights of its members when neglected either by the Government or by the public. An oflicer of the Association declared at the time of its organization: Our country will be grateful for the defense we have given of her glory and her spirit, but We shall be even more worthy of her if, united in a firm organization, we regain the strength and will to be real men, useful to ourselves and to our families. The eyes of all are turned to- ward us, as of the elect, and this high consider- ation should guide us to right conduct and straight living. The Association will be the kindly guardian of every member, but it will not hesitate to take stern but necessary mea- sures against all of those who fail in their civil duty. MCMURTRIE BOOK much studied before the war, specialists are doing remarkable work on it now. In Italy, as in Germany, the cripples have formed a society of their own, The Associa- zione Nazionale degli Invalidi della Guerra (National Association of \Var Cripples) with headquarters at Milan. The aims of the association are stated to be— 1. To foster the spirit of brotherhood. 2. To give mutual assistance, moral and material. 3. To act as intermediary between cripples and employers. 4. To maintain the rights of cripples when they are neglected, whether by the Govern- ment or by the public. 5. To secure work for its members. At its meeting of organization the secretary summed up the general feeling: Our country will be grateful for the strength we have given in defense of her glory and of her spirit. But we shall be even more worthy of her if, united in a firm organization, we regain the strength and the will to be real men, useful to ourselves and to our families. The eyes of all are turned toward us, as toward the elect and this high consideration should guide us to right conduct and straight living. The associa- tion will be the kindly guardian of every mem- ber, but it will not hesitate to take stern but necessary measures against those who fail of their civic duty. “The Redemption of the Disabled” 47 The Chapter on France HARRIS BOOK As in Belgium, the system of reeducation and rehabilitation of disabled soldiers in France has been an evolution from a start initiated by one man. ' In the late summer and fall of 1914, the hard fighting along the Belgian border and the great Battles of the Marneand the Aisne had filled the French hospitals. Presently the hospitals began to discharge the disabled for whom there was nothing more to be done in a medical or surgical way. A large proportion of them had recovered and re- joined their commands at the front. There was another percentage which would never again fight on a battlefield. Their wounds and their amputations were healed and they were equipped with the necessary arti- ficial legs or arms, but these men, in so far as further usefulness to the French Army was concerned, were permanently out of consideration. It is true that the minute, not to say infinitesimal, French pension was awarded them, but this was utterly insuf- ficient to maintain them. Back to the city of Lyons drifted a quota of these broken men. That they deserved better than to have their eager gift of superb young manhood requited only by an insuf— ficient pension seemed a general view, but no one thought of anything more substan- tial. They were lionized for a few days or weeks, but the Nation was so busy with the vital fight that the heroes of last week were pushed to the rear by the heroes of a later battle. So matters went until the Mayor of Lyons, M. Edouard Herriot, be- gan wrestling with the problem. Mayor Herriot initiated his experiment by suggesting that the municipality of Lyons should organize a school in which men ren- dered unfit for their former occupations should be taught other crafts for which, despite their wounds or handicaps of physi- cal condition, they could qualify. MCMURTRIE BOOK In the autumn of 1914, large numbers of men wounded in the retreat from the Belgian border and the battles of the Marne and the Aisne were being turned out from the military hospitals. They were, perhaps, cured of their wounds, but they were unfit for further military duty, and were there- fore discharged from the army. That many of them were equally unfit for civilian life did not at that time concern the French Government. It bestowed upon them the tiny pension allowed under a long-standing law and sent them to their homes. How to help them to earn a decent living and to become again useful, self-respecting citizens became then questions for each community to solve. A solution that went deeper than mere char- itable giving was first worked out in the city of Lyons through the initiative and fore— sight of the mayor of the city, M. Edouard Herriot. M. Herriot proposed that the city should organize a school where men incapable of resuming their former occupation should be taught a new trade compatible with their disability. 48 “The Redemption of the Disabled” HARRIS BOOK The idea was approved, and on December 16, 1914, the municipal school of Lyons opened with three pupils. By the following May its accommodations were taxed to the utmost and another school was opened in the suburbs of the city. The first institu- tion was called the Ecole Jofii'e, in honor of the hero of the Marne, and the second, the Ecole de Toumeille. As in the case of Belgium, whose Govern- ment was quick to recognize the value of the work initiated by M. Schollaert at his Dépdt des I noalides, the French Govern- ment saw great possibilities in M. Herriot’s E’cole Joflfre and as promptly took action. At St. Maurice, near Paris, there was an industrial home for cripples. It was taken over, and in May, 1915, the Institut national professionnel des invalides de la gueri'e, with accommodations for 300 stu- dents, was opened, and soon filled. As knowledge of the marvels of reeducation extended and the public became aware that the disabled men could have their handicaps neutralized by reeducation to take advan- tage of their remaining capabilities, steps were taken in other parts of the Republic to inaugurate the work. Municipal authori- ties, departmental governments, trade unions and private philanthropy showed intense interest and went earnestly into the scheme of restoration. The idea of rehabilitating the disabled men caught the popular fancy. The people had recognized that a mere pension and, perhaps, a decoration for valor were inadequate for the long, hard years when peace should come again. They were willing and anxious to do more, and eagerly followed when M. Herriot showed the way. MCMURTRIE BOOK He secured for his project the approval of the municipal council, and on December 16, 1914, he opened a school. Three pupils only were enrolled at the beginning, but applica- tions came in rapidly, and by May of 1915 the school was full to overflowing. A second school was then established in the suburbs of the city. These two institutions—the first, known asthe Ecole Joffre, and the second, called the Ecole de Tourvielle—have served as models for most of the other schools since formed in nearly every city of importance in France. Shortly after the organization of M. Her- riot’s pioneer trade school for disabled men, the National Government recognized the need for work of this kind and took steps to create a national school of reeducation. A home for industrial cripples at Saint- Maurice on the outskirts of Paris was taken by the Government for this purpose, and in May, 1915, was opened as the Institut national professionnel des invalides de la guerre. The government made this institut a model school capable of training 300 men, but it left the establishment of similar schools throughout France to other agencies. The realization that the problem of the mutilés could be solved by reeducation soon became general, and various public and private agencies began to organize re- educational institutions. In Paris and in the Provinces, national associations for aiding the mutilés, departmental and municipal governments, local committees, chambers of commerce, trade unions, and private philanthropists took up the work. All through 1915 schools of various kinds sprang up throughout the country. “T he Redemption of the Disabled” 49 HARRIS BOOK Schools were organized at many points and speedily filled with pupils. The injured men who sought them went at the work with the same fire and determination with which they had fought. They realized that if they could take the places of men back of the lines, the latter could take the places the wounded men had left vacant at the front. It was a sort of vicarious fighting which appealed to them immensely. And the practical side of it was not overlooked —the advantage of supplementing the little pension with ample wages after the war. The Minister of Commerce adapted the vocational schools under his jurisdiction so they might be used to reeducate the disa- bled men. In some of the schools the soldier students entered the regular classes where the work was suitable for them; in other instances special classes and instructors were provided. Some of the existing schools organized sepa- rate branches for the mutilés under the supervision of the Minister of Commerce. The Ministry of Agriculture undertook to organize such branches of agricultural edu- cation as would be suitable for the disabled. Trade organizations and arts and crafts schools joined in the effort to develop the new education. By the fall of 1915, France had embarked definitely upon a policy of restoration for every injured man, fitting him for some phase of usefulness compatible with the abilities remaining to him. The Government had bent every effort to have the National Institute at St. Maurice as nearly perfect as possible in appointments, teaching staff, curriculum and methods, so that it might be used as a model for other ‘ largely realized. MCMURTRIE BOOK The minister of commerce was one of those who early perceived the need of providing trade training for discharged soldiers. He proceeded, therefore, to do everything possible to adapt the existing vocational schools under his jurisdiction to the needs of disabled men. In some schools it would be possible to receive men into the same classes as the regular pupils. In others special sections for disabled men could be formed. The directors of a few schools undertook to organize separate schools for the mutilés under the control of the minister of com- merce and to make them new centers of special technical instruction. The minister of agriculture also attempted to organize reeducation in the existing agricultural schools. Ten months afterwards this program was In national schools of arts and crafts, national trade schools, and practical business and industrial schools, courses were arranged to teach disabled men how to be self-supporting. The Government made this institut a model school capable of training 300 men, but it left the establishment of similar schools throughout France to other agen- cies. 50 “The Redemption of the Disabled” HARRIS BOOK institutions to be established throughout the Republic by agencies other than the national Government. Public attention he- came much engrossed with the duty of the country to the mutilated fighting man, and very rapid strides were made in rehabilita- tion and placement work. A survey conducted by the Ministry of Commerce in 1916 disclosed that at that time there were more than 100 schools available for restoration work. Some of these were capable of receiving only a few pupils, while others were large’ enough to accommodate from 200 to 300. Most of these schools were the creation of public and private patriotism, and they were designed only for discharged soldiers. None of them was operated in connection » with a military hospital except the National Institute, another school in Paris, and a third at Neuilly. Some of the schools soon began to complain of lack of pupils. Not that there was a scarcity of men proper to be reeducated, but the men, especially those who had been discharged from the hospitals a considerable length of time, would not take the training. Some of them had been spoiled and demor- alized by the adulation of friends and the public; they considered it beneath the dignity of a local hero to go back to un- MCMURTRIE BOOK The schools of all kinds now in operation for the reeducation of disabled soldiers number more than 100. Some have no more than a dozen pupils, while the larger ones can accommodate from 200 to 300 men. The great majority of schools thus formed by public or private initiative had no connec- tion with military hospitals and received as pupils only discharged soldiers. The National Institute at Saint-Maurice was, however, in close proximity and connection with a large hospital, and its pupils were not only discharged soldiers but also men under- going treatment in the hospital. There were two other notable exceptions to the rule in two schools organized by the Union des colonies étrangeres, a group of foreign residents in Paris, who have raised large sums for the establishment and maintenance of schools for French soldiers. One of their schools was organized in the Grand Palais, in Paris, where there is a large physiothera- peutic hospital; another is connected with a convalescent depot for amputation cases at Maison-Blanche, Neuilly-sur-Marne. In both of these schools the pupils are inmates of the adjoining hospitals. In spite of the campaign of propaganda and the obvious advantages to be gained from trade training, an investigation conducted by the national office showed that in June, 1916, the number of men in reeducation schools was extremely small when compared with the number of mutilés incapable of resuming their former occupations. Lack of facilities for reeducation was not the cause of this situation, for the national office fur- “The Redemption of the Disabled” 51 HARRIS BOOK heroic work. Others thought the training a war service and flatly declared that they had done enough. More feared that if they equipped themselves to earn more, their pensions would be cut down. Still others, after the excitement of army life and the long siege in the hospital, could not get down to matter-of-fact existence again. There had not yet crystallized a sound, general, public sentiment on the subject to force the men into the schools. Having been discharged from the Army, there was no authority to compel these men to take the training, and thus the situation was rather chaotic. ' It was found that the men who were ap- proached in the hospital, before they had had an opportunity to have their heads turned or taste of the sweets of liberty, idleness and adulation, almost invariably responded to the suggestion, went directly from the hospital into the training school, and pursued the courses with diligence and enthusiasm. The authorities soon became convinced that vocational training should really be started before discharge from the hospital. A decree of June 2, 1916, pro- ceeded to initiate the work in connection with the large physiotherapeutic hospitals and amputation depots, and such schools as were in existence in their neighborhoods MCMURTRIE BOOK ther reports that the existing schools could take care of all the demands for training that might be made on them. The difficulty lay rather with the men themselves. Many men refused to enter upon a course of training through fear that if their earning capacity were increased, their pensions would be correspondingly dimin- ished. Others became demoralized by the adulation and pity of their family and friends, and thought that no work should be expected from men who had sacrificed so much for their country. Still others looked forward to obtaining a small place with the Government, a sinecure in which they could putter comforta'bly for the rest of their lives. For the widely current belief that reeducation would affect a man’s pension there was absolutely no foundation, and the Government has recently contra- dicted it in public announcements by the different ministries and in notices to dis- abled soldiers. A definite statement that “in no case shall the amount of the pension be reduced because of vocational reeducation or readaptation to work” is incorporated in the Rameil law, which first passed the Chamber of Deputies in April, 1916, and finally became law in January, 1918. Fur- thermore the minister of the interior has ruled that the final adjustment of pension claims shall be effected more rapidly for men in vocational schools than for any others. In 1916 the Government became convinced that vocational reeducation should- be started before discharge, and it decided therefore to organize schools in connection with the large physiotherapeutic hospitals and amputation depots scattered over the country. The decision was made public in a decree issued by the undersecretary of state for the medical service (corresponding to our Army Medical Service), dated june 2,1916. As the government did not wish to enter into competition with the schools already running or to duplicate their work, the undersecretary of state announced later that he would make use, wherever 52 “The Redemption of the Disabled” HARRIS BOOK were annexed to the hospitals. The Govern“ ment also began at once the policy of estab- lishing hospitals of physiotherapy in con- nection with each reeducational school of sufficient importance to warrant such an installation. ~ After schools were organized in connection with the hospitals, it became easier to get pupils, and now practically all of the men who are offered the opportunity of taking " a course of reeducation are delighted to do so. Thus is demonstrated the value of starting the work of restoration before the patient has a chance to gain the idea that he should be immune from work, or should be pre- sented with a sinecure government position in which he can loaf comfortably for the remainder of his life. The great diversity of control, financial arrangements, and the like was found very confusing. and in March, 1916, a National Office for dealing with the war wounded and disabled was created. The headquarters were located in Paris, and suboffices were estab- lished in the 80 and more administrative dis— tricts of the Republic. The National Office was the result of an interdepartmental decree in which the Ministries of War, Labor, and the Interior participated. The Paris office coordinates generally the work of reeducation; the departmental offices see that the work proceeds in accordance with the general plan. The general scheme of the work in France has now definitely settled into a programme arranged. by the National Office. In every important region of the Republic a “center of readaptation” has been established. This MCMURTRIE BOOK possible, of the schools in the neighborhood of the hospitals by annexing these schools to the hospitals. He has also stated that he intends to establish hospitals of physio- therapy in connection with every reeduca- tional school doing effective work. These plans are being gradually carried out. After it was decreed that schools should be organized in connection with hospitals of physiotherapy and prosthetic equipment and that certain existing schools should be annexed to hospitals, it became easierfor those schools to recruit their pupils. This division of authority resulted often in overlapping or conflicting activities, in the failure to give a common direction to the work . . . With this need of coordination in mind, the ministers of war, labor, and the interior created in March, 1916, by an interminis- terial decree, the Office national des mutilés et réformés de la guerre. This national office comprises a central office with head- quarters at Paris, and departmental offices or committees located in the eighty odd départements, or administrative districts of France. The function of the central office is to coordinate the work of reeducation all over the country; that of the departmental offices to see that the work done in the several departments is in harmony with the plans of the central office and has internal unity. The three committees of the national office, united in a general session, have drawn up a plan for a system of reeducation to be spread over the whole of France. There should be, they have said, in every important part of “The Redemption of the Disabled” 53 HARRIS BOOK center is not localized, but is distributed over several towns and cities. It comprises a hospital of physiotherapy, where treat- ment is given and fundamental functional reeducation applied; an institution where artificial limbs are made, distributed and adjusted; and a school or schools where reeducation is provided in trade, commer- cial and agricultural subjects. There are now over 30 of these centers. A wounded man needing functional treat— ment is sent from the general hospital to a physiotherapeutic hospital, preferably the one nearest his home. In each of the II military regions there are hospitals of physiotherapy with vocational training schools annexed. While undergoing the prescribed treatment, the patient at the same time commences his trade education. One of the difficulties en- countered was that at the conclusion of his treatment he expected his discharge, and this obtained, it was often very difficult, if not impossible, to hold the man to finish his education. This has been met by hold- ing up the discharge until the man has com- pleted his course of training. MCMURTRIE BOOK France, a “center of readaptation,” by which they meant a group of those activities by which wounded men are restored to func- tional health and economic independence. In most of the districts this group was not to be localized in one town or city, but was to be distributed over several. A complete center of readaptation should comprise (a) a hospital or hospitals of physio- therapy, where the invalided soldier receives his functional reeducation and finishes his treatment; (b) an institution of prosthetic equipment, where artificial limbs are made and distributed; and (o) a school or schools of reeducation, where there is provided agricultural, commercial, or trade training. The office has grouped all the schools in France into thirty of these centers, and has defined clearly which departments should be tributary to each center. According to the order issued by the under- secretary in June, 1916, a man needing functional treatment for his injury is to be sent from the general hospital to the physio- therapeutic hospital into which that general hospital empties, or to the one nearest his home. At the present time, as a result of the new policy, there is in every military region of France a hospital, or hospitals, of physio- therapy to which has been annexed a school of vocational training. Eleven of these combined institutions are connected with shops for manufacturing artificial limbs and other appliances. NVhile undergoing the needed treatment, or while waiting for his appliance, he can com- mence his trade training in the annexed school. A difficulty encountered with this system is that when a man has received all the functional treatment which will benefit him, or when he has received his appliance, he expects his discharge. On receiving it he leaves the institution and breaks off his course of training. In order to overcome this difficulty, the undersecretary of state for the medical service has stated that he 54 “ The Redemption of the Disabled” HARRIS BOOK A registry is kept of every disabled soldier. A blank is filled in by the hospital authori- ties where he is first received after his in- jury, and again before the patient leaves. This shows the man’s residence, his depen— dents, his civil or military status, his edu- cation, the nature of his disability, his former occupation, reeducation if any, and the nature of the employment desired. The filled blank and a card with “medical obser- vations,” describing the man’s needs for artificial limbs or further treatment, if any, and his capacity for vocational reeducation, are filed with the National Office. When a man finds employment, a placement card relative to his situation makes the record complete. The departmental committees, composed of local representatives of the Ministries of Labor, War, Education, and Agriculture, together with other members appointed by the prefect of the department, who is ex oflicio the president, exist for the purpose of looking after the men arriving in the particu- lar departments or provinces. MCMURTRIE BOOK will, when the case demands, defer the dis- charge until the course of training is com- plete. As a basis for intelligent effort on behalf of the mutilés, the committee of administration has undertaken to keep a registry of every invalided soldier. To this end it has pre- pared a registration blank on which can be indicated a man’s residence, his dependents, his civil or military status, his schooling, the nature of his disability, his former occupa- tion, the reeducation, if any, that he has received, and the kind of employment he desires. This blank is filled out by the medical service for every man in hospital before he leaves. To it is attached a card of “medical observation,” describing his prosthesis if he has one, his functional capacity, and his aptitude for vocational re- education. The blank and the card are then sent back to the national office. When a man finds employment, a placement card describing his situation completes the record. The composition and functions of the de- partmental and local committees have been set forth in a notice issued by the national office, dated June 30, 1916. In general, the committees shall consist of representatives of different civil and military administra- tions and certain other interests. For instance, the minister of labor may be repre- sented by the local labor inspector and by the head of the departmental employment bureau; the minister of war, by a delegate of the general in command of the regional subdivision, by an officer of the pension bureau, and by an army medical officer. The departments of agriculture and educa- tion will be similarly represented. Other members of the committee are to be chosen from medical men, employers’ associations, trade-unions, insurance societies, and rural credit banks. Members will be appointed by the prefect of the department and the president of the committee shall be the pre- fect, or a person delegated by him. Existing departmental committees will be gradually reconstituted to represent these interests. “The Redemption of the Disabled” ()1 U1 HARRIS BOOK These committees see that the wounded sol- dier receives the training best suited for him. As taking up the work is purely voluntary on the part of the wounded man, members of the committee of his department call upon him and impress upon him the advan- tage to be derived from the opportunity, and in some instances his relatives are sent for to consult with him and urge him to agree to retraining. Effort is always made to get a man of the same trade as the injured to call upon him and convince him ofthe probability of his making a good living, notwithstanding his handicap, if he will take the reeducation. The schools that exist solely for the dis- charged soldiers have found much difficulty in getting the men to take up training. Advertisements in papers, handbills, post cards, notices in hospitals, and a booklet issued by the Ministry of the Interior and presented to each discharged man are used, and the mayors of towns and the prefects of departments are urged to impress upon these men the value of training. It has been found, nevertheless, to be a most difficult matter to get them into the reeducational work once they have got away. MCMURTRIE BOOK The first task of the departmental commit— tees is to see that each wounded soldier receives the training of which he is in need. It is recognized that each man should be offered a chance to acquire a trade suited to his capacities, and that every effort should be made to induce him to take advantage of the opportunity. To this end represen- tatives of the committees call on the men in hospitals and point out the advantages of trade training. If the visitors are men of the same trade as the injured man, they can often convince him of the possibilities for work still open to him. Schools which take only discharged soldiers have found it difficult to get men to embrace the opportunities offered. They have used advertisements in news- papers, notices posted in hospitals, handbills, and postcards, and have still been disap- pointed in the response. In an endeavor to increase the schools’. sphere of usefulness, the minister of the interior presents to each man discharged from the army a booklet which informs him of the schools in the different parts of the country to which he can go for training, and urges him to take advantage of one of them. The booklet contains a list of the trades taught in each school and the average wages in each trade, and men are told exactly what steps they should take to secure admission to any desired course. booklet show maimed men at work. In order to reach men who have returned to their homes, the Government conducts re-education propaganda in the form of illus- trated lectures, moving pictures, and pos- ters. And it urges prefects and mayors to do everything possible to induce men to take up training. In some of the departments the prefect collects from the mayors of the different communes in his department the lists of disabled soldiers and their present means of existence. He then summons to- gether at the prefecture those who could benefit from reeducation, and explains to them what opportunities are open to them. Three photographs in the ' 56 “The Redemption of the Disabled” . day. HARRIS BOOK The men are maintained free in the schools annexed to the hospitals, and the regular Army separation allowance to the families is continued during training and before the pension begins, on final discharge. In some of the schools wages are paid, be- ginning with 50 centimes or one franc a day, and later reaching four to six francs a In others, the product of the work- shop is sold and the proceeds, less the cost of the raw materials, are divided among the workmen. At St. Maurice half the amount earned is paid out every fortnight; the other half is retained and paid to the man when he finishes. At Tourveille the value of the labor on the articles made is paid for whether the articles are sold or not, the money being divided among the workmen at the end of the month according to their productive capacity. The men are encour- aged to save half of this in order to have a small capital on leaving. Other schools have variations of these two plans. MCMURTRIE BOOK The greater number of the large schools on the internat plan furnish instruction, board, and lodging, and usually clothing and laun- dry free of charge. No deduction is made from a man’s pension for these benefits, but if instead of a pension, he is drawing the temporary allowance of 1 franc 7o centimes a day granted to men awaiting their dis- charge at home, he has the sum of 1 franc 20 centimes a day deducted from his allowance. This would seem to be an injus- tice to men, the settlement of whose pension is pending, but the minister of the interior has ruled that as the sum is granted for maintenance to men awaiting their dis- charge at home instead of in a hospital, it cannot be given to men who are being sup- ported by the State in a reeducation school. As soon as their pension begins, no deduc- tion is made from it to defray the cost of their training. Up to that time the family continues to draw the separation allowance. Afterwards, if the separation allowance was larger than the pension, the difference between the two is added to the pension during the man’s period of training. The length of the period of training during which the family draws this benefit is determined by the departmental committee. In many schools wages are paid, beginning with 50 centimes or 1 franc a day and reaching later 4 to 6 francs a day. In others the product of the workshop is sold and the proceeds, less the cost of the raw materials, are divided among the workmen. This is the case at Saint-Maurice, where a half of the sum thus earned is paid out at the end of every fortnight, and the other half saved by the school and paid to the man in a lump sum when he leaves. At Tourvielle the value of the labor put into articles made in the shops is paid for whether the articles are sold or not, the money being divided among the workmen at the end of every month according to their productive capac- ity. Men are encouraged to save at least a part of it so that when they leave they will have money to buy needed tools or equip- ment. “ The Redemption of the Disabled” 57 HARRIS BOOK The matter of discipline in the French‘ schools is the acme of simplicity. The director of the National School at Mont- pelier defines it as follows: MCMURTRIE BOOK ' At Saint-Claude, in the school for dia- mond-cutters, pupils are paid 2 francs a day during the first month, and then a gradually increasing sum until during the sixth month they earn 4 francs a day. During the next three months they receive 75 per cent. of the average wages of a workman outside, and during the eleventh and twelfth months full wages, less 50 centimes a day for the . running expenses of the shop. In this school, however, pupils are required to pay a small weekly sum for their board and lodging. At Saint-Etienne the net proceeds from work done in the shops are divided into three sums—25 per cent goes to the school for the upkeep of tools and equipment; 25 per cent to the foremen as an addition to their salaries and to encourage them to increase the productiveness of the shops; and 50 per cent is divided among the pupils. Half of the pupil's share is paid to him in cash, and half is deposited for him in the savings bank, to be drawn only when he leaves the school. At Tours, where there is carried on a model system of apprenticeship with private employers, apprentices receive from the employers the wages which their services are worth. At the beginning the pay may be very small, but it is eked out by a small monthly allowance from the association in charge, the Assistance aux convalescents militaires, which adopts this method of encouraging the men to continue the work. Without such help the men might yield to the temptation of leaving the Work in which they were receiving valuable training for more immediately remunerative employ- ment. Men who receive from their employ- ers less than 50 francs a month receive for the first six months 20 francs from the association. Half of this sum is paid to them in cash, and the other half is deposited to their savings account and can be drawn at the expiration of their apprenticeship, when they may wish to set up a shop of their own. - The matter of discipline in the schools seems to be very simple. It cannot be better stated than in the words of Dr. Jeanbrau, the first head of the Montpellier school: 58 “The Redemption of the Disabled” HARRIS BOOK Every pupil whose conduct, work, or atti- tude of mind does not give satisfaction is sent away. If a pupil could commit any fault and give a bad example to others at the price of a mere reprimand, the school would not be what we want it to be. There are no punishments and there should be none. Every new pupil is given this explanation of the school, and is made to understand its full significance. This school is neither a barracks nor a col- lege, nor a workshop of the kind you have known in the past. It is an institution estab- lished by philanthropists to teach disabled men how to make an honorable living. You will be boarded, lodged, clothed, and instructed, all at the cost of the institution. If you are indus- trious and become a good workman, we will try to find a position for you or help you to set up your own shop. In return we demand only two things: that you work industriously, and that you have the right spirit. If a man forgets he is here for Work. he must go. Here are no punishments. You are not obliged to come: we are not obliged to take you. If we are not satisfied with you, we will send you away and give your place to a more earnest pupil, But if you do your best, we will aid you with all the means in our power. Sometimes, in order to be fair and to make certain of justice, a warning is given, and in a few instances, a repetition with depriva- tions of leave, but in the main the attitude defined above prevails and no trifling is tolerated, for preparing for the battles of peace with shattered forces is quite as earnest a business as that of preparing for war. The departmental committee also has the duty of investigating the labor situation. _Bureaus of information have been opened for maimed men on all matters affecting their interest or advantage. MCMURTRIE BOOK Every pupil whose conduct, work, or attitude of mind does not give satisfaction is sent away. There are no punishments, and there should be none. If a pupil could commit any fault and give a bad example to others at the price of a mere reprimand or of being kept in, the school would not be what we want it to be. To every new pupil at Montpellier the atti— tude of the school authorities is explained as follows: This school is neither a barracks nor a college, nor a workshop of the kind you have known in the past. It is an institution established by philanthropists to teach disabled men how to earn an honorable living. You will be boarded, lodged, clothed, and instructed, all at the cost of the institution. If you are industrious and become a good workman, we will try to find a position for you or help you to set up your own shop. In return we demand only two things—— that you work industriously, and that you have the right spirit. If a man forgets that he is here for work, he must go. Here there are no punishments. You are not obliged to come; we are not obliged to take you. If we are not satisfied with you we will send you away and give your place to some more earnest pupil. But if you do your best we will aid you with all the means in our power. This is the principle underlying the discipline in practically all the schools. But sometimes, in order not to do a man an injustice, it has been found necessary to give him a warning, and then even to repeat this warning, with an accompanying deprivation of leave. A second task for the departmental com- mittees is to investigate the labor situation in order to discover which trades are least crowded, and in which, therefore, disabled men will have the best chance of finding employment. The notice issued by the national office states further that the departmental com- mittee should open a bureau of information to maimed men on the subject of any new inventions or improvements of existing “The Redemption of the Disabled” 59 HARRIS BOOK Extensive inquiries among placement agen- cies, labor inspectors, manufacturers and other employers have enabled the National Office to compile a list of occupations possi- ble for men of various disabilities and a list of disabilities compatible with different occupations. This survey disclosed many instances of men injured in the industrial field making good livings, notwithstanding their handicaps, and the examples are used to arouse the emulation of wounded soldiers. Large industrial plants are asked to put in special workshops for war cripples, where they can serve apprenticeship at their old trades or new ones. In the larger schools the training offered is divided into instruction in manual trades, office work, and general schooling. Figures ‘ show that the manual trades most in demand are shoemaking, tailoring, basketry, harness- making, saddlery, tinsmithing and car- pentry. The reason for the popularity of these trades is that they will afford a living almost any- where, in the city or in a tiny village. They do not require expensive equipment, and they are the trades selected by the men themselves. Most of the soldiers are from villages and small towns, and these desire to acquire a trade that, when eked out with their pen- sions, will give a good living and yet not be too exacting. These men will open shops in their homes, and have time also to work in the garden, cultivate their tiny farm patches, and attend their vines. Among other trades taught are those of mechanic, typography, lithography, type- founding, bookbinding, vthe manufacture of MCMURTRIE BOOK apparatus which come to its notice. It should also give out information to help men to understand the workings of any laws from which they might benefit. By means of extensive inquiries among placement agencies, labor inspectors, and manufacturers, it has been able to draw up tables showing on the one hand the occu- pations open to men with all the different disabilities, and on the other the disabilities compatible with different occupations. The investigation brought to light many cases in which men who had suffered industrial accidents were earning good livings. These cases the committee has held up as encour- aging examples to the victims of the war. . Large industrial concerns are asked to install special workshops in which war cripples can serve an apprenticeship in either their old trade or a new one. In the larger schools the curriculum is usually divided into three parts—instruction in manual trades, instruction in office work, and general schooling. The manual trades most often taught are shoemaking, tailoring, basketry, harness making and saddlery, tinsmithing, and carpentry. These trades seem to have been selected for a number of reasons. They afford a good living in the city or country; they do not require expensive equipment; and they are asked for by men seeking reeducation. That they are good village trades is im- portant in view of the fact that a large proportion of the mutilés were before the war in rural occupations. In order not to contribute to the movement cityward, the schools must teach these men trades which they~can practice in their former homes. In addition to the standard trades men- tioned, a large number of reeducational schools teach the trade of mechanic, and 60 “The Redemption of the Disabled” . HARRIS BOOK artificial limbs, expert workers in wood, iron and leather, locksmith, brushmaking, toy and paper-box making, oxy-acetylene and electrical welding, metal and wood turning, electricians, mould making and stucco work, carriage and vehicle painting, upholstery, fur work, photography, jewelry making, diamond cutting, sabot and galoche making, stone carving, hairdressing, ‘dental mechan- ics, wireless telegraphy, and many others. Several of these trades are being emphasized on account of the number of Germans en- gaged in them prior to the war. As the Germans have been either killed in battle or sent back to Germany and will not find France a congenial place of sojourn for many years to come, the vacancy in these industries is going to be taken advantage of. In various districts where particular indus- tries prevail, men are being instructed in them, such as diamond cutting at St. Claud, and the celluloid industry at Oyonnaux. The officials are having a great deal of dif- ficulty in persuading the wounded men from taking up the commercial lines, and in showing them that there is infinitely better chance of profitable employment in the trades. It seems to be the consuming am- a MCMURTRIE BOOK many teach different branches of the print- ing industry—typography, lithography, type founding, binding, etc. The manu- facture of artificial limbs and other appli- ances—a growing industry in France—is also considered a good trade for disabled men, and several schools have organized shops in which men can learn the different branches of the work. Workers in wood, iron, and leather are employed in such shops. Other trades taught are brush making, chair caning, clock making, toy making, paper-box making, welding, forge work, founding, electric wiring, locksmithing, engraving, metal turning, wood turning, mold making, stucco work, pottery, carriage painting, varnishing, upholstery, fur work, photography, jewelry making, sabot and galoche making, stone carving, hair dressing, dental mechanics, and wireless telegraphy. Certain of these trades have been selected for the mutilés on account of a shortage of workmen in the trade, due to the large numbers of Germans and Austrians for- merly employed; others because they are peculiarly suited to the reduced powers of disabled men. Smaller schools teaching only one trade or group of trades have been started in districts where there is a predominant local industry. Their aim is to give men the training which will meet the labor demands of the vicinity. Thus at Oyonnax men are taught the dif- ferent branches of the celluloid industry, so that they can go into the numerous factories which make celluloid articles. At Saint— Claude, where diamond cutting is an important industry in the town and sur- rounding villages, a school organized for mutilés teaches diamond cutting only. Under the heading office work may be grouped the commercial courses—book- keeping, stenography, and typewriting— and industrial design. Much is written in France about the shortage of the labor supply and the necessity of returning men “ The Redemption of the Disabled” 61 HARRIS BOOK bition of the majority of disabled workmen to become clerks. There are courses to fit these men, and if they insist, they are given them. The Chapter HARRIS BOOK In the tragic, earlier days of the war, after Belgium’s army was overwhelmed and all save a single corner of the heroic little country was overrun by German hordes, the plight of the disabled Belgian soldier was a most unhappy one. Handicapped though he was by sickness and wounds, he could not return to his own country, for it was in the hands of the invaders. If he had been in a hospital in Belgium, there was little he could do to help himself after dis- charge unless he was able to make his way to England or France. The Belgian Govern- ment was not able to help him, not because of indifference, but because it did not know what to do. It was, besides, in a death grapple for its very existence. Some of the disabled men, after discharge from the hospitals, made their way to France and across the Channel. Many of them were skilled artisans who were not so badly shattered that they could not work at their trades, and the munitions and other fac- tories of the Allies readily gave them em— ployment. But there was a larger propor- tion of the disabled Belgians who were totally demoralized and bereft of either initiative or hope. They wandered about over France, lamenting their fate and that MCMURTRIE BOOK to industry, but in spite of these recognized facts large numbers of workmen are being trained by the reeducational schools for office positions. Hardly a school in France, except the specialized schools, is without its commercial courses. In these courses, moreover, there are generally more pupils than in any‘manual trade, except possibly shoemaking. It appears that schools have opened these courses in answer to the great demand for them from men who believe themselves unfit for any manual work. To become a clerk is the great ambition of most disabled workmen. on Belgium MCMURTRIE BOOK In the early days of the war before reeducaé tion had been decreed, many disabled soldiers were discharged from the hospitals and from the army and left to shift for themselves. Those who were strong enough and had ambition readily found work in France or England, but many were so shattered in body, or so demoralized by their experiences, that they wandered from place to place, bewailing their lot and begging for charity. 62 “The Redemption of the Disabled” HARRIS BOOK of their country. They were in rags of uni- forms; they had wounds or disease, or shell shock; they were bewildered, aimless and hopeless; they were beggars and sub- sisted on charity. Certainly they were not improving their own condition, and they were not only an economic burden upon the-generous householders of France, but they were spreading demoralization and fear of the enemy behind the lines. M. Schollaert, President of the Belgian House of Representatives, had a country home at St. Addresse, near Havre, France, to which he had retired when it was no longer possible to remain in his own coun- try. Some of these poor, broken and desti- tute wounded Belgian soldiers applied there for food, clothing, and dressing for their wounds, unhealed by lack of atten- tion. The men were taken in of course; they were fed, washed, clothed, and given the medical and surgical help needed. Other men came, and all found a refuge in which they could recuperate and win back their strength and nerve. Some of them wanted to work and endeavor to requite the good Schollaert for his kindness. He, of course, refused to permit this, but told the men that if they could make anything during the period of convalescence and could dis- pose of the goods, they were more than wel- come to keep the proceeds. Several who were brushmakers set up a temporary shop in the stable. The entire house by now was filled with wounded, and a shoemaker had started a shop in the parlor. Some turn- ers in wood were working in the kitchen, and others who had crafts were endeavoring to work wherevera place for their opera- tions could be found. The good effect of work, of something to occupy the minds of the wounded and disa- bled men was at once apparent. They be- came more cheerful and improved physi- cally. Those who had no trades, or were in’eapacitated for following their own trades, began tentatively trying to help those who were working and to adapt themselves in respect of their several handicaps. All of MCMURTRIE BOOK The Depot des Invalides at Sainte-Adresse, near Havre, as has been said, was founded by M. Schollaert, the president of the Bel- gian House of Representatives. Like many of the French schools organized by private persons, it receives financial support from the Government, but the control of its policy remains in the hands of M. Schol- laert. The school was organized in the early days of the war when Belgian war cripples were wandering through the country asking for charity. Two of them knocked at the door of M. Schollaert, who was so shocked by their condition that he asked leave of the minister of war to provide a home and medical care for them and similar destitute men. The home was rapidly filled, an organization was formed, and arrangements were made for providing both functional and vocational reeducation. NVorkshops were started on an extremely modest scale, wherever a place could be found for them in the vicinity of the manor— house which housed the patients. The brush- makers were installed in a stable, the turn- ers in a kitchen, the carpenters in a hired shed, and the shoemakers in the parlor of a villa. Equipment was of the most ele- mentary sort, and instruction was given by philanthropic artisans of Havre. Later, as the work grew in importance, all the shops and dormitories were gathered together in a cantonment in portable wooden barracks. At the present time the school teaches the trades of carpentry, toy making, brush making, wood turning and pattern making, sabot making, cooperage, mechanics, metal turning, electrical work, plumbing, uphol- stering, shoemaking, tailoring, paper bind- “The Redemption of the Disabled” 63 HARRIS BOOK these men began to show marked improve- ment. M. Schollaert at this point presented the matter to the Belgian Minister of War and asked permission to maintain regularly a house and school for a larger number of wounded soldiers in need of care and reedu- cation. It was granted, of course, together with some financial assistance. Portable “knock-down” houses were set up on the estate to serve as workshops and barracks, and thus came into existence the Dépot des I n'oalides. An organization was formed to provide nursing, medical care and vocational in- struction. The citizens of Havre were interested and gave assistence. Artisans of that city volunteered to help in the work of reclamation and reconstruction of their un- fortunate allies. The curriculum of the school was speedily enlarged to include carpentry, brushmaking, toymaking, plumb- ing, sabot making, cooperage, mechanics, metal turning, electrical work, upholstering, wood turning, patternmaking, shoemaking, tailor- ing, paper binding, printing,envelope making, and the manufacture of artificial limbs. The school was organized with a competent medical department, a technical depart- ment, and an academic department. The pupils were made to take academic work in addition to the practical shop work. The institution admitted all disabled or in- valid soldiers assigned to it by the Belgian “far Department. The Government paidiit two francs 5o centimes per day for each man. Out of this 25 centimes was paid to each pupil. The Quartermaster furnished clothing, and the Medical Corps beds and bedding. Men of the older classes, unfit for active service, were detailed from the army as instructors, and nurses and stretcher bearers were assigned as nurses and disci- plinarians. While the men were in the MCMURTRIE BOOK ing, printing, making of plaster casts, manu- facture of orthopedic appliances and arti- ficial limbs, and the manufacture of enve- lopes. The organization of the school is practically the same as at Port-Villez, with a medical department, an academic department, and a technical department. Nominally the physician-in-chief is the director of the school, but actually M. Schollaert controls its activities and program. As at Port- Villez, all pupils must study school subjects in addition to the work they do in the shops. Since December, 1914, through agreement with the minister of war, the depot admits all disabled or invalided soldiers sent to it by the army. It receives from the Govern- ment 2 francs 5o centimes a day for each man, out of which it pays 25 centimes to the man. The quartermaster furnishes clothing, and the medical corps beds and bedding. Men of the oldest classes unfit for further active service and nurses and stretcher- bearers have been detached from the army to serve as instructors and to maintain disci~ 64 “The Redemption of the Disabled” HARRIS BOOK “apprentice class,” they received wages of from 50 centimes to one franc a day. When they acquired journeyman’s skill, they made, on an average, two francs 50 centimes per day, or 60 francs per month. Ten francs of this was given each man for pocket money; the rest was deposited in a savings account for the man, to be paid to him on his discharge. Each man also acquired a complete set of tools, when such were needed for his trade, and paid for them gradually. The Belgian War Minister was quick to see the advantage of the institution as it was being developed by M. Schollaert. The economic possibilities of the work at once became manifest. To a small country which had suffered grievous losses in man power, the salvaging of the scrapheap offered many opportunities to reduce the loss. The disabled men could be taught to do the things necessary to maintain the remnant of the Belgian armies—repair shoes, harness and guns, make munitions, and do the thousand and one things needful to keep an army in going condition as regards equip- ment. Besides, every man not able to return to the ranks could be used to replace an ablebodied man, and to release the latter to take his part in the actual work of driving the invaders from Belgian soil. A patriotic Belgian presented to the Govern— ment a considerable tract of land on the River Seine, at Port Villez, near the town of Vernon, almost midway between Paris and Rouen. The French Government was entirely agreeable as host to the exiled Belgians, and a reconstruction hospital and curative workshop on a large scale was projected at Port Villez. A section of army engineers and other workers commenced to clear the land on July 12, 1915, as the preliminary to building operations. On August 21, before any but a small portion of the work was done or the establishment was ready, disabled men be- gan to arrive; they had been discharged from the hospitals, but were decided to be proper subjects for reeducation and restora- MCMURTRIE BOOK pline. While inmates of the home are classed as apprentices, they receive wages of from 50 centimes to 1 franc a day, but later when they have acquired the skill of normal workmen, they receive an average of 2 francs 50 centimes a day, or 60 francs a month. Ten francs of this is given to them for pocket money and the rest deposited in their savings account. Each workman possesses a complete set of tools, which he pays for gradually. The school at Port-Villez‘was built by the minister of war on land presented to the Government for the purpose by a Belgian gentleman. It is situated on a plateau overlooking the Seine, about halfway be- tween Paris and Rouen, in the midst of a beautiful and fertile country. The nearest town is Vernon in the department of the Eure. On July 12, 1915, a detachment of auxiliary engineers of the Belgian army began to clear the ground of stumps and copses in prepara- tion for the erection of buildings. On Au- gust 21, when only about a tenth of the construction had been completed, the first group of pupils arrived from the hospitals. In a year from that time 1,200 men were being reeducated there. “The Redemption of the Disabled” 65 HARRIS BOOK tive work. In one year from the time ground was broken, the Ecole nationale belge des mutilés de la guerre (National Belgian School for War Disabled) was in full operation, and 1,200 men were in training and being reclaimed, reéducated and refitted for usefulness to their country and to themselves. As soon as the school was determined upon, in November, 1914, the Belgian Govern- ment issued a decree making reeducation compulsory for men still in the army hospi- tals. This decree was at once extended to include all discharged men who were wounded or disabled. The discharge papers were revoked, and all of the discharged soldiers were rounded up and given a physical reexamination. Those who had been drifting around the country were sent to the military hospitals for such further treatment as seemed necessary. Some were sent direct to Port Villez or to M. Schollaert's Dépo‘t des In-valides. Those of the discharged men who had found steady jobs in France or England were not dis- turbed, but were put back on the rolls as on leave without pay. There are shops in connection with the Belgian hospitals at Rouen, France, which also are being used now for reeducational purposes. The institution at Port Villez has grown to a vast establishment of more than 90 long wooden barracks, each of the same type as the portable field-hospital hut, with double walls and cement foundations. Some build- ings on the place when it was taken over have also been utilized. At one end of the rows of barracks there is a large meeting hall, and beyond it the infirmary and ofiicers MCMURTRIE BOOK The outstanding fact about vocational re— education for Belgian war cripples is that it is absolutely compulsory. According to a decree issued by the minister of war, No- vember 5, 1914, Belgian soldiers who are incapacitated by their wounds from follow- ing their former trade or occupation are not discharged and sent home at the end of their hospital treatment, but are declared “candidates for discharge” and sent to a reeducational school. They remain nomi- nally soldiers, under army control and subject to all military laws and regulations. All discharge papers were revoked, and all discharged soldiers were required to undergo a new physical examination. Those that had found steady’ work were allowed to remain where they were, on leave of absence without pay; those that were drifting about the country were sent to the military. hospitals and to the reeducational schools. In addition to these two large schools, shops for readapting men to work have been organized in connection with the military hospital of Bon Secours at Rouen. The school has the appearance of a vast camp with its 92 wooden barracks arranged in three rows, each barrack being of the type of the portable field hospital huts, with double walls and cement foundations. At one end of the row of barracks is the large meeting hall and beyond that the officers’ quarters and the infirmary. At the other end area steam sawmill and joinery which 66 “The Redemption of the Disabled” HARRIS BOOK quarters. At the other end of the row is a steam sawmill, a joinery, and a shed for hand carpentry. The sawmill and car- penter and joiner’s shops were used in re- ducing trees on the place to lumber and fixtures to be utilized in the construction of the cantonment. Beyond the sawmill is the garage and repair shops and y motor-mechanics school, and, farther on, the stables and the poultry yards where poultry farming is taught; from the latter institution substantial help for the Commissary for the invalids in the way of chickens and eggs is obtained. There is a large and intensively cultivated garden and truck farm in front of the institution, which serves the doubly or trebly useful purpose of serving to teach market garden- ing to some of the pupils, to give needed curative exercise to others, and to furnish a considerable amount of good food for the support of the men. The erection of neces- sary buildings has kept pace with the needs of the institution. A colonel is superintendent, and there is strict military discipline. The school is divided into three departments—medical service, academic, and technical training. The main duty of the medical service is to provide functional reeducation for those who need it, to study and catalogue the men according to their capacities. It also manufactures orthopaedic appliances which make it easier for crippled men to work at certain trades. The physiotherapy and regular gymnastics given the men to restore atrophied muscles and stiffened joints and to develop muscles in stumps is supple- mented by exercise in the workshops. MCMURTRIE BOOK were already on the place and a shed which has been transformed into a shop for hand carpentry. Beyond are the garage and repair shops for trucks and automobiles, and farther still the stables and the poultry yard. In front of the barracks is a large garden. Buildings have been put up as there was a demand for them, and greater additions are being planned for the future. It is hoped that the shops can soon be transferred to large new halls so that the existing barracks can all be used for dormitories. The work of the school is divided among three departments—the medical service, the academic department, and the depart- ment of technical training . . . an army colonel has been made the general superintendent. The chief duty of the medical service is to provide functional reeducation for those that need it. This service is also charged with keeping a file showing the vocational capacity of each man and with watching over his vocational training. In addition it superintends the manufacture of orthopedic appliances.v Men sent to Port-Villez from the base hospitals at Rouen have been provided with artificial limbs, but special appliances which make it easier for crippled men to work at certain trades are manufactured and supplied at the school. In the experience of the school the improvement effected through physiothe- rapy and regular gymnastics is greatly augmented by the beneficial exercise which the pupil gets in the workshop. . . . “The Redemption of the Disabled” 67 HARRIS BOOK The academic department provides school- ing for men learning trades, and gives theoretical instruction in the trades and special courses for men who desire to fit themselves for clerical occupations. The general plan of theoretical instruction is the same for all the trades. It includes the study of tools and machinery, raw materials and sources, processes in the trades, and methods of determining sale price and of placing the output on sale. The director of the department, together with the technical director, holds a meeting of all the shop foremen and instructors to dis- cuss methods and technical questions, and everything possible is done to make the theoretical instruction a real aid in the practical work. Wood and metal workers, for instance, attend classes in drafting, so that they may learn to read and to make working drawings. The commercial courses are for men of suitable previous experience and education who wish to take up office or clerical work. There are four main branches—primary, preparatory for civil-service positions, a regular commercial division, and a normal division for the training of teachers. Pupils in the primary section are taught French, Flemish, arithmetic, geometry, elementary principles of business, history, geography and the elements of social economies. The Belgian Government, owning the railways of the country, employed before the war a great many men as engineers, brakemen and porters. Those who on account of their injuries cannot resume their former occupa— tions are now being trained as clerks, cash- iers, telegraphers, ticket sellers, station MCMURTRIE BOOK The academic department provides general schooling for men learning trades, theoreti- cal instruction in the trades, and special courses for men who wish to fit themselves to be clerks with business concerns or with the Government. The plan of the theoretical instruction is the same for all the trades. It includes the study of tools and machinery, of raw materials—their physical and chemical properties, their source, conditions of purchase, etc., the processes of the trade, how to determine the sale price of the articles made, and how to place them on sale. The director of this department has aided the shop foremen by suggesting to them good teaching methods and by sketching lesson plans. Once a week he and the technical director hold a. meeting of all the shop foremen and instructors to discuss methods and technical questions. Every- thing is done which can help to make the _ theoretical instruction a real aid to the practical work. Wood .and metal workers attend special classes in draughting, not to become draughtsmen but so that they may with facility read and make working drawings. The commercial courses are for men who on account of their previous education and circumstances wish rather to obtain an office position than to learn a trade. The school has four main groups of subjects or departments—a primary department, a department preparing for civil service posi- tions, a commercial department, and a normal department for the training of teachers. Pupils in the primary department are taught French, Flemish, arithmetic, geometrical forms, elementary principles of business, history, geography, and elements of social economics. Many of these men are former railroad employees whom the railroads, being government concerns, are in honor bound to take back into service. Since they are unable owing to their wounds to resume their old work of engineers, brake- 68 ‘ “The Redemption of the Disabled” HARRIS BOOK agents and office employees. The course generally has been divided into two terms each of six months’ duration. The course of the department for civil- service positions includes the two national languages, a third language, writing, his- tory, geography, business and constitu- tional law, arithmetic, elements of algebra, plane and solid geometry, elements of physics, social economics, stenography and typewriting. This work is divided ‘into three terms of four months each. The commercial course is divided into two terms of six months each. During the first term all students study the elements of bookkeeping, commercial arithmetic, four languages, commercial geography, stenog— raphy and typewriting. In the second term they specialize as expert bookkeepers, commercial correspondents, or wireless operators. The normal course covers two terms of six months each. In most instances the teachers were, before the war, school and college teachers, expert accountants in large banks, or men holding important administrative posts. MCMURTRIE BOOK men, or porters, they are'being trained for ticket sellers, station agents, and office employees. A few are learning telegraphy. Other men in this department are being trained for clerks, cashiers, and shop salesmen with private concerns. All together 170 men were enrolled in this department at the end of 1917. The courses are divided into two terms of six months each; The courses of the department preparing for civil service positions include the two na- tional languages, a third language, writing, history, geography, business, constitutional law, arithmetic, elements of algebra, plane and solid geometry, elements of physics, social economics, stenography, and type- writing. Fifty pupils were in this depart- ment at the end of 1916. The work is divided into three terms of four months each. The commercial or bookkeeping depart- ment is divided into two terms of six months each. During the first term all pupils study the elements of bookkeeping, commer- cial arithmetic, four languages, commercial geography, and stenography and typewrit- ing. During the second term they specialize as expert bookkeepers, commercial corre- spondents, or wireless operators. There were thirty-five men in this department. The fifteen men in the normal department at the end of 1916 were mostly non-commis- sioned officers obliged, because of their re- duced physical powers, to give up the careers they had planned for themselves. They receive their training as teachers during two terms of six months each. The teachers in the four departments of the “school of clerks” have been borrowed from the stretcher-bearers’ corps and other auxiliary branches of the service. Before the war they were school and college teachers, expert accountants in the large banks, and men holding important adminis- trative posts. “The Redemption of the Disabled” 69 HARRIS BOOK When men arrive at Port Villez, they are first given a thorough medical examination to determine what sort of physiotherapeutic treatment they require. They are next examined as to their previous general school- ing and their mental qualifications. This is done for the double purpose of grouping them in classes for further instruction and to help in directing the subjects to a suitable occupation to be studied in the school. There are, of course, certain callings that are unsuitable for men who are without a good general education or a quick men- tality. A third examination is. conducted by the technical director, who is a man of unusual understanding and sympathy, with a won- derful capacity for getting in touch with the subject’s or pupil’s real self and inner consciousness and of communicating enthu- siasm and optimism. He accompanies the new arrivals on' informal tours of the workshops, lets them talk to the men engaged in studying and working at the various trades, and endeavors, thoroughly to understand the latent aptitudes and tastes of the new man who has not yet decided what he wants to take up. After this preliminary survey each indi- vidual is brought separately before a committee composed of the examining physician, the academic director and the technical director. The members of the committee compare their individual notes as to the man’s capacities. They confer and consult with him as to his inclinations and preferences, and then decide that he shall be given a trial apprenticeship at a certain trade. If after a week’s trial it appears that the man has been misplaced, the case is reconsidered and he is assigned to some other trade more congenial or better suited to his capabilities. Over 40 trades are taught in the department of technical training, among them being machine carpentry, hand carpentry and MCMURTRIE BOOK When men arrive at Port-Villez, they under- go a thorough medical examination, which determines what kind of physiotherapeutic treatment will benefit them. They are next examined as to their previous general schooling and their mental qualifications. This is done not only for the purpose of grouping them in classes for further instruc- tion, but also to help in directing them to- ward a suitable trade. Certain occupations are barred to men without a fairly good general education or a quick intelligence. A third examination is conducted by the technical director, Captain Haccour, an educator of unusual understanding and sympathy, with a gift for drawing out a a man’s real self and with a contagious enthusiasm. Captain Haccour accompanies the new men on an informal tour of the workshops, lets them talk with the men at work in the various trades, and tries to discover their latent aptitudes and tastes. Each man is then brought separately before a committee consisting of the examining physician, the academic director, and the technical director. The members of the committee compare their individual notes as to the man’s capacities, consult with him as to his inclinations, and finally decide that he shall make a trial of apprenticeship in a certain trade. If after a week it appears that a man has been misplaced, his case is reconsidered and he is directed toward another kind of work. Over forty trades are taught in the shops managed by the department of technical training. 70 “The Redemption of the Disabled” HARRIS BOOK cabinet making, patternmaking, making of toys and small articles for armament and for household use, woodcarving, wooden- shoe making, wood polishing, pyrography, brass and leather repousse work, general mechanics, oxy-acetylene welding, a course for chauffeurs and automobile mechanics, plumbing and zinc working, clockmaking, electricians, shoemaking, saddlery, tailoring, furriers, upholstery, basketry, typesetting, both by hand and linotype, printing press- men, engraving and lithography, photo— gravure, motion-picture machine operators, hairdressing, brushmaking, industrial de- signing and drafting, sculpture and model- ing, painting in its several branches, baking, poultry raising, truck farming and general agriculture. MCMURTRIE BOOK The following brief account of the different shops describes the work they were doing in the latter part of 1916. Machine work in carpentry—the use of cir- cular saws, band saws, power planes, turning machines, rotary moulding cutters, etc.— was being taught to five apprentices, all former carpenters prevented by injuries to their arms from taking up their old work. Hand carpentry and cabinet making were being taught to 18 apprentices from all sorts of former occupations. In the section for makers of patterns for casters were three men. . . In the section for toys and knick-knacks were 10 men. I In the wood-carving section a wood carver by trade was overcoming the handicap of three paralyzed fingers. A miner, a farm worker, and a factory vhand, all injured in the leg, were learning to make wooden shoes. Wood polishing is considered a good trade for men who have completely lost the use of one arm or who have had an arm ampu- tated. Pyrography and brass and leatherrepoussé work are taught with polish- ing. The section for mechanics is extremely popular with the mutilé-s. Oxy~acetylene welding is considered within the powers of men who have had a leg amputated. Fifty pupils were taking the course for chauffeurs and automobile mechanics. The section for plumbers and zinc workers contained 4 pupils. The section for clock-makers contained 4 pupils. _ The electricians had 16 pupils and was growing rapidly. The shoemaking class here, as in French schools, was the largest of all the manual trades. In the saddlers’ shop were 30 appren- tices. , Tailoring attracts many men with leg injuries. The furriers were fewer in number. “The Redemption of the Disabled” 71 HARRIS BOOK There is no fixed length of time for learning a trade; necessarily there cannot be. It depends upon the aptitude of the student, his interest and his facility in overcoming his handicap. The authorities, however, have found that good teaching methods can reduce very greatly the time supposed to be necessary for an apprenticeship in a given trade in ordinary civil life and under normal conditions. MCMURTRIE BOOK The upholstery class was only in its in- fancy. In the basketry class 46 apprentices were learning to make coarse and fine bas- kets and willow furniture. Typesetting, by hand and by means of the linotype, and press work were being taught in the printing shop. The engraving and lithography section had 7 pupils. Photogravure has been taken up success- fully by one-armed. Five men were learning to operate moving- pieture machines. Among the 12 pupils of the hairdressing class were former hairdressers. Brush making, except the manufacture of the wooden parts of brushes, is reserved for blind men. There are several classes of industrial ' design or drafting. In the sculpture and modeling class the 10 pupils were former plasterers, marble cutters, or stone carvers. Diflerent branches of painting are taught in a number of classes. In the great bakery built to supply bread to the institution 6 pupils, among whom three had lost a leg, were learning to be bakers. Former agriculturists whose injuries have incapacitated them for the heavy work of a farm are taught a trade at Port-Villez if they express their desire to learn one. If not, they receive training in raising animals or poultry, in dairying, truck gardening, fruit and tree culture, or flower raising. The length of time necessary for learning a trade is not definitely fixed, so greatly does it depend on a man’s native aptitude, and his handiness in overcoming his disability, but the management of the school has found that good teaching methods can greatly reduce the time supposedly required for an appren- ticeship in a given trade. 72 “The Redemption of the Disabled” HARRIS BOOK The shops are operated for production as well as for teaching, but efficiency in teach- ing is never sacrificed for the purpose of increasing production. Most of the shop products are used to fill orders from the Belgian Government, but when these order do not provide the necessary variety for thorough apprenticeship, orders from pri- vate firms are taken. The steady inflow of new men does not dis- arrange the classes or the work of good apprenticeship. 'Newcomers are grouped together and started to work under the supervision of a monitor; after preliminary tryouts new groupings are made in accor- dance with the ability and progress of individuals. The work is very carefully supervised by monitors, foremen and doc- tors, and the men are never allowed to become discouraged. In some of the trades there is a monitor for every four men. All of the cost of the Port Villez school is borne by the Belgian Government. It is managed in a most economical way, and the construction costs have been held down to lowest possible amounts consistent with sound workmanship and material. It is the intention to use the portable barracks and cottages now used as dormitories in reha- bilitating the devastated regions. The permanent structures were built out of materials furnished by the owner of the property. The heating has cost only the labor of cutting and hauling the wood on the estate. Food cost is held to low levels by the large supply of vegetables, poultry, pigs, etc., raised by the pupils who are taking the agricultural,‘ gardening and poultry-raising courses. Butchers, bakers and others among the personnel render service according to their several capacities and trades. ‘ The men in the school are maintained by the Belgian Government, and the regular rate of army pay, 43- centimes per day, is allowed. In addition, wages of from 50 centimes to one franc a day are paid out of the proceeds MCMURTRIE BOOK The shops are operated for production as well as for teaching, but good teaching is never sacrificed for the sake of increasing production. Most of the product of the shop fills orders from the Belgian Govern- ment, but when these orders do not provide the variety necessary for a thorough appren- ticeship, the school takes orders from private firms. . What might be an obstacle to good appren— ticeship, the continual arrival of new men, is overcome by grouping the newcomers together and starting them at work under the careful supervision of a monitor. Later new groupings are made in accordance with the men’s ability and progress. All work is carefully supervised by monitors, foremen, and doctors, and a man is never allowed to , become discouraged. In some trades there is a monitor for every four men. The entire cost of the school is borne by _ the Belgian Government. Every effort has been made to reduce the charges of con— struction and equipment and to manage the school in the most economical way. The portable barracks, which are used as dormi- tories and shops will be used afterwards in the devastated regions. The permanent structures have been built out 'of materials furnished by the owner of the property. Heating has cost only the labor required for cutting out the woods on the place. The cost of food is reduced to a minimum by having the vegetables raised by the agriculturists, the bread baked by the bakers, and the animals killed and cut up by the butchers. Tools and machinery have cost between 180,000 and 200,000 francs, but it is ex- pected that after the war the Government can resell all the equipment to fit out factories pillaged by the enemy. The Government allots to the school for the maintenance of the men I franc 97 centimes per man per day, of which 43 centimes goes to the soldier as his pay. This is the regular cost of maintenance of a Belgian soldier, “ The Redemption of the Disabled” 73 HARRIS BOOK of the sale of articles made in the shops. These proceeds are used to help defray the general expenses of the school. For men who do not care to take up manual trades and who are by previous education fitted to study a profession other than the limited courses offered at Port Villez, there is the “Home University” at Paris. There instruction in the higher branches of learn- ing may be had in the great schools and colleges of the French capital—law, medi- cine, natural sciences, philosophy, teaching, and commercial collegiate courses. Books and instruments are furnished by the Ministry of Arts and Sciences of the Belgian Government, and students are allowed to attend the various institutions giving in- struction in the particular lines desired. They are granted a certain amount for maintenance, and are not required to reside in barracks. Such medical or surgical attention as may be required from time to time has been arranged for with the French authorities. MCMURTRIE BOOK whether he is fighting at the front or attend- ing a reeducational school. No pensions or allowances are paid to the inmates of Port Villez, but men in the shops receive wages of from 50 centimes to I franc a day, which are paid out of the proceeds of articles made in the shops. These proceeds also help to defray the general expenses of the school. The “home university” of Paris completes the system of vocational instruction organ- ized by the Belgian Government for its dis- abled soldiers. \Vhen the school of clerks was at Mortain, it offered opportunities for higher education to young men whose studies had been interrupted by the mobili- zation summons, but after the school was moved to Port-Villez, the minister of war thought it advisable to discontinue these courses and in their stead to provide oppor- tunities for study in Paris. To this end he organized in Paris what is called a “home university,” an institution where disabled soldiers are boarded and lodged at the expense of the Government while they pursue their studies in the great Paris schools. 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