1851: The New Asylum
1945: Patients Over Politics
1960: Ending Segregation
1930-1970: Hospital Staff
1962-1976: The Peterson Years
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The merit system required that employees be selected on the basis of
their skill, rather than their work for a political party. William J.
Cremer, a Jefferson City native, was the first state hospital superintendent
hired under the merit system. He treated other hospital workers as professionals
and began the innovative practice of employee training. While perhaps
not all political hacks, some previous employees offered inadequate
care to their patients. As one nurse said, "Well, they didn't know
how to take a temperature reading…blood pressure…how to
turn a patient…We had some real good people, and we had some that
weren't worth a darn." The merit system expected to change that.
"All employees in the state eleemosynary and penal
institutions, and other state employees as provided by law,
shall be selected on the basis of merit, ascertained as nearly
as practicable by competitive examinations"
From the Constitution of the State of Missouri,
Article IV, Section 19 (approved 1945, amended 1971)
"There is increasing recognition by the public that they are
entitled to have their governmental activities handled in a businesslike
and impartial manner."
Governor Forrest Donnell quoting Minnesota law in his
inaugural address,1941.

Nursing supervisors, State Hospital No. 1. Fulton State Hospital |