The physically defective are largely cared for by state and county institutions. We have learned that the deaf and blind may become largely self-supporting if given the advantages of a specific type of education, for which the state maintains special schools. County and state hospitals provide for the care of those afflicted with tuberculosis and a beginning is being made in the provision of state hospitals for crippled children where they may receive necessary surgical and orthopedic treatment. Likewise the more helpless mental defectives, the insane, the imbeciles and idiots, are cared for in state institutions.
One of the most serious menaces to the social health of the rural community is from those mental defectives who are able to care for themselves but who are mentally incapable of rearing a normal family and of conforming to the customary standards of morality. These "feeble-minded," are far too numerous in rural communities and their proper care and education has been neglected because they have been commonly regarded as merely "simple minded" or "foolish"; to be pitied, and the subject of many a jest, but entirely harmless. A large number of the feeble-minded are so nearly normal that they are considered merely shiftless or stupid. Nearly every rural community has one or more families, and not infrequently a small slum neighborhood, who are ne'er-do-wells, more or less delinquent and frequently requiring aid from the town. Thanks to modern psychology, we now know that many of these adults have the intelligence of only a seven or nine-year-old child and that they are incapable of further mental development. Furthermore, carefully conducted studies in the heredity of these families show that feeble-mindedness is congenital; that where both parents are feeble-minded all the offspring will be so afflicted; and that when one of the parents is sub-normal that some of the children will be feeble-minded and that those who appear normal may transmit the defect to their children. Psychological tests have now been developed so that adults with a mentality of nine or ten years or less may be definitely diagnosed as mentally deficient.
It must be obvious that an adult with fully developed sexual desires but with the mind of a child is incapable of conforming his or her behavior to the standards of society and will be incapable of giving proper parental care to children. So a considerable percentage of our petty criminals, vagrants, prostitutes, and dependent are found to be feeble-minded. They are unstable, suggestible, easily victimized.
The farm and the village have a considerable amount of routine work which can be done by these sub-normal people and they therefore have opportunity to maintain themselves and to multiply to better advantage than in the city where the competition of life is keener. Although they are best off in a rural environment, when unrestricted and unsegregated they are a constant menace to the community and often involve it in considerable expense. As soon as farmers become aware of what the feeble-minded are costing the community, how they endanger its moral and physical health, and that when unrestricted they continue to reproduce incapables and thus perpetuate the burden, they will demand that some practicable and reasonable measures be taken for their control. The difficulty is that at present in most states there is no method whereby the feeble-minded can be committed to state institutions or be otherwise segregated unless they are paupers or unless they go voluntarily, nor is there any means of preventing their marriage and reproduction. Dairy farmers have learned that it pays to weed out the "boarder" cows from their herds and that if they breed from a scrub sire they will have scrub stock; but if the boarder cow was also inclined to become vicious and to corrupt the habits of the rest of the herd and the farmer knew this trait to be hereditary, he would invariably send such a cow to the butcher. I believe that as soon as farmers appreciate the biological significance of feeble-mindedness they will insist upon reasonable legislation for its control.
Delinquency.—The third class of abnormal citizens are the delinquents, both adult and juvenile. Almost every rural community has a certain number of adults and children who, although not definitely criminal, are constantly committing various misdemeanors, are vicious, or incorrigible, and there are occasional rural communities and neighborhoods which are as true slums as are found in the cities.[72] Drunkenness was formerly the greatest cause of delinquency, and the tavern and saloon were responsible for the prohibition movement whose staunchest supporters were rural people. The bootlegger and the illicit still continue the illegal traffic in liquor, but where prohibition has been in force for some time liquor has ceased to be an important factor in delinquency.
We have but few definite studies of delinquency in rural communities upon which to base any generalizations. One of the best of these is a study of the juvenile delinquents in 21 average rural communities in New York state, made under the auspices of the U. S. Children's Bureau in 1917.[73] In these 21 communities 185 delinquent children were found, 41 of whom were classed as "incorrigible," 68 were involved in sex offenses, and 75 had stolen, or were guilty of fraud. The number of boys guilty of incorrigibility and theft exceeded that of the girls by six to one, but among the older sex offenders 41 were girls and but 9 were boys. This study is of particular value in showing that almost every rural community, however prosperous and progressive it may be, has its problem of delinquency, and in its analysis of the responsibility of the home, the school, and the church, for wayward children.
The Neglected.—The fourth class which require the care of the community are the neglected. Although the aged occasionally require neighborly assistance, even though they have means for their necessities, most of the neglected are infants and children. Orphans and foundlings for whom homes must be found, children who are over-worked or abused, or who are living with dissolute parents, all of these must be given proper guardianship and a chance for healthful growth and education, or they are likely to become delinquent and thus become a permanent liability to society. It is true that in the country the home is at its best (see chapter II), but it is also unfortunately true that some of the most shameful and almost unbelievable cases of neglect and abuse of children are frequently found in out-of-the-way places in rural communities. Where compulsory school attendance laws are strictly enforced such cases may come to the attention of school officials, but in many instances no one seems responsible for discovering neglected children and ensuring their proper care. Most of the cities and larger towns have Societies for the Prevention of Cruelty to Children whose agents investigate rural cases reported to them and bring them to the attention of the courts when necessary, but there is a need for some local agency in every rural community which will see that neglect is prevented or stopped.
Agencies for Rural Social Work.—When we examine the means for dealing with these "misfit" members of the rural community, we find that in most of our states there are few agencies either public or private, and that as a rule they are poorly adapted to render the service needed.
For the care of the poor there is the township or county poor officer, and the county poor farm as a last resort. But the poor officer, however upright and well-intentioned he may be, usually conceives his job as one for doling out sufficient groceries, clothing, and fuel to keep a family alive, and of keeping the cost to the taxpayer as low as possible. He feels little responsibility for furnishing sufficient aid to give the family a fair chance to get on its feet or for advising them or bringing such influences into their lives as will ensure their rehabilitation. He is charged with a most difficult task for which he has had no experience or training, which he must handle with the greatest economy and for which he receives little compensation either in salary or public esteem. Very commonly his election is due to political strength rather than special personal fitness. The case of the poor is commonly regarded as a necessary evil to be handled with as little trouble as possible, rather than as an opportunity to give such help to the unfortunate that further assistance may be unnecessary and that they may become an asset to the community.
Cases of delinquency involving only misdemeanors or minor offenses are tried before a justice of the peace or local magistrate. Usually these officials are men with no legal training and with little understanding of the causes of delinquency or of how delinquents should be treated in order to give them a fair chance to become normal citizens. The usual attitude is one of determining the offense and meting out just punishment for it. Furthermore, the local justice frequently avoids handling a case which may involve him in difficulties with his neighbors, unless he is forced to do so. Not infrequently juvenile offenders are sent to reformatories where they come into contact with worse characters and are hardened rather than reformed, whereas if they had been placed on probation under proper supervision and under satisfactory home conditions they might have lived decent lives.