LUNATIC ASYLUMS OF THE COLONY (REPORT ON) FOR 1895.

Appendix to the Journals of the House of Representatives, 1896 Session I, H-07

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1896. NEW ZEALAND.

LUNATIC ASYLUMS OF THE COLONY (REPORT ON) FOR 1895.

Presented to both Houses of the General Assembly by Command of His Excellency.

The Inspectob of Asylums to the Hon. the Minister of Education. Sib,— Ist May, 1896. I have the honour to lay before you the following report on the lunatic asylums of the colony for the year ending the 31st December, 1895. The number of registered insane persons on 31st December, 1895, was 2,214 —males, 1,329; females, 885; an increase over the previous year of 46—males 21 and females 25. Though this increase seems small as compared with previous years, yet on the total average numbers recorded during 1895 there was an increase of 109. The insane of the colony are distributed as follows: — Males. Females. Total. Auckland ... ... ... ... ... 246 146 392 Christchurch... ... ... ... ... 261 205 466 Dunedin (Seacliff) ... ... ... ... 346 215 561 Hokitika ... ... ... ... ... 69 37 106 Nelson ... ... ... .. ... 71 53 124 Wellington ... ... ... ... ... 189 107 296 Porirua ... ... ... ... ... 124 105 229 Ashburn ... ... ... ... ... 23 17 40 1,329 885 2,214 The proportion of the male insane to the male population of New Zealand is,— New Zealand (exclusive of Maoris) ... ... ... 3-59 per 1000, or lin 278 New Zealand (inclusive of Maoris) ... ... ... 3-33 „ or lin 300 The proportion of female insane to the female population,— Exclusive of Maoris ... ... ... ... ... 2-69 „ or lin 372 Inclusive of Maoris ... ... ... ... ... 2-54 „ or lin 393 The proportion of the total insane to the total population, — Exclusive of Maoris ... ... ... ... ... 3.17 „ or lin 316 Inclusive of Maoris ... ... ... ... ... 2-99 „ or lin 335 Admissions. On the Ist January, 1895.. the number of insane persons in our asylums was 2,168. Of these, 1,308 were males and 860 females. The number of those admitted for the first time was 609— males, 342, and females, 267. The readmissions were 37 men and 35 women; total, 72. Last year the total admissions were 576, this year 681. As in former reports, I have again to reiterate the fact that our asylum population is more and more, every year, showing an accumulation of hopeless senile dements who in England would be sent to the workhouse. This causes a far higher apparent rate than our increase of population would warrant. How far there is a real positive increase of insanity among us I find myself unable to determine. In the early years of our history we had no old people. All were young and buoyant. Now our pioneers are old, many of them prematurely, from exposure and other causes incidental to the life of colonial communities. Deaths. The percentage of deaths on the average number resident during the year was 661, as compared with 482 last year, an increase due, so far as I can ascertain, to the extraordinary severity of last winter, and the prevalence of influenza and pulmonary complications. Accidents. A careful record is kept at each asylum of all injuries received by patients and their causes. Beyond the usual cuts, abrasions, contusions, and sometimes scalds, I find at Seacliff one case of fractured wrist due to a fall while out walking, and a fracture of the tibia from a kick by a patient. One patient swallowed some iodine, but an emetic saved any ill consequences.

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At Sunnyside one woman had her leg fractured from being knocked down by another patient. At Wellington there were two fractures, owing to accidental falls, and one dislocation. Nelson Asylum had one patient's wrist broken, having been knocked down by another patient. New Buildings and Improvements. The Auxiliary Asylum at Auckland, which had been burned to the ground, is rapidly being replaced by a substantial brick building, and the extension of the male wing of the main asylum is in hand. When those works are completed no further extension will be required. At Wellington a new dormitory and ten single rooms have helped to relieve the pressure. A further section of the male side is in progress at Porirua; but it is imperative that the whole of the new asylum be at once provided for if the congestion of all our asylums is to be remedied. To effect this a vote of £25,000 is necessary. At Sunnyside the laundry is not yet furnished with the appliances required to bring it into use, so that another winter must be got through somehow with the old laundry. The new airing-courts are being got ready, and they will greatly add to the comfort of the patients. Seacliff has been made much more comfortable by the large new court on the male side, and the female side is being provided with beautiful new airing-courts. This will get rid of the depressing back courts, which alone have been hitherto available. It has also been decided to erect a covered way from the auxiliary to the main building. At Nelson a new dairy has been provided. The next work to be undertaken ought to be a house for the Superintendent. A home for inebriates, and a special institution for idiots and imbeciles, are urgently needed. At all our asylums the fire-extinction apparatus has been put in a state of thorough efficiency by Captain Hennah, the Government Fire Inspector, and he has given invaluable assistance in organizing efficient fire brigades among the attendants. His annual visits will secure the maintenance of the present satisfactory arrangements. Financial Eesults op the Year. The total gross expenditure for the year was £59,158 os. Bd., as against £58,700 16s. 3d. for the previous year, an increase of £457 4s. sd. The total net expenditure was £48,116 14s. 2d., as compared with £47,948 4s. 2d. for 1894, being an increase of £168 10s. The net cost per patient was £1 2s. Bd. less than the previous year, the figures being £22 13s. B|d. per head for 1895, and £23 16s. 4|d. for 1894. Sunnyside Asylum still shows the best results for the year, the net cost per patient being £18 4s. 9-|d., while the large sum of £3,256 12s. 7d. was received for maintenance, sales of produce, &c. There was a reduction in the net cost per head at Porirua Asylum of £3 12s. 9-J-d., owing to Dr. Burns's careful management and to the institution being now in complete working-order. Seacliff and Hokitika Asylums show reductions of £2 6s. ljd. and £1 19s. 9|d. per head respectively. The principal items which show decreases in the general averages are : Provisions, lls. 1-Jd. per head; bedding and clothing, ss. 3-J-d. per head; and necessaries, lls. 2Jd. per head. These decreases may be put down in part to the new contracts which were entered into last year. The following figures give the cost per patient at each asylum : — £ s. d. Auckland ... ... ... ... ... ... ... 22 8 3} Christchurch ... ... ... ... ... ... 18 4 9| Seacliff ... ... ... ... ... ... ... 23 4 l| Hokitika ... ... ... ... ... ... ... 24 0 4| Nelson ... ... ... ... ... ... ... 21 2 6 Wellington... ... ... ... ... ... ... 21 7 9£ Porirua ... ... ... ... ... ... ... 20 18 9f

MEDICAL SUPEBINTENDENTS' EEPOETS.

AUCKLAND ASYLUM. Sib,— I beg to submit to you the following report on the Auckland Lunatic Asylum for 1895 : During the early part of the year, until the middle of February, Dr. Burns was Medical Superintendent in charge. The difficulties to contend with must have been considerable. The closing days of the previous year had witnessed the total destruction of the Auxiliary Asylum by fire—a catastrophe whereby about a hundred of the male patients were suddenly" deprived of accommodation. The state of matters was all the more serious owing to the already overcrowded condition of the male wards in the main building. As a temporary measure to tide over the difficulty, the Quarantine Station on Motuihi Island was prepared for the reception of sixty of the patients, and forty others were not uncomfortably provided for in the new farm-build-ings. As autumn advanced it became apparent that the Quarantine Station would be impracticable as an asylum during the winter months. The patients on the island were therefore brought back to the Auckland Asylum early in April, and for their reception I had to make certain alterations in the arrangement of the institution. The female patients' dining-hall was converted into a male patients' day-room, and two day-rooms on the male side of the asylum were fitted

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up as dormitories. These arrangements, although the best under the circumstances, had the disadvantage of diminishing the day-accommodation on both the male and female sides of the institution, and this accommodation was already limited enough. The average number of patients resident during the year was—males, 246; females, 142. The number has shown no tendency to increase. The overcrowding of male patients on the male side of the Asylum is deplorable. In every dormitory the men have had much less cubic space allotted to them than is prescribed by law— many slept in day-rooms and passages. The want of a sufficient number of single bedrooms for restless, noisy, or dangerous patients was also much felt. Some of these had to be associated in dormitories with the quiet and well behaved. Notwithstanding the overcrowding, the general health of the inmates has been wonderfully good throughout the year. As regards the admissions, it will be noted that a large proportion (25 per cent.) of the male patients came from the gumfields. A gumdigger's means of livelihood is precarious, his standard of living is low, and often he is a man who has proved himself a failure in other walks of life. These, I think, are some of the considerations which account for the large proportion who become insane from year to year. The Asylum obituary-list for 1895 is unusually large. Of the twenty-three male patients who died, the majority were chronic cases, and past the prime of life. Five were between 50 and 60, six between 60 and 70, three between 70 and 80, and one over 80 years of age. It is remarkable that one of these senile cases had been an inmate for thirty-two years. Six men died of general paralysis of the insane, their ages ranging between 36 and 52. Of the seven female patients who died, all were chronic cases of insanity. Five of them had been upwards of twelve years in the Asylum ; one had been an inmate for twenty-three years. The number of patients discharged recovered during the year was thirty-six—twenty-two males and fourteen females. This makes the percentage of recoveries somewhat lower than in 1894, but in that year the percentage was exceptionally high. As one of the best means of improving the mental state of the patients, every effort has been made to induce as many as possible to employ themselves usefully. Unfortunately for the females, the variety of their occupation is somewhat limited. Some of the men were employed at their trades. A large number worked in the garden and on the farm, not only in maintaining the property and cultivating produce for consumption, but much has been done by them in the way of improvements. The orchard has been enlarged, and upwards of five hundred new fruit-trees planted. Unusually fine piggeries have been erected on a suitable site. Some progress has been made in reclaiming rocky ground, which forms so large a proportion of the Asylum property. The sewage irrigation scheme has also been practically completed. This work serves its purpose admirably, and very materially adds to the productive capacity of both the vegetable-garden and the farm. Unfortunately during the year actinomycosis made its appearance in the herd of dairy cows. As soon as the disease was recognised the affected animals were isolated and destroyed. An entertainment for the patients—usually a dance—has been held every alternate Thursday evening, and all patients fit to join have been encouraged to attend. Occasionally a concert or other entertainment was kindly given by friends from Auckland. Eeligious services have been held at the Asylum every Sunday afternoon, and were well attended by the patients. Thanks are due to Mr. Shalders, the Eev. Mr. Larkins, and other ministers and laymen who officiated. . There have been very few changes in the staff of officials. I wish to take this opportunity of acknowledging the aid I received from Dr. Beattie, the Assistant Medical Officer. I found him a valuable colleague. I have, &c, Geay Hassell, M.D., The Inspector of Asylums. Medical Superintendent.

CHEISTCHUECH ASYLUM. Sir,— I have the honour to forward my first annual report on this Asylum for the year 1895, and gladly avail myself of this opportunity to record my grateful appreciation of the generous treatment accorded me by the Government in the matter of extended leave of absence, which enabled me to resume my duty in the early part of last year with renewed health and energy. I wish also to acknowledge the zeal and loyalty with which their duties were carried out by my fellow officers and the staff generally under Dr. Gray Hassell, who acted as temporary Medical Superintendent during my absence, and owing to whose ability and care the efficient and economic working of the institution was fully maintained. On resuming my duties, I found that good progress had been made with the erection of the new laundry, and it was hoped that a few months would suffice for its completion and fitting up. I regret, however, to say that this has proved delusive, for at present, nearly fifteen months afterwards, and about two years since it was started, there is no very definite prospect as to when it will be ready for work. This lamentable state of things is due to the piecemeal progress with which the work of completion and furnishing had been carried out, which cannot fail to make the whole more costly, while the delay has and is causing great embarrassment in the working of the Asylum. The fittings, instead of being selected with some fixed idea of the requirements, and ordered in advance, have been supplied in driblets, and some of them (the most important and necessary of all) have only comparatively recently been ordered from America, so that I fear the winter, already on us, will be well advanced, if not passed, before the new laundry is ready for occupation. The present makeshift accommodation, which has gone from bad to worse, has for several years been altogether too small for the requirements of such an institution, and I regard with

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dismay the impossibility of getting the necessary work for the vastly increased number of patients done in it for another winter. The removal of the engine and pumping machinery, and their re-erection in connection with the new boilers supplied by Messrs. Scott Brothers in the new engine-house at the back of the main building, from which it is almost entirely detached, was carried out with the least possible inconvenience, under the direction of Mr. Anderson, early in the year, and has given much satisfaction. The heating of the large dining-hall and recreation-room, and of the male and female infirmary dormitories, by means of steam radiators was effected at the same time, as part of the alteration of the general steam service, and has already proved a great source of comfort to the inmates, as well as highly beneficial in the treatment of sick and infirm patients. For several years I had urged on you the importance and necessity of this work from a sanitary point of view, and I am glad to be able to record that it has been at length carried out. This extension and alteration of the steam service necessitated the appointment of a more highly qualified and experienced officer as engineer at a higher salary, and I have pleasure in stating that Mr. Border, who was selected out of a large number of applicants, has fully justified his choice by his work so far. By the appointment of a competent assistant engineer, who has had considerable experience as a plumber and fitter, this department is now well served, and one or other officer is always on the premises in case of emergency, such as fire, night or day. The new w.c. block attached to the male infirmary and corresponding ward on the first floor has proved a great sanitary improvement, but the workmanship is so bad that the supervision must have been negligent, for two of the windows, with their frames complete, were blown in and deposited on the floor during gales of wind, while neither the walls nor the roof are waterproof. At certain parts of the male division of the building (as already carried out in the restoration of the female division) the partition-walls have been built through the roof to the height of about 2ft., and iron or iron-lined fire-proof doors inserted in the doorways in the interior throughout the attic spaces; these precautions, together with the fire-alarm system and the fire brigade, now fully organized and regularly drilled from amongst the staff, should, I trust, prove sufficient to prevent the spread of any outbreak that may occur. The plastering of the female division, which proved so very defective and formed such an eyesore in the wards since their restoration, has all been removed to the necessary depth and replaced in cement by the Asylum staff. This occupied a great many months, and, besides being an expensive undertaking, caused much inconvenience in the working of the Asylum; but it was absolutely necessary, as the walls could not otherwise be painted or decorated, and it is hoped that the work will now prove durable. Several of the wards, male and female, have been repainted and decorated, also by the Asylum staff, to the general appearance of improved comfort and cheerfulness, and I hope to continue this work throughout the building. I much regret that, owing to financial considerations, the uniform supplied to the male attendants has had to be discontinued, and I trust that it may shortly be possible to replace it. Those unacquainted with the administration of an institution of this nature can hardly realise the difference it makes, alike in its effects on the patients and the esprit de corps of the staff. The salaries and leave of absence of the male and female attendants have been readjusted on a most liberal scale, and it is hoped they will show their appreciation of it by increased zeal and fidelity in their duties. Towards the close of the year two cases of illness—one in a male attendant, the other in a female patient—developed symptoms of typhoid fever; but, owing to the prompt action oE the Assistant Medical Officer, in my absence on leave, in taking the necessary steps to prevent the spread of the disease, no others have occurred, and both have made satisfactory recoveries. As regards the case of the attendant, it is, of course, probable that the disease was contracted outside, but it is exceedingly difficult to account for its origin in the case of the patient, who had been here for several years without any communication with the outside world, except an occasional visit from her friends. A great improvement has been effected in the laying-out and planting of the previously rough and unsightly ground —about three acres—in front of the Asylum during last winter, and already, though the season was most unfavourable for such work, this ornamental garden, with its fountain and pond and profusion of gay flowers, forms quite a pleasing feature in the landscape, which I hope to extend during the coming winter months. On my urgent recommendation a 50-acre block of excellent land adjoining our farm on two sides, the main road forming a third boundary, has been leased from the Church Property Trustees at a very reasonable rent for a term of about eight years; and, although it was taken over in a very dirty and neglected condition, I anticipate that it will speedily prove a great source of revenue under proper treatment, and at the same time afford varied and healthy outdoor occupation for a large number of the male patients. We have now about 250 acres of mixed land for this purpose. This form of employment is, I think I may say ; now generally regarded as the most salutary treatment available to the asylum physician, and it is exceedingly gratifying to me to look back to the fact that I am largely responsible for its introduction and development in this colony. In connection with this subject I may mention that Dr. Norton Manning, the Inspector of Asylums for New South Wales, than whom few, if any, are better qualified to speak, at a recent visit here, was very greatly impressed by the advantages of our large farm as a source of healthy occupation for our male patients. Would that we could find some equally healthy and soothing employment for our female inmates, and until we succeed in this I fear they must continue to contrast unfavourably with our men as regards rowdiness, noisy and destructive habits, and sleeplessness.

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As your own report, presented annually to Parliament, will deal exhaustively with the statistics of the several asylums of the colony, it does not seem necessary to touch on the subject to any extent here, but it has occurred to me that the following particulars in connection therewith may be of some interest. There were 116 admissions, including 20 readmissions, during the year 1895, viz.—s2 males and 64 females, inclusive of 31 females transferred from the Wellington Asylum—of which number 27 have been discharged relieved or recovered up to date, including two discharged after escape, and 16 have died, leaving a residuum of 73. This is an apparently very low percentage of recoveries, but, for comparative purposes, the thirty-one patients transferred from Wellington must be deducted, being entirely chronic and hopelessly incurable patients, while of the remainder not more than a dozen can be regarded as curable, thus leaving a substantial accumulation of the year's admissions for which accommodation must be provided. As bearing on this subject, I may be permitted to draw attention to the greatly overcrowded state of the sleeping-accommodation in the male division, where there are now thirty-seven patients scattered all about the wards sleeping on " shakedowns" on the floor. A peculiar and interesting feature in connection with the admissions is the very few cases of general paralysis seen in our asylums compared with similar institutions in Great Britain and even New South Wales, where Dr. Norton Manning informs me that disease is often met with. I think this comparative rarity of that peculiarly fatal affection is, in all probability, chiefly responsible for the difference in the death-rate in favour of our asylums compared with those of the Old Country. Another remarkable circumstance connected with our patients is the large number of cases of goitre met with among them, both sexes and, more or less, all ages being affected by it. Many of these arise during residence in the asylum, while others admitted from different districts already suffer from that disease, which, unlike that above referred to, is at least comparatively harmless, though unsightly. I am quite unable to account for either of these interesting features in connection with the insanity of Canterbury. The total deaths for the year numbered 32—namely, 19 men and 13 women, which gives an unusually high death-rate as against an exceedingly low one the previous year. A severe outbreak of influenza towards the close of the year was largely responsible for this increased rate of mortality, while the causes, certified after the usual inquest, and, in many cases, post-mortem examination, were those ordinarily found in asylum statistics. I am glad to be able to report that there were no suicides or accidents involving life, or serious permanent injury, and, with the exception of one case of fracture of the leg, caused by a rough push from a fellow-patient, both females, the accidents were of a trivial nature. I have, &c, Edwd. G. Levinge, M.8., The Inspector of Asylums. Medical Superintendent.

SEACLIEF ASYLUM. Sib,— I have the honour to report that at the beginning of the year there were 547 patients in the Asylum. During the year eighty-nine—forty-seven men and forty-two women—were admitted ; of these, seventy-eight were admitted for the first time, and eleven were re-admissions. The whole number under treatment during the year was 636, the average number resident was 547, and the average number absent on probation from ten to twelve. There remained in the Asylum at the close of the year 346 men and 215 women —in all, 561 patients. The number of admissions was eighty-nine (being seven less than the previous year), and the number discharged relieved and recovered was forty-one (being two less than the previous year, the proportion of discharges to the admissions being thus 1 per cent, higher in 1895 than in 1894—■ namely, 46 per cent, as compared with 45 per cent. The number of deaths during the past year has been unusually high—namely, sB per cent., as against 43 per cent, the previous year. This has been due to a variety of circumstances which have tended in the same direction. The extreme severity of the winter has caused a considerable number of deaths from pulmonary conditions, and there have been in the Asylum an unusually large number of comparatively recent admissions suffering from affections necessarily fatal within a short time. Outstanding among these last were five patients who died from general paralysis of the insane. Contrasting forcibly with these legitimate asylum cases, we have had to admit a considerable number of persons certified as insane who ought to have been treated in their own homes, or removed to charitable institutions, or who, being inmates of such institutions, ought, if possible, to have been retained there. Year by year the tendency increases to certify to the asylum moribund persons, worn out by old age and other causes, and who, though technically insane, are so only as a symptom of approaohing death. It is a significant fact that the proportion of persons over sixty years of age certified as insane is now more than double what it was ten years ago. The proportionate death-rate has been further augmented by the drafting of healthy adults to Porirua. The overcrowding of the Asylum still continues, but the effect of this is minimised by improved drainage, ventilation, and other hygienic measures. Erysipelas and ulcerated throats, which were formerly prevalent, have been entirely eradicated. During the winter several cases of typhoid fever developed, which were traced to the drainage from some pig-sties gaining access to the drinkingwater. On cutting off the water from this source the epidemic ceased. All the patients who have been in any way fit for work have been kept employed at various occupations—the men mainly at the farm, garden, workshops, &c.; the women in the laundry, kitchen, sewing-rooms, &c. —the average number employed being 425.

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In spite of the large number of patients scattered over the estate at the various works, no serious accidents have resulted throughout the year. One patient, an advanced general paralytic, died from choking, notwithstanding all efforts to resuscitate him. Religious services have been conducted weekly. Eecreations and amusements, such as sports, picnics, walking parties, theatrical entertainments, dances, concerts, &c, have been provided as usual, in addition to the stock amusements of billiards, cards, &c. Considerable inconvenience was experienced during the winter on the women's side, owing to the slipping of the ground, which necessitated the entire isolation of the north wing and corridors by means of a dividing cut (involving various secondary alterations), which it is believed will prevent any further difficulty in this direction in future. The laundry, which was inadequate to the requirements of the institution, has been extended, and completely equipped with good machinery, and now works admirably. A large enclosure for the male patients unable to be at work, which was laid out and planted the previous year, has proved of great benefit, and a similar but more extensive park for women is now being laid out to the north of the main building. These parks command beautiful views of the sea and surrounding country, and are a great contrast to the old walled airing-courts at the back of the building. Large additions have been made to the Asylum library during the year. The thanks of the institution are due to the Otago Witness Company for copies of their journal, supplied free, and to various persons who have sent books and periodicals, and have kindly given presents for the Christmas-trees, &c. ; also to entertainment companies for their gratuitous services. To the officers and staff I have to convey my thanks for their hearty co-operation in carrying out the work of the institution. I have, &c, P. Teuby King, Medical Superintendent.

WELLINGTON ASYLUM. Sir,— In submitting my report for Mount View for the year 1895, I regret that circumstances prevent me giving more than a somewhat meagre resume of the year's work. In the first place, it was only at the latter end of April that I resumed charge of this Asylum, after twelve months' absence at Seacliff, and, in the second, having since been removed to Auckland, I have only statistics and my own recollection to avail myself of. The detachment of Porirua from the responsibilities of the Superintendent at Mount View was felt as a great relief, as, on account of the high admission rate, one's time and attention was fully occupied in the latter institution alone ; more especially as the constantly increasing pressure of overcrowding remained, as for years past, one of the heaviest burdens in administration. Some relief to the congestion was afforded by the construction of ten single rooms and a dormitory for twenty-two beds ; but even this provision was out of all proportion inadequate, and considerably less than I asked for more than two years ago, as necessary to provide sleeping-accommodation for the then population, and for some years the yearly increase in the number of inmates has averaged over thirty. Meanwhile the day-room and dining-room accommodation is becoming more and more hopelessly insufficient to meet requirements, and the endeavour to do justice to one's patients under such circumstances has been a task trying in the extreme. That no serious accident has resulted is a matter to be devoutly thankful for. During the year a draft of thirty females was sent to Sunnyside, this being the third within four years, the number transferred during that time almost equalling the remaining population of the female side. An almost similar result has occurred on the male side, so that almost half the population of Mount View has been transferred to other asylums during the last few years. During the year the labour of the patients has been employed mainly in the garden, in excavating for the erection of the additions mentioned, and in preparing a new airing-court to enable us to do away with the cramped and unsuitable yard used by a small number of those patients who require most closely supervising. ' The admission of a large number of artisan patients has enabled me to carry out several alterations and improvements in water-closets and lavatories, &c, to construct a brick oven for the kitchen, and other minor works. The work of repainting the building has also been pushed on, so that within the last three years almost the whole of the building has been repainted inside and out by asylum labour alone. As Mount View has no farm, our economical results, as far as production is concerned, amount to little, though a fair income is made by the sale of pigs. Medically the year was a busy and" interesting one. Not only was the total number of cases admitted the highest we have yet had, but there was an unusually high proportion of acute cases. The percentage of recoveries was also high, being 43-3 per cent. Of 127 cases admitted (males 78, females 49), 109 were received for the first time, and of these 73 were males and 36 females. There were thirty-three recoveries among the males and twenty-two of the females, a total of fifty-five. In addition to these, eleven males and four females were discharged relieved, while eighteen males and eight females died. The list of causes of illness calls for little comment, except that it is noticeable that only ten cases were attributed to drink. In spite of the large number of acute cases and the overcrowding, no restraint was used during the year. Though lam convinced that in certain cases judicious restraint is absolutely the best treatment, and I do not hesitate to adopt it when necessary or desirable, such cases occur but rarely when the attendants know their work. Certainly no harm, but the reverse, has come from the infrequency of the use of restraint in Mount View.

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I cannot here refrain from expressing my regret at what I can only call the demoralisation of the staff through the sense of insecurity induced by the result of a vindictive attack by certain individuals who, though utterly failing to substantiate their charges, succeeded in gaining their object of making some members of the staff suffer. I refer to the matter of the surprise inquiry held at the end of the year, the net result of which was to impress the staff with the feeling that ■the security of their positions was in no wise dependent on good conduct and good service, but was at the mercy of any vindictive criminal or discharged servant who wished to make things unpleasant. This was naturally most keenly felt by the more intelligent and desirable members of the staff, whose numerous resignations in consequence are evidence of this feeling. On the female side, in order to make more suitable provision for the treatment of convalescent patients and those requiring special care, I have just completed a rearrangement of the wards. This will provide greater privacy and dissociation of such cases from the more badly behaved and excited. During the fine weather, at least once a week a number of suitable patients were sent to spend the day at the seaside, and these excursions were not only much enjoyable, but proved very beneficial. It will be seen from the statistical tables that there are still in the Asylum several children under fifteen years of age. It is highly desirable that some provision should be made for the separate care of these mentally deficient children. The presence of those of such tender years are a disadvantage, both to the institution and themselves, when they have to mix with the ordinary adult insane, as under present circumstances they must. I have, &c, Benest B. Fooks, M.8., Medical Superintendent.

ENTBIES OF VISITS TO THE DIFFEBENT ASYLUMS. Auckland. 12th September, 1895.—After a careful examination of this Asylum, I am very pleased to be able to say that Dr. Hassell and his staff have, by unremitting attention, succeeded in getting over the winter months without accident or injury to either patients or attendants. The excessive overcrowding will not, I hope, be necessary next winter, but to insure this the utmost energies of the Public Works Department must be exerted. Not a day should be lost in starting the foundations. I was informed in Wellington that had been done several weeks ago. Every branch of the institution indicates how able and vigilant the management is. The total number of patients is 385. Of the 246 male patients, all but 75 are engaged in some kind of useful work, while of the women 45 are unemployed. Two males were dressed in strong loose jackets, one to restrain him from removing surgical dressings, and the other because he is dangerous. Only two men and four women were confined to bed. The dress of the patients is suitabb and clean; the food is of good quality, sufficient in quantity and well cooked. I heard none but the usual complaints arising from the loss of liberty. lam satisfied that the patients are well and kindly treated. The farm-buildings are now complete, except the dairy, which I hope soon to get authority for. The sewage irrigation scheme is answering admirably, and will for the future greatly increase the productiveness of the farm and garden. It will be necessary to add a finishing-room to the laundry, and shift the dryingground to the rear, thus completely secluding the patients who work there. At the same time the wall of the female airing-court must be shifted backward and the ground terraced, so as to take advantage of the splendid view to the west and south. I regret to find that Mrs. Skillen had to get leave of absence through illness. Her place is occupied by Miss Mark. I am surprised and delighted at the state of the Asylum, and I record my thanks to the whole staff for the way in which they have worked since the fire. The services of Mr. Cooper and Mr. Bwington are invaluable. 3rd February, 1896.—I find this Asylum working well in all departments. I was anxious to see how matters had settled down after Dr. Hassell's transfer to Wellington, and to hear how things impressed the new Medical Superintendent, Dr. Fooks. I find, as formerly, the utmost harmony.and good-will throughout. Mrs. Skillen, who has long acted as matron, has, to my great regret, so failed in health as to be obliged to resign. She has been an excellent officer, and the Asylum owes much to her unfailing kindness to her patients and her devotion to her duties. The total number of patients is 383—males, 241; and females, 142. Of the men, 95 were employed to-day on the farm and garden. Two women were confined to bed; all the male patients were up and dressed. I made a careful examination of the food and clothing, with the usual satisfactory result. I was particularly struck with the healthy appearance of the out-door workers, and this is particularly gratifying, considering the discomfort caused by the loss of the old auxiliary building. The new building is now making good progress, now that a plentiful supply of bricks is available. I hope to see it roofed in before the winter, so that work may be carried on without interruption from the weather. Dr. Beattie, the Assistant Medical Officer, has been most assiduous in discharge of his duties, which he has performed to my entire satisfaction. A scheme has been prepared by the Public Works Department for an independent water-supply for the Asylum, which, I have good reason to believe, will be promptly taken in hand. Messrs. Cooper and Ewington are of great assistance, owing to the unflagging interest they take in all that concerns

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the welfare of the Asylum. The usual picnic for the patients is being organized by them, and is eagerly looked forward to by the patients. All the books and documents were in good order, and the stock is carefully looked after. The farm and garden are looking better than I have ever seen them. P.S.—Dr. Hassell has improved this institution so much that his influence for good will be a lasting testimony to his energy and ability as a first-class administrator. Chbistchuech. 28th May, 1895.—1 have visited the Asylum to see the patients recently transferred from Wellington, and to see how the laundry and warming-apparatus were progressing. I visited all the patients who were in bed. Everything is in admirable order. 19th November, 1895.—This Asylum is in admirable order in all its departments. For economy and efficiency it would be hard to beat Dr. Levinge's administration; every detail is looked after with great care, and no one can examine the institution without being impressed by the order and discipline which prevail throughout. The care and attention given to the patients both by Dr. Levinge and Dr. Gane are unremitting. The food, clothing, and bedding are good and sufficient. The total number of patients is 466 —males, 263; females, 203. Of these, seven males and six females were in bed, one man and one woman were secluded, and two of each sex were under restraint; 200 males and 142 females were engaged in work of some kind. The Eestraint Eegister is properly kept, and all the books and documents are in order. The farm is in excellent order, and the crops are very promising. lam disappointed to find that the laundry is still unfinished. The drying-ground and new airing-courts are to be taken in hand by the Asylum staff, and will be completed before long. I have heard no complaints from any of the attendants, and a good spirit seems to pervade the place. Some difficulty has been experienced recently about the recommittal of cases where a difference of opinion existed between the doctors about their fitness for discharge. Every effort is made not to detain any one unnecessarily in the Asylum, and great pains are taken to minimise restrictions on liberty. The Official Visitors pay frequent visits, and are very solicitous about the welfare of the patients and the working of the Asylum as a whole. P.S.—Dr.' Levinge has represented to me that on the forenoons of the two visiting-days very few patients' friends appear, but that two attendants have to be on duty in the waiting-rooms. I have agreed that the afternoons will be sufficient for the future for receiving patients' friends. 9th April, 1896. —I visited the Asylum to-day to see what progress was being made with the new airing-courts. Good progress is being made, and next summer they will be ready for use, to the great relief of the patients on the female side. The drying-green is also being got ready. I visited every part of the Asylum, and saw all the patients who were confined to bed. I found everything in perfect order. Seacliff. 13th November, 1895.—1 have completed my inspection of this Asylum, and find that the health of the patients is good, their food and clothing suitable and sufficient. Four men and four women are confined to bed. The number of men engaged out of doors is 245. In addition to these, 28, are employed in various ways in-doors. The total number of patients is 552—males, 344 ; and women, 208. The new male airing-court is now in use, and it has proved a great boon to those who used to spend so much of their time in the closed-in yards at the rear of the building. I hope that before my next visit a similar provision will be made on the female side. This will have a great effect on the health and spirits of the patients, and perhaps help to make the refractory ward quieter. The new laundry is in full working-order, and is very convenient. Great progress has been made in painting and decorating the wards. The amusements of the patients are well looked after. At Dr. King's instance, 1 have laid a request before the Eailway Department to grant facilities for bringing musical and other clubs from Dunedin who have kindly offered to give occasional entertainments —a matter of great moment in an isolated place like Seacliff. All departments of the Asylum are working well, and the staff are harmonious and contented. Dr. King, I am glad to find, is in much better health than when I saw him last, and I believe the fine weather which we may now expect will restore him. Dr. Craig is very attentive to his duties. Mr. Farrant, the head attendant, promises well. A considerable reduction is observable in the expenditure, but it is imperative that it be still further reduced. A large number of beautiful pictures have been presented by Dr. King. 13th March, 1896.—This Asylum, after careful examination, I find to be in excellent order. Dr. King's enthusiastic devotion is reflected in all its departments. The one feature in which the state of the patients compared unfavourably with the other asylums was the noisy and excitable condition of the female refractory ward. This I have always recognised was largely due to the lack of suitable airing-courts. Before next visit I hope to see the new airing-court in use, and it will, T am confident, be unequalled for beauty and salubrity. The works are now in progress. It is intended to have a sunk fence, which shall not be visible, as a restraint. The male airing-court will be dealt with in the same way. The new laundry is giving great satisfaction. The great feature of Seacliff is its unrivalled beauty of situation, and it is a great pleasure every visit to see what progress is being made towards making this place what it ought to be, the finest asylum site in the Hemisphere, if not in the world. Dr. King is working unremittingly towards this end. The "population tnis day consists of 244 males and 209 women ; total, 553. Five men and six women are confined to bed; one man and one woman are under restraint for sufficient reasons. The outside workers number 214. I can usually tell these by their bright and healthy appearance. Every yeai still further confirms my confidence in this means of combating mental disease. There have been no accidents at Seacliff for a long time, but recently there has been a case of fractured rib, an attack by a patient on another, armed with a spade, resulted in nothing more serious than a cut. Three

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old people have intracapsular fractures of the femur, got by falls. This is an unusual concentration of accidents, but I am satisfied none of them are due to carelessness. The Deputy Inspector, Mr. Chapman, and Mr. Garadus and Miss Morrison, who are deeply interested in the Asylum, and make themselves thoroughly familiar with its working, send reports of their visits to my office at each visit. P.S.—There are two cases of extraordinary difficulty now in the Asylum. Being both welleducated men (who are to a large extent, indistinguishable by ordinary observers from men who are perfectly sane), they take advantage of every privilege or kindness that is shown to them to make mischief among the patients, insult the attendants and the doctors, so that it is necessary to keep them apart, which involves hardship to either the one or the other. HOKITIKA. 14th January, 1896.—1 have this day examined the working and management of this AslyumI find the total number of patients to be 103 —males, 68 ; and females, 35. Of these, 59 males and 23 women are engaged in some kind of useful employment. Only one man was in bed, suffering from carcinoma ; I satisfied myself that he was being properly cared for. In consultation with Dr. Macandrew, I examined all the patients. All are well clothed, well fed, and have clean and comfortable beds. lam pleased with the care and attention given to the patients. The whole staff are evidently efficient and attentive to their duties. I never saw any institution in better order. Dr. Macandrew is very attentive. The books are all in order. The stock is accurately returned. All the statutory documents were examined and found correct. The entertainments are regularly carried on every week. A new day-room has been provided on the male side for the more aged and helpless patients, and a very neat waiting-room has been built on the female side. It is always a pleasure to visit this Asylum. Nelson. 23rd January, 1896.—T0-day and yesterday I was engaged in my usual inspection of this Aslyum. The total number of patients is 125—men, 72 ; women, 53. Of these, all but 17 are engaged daily in some healthful occupation. I found none under any form of restraint, and none in seclusion or confined to bed. The food was good in quality, and well cooked. Every part of the Asylum is clean and in good order. The Asylum suffers, however, like every other institution of the kind in the colony, from overcrowding. This fact greatly increases the work and responsibility of the Superintendent and his officers ; but, so far, they have nobly responded by their vigilance and devotion to their duties. .For nearly seven years Mr. and Mrs. Morrison have managed the Asylum to my entire satisfaction, and I hope that next year the Government will see their way to acknowledging their good services. I regret that Dr. Boor, whose long connection with the Asylum as its Medical Officer has been so satisfactory to the Government and to the public, has suffered of late from failing health. I hope his well deserved holiday will have the effect of restoring his services to the Asylum. Mr. Fell, the Deputy Inspector, and Mr. Melhuish, the Official Visitor, are of great service in visiting the Asylum, thus assuring the public mind, and keeping the department informed from time to time of matters requiring attention. A new dairy is urgently required. The cottage dormitory is almost too dilapidated for further use. I hope to induce the Government to acknowledge Mr. and Mrs. Morrison's services by providing them with a house near the Asylum. All the books and statutory documents are in order, save the Case Book and Medical Journal, which for the present I permitted Dr. Boor to omit, owing to his state of health. Wellington. 16th October, 1895. —To-day and yesterday I was engaged in inspecting this Asylum. The state of the institution as a whole is satisfactory, when allowance is made for overcrowding. The old lavatory in the front female ward requires to be renewed. The interior airing-courts being full (owing to repairs going on in the inside one), were noisy. The state of the refractory patients, owing to this temporary deprivation, was an impressive demonstration of the importance of a good view of the surrounding country as a means of interesting and soothing even the most unruly patients. The linoleum in the corridors of the refractory wards is getting into a bad state, and will have to be replaced as soon as our means allow. The total number of patients is 180 men and ninety-nine women. I examined them all, paying particular attention to recent cases, and making special examinations of some cases with regard to which complaints had been made. One woman in particular, whose friends were making an outcry about her being improperly detained, and whose manner on all ordinary occasions would deceive all but an expert, so sensible and ladylike was her manner and conversation, behaved in my presence and several of the other officers in such an outrageous way as could not be described. There are always in our asylums cases of this kind, which, owing to the free access given in our asylums to non-professional persons either as officials or as friends, give rise to the idea that some persons are improperly detained. I need not say that the greatest care is taken here, as in all our asylums, to avoid anything of this kind. Indeed, our temptations are all the other way, for every vacancy we can make is a distinct relief. A gentleman who had taken up the case of the woman referred to from a misguided sense of duty was very much astonished and ashamed of his conduct to-day when I told him the scenes that I had myself witnessed. Only two men and two women were confined to bed. All were being properly cared for. I was pleased to find that there was no entry in the Bestraints Eegister since my last visit. Only thirty men and eighteen women are incapable of being interested in some kind of employment. The stock I found well cared for, and the stocksheets accurate. I examined the stores, and found everything of good quality. I noticed an improvement in the nurses' table, due to Mrs. Neill's representations some time ago. I interviewed the cook, and urged on him the necessity of strict attention to this matter. I authorised the building of a new brick oven to replace the old one. The statutory books and documents were all in good order. The fire apparatus, under Captain Hennah's directions, is made thoroughly efficient, and is well looked after. I heard no complaints from any member of the staff. 2—H. 7.

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POBIEUA. 15th May, 1895.—Found everything in good order. Object of visit, to confer with Dr. Burns and Mr. Dunbar regarding farm arrangements and requirements. 7th August, 1895. —Conferred with Dr. Burns and Mr. Dunbar about laying out and planting the grounds. Found everything in good order. Ashbuen Hall. 9th November, 1895.—1 have examined every patient in this Asylum. None are unnecessarily detained. One very violent and destructive case was in a camisole, with my full approval. One was confined owing to a sudden maniacal attack. Every case is receiving proper attention. The rooms are clean and comfortable, and well ventilated. The male side requires an extension similar to that provided for the women, which is admirably designed for its purpose. I examined the dinner, and found it of first-rate quality, carefully cooked, and nicely served. This institution is creditable to the proprietors, and a great boon to the public. P.S.—All the statutory books and papers are in order. Number in this day —males, 22; females, 17 ; out on trial—female, 1: total, 40. 14th March, 1896. —After careful examination of this institution, and of every patient in it, I have no difficulty in reporting that, as regards care of the patients, their rational and moral treatment, their food and lodging, it is the best place for treating the mentally diseased that I know of. I refrain from making any remark regarding the case of the late Mr. McAlister for obvious reasons. Some effort should be made to induce one or two of the patients, whose cases I have discussed with Mr. Hume, to interest themselves in some light out-door occupation as a means of diverting their morbid broodings. Dr. Alexander, Mr. Hume, and myself have frequently discussed the best means of conducting the Asylum when Mr. Hume should decide to retire because of advancing age, a step which he has contemplated for some time. Negotiations have been on foot for some time with this object, and I hope soon to see some satisfactory arrangement arrived at. I have, &c, D. MacGbegob, M.A., M.8., Inspector of Asylums.

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APPENDIX.

Table I. —Showing the Admissions, Readmissions, Discharges, and Deaths in Asylums during the Year 1895.

Table II.—Admissions, Discharges, and Deaths, with the Mean Annual Mortality and Proportion of Recoveries, &c., per Cent. on the Admissions during the Year 1895.

Table II.— continued.

Table II. — continued.

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M. F. T. M. 1,308 F. T. 860 2,168 In asylums, 1st January, 1895 Admitted for the first time Readmitted 342 37 267 35 609 72 I 379 302 681 Total under care during the year Discharged and removed— Recovered Relieved Not improved Died 105 24 128 101 77 19 139 42 182 43 267 143 1,687 1,162 2,849 358 277 635 Remaining in asylums, 31st December, 1895 .. 1,329 885 2,214 Increase over 31st December, 1894 21 25 46 Average number resident during the year 1,313 849 2,162

Admissions in 1895. Total Number Asylum . In Asylums 1st January, 1895. Admitted for the d.-mm First Time. Readmitted. Total. Patients under Care. Auckland Christchurch Dunedin (Seacliff) Hokitika Nelson Wellington Porirua Ashburn Hall (private asylum) M. I\ 249 148 250 174 342 205 71 38 72 50 301 227 T. 397 424 547 109 122 528 M. P. T. 39 15 54 40 56 *96 40 38 78 9 4 13 10 5 15 73 36 109 127 106 +233 4 7 11 M. . I>. 9 7 12 8 7 4 4 "3 5 13 T. 16 20 11 7 18 M. F. T. 48 22 70 52 64 116 47 42 89 9 4 13 14 8 22 78 49 127 127 106 233 4 7 11 M. 297 302 389 80 86 379 127 27 170 238 247 42 58 276 106 25 T. 467 540 636 122 144 655 233 52 23 18 41 Totals .. 1,308 860 2,168 342 267 609 37 35 72 379 302 681 1,687 1,162 2,849 « Including 31 females transferred from Wellington Asylum. t These patients were formerly included in Wellington Asylum.

Patients Discharged and Died. In AsylumB on 31st December 1895. Discharged recovered. Discharged not recovered. Died. Total Discharged and Died. .uckland .. Jhristchurch )unedin (Seacliff) lokitika Telson Vellington 'orirua .shburn Hall (private asylum) M. 22 20 15 3 8 33 1 3 F. 14 17 14 3 4 22 0 3 T. 36 37 29 6 12 55 1 6 M. F. T. 6 3 9 2 3 5 3 11 14 112 M. 23 19 25 7 7 18 2 0 F. 7 13 7 1 1 ■ 8 1 4 T. 30 32 32 8 8 26 3 4 M. F. T. 51 24 75 41 33 74 43 32 75 11 5 16 15 5 20 190 169 359 3 14 4 8 12 M. F. 246 146 261 205 346 215 69 37 71 53 189 107 124 105 23 17 T. 392 466 561 106 124 296 229 40 139 139 *278 112 Totals 105 77 182 152 158 310 101 42 143 358 277 635 1,329 885 2,214 * Including 127 males and 137 females transferred.

Asylums. Average Number resident during the Year. Percentage of Recoveries on Admissions during the Year. Percentage of Deaths on Average Number resident during the Year. Percentage of Deaths on the Admissions. .uckland 'hristchurch .. )unedin (Seacliff) lokitika lelson Vellington 'orirua .shbum Hall (private asylum) .. M. F. 246 142 260 191 345 202 71 36 70 49 172 105 126 106 23 18 T. 388 451 547 107 119 277 232 41 M. F. T. 45-83 63-63 51-43 38-46 "51-51 *43-53 31-91 33-33 32-58 33-33 75-00 46-15 57-14 50-00 54-54 42-31 44-90 43-30 M. F. T. 9-35 4-93 7-73 7-31 6-81 7-10 7-24 3-46 5-85 9'85 2-77 7-47 10-00 2-04 6'72 10-46 7-62 9-39 1-58 0-94 1-29 0-00 22-22 9-75 M. F. T. 47-92 31-82 42-85 36-54 "39-39 *37-64 53-19 16-66 35-95 77-77 25-00 61-53 50-00 12-50 36-36 23-07 16-32 20-47 75-00 42-85 54-54 0-00 57-14 36-36 Totals 1,313 849 2,162 +41-27 +46-66 +43-40 7-69 4-94 6-61 +40-08 +25-45 +34-29 * 31 females transferred from Well: lales and 106 females transferred fron ington not included, l Wellington to Poriri t 31 females transferred from Wellington to Christchurch, and 12 la, not included.

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Table III.—Ages of Admissions.

Table IV.—Duration of Disorder on Admission.

Table V. —Ages of Patients discharged "Recovered" and "Not recovered" during the Year 1895.

Table V. — continued.

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Ages. Auckland. Christchurch. Dunedin (Seacliff). Hokitika. Nelson. Wellington. Porirua. Ashburn Hall (Private Asylum). Total. Under 5 years Prom 5 to 10 years , 10 „ 15 , , 15 „ 20 „ „ 20 „ 30 , „ 30 „ 40 „ „ 40 „ 50 „ i 50 „ 60 „ » 60 „ 70 „ „ 70 „ 80 „ „ 80 „ 90 „ Unknown M. F. T. 0 11 10 1 10 1 112 12 6 18 17 5 22 7 18 6 5 11 3 2 5 M. F. T.i 4 1 5 15 17 32 : 10 18 28 10 13 23 6 8 14 7 4 11 i 0 2 2 M. F. T. 2 5 7 14 10 24 6 4 10 7 9 16 12 8 20 4 6 10 2 0 2 M. F. T. 112 112 112 2 0 2 M. F. tJ 10 1 Oil 3 3 6; 1 1 21 3 3 6 1 2 0 2 4 0 4 1 M. F. T. 10 1 2 3 5 16 10 26 22 14 36 16 13 29 14 5 19 3 4 7 4 0 4 M. F. T. 112 13 3 16 33 24 57 35 23 58 23 21 44 1 12 7 19 1 6 1 7> M. F. T. 10 1 13 4 13 4 10 1 Oil M. F. T. Oil 10 1 3 0 3 11 13 24 75 50 125 91 70 161 81 65 146 64 47 111 36 25 61 13 3 16 3 14 10 1 0 1 1 0 1 1 4 26 30 1 4 *28 32 Totals 78 49 127 48 22 70J ;52 64 116 47 42 89 9 4 13 14 8 22 127 106 233, 4 7 11 379 302 681

Auckland. Christ- Dunedin church. (Seacliff). Hokitika. Nelson. Wellington. Porirua. Ashburn Hall (Private Asylum). Total. First Class (first attack, and within 3 mos. on admis sion) Second 'Class (first attack, above 3 mos. and within 12 mos. on admission) Third Class (not first attack, and within 12 mos. on admission) Fourth Class (first attack or not, but of more than 12 mos. on admission) Unknown M. F. T. 25 11 36 M. F. T. 25 13 38 M. F. T. 16 20 36 M. F. T. 5 2 7 M. F. T. 7 3 10 M. F. T. 53 23 76 M. F. T. 42 14 56 M. F. T, 3 4 7 M. F. T. 176 90 266 6 0 6 3 0 3 6 4 10 3 2 5 10 5 15 9 6 15 37 17 54 13 7 20 14 10 21 16 11 27 2 4 6 3 0 3 48 32 80 4 4 8 5 5 10 4 5 9 5 1 6 12 21 33 76 86 162 13 4 107 125 232 5 36 41 10 1 11 38 49 5 2 7 Totals 48 22 70 52 64 116 47 42 89 9 4 13 14 8 22 78 49 127 127 106 233 4 7 11 379 302 681

Auckland. Christchurch. Dunedin (Seaoliff). Hokitika. Ages. Eecovered re ™ md Eecovered Ie^*lai Eec0 ™ rea | recovered Eecovered Not recovered. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. M. P. T. 'rom 5 to 10 years , 10 „ 15 „ „ 15 „ 20 „ „ 20 „ 30 „ „ 30 „ 40 » „ 40 „ 50 „ „ 50 „ 60 „ „ 60 „ 70 „ „ 70 „ 80 „ „ 80 „ 90 „ Inknown 4 6 10 8 2 10 4 3 7 5 3 8 10 1 1 0 1 1 l" 2 2 0 2 1 0 1 112 Oil 2 13 5 16 4 5 9 5 3 8 15 6 3 14 112 Oil Oil 10 1 10 1 4 5 9 2 2 4 2 5 7 4 2 6 10 1 10 1 112 0 4 4 0 6 6 2 0 2 1 0 1 Oil Oil Oil 10 1 Oil 2 0 2 Oil Totals 6 3 9 20 17 37 2 3 5 jl5 14 29 j 3 11 14 I 3 3 6 22 14 36 112

Nelson. Wellington. Porirua. Aehburn Hall (Private Asylum). Total. Ee- Not recovered, covered. Rβ- Not Ee- Not recovered, recovered, covered, covered. Ee- Not recovered, covered. Recovered. Iec^rei M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T\ M. F. T. m. f. Tfrom 5 to 10 years „ 10 . 15 , „ 15 „ 20 „ . 20 „ 30 , . 30 „ 40 » » 40 „ 50 „ , 50 „ 60 „ » 60 „ 70 „ . 70 „ 80 , „ 80 „ 90 „ Jnknown 2 2 4 3 2 5 10 1 10 1 10 1 2 13 9 4 13 7 5 12 11 10 21 3 14 112 112 17 12 29 35 32 67 39 30 69 24 27 51 14 8 22 5 2 7 10 1 Oil 2 0 2 12 3 oil 0 11 7 3 10 26 19 45 24 17 41 23 22 45 15 13 28 9 2 11 10 1 10 1 112 21 16 37 37 38 75 39 37 76 28 27 55 15 9 24 6 2 8 101 4 27 31 4 28 32 'otals 10 1 3 3 112 105 77 182 152 158 311 8 4 12 33 22 55 139 139 278

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Table VI.—Ages of the Patients who died.

Table VII. —Condition as to Marriage.

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Ages. . ,, , Christ- Dunedin Auckland. church (Seaolifl) . Hokitika. Ashburn Nelson. Wellington.' Porirua. ,-r> H - all + I Asylum). Total. From 5 to 10 years „ 10 „ 15 „ „ 15 „ 20 „ „ 20 „ 30 „ „ 30 „ 40 „ „ 40 „ 50 „ „ 50 „ 60 „ „ 60 „ 70 „ „ 70 „ 80 „ „ 80 „ 90 „ Unknown M. P. T. Oil 2 0 2 2 13 4 2 6 5 2 7 6 17 3 0 3 10 1 M. F. T. Oil 3 14 112 5 16 6 6 12 4 15 0 2 2 M. F. T. 3 14 4 0 4 Oil 5 0 5 6 17 4 2 6 3 14 M. F. T. M. P. T. M. E. T. 10 1 Oil 112 0 11 2 0 2 7 0 7 2 0 2 4 2 6 10 1 12 3 2 13 10 1 112 10 1 10 1 M. F, T. 101 M. P. T. Oil Oil Oil Oil M. F. T. 10 1 Oil 4 4 8 10 2 12 12 4 10 20 6 26 20 12 32 19 7 26 12 5 17 2 0 2 112 10 1 2 13 3 0 3 10 1 112 oil Totals 19 13 32 25 7 32 7 18 7 1 8 18 8 26 2 1 3 0 4 4 ilOl 42 143 23 7 30

Admissions. Discharges. Deaths. Auckland — Single Married Widowed Unknown M. F. T. 32 11 43 15 9 24 12 3 M. I". T. 16 5 21 12 10 22 0 2 2 M. F. T. 12 3 15 8 3 11 3 14 Totals 48 22 70 28 17 45 23 7 30 Chbistchubch — Single Married Widowed Unknown 33 22 55 17 35 52 2 4 6 0 3 3 17 7 24 5 12 17 Oil 5 11 1 2 4 9 8 19 1 2 0 2 Totals 52 64 116 22 20 42 19 13 32 Dunedin (Seaclifi) — Single Married Widowed Unknown 29 18 47 17 17 34 17 8 10 8 18 7 13 20 14 5 16 4 5 3 19 1 5 3 8 Totals 47 42 89 18 25 43 25 7 32 HOKITIKA— Single Married Widowed Unknown 7 2 2 2 9 4 3 1 2 2 5 3 5 2 0 0 0 1 5 2 1 Totals 9 4 13 4 4 8 7 1 8 Nelson— Single Married Widowed Unknown 4 8 2 4 8 2 10 2 4 1 6 1 2 2 0 3 8 1 2 5 0 0 0 1 2 5 1 Totals 14 8 22 8 4 12 7 1 8 Wellington— Single Married Widowed Unknown 40 14 54 33 28 61 5 7 12 120 54 174 30 68 98 3 15 18 19 24 43 11 5 1 1 2 13 6 11 0 1 0 1 Totals 78 49 127 172 161 333 18 8 26 Poribua— Single Married Widowed .. ... Unknown 93 36 129 13 39 52 2 8 10 19 23 42 1 0 1 2 0 0 1 2 1 Totals 127 106 233 1 0 1 2 1 3 Ashbden Hall (Private Asylum) — Single Married Widowed Unknown 1 3 4 3 6 6 2 1 1 3 1 0 5 2 1 0 0 0 2 1 1 2 1 1 Totals 4 7 11 4 4 8 0 4 4 Totals— Single Married Widowed Unknown 239 111 350 108 135 243 13 30 43 19 26 45 170 81 251 62 108 170 6 22 28 19 24 43 53 14 67 35 20 55 10 8 18 3 0 3 Totals 257 235 492 101 42 143 379 302 681

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Table VIII.—Native Countries.

Table IX.—Ages of Patients on 31st December, 1895.

Table X.—Length of Residence of Patients who died during 1895.

14

Countries. Auckland. Christchurch 1 ,? un£ 5'?i I ? Hokitika. Nelson. Wellington. orirua. A,shburn Hall (Private Asylum). Total. England Scotland Ireland Sfew Zealand Vustral'n Colonies Prance 3-ermany Norway 3weden Denmark 'taly Dhina VTaoris Dther countries M. F. T. 101 54 155 23 10 33 54 44 98 44 29 73 0 2 2 10 1 5 3 8 M. F. T. 98 80 178 33 19 52 73 54 127 28 28 56 5 2 7 10 1 4 0 4 3 0 3 M. F. T. 69 74 143 99 58 157 90 63 153 34 10 44 6 3 9 M. F. T. 20 7 27 10 2 12 19 18 37 8 5 13 1 3 4 M. F. T. 26 14 40 4 5 9 20 10 30 18 19 37 112 0 2 2 0 11 M. F. T. 57 35 92 20 7 27 50 28 78 34 27 61 4 15 0 11 7 3 10 12 3 3 0 3 4 15 112 10 1 4 15 3 0 3 M. F. T. 30 35 65 18 9 27 43 40 83 11 13 24 4 15 3 0 3 3 3 6 112 2 13 3 0 3 112 10 1 2 13 2 0 2 M. F. T. 9 6 15 7 7 14 112 3 3 6 10 1 M. F. 410 305 214 117 350 258 180 134 22 13 5 3 38 12 7 6 9 2 11 3 6 3 22 0 10 6 45 23 T. 715 331 608 314 35 8 50 13 11 14 9 22 16 68 10 1 10 1 10 1 3 4 7 12 0 12 10 1 10 1 16 1 17 2 3 5 10 1 2 13 2 13 15 0 15 10 1 9 1 10 3 'i 4 2 0 2 0 11 10 1 4 0 4 0 11 14 22 36 10 1 2 0 2 2 0 2 Totals .. 246 146 392 261 205 466 346 215 561 69 37106 71 53 124 189 107 296 124 105 229 23 17 40 1,329 885 2,214

Ages. Auckland. Christchurch. Dunedin (Seacliff). Hokitika. Nelson. Wellington. Porirua. Ashburn Hall j (Private I Asylum). Total. l>1. F. T.i 0 1 1| 112 M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. M. P. T. M. F. T. M. F. 0 1 1 3 8 6 26 27 157 113 278 190 305 215 334 190 163 78 40 23 5- 5 12 34 T. 1 4 14 53 270 468 520 524 241 63 10 46 1 to 5 years 5 „ 10 „ ■0 „ 15 „ -5 „ 20 „ !0 „ 30 „ 10 „ 40 „ 10 „ 50 „ iO „ 60 „ >0 „ 70 „ '0 „ 80 „ Jpwards of 80 Jnknown 6 5 11 34 20 54 65 29 94 52 38 90 53 34 87 27 11 38 7 5 12 0 11 112 0 11 0 2 2 5 3 8 31 32 63 57 49 106' 55 58 113] 66 30 96 36 18 54 8 7 15 12 3 2 3 5 112 8 10 18 39 25 64 57 39 96 83 41 124 98 67 165 47 26 73 8 4 12 2 2 4 3 0 3 112 0 2 2 6 2 8 7 3 10 13 9 22 26 12 38 12 3 15 13 4 10 1 2 2 4 3 14 2 13 6 5 11 11 16 27 18 14 32J 18 11 29i 10 2 12 ; 3 3 & 0 11 3 14 5 5 10 26 24 50 41 26 67 46 31 77 47 9 56 14 7 21 6 17 10 1 0 2 2 0 11 12 3 15 33 24 57; 35 23 58j 23 21 44 12 7 19 '505' 3 2 5 7 4 11 3 14 3 6 9 5 4 9 2 0 2 ■• 4 26 30 Totals 246 146 392 261 205 466 346 215 561 69 37 106 71 53 124 189 107 296 124 105 229 ,23 17 40 1,329 885 2,214

Length of Residence. Auckland. Christchurch. Dunedin (Seacliff). Hokitika. Nelson. Wellington. Porirua. Ashburn Hall (Private Asylum). Total. M. F. T. 2 0 2 2 0 2 2 0 2 10 1 M. F. T. 5 0 5 2 4 6 112 2 2 4 10 1 Oil 0 2 2 M. E\ T. 112 10 1 2 13 12 3 2 0 2 4 0 4 3 14 3 0 3 10 1 2 0 2 2 0 2 2 13 112 M. F. T. M. F. T. 2 0 2 M. F. T. M. F. T. M. F. T. 0 2 2 M. F. T. 10 3 13 6 5 11 7 4 11 7 5 12 9 0 9 11 6 17 6 4 10 14 1 15 4 3 7 6 17 5 16 5 4 9 11 5 16 Jnder 1 month 1 to 3 months 3 ; 6 „ 6 „ 9 9 „ 12 1 „ 2 years 2 „ 3 „ 3 „ 5 „ 5 „ 7 „ 7 „ 10 „ -0 „ 12 „ -2 „ 15 „ 3ver 15 „ Died while absent on trial 6 17 10 1 4 0 4 112 2 13 112 10 1 10 1 3 14 2 13 10 1 10 1 10 1 10 1 10 1 Oil 112 2 2 4 10 1 5 0 5 0 3 3 Oil 5 0 5 10 1 Oil oil Oil 12 3 3 2 5 10 1 2 0 2 10 1 Oil 10 1 10 1 10 1 10 1 10 1 1 1 2 Totals 23 7 30 19 13 32 25 7 32 7 18 7 18 18 8 26 2 1 3 0 4 4 101 42 143

H.—7

Table XI.—Length of Residence of Patients discharged "recovered" during 1895.

Table XII.—Causes of Death.

15

Length of Residence. Auckland. Christchurch. Dunedin (Seacliff). Hokitika. Nelson. I Wellington. Porirua. Ashburn Hall (Private Asylum). Total. tnder 1 month 'rom 1 to 3 months . 3 „ 6 „ „ 6 „ 9 „ „ 9 ,,12 „ „ 1 „ 2 years .. , 2 „ 3 „ .. „ 3 „ 5 „ .. „ 5 „ 7 , .. „ 7 ,,10 „ .. „ 10 „12 „ .. „ 12 „ 15 „ .. )ver 15 years M. F. T. 4 3 7 6 2 8 7 6 13 2 13 112 112 10 1 M. F. T. 112 6 17 4 6 10 14 5 3 14 13 4 M. F. T. 112 5 4 9 3 2 5 2 3 5 0 2 2 2 13 10 1 10 1 Oil M. F. T. 112 112 10 1 Oil M. F. T. 10 1 2 13 3 1 4 2 0 2 0 2 2 M. F. T. 6 5 11 6 3 9 8 7 15 2 3 5 10 2 12 0 11 112 M. F. T. 1 0 1 M. F. T. 112 Oil 112 10 1 M. F. I. 4 3 7 25 16 41 22 15 37 21 20 41 8 10 18 16 8 24 2 2 4 4 2 6 Oil 112 10 1 2 0 2 10 1 2 0 2 Totals 22 14 36 20 17 37 15 14 29 3 3 6 8 4 12 33 22 55 10 1 3 3 6 105 77 182

Causes. Auckland. Christchurch. (°eachfl). Hokitika. Nelson. Wellington. Porirua. Ashburn Hall (Private Asylum). Total. M. F. T. M. F. T. M. F. T. 10 1 10 1 M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. 10 1 2 0 2 10 1 14 5 Oil 10 1 10 1 16 2 18 2 0 2 10 1 Oil Abscess of lung Acute laryngitis Acute miliary tuberculosis Apoplexy Apoplexy and heart-disease Asphyxia Asthenia Brain-disease Brain-disease and asthenia Brain-disease and bronchitis Brain-disease and cardiac dilatation Brain-disease and cardiac-disease Brain-disease and diarrhoea Brain-disease and syncope Bronchitis Cancer Cerebral hemorrhage and softening Chronic interstitial hepatitis Cystitis Diabetes and necroais Disease of heart and lungs Disease of lungs Disseminated sclerosis Epilepsy .. . • Gastric enteritis and diarrhoea .. Goitre Haemorrhage from ruptured bloodvessel Heart-disease Influenza Paralysis Paralysis, general Peritonitis Pernicious ansemia Pleuro-pneumonia and pericarditis Pneumonia Puerperal phlebitis Pulmonary abscesses Pulmonary phthisis Pulmonary tuberculosis and meningitis Bheumatic fever Senile decay Syncope Tuberculosis Tumour of brain Typhoid fever 7 1 8 10 1 10 1 Oil 10 1 1 0 1 ■2 18 10 1 10 1 0 2 2 0 11 2 0 2 10 1 10 1 Oil 10 1 0 1 1 I 1 1 2 I Oil 10 1 10 1 2 0 2 10 1 Oil Oil 10 1 •• I 10 1 10 1 10 1 1 0 1 i 10 1 1 0 1 10 1 Oil 10 1 10 1 0 1 1 4 0 4 3 14 1 1 2 0 1 1 10 1 Oil 10 1 2 0 2 0 2 2 112 10 1 10 1 Oil 112 Oil 10 1 9 2 11 10 1 10 1 10 1 • • I •■ I .. I 10 1 Oil 0 2 2 10 1 Oil 12 3 0 11 10 1 12 3 10 1 0 2 2 3 10 13 2 0 2 Oil 16 0 16 3 0 3 10 1 10 1 6 17 Oil 10 1 11 4 15 Oil 6 0 6 10 1 5 0 5 2 0 2 10 1 10 1 10 1 3 0 3 1 0 1 10 1 2 0 2 10 1 10 1 1 Y 2 10 1 Oil Oil Oil 2 1 3 4 0 4 10 1 10 1 2 2 4 1 0 1 1 0 1 0 2 2 2 0 2 10 1 0 2 2 1 0 1 10 1 112 2 0 2 3 5 8 3 0 3 10 1 112 Oil 1 0 1 I I 10 1 Oil 10 1 0 1 1 I i Totals 23 7 30 19 13 32 25 7 32 7 18 7 18 18 8 26 2 13 0 4 4 101 42 143

H.—7

Table XIII.—Causes of Insanity.

16

Causes. Auckland. Christchurch. I Dunedin I „ t ,., v (Seaoliff). J Hokltlka - Nelson. cellingAshburn Porirua. ( p?&ate Asylum). Total. M. F. T. 10 1 M. F. T. 2 0 2 M. F. T. 10 1 Oil M. F. T. M. F. T. 10 1 M. F. T. 4 0 4 M. F. T. 2 0 2 M. F. T. M. F. T. 11 0 11 Oil 13 4 Oil Oil 0 16 16 0 7 7 44 37 81 4 0 4 7 0 7 3 2 5 3 3 6 3 9 12 40 13 53 10 6 16 10 1 13 1 14 0 2 2 2 0 2 4 8 12 0 2 2 2 2 4 8 3 11 2 2 4 18 1 19 2 13 Oil 3 0 3 2 0 2 3 0 3 4 15 6 0 6 8 3 11 12 6 18 10 1 0 2 2 9 7 16 0 4 4 10 1 11 3 14 12 3 5 8 13 133 144 277 112 Accident; Adolescence Adverse circumstances Amenorrhcea Cerebral hemorrhage Child-bearing Climacteric Congenital and hereditary .. Debauchery Degeneration of brain Debility .. ' " .. ' Disappointment Domestic trouble Drink Epilepsy Excessive use of chlorodyne Financial anxiety Fright Goitre Grief Hysteria Ill-health Influenza Jealousy Masturbation Melancholy Meningitis Organic brain disease Opium smoking Overwork Phthisis and tuberculosis .. Privation Eecurrent Beligion Shock Seduction Senile decay Sexual Solitude Sunstroke Syphilis Worry Unknown Not insane oil Oil o i i 11 9 20 10 1 o i' l 10 1 3 14 3 14 7 07 0 2 2 10 1 Oil Oil 5 5 10 10 1 0 4 4 9 3 12 6 17 2 6' 2 oil Oil Oil Oil 0 3 3 7 4 11 0 2 2 2 5 7 4 3 7 0 2 2 10 1 0 11 0 11 2 0 2 112 4 2 6 0 33 101 10 1 2 0 2 101 Oil Oil 112 2 02 Oil 2 02 10 1 Oil 10 1 10 1 0 2 2 0 5 5 8 10 18 10 1 6 0 6 3 0 3 10 1 8 2 10 112 0 *2 2 10 1 2 13 4 0 4 Oil 112 0 3 3 8 i 15 10 1 Oil 2 13 14 4 18 oil 3 3 6 Oil Oil 8 0 8 2 0 2 Oil Oil 3 14 Oil 2 13 10 1 3 0 3 oil 3 03 10 1 10 1 10 1 2 0 2 10 1 4 0 4 Oil 2 0 2 2 0 2 l i' 2 101 10 1 8 2 10 101 0 22 5 2 7 10 1 3 i 4 l i' 2 2 2' i 123 0 2 2 oil 112 112 3 "i 4 0 2 2 Oil 10 1 2 0 2 10 1 2 13 10 1 0 2 2 10 1 6 0 6 Oil 10 1 3 6 9 68 74 142 7 18 10 1 11 40 51 18 8 26 Oil 2 6' 2 1 i' 2 2 2 4 26 18 44 0 2 2 Totals 48 22 70 52 64 116 47 42 89 9 4 13 14 8 22 78 49 127 127 106 233 4 7 11 379 302 681

H.—7.

Table XIV. —Former Occupations of Patients.

3—H. 7.

17

Occupations. Auckland. ™- Dunedin (Seacliff). Hokitika. NeJson. «- Porirua. Ashburn Hall (Private Asylum). Total. Males. Army officer Artist M. P. T. 10 1 M. P. T. M. F. T. M. F. T. M. F. T. M. P. T. 10 1 M. P. T. M. F. T. M. F. T. 10 1 10 1 10 1 10 1 3 0 3 6 0 6 3 0 3 2 0 2 2 0 2 16 0 16 10 1 10 1 2 0 2 6 0 6 10 1 6 0 6 5 0 5 4 0 4 10 1 2 0 2 3 0 3 33 0 33 5 0 5 2 0 2 6 0 6 10 1 10 1 10 1 21 0 21 2 0 2 4 0 4 10 1 2 0 2 10 1 117 0 117 5 0 5 10 1 20 0 20 10 1 10 1 4 0 4 3 0 3 2 0 2 8 0 8 10 1 10 1 10 1 10 1 4 0 4 10 1 10 1 10 1 10 1 5 0 5 2 0 2 2 0 2 2 0 2 10 1 10 1 10 1 10 1 10 1 2 0 2 4 0 4 35 0 35 Barman Baker Blacksmith Bootmakers Butchers cabmen cabinetmakers Carpenters .. cattle-dealer cheesemaker chemists clerks, accountants, &c. coach-painter commercial travellers compositors, &o. cooks customs officer Dairymen Engineers Farmers Farm-hands, shepherds, &c. .. Fishermen .. aardeners .. SVentleman.. jrocer's assistant 3-room .... ... Grumdiggers Hairdressers Hawkers Horse-breaker lewellers and watchmakers .. Fockey Labourers Medical practitioners Miller Miners Policeman Publican Rabbiters Schoolboys schoolmasters Seamen Settler shipwright showman Skin-dealer.. Soldiers Solicitor Steward Stonemason Storeman Shopkeepers Swagger Surveyors .. Failors Felegraphist Upholsterer Well-sinker Wheelwright Wood-carver Wool-sorters Mo occupation Unknown 10 1 101 10 1 101 10 1 10 1 2 0 2 2 0 2 2 0 2 2 0 2 10 1 1 0 1 3 0 3 1 0 1 2 0 2 1 0 L 10 1 7 0 7 4 0 4 101 2 0 2 10 1 3 0' 3 10 1 10 1 10 1 2 02 4 0 4 10 1 2 0 2 10 1 10 1 10 1 10 1 3 0 3 2 0 2 10 1 7 0 7 2 0 2 3 0 3 i 1 0 1 110 1 8 0 3 2 0 2 3 0 3 9 09 10 1 2 0 2 9 0 9 10 1 101 2 0 2 10 1 1 6' 1 101 10 1 12 0 12 2 0 2 1 0 1 10 1 10 1 10 1 15 0 15 9 0 9 2 0 2 1 0 1 10 1 11 0 11 18 0 18 2 0 2 4 0 4 24 0 24 10 1 45 0 45 10 1 10 1 10 1 2 0 2 2 0 2 7 07 5 6' 5 3 6' 3 10 1 1 0 1 101 4 0 4 10 1 J 1 0 1 1 0 1 10 1 3 3 3 10 1 1 0 1 101 10 1 1 0 1 3 0 3 10 1 1 0 1 10 1 4 0 4 101 10 1 10 1 2 0 2 1 0 1 1 o' 1 10 1 2 0 2 10 1 10 1 101 10 1 10 1 10 1 10 1 10 1 10 1 10 1 10 1 10 1 10 1 10 1 10 1 10 1 34 0 34 Females. Oil Oil 0 2 2 0 122 122 0 63 63 0 9 9 Oil Oil Oil Oil 0 2 2 Oil 0 12 12 0 3 3 0 4 4 0 2 2 Oil 0 4 4 Oil 0 15 15 0 56 56 Barmaid charwomen Domestic duties Domestic servants Dressmakers 0 4 4 0 9 9 0 3 3 0 2 2 0 39 39 0 10 10 Oil Oil 0 21 21 0 11 11 Oil 0 4 4 0 6 6 0 23 23 0 11 11 0 2 2 0 22 22 0 22 22 0 2 2 0 8 3 joverness Housekeeper Lady-help Music-teacher Hospital nurses Milliner Prostitutes Saleswomen School-teachers seamstresses Shopkeeper.. fagrants Weaver So occupation Unknown Oil Oil 0 4 4 0 2 2 0 2 2 0 2 2 oil 0 2 2 Oil Oil Oil Oil 0 4 4 oil Oil Oil Oil Oil Oil 0 3 3 Oil 0 2 2 0 50 50 Oil Oil Oil 0 3 3 0 2 2 Oil 0 6 6 0 2 2 0 2 2 Totals 48 22 70 4 7 11 379 302 681 52 64 116 47 42 89 9 4 13 14 8 22 78 49 127 127 106 233

H.—7

18

Table XV.—Showing the Admissions, Discharges, and Deaths, with the Mean Annual Mortality and proportion of Recoveries per cent. of the Admissions for each Year since 1st January, 1876.

Year. Admitted. Discharged. Not Improved. Died. J -- : Remaining 31st December in each Year. Average Numbers resident. Pei Ke< Ai ■centage of ;overies on Imissions. Percentage of Deaths on average Numbers resident. I Relieve! Recovered. 1876 1877 1878 1879 1880 1881 1882 1883 1884 1885 1886 1887 1888 1889 1890 1891 1892 1893 1894 1895 M. 221 250 247 248 229 232 267 255 238 294 207 255 215 230 230 234 231 281 320 379 F. 117 112 131 151 149 127 152 166 153 160 165 161 146 161 160 201 158 179 256 302 T. 338 362 378 399 378 359 419 421 391 454 372 416 361 391 I 390 ! 435 389 460 576 681 125 j 123 ; ! 121 ! 112 i 100 ' 93 95 102 89 95 99 103 116 93 98 88 89 101 107 105 F. 81 57 68 76 67 65 59 78 77 76 60 78 92 53 88 74 76 89 76 77 T. 206 180 189 188 167 158 154 180 166 171 159 181 208 146 186 162 165 190 183 182 M. 17 20 14 15 36 I 41 49 13 17 10 11 34 31 31 23 33 21 17 15 24 F. 8 9 14 13 25 36 32 20 9 5 17 17 28 30 17 24 17 12 11 19 T. 25 29 28 28 61 77 81 33 26 15 28 51 59 61 40 57 38 29 26 43 u. 6 7 3 8 5 8 5 10 18 73 12 F. 6 2 3 3 2 1 7 9 12 29 8 T. M. 12 36 9 42 6 ! 51 11 55 7 54 9 49 12 60 19 65 30 68 102 73 20 57 74 4 78 4 70 17 76 44 79 10 74 18 78 139 64 267 101 p. 12 21 17 16 20 14 19 18 24 22 19 27 26 30 35 41 34 23 35 42 48 63 68 71 74 63 79 83 92 95 76 101 104 100 111 120 108 101 99 143 M. 519 581 638 695 729 769 827 892 938 981 1,009 1,053 1,041 1,074 1,095 1,115 1,154 1,229 1,308 1,329 P. 264 291 319 361 396 406 442 483 514 542 604 643 640 687 702 734 763 810 860 885 T. 783 872 957 1,056 1,125 1,175 1,269 1,375 1,452 1,523 1,613 1,696 1,681 1,761 1,797 1,849 1,917 2,039 2,168 2,214 M. 491 541 601 666 703 747 796 860 911 965 984 1,034 1,045 l,046J 1,078 l,089| 1,125 1,172 1,241 1,313 F. 257 277 303 337 371 388 421 475 497 528 559 613 641 660J 685 699J 714| 758 812 849 T. 748 818 904 1,003 1,074 1,135 1,217 1,335 1,408 1,493 1,543 1,647 1,686 1,707 1,763 1,7891 1,839| 1,930 2,053 2,162 M. 54-53 ] 49-20 J 48-98 45-16 43-66 4008 35-58 40-00 37-39 32-31 47-82 40-39 53-95 40-43 42-61 37-61 38-53 35-94 3963 41-27 66-01 50-80 51-90 50-33 44-96 51-10 38-81 46-98 50-32 47-50 36-36 48-75 63-01 32.92 55 00 36-82 48-10 49-72 45-18 46-66 T, M. 57-56 8-21 4972 7-76 50-00 8-48 47-11 8-25 44-17 7-68 44-01 6-29 36-75 7-53 42-75 7-55 42-45 7-46 37-66 7-56 42-74 5-79 43-61 7-15 57-62; 7-56 37-34 ! 6-69 47-69 7-05 37-24 7-25 42-42, 6-58 41-30 6-66 41-03 : 5-16 43-40; 7-69 F, 3-58 758 5-61 4-74 5-39 3-60 4-51 3-78 4-82 4-16 3-39 4-40 4-05 4-54 511 5-86 4-76 3-03 4-31 4-94 6-70 7-70 752 7-07 689 5-55 649 6-21 6-53 6-36 4-91 6-13 616 5-86 6-29 6-71 5-87 5-23 4-82 6-61 2 j 3 12 14 8 9 55 128 2 1 5 30 2 9 84 139 5,063 3,307 8,370 2,054 ] 1,467 3,521 472 363 835 386 354 740 1,304 495 1,799 : 923 542 1,462 I In Asylums, lat January. 1876 In Asylums, 1st January, 1896 M. 482 .. 1,329 F. T. 254 736 885 2,214

H.—7.

Table XVI.—Showing the Admissions, Readmissions, Discharges, and Deaths from the 1st January, 1876, to the 31st December, 1895.

Table XVII.—Summary of Total Admissions. Percentage of Cases since the Year 1876.

Table XVIII.—Expenditure, out of Immigration and Public Works Loan, on Asylum Buildings during the Financial Year ended 31st March, 1896, and Liabilities for the same.

Table XIX. —Total Expenditure, out of Immigration and Public Works Loan, for Repairs and Buildings at each Asylum from 1st July, 1877, to 31st March, 1896.

19

Persons admitted during period from 1st January, 1876, to 31st December, 1895 .. Eeadmissions M. V. T. 4,226 2,658 6,884 837 649 1,486 M. F. T. Total oases admitted Discharged cases— Becovered Relieved Not improved Died 5,063 3,307 8,370 2,054 1,467 3,521 472 363 835 386 354 740 1,304 495 1,799 4,216 2,679 6,895 Total cases discharged and died since January, 1876 Remaining in asylums, January 1st, 1876 482 254 736 Remaining in asylums, January 1st, 1896 1,329 885 2,214 Average numbers resident since January, 1876 920 542 1,462

Males. Females. Both Sexes. Recovered Relieved Not improved Died .. Remaining 40-57 0-30 7-68 25-75 16-70 44-36 10-98 10-70 14-97 18-99 42-07 9-98 8-85 21-49 17-61 100-00 100-00 100-00

Asylums. Net Expenditure for Year ended 31st March, 1896. Liabilities on 31st March, 1896. Auckland Wellington Porirua Christchurch Dunedin (Seaoliff) .. Nelson Hokitika £ s. d. 2,994 10 4 275 4 0 768 15 5 4,863 10 1 1,810 11 2 200 0 0 22 5 8 £ s. d. 4,453 3 8 191 3 0 1,315 18 7 2,128 0 6 440 5 10 100 0 0 Totals 10,934 16 8 2,62B 11 7

Asylums. 1877-88. 1888-89. 1889-90. 1890-91. 1891-92. Auckland Wellington Wellington (Porirua) Christchurch Dunedin (Seacliff) Napier Hokitika.. Nelson £ s. d. 63,264 16 6 19,858 14 2 5,597 9 7 68,360 17 1 105,480 3 0 147 0 0 1,059 10 7 3,082 13 7* £ S. d. 3,205 4 2 16 8 4 £ s. d. 90 19 6 £ s. d. 1,663 8 9 83 16 1 £ s. d. 1,411 7 8 3,943 15 5 2,876 14 7 10,962 18 11 4,400 13 7 5,390 10 4 1,387 11 9 12,474 18 0 2,014 5 3 500 0 0 206' 0 0 62 0 0 200 0 0 43 9 1 361 1 9 51416 3 Totals .. 4 6 10,242 2 6 15,716 12 0 8,929 17 9 16,915 7 2 Asylums. 1893-93. 1893-94. 1894-95. 1895-96. Total Net Expenditure, 1st July, 1877, to 31st March, 1896 Auckland Wellington Wellington (Porirua) Christchurch Dunedin (Seacliff) Napier Hokitika.. Nelson £ s. d. 1,076 4 10 £ s. d. 1,033 19 3 £ s. d. 505 10 7 880 11 1 8,007 10 2 2,159 0 9 1,879 17 8 £ s. a. 2,994 10 4 275 4 0 768 15 5 4,863 10 1 1,810 11 2 £ s. d. 75,246 1 7 21,114 13 8 48,101 19 4 101,230 8 10 121,528 4 10 147 0 0 1,187 5 4 5,510 9 4 5,981 3 11 2,990 6 7 1,310 13 10 15,272 2 3 545 4 5 1,881 19 3 528 9 8 223' 8 1 200 0 0 22 5 8 200 0 0 Totals .. 11,886 18 10 18,956 13 3 13,632 10 3 10,934 16 8 374,066 2 11 * Includes £200 charged as unauthorised.

H.—7

Note.—Including the first five items in Table XX., the net cost per patient is £22 13s. BJd., as against £23 16s. 4Jd. for the previous year, being a decrease of £1 2s. Bd. per patient.

Table XX.— Showing the Expenditure for the Year 1895.

Table XXI.— Average Cost of each Patient per Annum.

* Not included in Table XXI.

Approximate Cost of Paper.— Preparation, not given; printing (1,600 copies), £17 3s,

By Authority: John Mackay, Government Printer, Wellington.—lB96.

Price 9d.]

20

Items. Auckland. Christchurch. Dunedin (Seaclifl). Hokitika. Nelson. Wellington. Porirua. Total. £ s. a. £ s. d. £ s. d. £ s. d. £ s. a. £ s. d. & s. d. £ s. d. 1,200 0 0 51 2 0 220 0 0 902 16 0 260 9 9 85 14 0 358 8 0 3,066 8 2 833 6 8 741 10 5 580 0 0 17,418 4 0 15,362 13 8 3,36S 1 2 4,479 4 10 445 19 4 174 12 6 1,954 14 4 7,654 15 10 Inspector* Assistant Inspector* Clerk* Medical fees* Contingencies* Deputy Inspector and Official Visitors Visiting Medical Officers Superintendents Assistant Medical Officers Clerks Matrons Attendants and servants Rations Fuel and light Bedding and clothing Surgery and dispensary Wines, spirits, ale, and porter Farm Necessaries, incidental, and miscellaneous 598 16 4 250 0 0 100 0 0 85 0 0 3,485 12 4 2,903 5 9 641 13 1 891 11 9 46 1 4 19 10 0 352 18 11 1,327 2 2 600 0 0 250 0 0 180 0 0 90 0 0 3,619 13 10 2,944 12 4 1,042 1 3 1,170 12 10 54 6 8 11 12 6 465 8 11 1,054 8 6 85 14 0 616 10 6 250 0 0 286 10 5 100 0 0 4,366 6 1 3,963 4 6 438 7 5 I 1,150 7 8 175 18 10 53 17 0 616 9 11 3,147 6 11 15o' 0 0 300 0 0 85 0 0 950 1 8 779 14 10 64 17 9 182 7 10 14 6 1 4 8 0 208 8 0 165 0 0 70 0 0 932 10 6 997 13 9 182 14 5 209 16 5 40 17 5 10 8 6 167 16 10 308 11 7 539 8 0 83 6 8 175 0 0 80 0 0 2,273 2 6 2,163 7 11 513 15 9 619 17 9 85 1 10 34 14 6 153 8 4 1,026 5 11 246 13 4 70 0 0 1,790 17 1 1,610 14 7 484 11 6 254 10 7 29 7 2 40 2 0 198 11 5 578 19 3 212' 1 6 Totals Repayments, sale of produce, &c. 10,701 11 8 2,004 18 9 11,482 16 10 3,256 12 7 15,250 13 3 2,557 10 6 I 2,742 17 8 172 18 2 3,293 17 5 779 15 6 7,747 9 2 1,822 15 11 5,304 6 11 446 15 1 59,158 0 8 11,041 6 6 Actual cost 48,116 14 2 8,696 12 11 8,226 4 3 12,693 2 9 2,569 19 6 2,514 1 11 5,924 13 3 4,857 11 10

Asylums. Provisions. Salaries. Bedding and Clothing. Fuel and - Light. . Surgery and Dispensary. Wines, Spirits, Ale, &c. N Incide a ntaf' Total Cost Eepayment Farm. and Ms P er forMainTotal Cost per Head, less Repayments for Maintenance. Total Cost perHead,less Receipts of all kinds. Total Cost perHead.less Decrease Receipts of in all kinds pre- 1895. vious Tear. Increase in 1895. Auckland Christchurch Dunedin (Seaclifl) Hokitika Nelson Wellington Porirua 6 s. d. 7 9 7f 6 10 7 7 4 11 7 5 8J 8 7 8 7 16 2J 6 18 10J £ s. d. 11 12 Hi 10 10 2i 10 8 7 13 17 7 11 11 2| 11 7 5f 9 18 £ s. d. 2 5 11J 2 11 11 2 2 1 1 14 2 1 15 3 2 4 91 2 19} £ s. d. 1 13 Of 2 6 21 0 16 o| 0 12 lj 1 10 8J 1 17 1J 1 1 Hi £ s. d. 0 1 0J 0 2 4f 0 6 5J 0 2 8 0 6 10$ 0 6 1£ 0 2 6J £ s. d. 0 2 4f 0 0 6 0 1 11* 0 0 9| 0 1 9i 0 2 6 0 3 5J £ s. d. 0 18 2J 1 0 7| 1 2 6J £ s. a3 8 4J 2 6 9 5 15 1 1 19 7J 2 11 loj 3 14 li 2 9 10f £ s. d. 27 11 7£ 25 9 2| 27 17 7£ 25 12 8| 27 13 7 27 19 4J 22 17 3J £ s. d. 4 14 9| 6 10 6| 3 19 3J 1 10 8§ 5 15 7 5 14 6 19 8 £ s. d. 22 16 9| 18 18 7| 23 18 3| 24 2 0 21 18 0 22 4 10J 21 7 7J £ s. d. 22 8 3| 18 4 9i 23 4 l| 24 0 41 21 2 6 21 7 9£ 20 18 9J £ s. d. 22 4 6J 18 2 0J 25 10 2J 26 0 2 19 12 lj 22 6 10 24 11 6| £ s. d. 2 6 lj 1 19 9J £ s. d. 0 3 8f 0 2 9| 1 s' 2} 0 11 0J 0 17 l| 0 19 Of 3 12 9J l io i\ Averages 7 4 10J 10 17 8 2 2 3 1 11 9 0 4 2| 0 1 7} ! 0 18 5J ; 3 12 2 26 13 0 4 11 9J 22 1 2J 21 8 101 22 10 2J 114