LUNATIC ASYLUMS OF THE COLONY (REPORT ON) FOR 1902.

Appendix to the Journals of the House of Representatives, 1903 Session I, H-07

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1903. NEW ZEALAND.

LUNATIC ASYLUMS OF THE COLONY (REPORT ON) FOR 1902.

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

The Inspector-General of Asylums to the Hon. the Minister for Public Works. Sir,— • Wellington, 30th June, 1903. I have the honour to lay before you the following report on the Lunatic Asylums of the colony for the year ended 31st December, 1902 : — The number of registered insane persons on the 31st December, 1902, was 2,848 —males, 1,715 ; females, 1,133, being an increase of 75 —males, 61; females, 14—over the previous year. The insane of the colony are distributed as follows : — Males. Females. Total. Auckland ... ... ... 341 197 538 Christchurch ... ... ... ... .. 317 239 556 Dunedin (Seacliff) ... ... ... ... 430 235 665 Hokitika ... ... ... ... ... 88 32 120 Nelson ... ... ... ... ... 84 54 138 Porirua ... ... ... ... ... 258 250 508 Wellington ... ... ... ... ... 177 104 281 Ashburn Hall (private asylum) ... ... ... 20 22 42 1,715 1,133 2,848 The proportion of the male insane to the male population is,— New Zealand (exclusive of Maoris) ... ... 4-00 per 1,000,0r lin 250 New Zealand (inclusive of Maoris) ... ... 3-82 „ lin 262 The proportion of the female insane to the female population, — Exclusive of Maoris ... ... ... ' ... 2-94 „ lin 339 Inclusive of Maoris ... ... ... ... 2-82 „ lin 355 The proportion of the total insane to the total population,— Exclusive of Maoris ... ... ... ... 3-50 „ lin 286 Inclusive of Maoris ... ... ... -... 335 „ 1 in 299 Admissions. On the Ist January, 1902, the number of insane persons in our Asylums was—males, 1,654 ; females, 1,119 : total, 2,773. The number of those admitted during the year for the first time was —males, 290; females, 150 : total, 440. The readmissions numbered —males, 62 ; females, 42 : total, 104. Deaths. The percentage of deaths on the average number resident during the year was 628, as compared with 6-41 for the previous year. The percentage of deaths on the admissions was— males, 34-90 ; females, 28-65 : total, 32-17. Eecoveeies. The percentage of recoveries on the admissions was —males, 38-35 ; females, 51-56 : total, 43-01, as compared with 4217 for the previous year. I—H. 7,

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Financial Results of the Year. The following table gives the gross and net cost per patient for the year 1902, as compared with the previous year:—

The large increase in the cost per patient is mainly owing to the rise in the price of meat and flour. The following shows the annual cost per patient from 1876 to 1902 : —

Sleeping-accommodation in Asylums.

Single Rooms.

1902. 1901. 1902. 1902. Asylum. Total Cost per Patient, leas Total Cost Receipts for per Patient. Maintenance, Sales of Produce, &e. Total Cost per Patient. Total Cost per Patient, less Receipts for Maintenance, Sales of Produoe, <fec. Increase. Decrease. £ s. 24 7 28 3 32 15 27 16 33 0 30 14 34 11 d. o £ a. d. 17 11 3f 19 15 2f 23 6 8| 25 12 2f 26 1 11 24 14 4 26 17 8 £ s. d. 24 6 0 26 6 4J 28 13 If 26 16 9 33 12 IH 27 19 0 36 6 34- £ p. d. ]7 6 2 17 12 llf 19 17 8 24 18 2 26 16 4£ 22 18 6± 28 6 0 £ s. d. 0 5 If 2 2 3 3 9 OJ 0 14 Of £ s. d. Auckland Christchurch ... Seaclifi Hokitika Nelson Porirua Wellington 0 14 5J 1 15 9f 1 8" 4 Averages ... 29 16 7J 22 6 10 28 1 Hi 20 16 11$ 1 9 104

Year. Cost per Patient. Year. Cost per Patient. Year. Cost per Patient. 1876 1877 1878 1879 1880 1881 1882 1883 1884 £ s. d. 46 1 5i 37 8 11$ 36 0 11 31 5 9f 28 18 0$ 25 18 4$ 28 15 1 29 0 4 29 8 9$ 1885 1886 1887 1888 1889 1890 1891 1892 1893 £ s. 25 19 27 0 22 18 21 8 21 10 20 10 20 16 21 16 23 7 d. 5 9$ 4* 1 4 3 21 8f 4 1894 1895 1896 1897 1898 1899 1900 1901 1902 £ s. d. 23 16 U 22 13 8$ 22 9 10$ 23 0 9$ 22 7 8f 21 19 0. 22 9 8 21 17 9* 23 11 5f

Asylum. Number of Patients, 31st March, 1903. Number of Single Rooms. Number of Patients to be accommodated in Common Dormitories. Statutory Common ! AccommodaDormitory i tion in Accominoda- Common tion : Dormitories : Cubic Feet. ■ Number I of Patients. Number of Patients in excess of Statutory Accommodation. luckland !hristchurch leaclifl ... lokitika Telson ... "orirua ... Vellington 551 555 676 121 141 516 291 132 81 176 30 35 68 77 419 474 500 91 106 448 214 247,732 227,010 263,534 69,302 65,111 295,201 100,173 413 378 439 115 102 492 167 6 96 61 "4 47 Totals 2,851 599 2,252 1,268,063 2,106

Number of Single Rooms. Total Space: Cubic Feet. Cubic Peet for each Room. Asylum. Luokland Jhristchurch leacliff lokitika lelson 'orirua Vellington ... * 132 81 176 30 35 68 77 119,280 68,801 144,839 22,513 29,589 63,217 72,509 903 850 823 750 842 929 942 Totals ... 599 520,748 869

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At Auckland there are 551 patients, but only floor-space for 493; the Asylum therefore is overcrowded to the extent of 58 patients. At Porirua there appears to be sleeping-accommodation for 492 patients in the common dormitories, but the floor-space is only sufficient for 438. The number of patients in the dormitories at 31st March was 448. The following shows the extent of the overcrowding at our asylums : — Auckland ... ... ... ... ... 58 patients in excess. Christchurch ... ... ... ... ... 96 „ Seacliff ... ... ... ... ... 61 „ Nelson ... ... ... ... ... ... 4 „ Porirua ... ... ... ... ... ... 10 „ Wellington ... ... ... ... ... 47 276 Less room at Hokitika for ... ... ... ... 24 Total ... ... 252 All our New Zealand asylums, without exception, in so far as regards bed treatment, feeding, clothing, and attendance, are as well looked after as any of the best managed asylums of either England or Scotland, of which I have seen a great many during my visit last year. Our Medical Superintendents, as a body, are as capable and careful as any that I have seen elsewhere. The one thing in which I believe we are hopelessly astern of the whole British Empire is the overcrowding of our asylums, a fact which goes far to nullify, so far as rational treatment of patients is concerned, all our other advantages. I have some hopes, however, that the Government may soon take steps to provide intermediate accommodation for uncertifiable cases near Christchurch. The following extract from my report of 1898 expresses all that my further experience could put forward to-day in explanation of our present position : — " The Asylum Department in this colony has to face a choice of difficulties. On the one hand the public are very exacting in their demands for the proper treatment of the insane, but they are roused to indignant clamour only when some painful occurrence reveals the difficulties which their officers are daily confronted with, and almost despairingly struggle to overcome. In the intervals there is no sustained resolve that their representatives shall provide the means of proper classificacation and treatment. On the other hand, the Government are straining every nerve to open the country for settlement, with all the necessary expenditure this involves; and it must be admitted that to expect them to provide out of revenue for modern asylum requirements is very hard. By far the hardest and most unpleasant part of my duty is to induce the Government to give the means to meet the spasmodic demands of the people for rational treatment of those terrible nervous diseases that afflict so many of our fellow-creatures. As things are now in New Zealand, the lack of accommodation makes it impossible for me in nearly all of our asylums even to pretend to a rational classification, which is the indispensable condition to the scientific treatment of mental disease. " I have over and over again explained how it is that there seems to be such a large proportion of insane among our population. For 1897 the latest report of the Lunacy Commissioners for England and Wales gives the proportion of 3-20 for every 1,000 of the population, or lin 313. In New Zealand the proportion per 1,000 is (exclusive of Maoris) 333, or lin 300; and, if Maoris are included, 3-16, or lin 316. We must not forget, however, that in New Zealand a very large proportion of old and infirm persons, suffering merely from senile decay, are thrust into our asylums simply because we have not here, as in older countries, infirmaries and similar places where such cases could be taken care of. In England and Wales 11,118 out of the total number of the insane— namely, 99,365 —are maintained in such intermediate institutions. The result is that our asylums are hopelessly cumbered with an accumulation of persons for whom there is no hope of recovery, so that we are quite unable to secure proper classification and rational treatment for our curable patients. " One of the many ways in which our lavish distribution of charitable aid through local bodies has degraded and pauperised our people is demonstrated by the constantly increasing tendency to get rid of aged relatives, who are simply in their dotage and require care and attention, by getting medical certificates that they have delusions, are dirty in their habits, or are unfit to take care of themselves. The Magistrates, when an information is laid regarding such cases, are placed in a very painful position, and so are the doctors. They have to consider the possible consequences when such people are friendless or neglected, and they shrink from the outcry which follows if they decline to certify when such eases can be brought within the legal definition of insanity, and some scandal arises from their not being under proper care and control. Another cause which tends largely to fill our asylums with incurable cases, which swell our admissions and our death rate, is the fact that the whole cost of maintaining the insane comes out of the consolidated revenue ; while the sick and aged and doting poor are a burden on local rates. There arises, in consequence of this, a determined and an increasingly widespread struggle on the part of hospital officers, guardians of old people's homes and refuges, and Charitable Aid Boards to get persons who are troublesome from senile decay admitted to the public asylums. No officer of the Lunacy Department can interfere until after admission to the asylum, and they find that, once there, they cannot discharge them unless they can hand them over to some responsible body to take care of them.

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"In 1890, when Sir Harry Atkinson was Premier, I made a strenuous effort to induce the Auckland Charitable Aid Board to admit to the Costley Home, then just opened with plenty accommodation, a number of chronic and harmless persons merely suffering from decaying faculties, and who had been sent to the Asylum because there was no other refuge for them. They were discharged with the hope of relieving tbe congestion of the Asylum. Thereupon there arose a great outcry from one end of the colony to the other against my inhumanity. The Auckland Charitable Aid Board declined all responsibility. The Government had not the courage to face the storm, and had to compromise the matter by paying the Salvation Army to take care of these poor people. That is an illustration of the struggle which is always going on to relieve local rates at the cost of the asylum vote. " The same thing would happen to-day if the Government were to attempt to confine our asylums to their proper functions —namely, the curative treatment of the patients who are curable, and the care of those who could not be managed outside of the asylums. As the law now stands it would be sufficient to remedy this state of things if it were only enforced, for it lays down the principle that 600 cubic feet is the minimum dormitory space for each patient. Yet a reference to the foregoing figures show that, making allowance for all the space available at present in all our asylums, we have 234 patients in excess of the legal limit. Even when all the works now in hand are ready for occupation we shall have an excess of 158; and that without making any allowance for the inevitable annual increase, which will be considerably over a hundred. " This being the condition of our asylums, it seems hopeless to induce medical men and the friends of patients who are showing symptoms of incipient mental disease to commit them to our care, when even with our present means much could be done in the way of prevention that is impossible without legal control in private houses. No man can exaggerate the terrible consequences to many unfortunate persons of the natural horror of committing dearly loved friends to institutions which are well known to be so overcrowded that their proper treatment cannot be hoped for. The early treatment of the mentally diseased in many cases offers the only chance of restoring sanity. Many for the want of this become hopeless dements for life." Any one who is curious for further exposition of the causes of the rapid increase of our insane I would refer to my Beport on Hospitals and Charitable Institutions for 1898, wherein for the first time in any British State the matter was dealt with without compromise. Subsequent to this report many writers have given utterance to the same ideas, -notably Mr. Arnold White. Many American writers have also taken up the same theme, as, for instance, Dr. McKee. I also frequently pointed out the great evils arising from the want of separate institutions for the following classes : Idiots and imbeciles, epileptics, persons that are not as yet certifiable for admission to asylums, and criminal lunatics. I point out that the effect of all this is to make our lunacy statistics entirely misleading, and to give our country a bad name for insanity which it does not deserve. lam glad to see that this year the public and the Parliament are rousing themselves to deal sincerely with this question. I think it necessary, in view of the universal change in the conditions of our labour-market, to raise the wages of our asylum attendants. Artisan and charge attendants ought to receive an increase of 25 per cent, and ordinary attendants 20 per cent. It will be necessary also, in my opinion, to increase the salaries of the assistant medical officer to £300 instead of £250, rising to £350 after five years' service, for I have found it impossible to get suitable applicants at the lower figure. As I have already pressed on your predecessor, the exhausting conditions under which our Medical Superintendents have to perform their arduous duties induce me to recommeud that Parliament should agree to give them, every sixth year, twelve months holiday on full pay. The frightful strain they have had to bear has all but broken down every one of them. During my visit Home I had the opportunity of discussing with many of the highest authorities the various aspects of insanity now occupying so much public attention in that country, as for instance the hospital treatment of the early stages of insanity with Drs. Clouston and Eobertson, the toxic theory of the causation of insanity, the new methods introduced for nursing at the Larbert Asylum, Stirling, the construction of cheap wood-and-iron buildings for the treatment of consumptives which is now being carried out in several of the Scotch asylums. All these matters are of secondary importance to us till such time as we can provide for the ordinary treatment of our patients and their classification with a view to rational treatment.

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ENTBIES OF VISITS TO THE DIFFEBENT ASYLUMS.

Auckland Asylum. 7th September, 1902. —I find, after careful exumination, that this Asylum as a whole is in excellent order ; the utmost credit is due to Dr. Beattie and his staff. Indeed it is very gratifying to find that, owing to the doctor's devotion to his work during the long period when he was left without an assistant, everything has gone so well. I have seen all the patients, and made special inquiries about several cases whose circumstances and complaints required careful consideration. One of these especially, a criminal lunatic, gives constant trouble to all who are in authority over him. He is violently abusive to the attendants, and ever on the watch to find occasion against them. I examined all his statements, talked to the attendants complained of, and I am satisfied that his charges are simply lies plausibly retailed with a view to revenge on those whose duty it is to control him in any way. Patient K. is manifestly suffering from a mania of persecution, and none of his complaints are worthy of consideration. MacD's complaints I have long been familiar with, and to-day while I was examining him a little incident threw a flood of light on his mental state; the head attendant happened to cough slightly, and he at once said, " There, that is the sort of treatment I am constantly receiving ; they are all jeering at me, saying I ought to be killed," &c. This is nothing but the perverted and unreasoning translation of the feelings induced in the mind of the man, who has himself killed a fellow man, and is here in consequence. I examined the clothing and food, was present during the dinner, and found all abundant and of good quality. The recently admitted cases are very unpromising as regards the prospects of recovery. Every bed is of consequence here, and there is not a single case of unnecessary detention. The relatives of one patient, a chronic epileptic, are persisting in an unreasonable series of attempts so get him home. I should be lacking in my duty if I held out any hope of discharge for this man. He might at any moment become dangerous. I acknowledge with pleasure the way in which the matron, head male attendant, and the staff generally have helped the Asylum through a trying time. Mr. Ewington has been unwearied in his labour of love on behalf of the Asylum. Mrs. Hendre has been assiduous in her duties. 19th March, 1903. —This Asylum was well looked after during Dr. Beattie's holiday by Dr. Crosbie and Dr. McKelvie. There is considerable overcrowding on the female side, which, however, will be greatly relieved when the old laundry can be made available. This will take several months. After full consideration and consultation with Dr. Beattie, I have come to the conclusion that the cheapest and best way of providing for further accommodation will be to add a second story over the space now occupied by the dining-halls and the kitchen, and moving the kitchen back. The new hospital ward is a very great advantage. In every department the institution is working well, and it is evident that Dr. Beattie's devotion and great administrative ability are reflected in every detail. The patients number 347 males and 205 females—total, 552. There were five males and one female confined to bed to-day. The food, clothing, and bedding were examined. The store is well looked after, and the stock as a whole is carefully kept. It is a great pleasure to be able to say that the Asylum is in excellent order. Christchurch Asylum. 27th October, 1902.—After much travel and observation since my last visit I am able to say that this Asylum is admirably administered. Except for the lack of suitable classification due to insufficient accommodation, and for the overcrowding which we cannot help, the patients are well cared for. The quality and variety of the food are very good, the bedding and clothing sufficient for comfort, and cleanliness is universal. The attendants are necessarily under strict discipline, but seem to be content. It is beyond our means to limit their working-hours as in other employments, but on the other hand every effort was made long ago to make up for this insuperable difficulty by giving such a liberal scale of holidays as does not, as far as I know, exist anywhere else. For years they have had a month's holiday annually, two days a month, and every fourth Sunday. I found the charge attendants kept their stock very carefully. I found very few (twelve) patients in bed, and all were being well looked after. Every effort is made to have as many patients usefully occupied as possible, and the number all day in the fields and gardens at healthy employment is very high. By universal consent this is the best treatment for those who are mentally diseased, and on this point we need not shrink from any comparison with similar institutions elsewhere. 25th February, 1903.—1 find this Asylum in all its departments working with all its accustomed smoothness. The discipline is excellent, the patients well cared for in every respect, except for the inevitable consequences of overcrowding, and these are minimised by the wonderful administrative skill and control of Dr. Levinge. The farm and gardens are a pleasure to see. The Government are now doing their utmost to provide for new buildings, and I regret that the pressure has become so great that it has been decided to build in wood simply to get immediate relief. The drainage has been and will continue to be difficult. Seacliff Asylum. 13th October, 1902.—-By the most strenuous and long-sustained effort Dr. King has so greatly improved the female side of this asylum that it is now a pleasure to visit it. The male side needs painting throughout, and the old linoleum in nearly all the corridors is worn out. A special effort is to be made as soon as funds are available to remedy this state of things. Dr. King is painfully alive to the necessity of these improvements, but has found it impossible to overtake the work owing to the amount of work that had to be done in order to open the new inebriates' home at

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Waitati. I have been all over the farm, and lam very pleased with the progress that has been made. The home for the farm-workers at Simla is well looked after, and is admirably adapted for its purpose. The careful way in which Mr. Chapman has explained the effect of the slow earth-move-ment which has been such a source of difficulty and expense at this Asylum renders it needless for me to say more than that I concur and approve his" recommendations. This certainly is a problem requiring the highest technical knowledge and skill to deal with it; but so far as I can judge there is no such immediate cause for alarm as to compel us to lose the use of the space involved, and cause such misery and suffering as would inevitably follow. The Asylum is full, and I can see no remedy but the new asylum, which I earnestly hope the Government will bestir themselves to find a suitable site for and build without delay. The total number of patients is—males, 414 ; and females, 231. I have seen them all, examined those confined to bed—three males and five females —and discussed the recent and more hopeful cases with the medical officers. I find a general condition of good bodily health and comfort, so far as our accommodation makes this possible. The food, clothing, and care of the patients are good. The staff works with the utmost harmony, and Otago has come to learn the value of Dr. King. 2nd March, 1903.—This Asylum is, except for the overcrowding and its complicated effects on the health of the patients and the manifold discomforts it causes, in a surprising condition of harmonious working. This can only be understood by seeing the incessant vigilance and skill which are brought to bear by Dr. King and his staff. Dr. S. Allen seconds Dr. King's efforts in the most praiseworthy manner. His constant cheerfulness and sympathetic interest in the patients has earned my fullest appreciation and gratitude. A new auxiliary building for the convalescent male patients, similar to but more extensive than the cottage provided for females, is urgently required. An admirable site near the garden is ready for building on at once to in a safe situation so far as the earth-movements are concerned. Provision ought at once to be made for a suitable mess-room for the male attendants. It is wonderful how patiently they have put up with their discomforts in the past. To-day there is a total of sixty-four patients in excess of the statutory accommodation, and much trouble and lowering of the general efficiency of the Asylum is the inevitable result. There is an annual increase of at least a hundred patients in New Zealand, and nothing but a new asylum will give permanent relief, and that only for a few years. The male side requires painting almost throughout, and new linoleum almost all over is required. The requisite estimates will be laid before the Minister. The office is very"efficiently manned, and the Asylum grounds and farm are in excellent order. Hokitika Asylum. 14th November, 1902. —On a very wet and stormy day I saw all the patients clean and comfortably dressed, evidently well fed and cared for; none were in bed, and they were all well and warmly clad. Every corner of the building was scrupulously clean and comfortable, except that, seeing them all sitting together, I thought there might be provided a few comfortable forms and easy chairs for the older and more helpless patients. .[This has since been done.] The staff are capable and working harmoniously. Especially it is incumbent on me to gratefully acknowledge the fact that the Hokitika Asylum has caused very little anxiety or difficulty to the Department —in fact, it has no history except that of steady and wise administration ever since I have known it. Mr. Downie, the head attendant, is faithful and efficient. The new building for the attendants will soon be finished and prove a great boom. Nelson Asylum. 23rd November, 1902. —I saw all the patients, in company with Dr. Mackie and Mr. Morrison. There are very few hopeful cases among them. Only about twenty-five male patients are at all useful on the farm, though about fifty out of a total of eighty-four inmates are occupied in some way in the open air. The building is kept very clean; the bedding and clothing are suitable. As everywhere almost at present in New Zealand, the meat is very dear and much inferior to what it used to be. The staff is harmonious and efficient, and the head attendant, Mr. McLean, is extremely careful and very kind to the patients. Mrs. Morrison, who has for sixteen years been matron of this and Mount View Asylum, desires to retire at the end of the year, and I wish to record that during all that time she has most capably and faithfully fulfilled her arduous duties. She has deserved well of the Department, and it will be very difficult to replace her. Mr. Morrison's administration is remarkable for vigour and capacity; while Dr. Mackie's skill and., devotion to duty have deserved my fullest confidence. 16th March, 1903.—The Asylum is in good working-order. I found only one female patient confined to bed. The new reservoir has, after long delay, been taken in hand, and will soon be. available. Last night there was no water at the auxiliary. Neither the workshops nor the piggeries have been touched, so that the votes will lapse a third time unless they are undertaken at once. Porirua Asylum. 21st September, 1902.—1 have seen a great many asylums in England and Scotland since I last visited Porirua, and I am able to say that, in all essential points, Porirua is as good for its purpose as anything I have seen, always excepting the fact that we have not yet been able to provide a detached, hospital building for acute cases, and are as yet unable to provide separate accommodation for idiots, epileptics, and criminals. Of course the luxurious fittings and decorative appliances almost universal in the Home asylums will for many years be beyond our reach ; but, considering" the time that has elapsed and the means at our command, I am proud of the progress that has been made at this Asylum. I am sure that our Medical Superintendents and their assistants, and head attendants and matrons, are all quite up to the Home level. The body of our

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attendants suffer in comparison with those at Home simply because the less average duration of their service and experience is rooted deeply in the conditions of our colonial labour-market. The Asylum is in admirable order throughout. The laying-out of the grounds and airing-courts is steadily going on, and I am thankful that the money required to keep it up has been voted. 7th February, 1903. —I was engaged to-day hi examining the site for the new wooden building which it has been decided to erect here at once, in order as speedily as possible to cope with the overcrowding, especially at Mount View. Nothing but the extreme urgency of providing immediate relief could justify the erection of a wooden building in any modern asylum. At present only one wing for dormitories and attendants' rooms is to be proceeded with, and I hope the remaining parts will be built of brick. I saw all the patients who were under medical treatment, and found the Asylum as a whole working well. 20th May, 1903. —I examined every part of this institution, and saw all the patients except one or two whose absence was explained. On the female side none were confined to bed, and on the male side only a few, all of whom I visited. The dinner was good and well cooked. All the patients are warmly clad. The staff is working well. Great credit is due to Dr. Barraclough for the enthusiasm with which he has inspired the staff for amusing the patients. The new Official Visitor, Mr. Bradey, has long been interested in the Asylum. lam very pleased with my visit. Wellington Asylum. 4th September, 1902. —I have made an inspection of the Asylum and found everything in good order. Several matters in connection with the administration were discussed with Dr. Gow. The convalescent and recent cases were examined. I carefully inquired into the circumstances surrounding the case of patient E. Another case of a convalescent patient was carefully examined, and decision delayed pending inquiry into the provision made for her reception at home by her friends. The dinner was good, the clothing sufficient. I inquired into the causes of the frequent changes in the staff. 17th January, 1903. —Found everything in good order. Two new cases of measles are isolated. Dr. Ulrich has entered on his duties. I saw all the patients with him who are confined to bed 30th January, 1903.—Have been all over the grounds and outbuildings. Found everything going well. Ashburn Hall, Dunedin. 15th October, 1902.—1 have seen and conversed with, and considered the mental and bodily condition of, all the patients at this licensed house. I am satisfied that every case is being carefully and kindly treated, and that the utmost liberty is granted to every one, so far as is consistent with safety. The sitting-rooms are all beautifully comfortable, and the bedrooms airy and clean. Dr. Hay explained to me his plans for improving Tuke Ward, and they will greatly add to the comfort of the patients by giving them a large and sunny day room. Nothing could be homelier and kindlier than the general effect of the institution. 2nd March, 1903. —I have seen all the patients, and discussed their condition with Dr. Hay. No one is unnecessarily detained, and all are being carefully treated. The bedrooms, beds, &c, are all in excellent order. The rooms and furniture are very comfortable, and manifest a high degree of aesthetic skill both in structure and ornamentation. The new extension on the male side will greatly add to the comfort of the inmates. The administration is excellent, and the attention that is given to each individual case ought to reassure all friends and relatives that the utmost care is exercised in doing everything possible to hasten recovery.

MEDICAL SUPEBLNTENDENTS' BEPOBTS.

AUCKLAND ASYLUM. Sir, — I have the honour to submit to you my report for 1902. The number of patients at present in the Asylum is 538—a net increase for the year of 28. The number of admissions has once more been large. We have again, however, been fortunate in having a comparatively small female admission-rate : only 33 females were admitted during the year, out of a total of 117 of both sexes. I exceedingly regret that we continue to lack sufficient female, and particularly refractory female, accommodation. Our work in consequence has been much hampered, and our patients subjected to treatment cruel and unwarrantable. Particularly was this so during an extraordinary epidemic of gastro-enteritis. The majority of the male attendants, nearly every nurse, and about two hundred and fifty patients were attacked. The female division for weeks was then little better than a cesspool, and had it not been for the self-sacrifice and devotion of the few nurses who were not attacked, or who were able at once to resume duty after recovery from attack, the consequences would probably have been most serious. The death-rate (only one death was directly due to the disease amongst the males, and none amongst the females) tells its own tale of duty faithfully and unflinchingly performed. It should be pointed out that this epidemic was not the ordinary asylum diarrhoea which is so prevalent at Home. Many theories have been advanced respecting it, but I maintain that it was imported from South Africa, and my opinion is supported by a medical man who visited the asylum during the epidemic, and who informed me that he had many eases of the. same kind under his care in South Africa.

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The percentage of males who recovered was 34-52, and of females 39-39. The recovery-rate is lower than usual. This is due entirely, I believe, to the character of the cases admitted. The Assistant Medical Officer, who has had four years' experience in asylums in Ireland, states that he has never seen a more hopeless class than those admitted to this Asylum. My experience coincides with his. The death-rate was 9-18 per cent.—males 9-94 percent., and females 7 - 69 per cent. This high rate is due to tuberculosis, general paralysis, and senile decay, these three diseases, if senile decay can be called a disease, accounting for 23 out of a total of 48 deaths There was an excessive amount of sickness during the greater part of the year. In addition to the epidemic referred to above, we had an epidemic of measles and a few cases of scarlet fever. We are at present almost entirely free from sickness, and in the absence of unforeseen conditions should have a reduced death-rate for the ensuing year. There have been no serious accidents within the Asylum. One nurse, on her way home at night, was seriously assaulted and shot at. The weapon was pointed directly at her forehead. She put up her hand instantly, and received the contents in the palm, the bone being fractured, and the bullet lodging there. A great deal of outdoor and indoor work has been done by the staff and patients. At present we are building a new laundry entirely by Asylum labour. This should be completed early in the year, and when completed will enable us to utilise the old laundry for female patients, after authority has been granted to make the necessary alterations. We are now overcrowded to the extent of 58 patients. This means 90 patients before the end of next year if something is not done urgently to provide further accommodation. The increased cost per head this year is due to the increased contract prices. In this connection I desire to urge that the salaries of the male charge-attendants and of the seconds-in-charge in all wards be increased. The male charges are, with one exception, married men who have homes to support, and their salaries have not increased with the increased cost of living. The seconds-in-charge are at present paid the same salaries as juniors, although they have charge every alternate night, and during about sixty days each year. Our thanks are due to the proprietors of the Herald for daily papers, supplied free; to Hulse's Band for regular entertainments; and to the Official Visitors for their interest and support. I have also to thank Dr. McKelvie and the staff generally for their hearty co-operation. I have, &c, R. M. Beattie, The Inspector-General of Asylums, Wellington. Medical Superintendent.

SUNNYSIDE ASYLUM, CHRISTCHURCH. Sir — I have the honour to forward the usual statistical tables, together with the accompanying remarks thereon, and particulars about the work of this Asylum for the year 1902 : —

Percentage of discharges of first cases on admissions ... ... ... 33-3 „ all discharges on admissions ... ... ... .. 28-4 „ deaths on admissions... ... ... ... ... 7 - 4 „ deaths on number under treatment ... ... ... 4 - 5 On the Ist January, 1902, there were 546 patients on the Asylum books —viz., 303 males and 243 females, which, together with 95 admissions, gave a total of 641 under treatment for the year.

Male. Female. Total. Admissions. Admitted first time Readmitted 51 15 27 2 78 17 Totals 66 29 95 Discharges. Recovered and relieved Not improved 32 3 19 2 51 5 Totals 35 21 56 Number discharged who were admitted during year Number died „ Number transferred „ Number remaining „ 21 4 2 39 6 3 27 7 2 59 20 Totals 66 29 95 Deaths 17 12 29

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Of those admitted, 13 were between seventy and ninety, and 22 between sixty and ninety years of age. According to the year's statistics of this Asylum, insanity would seem to be more prevalent between the ages twenty and forty, 40 out of the 95 patients admitted coming within that period. There were 29 deaths against 32 the previous year, which, added to the discharges, 56, and deducted from the total under treatment, 641, leaves 556 remaining in the Asylum at the end of the year, being an increase of 10 as against 32 for the year 1901. The recovery-rate was low, as it was also last year, owing to the unfavourable character of the admissions, a large proportion of them being senile cases or youths suffering from congenital deficiency. The death-rate was also low, and the causes of death such as are usual in all asylums. There was no epidemic of infectious disease, and, unless for sporadic eases of erysipelas, which is more or less always with us, nothing to indicate an insanitary condition of the Asylum. There were no suicides, and, with the exception of a fracture of the neck of the thigh-bone, occurring in a patient the subject of acute excitement, from his own misadventure, and from which he has recovered, no serious casualties during the year. The work of the institution has gone on as usual, and there was nothing in it specially deserving of record. The usual tradesmen have been employed, and much useful work in the nature of additions, repairs, painting, Ac, carried out, as well as the commencement of new piggeries on a better site and an approved principle, which I hope to see shortly completed. Sales of pigs, and of bacon cured on the premises, amounted to £550, so that class of stock is an important source of revenue ; other items in our sales of farm-produce were—bulls and cows, £420; potatoes, £190; peas, £177; mangels, £50: the whole amounting to £1,442. In addition to the above farm-produce, there was consumed on the premises 11,805 lb. of butter, and all the milk required, about 100 tons of potatoes, and over 10 tons of fruit; so that it will be seen, on comparison with last year's returns, the revenue from this source continues to increase, while the live-stock has been largely augmented. The overcrowding of the institution is so well known to you, and has been so frequently commented on by myself and others officially, that no good purpose can be served by again emphasizing its serious importance. I gladly avail myself of this opportunity to record my appreciation of the services of my fellow-officers, including my colleague, Dr. Crosby, who has now been associated with me for nearly seven years. I have, &c, Edw. G. Levinge, M.8., The Inspector-General of Asylums, Wellington. Medical Superintendent.

SEACLIFF ASYLUM. -Sir — I have the honour to submit to you the following report on the Seacliff Asylum for 1902. The statistics for the year show no points of special interest. The admissions continue to be markedly in excess of the discharges and deaths; and at the close of the year we had an increase of sixteen patients as against an increase of twenty-four during the previous year. The average increase is about twenty patients per annum, and the finding of the necessary housing, furniture, and outfits for this number, together with the additional provision for staff needed, entails a very serious expenditure. Thus, if the present overcrowding were remedied there would still be an annual increase of, say, from £750 to £2,500 to meet in making initial provision for the growing number of persons of unsound mind in Otago, besides a sum of £400 per year for their maintenance. The discharge-rate during 1902 has been the highest for some years —viz., 51 per cent, on the admissions. The annual variation in this respect is not great: thus, in 1898 the dischargerate was 51 per cent., whereas last year it was only 45 per cent. There is no special importance attachable to such slight variations, the average over any series of a few years being fairly constant. The death-rate continues higher than it should be, owing to insufficient accommodation. The output of farm and garden have been very satisfactory, but improvements on the estate have not progressed as favourably as they would have done had the institution not been handicapped by having to provide working-power to develop the estate at Orokonui. The increase of £3 9s. OJd. in cost per patient is due to the high prices ruling for flour, meat, and other necessaries, to the working-out of our firewood, and to the substitution of electric lighting for kerosene-lamps. The thanks of the authorities are due to the Otago Daily Times and Witness Company and to the Evening Star Company for copies of their journals supplied free; and to private donors of books, periodicals, and other presents. To my colleague, Dr. Sydney Allen, and to the staff, I have to convey my thanks for their cordial assistance in carrying out the work of the institution. Periodical visits to the Home at Orokonui have greatly increased Dr. Allen's work and responsibilities, and I trust that this fact will be duly recognised. I have, &c, F. Truby King, The Inspector-General of Asylums, Wellington. Medical Superintendent.

2—H.—7.

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PORIRUA ASYLUM. Sir,— I have the honour to submit the following report on the Porirua Asylum for the year 1902. At the beginning of the year there were 515 inmates, and at the end 508. The average number resident was 504 (258 males and 246 females), and the total number under care, 564, exactly the same as in 1901. Forty-nine cases were admitted, of whom 21 males and 22 females were admitted for the first time, and 5 males and 1 female were readmissions. Thirty-three patients were discharged recovered and 2 relieved, the proportion of recoveries to the number admitted being 67-3 per cent. Twenty-one patients died, as in the previous year, making a death-rate of 41-6 per thousand on the average number resident. The recovery-rate is therefore high and the death-rate low as compared with what usually obtains in asylum records. Of the 508 patients remaining in the Asylum on the 31st December, only 34 were supposed curable; the rest were chronic cases or cases in which there was no reasonable hope of ultimate recovery ; but many of these, although classed as incurable, have symptoms of a mild type and could very well be cared for outside if they had suitable homes to go to and friends to look after them. The bodily health of the patients has on the whole been remarkably good. No epidemic of any kind has visited the Institution, and seldom have there been more than two or three confined to bed on account of serious ailment, and sometimes none at all. No building-operations have been in hand, but I am pleased to say that the work of enclosing new and much larger airing-courts, the plans for which I submitted to you some years ago, is at last in hand, and the adjoining cricketing oval, upon which so much of our labour has been spent, is approaching completion. I hope that by next summer these improvements will at any rate be so far completed as to be in use for the recreation of patients. Very few changes occurred in the staff of officials. Mr. Drysdale, the farm-manager, resigned in November, and I much regretted the loss of his services. During his term he initiated important improvements in the methods of working the farm, and did good work in developing the property. Owing to his careful management the dairy-produce was largely increased. The usual amusements for the patients have been provided, and my colleague, Dr. Barraclough, has, with the assistance of members of the staff, produced several dramatic plays, which have been greatly appreciated by the inmates. Sometimes visitors have kindly come to our aid, and at the dramatic entertainments the Messrs. Bradey, of Pahautanui, very kindly provided an excellent orchestral band. To Dr. Barraclough my thanks are due for his able assistance, and of the senior and other members of the staff I have to express my appreciation for much good work done throughout the year. —I have, &c, Gray Hassell, M.D., The Inspector-General of Asylums, Wellington. Medical Superintendent.

WELLINGTON ASYLUM. Sir — I have the honour to present to you the annual report of this Asylum for the year ending the 31st December, 1902. I regret that I have to report unsatisfactorily as to the accommodation for the patients during the year. Overcrowding has again asserted itself. As I stated in my report of last year, the relief afforded by the opening of the new wards at Porirua was only temporary. At the beginning of the year we had. 11 males and 10 females over the statutory number, our figures being 152 males and 100 females. At the end of the year these numbers had increased to 177 and 104 respectively, and as before this overcrowding is reflected in the recovery-rate. There is very little difference in the admissions for the year, 5 fewer men and 1 woman being admitted. The numbers are 62 and 37. Readmissions have slightly increased, the total readmissions being 10 males and 12 females. The death-rate is very satisfactory, there being only a total of 12—9 males and 3 females. The percentage of deaths to admissions is 14 for males and 8 for females, and on the average number resident the percentage has decreased from 7'l to 4-5. Five of the 9 males died within a year of admission, 2 from general paralysis, 1 from senility, 1 from acute phthisis, and 1 from pneumonia. We are wonderfully free from phthisis here, there being only one other death from this cause. One patient died after a residence of forty-four years, exactly half his lifetime, and another after twenty-five years. Of the women, one died of acute mania, with exhaustion, after two days' residence, another with heart-failure, three weeks after admission, her age being seventy, and the other died of bronchitis and heart-failure, after nine years in the Asylum. As regards recoveries, there were 25 males and 29 females discharged, giving a rate calculated on admissions of 40 per cent, and 78 per cent, respectively. Our numbers are kept up owing to the sending into the Asylums of the old and feeble, who are certainly certifiable to be insane, but who really are in their dotage, and only require careful nursing, such as might be given them in some other institution, which could be managed at a cheaper rate than is possible for an asylum for the insane, If there were such institutions a yearly draft could be made of the old and infirm who are bound to be kept in the Asylum for life, because there is no other place to send them to. An inebriate home is also urgently required in the North Island, as there are a good number of drink cases sent here who recover their sanity in a few days, but who should be kept six months or a year away from contact with alcohol. It is obviously impossible to treat this class among the ordinary insane,

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The general health of the institution was remarkably good up to the last month of the year, when we had an outbreak of measles in the male admission and refractory ward. The incidence was traced to a new attendant who was ill, and confessed to having been nursing a measles case the week before he joined our service. It is deplorable that such carelessness and culpable ignorance should exist as regards the danger of infection. The wards were isolated, but cases kept cropping up all over the male side, and at the end of the year there were eight patients affected and the whole of the male division was in quarantine. Luckily the female side escaped. Accidents have been extremely rare, no bones being broken, and only minor injuries such as cuts and abrasions having to be attended to. The May-Oatway automatic fire-alarm has been installed, and proof of its efficiency was shown when, on a false alarm, the Newtown Fire Brigade drove up under two minutes from the inception of the Are. I am pleased to have to report that the Public Works Department has begun to wire the building for electric light, which will give us better light and also more security from fire. There have been many changes in the staff during the year, due to the same causes as in former years. House-rents are so high and cost of living so much in Wellington that it is wellnigh impossible for a married man to live in the service. I would suggest that lodging-money should be granted to married attendants, as their rooms in the Asylum would become available for extra patients or attendants. For the amusement of the patients, books, periodicals, dances, and picnics have been provided. We have had a very quiet and satisfactory year, for the attainment of which I have to heartily thank the officers and staff of the institution. I have, &c, W. Baxter Gow, M.D., The Inspector-General of Asylums, Wellington. Medical Superintendent.

D. MacGregor, M.A., M.8., Inspector-General of Asylums.

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APPENDIX,

Table I.—Showing the Admissions, Readmissions, Discharges, and Deaths in Asylums during the Year 1902.

Table II.—Admissions, Discharges, and Deaths, with the Mean Annual Mortality and Proportion of Recoveries at per Cent. on the Admissions, &c., during the Year 1902.

Table II.— continued.

Table II.— continued.

M. F. T. M. P. T. 1,654 1,119 2,773 In asylums, 1st January, 1902 Admitted for the first time Readmitted 290 62 150 42 440 104 l 352 192 544 Total under care during the year Discharged and removed— Recovered Relieved Not improved Died 135 26 10 120 99 15 9 55 234 41 19 175 2,006 1,311 3,317 291 178 469 Remaining in asylums, 31st December, 1902 .. 1,715 1,133 2,848 Increase over 31st December, 1901 (11 14 75 Average number resident during the year 1,671 1,114 2,785

Admissions in 1902. Total Number ot Patients under Care. Asylums. In Asylums on 1st January, 1902. Admitted for the First Time. Readmitted. Total. Auckland Christchurch Dunedin (Seacliff) Hokitika Nelson Porirua Wellington Ashburn Hall (private asylum) M. F. T. 322 193 515 303 243 546 423 226 649 85 31 116 85 54 139 264 251 515 152 100 252 20 21 41 M. 70 51 64 19 5 21 52 8 F. 27 27 30 9 1 22 25 9 T. 97 78 94 28 6 43 77 17M. 14 15 15 1 0 5 10 2 F. 6 2 17 2 1 12 2 T. 20 17 32 1 2 6 22 4 M. F. T. 84 33 117 66 29 95 79 47 126 20 9 29 5 3 8 26 23 49 62 37 99 10 11 21 M. 406 369 502 105 90 290 214 30 F. 226 272 273 40 57 274 137 32 T. 632 641 775 145 147 564 351 62 Totals .. ,1,654 1,119 2,773 290 150 440 62 42 104 352 192 544 2,006 1,311 3,317

Patients Discharged and Died. In Asylums on the 31st December, 1902. Discharged recovered. Discharged not recovered. Died. Total Discharged and Died. Auckland Christchurch Dunedin (Seacliff) Hokitika Nelson Porirua Wellington Ashburn Hall (private asylum) M. 29 26 27 4 1 17 25 6 F. 13 13 16 4 2 16 29 6 T. 42 39 43 8 3 33 54 12 M. 3 9 19 1 F. 1 8 10 1 T. 4 17 29 2 M. 33 17 26 12 5 15 9 3 F. 15 12 12 3 1 6 3 3 T. 48 29 38 15 6 21 12 6 M. 65 52 72 17 6 32 37 10 F. T. 29 94 33 85 38 110 8 25 3 9 24 56 33 70 10 20 M. F. 341 197 317 239 430 235 88 32 84 54 258 250 177 104 20 22 T. 538 556 665 120 138 508 281 42 0 3 1 2 1 1 2 4 2 Totals 135 99 234 36 24 60 120 55 175 ! 291 178 469 1,715 1,133 2,848

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. Auckland Christchurch Dunedin (Seacliff) Hokitika Nelson Porirua Wellington Ashburn Hall (private asylum) .. M. 332 305 418 86 85 258 166 21 F. 195 242 231 31 53 246 96 20 T. 527 547 649 117 138 504 262 41 M. F. T. 34-52 39-39 35-81 39-39 44-83 41-05 34-18 34-04 34-13 20-00 44-44 27-59 20-00 66-66 37-50 65-38 69-57 67-35 40-32 78-38 54-54 60-00 54-54 5714 M. F. T. 9-94 7-69 9-11 5-57 4-96 5-30 6-22 5-19 5-85 13-95 9-68 12-82 5-88 1-89 4-35 5-81 2 44 4-17 5-42 3-12 4-58 14-29 15-00 14-63 M. 39-29 25-76 32-91 6000 100-00 57-69 14-52 3000 F. 1. 45-45 41-03 41-38 30-53 25-53 30-16 33-33 51-71 33-33 75-00 2609 42-86 8-11 12-12 27-27 28-57 Totals 1,671 1,114 2,785 38-35 51-56 43-01 7-18 4-94 6-28 34-90 28-65 32-17

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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."

Ages. Auckland. Christ- Dunedin church. (Seacliflf). Hokitika. Nelson. Porirua. Wellington. Ashburn Hall (Private Asylum). Total. Inder 5 years 'rom 5 to 10 years „ 10 „ 15 „ . 15 „ 20 „ „ 20 , 30 „ , 30 „ 40 , „ 40 „ 50 „ , 50 „ 60 „ , 60 „ 70 „ „ 70 . 80 „ Ipwards of 80 years Inknown M. F. T. 1 0 1 10 1 M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. 10 1 2 13 0 2 2 17 10 27 54 46 100 76 54 130 79 31 110 50 27 77 43 16 59 28 4 32 10 1 112 5 0 5 14 6 20 16 12 28 22 6 28 15 4 19 8 3 11 2 2 4 2 2 4 13 7 20 15 5 20 9 4 13 10 6 16 6 3 9 10 1 11 1 0 1 5 4 9 6 9 15 16 16 32 17 4 21 13 11 24 14 3 17 7 0 7 0 11 0 11 Oil 3 14 3 2 5 5 3 8 2 0 2 3 0 3 4 0 4 1 0 1 12 3 1 0 1 10 1 10 1 1 11 12 5 3 8 7 5 12 4 2 6 6 2 8 2 0 2 Oil 3 0 3 14 9 23 19 12 31 15 9 24 5 3 8 4 2 6 2 1 3 0 3 3: 2 13; 14 5 3 0 3 2 2 4 o i l 10 1 10 1 1 1 2 Totals 84 33 117 66 29 95 79 47 126 ,20 9 29; 5 3 8! 26 23 49 62 37 99 10 11 21 352 192 544

j Auckland. Christchurch. (SESSf. Hokitika. Nelson. Porirua. Wellington. Ashburn Hall (Private Asylum). Total. First Class (first attack, and within 3 mos. on admission) 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. 48 14 62i M. F. T. !28 13 41 M. F. T. 43 10 53 M. F. T. 10 4 14 M. F. T. 2 0 2 M. F. T. 15 11 26 M. F. T. 35 13 48 M. F. T. 2 2 4 M. F. T. 183 67 250 8 6 14 8 3 11 7 3 10 3 14 2 0 2 2 13 8 2 10! 2 3 5 40 19 59 18 7 25 21 5 26 9 13 22 12 3 Oil 3 6 9 11 12 23 4 5 9 67 51 118 10 6 16 5 7 12 20 21 41 4 2 6 12 3 6 5 11 8 10 18 2 13 56 54 110 4 15 2 0 2 6 17 Totals 84 33 117 66 29 95 79 47 126 i20 9 29' 5 3 8 26 23 49 62 37 99 10 11 21 352 192 544

Ages. Auckland. Christchurch. Recovered] re0 ™ ed j Recovered] Ieo^& Christchurch. Recovered] rec N° e t rea Dunedin (Seacliff). B°c°vered| recovered. Hokitika. M. F. 1. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. From 5 to 10 years „ 10 „ 15 „ „ 15 „ 20 „ „ 20 „ 30 „ „ 30 „ 40 „ „ 40 „ 50 „ „ 50 „ 60 „ „ 60 „ 70 „ „ 70 „ 80 „ 3 0 3 4 2 6 5 5 10 8 3 11 5 3 8 4 0 4 1 0 1 10 1 10 1 0 11 1 0 1 4 2 6 10 3 13 5 4 9 3 3 6 10 1 112 1 0 1 0 2 2 112 3 0 3 13 4 2 13 0 11 2 0 2 3 14 7 8 15 6 5 11 4 0 4 5 2 7 2 0 2 0 2 2 13 4 5 16 2 13 7 2 9 4 15 0 2 2 12 3 1 0 1 0 1 1 1 0 1 10 1 1 0 1 Totals 29 13 42 3 14 26 13 39 9 8 17 27 16 43 19 10 29 4 4 8 1 1 2 Ages. Nelson. Re- I Not recovered. I covered. Porirua. Wellington. Ashburi (Private A nHall Asylum). Toi ;al. Not recovered. Re- Notre- Re- Not covered, covered, covered, recovered. Re- Not recovered, covered. Recovered, j M. F. T. II. 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. 'rom 5 to 10 years „ 10 „ 15 „ „ 15 „ 20 , „ 20 „ 30 „ „ 30 „ 40 „ „ 40 „ 50 „ „ 50 „ 60 „ „ 60 „ 70 „ „ 70 „ 80 „ 10 1 0 2 2 Oil 2 5 7 7 3 10 4 5 9 3 2 5 10 1 oil Oil 2 2 4 8 8 16 7 10 17 2 4 6 4 5 9 1 0 1 10 1 1 0 2 1 1 3 0 2 2 1 1 2 Oil 2 13 2 0 2 112 10 1 10 1 12 8 20 33 29 62 31 32 63 24 16 40 20 12 32 11 2 13 3 0 3 14 5 3 4 7 10 2 12 6 7 13 9 5 14 4 2 6 3 0 3 oil Totals 1 2 3j 17 16 33 0 2 2| 25 29 54 3 1 4 6 6 12; 112 135 99 234 36 24 60

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Table VI.—Ages of the Patients who died.

Table VII.—Condition as to Marriage.

Ages. Auckland. Christchurch. (Seaclfff" Hokitika. ! Nelson. Porirua. ! Wellington. Ashburn Hall (Private Asylum). Total. M. F. T. 10 1 M. F. T. I M. F. T. 1 .. 1 M. F. T. ' M. F. T. M. F. T. M. F. T. M. F. T. M. F. I. 2 0 2 'rom 5 to 10 years „ 10 „ 15 „ „ 15 „ 20 „ „ 20 „ 30 , „ 30 „ 40 „ „ 40 „ 50 „ „ 50 „ 60 , „ 60 „ 70 „ „ 70 „ 80 „ „ 80 „ 90 „ iver 90 years Jnknown 5 16 7 3 10 7 4 11 4 3 7 4 15 5 3 8 1 2 3 13 4 2 13 8 0 8 4 4 8 12 3 1 .. 1 1 1 3 14 5 5 3 8 4 0 4 9 1 10 4 2 6 10 1 10 1 3 0 3 Oil 10 1 10 1 Oil 101 5 0 5 2 0 2 2 0 2 0 1 1 0 2 2 6 0 6 4 15 2 13 3 14 3 0 3 1 0 1 1 1 2 Oil 1 0 1 3 14 1 12 0 1 1 10 1 12 6 18 13 13 26 22 9 31 22 6 28 21 9 30 23 9 32 4 0 4 Oil 0 2 2 2 02 Oil 0 22 '.'. Totals 33 15 48 17 12 29 12 3 15 ! 5 1 6 3 3 6 120 55 175 26 12 38 15 6 21 9 3 12

Admissions. Discharges. Deaths. Auckland — Single Married Widowed M. F. T. 49 13 62 27 16 43 8 4 12 M. 15 13 4 F. T. 4 19 7 20 3 7 M. F. T. 17 1 18 14 10 24 2 4 6 Totals 84 33 117 32 14 46 33 15 48 Chbistchuech — Single Married Widowed 36 12 48 28 15 43 2 2 4 27 7 34 7 13 20 112 9 8 0 5 14 4 12 3 3 Totals 66 29 95 35 21 56 17 12 29 Dunedin (Seacliff) — Single Married Widowed 45 26 71 31 19 50 3 2 5 27 19 46 17 6 23 2 13 17 9 0 7 24 4 13 1 1 Totals 79 47 126 46 26 72 26 12 38 Hokitika— Single Married Widowed 15 3 2 4 19 4 7 1 3 i 1 0 0 4 1 4 5 1 8 2 2 1 1 1 9 3 3 Totals 20 9 29 5 5 10 12 3 15 Nelson— Single Married Widowed 3 1 1 2 1 0 5 2 1 1 0 1 1 2 1 2 2 1 0 1 0 2 3 1 Totals 5 3 8 1 2 3 5 1 6 Pobibua — Single Married Widowed 11 8 19 10 12 22 5 3 8 10 10 20 6 7 13 112 8 8 4 2 10 3 6 1 5 Totals 26 23 49 17 18 35 15 6 21 Wellington— Single Married Widowed 40 9 49 17 22 39 5 6 11 20 9 29 7 19 26 12 3 5 4 0 0 2 1 5 6 1 Totals 62 37 99 28 30 58 9 3 12 Ashbuen Hall (Private Asylum)— Single Married Widowed 5 4 1 8 13 2 6 1 2 2 4 1 4 3 0 6 7 1 1 2 0 1 1 1 2 3 1 Totals 10 11 21 7 7 14 3 3 6 Totals — Single Married Widowed 204 82 286 121 91 212 27 19 46 106 54 160 55 60 115 10 9 19 67 17 84 44 26 70 9 12 21 Totals 352 192 544 171 123 294 120 55 175

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Table VIII. —Native Countries.

Table IX.—Ages of Patients in Asylums on 31st December, 1902.

Table X. —Length of Residence of Patients who died during 1902.

Countries. Auckland. Christchurch »»•*» Hokitika. Nelson. IPorirua. Wellington. Ashburn Hall (Private Asylum). Total. I England Scotland Ireland New Zealand Austral'n Colonies America, U.S. .. M. F. T. 119 64 183 32 7 39 66 48 114 79 63 142 5 6 11 6 0 6 M. F. T. 114 83 197 36 23 59 72 58 130! 61 49 110 : 6 8 9 1 2 3j 1 0 1 4 1 5 M. F. T. 91 45 136 116 74 190 !l04 57 161 k 54 42 96 "11 12 23 10 1 ! 0 2 2 10 0 10 M. F. T. 12 6 18 11 1 12 27 15 42; 22 8 30 1 2 3 2 0 2 10 1 3 0 3 M. F. T. 24 12 36; 6 4 101 ;18 8 26 1 '29 27 56 12 3 M. F. T. 94 76 170 26 24 50 53 68 121 49 64 113 7 3 10 M. F. T. 55 26 81 19 10 29 28 15 43 56 37 93 5 3 8 M. F. T. 6 6 12 6 6 12 2 0 2 6 9 15 M. F. 515 318 252 149 370 269 356 299 36 31 10 2 4 2 36 13 4 1 15 5 16 8 15 2 13 3 28 0 13 9 32 27 T. 833 401 639 655 67 12 6 49 5 20 19 17 16 28 22 59 Prance GermanyAustria Norway Sweden Denmark Italy China Maoris Other countries .. 9 8 12 4 0 4 10 1 4 0 4 2 0 2 1 1 2 1 0 1 5 5 10 7 0 7 4 0 4 2 0 2; 3 0 3! 9 1 10 3 0 3 0 2 2 4 0 4 19 0 19 10 1 7 0 7 3 0 3 1 0 1 0 1 1 2 0 2 1 0 1 2 0 2 6 3 9 0 11 112 4 2 6 5 0 5 2 2 4 1 0 1 4 3 7 4 3 7 8 6 9 0 3 3 2 0 2 4 0 4 10 1 2 0 2 2 0 2 0 4 4 1 '6 1 5 0 5 112! 12 19 81 2 0 2 0 "l 1 Totals .. 341 197 538 317 239 556 430 235 665 88 32120 84 54 138 258 250 508 177 104 281 20 22 42 1715 1133 2841

Ages. Auckland. Christchurch. Dunedin (Seacliff). Hokitika. ' Nelson. Porirua. Wellington. Ashburn Hall (Private Asylum). Total. 1 to 5 years 5 „ 10 ' „ 10 „ 15 „ 15 „ 20 „ 20 „ 30 „ 30 „ 40 „ 40 „ 50 „ 50 „ 60 „ 60- „ 70 „ 70 „ 80 „ Over 80 Unknown II. P. T. M. F. T.I 10 1 10 12 13 2 2 4 2 13 4 5 9 4 6 10 45 25 70, 35 26 61 71 38 109 60 52 112 84 50 134 70 57 127 67 39 106 60 50 110 53 25 78 53 31 84 8 8 16 24 11 35 3 3 6 3 2 5 2 2 4 4 2 6 M. F. T. 2 13 13 4 8 7 15 50 37 87 82 52 134 112 51 163 77 55 132 76 24 100 18 4 22 4 15 M. F. T. 0 1 1 0 11 0 11 10 4 14 14 1 15 8 5 18 20 7 27 25 12 37 8 0 8 M. F. T. 2 0 2 5 3 8 8 6 14 11 12 23 20 11 31 15 11 26 16 10 26 7 18 M. F. T.| 4 6 10 25 23 48[ 57 49 106 69 81 150 66 55 121 27 32 59! 10 4 14 M. F. T. 0 11; 1 2 3 5 16! 34 21 55! 36 28 64 40 30 70 40 12 52 17 6 23' 4 3 7 M. F. T. M. F. 11 5 3 8 9 0 1 1 30 30 1 2 3 208 144 4 5 9 335 237 4 4 8 407 289 4 3 7 349 232 6 4 10 273 144 1 3 4 80 34 10 6 9 4 T. 2 8 17 60 352 572 696 581 417 114 16 13 3 0 3 •• Totals 341 197 538 317 239 556 430 235 665 83 32 120 84 54 138 258 250 508 20 22 421715 1133 2848 i 177 104 281

Length of Residence. Auckland. Christchurch. Dunedin (Seacliff). Hokitika. Nelson. Porirua. Wellington. Ashburn Hall (Private Asylum). Total. Under 1 month From 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 „ Over 15 years Died while absent on trial M. F. T. Oil 4 2 6 4 15 112 10 1 5 0 5 M. F. T. 3 3 6 Oil M. F. T. 1 0 1 5 0 5 3 2 5 10 1 3 14 3 4 7 1 0 1 3 2 5 M. F. T. 2 0 2 M. F. T. I II. F. T. 1 0 1 ! 1 1 2 10 1 '.'. 2 0 2 2 0 2 ,202 Oil 10 1 2 0 2 Oil .12 3 10 1 10 1 2 0 2,32 5 M. F. T. 2 2 4 M. F. T. Oil 1 0 1 M. F. T. 10 8 18 11 3 14 8 3 11 9 1 10 8 19 13 5 18 14 5 15 9 24 7 3 10 9 8 17 3 14 5 16 17 6 23 4 2 6 10 1 10 1 2 13 0 2 2 0 1 1 2 0 2 2 3 5 10 1 1 0 1 4 15 10 1 2 0 2 2 0 2 10 1 6 4 10 4 2 6 3 14 1 1 2 1 0 1 10 1 Oil 2 0 2 1 0 1 1 0 1 12 3 1 i 2 112 oil 5 16 10 1 0 2 2 10 1 10 1 2 0 2 10 1 3 2 5 .. Totals 5 1 6 15 6 21 120 55 175 33 15 48 17 12 29 26 12 38 12 3 15 9 3 12 3 3 6

H.—7

16

Table XI. —Length of Residence of Patients discharged "Recovered" during 1902.

Table XII. —Causes of Death.

Length of Residence. [ Auckland. Christchurch. Dunedin (Seacliff). Hokitika. Nelson. Porirua. Wellington. Ashburn Hall (Private Asylum). Total. Fnder 1 month 'rom 1 to 3 months „ 3 „ 0 „ „ 6 „ 9 , „ 9 „12 „ „ 1 „ 2 years .. „ 2 „ 3' „ .. „ 3 „ 5 „ .. „ 5 „ 7 „ .. „ 7 „10 „ .. „ 10 „ 12 „ .. „ 12 „ 15 „ .. Iver 15 years M. F. T. 3 14 3 14 .. 13 4 17 12 3 .. 2 13 .. 13 4 2 0 2 3 14 10 1 H. F. T. 1 0 1 9 4 13 8 2 10 3 2 5 0 11 2 0 2 1 1 2 112 M. F. T. 4 3 7 9 6 15 7 3 10 2 2 4 12 3 2 0 2 M. F. T. 112 0 2 2 2 13 M. F. T. 0 2 2 M. F. T. 2 13 4 0 4 3 3 6 14 5 0 3 3 5 4 9 112 M. F. T. 10 1 12 5 17 4 6 10 2 7 9 2 4 6 1 0 1 2 6 8 112 M. F. T. 10 1 1 2 3 0 2 2 3 2 5 1 0 1 M. F. T. 13 6 19 38 20 58 37 21 58 12 21 33 5 11 16 12 7 19 6 8 14 6 3 9 3 0 3 3 2 5 10 1 10 1 1 0 1 12 3 1 0 1 1 0 1 Totals .. .. 29 13 42 26 13 39 27 16 43 4 4 8 12 3 17 16 33 25 29 54 6 6 12 135 99 234

Causes. Auckland. Christchurch. Dunedin (Seacliff). Hokitika. Nelson. Porirua. Wellington. Ashburn Hall (Private Asylum). Total. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. 0 11 M. F. T. Oil M. F. T. 0 2 2 1 0 1 0 11 5 16 3 0 3 2 13 2 13 2 2 4 10 1 0 1 1 0 1 1 1 1 2 7 2 9 10 1 2 0 2 1 0 1 1 0 1 10 1 7 5 12 2 0 2 0 11 10 1 1 0 1 1 0 1 17 0 17 10 5 15 1 0 1 0 1 1 10 1 1 0 1 1 0 1 112 2 2 4 1 0 1 10 12 22 10 1 4 2 6 12 8 20 Oil 2 0 2 0 1 1 6 17 10 1 0 1 1 0 1 1 4 0 4 2 0 2 10 1 Acute mania and exhaustion Acute rheumatism Addison's disease Apoplexy Bright's disease Bronchitis Cardiac failure Cancer Cerebral congestion Cerebral softening Cerebral tumour Cerebral haemorrhage Chronic brain-disease Diabetic phthisis Diarrhcea and dysentery Dilatation of heart Dropsy Empysemia Epilepsy Exhaustion from mania Exophthalmic goitre Fatty-degeneration of heart Gangrene Gastro enteritis General paralysis Heart-disease Inflammation of bowels.. Lympho-sarccmaof neck and lungs Marasmus Measles and pericarditis Measles and pneumonia Melancholia and asthenia Organic brain-diseate Peritonitis Phthisis Pleurisy Pneumonia Senile decay .. Septicemia Suppurative nephritis Syphilis Syncope Thrombosis and chronic nephritis Tubercular laryngitis Tubercular peritonitis Tuberculosis Uraemia Died while absent on trial 101 1 0 1 0 11 10 1 oil 112 101 2 4 6 2 0 2 0 11 9 0 9 10 1 0 11 2 0 2 0 i 1 1 i' 2 0 1 1 1 6' 1 1 6 1 1 6' 1 2 i 3 1 0 1 2 18 10 1 i 6' i 5 6' 5 112 10 1 101 5 16 101 10 1 1 0 1 1 0 1 2 0 2 1 6' 1 2 13 10 1 101 161 1 0 1 101 10 1 161 3 03 12 3 1 i' 2 112 2 02 oil 101 Oil 10 1 10 1 1 0 1 1 i' 2 2 2 4 10 1 5 7 12 1 0 1 2 3' 5 1 i' 2 oil 2 02 101 4 2 6 1 i' 2 2 2 4 0 22 112 1 0 1 0 1 1 2 6' 2 1 i' 2 10 1 2 0 2 oil 1 6 1 101 3 i 4 oil 10 1 1 0 1 1 0 1 1 0 1 oil 011 3 03 101 101 101 10 1 Totals 33 15 48 17 12 29 26 12 38 12 3 15 5 10 15 6 21 9 3 12 3 3 6 120 55 175

17

H.—7

3—H. 7.

Table XIII. —Causes of Insanity.

Causes. Auckland. Christchurch. Dunedin (Seacliff). Hokitika. Nelson. Porirua. Ashburn Wellington. (p ™ te Asylum). Total. M. F. T. 1 0 1 M. F. T. M. F. T. 0 11 0 11 17 3 20 0 2 2 1 0 1 M. F. T. M. F. T. M. F. T. M. F. T. 2 2 4 M. F. T. M. F. T. 3 3 6 0 1 1 49 14 63 0 2 2 1 0 1 10 1 0 1 1 1 0 1 0 1 1 0 13 13 6 16 22 67 36 103 10 1 0 1 1 1 0 1 2 0 2 12 3 11 10 21 10 1 4 0 4 10 1 4 5 9 4 15 112 23 1 24 1 0 1 0 5 5 0 1 1 10 1 4 0 4 2 0 2 1 1 2. 1 0 1 1 0 1 1 0 1 28 15 43 5 3 8 1 0 1 4 3 7 0 1 t 36 12 48 2 0 2 9 1 10 1 0 1 5 0 5 7 2 '.> 0 1 1 11 15 26 49 24 73 Adolescence Adverse circumstances Alcohol Amenorrhoea Apoplexy Blindness Brain fever Carcinoma Cerebral tumour Child-bearing and puerperal Climacteric Congenital and hereditary .. Constipation Cruelty of husband Debility .. Dissolute life Domestic trouble Epilepsy Excessive sexual intercourse Financial worry Horse-racing Ill-health Influenza Injury to head Masturbation Melancholia Neurotic inheritance Nymphomania Opium Organic Overstudy Overwork Phthisis Plumbism Poverty Previous attack Privation Railway accident Religious exoitement Scarlatina Senility Shock .. Solitary life Suicide of brother Sunstroke Syphilis Uterine trouble Worry Unknown 9 2' 11 0 1 1 0 2 2 0 4 4 23 7 30 101 3 14 2 02 3 6' 3 6 06 a i' 12 0 2 2 Oil 9 1 10 1 6' 1 3 36 101 1 5* 6 2 6' 2 0 5 5 0 2 2 15 14 29 1 0 1 0 33 2 0 2 112 4 0 4 2 l' 3 0 22 12 3 101 101 10 1 3 03 0 i' 1 0 i' 1 1 6' 1 1 6' 1 2 i' 6 161 0 3 3 5 3 8 12 3 1 6' 1 0 2* 2 2 2 4 1 6' 1 8 3 11 1 '6 1 Oil Oil 14 5 12 4 16 1 'i 2 10 1 10 1 8 19 6 511 101 0 i' 1 0 5' 5 oil 10 1 4 04 2 0 2 1 i' 2 10 1 161 10 1 4 i' 5 15 2 17 0 2 2 3 25 10 1 10 ii 21 161 2 2" 4 1 i 2 101 0 11 8 0 8 2 0 2 3 14 5 o' 11 8 2* 10 2 6' 2 9 2' 11 3 2 5 101 5 6' 5 10 1 161 3 0 3 101 7 0 7 oil 101 0 11 4 6 10 10 3 13 2 i' 3 18 10 28 Oil 10 1 6 17 0 3' 3 2 5 7 3 0 3 2 6' 2 10 9 19 2 i' 3 Totals .. 84 33 117 66 29 95 79 47 126 20 9 29 5 3 8 26 23 49 62 37 99 10 11 21 352 192 544

S.-7.

Table XIV. —Former Occupations of Patients.

18

Occupation. 4 § o 5 i | 3 s a $ a n a o +3 CC a Q <e "E Wg a a ■3 Occupation. A v r3 A o A 5 £ 3 X a q fi a o a Id ft £ a JI 3 >> ■/ A*4 m •6 a 3 O a | o n a o £ o R A O Ph -3 c H I a 3 A M c w a o •Ji -3 R A a o ft o H M. lles. Aboriginal native .. Arohiteots Auctioneers Bakers Blacksmiths Bootmakers Bushman Butcher Canvasser Carpenters, &c. Carters, expressmen, &c. Clerks, accountants, &o. Clergymen Coach-builder Commercial travellers 1 "2 4 1 1 4 1 i i 1 I 1 i 2 i i 4 1 1 1 i i 3 4 2 i 2 2 1 1 1 2 2 3 2 7 1 1 1 15 6 9 2 1 2 Horsedealer Hotelkeeper Labourers Lighthouse-keeper Medical practitioner Miners Music-teacher Newsvendor No occupation Painter Photographer Plumbers Police-constable .. Printers Rabbiters Railway employees Ropemakers Saddler Salesmen Schoolboy Schoolmasters Sea captain Seamen Settlers Slater Station-hand Storekeepers Storeman Student .. Tailors Tanner Tramdriver Waiter Woodcarver Unknown 16 i 7 i i i 2 i 29 i 1 3 1 1 i 1 2; i 1 1 3 1 i 6 1 7 1 i 12 i ! 17 1 4 2 2 i 1 1 1 1 106 1 1 19 1 1 16 1 1 4 1 4 3 3 3 1 2 1 3 1 6 2 1 1 4 1 1 1 1 1 1 2 Commission agents Coal merchant Cook Dealer Drapers Engineers Farm cadet Farmers and sheepfarmers Fireman Fisherman Fitters, riveters, moulders, &c, Gardeners Gaol warder Grocer Grooms Gum-diggers Hawkers Herbalist i 2 1 *i 1 1 1 i 5 1 1 1 2 2 1 55 i '5 i 1 i "2 i 'i 12 1 i 1 12 ii 9 'i '1 'e '3 i 1 i 1 i i 1 1 2 i 1 .1 3 1 1 1 1 1 1 10 3 1 1 1 1 .2 '2 8 ,1 1 2 10 2 1 1 1 i 1 2 i 20 62 10 352 Totals .. I 84! 66 79 5 I 26 Charwoman Dairykeeper Domestic duties .. Domestio servants Dressmakers Housekeeper Housewives Laundress No occupation Fej [ALES 1 2 1 5 1 1 81 86 3 8 i i 15 8 1 32 'a 1 1 139 6 3 1 18 1 10 Pedlar Prostitutes Schoolgirls Tailoress Teachers Typewriter 1 1 i i 2 1 1 1 1 'a 2 .. i 15 3 1 'il 8 4 i i Totals .. 33 29 47 3 23 192 37 11

19

H.—7

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. «L Discharged. i Remaining 31st December in each Year. Average Numbers resident. Percentage of Recoveries on Admissions. Admitt* Improved. Died. Percentage of Deaths on Average Numbers resident. Recover* .. telievet No1 1876 1877 1878 1879 1880 1881 1882 1883 1884 1885 1886 1887 1888 1889 1890 1891 1892 1893 1894 1895 1896 1897 1898 1899 1900 1901 1902 M. 221 250 247 248 229 232 267 255 238 294 207 255 215 230 230 234 231 281 320 379 296 300 355 264 335 373 352 F. 117 112 131 151 149 127 152 166 153 160 165 161 146 161 160 201 158 179 256 302 170 244 258 247 263 224 192 T. 338 362 378 399 378 359 419 421 391 454 372 416 361 391 390 435 389 460 576 681 466 544 613 511 598 597 544 M. , F. 129 j 79 123 j 57 121 ! 68 112 76 100 67 93 j 65 95 59 102 78 89 77 95 76 99 60 103 78 116 ! 92 93 j 53 98 i 88 88 74 89 76 101 89 107 76 105 77 104 70 102 I 73 114 no 88 , 99 103 ; 96 125 104 135 99 T. 208 180 189 188 167 158 154 180 166 171 159 181 208 146 186 162 165 190 183 182 174 175 224 187 199 229 234 M. 17 20 14 15 36 41 49 13 17 10 11 34 31 31 23 33 21 17 15 24 25 26 13 15 39 40 26 F. 8 9 14 13 25 36 32 20 9 5 17 17 28 30 17 24 17 12 11 19 16 32 23 25 10 17 15 T. 25 29 28 28 61 77 81 33 26 15 28 51 59 61 40 57 38 29 26 43 41 58 36 40 49 57 41 M 6 7 3 8 5 8 5 10 18 73 12 2 3 12 14 8 9 55 128 20 17 104 7 25 33 10 F. 6 2 3 3 2 1 7 9 12 29 8 2 1 5 30 2 9 84 139 12 31 47 42 65 3 9 T. 12 9 11 7 9 12 19 30 102 20 4 4 17 44' 10 18 139 267 32 48 151 49 90 36 19 M. 36 42 51 55 54 49 60 65 68 73 57 74 78 70 76 79 74 78 64 101 86 105 88 114 99 102 120 F. 12 21 17 16 20 14 19 18 24 22 19 27 26 30 35 41 34 23 35 42 32 43 60 43 46 72 55 T. 48 63 68 71 74 63 79 S3 92 95 76 101 104 100 111 120 108 101 99 143 118 148 148 157 145 174 175 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 1,390 1,440 1,472 1,512 1,581 1,654 1,715: F. i 264, 291 319 361 396; 406; 442' 483 514 542; 604 ! 643 640 687 702 734 763 810 860 885 925 990 1,008 1,045 1,091 1,119 1,133 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 2,315 2,430 2,480 2,557 2,672 2,773 2,848 M. 491 541 601 666 703 747 796 860 911 965 984 ! 1,034 1,045 1,046£ 1,078 1,089| 1,125 1,172 1,241 1,313 1,347 1,411 1,438 1,487 1,534 1,622 1,671 F. 257 277 303 337 371 388 421 475 497 528 ! 559 613 641 660J 685 699J 714| 758 812 849 882 944 973 1,004 1,049 1,094 1,114 j 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 1,789J l,839f; 1,930 2,053 2,162 2,229 2,355 2,411 2,491 2,583 2,716 [2,785 M. 54-53 49-20 4898 45-16 4366 4008 35-58 40-00 37-39 32-31 47-82 40-39 53-95 40-43 4261 37-61 38-53 35-94 3963 41-27 37-41: 35-92 44-88 32-31 30-74 39 06 38-35 F. 66-01 50-80 51-90 50-33 44-96 5110 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 ; 44-02 37-82 51-89 44 33 36-50 46-64 51-56 57-56 49-72 50 00 47-11 44-17 44-01 36-75 42-75 42-45 37-66 42-74 43-61 57-62 37-34 47-69 37-24 42-42 41-30 4103 43-40 39-82 36-69 48 07 37-58 33-27 42-17 4301 M. 8-21 7-76 8-48 8-25 7-68 6-29 7-53 7-55 7-46 7-56 5-79 7-15 7-56 6-69 7-05 7-25 6-58 6-66 5-16 7-69 6-38 7-44 6-12 7-67 6-45 6-29 7-18 F. 3-58 7-58 5-61 4-74 5-39 3-60 4-51 3-78 4-82 4-16 3-39 4-40 4i05 4-54 511 5-86 4-76 303 4-31 4-94 3-63 4-55 6-17 4-28 4-38 6-58 4-94 T. 6-70 7-70 7-52 7-07 6-89 5-55 6-49 6-21 C-53 6-36 4-91 6-13 6-16 5-86 6-29 6-71 5-87 5-23 4-82 6-61 5-29 6-28 6-14 6-30 5-61 6-41 6-28 7,338 4,905 112,243 2,829 2,116 4,945 656 501 ; 1,157 I 602 .563 ■ 1,165 2,018 846 2,864 , : .. •■ - •■ • • ■ • •• •■ •• In Asylums, 1st January, 1876 In Asylums, 1st January, 1903 M. F. T. 482 254 736 .. 1,715 1,133 2,848

20

H.—7

Table XVI.— Showing the Admissions, Readmissions, Discharges, and Deaths from the 1st January, 1876, to the 31st December, 1902.

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, 1903, and Liabilities at that Date.

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, 1903.

Persons admitted during period from 1st January, 1876, to 31st December, 1902 Readmissions M. F. T. 5,967 3,758 9,725 1,371 1,147 2,518 M. F. T. Total cases admitted Discharged cases— Recovered Relieved Not improved Died 7,338 4,905 12,243 2,829 2,116 4,945 656 501 1,157 602 563 1,165 2,018 846 2,864 6,105 4,026 10,131 Total cases discharged and died since January, 1876 Remaining in asylums, January 1st, 1876 482 254 736 Remaining in asylums, January 1st, 1903 1,715 1,133 2,848

Males. Females. Both Sexes. Recovered Relieved .. Not improved Died Remaining 38-55 8-94 8-21 27-50 16-80 43-14 10-21 11-48 17-25 17-92 40-40 9-45 9-51 23-39 17-25 100-00 100-00 100-00

Asylums. Net Expenditure for Year ended 31st March, 1903. Liabilities on 31st March, 1003. Auckland Wellington Porirua Christchurch Dunedin (Seacliff) .. Nelson Hokitika £ s. d. 698 6 1 1,468 10 2 2,144 19 1 155 11 1 4,973 0 1 487 6 7 238 17 2 £ s. d. 13 13 11 50 9 0 349 0 8 2,730 0 0 543 8 8 599 15 0 9 12 11 Totals 10,166 10 3 4,296 0 2

Asylums. 1877-95. 1895-96. 1896-97. 1897-98. 1898-99. Auckland Wellington Wellington (Porirua) Christchurch Dunedin (Seacliff) Napier Hokitika Nelson £ 3. d. 72,251 11 3 20,839 9 8 47,333 3 11 96,366 18 9 119,717 13 8 147 0 0 1,164 19 8 5,310 9 4 £ s. 2,994 10 275 4 768 15 4,863 10 1,810 11 £ s. c 9,565 4 ■ 175 10 1 4,873 16 li 1,169 11 280 11 1 £ s. d. 3,177 14 6 133 11 4 8,655 10 0 821 18 4 222 13 6 £ s. d. 208 7 2 1,606 18 10 11,233 9 1 188 15 9 1,797 0 4 22 5 200 0 338'l7 : 1,118' 1 10 2,632 2 4 Totals 363,131 6 3 10,934 16 16,403 10 14,129 9 6 17,666 13 6 Asylums. 1899-1900. 1900-1001. 1901-2. 1902-3. Total [et Expenditure, 1st July, 1877, 31st March, 1902. Auckland Wellington Wellington (Porirua) Christchurch Dunedin (Seacliff) Napier Hokitika Nelson £ s. d. 1,553 11 4 1,823 17 0 11,095 9 6 1,386 17 7 £ s. d. 3,038 17 11 1,616 2 0 10,587 3 7 75 16 8 2,227 16 10 £ s. d. 2,119 12 6 162 12 2 8,560 18 8 43 2 6 4,666 16 8 £ s. d. 698 6 1 1,468 10 2 2,144 19 1 155 11 1 4,973 0 1 £ s. d. 95,607 15 5 28,101 15 2 105,253 6 1 103,685 4 3 137,083 0 10 147 0 0 1,523 13 9 14,357 16 2 1,852* 5 8 94' 3 11 1,231 13 5 37 4 1,186 19 9 238 17 2 487 6 7 Totals .. 17,712 1 1 18,871 14 4 16,743 9 7 10,166 10 3 485,759 11 8

21

H.—7

Table XX.— Showing the Expenditure for the Year 1902.

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

Approximate Cost of Paper— Preparation, not given; printing (1,775 copies), £21 15s.

■P*""*! 9d.] By Authority : John Mackay, Government Printer, Wellington —1903 4 H. 7.

Heads of Expenditure. Auckland. Christchurch. Dunedin (Seacliff). Hokitika. Nelson. Porirua. Wellington. Total. £ s. d. : £ s. d. £ s. d. £ s. d. £ S. d. £ s. d. £ s. d. £ s. d. 1.000 0 0 250 0 0 220 0 0 1,234 12 8 676 1 7 129 3 0 365 5 9 3,454 3 4 1.001 12 9 873 16 3 640 18 3 24,637 13 9 21,772 17 8 5,611 5 4 5,924 2 4 588 1 4 100 14 1 5,128 9 1 11,629 5 1 Inspector * Assistant Inspector* Clerk' Medical fees* Contingencies* 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 Totals Repayments, sale of produce, &c. Actual cost 25 4 0 '.'. 600' 0 0 133 6 8 137 10 0 98 15 0 4,263 7 2 3,882 12 8 831 17 9 898 1 10 40 18 2 13 3 0 622 3 0 1,279 17 5 .. 12,832 16 8 3,576 9 4 9,256 7 4 600 0 0 250 0 0 200 0 0 96 14 11 4,469 12 10 3,955 6 2 1,499 10 3 1,357 12 10 98 7 0 27 2 0 1,109 5 0 1,748 19 7 56' 8 0 606' 0 0 264 2 9 140 0 0 91 13 4 - 6,335 10 5 4,930 16 3 994 13 7 1,830 12 1 146 4 0 11 6 0 1,776 13 2 4,096 14 0 - ■• 12 12 0 150 0 0 300 0 0 85' 0 0 1,041 16 11 1,115 3 11 43 16 4 200 13 8 32 10 0 1 7 0 269 14 7 - 4 4 0 215 5 9 200 0 0 75 0 0 1,254 5 5 1,178 15 9 426 3 2 144 12 0 59 5 3 17 15 6 351 7 8 631 2 3 • ■• 25' 4 0 600 0 0 250 0 0 230 6 3 100 0 0 4,740 0 10 4,035 13 7 1,105 13 0 796 11 3 172 4 8 16 10 7 1,025 6 5 2,375 6 1 15,472 16 8 3,015 12 6 li'll 0 554 3 4 104 3 4 166 0 0 93 15 0 2,533 0 2 2,674 9 4 709 11 3 695 18 8 32 12 3 13 10 0 243 13 10 1,227 11 2 15,412 10 7 4,603 9 9 21,268 13 7 6,124 17 3 L 11,268 13 7 j 6,124 17 3 I 3,252 14 5 256 5 0 4,557 16 9 956 10 9 9,059 19 4 2,016 14 3 85,238 2 3 "20,549 18 10 10,809 0 10 3,601 6 0 12,457 4 2 7,043 5 1 64,688 3 5 15,143 16 4 2,996 9 5 * Not included in Table XXI. c

Asylums. Provisions. Salaries. Bedding and Clothing. Jjignt. Dispensary. <feo. Farm. Total Cost Repayments per°Head° ess -?tf- P er tta ilain- Repayments cenaneouB. Patient ' tenailce - f t ° e 1 n^ e n - m f , r. t Total Cost Inc L ease De r ase £ s. a. ■ Auckland .. 7 7 4£ Christchurch .. 7 4 74 Dunedin (Seacliff) 7 11 11J Hokitika .. 9 10 74 Nelson .. .. 8 10 10 ; Porirua .. S 0 If Wellington .. 10 4 2 Averages .. 7 18 8J £ s. d. 9 19 6J 10 5 4} 11 10 6J 13 11 8J 12 13 5£ 11 15 ll| 13 4 4 \ £ s. d. £ s. d. £ s. d. 1 14 1 111 6|i 0 1 9J 2 9 7| 2 14 10 ! 0 3 7 2 16 5 1 10 7| i 0 4 6 1 14 3} 0 7 6 0 5 6} 1 0 11J 3 1 9} 0 8 7 1 11 7J 2 3 10J 0 6 10 2 13 l| 2 14 2 0 2 5| 2 3 2J 2 0 10f ! 0 4 3i £ s. d. £ s. d. £ s. d. 006 1 3 71 287 0 10 2 0 6f 3" 3 111 00 4J 2 14 9 663 j 0 0 2| .. 2 6 1} 0 2 7 2 10 11 4 11 5j 0 0 8 i 2 0 8J 4 14 3 0 1 0J 0 18 7| 4 13 8J 0 0 8} 1 17 U ' 4 4 9^ £ s. d. 24 7 0J 28 3 6J 32 15 5J 27 16 0£ 33 0 64 30 14 0 34 11 7J 29 16 74 £ B. d. 5 1 3J 5 12 4f 7 8 2J 1 17 i-l 5 11 10f 4 8 7| 6 14 3 £ s. d. £ s. d. £ s. d. • 19 5 8} I 17 11 3J 17 6 2 22 11 1| I 19 15 2J 17 12 11} 25 7 2J 23 6 8J 19 17 8 25 18 7J 25 12 2| 24 18 2 27 8 8 26 1 11 26 16 i\ 26 5 4J 24 14 4 22 18 6| 27 17 4| ! 26 17 8 28 6 0 24 3 4J j 22 6 10 20 16 11J £ s. d. 0 5 If 2 2 3 3 9 0| 0 14 0j £ e. a. 0 14 5; 1 15 9| 18 4 •■ 11 6 8J 5 13 2J 1 9 104 Note —Including the first five items in Table XX., the net cost per patient is £23 11s. 5|d., as against £21 17s. 9Jd. foi the previous year, being an increase of £1 13s. 8Jd. per head.