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1922. NEW ZEALAND.
MENTAL HOSPITALS OF THE DOMINION (REPORT ON) FOR 1921.
Presented to both Houses of the General Assembly by Command of His Excellency.
The Hon. the Minister tn Charge of Department for the Carh of Mental Defectives to His Excellency the Governor-General. My Lord, — Wellington, Ist August, 1922. I have the honour to submit to Your Excellency the report of the Inspector-General of Mental Defectives for the year 1921. I have, &o.j C. J. Parr, Minister in Charge of Department for the Care of Mental Defectives. The Inspector-General to the Hon. C. J. Parr, C.M.G., the Minister in Charge of the Department for the Care of Mental Defectives. Blß,— Wellington, Ist July, 1922. I have the honour to submit my report for the year ended 31st December, 1921. The number of patients on the register at the end of the year, 4,871 (m., 2,772 ; f., 2,099), was 117 (m., 55 ; f., 62) higher than at the beginning, and the daily average under treatment during the year, 4,754 (m., 2,723 ; f., 2,031), was 100 (m., 49 ; f., 51) in excess of the previous year, while the total under care was 5,677. The number of Maoris at the end of the year was 65 (m., 34 ; f., 31). The admissions numbered 881 (m., 479 ; f., 402), or 24 men more and. 16 women fewer than in the previous year. The proportion per cent, of readmissions (10-23) was approximately the same as in the previous year, and 738 patients were admitted for the first time. To these admissions the Maoris contributed 21 and 7 respectively. The ratio of all admissions (exclusive of Maoris) to population was 7-05 (m., 7 - 47 ; f., 6-61) to 10,000 ; and of first admissions, 594 (m., 6-53 ; f., 5-32) ; so that 1,417 persons in the general population contributed one patient, and 1,684 contributed a patient admitted for the first time. The discharges (excluding transfers) numbered 446, or 41 fewer than in 1920; a smaller number of harmless unrecovered persons were returned to the care of friends, but the recoveries, 371 (m., 178 ; f., 193), exceeded last year's figures by 16 men and 45 women, and represented a percentage of 42-11 (m., 37-23 ; f., 47-88) on the total admitted. The deaths, 58 fewer than in the previous year, numbered 318 (m., 201 ; f., 117), and represented a percentage of 5-60 on the total number resident. There is a growing opinion in England favourable to treatment in rate-supported institutions of less pronounced and unconfirmed cases of mental disorder as voluntary boarders. Our experience is not unfavourable. Since the introduction of the principle in the 1911 Act, each year has shown an advance in the number of persons so placing themselves under treatment. Carried over from 1920 were 86 (m., 32 ; f., 54), and, during 1921, 104 (m., 50 ; 1, 54) were admitted, making a total under care during the year of 190. That number has included examples of mental disorder, ranging from many incipient to a few fairly advanced, yet capable of comprehending what the procedure entailed, a conditio sine qua non. There have been also persons labouring under neurasthenia, senility, and organic brain-disease needing nursing, care, and medical treatment. It is noteworthy that 5 boarders only, representing 2-63 per cent, of the total under care, showed mental disease in degree sufficiently pronounced and sustained to render it improper for them to continue as voluntary boarders, and they had to be transferred to the register of patients. The discharges numbered 80 (m., 39 ; f., 41), and 6 died, leaving at the end of the year 99 (in.. 36 ; f., 63). The daily average of voluntary boarders was 91 (m., 38 ; f., 53).
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T wish to make reference-to two among the many subjects we have discussed —the care of persons launched, into life mentally ill-equipped, and the care of persons Hearing the end of the voyage mentally worn. In regard to the mentally deficient, it is necessary first and foremost to separate their problem from that of the backward child, and, having done that, to inquire what is our duty towards the deficient. The answer which common-sense dictates is to place them in an environment where with their little comprehension they will not feel their disability; where they will be as happy as possible; where they will be trained for, and engage in, simple employments according to their capacity; where, as children, they will not, by association, prejudice the outlook of their normal brothers and sisters; and where, as adults, they will not have the opportunity to come in conflict with, the law or to reproduce their kind. Cases of development of exceptional qualities are quoted now and again, and can be treated as exceptional; but for the bulk of the trainable cases, field or domestic employment, or methodical work at simple handicrafts, useful to their limited community, are most likely to bring content to themselves, and lighten the burden which their care and control places upon the conscience and resources of the community. To the environment above indicated, much less complex than that beyond their colony, they can in a measure adjust themselves : and for the vast majority, in its interest and the public's, this should be the permanent home. For us is to teach and labour truly, so they may, in their narrow limits, endeavour to get their own living and to do their duty in that state of life unto which it has pleased an inscrutable Providence to call them. There are difficulties ahead. When petitions for freedom are made on behalf of a young man or woman, of appearance not unpleasant, who has attained some proficiency at a handicraft, or as a domestic worker, the real trouble will begin. Such persons, the, " intellectuals " in the colony and below the average outside it, would fail in free competition and be the most likely to fall into temptation with dire consequences. Sentiment must not be permitted to overreach duty, nor threats to overawe. I am fully aware that this is not the time to embark- on an undertaking involving much expenditure, but I have set down in general terms the guiding principles of a policy to indicate the direction in which work may be done in a small way with the ultimate goal in view. To the case of the senile, whose mental mechanism is running down slightly in advance of bodily decay, I have often drawn attention, as did my distinguished predecessor. None will deny that a proportion arc properly mental hospital patients, but nothing like all the aged sent to us under reception orders, many of whom we keep simply because those whose responsibility it was to look after them apparently shirked that responsibility when they sent them to us, and are not likely to do better were we to set these old folk adrift. The " mentally infirm " were included in the 1911 Act in order to legalize the state of affairs existing. They were persons who, owing to their mental condition, required oversight, care, or control for their own good or in the public interest, such condition being one of mental infirmity arising from age or the decay of their faculties rendering them incapable of managing themselves or their affairs. Before the 1911 Act they were certified to as being " lunatics," and since, more often than not, they come to us classed as " persons of unsound mind," and not as " mentally infirm " ; but it is not so much a matter of whether the old man or woman can be made to fit into the above definition, but whether all who can, interpreting it reasonably, are proper subjects for mental hospital care and treatment. Surely it is only when circumstances urgently demand it that they should be committed to us as patients. Experience has taught us to discount bad histories, for, after a few days, the greater number of these senile cases give little or no trouble on account of their mental symptoms, becoming mere infirmary cases, cases which could be managed quite well in a division of an Old People's Home if tactfully nursed and considerately guided. If you turn to Table 111 in the Appendix you will note that in the year under review we admitted 47 persons between the ages of 70 and 80, 29 between 80 and 90, and 3 between 90 and 100, and of the. admissions of known age these contributed 9 per cent. Apart from the fact that such admissions vitiate our statistics, reduce the recovery-rate and add to our death-rate —over 23 per cent, of deaths were due to senile decay—they could be adequately provided for less expensively than in the infirmary divisions of mental hospitals, and should be, if for no other reason than to protect our legitimate sick from the depressing environment of decay. As I stated above, recognizing that there were homes in which it was practically impossible to retain a restless aged member, we, in the absence of other provision, included as expedient the mentally infirm in the Act, but if that provision is to be employed to dump in our institutions persons labouring under physiological decay, of a class we would unhesitatingly discharge to the care of relatives able to look after them, I may have to seek your assistance to repeal the section and then to stand by the Department when it discharges the patients to the care of organizations for the aged poor. If, on the other hand, their directing boards acknowledge inability to supervise senile patients, and care to make terms for their maintenance with us, we shall be willing to consider the question of looking after them separately from our other patients. Nearly thirty years ago Dr. Macgregor wrote : " Our peculiar system of local government has the effect of crowding into our asylums ... an unusually large number of aged people suffering merely from senile decay, people who elsewhere find refuge in workhouses and other similar institutions. In fact, the proportion depends on the issue in each case of a struggle between the local bodies, who are anxious to relieve the local rates, and the General Government officers, who try to defend the consolidated revenue. The Stipendiary Magistrate has the power of admission on the certificate of two medical men, while the officers of the General Government cannot venture to discharge unsixitable admissions unless they previously can provide some means of providing for them, either with friends or in some local refuge."
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Hereunder is a return of the patients on the register, as distributed on the , 17th June, 1922, and classified under the Act, showing the number on leave and those resident at that date, together with the accommodation available and the number of wards into which it is divided.
It will be seen that there i.s an all-round shortage of accommodation, amounting to 91—of 32 for men and 59 for women. This return is based on weekly reports furnished from eacli institution, and in the same reports is a statement of the number of senile patients who would be discharged if any person or body were found willing to exercise custodial care over them. I may add, as a footnote to my remarks on that subject, that at this date, these specially-roported-on aged aggregate 159|(m., 8.1 ; f., 78) —Sunnyside heading the list with 60 —and, if they could b<; comfortably lodged elsewhere, we would willingly hand them over, and have our present accommodation problem solved. However, we have much to be thankful for, in that a number of buildings have just been completed, and merely await furnishing— the reception-house at Nelson for 8 men and 8 women ; the reception-house for 21 men at Tokanui ; an addition of three wards, together housing 81 women, attached to Park House, Auckland; and a new unit for 57 women patients at Waitati, in which, however, 42 patients are already housed at night, so there remains accommodation for 15 only to be added. There are new buildings, therefore, practically available for 133 (m., 29 ; f., 104). This means that we shall have immediately available an excess of accommodations for 45 women and a deficiency for only 3 men. But the return of patients does not include voluntary boarders, who on the 17th June numbered 92 (m., 36 ; f., 56), and thus the shortage of accommodation is for 50 (m., 39 ; f., 11), which means " overcrowding " to the extent of 1-02 per cent. Figures published recently in regard to another country worked out at a shortage of accommodation of over 12J per cent., and 1 am grateful, therefore, that in a time of financial stress our building programme, though delayed, was not held up. 1 trust that the relief of tension which this gratitude voices will not be interpreted as an expression of tranquil satisfaction, for there is much to be done. I must indicate, as I have before, that in fairness to the patients and staff it is necessary to have accommodation, more than just enough ; otherwise, from time, to time, now this and now that ward will be crowded, patients being distributed in them according to their mental condition, a matter which, cannot be estimated with mathematical accuracy. Further, in spite of our high recovery-rate, and in spite of the number discharged before recovery (some of which return), and with a comparatively low death-rate, it is inevitable that each year there will be an accretion to our total. With a rising general population the surplus will rise proportionately, and at present it may be estimated safely that 120 more will need to be provided for. Then again, there are additions which do not add but replace, and there are additions for the accommodation of the staff and the comfort and amenities of the patients, a proportion of which must be included in each year's programme. I am sure, sir, that you appreciate our difficulties and the justice of the claim outlined on behalf of those unable to state their own case, and that I may look for your support in maintaining a continuous forward movement. An interesting judgment was given by the Court of Appeal on the interpretation of section 127 of the Mental Defectives Act, 1911. The questionwas whether "every person" was intended to include the husband, and, with one dissentient, the Court held it was. The first rough draft of the Bill qualified the " knowledge " or attempted " knowledge " with the word " unlawful " ; but this was deleted when it was pointed out that it would deprive a woman under oversight for her mental condition from protection against a type of husband who would assert his " rights" without considering her wrongs. The Court has therefore read the words as meaning exactly what they were intended to mean. The principle which this section puts into words has doubtless played a silent part in legislation on divorce on the ground of chronic insanity. There would have been more difficulty in getting such legislation on the statute-book if those voting with the " Ayes " had not considered conjugal relations, under such conditions, an outrage on decency. It was pointed out that the term " mentally defective " is subdivided into a number of classes, which include not alone the insane but the feeble-minded and "even epileptics" ; but I would draw attention to the fact that, however wide the application, every case is governed by an indispensable condition—a state of mind necessitating the oversight, care, and control of the individual. To any person not needing supervision for such special reason the section does not apply. What, then, of the woman who has practically recovered, and is sent out on trial to home surroundings to complete recovery ? She may not now need oversight for her mental condition—
Patients on Itegister on 17th Mental Hospital. Class I, Class II. n] TTT Unsound Mentally , „ fj 1 ' Mind. Inflrm. J aiora. M. F. M F. M. F. Auckland . . 314 251 157 46 10 7 Christohuroh .. 251 319 36 30 7 7 Dunedin (Seaclilt 419 319 47 341 1,2 4 and Waitati) Hokitika .. 140 43 30 14l .. 2 Nelson (and Stoke) 85 35 20 36 1 .. Porirua .. 518 398 15 14, 3 7 Tokanui .. 66 50 36 27 .. Totals .. 1,793 1415341 201 33 271 T ,„„-. . .,, , Patients on 17th June, Accommodation on i June, 1922, as classified. 1U22 17tIl JuM , 192? . rl . .,, Class V, .,. ,, T Absent Resilient Number i Bcli 1 I '",?" IS , Glass IV, -| lV „,|,i„' Class VI, ,, . f and Imbeciles. Epileptics, «»$£_ Tn8t ,sf utlon . w^(]s . ! Dormitories M. F. M. P. M. F. M. F. M. P. M. F. M. F. 99 li.'! 7 29 80 S3 8 7 639 422 9 8 (129 401 39 42 21 12 31 46 20 23 305 43 8 7: 403 458 48 38 40 25 54 43 5 6 615 457 11 7 533 456 2 4 2 1 10 5 .... 184 69 4 2 210 64 58 16 1 13 14 7 1 . . 178 107 3 4 197 114 22 28 18 12 56 43 16 33 616 469 10 8 590 403 26 16 15 2[ 4 3 1 . . 1,46 98 3 2 149 100 294 207 104 94229 180 51 692,743 2,055 48 382,711 1,996
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that stage may have happily passed —but must her husband have hanging over him the liability of prosecution should he fail to remember that she is newly recovered and has to be treated with all possible consideration, including the avoidance of emotional strain ? The answer, should the husband wish to keep within the law, is to be found in section 80, subsection (5) : " Any person so absent on leave may at any time during the currency of his period of leave be discharged on the receipt by the person who granted the leave of a medical certificate," &o. There are patients discharged as " unrecovered " who enjoyed full parole in the institution, and need at home no oversight as mentally defective. There are also, remaining in their homes, feebleminded persons not committed because they do not need oversight. The section does not apply to them. If a house and householder be deemed suitable, and if the medical certificates state that itwould be safe and convenient, may not a woman be placed by a Magistrate in her husband's care as a single patient ? It is quite possible, the Magistrate having satisfied himself that the husband would be a person capable of ordering his conduct to his wife's mental well-being, and if the medical certificates, given on that understanding, declare it safe and convenient. The wife's mental disorder is the paramount consideration, and want of control on the part of the husband, a desire to claim marital rights, would pronounce him unfit to have the charge of her as she then was, and any breach of the law should be regarded as criminal. He would not be alone in the house with her as presumed, for there would be also servants and nurses. A hypothetical case was stated of a couple living in such restricted quarters that they were forced to cohabit. The answer, it seems to me, is that such quarters arc not suitable for treating such a case ;. the patient would not be in " proper care." The point was raised that incipient cases (notified under section 122, within forty-eight hours, where kept for gain, or within three months if at home) would equally, with those under reception orders, come under section 127. It is intended that they should, as long as they are treated as mentally defective by oversight on account of the mental condition. The law's care is for the wellbeing of such women, and its consideration exists as long as the need, exists. In the particular event, which led to the prosecution and subsequent legal argument, a man visited his wife at a mental hospital, and asked permission to go out in the garden with her instead of staying indoors on a fine day. As she was neither suicidal nor dangerous, the request was acceded to readily, and the crime was committed. The jury blamed " the hospital authorities for not warning the prisoner." Comment is hardly necessary. I would be surprised if any juryman would not feel a sneaking regard for a husband, so insulted, if he got into trouble for knocking down the " hospital, authority " by whom, when he sought leave to wander with his wife in the garden, he was warned against having sexual relations with her. The section in question, which also has eugenic value, has greatly relieved those entrusted with the medical care of patients in the matter of giving married women liberty to go to their homes for shorter or longer periods. In regard to expenditure and credits, the last report had a table added covering the period from Ist January to 31st March, 1921, and the present statement is for the last financial year. The expenditure is given in detail in Table XVIII and the credits in Table XVIIIa, while in Table XIX the various items arc grouped and stated in terms of per patient per annum. Apart from the increased staff, due to the increased leave, and the all-round increase in salaries, and apart from the progress in which our institutions are participating with similar institutions elsewhere, all making for permanent additional expenditure, we have not yet completed restocking in lines which, during the war and immediately after, we had deliberately allowed to run down. The credits have not fallen as much as I had anticipated. They totalled £115,415, or only £7,523 short of the previous year —£4,355 of this being due to a shrinkage in payments for maintenance, which totalled nearly £92,167. The following is the return of receipts and expenditure for our farms, showing a credit balance of £16,185 ss. sd. on the year's workings : — ' Expenditure. £ «. d. Receipts. £ s. d. (Salaries and wages .. .. .. 9,020 1 4 ■ Live stock and produce— Feed .. .. .. .. 4,840 811 j Sold .. .. .. .. 13,619 3 0 Seeds, fertilizers, &c... .. .. 1,953 8 3 Consumed.. .. .. .. 25,057 7 J Implements, harness, &c. .. .. 1,217 18 0 Stock .. .. .. .. 1,024 10 2 Rents, rates, (fee. .. .. .. 1,903 0 8 Fencing, draining, reading .. . . 540 4 8 Harvesting, &o. .. .. .. 058 18 1 Railages .. .. .. .. 228 5 2 Buildings .. . . . . . . 149 2 7 Sundries .. . . . . .. 949 6 10 Balance .. .. .. .. 10,185 5 5 £39,276 10 1 i £39,270 10 1 Before making a brief note of my visits to the institutions certain general remarks will not be out of place in respect to misconceptions of ordinarily well-informed persons with regard to mental disease, and the necessity for the steady growth of mental hospitals. Not a few regard the subject as repellant, and have not troubled, therefore, to inform themselves, treating it as something mysterious ; and many, quite apart from the really sad aspect of the disturbance of mind showing itself in conduct appreciated or unappreciated by the patient, regard a patient labouring under mental disorder as lost - " witness the necessity to increase accommodation for them, so different from persons suffering from bodily ailments." Such persons—and they are a large number— can be
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best answered by adapting some figures used by a distinguished alienist some thirteen years ago. I quoted them in 1910, and regret that necessity exists to return to the subject. The number of cases admitted to treatment during a given period at the Edinburgh Royal Infirmary was— I'or General For Nervous ~, . . ,-.. r,- iotal. -Diseases. Diseases. 4,082 873 4,955 Percentage discharged recovered .. .. .. . . 33-7 23-0 32-05 New Zealand Mental Hospitals — Percentage discharged recovered on total admissions since 1876 .. .. 4134 Percentage discharged recovered of admissions in 1921 . . . . .. . . 42-11 Were we to include voluntary boarders the percentage would be higher still, but we may be well enough satisfied for purposes of comparison to omit them, so that our figures refer to persons found mentally defective by two doctors and a Magistrate ; and it will be noted that out of every hundred such admissions ten more recover than out of every hundred admitted to a famous general hospital. In any case, while the intermittent discharge of the cured from a hospital impresses itself mainly on the limited number directly concerned, public sentiment is influenced by the number remaining ,at the hospital, including, as it does, the incurable majority. Here it is that the general hospital scores ; its numbers do not go up markedly, for the unrecovered are discharged, and the vacancies so created are filled by new patients. The majority of our unrecovered, which cannot be discharged in its own interest or that of the public, makes no vacancies, continues to reside in the institution, and contributes to the annual surplus which has to be accommodated. The growth of buildings captures the imagination, and is wrongly attributed to an alarming increase of insanity. Patients labour under various forms of mental disorder to which each individual reacts more or less according to his personality. It is, broadly, a population sent to us because it could not adjust itself to its environment, and. it remains with us as long as that power is not regained. The environment of the institution being less complex, the apparent mental health of the community is better than it would be outside, because the adjustment is easier. Occupation and recreation, and as large a measure of freedom as possible compatible with safety, lead to contentment, varying, of course, with the mentality of the patient ; for there are always a few who regard themselves as labouring under a sense of wrong —persons with irreconcilable delusions, and some maniac depressives who have no real insight into their condition. It is these exceptional cases which are inquired into again and again and left unsatisfied ; but they, even, gradually cease to be disgruntled when they occupy themselves. As some patients and most relatives of patients object to inmates being recognized by outsiders who may be actuated by curiosity, and as it is at the same time deemed expedient to let patients feel that they have some one other than stipendiary officials to appeal to, the Act empowers the appointment of persons who, so to speak, represent the general public, and pass .through the wards unquestioned and whenever they please. In my last report I gave a list of these District Inspectors and Official Visitors—men and women well known in the locality—whose names are a sufficient guarantee that their labour of love is performed faithfully. One District Inspector in each locality is a barrister or solicitor, who is able to give an authoritative opinion to patients, and to estimate the value of evidence when any matter is referred to him for inquiry. These visitors see the patients frequently, and arc required by statute to report to the Minister the case of any patient they consider unjustifiably detained. I take the opportunity to express again my gratitude to them. At the time of writing I have learned of the death of Mr. F. G. Ewington, who was a true friend to any one in distress. He was Official Visitor at Auckland Mental Hospital for a number of years, until forced to resign on account of ill health three years ago, when he wrote : " Although officially severed from you, Dr. Beattie and the patients, my heart and mind are with you and will be with you until the end." And so indeed it was. In addition to the visits above referred to, and others from the Head Office, I inspected as follows: — Auckland. —ln May, September, November, December, 1921, and in April of this year. On each visit one is impressed with Dr. Beattic's knowledge of, and his solicitude for, his patients. I interviewed privately a number on each visit —all who asked to see me, and others whose cases we discussed — and heard no complaints which were not manifestly delusional ; but, on the other hand, many convalescents testified to the consideration with which they had been treated. The wards were clean, but a lot of painting and renovating has still to be done. I was glad to find the Wolf Home newly painted and looking bright, and its inmates cheerful. Extensive alterations are well advanced in the kitchen department. The kitchen work has been carried out under great difficulties, and I am satisfied to know that these will be largely overcome soon. The staff messrooms are now very attractive. At my last visit the additions to Park House were just completed, and these, when furnished, will make three excellent wards. On the same occasion an epidemic of enteric fever had visited the district, and a number of patients in all parts of the institution were simultaneously attacked. Every now and then a " carrier " is admitted or is in residence, and is discovered after a few patients are attacked and the epidemic stamped out; but on this occasion, our drainage-system being all right, and possible sources through food-supply or conveyance by " carrier" being negatived, it was found, on investigation, that the district water-supply was contaminated. Fortunately, having an emergency connection with the city water-main, we immediately substituted it, and the epidemic ceased. A tribute is due to the staff for the devotion and skill with which the patients were nursed.
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Christchurch. -Visitedjin March, May, July, and December, 1921, and in March of this year. The condition of the patients was satisfactory on each of these occasions, and I received no complaints. The additions to the No. 2 Ward day-room were nearing completion, and the addition to the diningroom of the same ward is to be taken next in order. The artisan staff has also completed the head attendant's cottage, alterations and additions at Hornby, including the nurses' home, as well as general repairs. I trust that they may be able to proceed now with the attendants' quarters. We also want a small building for farm-workers at Templeton. " The Lodge," Hornby, is now ready for occupation, and I have circularized the medical profession that we can receive a limited number of patients having the means to pay for what is necessarily an expensive undertaking. The ordinary fees are at the rate of seven guineas a week for the first three months ; but patients will not be admitted or continue in residence whose conduct is likely to interfere with the well-being of others. For the present men cannot be received, but it is hoped that a villa will be added for them, as there is space enough on the 50 acres of estate, laid out in garden and pleasure-grounds, for the one not to interfere with the other. Dr. Roberts will reside at " The Lodge," to begin with, paying daily visits to Sunnyside, while Dr. Crosby will visit the patients and have the medical direction of " The Lodge." Seacliff. —Visited in February and August, 1921, and in March of this year. The comfort and well-being of the patients is studied as heretofore. I learned with regret that, owing to the exigencies of the women's side, it had been found necessary recently to give up temporarily the staffing of Clifton House and the male infirmary by nurses. In saying this I am casting no reflection on the attendant staff, which is competent and trustworthy, but the sentiment which attaches to woman in the capacity of a nurse is, at least, of therapeutic value to the newly admitted patient and to the sick. While the more expensive schemes with regard to a new kitchen and utilizing the present kitchen for a central bathroom had to stand aside during the financial stringency, other less expensive works have been gone on with. The new unit at Waitati was nearing completion on my last visit, and is now being furnished. The nurses' mess-room, similar to the one provided for and much appreciated by the attendants some time back, is now in occupation. The head attendant is in residence in his new cottage, and a number of other and lesser works have been carried out. Hokitika. —Visited in March and December, 1921, and in January, March, and May this year. In my last report I stated that after consideration I had advised against the closing of this institution, and you agreed with me that it should be rebuilt, the obsolete parts being replaced in order of urgency. I also expressed regret that the resolution synchronized with a period of financial stringency. Pursuant to this resolution, an architect from the Public Works Department, detailed for the work, spent a week on the site towards the end of July, and plotted out a new institution on the block system. Subsequently, a good deal of publicity was given to the obsolete character of the buildings and the fact that water-closets had not been installed. For some years this institution was awaiting its doom, on the railway-tunnel linking up the West Coast with Canterbury, and new buildings were to be erected near Sunnyside; but the scheme had a set-back when negotiations failed for the purchase of land. Under these conditions this limited sums we had for construction-works were diverted to the reception-hospital blocks at Sunnyside and Porirua, and up-to-date units at Tokanui and elsewhere, which were urgently needed. 1 feel that any further criticism of the old buildings is unnecessary in order to bring to your notice our requirements, because you saw them in May last, when you definitely stated that drainage-works and the reception-hospital block were to be proceeded with at the same time as the kitchen unit now under construction. However, I may remark of this institution, now fast approaching dissolution, De morluis nil nisi bonum, that it has maintained a good average recovery-rate and, during the quinquennium ending 1920, the death-rate was 6-25 per cent, of those under care, though they included a larger proportion of senile patients (approaching a third) than any of the other institutions. In regard to the installation of water-closets, we did not get the water-supply which would have enabled this to be carried out till the fate of the institution was in jeopardy. Earth-closets were not strange to the patients, and I explained to the former lay Superintendent the scientific principles underlying Vivian Poore's recommendations, which, if carried out, left these closets with no worse a disqualification than inconvenience. Until recently earth-closets were, and may be still, in use in one of the large English asylums with a population of more than half our total patients, and the soil is used there for its manurial value, which is calculated at 6s. Bd. per individual per annum. But, undoubtedly, inconvenience is attached to the system for us, and water-closets are to be installed in the new building, despite the doubtful efficiency of the town water-supply, which, however, is to be augmented by conserving the rainfall in tanks and reservoirs. As we could not start the new buildings till money was voted by Parliament, workshops were gone on with to facilitate progress when authority was granted. It was generally admitted that the most urgent initial building was one which would replace the inadequate kitchen, the inconveniently placed bakehouse and scattered storerooms, thus permitting a congestion of sheds to be cleared. To the plan of this building was attached a large dining-hall. When everything was ready to start, Dr. Buchanan and I agreed early in the new year that a hospital on the villa system instead of the block plan would be more suitable for the site, and more modern, and that, fortunately, no actual work having been done, now or never was the time to act. We therefore cut out the dining-hall, substituting a staff mess-room and sitting-room and a billiard-room on the ground floor, with nurses' quarters above. There have been delays, but the alteration of plans was the main factor, as the whole block scheme went by the board with its fixed points for drainage. To try to catch up with the time lost the foundation plan of the first unit was forwarded and started on, while detail plans, in keeping with materials already ordered and partly delivered, were under preparation. At the time of writing the plan of the reception hospital is practically completed and its site fixed, so that first the women's side of the main building and then the men's can be removed, while interfering with their interim occupation as little as possible.
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The institution, such as it is, is kept scrupulously clean, and the patients are well oared for'by the staff. I am glad to learn from Dr. Buchanan that a committee of the staff minister to the patients' recreations, and that people from the town have materially helped. During the next eighteen months will be the hardest time, but thereafter the worst will bo over, and ultimately this should prove a model small institution. Dairy-farming, vegetable-growing, and forestry supply outdoor occupations, and Dr. Buchanan, who has been making observations, reported that in spite of all that is said of the climate it was most healthful and well suited to patients. * Nelson. —Visited in July, 1921, and June this year. In the intervals Dr. Gray has come to Wellington to consult me about matters following upon our taking over the Stoke property from the Education Department. During my recent visit I was impressed and pleased with the orderly way in which the initial stages of the transition were being carried out. I heard no complaints, and there was quite a cheery air about both the Nelson and Stoke institutions. As I have asked Dr. Gray to report on the year's work and the scheme for the immediate future of Stoke and Nelson, I ne:;d add no more here. Porirua.- Visited in January, March, June, July, October, and December, 1921, and in January, February, and May this year. There has been an increase of admissions, which has been felt on both sides. The male side was greatly, and the women's side partially, relieved by transfers. I had hoped that the position might be improved by transferring some of the buildings no longer needed at Featherston, but any at all suitable for our requirements were not available. With, an inexpensive addition of bedroom and day-room accommodation, and some further adjustments by transfer, we should be able to tide over the needs of the immediate future. There have been a few difficult cases, but, on the whole, the work would have been simple had it not been for the congestion. The general health of the patients has been good. The kinematograph outfit purchased by the late Mr. R. C. Bruce's special bequest has been a great joy to large numbers of patients. The reception building continues to prove, if proof were necessary, entirely suitable. A word of praise is due to the staff, who have faithfully seconded Dr. Jeffreys and his colleagues, and T was glad to note the improvement in their mess-rooms. Tokanui. —The reception ward on the male side is being finished, and a building to be occupied by thirty working patients will soon be ready. Great strides have been made in the development of the estate. A building at the southern end, remote from patients, has been occupied by specially selected, inmates from the neighbouring Waikeria Reformatory, who are developing that portion under arrangement with the Department —work we could not have otherwise tackled for some time without prohibitive expense. When the womerf's reception ward has been added to the present buildings near the Te Mawhai end of the estate that part will be fairly complete. With an eye to the future, villas will bo erected, contributing to the ultimate main institution, near the trig, roughly in the centre of the estate, the concrete blocks for building which are being made near the site by a party of reformatory inmates who are expert in this work. This will save the cost of cartage — a large item in building at Tokanui. Had we been provided with a light railway from Te Mawhai, sa originally projected, it would have saved its cost long before this. The most urgent need here is functioning up with the Te Awamutu water-supply, and I trust that the pipes will be purchased and laid as soon as possible. The electrical accumulator battery has had its day, and, as the Horahora mains pass through our estate, arrangements should be made for installing a transformer and using the current. The patients have enjoyed good health and are well looked after. Dr. Macphers'on, who is enthusiastic in providing for their recreation and well-being, is of great assistance to Dr. Gribben. My visits were most pleasant. Ashbum Hall. —Visited, in February and August, 1921, and in March of this year. As a result of these visits to this licensed mental hospital, it gives me great pleasure to record the evidence of the kindly and personal care of Dr. Will and his staff for the well-being of the patients in their beautiful surroundings. In conclusion, I have to express appreciation of the, interest you have taken in the welfare of our patients and the anxious labours of the Superintendents and staffs of our mental hospitals, to whom my thanks are due ; and I wish to tender my thanks to the .Head Office staff, whose relations have been characterized by mutual helpfulness and good will, for their ready co-operation and loyalty. I have, &c, Hon. C. J. Parr, C.M.G. Frank Hay.
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MEDICAL SUPERINTENDENTS' REPORTS. AUCKLAND MENTAL HOSPITAL. Dr. Beattie reports :— The year gave, us a total of 1,328 patients under care, with an average number resident of .1,062, of whom 15 were voluntary boarders. There were 1,084 remaining at the end of the year. The number of voluntary boarders was unfortunately small. The old prejudice against mental hospitals persists, and is, T think, likely to persist for a long period. Although I state that the number was unfortunately small, I cannot say that I have much sympathy with the voluntary section of our Act. I would like to sec an out-patient department started at the general hospital, with an in-patient ward attached ; a psychiatric clinic, which would be convenient for patients and instructive for students. The chief causes of admission were- heredity, 38 ; congenital and senility, 28 each ; epilepsy, 14 ; and previous attack, 42. The largest number of patients admitted on the male side were between the ages of forty and fifty. From this period they gradually tapered to either extreme. The chief contributors were labourers, farmers, and Maoris. The percentage of recoveries was 5054, as compared with 31*25 last year. The percentage of deaths was 8"25, as compared with 11 -98 for last year. The deaths were, chiefly due to senile decay, 23 ; chronic brain-disease, 20; and general paralysis, 10. The general work of the Hospital and the farm has been carried out normally. The kitchen arrangements, which were largely of a temporary nature owing to increased accommodation being required for nurses' and attendants' dining-rooms, were most unsatisfactory. There is a certainty now of considerable improvement being effected. A large amount of painting of the wards is required. We have no difficulty now in securing nurses, with the result that our female staff is a very satisfactory one, and one which is working well and harmoniously under a very capable and conscientious matron. On the male side, in spite of the very excellent conditions of service now obtaining, we do not succeed in securing the right class of man from the many applicants, although many of the attendants are competent and well worthy of their positions. The usual religious services and entertainments are held regularly. 1 have to thank my colleagues Drs. Tizard and Dorothy Crawley for loyal and zealous work. lam still convinced that a lady doctor for the women patients is, at least, necessary. 1 have also to thank the District Inspector and the Official Visitors for their help and sympathy. Our thanks are also due to the New Zealand Herald and to many others who have contributed to the interest, amusement, and well-being of our patients.
TOKANUT MENTAL HOSPITAL. Dr. Gribben reports:— On the first day of the year there were on the register 145 male and 95 female patients, total 240 ; also 1 male and 1 female voluntary boarder. During the year 1 male patient was readmitted under Part IV, Mental Defectives Act, 1911, and 10 male and 10 female patients were received on transfer. One male voluntary boarder was also admitted. Five males and 1 female were discharged, and 1 female was transferred to another institution. Two voluntary boarders were discharged, and 3 patients--1 male and 2 female- died during the course of the year, thus leaving on the register on the 31st December, 1921, 150 male and 101 female patients, making a total of 251 patients, and I female voluntary boarder. The average number of patients resident during the year was 243. Of the 3 deaths, 1 was due to phthisis, .1. to heart-disease, and 1 to carcinoma. The health of the patients has been very good, and especially so bearing in mind that most of them are chronic cases, and many advanced in years. The work of building the male reception block by the Public Works Department is proceeding. The blockmaking-shed at No. 1 Camp is approaching completion. A dam to catch the sujjply of two streams about half a mile from the shed will give a gravitation water-supply. Work on the farm has proceeded satisfactorily. By employing patients more extensively in wagon and team work it has been possible to reduce the staff of paid farm hands to two. The Department's policy in employing inmates from Waikeria Reformatory will, I am sure, be productive; of good results. During the coming autumn there will be some 350 acres of new country ploughed and in grass, and it should be possible to bring in a larger area next year. The provision of labour will be further available for blockmaking for the building of the main institution. In the way of recreation for patients we have had fortnightly dances during the winter months, concerts and other entertainments at intervals, also fortnightly visits to the picture-theatre in Te Awamutu for workers of both sexes. Religious services were conducted twice monthly during the year. I wish to tender my thanks to Dr. Macpherson for his enthusiastic co-operation, and to the staff generally, whose loyal support has considerably lightened the work of administration.
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PORIRUA MENTAL HOSPITAL. Dr. Jeffreys reports : — The number of patients under care (luring the year was 1,363 (males, 782 ; females, 581) ; the average number resident being 1,119 (males, 654; females, 465). In addition there were 56 voluntary boarders under treatment, the average number being 25 (males, 10; females, 15). Exclusive of transfers from other institutions there were 257 admissions (males, 133 ; females, 124), and 102 patients were discharged recovered, the recovery-rate being 39-3 per cent. The deaths during the year were 82, or a little more than 7 per cent, of the average number resident. The chief causes of death were- cardiac disease, 14; pulmonary tuberculosis, 12 ; senility, 11 ; and general paralysis, 10. Fifty-one of those who died were over fifty years of age. There were two deaths from typhoid fever on the female side. Three " carriers " have been discovered, and these have been isolated as far as possible, but, owing to our lack of accommodation and to the fact that two of them are very difficult patients to deal with, complete isolation is impossible without a special ward. The. general health of the patients has been very satisfactory in spite of the congested state of many of the wards. Our numbers continue steadily to increase, and there is now considerable difficulty in finding accommodation for new admissions, as already we have far too many shakedowns in day-rooms and corridors, and there is urgent need of more day-room space. The kinematograph plant has been installed, and the patients thoroughly appreciate the pictures, many of the older inmates never having seen a moving picture before. The male dininghall, which is also the recreation-hall, is hardly large enough to accommodate all the patients who are fit to go, and if the suggestion to utilize the present engine-room block for the kitchen were carried out the recreation-hall could be enlarged by taking in part of the kitchen. In addition to the religious services, pictures, and usual fortnightly dances, we have been fortunate in having a number of excellent concert parties from Wellington, and I desire to thank all those who have helped to bring a little brightness into the lives of the unfortunate inmates whose liberty has of necessity been taken from them. I have to thank my colleagues Drs. Prins and Monaghan, other officers, and the staff, for their loyal co-operation in carrying on the work of the institution. NELSON MENTAL HOSPITAL. Dr. Gray reports : — At the beginning of 1921 there were upon the register 206 patients—99 males and 107 females. During the year we had 37 admissions (26 males and 11 females), and at the close of the period under review there remained 215, an increase of 9. There were 10 deaths, giving a mortality-rate of 4-6 per cent, upon the average number resident. Our recoveries totalled 12, or 32-4 per cent, on the admissions. The general health of the patients has been good, and we have been almost free from zymotic diseases. Several important structural alterations have been carried out during the year. On the male side the bathing-facilities have been greatly improved, and a commodious staff dining and recreation room provided. On the female side the wing hitherto occupied by the boys has been completely renovated and reserved for the recently admitted cases. The system of dormitory observation for depressed cases adds materially to the comfort and well-being of this class of patient, and to such an extent does it lessen the anxiety involved to the staff that I am strongly of opinion that it should be. laid down as a regulation that no depressed patient should be treated in a single room. The outstanding event of tin; year has been our entry into possession of Stoke Farm, with a view to the foundation of a mental hospital upon the "villa system." Having had four years' experience in a villa mental hospital in Scotland, 1 have no doubt whatever as to the superlative merits of the scheme, and I consider the acquisition of this property to be a very big advance towards that perfect classification which we all desire. Secluded, yet easy of access, commanding a magnificent view of mountain, bush, and sea, and with natural advantages in regard to sun, water, and drainage, Stoke Farm is ideally situated for our purpose, The buildings generally are in a very good state of repair, and, with few additions and alterations, will form a good nucleus of a large mental hospital. At the time of writing there are over 70 male patients in residence, and the establishment is conducted on villa lines. There are no airing-courts or parks, and every patient is free to roam within the estate, provided that he occupies his time usefully and punctually obeys the few rules of the institution. The freedom from irksome restraint and the sense of being "on parole " have a wonderfully tranquillizing effect upon the patients, and I would like to emphasize the following three facts : (1) Every inmate who is physically fit is usefully employed (92 per cent.) ; (2) we have had no escape, nor attempt at escape ; (3) there has not been a single injury, however trifling, inflicted by any patient upon another. As one recently admitted patient remarked, " This is not an asylum, it's a rest camp." Our staff is enthusiastic in regard to the system—we had some sceptics to start with —we have none now. A very suitable cottage on the estate has been reserved for female cases, and is in frequent use. The routine followed will approximate that laid down and so successfully carried out by Dr. Truby King at Seacliff Cottage.
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The reception-block at Nelson may be in occupation when this report is presented, and we shall then be within sight of a very complete system of classification. The reception-block will be used as a cliniquc and admission-ward for borderland cases, neurasthenic types, and incipient melancholies, which cases may never require to go to the main hospital at Stoke. We are being consulted with increasing frequency in reference to cases in the pre-certifiable stage, and one hopes that the provision of this clinique, which is quite separate from the mental hospital, will induce patients' friends to bring them under observation and treatment at an earlier stage than has hitherto been the custom. Cases which require to go to Stoke can also be classified, and when we have an observation villa and a closed villa at the institution we shall be quite abreast of modern requirements. The old Nelson Mental Hospital will be used as a home for imbecile children, whose segregation from the adults is very necessary, but the arrival of the first batch of boys from Porirua has accentuated the need for despatch in the erection of the closed villa at Stoke. I am glad to report that, while these changes have involved some extra strain upon the staff, they have also brought out the utmost loyalty and enthusiasm for the betterment of the patients i am very fortunate in my officers. Thanks are also due to the Nelson Ministers' Association for regular Sunday services, and to the cinema-proprietors for free passes to patients. HGKITIKA MENTAL HOSPITAL. Dr. Buchanan reports : — On the first day of the year we had on our register 264 patients, made up of 191 males and 73 females. Admissions during the year were 23- 18 males and 5 females. Discharges during the year were 16—10 males and 6 females. The deaths during the year amounted to 18 15 males and 3 females. The total number of patients on the register on the 31st December, 1921, was 253—males 184 and •females 69. Speaking generally, the patients' physical health lias been good. I would take this opportunity to thank the local people for their kindness in getting up concerts for the patients' benefit, and for their contributions, which so materially helped to make the patients' summer picnic such a success. My thanks are also due to the Official Visitors, who have taken an interest in the patients' welfare. To the whole staff I owe much for the loyal manner in which they have co-operated with me. During the year there have been several constructions completed—namely, workshop, cow-byres, henhouse, new roads, garage, and scullery for the female, cottage so that they are now supplied with hot water. The artisans' time has been fully occupied. The calls for repairs and other requirements have been infinite. But in spite of all this the main fact remains that there is no alteration or betterment in the patients' bad living-conditions. A. new block—kitchen, bakehouse, store, staff quarters unit —has been mooted since April, 1921. At the actual date of writing this report- i.e., May, L 92- the foundations of this block are not completed, nor are the detailed plans to hand. It will be realized that this most necessary construction, only affects the patient indirectly. The patients' quarters remain as they are. This block will take at least eighteen months to construct :if we have to wait till its completion before we are able to start on the building of a proper reception-house, then it follows that there can be no amelioration of the patients' present conditions till another two or three years have elapsed. There can be no proper treatment for the mentally unsound until such a building is completed. There has been nothing done anent the drainage except that a survey has been taken of the ground. The existing system of bucket closets for a community of this size and nature; is bothdangerous and disgusting. This matter is one of the greatest urgency. Laundry-work is now done at the Westland Hospital's steam laundry. This is a very great improvement on the old system, but I think that it is proving an expensive one. As far as I can estimate it is going to cost us about £1,000 per annum. The attendants' accommodation is bad. In many instances attendants have to sleep in a room shared by three others. There is no bath for male attendants distinct from the patients' baths. The farm buildings are literally rotten. There are no facilities whatsoever for recreation for either patients or staff. The most urgent needs for this institution arc; a receptionhouse and an adequate drainage-system. SUNNYSIDE MENTAL HOSPITAL. Dβ. Crosby reports : — The year opened with. 788 patients in the institution, and closed with the names of 823 on our books —viz., 378 men and 445 women. The work of the year included the admission and treatment of 159 patients, of whom 64 men and 64 women had not been under treatment previously, whilst 25 were readmissions and 6 were transferred here from other mental hospitals. Of the 69 patientsdischarged during the year, 46 were regarded as recovered, 15 as relieved, 6 unrecoverable patients were transferred to other institutions, and 2, also unrecoverable, were discharged to the care of their relatives. In addition to the above-mentioned admissions, the work of the year also included the care and treatment of 29 voluntary boarders and of 36 patients remanded to Sunnyside by the Magistrates for observation. Of these, 10 voluntary boarders and 14 " remand cases "—not included in the above recovery-rate—-were discharged. This left 19 voluntary boarders ; and, after the necessary certification of 15 " remand cases," 5 remained on our books at the end of 1921.
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Fifty-five deaths occurred, which gives a death-rate of 7 per cent, on our average population of 777. The number of admissions was 2 below that of 1921, and the number of deaths was 20 below that year. The ordinary work of the institution went on uninterruptedly, being unmarred by any epidemic. The building of No. 2 Ward extension progressed steadily throughout the year, and is now almost complete. The corresponding enlargement of No. 1 Ward is an equally urgent matter. The addition to the laundry was finished in April, 1921, and lias been instrumental in effecting a saving of £156 in the latter eight months of the year as compared with the same months of 1920. The saving would have been greater had not the outside laundry which, we employ raised its prices from the Ist August about a third, for the articles we still have to send, which are mainly mole clothing. The female reception-block was furnished and put into use in the middle of the year. Though we still prefer to receive the new admissions in the annex ward until their mentality is known, the new reception-ward has proved of the utmost value for classification purposes. On the male side the accommodation often has been severely taxed. The separate building it is proposed to erect for the unmarried attendants will at the same time render the rooms they now use available for patients, and will add greatly to the comfort of the staff. Farm-work for the patients has continued on lines similar to those of previous years. Despite the fall in the value of primary produce, the receipts from cash sales, though lower than last year, were substantial. The excellent butchering arrangements inaugurated by my predecessor in 1917, and judiciously carried into effect by our farm-manager here, resulted in the cost of meat to the institution averaging 3-87 d. per pound for mutton and 3-7 d. per pound for beef. The poultry-farm, which was reorganized some eighteen months ago, has developed well. At the beginning of June, 1920, we had 690 birds, but by the end of December, 1921, the number had risen to 1,262. The estimated value of the products from the poultry-farm, including cash sales, amounted to £567. Steady progress has been made in cleaning, fencing, and cultivating the farm at Templeton. Forty acres there were put down in permanent pasture, and 195 acres on various crops. Making allowance for the dry season experienced, the results were satisfactory. The wheat averaged only 40 bushels per acre, but an exceptionally good yield of turnips was obtained. By concentrating on the production of green feed at Templeton we have been enabled to carry as much stock as we did when we leased the land recently relinquished at Cashmere. It would lessen the cost of farm labour considerably if we had some accommodation at Temploton to house farm-workers from Sunnyside. This building, together with new stables for the home farm and the completion of the drainage system from the cowbyres, are our most urgent requirements for carrying on our farm-work. The religious needs of the institution have been met, as heretofore, by the appreciated and regular visits of the clergy of various denominations. Recreation of the patients also has beeil arranged on the customary lines. Unfortunately, the onset of the financial stringency rendered, it expedient to forego the annual staff ball, attendance at which in the past had grown to rather formidable proportions. Mr. H. D. Acland, who during the year accepted the position of District Inspector at Sunnyside, made several inspections. His practical advice and comments, based on a wide knowledge of affairs, have been most welcome. Miss Oolborne-Veel, our Official Visitor, has been the means of bringing much happiness to the women patients by her visits and kindly ministrations. I sincerely trust her health will enable her to continue the good work she does here. The patients also have much reason to be thankful for the appointment of Mr. D. Souter as Patients' Friend. Ever since he started on his duties here their welfare has been paramount with him, and he has succeeded in doing much to brighten their lives. Personally, 1 have to thank you, sir, for allotting mo so agreeable and capable, a colleague as Dr. C. R. S. Roberts to help with the work of the institution. To him and to Dr. Beale, as well as to the officers and members of the staff individually, I have to express my sincere thanks for the willing co-operation and help given in carrying out the institutional work of the year. SEACLIFF MENTAL HOSPITAL. Dβ. McKillop reports :— At the beginning of the year the number of patients on the register was 1,055 (618 males and 437 females). The admissions during the year were 143 (76 males and 67 females). The total number under care during the year was 1,198 (694 males and 504 females), and on the 31st December 1,062 patients (611 males and 451 females) remained in the institution. Fifty-eight patients were discharged recovered—the recovery-rate being 405 per cent, of the number admitted. During the year 51 voluntary boarders (25 males and 26 females) received treatment; 22 (10 males and 12 females) were discharged recovered ; 4(1 male and 3 females) were committed as ordinary patients, leaving 24 (13 males and 11 females) remaining here. The general health of the patients has been very satisfactory. The deaths during the year were 61 (44 males and 17 females), being less than 6 per cent, of the average number resident; 32 of the deaths, including 13 patients over eighty, were due to senile causes. I am pleased to state that the female annexe at Orokonui Home, Waitati, is nearing completion, and will greatly relieve the congestion on the female side at Seacliff. Similar provision for the male patients is an urgent necessity. A new mess-room for the nurses is in course of erection, and several alterations of minor importance have been carried out in connection with the convalescent cottage and the main building. I trust money will soon b<; available to allow us to make proper provision for cooking, bathing, and laundry-work.
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The farm has had another successful year. I regret to state that the farm-buildings are in a very unsatisfactory state, and very soon will have to be entirely renewed. The question of housing the married attendants should receive urgent attention. A large proportion of the staff have of necessity to live at a distance —many at Dunedin and Waikouaiti. This state of affairs is not satisfactory to the institution or to the individuals concerned. The Deputy Inspector, Mr. Gallaway, takes a keen interest in the institution and its inmates, as do the Official Visitors, Miss Monson and Mr. Slater ; and I desire to record my appreciation of their visits, which were a pleasure alike to the patients and staff. Mr. Gumming continues to do excellent work as the Patients' Friend. 1 have to thank the clergymen of all denominations for their regularity in conducting Divine, services, and for the interest they have taken in the patients in general. Early in the year Dr. Buchanan was appointed Superintendent at Hokitika, and Dr. Lee, Sunnyside, succeeded him here. To Drs. Lee, Roberts, and Caselberg (Waitati) 1 tender my thanks for their loyal co-operation. I have to thank Mr. Hughes and the office staff for their unfailing assistance, and to the Matron, head attendant, and nursing staff 1 desire to convey my appreciation of their devotion to the patients and loyalty to the service of the institution.
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APPENDIX.
Table I.—Showing the Admissions, Readmissions, Discharges, and Deaths in Mental Hospitals during the Year 1921.
Table II.—Admissions, Discharges, and Deaths, with the Mean Annual Mortality and Proportion of Recoveries, etc., per Cent, on the Admissions, etc., during the Year 1921.
n mental hospitals, 1st .January, 1921 Admitted for the first time Readmitted M. 414 65 F. 324 78 T. 738 143 1 l" M. 2,717 t 479 M. 2,717 1 479 I F. 2,037 F. .1 I lit F 2,037 402 402 T. 4,754 881 T. 4,754 881 Total under care during the year 3,196 2,439 5,635 Discharged and died— Recovered Relieved Not improved Died (Not including transfers —Males, 25 ; females, 17.) 1.78 30 15 201 193 21 9 117 37] 51 24 318 424 340 764 Remaining in mental hospitals, 31st December, 1921.. 2,772 2,099 4,871 Increase over 31st December, 19-20 55 62 117 Average number resident during the year 2,723 2,031 4,751
Mental Hospitals. In Mental Hospitals on 1st January, 1921. ; Admitted for the First Time. .amissions in 19-21. Not First Admission. Transfers. Total Number of Patients under Care. Auckland Jhristohuroh )unedin (Seacliff) lokitika 4elson 'orirua tokanui l s h b u r n Hall (private mental hospital) Totals M. F. T. m:. if. T. 636 419 1,055 131 98 229 362 426 788 64 64 128 618 437 1,055 62 46 108 191 73 264 15 3 1'8 99 107 206 23 9 32 647 455 1,102 117 101 218 145 95 240 19 25 - 44 2 3 5 M. If. T. 20 22 42 14 11 25 10 19 29 1 2 3 3 0 3 16 23 39 1 0 1 0 1 1 M. F. T. 2 0 2 5 J 6 4 2 6 2 0 2 0 2 2 2 2 4 10 10 20 M. I-. ']-. 789 539 1,328 445 502 947 694 504 1,198 209 78 287 125 118 243 782 581 1363 156 105 261 21 29 50 2,717 2,037 4,754 414 324 738 414 324 738 65 78 143 25 17 42 3,221 2,456 5,677 Patien ,s discharged, tram si,:: •rod, and died. Mental Hospitals. -frod. Transferred In Mental Hospitals on Hist December, 1921. Discharged recovered. Dischai not rocoi Died. 'otal discharged, transferred, and died. Auckland Christchurch Dunedin (Seacliff) .. Hokitika Nelson Porirua Tokanui Ashburn Hall (private mental hospital) Totals M. F. T. 74 65 139 22 24 46 27 31 58 3 4 7 8 4 12 41 61 102 2 1 3 1 3 4 M. 9 8 10 5 2 7 1 F. T. 6 15 9 17 5 15 2 7 3 5 5 12 0 3 0 1 M. F. T. 2 0 2 4 2 6 2 0 2 2 0 2 1 0 1 12 12 24 0 1 1 2 2 4 M. F. T. 51 37 88 33 22 55 44 17 61 15 3 18 4 6 10 52 30 82 12 3 1 0 1 M. ]-'. T. 136 108 244 67 57 124 83 53 136 25 9 34 15 13 28 112 108 220 6 4 10 5 5 10 M. F. T. 653 431 1,084 378 445 823 611 451 1,062 184 69 253 110 105 215 670 473 1.143 150 101 251 16 24 40 2,772 2,099 4,871 178 193 371 45 30 75 25 17 42 201 11 318 449 357 806 Avei res; rage Number ident during the Year. Percentaj of -Recoverii Admissio during the"! ge es on ins Year. Peri Deathi Nuinl durii; eentage of s on Average 3er resident lg the Year. Percentage of Deaths on the Admissions. Mental Hospital! Auckland Christchuroh Dunedin (Seacliff) Hokitika Nelson Porirua Tokanui .. Ashburn Hall (private mental hospital) Totals M. 645 362 611 186 102 654 146 17 1'. T. 417 1,062 415 777 439 1,050 70 256 104 206 465 1,119 97 243 24 41 M. F. T. 49-00 54-17 5110 28-21 32-00 30-07 37-50 47-64 42'34 18-75 80-00 33-33 30-77 44-44 34-28 31-06 48-80 39-69 M. F. X. 7-91 8-85 8-29 9-11 5-30 7-09 7-20 3-87 5-81 8-17 4-29 7-03 3-92 5-77 4-85 7-97 6-45 7-33 0-68 2-06 1-24 5-88 0-00 2-44 M. F. '1'. 33-77 30-83 32-46 42-31 29-33 35-95 61-11 26-14 43-16 93-75 60-00 85-71 15-39 66-66 28-58 39-39 24-00 31-90 50-00 75-00 66-66 50-00 00-00 16-66 2,723 2,031 4,754 37-23 47-S8 42-11 7-38 5-76 6-69 44-14 29-03 36-09
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Table IV.—Duration of Disorder on Admission.
Table III.— Ages of Admissions.
14
Ages. Auckland. Christchurch. Dunedin (Seaclifl). 4 Hokitika. Nelson. I Porirua. Tokanui. Ashburn Hall (Private Mental Hospital). Total. I I M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. M. F. I. M. F. T. M. F. T. H. F. T. Under 5 years From i 5 to 10 years „ 10 „ 15' „ 15 „ 20 „ 20 „ 30 „ 30 „ 40 „ „ 40 „ 50 „ 50 „ 60 ,. 60 „ 70 ,. 70 „ 80 „ 80 „ 90 „ 90 „ 100 „ „ 100 „ 105 „ Unknown Transfers 1 2 3 2 2 4 2 13 26 19 45 36 31 67 32 35 67 13 14 27 21 5 26 8 5 13 4 4 8 1 1 4 15 21 9 13 7 6 1 2 3 0 1 3 7 11 26 13 34 13 22 10 23 11 18 6 12 4 5 1 1 2 2 4 3 1 2 2 2 0 2 0 4 3 6 1 2 0 2 0 2 0 2 2 1 3 2 6 3 2 4 1 2 1 0 0 2 1 1 3 1 0 0 3 1 3 4 7 4 5 5 1 2 2 3 5 1 1 2 9 3 12 23 28 51 26 27 53 38 22 60 14 19 33 10 9 19 5 6 11 4 4 8 10 1 2 0 0 0 0 6 i i i i 2 1 1 1 1 7 9 16 5 3 8 27 10 37 86 75 161 107 82 189 98 85 183 53 62 115 47 33 80 24 23 47 16 13 29 3 0 3 9 3 12 15 15 30 14 10 24 13 10 23 10 14 24 3 6 9 4 5 9 3 1 4 10 1 6 2 8 2 0 2 0 5 2 2 1 6 4 2 6 0 2 "i 1 0 2 0 2 2 0 2 2 2 2 4 10 10 20 6 7 13 25 17 42 Totals 153 120 273 83 76 159 76 67 143 18 5 23 26 11 37 135 126 261 11 10 21 2 4 6 504 419 923
i Porirua. Tokanui. Ashburn Hall (Private Mental Hospital). Auckland. Christchurch. Dunedin (Seacliff). Hokitika. Kelson. Total. First Class (first attack and within 3 months on admission) Second Class (first attack above 3 months and within 12 months on admission) Third Class (not first attack, and within 12 months on admission) Fourth Class (first attack or not, but of more than 12 months on admission) Unknown ':.;-.: Transfers .. .. ; ■ ; : '!.! ; Totals : .. M. F. T. 108 83 191 M. F. T. 31 25 56 M. F. T. 31 21 52 6 7 13 6 4 F. 2 0 T. 8 4 M. 7 3 F. T. 4 11 1 4 M. F. T. 56 40 96 27 29 56 M. F. T. M. 1 0 F. 1 1 T. 2 1 M. F. T. 240 176 416 9 3 12 14 18 32 63 59 122 1 1 2 13 15 28 20 24 44 3 1 4 <J 2 5 22 27 49 | 1 0 1 1 1 2 64 71 135 33 33 66 2o 17 37 15 13 28 3 2 5 13 2 15 28 28 56 0 1 1 112 96 208 2 0 2 5 16 - 25 17 42 4 2 6 2 6 2 0 2 2 2 2 4 10 10 20 153 120 273 83 76 159 76 67 143 18 5 23 26 11 37 135 126 261 11 10 21 2 4 6 504 419 923 . ■
H.—7
15
Table V.—Ages of Patients discharged "Recovered" and "Not Recovered" during the Year 1921.
Table VI.— Ages of Patients who died.
Auckland. Christchurch. Dunedin (Seacliff). Hokitika. Nelson. Porirua. Tokanui. Ashburn Hall (Private M.H.). Total. Ages. Recovered. Not recovered. Be- Not re- Be- Not re- Be- Not re- Becovered. covered, covered, covered, covered, covered, covered. Not recovered. Becovered. Not recovered. Becovered. Not re- Recovered, covered. Not recovered. Recovered. Not recovered. ! I M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T.i M. F. T. V. F. T. M. F. T.l M. F. T. M, F. T. M. F. T.l M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. j M. F. T. Inder 5 years 'rom 5 to 10 vears ., 10 ,. 15" „ „ 15 ., 20 „ „ 20 „ -30 „ „ 30 „ 40 „ i, 40 ., 50 „ „ 50 ., 60 „ „ 60 „ 70 ., ., 70 „ 80 „ ,, 80 „ 90 „ „ 90 „ 100 „ Jnknown .. 'ransters 15 13 28 15 23 38 18 15 33 11 8 19 11 5 18 1 0 II 1 0 1 3 2 5 1 0 1 1 1 2 1 0 ] 3 1 4 3 4 7 6 7 13 4 9 13 4 15 1 2 3 1 0 1 •• •■ •• I 0 2 2 5 2 7 2 3 5 1 0 1 0 1 1 0 1 1 4 0 4 6 6 12 4 11 15 7 6 13 3 6 9 1 I 2 1 1 2 1 0 1 ■• 0 1 1 3 0 3 4 1 5 2 0 2 1 1 2 0 2 2 0 11 112 10 1 10 1 .. 0 11 112 112 5 16 0 222 0 2011 112 .. 2 0 2 10 1 0 1 1 112 1 1 2 1 0 1 7 13 20 10 14 24 14 15 29 5 14 19 4 4 8 0 1 1 0 1 1 1 1 2 1 0 1 2 1 3 2 1 3 1 0 1 1 0 1 1 1 2 " 10 1: 0 1-1 10 10 11 10 110 1 0 11 1 0 1 S 2 10 32 36 68 36 57 93 49 48 97 25 32 57 21 15 36 2 2 4 1 1 2 1 1 2 1 0 1 1 1 2 6 7 13 12 4 16 11 7 18 10 1 11 1 2 3 2 5 7 0 1 1 0 1 1 1 2 3 0 11 •-■ 4 0 4 0 1 1 2 0 2 4 2 6 2 0 2 2 0 2 1 0 1 _. 12 12 24 0 11 '.'. 2 *2 4 4 0 4 0 11 25 17 42 -• ■• .. Totals 22 24 46, 34772984 12 I : I 70 47 117 74 65 139 11 6 17; 12 11 23 27 31 58 12 5 17 3 4 i 8 4 12 3 3 6 41 61 102 19 17 36] 2 i 1 3 I 3 1 4 1 3 4 3 2 5 178 193 371 1
Ages. Auckland. Christchurcli. Dunedin (Seaclifl). j Hokitika. Nelson. Porirua. Tokanui. Ashburn Hall I (Private M.H.). Total. rom 5 to 10 vears „ 10 „ 15 " „ „ 15 „ 20 „ „ 20 ., 30 ., „ 30 „ 40 „ „ 40 „ 50 „ „ 50 „ 60 „ „ 60 „ 70 „ „ 70 „ 80 „ „ 80 „ 90 „ „ 90 „ 100 „ fnknown M. 0 0 5 6 14 6 10 8 2 F. T. 1 1 2 2 1 6 6 12 11 25 8 14 2 12 4 12 2 4 M. 1 2 5 8 4 8 5 0 F. T. 0 1 0 2 3 8 4 12 4 8 3 11 7 12 1 1 M. 1 4 8 2 5 5 7 10 2 F. T. 0 1 1 5 1 9 4 6 5 10 3 8 2 9 1 11 0 2 M. 0 1 2 2 1 1 5 3 F. 1 0 0 0 0 0 2 0 T. 1 1 2 2 1 1 7 3 M. F. T. M. F. T. i 6 i 2 5 7 7 4 11 7 5 12 16 7 23 10 5 15 6 2 8 3 2 5 M. F. ' 0 1 0 1 1 0 T. 1 1 1 M. 1 F. 0 T. 1 M. 2 0 3 11 27 33 35 36 27 21 5 1 F. 0 2 2 7 15 26 25 13 17 8 0 2 T. 2 2 18 42 5S 6C 48 44 28 S 0 1 1 0 1 1 1 0 2 0 1 2 1 2 1 •• 1 2 3 -• Totals 44 17 61 15 3 18 51 37 88 33 22 55 4 6 10 52 30 82 ; i 2 3 1 0 1 201 117 31
H.—7
16
Table VII. —Condition as to Marriage.
Admissions. Discharges. Deaths. AuCRT.ATiD — Single Married Widowed Unknown Transfers M. F. T. 82 41 123 59 65 124 10 14 24 M. 82 59 .10 F. T. 41 123 65 124 14 24 M. F. T. 54 23 77 29 42 71 0 6 6 M. F. T. 25 19 44 21 13 34 5 5 10 2 0 2 2 6 2 2 0 2 Totals 153 120 273 85 71 156 51 37 88 Cn RiSTOHunci r— Single Married Widowed Unknown Transfers 43 30 3 2 5 23 38 13 I I 66 68 16 3 6 20 9 1 13 15 5 33 24 (i .18 14 0 1 3 17 2 0 21 31 2 I 4 2 6 Totals 83 76 159 34 35 69 33 22 55 Dt'NF.Dor (Seacliff)— Single Married Widowed Unknown Transfers 47 27 74 21 31 52 4 7 11 18 17 1 1 9 13 31 21 38 2 3 0 1 0 2 28 10 38 11 5 16 5 2 7 4 2 6 Totals 76 67 143 39 36 75 44 17 61 Hokitika — Single Married Widowed Unknown Transfers 9 0 9 4 5 9 3 0 3 6 2 8 2 4 0 10 1 11 2 0 2 3 2 5 2 0 2 2 0 2 Totals I* 5 23 lo 6 16 15 3 18 Nelson — Single Married Widowed Unknown Transfers 18 8 1 8 19 16 6 4 3 4 9 ,8 3 2 5 1 4 5 0 2 o 1 0 1 Totals 26 II 37 II 7 18 4 6 10 POBIRT/A.— Sinsrle Married Widowed Unknown Transfers 88 54 142 34 47 81 11 23 34 I 1 28 39 35 25 60 2 13 15 25 12 37 21 10 31 6 8 14 2 2 4 12 12 24 Totals 135 126 261 60 78 138 52 30 82 Tokanui— Single Married Widowed .. Unknown Transfers 1 0 i 4 1 0 I 4 2 I 1 2 0 1 1 10 io 20 0 1 1 Totals II 10 21 5 3 Ashburn Hall — Single Married Widowed Unknown Transfers 2 0 0 0 3 1 2 3 1 1 1 1 2 o 3 1 0 1 2 o 4 Totals 9 5 9 1 0 1 Totals — Single Married Widowed Unknown Transfers 289 157 31 2 25 140 435 197 354 58 89 1 3 17 42 120 83 203 98 11.4 212 4 26 30 1 0 1 25 17 42 110 48 158 71 50 121 19 19 38 1 0 1 Totals 504 419 923 248 240 488 201 11,7 318
17
H.—7
Table IX.—Ages of Patients on 31st December, 1921.
Table VIII.— Native Countries.
3—H. 7.
Countries. Auckland. Christchurch. Dunedin (Seacliff). Hokitika. Nelson. Porirua. Tokanui. Ashburn Hall (Private M.H.). Total. I " [ M. F. T. 39 12 51 10 5 15 37 11 48 65 37 102 11 3 14 3 0 3 1 0 1 5 0 5 5 0 5 5 0 5 3 1 4 M. F. T. M. F. 2 6 8 153 89 5 3 8 47 25 4 3 7 58 49 79 49 128 328 265 0 3 3 36 19 10 1 2 1 7 0 10 1 0 1 0 11 3 1 10 1 4 1 5 2 2 0 2 3 5 6 7 10 1 19 5 14 37 51 0 2 T. 242 72 107' 593 55 3 13 1 4 5 7 2 13 24 2 M. F. T. M. F. T. 4 5 9 546 354 900 2 13 209 143 352 269 196 465 9 6 25 1,337 1,175 2,512 12 3 126 83 209 5 16 24 11 35 28 4 32 10 3 13 21 2 23 12 4 16 13 0 13 17 0 17 34 31 65 61 22 83 60 70 130 England and Wales .. Scotland Ireland New Zealand Australian Stales France Germany Austria Norway .. Sweden Denmark Italy China Maoris Other countries Unknown M. F. T. 135 67 202 27 12 39 58 36 94 .. 261 239 500 .. 38 20 58 2 0 2 6 2 8 22 1 23 3 14 4 1 5 2 0 2 4 0 4 2 0 2 .. 24 20 44 .. 26 7 33 .. 39 25 64 M. F. T. 83 107 190 19 24 43 44 36 80 204 252 456 11 10 21 2 2 4 1 2 3 3 0 3 2 1 3 1 0 1 0 1 1 3 6 9 5 4 9 M. F. 100 54 84 67 59 44 312 255 23 24 5 1 1 0 3 0 4 0 2 1 1 0 9 0 2 0 4 3 2 2 T. 154 151 103 567 47 6 1 3 4 3 . 1 9 2 7 4 M. F. T. 30 14 44 15 6 21 9 17 26 79 62 141 6 2 8 1 0 1 3 0 3 1 0 1 1 0 1 5 0 5 Totals .. 653 431 1,084 378 445 823 611 451 1,062 184 69 253 ! 110 105 215 i 670 473 1,143 150 101 251 16 24 40 2,772 2,099 4,87: I
Ages. Auckland. Christchurch. Dunedin (Seacliff). Hokitika. Nelson. Porirua. Tokanui. Ashburn Hall (Private H.H.). Total. I From 1 to 5 vears 5 „ 10" „ „ 10 „ 15 „ „ 15 „ 20 „ ., 20 ., 30 „ '„ 30 „ 40 „ „ 40 „ 50 „ „ 50 „ 60 „ .. 60 „ 70 „ „ 70 „ 80 ., „ 80 „ 90 „ Upwards of 90 years Unknown M. F. 0 1 3 2 4 4 10 5 78 49 122 74 171 112 114 90 86 56 31" 16 8 2 2 0 24 20 T. 1 5 8 15 127 196 283 204 142 47 10 2 44 M. F. T. 0 4 4 2 3 5 3 3 6 8 10 18 39 38 77 83 79 162 82 112 194 65 91 156 58 59 117 25 30 55 11 14 25 M. F. 0 1 3 2 10 2 15 11 60 40 144 75 156 123 92 104 87 52 35 31 8 10 1 0 T. 1 5 12 26 100 j 219 279 196 139 66 18 1 M. F. T. 1 0 1 9 1 10 36 10 46 42 ]9 61 39 17 56 25 5 30 19 8 27 6 3 9 7 6 13 sM. F. T. 0 11 6 1 7 6 1 7 13 2 15 16 11 27 17 10 27 16 20 36 13 28 41 14 16 30 6 9 15 1 1 2 2 5 7 M. F. 4 4 7 8 15 14 77 51 131 94 173 101 116 99 90 58 46 33 9 9 1 1 1 1 T. 8 15 29 128 225 274 215 148 79 IS 2 2 M. F. T. 2 13 7 5 12 2S 23 51 50 25 75 29 25 54 18 20 38 7 I 8 M. F. T. 2 2 4 1 7 8 7 7 14 3 5 8 2 2 4 1 1 2 M. 0 18 32 69 307 585 670 464 370 164 44 4 45 F. T. 7 7 12 30 19 51 47 116 213 520 369 954 519 1,189 456 920 252 622 129 293 40 84 1 5 35 80 2 2 4 9 1 10 Totals 611 451 1,062 1S4 69 253 150 101 251 2,772 2,099 4,87 653 431 1,084 378 445 823 110 105 215 670 473 1,143 16 24 40
H.-7
18
Table XI.—Length of Residence of Patients discharged "Recovered" during 1921.
Table X.—Length of Residence of Patients who died during 1921.
Length of Residence, Auckland. Christchurch. Dunedin (Seacliff). _L Hokitika. Nelson. Porirua. Tokanui. Ashburn Hall (Private M.H.). 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. 7 9 16 7 7 14 7 4 11 5 2 7 1 2 3 5 0 5 3 3 6 5 2 7 2 1 3 1 0 1 2 2 4 12 3 5 3 8 M. F. T. 3 5 8 3 2 5 1 0 1 1 1 2 1 0 1 4 1 5 3 1 4 3 1 4 3 1 4 3 2 5 2 0 2 0 1 1 6 5 1] 0 2 2 M. 2 2 5 4 1 4 2 6 4 F. T. 3 5 3 5 1 6 0 4 2 3 1 5 0 2 0 6 0 4 I" Ms 3 3 1 2 F. T. 0 3 0 3 6 1 0 2 M. 1 0 i F. T 1 2 1 1 6 i M. 5 4 1 4 6 8 5 5 4 0 2 6 1 F. T. 5 10 1 5 1 2 1 5 1 7 6 14 2 7 4 9 2 6 1 2 3 3 1 3 2 8 0 1 M. F. 0 1 0 1 1 0 T. 1 1 1 M. F. 1 0 T. 1 31. 21 19 14 15 9 24 14 20 14 7 4 6 33 1 F. 23 13 7 4 5 8 6 8 6 3 6 10 16 2 T. 44 32 21 19 14 32 20 28 20 10 10 16 49 3 1 1 1 1 2 0 1 0 1 0 1 i i 0 1 2 12 4 6 3 15 1 2 6 i 2 4 0 1 2 2 1 2 Totals .. 51 37 88 33 22 55 44 17 61 15 3 18 4 6 10 52 30 82 2 3 1 0 1 201 117 311
Auckland. Christchurch. Dunedin (Seacliff). Hokitika. Tokanui. Ashburn Hall (Private M.H.). Total. Length of Residence. Nelson. Porirua. I 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 M. F. T. 5 4 9 16 17 33 15 14 29 11 11 22 2 3 5 12 7 19 2 4 6 1 2 3 2 2 4 2 1 3 3 0 3 3 0 2 1 0 1 M. F. T. 7 4 11 3 4 7 4 4 8 2 3 5 4 5 9 2 2 4 0 2 2 M. F. T. 2 0 2 10 7 17 4 10 14 5 6 11 0 2 2 5 2 7 1 2 3 0 2 2 M. F. 1 1 M. 4 2 F. T. 2 6 1 3 M. P. T. M. F. T. M. 0 F. T. 2 2 M. 8 47 36 26 8 30 7 4 2 3 3 3 1 5 46 43 34 11 26 13 9 4 1 0 0 1 T. 13 93 79 60 19 56 20 13 6 4 3 3 2 0 2 1 0 2 1 1 1 0 1 1 2 10 14 24 12 12 24 5 13 18 3 3 6 8 10 18 2 5 7 13 4 0 1 1 0 1 1 1 0 1 0 1 0 i i i i 6 i 1 0 1 0 1 1 Totals .. 74 65 139 22 24 46 27 31 58 3 4 7 8 4 12 41 61 102 2 1 3 1 3 4 178 193 371
H.—7.
Table XII. —Causes of Death.
4—H. 7.
19
('.■I1ISI-S. a a | i rH 3 i r 1 a I ft g I B p ss M O H ill s o H I. —General Diseases. Tuberculosis— General Of lungs I nil uenza Pyaemia Septicaemia Epithelioma Carcinoma Diabetes Anaemia (pernicious) .. Enteric fever Rheumatic fevor M. F. 2 2 M. F. 4 1 2 0 M. F. 1 0 5 2 M. F. 1 0 M. F. 0 1 o" I M. F. 6 6 0 1 1 0 1 0 0 1 M. F. 0 1 M. F. M. F. 1 0 17 13 2 0 0 1 1 1 1 0 3 4 2 1 2 0 0 2 0 1 0 2 1 1 1 0 0 1 1 0 1 0 1 0 1 0 0 ' 2 0 1 II.—Diseases of the Nervous System. Adolescent insanity, exhaustion from Chorea, exhaustion from Mania, exhaustion from Melancholia, exhaustion from .. General paralysis of insane Locomotor ataxia Organic brain-disease .. Cerebral tumour Cerebral haemorrhage .. Epilepsy Marasmus 1 0 1 0 10 0 4" 0 1 0 1 2 1 2 3 0 1 0 1 0 1 0 2 2 10 0 1 0 1 1 2 3 30 1 9 o 8 9 0 0 0 2 4 0 0 13 0 5 6 1 7 13 1 0 2 1 2 2 0 1 1 0 1 0 1 0 5 1 4 3 1 2 2 0 0 1 1 0 0 1 III. —Diseases of the Respiratory System. Pneumonia Pneumonia, hypostatic Pulmonary congestion Bronchitis 4 2 1 2 0 1 2 2 2 0 1 0 0 3 10 0 I 1 9 1 0 2 1 0 0 I 1 0 o" 1 IV. —Diseases of the Circulatory System. 2 2 5 3 9 1 0 1 1 1 0 1 Heart-disease Valvular disease of the heart .. Myocarditis 2 3 2 1 5 0 9 5 24 18 7 4 0 1 0 1 V.—Diseases of the Digestive ' System. Intestinal obstruction Enteritis Malignant disease of pancreas .. Peritonitis 0 1 0 2 1 0 0 1 1 1 1 2 0 0 1 0 1 0 Vt. —Diseases of the Genitourinary System. Bright's disease Nephritis 1 0 0 1 1 0 0 ' 1 I 1 1 1 VII. —Diseases of the Bones. Rheumatoid arthritis Osteo-myelitis 0 1 1 0 0 1 1 0 VIII.—Old Aoe. 16 7 9 7 20 I 3 1 0 9 2 55 19 Sonile decay IX. —External Causes. Suicide 1 0 0 1 1 1 X. —-Died while on Trial 0 2 1 0 1 2 Totals ... 51 37 33 22 44 17 15 3 4 6 I 52 30 1 2 1 0 201 117
BL —7i
20
Table XIII. —Principal Assigned Causes of Insanity.
Causes. Causes. Auckland. Christchurch. (SeaolUl) 1 H °kitika. Nelson. Porirua. Tokanui. Ashburn Hall Totals. (P.M.H.). Causes. Heredity Congenital Previous attack Puberty and adolescence Climacteric Senility Puerperal Mental stress-— Sudden Prolonged Shell-shock Solitude Alcohol Syphilis Toxaemia Traumatic Post-operative Epilepsy Arterio-sclerosis Chorea Heart-disease Graves' disease Blight's disease Phthisis 111 health Pernicious anajmia Influenza Cerebral haemorrhage .. Cerebral tumour Overwork Religion Unknown Not insane 'Transfers M. F. 21 7 21 17 15 27 0 2 0 7 21 7 0 7 I 0 15 16 1 2 15 1 11 0 1 0 1 0 0 7 0 8 M. F. 9 3 4 8 13 16 2 0 0 4 10 16 0 1 1 1. 6 3 10 2 6 0 0 1 4 5 M. F. 11 9 11 6 11 16 3 4 0 12 ■8 7 0 4 s 8 3 5 1 6 1 3 0 2 1 M. F. 4 0 2 0 1 1 4 0 0 1 0 2 1 0 1 0 1 0 M. F. 2 0 10 1 0 1 2 0 0 3 0 I 5 0 1 0 3 0 M. F. 7 15 21 13 16 7 8 23 0 23 11 17 0 11 6 ' 0 8 7 9 1 3 0 7 3 8 0 1 0 1 0 M. F. 1 0 M. F. 1 0 0 2 0 1 1 0 M. F. 55 34 69 45 56 67 13 29 0 49 56 48 0 20 10 5 33 23 1 0 1 2 46 11 31 1 1 0 4 1 0 7 22 17 8 0 1 0 2 0 0 1 0 1 0 1 11 15 1 0 9 2 1 1 2 0 0 2 4 I 41 13 1 0 25 17 1 0 0 1 0 1 0 1 1 0 5 9 5 0 3 1 1 0 1 0 0 2 4 1 10 1 1 0 2 0 I 0 3 0 0 1 3 1 1 0 8 (i 2" 1 21 4 o"i 5 1 4." 2 2" 0 0 2 2 2 10 10 Totals 153 120 83 76 76 67 18 5 26 11 135 126 11 10 2 4 504 419
. H.—7.
Table XIV.—Former Occupations of Patients.
21
Occupations. 4 3 S3 Cs 7, Vi ,3 5 al a JO a I ID a 3 a .-a a § is j o » S a to a. B a X a u 3 e a Occupations. ts Sh 3 .3 u fjj 'cs sS OS CO a OS a a Q ai I B fl o O "o B X, a W a >F a ■S •a a 13 v P 3 a j H IS O a 9 V 3 < 3 0 rH ■ a sss 3 o ■3 ' ° Ma: ii. us, Accountants .. Bakers Bank-manager Barman Blooklayer Boilermaker .. Book-keeper Bootmakers .. Bricklayers Bushmen Butchers Buttermaker Cabinetmakers Canvassers Caretakers Carpenters Carters Chauffeur Chemist Civil servants Cleaner Clergyman Clerks Coal-merchant Commercial travellers .. Company-director Compositors Confectioner Contractor Cooks Dentist .. ' Draper 'Electrician Engineers Engine-driver Factory-manager Farmers Farm hands Firemen. Fishermen Flax-cutter Fruiterers Gardeners Grocers Gum-buyer Gum-digger Hawkers Horse-trainers Hotelkeeper . .* Inmates of special schools Ironmonger 2 2 i 2 1 1 1 1 2 i 2 l i l 3 2 1 1 1 i 2 1 1 1 1 i 2 1 i i 2 i 2 7 1 3 i i i i i ■ •I ,2 1 2 9 1 1 2 5 1 I 1 1 I 7 2 4 3 1 3 2 3 15 ■) 1 I 4 I I II I 4 1 2 1 1 3 I 1 I 6 1 1 55 12 5 2 I 3 15 4 1 1 3 2 1 11 1 Jockey Kitchenman .. Labourers Letter-carrier .. Liftman Machinist Maoris Masseur Medical practitioner Merchant, Metal-polisher Mill hands Millowner Mine-manager Miners Mining expert Motor mechanic Orchardist Painters Pedler Pensioners Photographer Plumbers Porters Printer Prisoners Railway employee Ropemaker School-teachers Seamen Sexton Shearer Slaughterman. . Soldiers Stereotyper .. Stewards Storekeepers .. Students Tailors Timber-worker Tinsmith Tramway employee Trimmer Waterside workers Unknown No oooupation Transfers I 37 1 1 II 2 3 1 2 2 1 2 1 ] 4 I 13 1 i 1 I 26 1 1 1 1 i 3 7 3 6 •- i 1 43 " 1 1 1 1 1 i 1 .. i 1 . . 128 1 1 1 ,. 12 I I I 1 2 1 1 . II 1 1 1 4 (i 1 3 2 I 4 I 1 4 1 1 1 (i 1 2 3 1 2 2 1 I 1 I 3 3 39 25 1 i 1 1 ] 1 1 3 2 1 1 1 i 1 2 i i 1 1 1 11 i 3 i 3 1 2 1 I I 4 2 1 in 2 5 12 4 1 1 I 1 l l l • • i 4 2 1 1 'l 1 2 6 1 1 1 1 3 1 2 I i 4 2 i i 2 3 6 5 1 1 1 i I I 2 6 I 4 12 2 "i 10 i 6 5 Totals 153 831 ™, 18 26 135 11 ' 504 1 o ..I .LES. Femai 4 Barmaids Clerks Confectioner Domestic duties Dressmakers Factory employee Inmates of special schools Maoris 1 1 93 2 59 1 1 52 1 5 8 2 1 100 1 I 2 ! 2 : 1 ! 321 ' 5 ' 1 ] 2 l 7 , 9 9 4 Saleswoman . . School-teachers Student Tailoress Waitress No occupation Unknown Transfers 2 1 1 1 1 1 1 9 1 1 1 27 4 17 1 i *7 4 4 1 7 6 4 1 4 2 2 2 2 2 io Nurses Pensioners Prisoners 1 3 4 Totals i 67 11 10 419 2 120 76 5 126 4
EL— 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.
22
! Died. Remaining, 31st December in each Year. Average Numbers resident. Percentage of Recoveries on Admissions. Percentage of Deaths on Average Numbers resident. Discharged. Year. Admitted. Not Improved. Recovered. .Relieved. 1875 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 1903 1904 1905 1906 1907 1908 1909 1910 1911 1912 1913 1914 1915 1916 1917 1918 1919 1920 1921 M. F. .T. '.'. 221 117 338 250 112 362 247 131 378 248 151 399 229 149 378 232 127 359 .. j 267 152 419 .. 255 166 421 .. 238 153 391 .. 246 133 379 .. 207 165 372 .. ! 255 161 416 .. 215 146 361 230 161 391 230 160 390 .. 234 171 405 231 158 389 281 179 460 270 176 446 252 165 417 278 159 437 284 193 477 .. j 254 212 466 259 199 458 300 202 502 320 223 543 352 192 544 355 226 581 332 236 568 360 251 611 395 264 659 359 241 600 426 318 744 419 297 716 474 j 314 788 448 I 317 765 458 381 839 466 318 784 509 359 868 450 361 811 518 | 361 879 470 i 374 844 437 402 839 512 I 371 883 455 i 418 873 479 : 402 881 15,207 110,624 25,831 M. 129 123 . 121 112 100 93 95 102 89 95 99 103 116 93 98 88 89 101 107 105 104 102 114 88 103 125 135 144 157 149 157 160 180 179 182 163 184 175 207 202 I 160 ; 171 142 190 162 178 6,071 F. T. M. F. 79 208 17 8 57 180 20 5 68 189 14 14 76 188 15 13 67 167 36 25 65 158 41 36 59 154 | 49 32 78 180 13 20 77 166 17 9 76 171 10 5 60 159 II 17 78 181 34 17 92 208 ! 31 28 53 146 31 30 88 186 23 17 74 162 j 33 24 76 165 j 21 17 89 190 17 12 76 183 | 15 11 77 182 24 19 70 174 25 16 73 175 I 17 12 110 224 : 13 23 99 187 15 19 96 199 29 10 104 229 I 20 17 99 234 26 15 , 101 245 26 24 106 263 : 24 11 121 270 j 29 24 126 283 28 22 139 299 I 22 13 146 326 '' 9 12 170 349 j 17 11 145 327 29 27 168 331 ! 23 16 141 325 ) 17 44 162 337 35 48 162 369 27 29 157 359 26 32 ; 171 331 35 34 152 323 32 20 141 283 17 36 147 337 37 44 148 310 27 37 193 371 30 21 4,912 10,983 1,107 976 T. '25 25 28 28 61 77 81 33 26 15 28 51 59 61 40 57 38 29 26 43 41 29 36 34 39 37 41 50 35 53 50 35 21 28 56 39 61 83 56 58 69 52 53 81 64 51 2,083 M. F. T. M. F. T. 2 8 10 36 12 48 3 2 5 42 21 63 4 4 8 51 17 68 9 4 13 55 16 71 5 2 7 54 , 20 74 9 2 11 49 j 14 63 | 5 6 11 60 19 79 10 9 I 19 65 i 18 83 18 12 30 68 24 92 25 2 27 73 22 95 12 7 19 57 19 76 74 27 101 2 3 5 78 26 i 104 3 1 4 70 30 100 12 5 17 76 | 35 111 14 .. 14 79 41 120 8 2 10 74 I 34 108 10 8 18 78 j 23 101 5 4 9 64 35 99 1 2 3 101 42 143 2 1 3 86 32 118 10 .. 10 105 43 148 7 1 8 88 60 148 2 1 3 114 43 157 4 4 99 j 46 I 145 2 2 102 72 174 I 10 9 19 120 55 175 2 2 129 44 173 1 .. 1 120 70 190 147 67 214 1 1 146 85 231 168 64 232 1 .. 1 148 74 222 1 .. 1 136 ! 68 204 j 186 97 283 4 2 6 198 105 303 11 5 16 193 87 280 1 5 6 196 111 307 6 9 15 193 88 281 10 11 21 172 112 284 7 8 15 209 80 289 6 5 11 205 113 i 318 12 12 24 274 174 448 9 13 22 212 130 342 6 10 16 210 166 376 15 9 24 201 117 318 278 193 471 j 5,461 2,698 8,159 M. ! F. T. M. 482 ! 254 736 .. 519 264 783 491 581 291 872 541 638 319 957 601 695 361 1,056 666 729 396 1,125 703 ! 769 406, 1,175 747 827 442 1,269 796 892 483 1,375 860 938 514 1,452 911 981 542 1,523 965 1,009 604 1,613 984 1,053 643| 1,696 1,034 1,041 640 1,681 1,045 1,074 687 1,761 1,046 1,095 702 1,797 1,078 1,115 734 1,849: 1,089 1,154 763 1,917 1,125 1,229 810 2.039 1,172 1,308 860 2,168 1,241 1,329 885 2,214 1,313 1,390 925 2,315 1,347 1,440 990 2,430 1,411 1,472 1,008 2,480 1,438 1,512 1,045 2,557| 1,487 ] 1,581 1,091 2,672 1,534' ] 1,654 1,1191 2,773 1,622 ] 1,715 1,133 2,848 l,67l! 1 1.771 1,188 2,959 1,741 ] 1,801 ! l,237i 3,038 1,780 I 1,836 1.276J 3,112 1,796 ! 1,900 1,306 3,206 1,823 J 1,909 1,331 3,240 1,851 1 1.997 1,417 3,414 1,894 i 2,083 1,465, 3,548 1,970 1 2,160 1,510 3,670 2,028 1 2,220! 1,536 3,756 2,105 ] 2.273 1.640 1 3,913 2,146 ] 2,332' 1,632 3,964 2,252 1 2,408, 1,703 4,111 2,309| 1 2,448, 1,752 4,200 2,391! 1 2,555 1,820 4,375 2,483 1 2,611 1,904 4,515 2,543 1 2,603 1,943, 4,546 2,602 1 2,667 1,980 4,647 2,620 1 2,717 2,037 4,754 2,674 1 2.772 2,099 4,871 2,723 i F. T. M. F. T. M. F. T. 257 748! 54-53 66-01 57-56 8-21 358 I 6-70 277 818 49-20 .50-80 49-72 7'76 7-58 7-70 303 904 48-98 j 51-90 50-00 8"48 5-61 ' 7"52 337 1,003 4516! 50-33 4711 8-25 4'74 7-07 371 1,074 43-66 4496 44-17 7-68 5-39 689 388 1,135 4008 51-10 44-01 6-29 360 5-55 421 1,217 35-58 3881 3675 7-53 451 649 475 1,335 40-00! 46-98 4275 7"55 3-78 621 497 1,408 37-39 50-32 42-45 7-46 4-82 6-53 528 1,493 38-62 57-14 45-12 7-56 4-16 6-36 559 1,543 47-82 3636 42-74 5-79 3-39 491 613 1,647 40-39 4875 43-61 7-15 4-40 613 841! 1,686 53-95 6301! 5762' 7"56 4-05 6-16 660 1,707 40-43! 3292 37-34 669 4-54 586 685 1,763 42-61 | 5500 47-69 7-05 511 629 699 1,789 37-61 4327 4000 7"25 5"86 6-71 714 1,839 38-53 48-10 42-42 6-58 4-76 587 758 1,930 35-94 4972 41-30 6-66 i 3'03 523 812 2,053 39-63 43-13 41-03 5-16 4-31 4'82 849 2,162 41-67 1 46-66! 43"64 7-69 4-94 6-61 882 2,229 3741 44-02 39-13 6"38 3-63 5-29 944 2,355 3592; 3782 36-69 7"44 4-55 628 973 2,411 44-88 51-89 j 48-07 612 6-17 6-14 1,004 2,491! 33-98 49-49 j 40-83 7'67 4-28 630 1,049 2,583 34-33 47-54 39-64 6-45 438 5-61 1,094 2,716 39-06 46-64 42-17 6-29 6'58 6-41 1,114 2,785; 38-35 51-56 43-01 7"18 4'94 6-28 1,160 2,901, 40-56 44-69 42-17 7-41 3-79 5-96 1,198 2,978 47-59, 44-91 46-30 6-74 5'84 6-38 1,232 3,028 41-39 48-21 44-19 8-18 5-44 7-07 1,265 3,088 39-75' 47-73' 42"94 8-01 671 7-48 l,285i 3,136 44-29 57'68 49-84 9-08 4-98 7-39 1,346 3,240 42-25 4591 43-82 7-81 5-50 6-85 l,404j 3,374 42-72 57-24 1 48-74 6-90 4-84 6-00 1,445 3,473! 3840 46-18 4150 917 671 8-15 1,496 3,601! 36-38 53-00 43-27 941 7'02 8-41 1,551 3,697 4017 37-01 38-74 8-99 ! 5-61 7-57 1,597 3,849 37-55 50-94 42-98 8-70 6-96 7-98 1,641 3,950 40-67 45-12 42-51 836 5-36 7-11 1,703 4,094 44-891 43'21 44-88 7-19 6-58 694 1,768 4,251 30-89 47-37; 37-66 8-42 ' 4-52 6-80 1,825! 4,368 36-38 40-64 38-27 8-06 6-19 7-28 1,899 4,501 32-49 35-07 33-73 10-53 9-16 995 1,907 4,527 37-11 39-62 38-17 8-09 6-82 7-55 1,980 4,654 35-63 35-32 35-51 7"85 8-40 8-08, 2,031 4,754 37-23 47-88 4211' 7-38 576 669 ' F 2 2 3 3 3 4 4 5 5 6 tj 6 6 6 7 7 8 8 8 fl 1,0 1,0 1,0 1,1 1,1 1,1 1,2 1,2 1,2 1,3 1,4 1,4 1,4 1,5 1,5 1,6 1,7 1,7 1,8 1,8 1,9 1.9 2,0 ! Excluding transfers between institutions —1,359 males, 980 females.
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Table XVI. —Showing the Admissions, .Discharges and Deaths from Ist January, 1876, to 31st December, 1921 (excluding Transfers). M. F. T. In hospitals 31st December, 1875 .. .. .. .. 482 254 736 Admissions .. .. .. .. .. .7 .. 15,207 10,624 25,831 15,689 10,878 26,567 Discharged— M. p. T. Recovered .. .. .. 6,071 4,912 10,983 Relieved .. .. .. 1,107 976 2,083 Not improved .. .. 278 193 471 Died .. .. .. .. 5,461 2,698 8,159 12,917 8,779 21,696 Remaining on 31st December. 1921.. .. .. 2,772 2,099 4,871
Table XVII.—Summary of Total Admissions: Percentage of Cases since the Year 1876.
Males. Females. Both Sexes. tecoverod Relieved lot improved )ied .. lemaining 38-31 7-05 113 34-81 18-70 4516 8-97 1-77 24-80 19-30 41-34 7-84 1-77 30-71 18-34 10000 100 00 10000
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Table XVIII.— Expenditure for Year Ended 31st March, 1922.
Auckland. Christchurch. Dunedin (Seacliff). Dunedin (Waitati). Hokitika. Nelson. Porirua. Tokanui. Head Office. Totals. Salaries Official Visitors Advertising, photographs, books, &c. .. Amount requh-ed to recoup Imprest Accounts Audit fees Bacteriological research Bedding and clothing Buildings, including additions, &c. Caretaker Hornby, wages of .. Compassionate allowance, Mrs. J. Kavanagh Dental services Developmental work Farms, maintenance of Fencing, draining, and roading Freight, cartage, and transport Fuel, light, power, and water Funerals, expenses of Furniture and fittings Gardens and shrubberies Grant to Seacliff Staff Club Inquiries under Public Service and Mental Defectives Acts Law-costs Laundry Machinery Maintenance fees overpaid, refund of .. Medical fees Nursing staff — Engagement of Uniforms Patients — Gratuities Friends Recreation Transfer Postage, telegrams, &e. Printing and stationery Rations Rents and rates Stores SurgeryDrugs Wines Telephone services Travelling allowances and expenses Treatment and maintenance in general hospital — Patients Staff Contingencies £ s. d. 25,992 10 1 40 4 0 80 12 4 £ s. d 33,977 17 11 21 18 6 79 7 5 £ s. d. 40,620 19 1 44 2 0 32 3 11 £ s. d. 6,442 9 10 | £ s. d. 11,865 19 5 8 8 0 57 14 6 £ s. d. 10,154 17 8 £ s. d. 38,447 8 8 2 0 0 87 11 3 £ s. d. 12,521 18 9 £ s. d. 4,724 15 0 12 12 0 12 11 2 4 1 3 £ s. d. 184,748 16 5 135 4 6 373 5 4 4 1 3 9 3 5 14 1 4 2 3 6 7,143 13 11 447 13 2 145 16 0 87 12 2 3.337 16 3 899 11 0 1 6 8 12 13 4 14 0 0 89 15 8 37.499 10 8 6,837 18 6 145 16 0 295 0 0 7,041 6 11 599 19 5 10,614 7 6 2,112 3 4 758 16 0 44 13 3 2,103 1 0 1,005 17 0 4,176 8 8 1,070 16 1 2,324 0 5 657 5 3 .. .295 0 0 -• 25 0 0 25 16 0 9 5 0 3 3 0 1 15 0 1,672 6 6 2,381 5 9 91 3 9 2,364 12 7 1,380 7 1 20 12 6 28 16 10 23 1 5 64 19 0 1,672 6 6 16,724 11 6 404 15 2 11,482 7 8 22,805 19 2 276 5 0 1,106 19 1 240 9 0 20 0 0 2 2 0 •• 912 13 2 2,354 10 10 60 7 2 898 8 10 5,325 11 11 60 0 0 59 17 7 114 7 8 3,755 11 6 46 9 1 4,118 4 8 4,701 12 7 10 0 0 612 6 11 22 15 4 20 0 0 592 0 1 5 16 8 166 9 11 645 4 2 506 9 3 27 16 10 473 18 3 334 14 6 6 0 0 77 10 4 6 8 0 3,978 6 4 2,243 14 7 173 1 8 2,748 19 7 5,397 6 11 79 5 0 100 0 1 32 8 3 273 14 11 4.112 9 11 61 7 6 99 7 4 2 12 9 437 18 11 908 12 1 39 0 0 129 0 0 38 6 5 0 9 2 2 2 0 479 7 4 . 33 15 3 15 8 7 7 0 508 5 9 213 13 8 1 1 0 1,129 0 3 971 1 11 505 7 8 1 2 6 39 5 11 13 16 5 16 9 7 108 17 6 7 13 8 2 2 0 432 16 5 309 10 3 64 19 8 163 7 0 510 5 4 8 8 0 3,273 19 11 2,162 2 10 76 7 8 2,104 3 0 2 8 8 2,102 1 0 426 8 5 619 14 8 877 7 1 115 1 6 150 6 7 181 19 3 21 4 0 719 17 3 212 3 4 21 4 0 3,402 18 1 100 4 6 3 17 8 91 13 4 1,033 6 0 26 8 2 111 4 6 170 16 1 11,196 0 8 2,046 12 9 1,511 3 5 252 10 11 100 0 0 1,804 11 9 66 6 3 144 10 8 167 7 5 15,853 8 2 270 Oil 1,093 11 3 98 3 6 75 6 10 37 12 7 567 16 0 191 13 4 3,485 4 3 199 9 10 754 8 4 875 9 2 69,501 18 0 2.376 16 8 6,527 16 10 175 12 0 9 4 0 57 15 11 107 5 3 16,200 13 1 31 17 9 8 6 2 10 0 0 14 3 5 1,296 2 5 8 0 0 182 10 4 151 8 11 25 12 3 22 10 7 73 5 0 4,354 10 10 57 8 11 27 10 0 31 2 0 3,118 2 11 2 0 0 1,211 3 3 61 9 3 134 10 0 142 9 2 14,603 3 7 50 3 0 1,010 3 2 230 18 11 2 3 9 41 16 8 52 5 4 2,879 16 4 204 10 0 116 15 6 743 9 5 559 7 10 216 8 2 283 9 10 22 10 7 38 12 6 62 3 10 255 13 7 4 17 6 77 10 0 117 0 11 406 5 6 7 4 2 155 3 1 561 12 10 12 6 3 1 19 2 8 6 0 105 17 4 7 14 2 9 5 9 88 10 10 104 10 4 5 2 0 63 5 0 37 8 6 322 6 11 5 12 2 32 15 1 69 1 1 30 18 8 2 12 8 45 10 0 468 3 0 1,527 8 5 55 13 3 424 0 7 1,492 8 11 80 1 11 14 5 6 21 5 0 54 16 6 86 14 0 2 0 0 5 9 0 23 8 0 0 15 0 50 0 0 18 12 11 9 6 0 136 8 6 76 14 0 428 7 0 24 18 6 14 12 0 0 5 9 31 9 9 283 11 7 • : Totals Credits 57,989 14 5 21,916 18 0 68,804 9 1 22,359 18 10 90,699 I 1 28,347 9 0 j 10,853 2 3 (with Seacliff) : 23,701 4 11 3,288 10 9 23,900 15 0 5,186 16 8 72,688 6 2 27,338 1 2 27,988 13 5,788 1 7 7 7,989 12 6 1,189 16 4 384,614 19 0 115,415 12 4 Net cost 36,072 16 5 46,444 10 3 62,351 12 1 10,853 2 3 20,412 14 2 18,713 18 4 45,350 5 0 22,200 12. 0 1 6,799 16 2 269,199 6
25
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Table XIX.— Average Cost of each Patient per Annum.
Table XVIIIa— Showing Details of Credits.
Table XIXa.
Average Xumber resident. Bedding Salaries. and Clothing. Buildings and Repairs. Farm. Fuel, Light, Water, and Cleaning. Surgery Wines, Rations. and Spirits, and Dispensary. Ales. f Miscel- Cost ment for Other Eelaneous. x>„Fi *. Main- payments. Patient, tenance. i Net Cost Net Cost per previous Patient. Year. Decrease Increase in in 1921-22. 1921-22. Auckland .. Christchurch Dunedin (Seaclift) Hokitika .. Nelson Porirua Tokanui I £ s. d. £ s. d. 1.077 24 3 W 6 10 9 794 42 18 7* 8 19 Hi 1,072 44 0 9J10 12 2J 254 46 15 0 13 2 9| 211 48 2 6|J 9 19 4} 1,160 33 2 11 : 3 12 o| 246 50 18 0J ! 9 8 101 i £ s. d. £ s. d. ! £ s. d. 0 11 2f 0 16 101' 3 16 4J 0 11 31- 2 19 4 6 14 If 2 0 2f 4 I 1| 4 19 9 3 10 10 1 19 10| 1 6 4i 4 15 4 18 17 1 4 6 H 0 18 51 1 18 8J 4 13 0| 2 13 51-16 9 5| 5 12 2| III! > £ s. d. £ s. d. £ s. d. : £ s. d. £ s. d. £ s. d. £ s. d. i £ s. d. i £ s. d. j£ s. d. £ s. d. 15 0 10J 0 5 3 0 0 5 2 11 7 53 16 101 18 7 21 1 19 9J 33 9 lOf 30 12 8i .. 2 17 2J 14 2 0J 0 6 51 0 0 Hi 10 1 1|| 86 13 1 20 2 2f 8 0 llf 58 9 10J 65 5 10 6 15 11J 15 19 ll| 0 7 9| 0 0 1J 12 12 8j! 94 14 71-! 21 15 0 4 13 lOft 68 5 9J 56 2 1J .. 12 3 8 17 2 lOJ 0 8 41 0 0 7i 8 19 6J 1 93 6 3"! 10 13 10J 2 5 1 80 7 3| 37 16 5J .. 42 10 10J 14 15 6| 0 9 10 0 0 of 11 19 1 !113 5 51 19 7 10f 5 3 9| 88 13 91 55 1 0J .. 33 12 9J 12 Tl 9i 0 5 6| 0 0 1 5 10 8J 62 13 3 20 8 9 3 2 7 39 1 11 39 19 4 0 17 5 11 14 li 0 3 0:0 0 2J 16 16 11113 15 6 10 10 7i|12 19 llf 90 4 6 94 5 9||4 0 lOf " Averages I 4,814 j 37 9 2|| 7 15 91 37 9 2|| 7 15 9$ 1 8 5 3 16 7 4 14 8 14 8 9 0 6 4}J 0 0 2J 8 4 8|- 78 4 8| 19 2 11 I 4 11 7f 54 10 1| 48 17 2J 5 12 11|
Including Head Office charges, Table XVIII £ s. d. £ s. d. £ s. d. £ s. d. £ s. d. j £ s. d. £ s, d. £ ». d. ! £ s, d. £ s. d. £ 79 17 10J s. d. £ s. d. £ s. d. £ s. d. £ s. d. 10 4 lljl 55 18 4| 50 13 1| £ s. d. 5 5 3}
Credits. Auckland. Christchurch. Dunedin (Seacliff). Hokitika. Xelson. Porirua. Tokanui. Head Office. Total. Receipts for maintenance For sales of stock, produce, &e. ilisc-ellaneoiis £ s. d. £ s. d. 19,774 10 5 15,968 18 7 1,601 4 3 5,978 10 11 541 3 4 412 9 4 £ s. d. £ s. d. £ s. d. 23.316 17 0 2,715 18 11 4 092 2 9 4.266 14 2 363 18 9 1,021 2 4 763 17 10 208 13 1 73 11 7 £ s. d. 23,708 1 8 3,047 10 11 582 8 7 £ s. d. 2,590 6 6 1,445 19 1 1,751 16 0 £ s. d. £ s. d. 92,166 15 10 17,725 0 5 1,189 16 4 5.523 16 1 Totals 21,916 18 0 22,359 18 10 ; 28,347 9 0 3,288 10 9 5,186 16 8 3,288 10 9 5,186 16 8 27,338 1 2 5,788 i 7 1,189 16 4 I 115,415 12 4
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Table XXI.—Total Expenditure, out of Public Works Fund, for Buildings and Equipment at each Mental Hospital from 1st July, 1877, to 31st March, 1922.
Table XX.—Expenditure, out of Public Works Fund, on Mental Hospital Buildings, etc., during the Financial Year ended 31st March, 1922, and Liabilities at that Date.
Approximate Cost of Paper. — Preparation, not given; printing (575 copies), £40.
By Authority : W. A. G. Skinner, Government Printer, Wellington.— 1922.
Price 9d.]
Mental Hospitals. 1877-1913. 1913-14. 1914-15. 1915-16. 1916-17. 1917-18. _^__ 1918-19. 1919-20. 1920-21. 1921-22. Total Net Expenditure, 1st July, 1877, to 31st March, 1922. £ 76 : £ 1,048 I £ 1,171 £ 543 £ 8,040 £ 9,013 Auckland Reception-house at Auckland Motuihi Island Tokanui Wellington Wellington (Porirua) Christchurch (Sunnyside) Hornby Seacliff Waitati Dunedin (The Camp) Napier Hokitika Richmond Nelson £ 109, 232 5,059 £ 8,908 £ 23,434 £ 2,774 £ 164,239 5,059 561 95,495 29,641 213,130 193,967 10,980 187,128 16,620 4,891 147 4,711 1,097 33,065 960,731 26,404 29,656 155,195 128,733 561 8,874 10,379 10,640 Cr. 15 17,518 15,157 5,639 11,722 24,346 997 24 1,798 6,188 10,399 7,647 597 88 535 8,105 2,462 1,238 966 498 200 4,111 638 2,490 7,370 2,069 848 208 . 5,381 •• 9,774 1,951 616 6,552 5,107 724 5,139 928 40 3,620 5,969 3,494 2,682 3,389 3,217 161,679 5,109 4,891 147 3,727 1,097 21,695 > 3,257 1,634 7,413 911 6 1721 671 .. 200 984 200 1,417 3,496 3,316 Totals 652,624 26,001 53,996 54,883 44,602 26,502 14,640 18,277 27,368 41,838 I
Mental Hospitals. Net Expenditure for Year ended 31st March, 1922. Liabilities on 31st March, 1922. Auckland Tokanui Porirua Christchurch (Sunnyside) .. Hornby.. Seacliff Waitati Hokitika.. Nelson 9,013 9,774 5,969 3,494 2,682 3,389 3,217 984 3,316 7 1,079 10 301 585 Totals .. 41,838 1,982
Permanent link to this item
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Bibliographic details
MENTAL HOSPITALS OF THE DOMINION (REPORT ON) FOR 1921., Appendix to the Journals of the House of Representatives, 1922 Session I, H-07
Word Count
20,127MENTAL HOSPITALS OF THE DOMINION (REPORT ON) FOR 1921. Appendix to the Journals of the House of Representatives, 1922 Session I, H-07
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