MENTAL HOSPITALS OF THE DOMINION (REPORT ON) FOR 1933.

Appendix to the Journals of the House of Representatives, 1934 Session I, H-07

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1934. NEW ZEALAND.

MENTAL HOSPITALS OF THE DOMINION (REPORT ON) FOR 1933.

Presented to both Houses of the General Assembly pursuant to Section 78 of the Mental Defectives Act, 1911.

The Director-General to the Hod. J. A. Young, Minister in Charge of the Department of Mental Hospitals. Sir, — Wellington, Ist July, 1934. I have the honour to submit my annual report upon the Department of Mental Hospitals for the year ending 31st December, 1933. At the close of the year there were 7,637 names on the registers of the Department including 33 patients at Ashburn Hall private licensed institution, and 525 patients out on probation in the care of friends and relatives. Of the 7,079 persons who were actually resident in Government institutions at the end of the year, 6,761 were detained under Magistrates' reception orders, whilst 318 had been admitted at their own request as voluntary boarders. During the year 1,117 persons were committed by Magistrates, and 306 entered as voluntary boarders, the total admissions thus being 1,423, an increase of 27 as compared with the previous year. We were able to discharge 601 persons, including both patients and voluntary boarders, or 42-23 per cent, calculated upon the number admitted, but, of these, only 489, or 34-3 per cent, could fairly be regarded as recovered ; the remaining 112 were regarded as " relieved " or " not improved," but circumstances permitted that their care could be resumed by their relatives. The death-rate was 5-16 per cent, which is the lowest recorded for forty years. Including voluntary boarders, our mental-hospital population showed a net increase of 443 during the year. Mentally Defective Children. The care and training of congenitally defective children presents a problem which is essentially different from the treatment and custody of persons suffering from mental disorders, and it has long been the aim of the Department to establish separate institutional accommodation for these defective children apart from the Mental Hospitals proper. In 1929 Templeton Farm, near Christchurch, was established as a colony school for feeble-minded children, and over 200 children are now in residence there. Few, if any, of these children have been able to benefit by the ordinary or even special-class methods of education, but with proper training many of the boys have become surprisingly proficient at gardening and farming pursuits, and not a few of the girls have been taught to knit and sew, and to carry out other simple domestic duties with a reasonable degree of competence. Many of the original child inmates of Templeton Farm are growing into manhood, and it has been decided to proceed with the erection of an adult division of the colony. This will be situated at Jenkin's Farm, which lies next to Templeton. I had hoped some years ago to set apart the old Nelson Mental Hospital as an institution to be used exclusively for the lowest grades of feeble-minded children, but owing'to lack of accommodation at Stoke Farm this has never been possible. With the erection of the new female side at Yorks Valley, I am hopeful that, at any rate so far as Nelson is concerned, this much-to-be-desired separation of the mentally disordered from the mentally defective may be accomplished. Causation op Mental Disorders. In last year's report I discussed the relative importance of environment and heredity in the genesis of mental disorder, and I expressed the view that environmental stresses do not readily give rise to mental disorder in persons who have inherited a stable nervous equipment. These opinions, founded mainly upon our experience in New Zealand, receive striking confirmation from certain interesting figures published in the most recent report of the Scottish Board of Control. The tables in that report show a net increase in the number of persons in Scottish Mental Hospitals amounting to 37 per 100,000 of population during the period between 1901 and 1931. An analysis of these figures from the geographical, aspect shows that the highest incidence of mental disorder is found in the Highlands and islands which are sparsely populated, rural and non-industrial, whereas the crowded industrial areas such as Clydebank, Port Glasgow, and Greenoch, are at the bottom of the lists. In commenting on these facts, the Commissioners of the Board of Control say, — " If, as is generally believed, mental disorders are the result of distressing social conditions, it would be natural in these daj's of unemployment and resulting depression to expect the industrial areas to show the greatest prevalence of insanity. The conditions of living in the Highlands and islands

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are not high, but there is an absence of the excitement and of the artificial conditions associated with urban life so that the cause of the high rate of insanity m the Highlands must be looked for m other directions. insamty are variouS; but the general expectation that the conditions of life in the industrial areas would be more productive of mental illness than the conditions m the rural and agricultural districts is not borne out by the facts shown m the tables._ , ° " What the figures actually appear to show is that in areas where the various forms of vice are supposed to be least common, and where life might be expected to be most free from worry, strain, and excitement, mSal opinions point to defective inheritance as being by far the most potent cause of mental defect and mental disorder, this does not by any means justify us m adopting a fatalistic attitude towards these conditions. . . Congenital mental defect is not curable, but by means of suitable training from an early age a gre deal can be done to lessen the dependence of the individual and to prevent much misery and unhappmess 0111] So P fafas are concerned, it cannot be too widely understood that no specific mental disease is inherited, but ; only a tendency or, perhaps more correctly, a less than normal power of adequate and appropriate reaction to stress. There is no real ground for the deep-rooted dread that so many people have because of the occurrence of sporadic mental disorder in the family circle. If the implications of defective inheritance were better realized and frankly considered, if due weight were given to the complementary need on the part of the children concerned for wise guidance, the avoidance of a crammed education and the inculcation of a rational well-balanced tolerant philosophy of life—a iourney "in the middle of the road " rather than one crowded hour of glorious life — then I believe that in many cases the inherited instability would not come to express itself as mental connection I believe that the Psychological Clinics carried on by Dr Russell in Wellington and Dr. Todd in Auckland, are doing a most valuable work. As Dr. Russell m his report to me of last year stated " It has been found that a gradually increasing number of normal children have been brought to the clinic because of behaviour problems." These problems have on investigation been found m many cases to have originated in environmental, temperamental or physical causes, and the readjustment has frequently produced the most satisfactory results. There is undoubtedly a great future for child-guidance clinics if properly conducted. The Psychiatric Clinics. Clinics for persons desiring advice regarding mental or nervous affections are conducted by our medical officers at the public hospitals in Auckland, Wellington, Christchurch, Dunedm, Invercaigill and Greymouth. That these fulfil a definite need is shown by the following figures relating to the two largest, those at Auckland and Wellington Auckland . Wellington. Total. 1. Number of new cases seen .. •• • • 342 238 580 2. Number of consultations .. ..982 978 3. Source of new cases— Pensions Department .. • • ' In 199 Medical practitioners . ■ • • f- 1 f Spontaneous visits • • • • .. 54 4. Charitable and social agencies • • .. 1 4b 4 / Hospital in-patients • • • • ,» ; _ J l , Q P™" 10 I Other sources .. • • • • •• 1U Total .. • • ■ • . • 342 238 580 Out of the total of 580 new cases seen it was necessary for only 147 to enter the mental hospital, as voluntary boarders or otherwise ; the remainder were given advice and treatment as out-patients. I have had frequent expressions of opinion from honorary physicians at the hospitals regarding the help which the clinics are to them in the treatment of cases which cause them a good deal of anxiety. Alterations, Additions, and Improvements. Capital expenditure on new buildings and additions and improvements amounted to during the year, and the following summary shows the principal items making up the total, including new buildings in progress, but not completed by the 31st March . Auckland (£155). Commencement made with erection of assistant medical officer s residence. Kingseat (£35,437). Four villas for male patients were completed and occupied during the year, and two others were considerable amo unt of roading, sewage works, and electric-light reticulation was carried out. * Tokanm (£6,295). A villa was erected for farm-worker patients. Extensive improvements were carried out in regard to water-supply and drainage.

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Porirua (£3O). Only minor works were undertaken. Nelson and Ngawhatu (£12,251). The first villa for female patients at York's Yalley was completed and occupied and two other villas are under construction. A start has been made with the new laundry and boiler-house. Good progress has been made with the water-supply reticulation. Hohitika (£8,753). One new villa was completed and another is now under construction. Christcliurch (£3,481). A new residence for an assistant medical officer has been completed. An additional villa (No. 4.) was completed at Templeton Farm. Seacliff (£6,618). A new boiler-house was erected, and a considerably enlarged water storage and reticulation provided at Waitati. Retirements. Dunne the year the Department lost by retirement the services of two old and valued officers Messrs. Ernest Barnes and Henry Glanvill, Head Attendants at Christchurch and Seacliff respectively. " Mr. Barnes left upon the completion of forty years' service with the Department, during which he worked whole-heartedly and unselfishly in the interests of the patients and the institutions. Mr. Glanvill, who retired on medical grounds after thirty-one years of service, set a conspicuous example to others by his loyalty to the highest ideals. _ To these officers the Department owes much ; they both earned and retained the affectionate respect of all those who were associated with them in the work of the Department, and they leave with our best wishes. Appreciation. I desire to express my indebtedness to my colleague, Dr. Russell, the Medical Superintendents, and the other officers of the service, for their unfailing loyalty and help at all times. The work at Head Office has been particularly well done by a highly efficient, harmonious, and co-operative staff, and to Mr. Holder, Chief Clerk of the Department, and the other officers at Head Office, I tender my sincere thanks. 1 have, &c., Theo. G. Gray.

MEDICAL SUPERINTENDENTS' REPORTS.

AUCKLAND MENTAL HOSPITAL. Dr. Buchanan reports:— I have the honour to present my annual report for the year ended 31st December, lyjj. The total number of cases under care during the year was 1,623, with a weekly average of 1,274. The admissions numbered 270 (142 males, 128 females). Of this number, 197 were admitted for the first time. Under Section 8 of the Mental Defectives Amendment Act, 140 patients were admitted. Eighty-one voluntary boarders were admitted during the year, making a total of 166 under care, and of these 56 were discharged. At the end of the year 154 patients were on probation, 116 on full parole, and 204 on limited The general health of the patients was good. Deaths totalled 74 (46 males and 28 females). During the year there were few alterations or new constructions made. A veranda was built on to the male hospital ward, which not only enables us to treat bed cases in the fresh air, but adds considerably to the appearance of the ward. , _ A new make of gas range was installed in the kitchen, and is giving very satisfactory service. The large dayroom in Ward 9 of Park House has been altered, part being made into a dormitory, and the remaining portion being used as a sitting-room. This arrangement allows us to segregate the least impulsive and noisy patients in this refractory building. The results, as far as the patients are concerned, have justified this change. _ Old weather-shelters in the female main building airing-court have been removed, and the whole area turned into a garden. The patients thoroughly appreciate this change, and show active interest in the cultivation of flowers and shrubs. A new stone-crusher was installed in place of the worn-out one. During the year we have taken over the medical inspection of the Inebriate Homes on Rotoroa and Pakatoa Islands. Owing to pressure of work in connection with Kingseat Mental Hospital, I have handed over this work temporarily to my senior assistant, Dr. G. M. Tothill. The study of these cases reveals, in many instances, an underlying neuropathic basis. It would greatly facilitate our work in connection with these Homes, and would be of the utmost benefit to the patients, if the authorities would appoint a man trained in St. John's Ambulance work as one of the staff. . The numbers of our criminal lunatics are creeping up. Fitting accommodation for them is a matter of difficulty, and their supervision is one of grave responsibility. I still hope that a criminal lunatic institution will be established soon.

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The numbers attending the Psychiatric Clinic, held at the Auckland Public Hospital are as follows : 342 people sought advice and treatment; total number of consultations, 1,374. Amusements have been well sustained by many good-hearted societies and friends of the Hospital. We all feel indebted to them. The Official Visitors have taken a keen interest in the welfare of the patients and staff. The support and work of my colleagues and staff have been of the greatest assistance, and 1 hereby take this opportunity of expressing my gratitude.

KINGSEAT MENTAL HOSPITAL. Dr. Buchanan reports: — I have the honour to submit my annual report for the year ended 31st December, 1933. The total number of cases under care during the year was 261 (208 males, 53 females), with a weekly average of 176. Throughout the year steady developmental work has been continued, which reflects the greatest credit on the patients and staff. Roadmaking, tree-planting, preparation of new building-sites, draindigging, &c., are among the many duties performed. The planting of 260 fruit-trees mark the beginning of the orchard. On the farm, 30 acres of swamp has been drained, reclaimed, and put into crop. All this constructive work reacts favourably on the patients. A keen interest is taken in the work done, and this is reflected in the excellent health enjoyed by all, and the general atmosphere of contentment. The plan of separate cooking for the individual wards is working very satisfactorily. Two new villas are well on the way to completion, and should be ready for occupation early in 1934. A vegetable shed has been erected in the kitchen-garden. Improvements to the living accommodation of the male staff have been made. In spite of the daily activities, entertainments have not been neglected. An annual ball was held with great success, and several small dances have taken place throughout the year. We greatly appreciate the kindness of Mr. L. 0. Hooker, through whose generosity wireless sets have been installed in the four wards. These sets mean a great deal to the patients who are resident far out in the country. The Rev. Mr. Jackson and his choir have been regular in their visits, and our thanks are due to them for their kindly interest. I take this opportunity of thanking the staff for their help and enthusiasm during the year.

TOKANUI MENTAL HOSPITAL. Dr. Prins reports : — I have the honour to submit my annual report for the year ended 31st December, 1933. The total number of cases under care has been 668, with a weekly average of 559. The admissions were 94 (males 63, females 31). Of these 81 (males 56, females 25) were admitted for the first time. The general health of the hospital has been good. Deaths were 25 (male 14, female 11), senile decay being the principal cause. The recoveries were 33 (males 13, females 20). The number of voluntary boarders treated has been 19 (males 12, females 7) ; of these, 5 (males 1, females 4) were discharged. During the year an additional reservoir has been built, also new carpenters' and painters' shops ; a new vegetable garden has been started, and the necessary sheds and a glasshouse erected. The laundry drying-yard has been reorganized with new posts and lines, and concrete paths laid down. All the single rooms have been properly ventilated. The old cinema machine has been converted into a " talkie," and programmes, which are much appreciated, are shown weekly. New tennis-courts are being laid down in colfix. The new male villa in course of erection will provide much needed accommodation for the male side. _ Five candidates were successful in the final nursing examination, one nurse obtaining a first-grade pass. The amusements and recreations have been tennis, swimming, bowls, concerts, dances, and the newly formed ping-pong club has held home and away matches. The Te Awamutu Band has also given enjoyable concerts in the grounds. Church services have been held regularly. I regret to report that Mr. Battson, who had been Official Visitor for a number of years, passed away after a short illness. He had taken a great interest in the welfare of the patients and will be much missed. Mr. Findlay has been appointed to succeed him. He was already known to us through the excellent concert parties he had been bringing to the Hospital. We also lost Attendant Angus MacCuish unexpectedly after a short illness, to the regret of all. In conclusion, I have to thank all the staff for their help and co-operation in the work of the hospital.

PORIRUA MENTAL HOSPITAL. Dr. Williams reports : — . I have tlie honour to submit my report for the year ended 31st December, 1933. During this period the total number of persons under care and treatment was 1,976, of whom 1,753 were committed patients, 221 were voluntary boarders, and 2 were people on remand whom it was considered unnecessary to detain further. _ . During the year 288 persons were admitted under certification, of whom 71 came m under the provisions of section Bof the Mental Defectives Amendment Act, 1928. In the same period we were able to discharge 102 patients, while 13 were transferred and 90 died. Applications for voluntary admission were received from 111 persons, of whom 56 were men and ■55 women. Of these voluntary boarders, 87 (43 men and 44 women) were discharged and 5 died. We received 11 patients on remand, of whom 7 were eventually committed and 4 were discharged. Reviewing the above figures briefly, it is to be remarked that the admissions as a whole are somewhat less than last year. Generally speaking, however, it is remarkable how little the admission rate does vary, particularly in the matter of certified patients. For example, and considering the figures for the past'ten years, there were 1,429 patients committed in the period from Ist January, 1924, to 31st December, 1928 ; in the next five years, the total number of such admissions was 1,414. The number

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of voluntary boarders who sought treatment in these periods shows a strikingly greater difference, for while 269 sought admission during the first five years, 532 did so in that period just passed. This is, I consider, a pleasing feature, for although our accommodation may be the more taxed by a greater admission rate, it is only temporarily and not permanently so, as the results of treatment are usually so much better and sooner achieved in voluntary boarders as a whole. This increasing rate is an indication too, I think of a general better understanding and appreciation of our mental hospitals and the methods employed. Possibly, too, the parts played by the out-patient clinics have been valuable in the dissemination of this feeling. Even so, however, as personal experience has shown, much yet remains to be done towards the promotion of a still wider knowledge of mental hospitals, of their functions, the results they get, and of their amenities. The number of deaths is considerably lower than has been the case for some years past, and it is to be noted that 45 of the total of 90 were over sixty years of age, and a further 16 between fifty and sixty years. In this connection it is interesting to find that 287 patients resident here are over sixty years of age, while a further 295 are aged between fifty and sixty years. Many of the former group and a considerable number of the latter show senile changes only, or mental weakness due to infirmity. Consequently, a large proportion of a group comprising more than one-third of our total residents require only such care and attention as is available in any home for the aged. It is to be regretted then that some action has not yet been taken to establish homes for the care of these aged persons. The year as a whole has been a somewhat uneventful one. Owing to the restriction of finance, little in the way of new work has been done, though a certain amount has been expended in general maintenance, painting, bitumenizing, and the like. A certain amount of cultivation has been carried on on the farm, but late frosts and an exceptionally dry season followed by southerly gales will probably seriously affect the returns from the vegetable garden, orchard, and farm generally. In the circumstances the milk production has been very well maintained. It is not inapt, however, to suggest that the acquisition of a further area of grazing and arable land would be a boon, and that if the land were suitable, results should soon repay the expenditure. The poultry farm has maintained its production very well, over 10,000 dozen eggs being sent to the store ; the number of chickens reared showed a marked increase, too, enabling the sale of cockerels to local markets and the sending of pullets to other mental hospitals. Swine-fever was rampant in the district during the year, but the adoption of stringent precautions by the farm-manager was efficacious in the prevention of infection to our stock, and Mr. Nairn is to be congratulated on the measures he took and the way in which he carried them out. Owing, however, to the restrictions imposed over a period of three months, the number of sales has dropped somewhat as compared with last year's total. Miss Hayward, masseuse, resigned during the year to return to England, and her place has been taken by Miss Ilervey, who, in addition to her qualifications as a masseuse, is an adept in the teaching of physical culture. In addition to the classes she takes herself, Miss Hervey has trained a number of suitable nurses as instructors, with the result that daily physical drill is gradually spreading throughout the hospital, and is an important part of treatment. The exercises are very popular with the staff, and classes of nurses and attendants are taken by Miss Hervey out of duty hours. The Psychiatric Clinic at the Wellington Hospital continues to justify its existence by the results obtained. As knowledge concerning the Clinic continues to spread, people tend to present themselves in progressively earlier stages of nervous and mental troubles, and this of course helps greatly in the achievement of the desired ends. That the establishment of these clinics has been a wise step on the part of the Department is undoubted. People attending learn what is frequently to them the previously unthought of point of view that there is no more stigma attachable to a mental upset than there is to such disorders as acne or appendicitis, measles or malignant disease. They learn, too, if they do not already know it, that a mental hospital differs only from a general hospital in its therapeutic requirements ; both are fundamentally places for treatment. The consequence is that it is steadily, if still somewhat slowly, becoming more and more the custom for people to enter a mental hospital for treatment with as much hope for desirable results and with as little trepidation as the man with deformed legs enters an orthopaedic hospital; and this is a very desirable point of view. Amusements and recreations have been provided in abundance for all, and my thanks are due to those many people and organizations who have continued to support us in this connection. The Victoria University Social Service Club has supplied u's with monthly concerts ; the Commercial Travellers Association has also entertained, as have many parties organized by private people. The Rev. Mr. Harding has been particularly good in very many ways. Mr. L. 0. Hooker has continued his interest in the hospital, and largely as a result of his efforts a pavilion has been built for the bowlinggreen. The Women's National Reserve and other kindred societies have been untiring in our behalf, and many hampers, books, money, and other gifts have arrived periodically throughout the year, and particularly at Christmas-time. Interest in the various sports clubs has been keen and markedly so on the bowling-green. Pennant matches are played, and many patients participate. The Hospital Hockey Club is to be congratulated on winning the Senior B Wellington Ladies' Hockey Championship. A new talking-picture machine was installed during the year, this being possible because of charitable bequests held for such purposes. It has been a most popular and successful innovation, and thanks are due to the film distributors who supply us gratuitously with films. In conclusion, I wish to acknowledge my indebtedness to my colleagues and to the staff generally for their loyal and efficient co-operation throughout the year.

NELSON MENTAL HOSPITAL. Dr. Hart reports I have the honour to submit my annual report for the year ended 31st December, 1933. Under all headings there were 631 patients under care during the year. At the commencement of the year there were 525 patients on the register; 106, including 13 voluntary boarders and 4 transfers, were admitted, and 567 remained on the register at the close of the year. On the whole the general health of the patients has been good, and there were only 27 deaths during the year.

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Apart from renovations such as painting and general maintenance work by the artisan staff several additions and alterations Lave been made to existing buildings. A shelter was erected in El Nido's playground, also extra lavatory and bathing accommodation was constructed at Nelson. A separate hot-water system was installed in the Nurses' Home, Ngawhatu. Fire mains have been carried to all villas, main and farm buildings at Ngawhatu, and an electric automatic water-pump was installed at Nelson. The latter now ensures a constant supply to all buildings at higher levels irrespective of the often inefficient municipal supply. No. 1 Villa, Yorks, is nearing completion ; work has commenced on the new laundry ; and the contract has been let for villas 2 and 3. It is gratifying to know that we will have a modern laundry in operation before the end of 1934. It is hoped that financial conditions will permit at an early date the completion of this female division at Yorks. Apart from the reduced building costs at present ruling, the scheme in its entirety allows for additional amenities and more liberty for the patients concerned. . Apart from routine work on the orchards and farm, over 20,000 trees were planted in. the nonpasturable areas. Considerable labour has been employed in roading, laying out of grounds, and such developmental work so necessary in a growing institution. Due to the efforts of Miss Sigley and the Nelson Radio Club, additional radio equipment was donated during the year and the villas at Ngawhatu now have wireless installed. I am indebted to many individuals, business firms, and societies of Nelson, for their donations of cash and goods towards the Patients' Recreation Fund. To Mrs. Scantlebury my thanks are also due for her organization of the Children's Sunshine Fund, by which contributions from the school-children of the Nelson District make it possible for our children to enjoy picnics and trips to the beach. I should also like to place on record my appreciation of the very willing co-operation of the District Engineer, Public Works Department, and his staff in the building and developmental work undertaken during the year. n m , n ,■ . , „ , ~ . In conclusion, I wish to express my thanks to my colleague, Dr. Shield and the. staff tor their efficient assistance in the work of the Hospital.

HOKITIKA MENTAL HOSPITAL. Dr. Childs reports I have the honour to submit my report for the year ended 31st December, 1933. At the beginning of the year the patients on the register numbered 322. The admissions proper for the year numbered 22, while 64 were received on transfer, 60 of these being from Seaclifi. The discharges numbered 10, and the transfers to other hospitals were 4. The total number under treatment during the year was 408, while the number remaining on the register at the end of the year was 381. . . . There were 6 voluntary boarders on the register at the beginning of the year, and during the year 5 were admitted and 6 discharged. . . The general health of the patients has been good, the number of deaths being 13, most of these being due to senile decay. , , . , The usual farming operations have been carried on ; 11 acres of land has been cleared, drained-, and left fallow for the year, while 16 acres of last year's fallow land has been grassed. The grounds in front of Ruru have been drained, levelled, and grassed to make a lawn. A new modern villa with accommodation for 50 men was opened and occupied m December. The villa is an open one, being for the greater part occupied by transfers from Seacliff. All the inmates of this villa have parole. The usual monthly clinic at the Greymouth Hospital lias been held during the year. The painting gang has continued its operations, while a considerable amount of maintenance work to the older buildings has been carried out. Needed adequate lavatory accommodation in one of the female wards is in the process of erection. The usual games and recreations have been carried on during the year, the Hokitika Municipal Band paying frequent visits to supply dance music, as well as giving occasional concerts. Thanks are given to the band, the Church choirs, and others for providing entertainment, and to those people who made gifts to the hospital during the Christmas season. Thanks are also due to the Official Visitors a.nd the clergy, whose visits have been appreciated. I desire to thank"the staS for their help and for the work done during the year.

CHRISTCHURCH MENTAL HOSPITAL. Dr. McKillop reports : — I have the honour to forward my report for the year ended 31st December, 1933. On the Ist January, 1933, there were 1,194 patients on the register. During the year 268 patients were admitted, 55 patients were discharged, and 11 were transferred to other institutions. The total number of committed patients under care during the year was 1,462, and 1,339 (668 men and 671 women) remained on the register on the 31st December (inclusive of 81 males and 59 females absent on probation). . . , Ninety-nine voluntary boarders received treatment during 1933, 7 were committed, 1 iliecl, and 34 were discharged, leaving 57 resident on the 31st December. The health of the patients has been very satisfactory ; the death-rate has been very low, 57 deaths (29 males, 28 females), the chief cause of death being senile decay. It is pleasing to note that a villa is likely to be erected at an early date to accommodate elderly women ; the similar villa for men lias been in occupation for some time and has helped classification verv considerably. The extension of the dining-hall at the female reception-house has been completed, and is a decided improvement. The-wards and dormitories have been kept in a good state of repair by our artisan staff, and many alterations have been made to modernize and bring the institution up

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to date. The kitchen, laundry, and sculleries have received special attention. The farm returns for the year have been very good, and present indications are that the coming season will be above the average. Developmental work, new roads and gardens at Templeton Farm have provided congenial employment for many patients. Two valued officers leave us next year ; Mr. Rose, Chief Engineer, retires on superannuation after thirty years' service, and Mr. Barnes, Head Attendant, retires on completing forty years with the Department. 1 desire to record my appreciation of their services, and their loyalty to the Hospital and to the Department. The patients' recreation has been carried out on the usual lines ; arrangements have been made for the installation of a " talkie plant." This has to a great extent been made possible by the assistance of the Christchurch bowlers, with whom our tournaments have proved very popular. To the District Inspector, Mr. H. D. Acland, to the Official Visitors (Mrs. Williams and Mr. Hanna), and to the clergy of all denominates, I tender my thanks for their regular attention to the patients. I desire to record my thanks to Drs. Brown, Lewis, and Bellringer for the help they have given me in the work of the institution. I have also to thank Mr. Thomas and the office staff, the Matrons, Head Attendants, and other heads of departments for their loyal and efficient assistance, and the staff as a whole for the satisfactory manner in which the work of the Hospital has been carried out.

SEACLIFF MENTAL HOSPITAL. Dr. Hayes reports : — I have the honour to present my annual report for the year ended 31st December, 1933. On the Ist January, 1933, there were 1,284 patients (705 male, 579 female) in the Mental Hospital, and at the end of the year 1,245 (667 male, 578 female), the reduction being largely due to the transfer in December of 60 male patients to Hokitika. During the year 138 patients were admitted under certification, of whom 112 were admitted for the first time (73 male, 39 female). The discharges numbered 56 (23 male, 33 female) of whom 36 were recovered, 14 relieved, and 6 not improved. Sixty-five patients (64 male, 1 female) were transferred. Deaths numbered 56 (37 male, 19 female), the main causes being senile decay and heart disease. Voluntary boarders were 31 (15 male, 16 female) at the beginning of the year, while admissions were 29 (13 male, 16 female). Of these 4 were committed (1 male, 3 female) and 24 were discharged (11 male, 13 female). At the end of the year there were 32 voluntary boarders (16 male, 16 female). Despite the reduction in numbers in the Hospital by 39, overcrowding is still very evident. This amounts to 242 (130 male, 112 female). The position has recently become more accentuated on the female side owing to F. 1 wing having to be abandoned as dangerous, due to movements of the ground. The position on the female side now is that, with the exception of the admission ward (F. 4), there is no female ward in the building with separate day-room and dining accommodation, and F. 1 itself has to use the corridor for these purposes. As in time No. 3 female wing will be similarly affected, the question of overcrowding on the female side will then be unmanageable. As it is, the patients' comfort is decidedly affected, and in the refractory wards the position is naturally more acute. The additions to the male hospital ward were completed in the early part of the year, and, besides supplying necessary accommodation, this has improved the appearance of this part of the Hospital. A new hot-water service was installed in Clifton House to cope with increased demand. New lavatory and bathroom accommodation was provided in the Nurses' Home, and provision made for washing and ironing. The Home, however, is much too small, and increased accommodation for the nurses is an urgent necessity. Painting and renovation has been carried on as usual. The pipe-line to Double Hill has been overhauled and strengthened, and the water-supply is more satisfactory than last year. A new water-supply was installed at Waitati, the water being piped to a concrete reservoir, instead of having the old race and open reservoir. A start has been made on the new boiler-house adjacent to and incorporating the site of the old bunkers. This new building will include the engineers' shops, stores, machine-room, and office. On the farm we are carrying one hundred head more cattle than four years ago, and there is a noticeable improvement in the quality of the herd. At the Psychiatric Clinic in Dunedin there were 115 new cases, of which 75 were seen in the wards, and the remainder referred to the clinic from various sources. Of these patients 33 were committed, 17 admitted as voluntary boarders, 7 discharged recovered, and 35 relieved or unrecovered. Twelve were reported upon, and 11 continuing treatment at the end of the year. The clinic at Invercargill was visited by Dr. Hunter, and 48 cases were examined. Thirty-five of these came from the public hospital; 8, Borstal; and 3, Child Welfare Department. Five cases were committed, the remainder being the subject of reports and advice. In October Mr. Glanvill retired on account of ill-health, to the regret of patients and staff. Mr. Glanvill had been Head Attendant at Seacliff for twenty-five years and had earned the respect and affection of all concerned with the hospital. At the end of the year Mr. Park, farm overseer of Cherry Farm, retired after thirty-three years' service, during which period he was well regarded and liked. During the year concerts were given to the patients by various parties, and special thanks are due to the Justices of the Peace Association and the Dunedin Male Choir. Religious services were conducted by the visiting ministers. My thanks are due for the evidentinterest taken in the patients' welfare by the Patients and Prisoners Aid Society, which is of particular help in assisting the placing of patients in employment after discharge. The Secretary, Mr. Gumming, who is also Patients' Friend, retires from the Patients and Prisoners Aid Society, but continues the latter duties. Mr. Stevens, the new secretary of the society, is showing the same interest in the patients' welfare as his predecessor, and is welcomed by all. Mr. Cumming continues to visit regularly and to help both patients and staff as he has done many years now. My thanks are due to my colleagues and the staff generally for their support and work throughout the year.

7

H.—7

STATISTICAL. The patients on the register at the end of the year numbered 7,282 (m. 4,065, f. 3,217), or 399 (m. 162, f. 237) more than at the beginning ; and the daily average under treatment during the year was 6,741 (m. 3,809, f. 2,932), or 322 (m. 128, f. 194) more than in the previous year ; while the total under care was 8,000. Patients belonging to the Native race numbered 111 (m. 64, f. 47) at the end of the year. The admissions numbered 1,117 (m. 563, f. 554), or 46 more than in the previous year. Of these, 173 had been previously under care, making the proportion of readmissions 15-5 per cent., and 944 patients were admitted for the first time. The ratio to population of all admissions (exclusive of Maoris) was 7-43 (m. 7-36, f. 7-51) to 10,000, and of first admissions 6-28 (m. 6-34, f. 6.22), so that 1,346 persons in the general population contributed one patient, and 1,591 contributed a patient admitted for the first time. The discharges (excluding transfers) numbered 373, or 88 less than in 1932. 112 (or 48 less) harmless unrecovered persons were returned to the care of friends; and 261 (m. 117, f. 144) recovered —40 less than last year —representing a percentage of 23-36 (m. 20-78, f. 25-99) on the total admitted. With voluntary boarders added the percentage rises to 34-36. Altogether, 42-23 per cent, of the inmates admitted were able to leave institutional care. Of a total of 8,000 patients under care, 345 (m. 221, f. 124) died, or 5.16 per cent, on the average number resident. An inquest is held in the case of every death, whatever the cause. The causes are detailed in Table XII, and the following is the percentage of causes mainly contributing : Senile decay, 29-56 ; disease of the brain and nervous system group, 21-73; heart-disease, 19-70; tuberculosis, 6'66. In Table XIII the principal causes assigned for the mental breakdown in the admissions are stated ; but as a matter of fact they are merely approximations, and these, with the small numbers with which we have to deal, show such divergencies from year to year that the proportion assigned to any one cause in any one year cannot be assumed to be our average incidence. Causation is always complex, and the most potent factor is the individual. Hereunder the assigned causations in the table referred to are grouped and shown in their relative proportions : — Males. Females. Totals. Heredity .. .. .. . ■ • • 6-39 10-65 8-50 Congenital .. .. .. .. .. 22-56 26-89 24-71 Predisposed by previous attack .. .. 11-54 14-26 12-89 Critical periods .. .. .. •• 21-85 20-04 20-95 Child-bearing (puerperal, non-septic, and lactation) . . 1-62 0-80 Mental stress .. .. .. •• 18-47 16-61 17-55 Toxic, including .. .. m. f. :: :: :: it JS} 8 "» Traumatic .. .. .. .. 0-18 0-18 0-18 Disorder of nervous system, including —m. f. Epilepsy .. .. . ■ 4-44 2-00 8-35 4-33 6-36 Other bodily affections .. .. .. 2-48 2-17 2-33 No definite cause assigned .. .. .. 0-18 0-36 0-27 100-00 100-00 100-00

Voluntary Boarders.

8

r,- * , I Transferred I Remaining Year ■ l Not Fust | lotal };egister j Died. Discharged. on *ear. , Aamlsslon . Admission, j Admissions. of Pat f entSi | 8 S i st December. M. F. T. M. F. T. M. F. T. j M. F. T. M. F. T. M. F. T. M. F. T. 1912 .. 6 17 23 0 0 0 6 17 23 1 3 4 0 0 0 4 3 7 1 11 12 1913 .. 18 19 37 0 2 2 18 21 39 2 5 7 0 1 1 12 12 24 5 14 19 1914 .. 17 19 36 3 2 5 20 21 41 7 5 12 1 1 2 11 15 26 6 14 20 1915 .. .. 15 17 32 1 2 3 16 19 35 3 4 7 0 1 1 8 14 22 11 14 25 1916 . .. 13 23 36 5 8 13 18 31 49 4 4 8 1 2 3 14 14 28 10 15 25 1917 .. 14 21 35 1 13 14 15 34 49 6 6 12 0 1 1 10 23 33 9 19 28 1918 .. 23 38 61 5 11 16 28 49 77 1 4 5 2 2 4 15 30 45 19 32 51 1919 .. 31 39 70 5 19 24 36 58 94 3 3 6 0 2 2 26 42 68 26 43 69 1920 .. 26 38 64 16 12 28 42 50 92 3 4 7 1 2 3 33 33 66 31 54 85 1921 .. 39 39 78 11 15 26 50 54 104 2 3 5 5 1 6 38 41 79 36 63 99 1922 . 47 38 85 10 16 26 57 54 111 6 5 11 4 4 8 40 48 88 43 60 103 1923 44 50 94 15 21 36 59 71 130 3 6 9 3 3 6 47 47 94 49 75 124 1924 38 44 82 16 20 36 54 64 118 4 8 12 6 3 9 39 48 87 54 80 134 1925 .. 64 59 123 15 34 49 79 93 172 10 15 25 6 3 9 60 63 123 57 92 149 1926 71 60 131 11 29 40 82 89 171 10 11 21 7 2 9 49 71 120 73 97 170 1927 70 70 140 25 32 57 95 102 197 8 6 14 5 12 17 75 58 133 80 123 203 1928 . 120 94 214 37 39 76 157 133 290 8 10 18 10 8 18 102 97 199 117 141 258 1929 102 63 165 50 43 93 152 106 258 11 3 14 9 9 18 119 110 229 130 125 255 1930 .. 152 84 236 41 35 76 193 119 312 15 9 24 8 6 14 130 79 209 170 150 320 1931 .. 166 98 264 43 36 79 209 134 343 11 14 25 11 7 18 159 102 261 198 161359 1932 .. .. 150 85 235 50 40 90 200 125 325 24 32 56 14 5 19 190 108 298 170 141 311 ]933 .. ..112 109 221 53 52 85 165 141 306 11 14 25 5 4 9 121 107 228 198 157 355

H. —7.

It will be noted that there were 306 voluntary admissions in the year under review, that 228 were discharged, and that 25 boarders, representing 8-17 per cent, of the admissions, had to be transferred to the register of patients (having shown mental disorder in degree sufficiently pronounced and sustained to render it improper for them to be continued as voluntary boarders), while the proportion of deaths on average number resident was 2-6 per cent. The column devoted to " Not First Admissions " records readmissions on a return of illness in those previously treated to recovery as voluntary boarders. The average daily number of voluntary boarders in 1933 was 336.

MENTAL NURSES. In December the usual examination was held for the registration of mental nurses, when the following passed : — Passed top for Dominion : Nurse M. F. Livett, Porirua. Auckland : Attendants—N. F. J. Basham, M. Campbell, J. E. Hoban, C. T. Pilgrim, G. Walding. Nurses —A. E. Allen, E. Franklin,* M. A. Garvin, 0. Grattan, M. E. Lovell, A. P. MacCallum, E. M. Prendergast, M. D. Rankine, C. B. H. Richardson, E. E. Roff, M. J. Smaill,* S. M. Turner, N. N. Wedderspoon. t Te Awamutu : Attendants —G. A. Fraser, A. Grant, H. F. W. Sapsford. Nurses—V. K. Meredith,* H. V. L. Webb. Porirua : Attendants —E. V. Butler, C. B. Field, G. K. Hamilton, J. Harris, E. J. Jeffery, J. C. Leacock, D. C. McDonald, W. T. E. Miles, G. Renwick, H. Trewick, J. A. Wilson. Nurses—A. N. Brown, A. M. Brownlie, R. F. Carroll, N. Chase, M. E. Clift, H. C. Garcia, R. Jameson, M. F. Livett,* E. R. Murch, G. M. Murrow, M. M. O'Connell, M. E. Robertson, T. G. Rodder, A. R. Stewart, E. M. Warren, C. S. Wells, M. G. Williams. Nelson : Attendants —F. B. Aynsworth,* C. E. Hamilton, R. H. Wood. Nurses —C. R. V. Luff, N. A. O'Driscoll, J. A. Rush, E. T. Virtue. Hokitika : Nurses —L. A. J. Martini, E. M. Williams. Christchurch : Nurses —B. R. Bott, E. M. Burns,* M. Buxton,* I. M. E. Campbell, C. M. Condon, L. M. Corsbie*, B. Donaldson,* H. I. Hodder, L. S. Mullan, C. E. Walsh. Seacliff: Attendants —C. H. Dadson, A. McKelvie, A. C. Warnock, W. Watson, J. J. White. Nurses—l. J. Allison, I. E. Baird, E. L. Brown, J. C. Brown, L. Dodds, 0. C. Banning, A. M. McKelvie, E. K. Moore,* E. D. Taylor, D. C. Williams * Ashburn Hall : Nurse —F. M. Short.

* Passed with distinction.

2—H. 7,

9

H—7

APPENDIX.

Table I.—Showing the Admissions, Re admissions, Discharges, and Deaths in Mental Hospitals during the Year 1933.

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 1933.

10

M. F. T. M. F. T. In mental hospitals, 1st January, 1933 .. .. •• •• 3,903 2,980 6,883 Admitted for the first time .. .. •• •• 486 458 944 \ 563 554 1,117 Readmitted .. .. • • • • • • • • j 77 96 173 J Total under care during the year .. ..J 4,466 3,534 8,000 Discharged and died— j Recovered .. .. .. • • • • • • 117 144 261 Relieved .. .. . • • • • • • • j 35 27 62 Not improved .. .. • • ■ • • • j 28 22 50 Died .. .. •• .. I 221 124 345 I : — 401 317 718 (Not including transfers —Males, 174 ; females, 76.) Remaining in mental hospitals, 31st December, 1933 .. .. 4,065 3,217 7,282 Increase over 31st December, 1932 .. • • • ■ • • '237 399 Average number resident during the year .. .. .. •• 3,809 2,932 6,741

Admissions in 1933. j Total Number In Mental Hos- 0 f Mental Hospitals. pitals on , , __ ' . , Patients 1st January, 1933. Admitted for the Not First Transfers under Care. First Time. Admission. I M F. T. M. F. T. M. F. T. M. F. T. M. F. T. Auckland 733 620 1.353 102 95 197 19 27 46 21 6 27 875 748 1,623 KinSeat " .. 143 0 143 .. .. 65 53 118 208 53 261 Tnklnui " 293 281 574 56 25 81 5 6 11 2 0 2 356 312 668 " ' 834 631 1,465 124 104 228 27 24 51 7 2 9 992 761 1,753 E ' ' 374 138 512 33 46 79 6 4 10 4 0 4 417 188 605 Hokitil-a " ' 183 139 322 6 12 18 1 3 4 63 1 64 253 155 408 rhratohurch " • ■ 625 569 1,194 84 136 220 10 20 30 7 11 18 726 736 1,462 Wliff :: .. 705 579 1,284 73 39 112 8 10 18 5 3 8 791 631 1.422 Ashhurn Hall (private 13 23 36 8 1 9 1 2 3 .. 22 26 48 mental hospital) ggo gg3 4gg g44 g6 m m ?0 2 50 | 4,640 3,610 8,250 Patients discharged, transferred, and died. ! j n Cental Hos- —— pitals on Mental Hospitals. I Total discharged, 31st December, Discharged Discharged Transferred. I Died. transferred, 1933. recovered. not recovered. an( j M F T M. F. T. M. F. T. M. F. T. j M. F. T. M. F. T. Auckland 17 26 43 22 16 38 68 54 122 46 28 74 ! 153 124 277 722 624 1,346 En " :: 1 0 1 3 0 3 12 3 15 .. 16 3 19 192 50 242 Tokanui " . 13 20 33 8 3 11 3 2 5 14 11 25 38 36 74 318 276 594 " 45 44 89 8 5 13 9 4 13 61 29 90 123 82 205 869 679 1,548 Nelson " " 5 3 8 6 1 7 6 6 12 20 7 27 37 17 54 380 171 551 WnkWka " " 1 5 6 2 2 4 4 0 4 11 2 13 18 9 27 235 146 381 Christchurch " 16 24 40 6 9 15 7 4 11 29 28 57 58 65 123 668 671 1,339 SelcUff . .. 16 20 36 7 .13 20 64 1 65 37 19 56 124 53 177 667 578 1,245 Ashburn Hall (private 325 101 123 3 03 84 12 14 22 mentaUiosprtal) ]2 4 345 j 575 393 968 4,065 3,217 7,282 Percentage Percentage of Average Number of R, ecove ries on Deaths on Average Mental Hospitals. resident during Admissions Number resident the Year. during the Year. during the Year. M. F. T. M. F. T. M. F. T. Auckland .. •• 685 589 1,274 14-21 21-31 17-69 6-71 4-75 5-80 294 265 559 21-31 64-51 35-87 4-76 4-15 4-47 .. 804 610 1,414 29-80 34-37 31-90 7-58 4-75 6-36 " " ..364 151 '515 12-82 6-00 8-98 5-49 4-64 5-24 181 138 319 14-28 33-33 27-27 6-08 1-45 4-07 Christchurch " •• 605 584 1,189 , 17-02 15-38 16-00 4-79 4-79 4-79 Christchurch .. 7Ql 5571,258 I 19-75 40-81 27-68 5-31 3-41 4-45 Ashburn Hall (private mental hospital) . . 13 24 37 j 33-33 66-66 41-66 23-08 0-00 8-11 Totals.. .. .. .. 3,809 2,932 6,741 20-78 25-99 23-36 5-80 4-23 5-16

H. —-7.

Table III.— Ages of Admissions.

Table IV.—Duration of Disorder on Admission.

11

I Ashburn Hall Ages. J Auckland. Kingseat. Tokanui. Porirua. Nelson. i Hokitika. Christohuroh. Seaoliff. j (Private.Mental Total. ! M. F. T. * M. F. T. M. F. T. ; M. F. T. | M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. Under 5 years .. .. .. •• •• i 112 314 .. 2 n 11 o ī! o *' 1, <> oo From 5 to 10 years .. 1 0 1 .. 2 0 2 .. 9 4 13 .. 5 9 14 2 .. 27 33 60 I A is 202 93 12 459 .. 6 23 29 303 .. Z1 66 o[) " ik" oo " 7 3 10 " 4 2 6 19 10 29 4 4 8 .. 9 36 45 10 3 13 .. 53 58 111 " 20 " 30 " . 25 25 50 .. 12 8 20 30 22 52 5 19 24 0 2 2 20 26 46 17 5 22 1 1 2 110 108 218 40 23 25 48 14 12 26 18 26 44 4 7 11 3 4 7 14 18 32 13 6 19 2 0 2 91 98 189 - fo" so ;; :: 11 tl tl :: t i it i k 56 4 5 9 i 4 5 12 w 31 7 i 3 20 123 eoioe 175 50 AO 13 23 36 10 3 13 26 15 41 5 2 7 1 4 5 11 13 24 10 9 19 2 0 2 78 69 14/ ;; fo;; % : :: £ I » :: III £ u 30 1 1 2 213 9 « « ? 7 u 202 « » 95 „ 70 „ 80 „ 16 7 23 .. 2 0 2 6 2 8 0 2 2 .. » ( 1 7 5 12 1 0 1 37 21 58 80 „ 90 „ .. 3 3 6 .. 2 0 2 2 3 5 .. .. 2 0 2 3 1 4 .. 12 7 19 „ 90 „ 100 „ ..101 .. .. . ■ • ■ ..101 .. .. 20/ „ 100 „ 105 „ .. .. • ■ ■ • • • • • • • •' '' ' 1 •i 2 Transfers ' !' 21 6 27 65 53 118 2 0 2 7 2 9 4 0 4 63 1 64 7 11 18 5 3 8 • • 174 76 250 Totals .. 142 128 270 65 53 118 63 31 94 158 130 288 43 50 93 70 16 86 101 167 268 86 52 138 9 3 12 737 630 1,367

Ashburn Hall Auckland. Kingseat. Tokanui. Porirua. Nelson. j Hokitika. Christchurch. , Seacliff. 1 T ° ta1 ' ' : — — — —- - - " j M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. First class (first attack and 38 34 72 .. 21 16 37 81 75 156 5 5 10 3 7 10 35 34 69 22 13 35 6 1 7 211 18o 396 within 3 months on ad(first attack 9 13 22 .. 6 1 7 10 5 15 2 1 3 1 0 1 10 11 21 8 5 13 1 0 1 47 36 83 above 3 months and within 12 months on admission) , i o o ik ū/ i«n Third class (not first attack 17 30 47 .. 13 11 24 23 26 49 9 3 1l 14 5 10 18-8 10 and within 12 months on (first attack or 47 43 90 .. 21 3 24 37 22 59 23 41 64 2 4 6 39 93 132 50 31 81 1 0 1 220 237 457 not, but of more than 12 months on admission) 10 2 12 Tr n an n stos " " 21 6 27 65 53 118 2 'Ô 2 7 *2 9 4 "Ō 4 63 'i 64 7 11 18 5 ~3 8 ! 174 76 250 Totals .. 142 128 270 65 53 118 63 31 94 158 130 288 43 50 93 70 16 86 101 167 268 86 52 138 9 3 12 j 737 630 1,367

H.—7.

Table V.—Ages of Patients discharged "Recovered" and "Not Recovered" during the Year 1933.

12

i Auckland. Kingseat. Tokanui. Porirua. Nelson. Ag e s. ; • —— /V — j . • — — ~—. — r ~~ Recovered. Nofc recovered. Recovered. Not recovered. Recovered. Not recovered. Recovered. Not recovered. Recovered. j Not recovered. . ■ . . ! [ i ! . _ - , - - ! M. I". T. M. F. T. M. F. T. ] M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. Under 5 years .... .. .. . • • • | • • Prom 5 to 10 years .. .. .. . • • • i „ 10 „ 15 „ „ 15 „ 20 „ .. ..1 2 3 0 2 2 .. .. Oil 112 134 20, 30, .. .. 538 43 7 .. 1011167 415 9 12 21 011 2 13(202 " 30 40,, .. .. 369 235 .. 202 ! 64 10 213 48 12 112 011! 101 40 50 „ .. .. 3 8 11 10 3 13 1 0 1 .. 2 5 7 1 0 1 15 7 22 2 0 2 2 1 3 ! 1 1 2 „ 50 „ 60 „ .. . . 3 4 7 3 4 7 .. .. 1 3 4 7 .. 13 8 21 | 4 1 5 10 1 „ 60 „ 70 „ .. ..1 0 1 3 1 4 .. .. .. .. 2 3 5 1 1 12 .. 101 „ 70 „ 80 „ .. ..1 1 2 .. .. .. .. .. 0 2 2 0 1 1 . . 1 0 1 „ 80 ., 90 „ . . .. •• •• •• •• 10 1.. 1 1 2 j „ 90 „ 100 „ .... .. .. .. .. .. .. •• . j Unknown .. .. ..,0 2 2 .. .. .. ■ ■ .. ■ • j Transfers .. .. .. .. j .. 68 54 122 .. 12 3 15 .. 3 2 5 .. j 9 4 13 .. 6 6 12 Totals .. .. 17 26 43 90 70 160 1 0 1 15 3 18 13 20 33 11 5 16 45 44 89 17 9 26 5 3 8 12 7 19 Hokitika. Christchurch. Seacliff. j (Prirate'lMLH.). Total. Ages. I j ~ ! i ! Recovered. Not recovered. Recovered. Not recovered. Recovered. Not recovered. Recovered. Not recovered. Recovered. Not recovered. I I . I I M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. M. F T. Under 5. years ... . • . • • • • • • • • • • • j From 5 to 10 years .. .. . - • • • • • • • • ! „ 1Q „ 15 „ .. .... .. .. .. 0 11 .. .. .. 0 11 15 20,, .. .. .. .. 112 0 5 5 1 0 1 011 .. .. 47 11 19 10 2Q 30 .. .. .. .. 6 4 10 1 1 2 5 3 8;3 4 7 1 0 1 29 29 58 15 10 25 " 30 " 40 „ .. • • 0 2 2 1 1 2 2 5 7 0 1 1 6 2 8 .. 0 1 1 .. 21 29 50 9 7 16 " 40 50 „ .. 1 1 2 1 1 2 3 5 8 .. 1 7 8 2 2 4 1 1 2 .. 29 35 64 17 7 24 " 50 60 „ .. .. 0 2 2 .. 4 8 12 2 0 2 2 7 9 1 3 4 1 0 1 1 0 1 27 33 60 11 8 19 " 60 7Q „ .. .. .. • • 0 1 1 2 2 4 1 0 1 0 1 1 .. .. 4 4 8 7 5 12 70 „ 80 „ .. .. .. .. .. 1 0 1 i .. 0 1 1 .. .. 1 3 4 2 2 4 " 80 „ 90 „ .. .. .. •• •• •• •• 112 .. .. 2 13 112 „ 90 „ 100 „ .. . ■ • • ■■ • • • • ! • • - • Unknown .. .. -. •• •• -• •- •• -• •• •• 0 22 Transfers .. .. .. .. • • 4 0 4 .. 7 4 11 .. 64 1 65 .. 1 2 3 .. 174 76 250 Totals .. .. 1 5 6 6 2 8 16 24 40 13 13 26 16 20 36 1 71 14 85 3 2 5 2 2 4 117 144 261 237 125 362

H.—7

Table VI. —Ages of Patients who died.

13

Ages. Auckland. Kingseat. j Tokanui. | Porirua. Nelson. ! Hokitika. | Christchurch. Seacliff. TotaK | ! M. F. T. M. F. T. M. F., T. M. F. T. M. F. T. ! M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. From .1 to .10 years .. .. .. .. 2 0 2 j 2 0 2 .. .. 1 01 .. 505 „ 10 „ ; 15 t „ . . . . , . . . . Oil . . . . . . . . . . Oil „ 15 „ 20 .. :l 0 1 .. .. 1 1 2: 2 0 2 .. 1 2 3 1 0 1 .. 6 3 9 „ 20„ 30 .. 2 0 2 .. 1 2 3 1 1 2 5 1 6 .. 1 1 2 Oil .. 10 6 16 „ 30 „ :40 .. 3 0 3 .. 4 1 5 8 0 8 2 0 2 .. Oil ,5 1 6 .. 22 3 25 „ 40 „ ; 50 .. 4 7 11 .. 0 2 2 7 7 14 2 2 4 .. 4 4 8 3 3 6 1 0 1 21 25 46 „ 50 „ 60 .. 10 7 17 .. 2 5 7 11 5 16 2 0 2 2 0 2 4 6 10 6 1 7 .. 37 24 61 „ 60 „ 70 i„ .. 10 3 13 .. 2 0 2 18 7 25 1 1 2 2 1 3 7 6 13 9 7 16 2 0 2 51 25 76 „ 70 „ 80 .. 10 8 18 .. 2 1 3 9 5 14 2 2 4 4 1 5 10 7 17 7 5 12 .. 44 29 73 „ 80 „ 90 .. 3 2 5 .. 3 0 3 3 2 5 2 1 3 3 0 3 2 1 3 5 1 6 .. 21 7 28 „ 90 „ 100 „ ..3 0 3 .. .. 1 0 1 .. .. .. .. .. 4 0 4 Unknown .. .. ..Oil .. .. .. .. .. .. _ Oil Totals .. .. 46 28 74 | .. 14 11 25 j 61 29 90 20 7 27 11 2 13 j 29 28 57 ; 37 19 56 j 3 0 3 j 221 124 345

H.—7

Table VII. —Condition as to Marriage.

14

Admissions. Discharged. Deaths. ATTPKTA-WD M - F - T - M * F ' T * M ' F * T * SWle .. •• 72 54 126 22 15 37 15 4 19 Married " 42 55 97 15 21 36 19 17 36 Si " :: i f I 2 5 " KSZ 21 « " « 8 « 132 •• Totals . • • • • • 142 128 270 107 96 203 46 28 74 Kingseat— „ Single • • Vol Married Widowed Unknown .. ■ • • ■ ■ • • • • *' ,'r * Transfers .. ■ • • • ■ • 65 53 118 12 3 Totals . • • • • • 65 53 118 16 3 19 T0 X£T S9 7 46 10 4 14 7 4 11 Married !! 22 41 10 18 28 5 3 8 Widowed 325 112 246 Unknown .. .. •• •• •• •' . Transfers .. • • • • • • 2 0 A 6 z 0 Totals 63 31 94 24 25 49 14 11 25 P ™T .. .. 95 51 146 29 21 50 32 9 41 Married !! " .. •• 44 66 110 23 24 47 23 15 38 Widowed 12 11 23 1 4 5 6 5 11 Unknown 7 '? Q 9 '4 13 Transfers .. ■ • • ■ • • 7 2 9 1 L,i Totals .. •• •• 158 130 288 62 53 115 61 29 90 N " g 7e » « • It* widowed :: :: :: :: " 2 2 .. 1 ' 3 4 Unknown .. •• •• . • • • a 'a to Transfers 4 0 4 6 6 12 " Totals .. ■ • • • 43 50 93 17 10 27 20 7 27 H0D ™tr ■ ..I 3 5 8 3 1 4 7 0 7 Married " 4 10 14 0 6 6 2 1 3 Widowed .. •• •• • • " 202 Unknown .. • ■ • • • • , Transfers .. •• 63 1 64 0 * !____ Totals .. ■ • • • 70 16 86 7 7 14 11 2 13 CHM = RCS ~ •• 64 112 176 13 17 30 12 10 22 Married " •• 27 32 59 9 13 22 12 8 20 Widowed : 2 11 13 0 3 3 5 10 15 Unknown .. .. •• •• 7 11 is 7 '4 11 " Transfers .. .. •• •• 7 a i8 7 4 11 Xotals 101 167 268 29 37 66 29 28 57 Seaombj— 18 17 36 21 8 29 Kfed " :: .. 17 18 35 5 14 19 13 6 19 IVIarnea .. 3 11 14 022 257 Widowed 10 1 10 1 Unknown .. • • • • • • i « « ga i ak Transfers .. •• •• 5 3 8 64 1 66 Totals .. • • • • 86 52 138 87 34 121 37 19 56 Ashbton HALL- 1 2 3 1 1 2 2 0 2 S™? 1 ? , •' '• '• " 819 314 101 Married .. •• •• •• 81» a j. Widowed Unknown . . ■ • • • • • • • i 9 q Transfers .. • • • • • • • ■ Totals 9 3 12 5 4 9 3 0 3 T0TA W1p •• 292 654 105 78 183 115 39 154 Ktd " " .. •• 172 211 383 71 99 170 75 50 125 Widowed !! !! .. •• 24 49 73 4 15 19 24 34 58 SS :: :: :: :: 1 74 7« «0 " 4 2 *> Totals .. .. .. 737 6301,367 354 269 623 221 124 345

H.—7.

Table VIII.— Native Countries.

Table IX.—Ages of Patients on 31st December, 1933.

15

Countries. Auckland. Kingseat. | Tokanui. Porirua. Nelson. Hokitika. Christehurch. Seaeliff. j (Pri^te^H 1 ) Total. ■ . I • : I . J, j\: I 1: ___ ! M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. j M. F. T. M. F. T. England and Wales 117 89 206 35 15 50 55 36 91 149 102 251 37 14 51 35 16 51 73 70 143 75 46 121 4 3 7 580 391 971 Scotland .. .. j 21 15 36 12 1 13 18 7 25 37 28 65 19 4 23 10 2 12 25 12 37 45 37 82 2 1 3 189 107 296 Ireland .. .. ! 43 30 73 8 4 12 20 18 38 44 35 79 10 3 13 17 10 27 22 23 45 31 34 65 1 0 1 196 157 353 New Zealand.. .. j 401 405 806 86 26 112 179 179 358 535 459 994 290 135 425 135 92 227 531 5391,070 468 415 883 .. 2.625 2,250 4,875 Australian States .. I 37 30 67 9 1 10 12 12 24 31 22 53 6 6 12 13 11 24 7 15 22 15 27 42 6 16 22 136 140 276 France .. 0 I I .. 101011 .. .. .. .. 12 3 246 Germany .. -. j 3 1 4 101 314 3 2 5 101 10 1 2 1 3 303 .. 17 5 22 Austria .. 25 4 29 10 0 10 3 0 3 .. 2 0 2 .. 0 2 2 .. .. 40 6 46 Norway .. ..202303101 1 12 .. 101 .. .. .. 819 Sweden .. ..011101011516101101101202 .. 11 3 14 Denmark .. ..101101202437202101 .. 112 .. 12 4 16 Italy .. ..213 .. 101202011404 .. .. .. 92 11 China .. ..202 .. 101527 .. 101 .. 1 0 1 ! .. 10 2 12 Maoris .. 16 19 35 3 1 4 9 8 17 25 15 40 6 2 8 1 1 2 4 1 5 .. .. 64 47 111 Other countries 29 13 42 8 1 9 13 14 27 28 8 36 3 2 5 4 1 5 3 8 11 9 5 14 .. 97 52 149 Unknown .. 23 15 38 15 1 16 .. .. 3 4 7 11 13 24 .. 17 13 30 .. 69 46 115 Totals .. 722 6241,346 192 50 242 318 276 594 869 6791,548 380 171 551 235 146 381 668 671 1,339 667 5781,245 14 22 36 4,065 3,217 7,282 I i __

I f i ; I Ages. ! Auckland. Kingseat. Tokanui. Porirua. Nelson. Hokitika. | Christeliuroli. Seacliff. (PilvrtVftpH ) ■ Total. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. I M. F. T. I M. F. T. M. F. T. M. F. T. M. F. T. From 1 to 5 years .. .. .. .. 03 3 617 .. 136 9202 .. 11 10 21 3 » 10 „ .. 4 2 6 .. 5 0 5 1 2 3 38 6 44 .. 19 19 38 6 3 9 .. 73 32 105 „ 10 „ 15 „ .. 5 6 11 .. 3 2 5 15 17 32 42 7 49 ! 0 2 2 51 51 102 6 3 9 .. 122 88 210 „ 15 „ 20 „ 26 21 47 2 0 2 4 7 11 43 35 78 69 10 79 j 4 5 9 89 83 172 18 8 26 .. 255 169 424 „ 20 „ 30 „ . . 105 84 189 17 2 19 43 22 65 115 82 197 49 37 86 27 S 35 95 85 180 98 37 135 0 1 1 549 358 907 a 30 „ 40 „ .. 138 105 243 27 5 32 38 52 90 168 120 288 35 26 61 25 21 46 111 78 189 128 76 204 3 0 3 673 483 1,156 „ 40 „ 50 „ .. 152 141 293 47 12 59 52 72 124 197 168 365 39 16 55 I 51 31 82 128 118 246 .125 139 264 3 5 8 794 702 1,496 ,. 50 „ 60 „ .. i 139 136 275 50 16 66 83 57 140 167 128 295 43 23 66 63 51 114 94 121 215 125 131 256 2 4 6 766 667 1,433 „ 60 „ 70 „ .. 70 64 134 35 14 49 60 45 105 102 76 178 32 26 58 1 50 18 68 49 65 114 93 112 205 2 6 8 493 426 919 „ 70 „ 80 „ .. 55 42 97 11 0 11 21 15 36 46 35 81 21 14 35 9 3 12 27 39 66 45 53 98 3 4 7 238 205 443 „ 80 „ 90 „ 13 11 24 1 0 1 4 0 4 15 11 26 1 4 5 I 2 1 3 2 6 8 | 13 14 27 1 1 2 52 48 100 Upwards of 90 years ..202 .. .. 022 .. 011 .. 1 0 1 0 1 1 347 Unknown .. 13 12 25 2 0 3 5 4 9 .. 5 1 6 4 5 9 .. 7 2.9 .. 36 25 61 Totals .. 722 6241,346 192 50 242 318 276 594 869 6791,548 I 380 171 551 235 146 381 668 671 1,339 1667 5781,245 14 22 36 4,065 3,217 7,282 B i ! I

H.—7

Table XI.—Length of Residence of Patients discharged "Recovered" during 1933.

Table X.—Length of Residence of Patients who died during 1933.

16

Length ol Residence. Auckland. Kingseat. Tokanui. Porirua. Nelson. Hokitika. j Ohristchurch. Seacliff. : j TotaI ' J | , I I ! jl. F. T. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. M. F. 1. M. F. T. Under 1 month .. .. 74 11 .. 213 358 202 101347 4 1 5 .. 22 15 37 From 1 to 3 months .. 437 .. 202 8 3 11 .. .. 549 .. 19 12 3 527 202 202 101 10) 123 202 .. 14 4 18 "69" " 505 .. 202 202 .. .. 303 202 .. 14 0 14 9 " 12 " " 2 1 3 . . 1 0 1 3 2 5 0 1 1 0 1 1 .. 3 1 4 1 0 1 10 6 16 " 1 " 2 yeai I: .. .. 0 3 3 6 0 6 .. 1 0 1 4 12 16 7 1 8 .. 18 16 34 " 2 " 3 112 213 639 022 101 404 134 .. 15 10 25 "o" 5 " ' 224 .. Oil 448 101 112 303 538 .. 16 11 27 5" 7 " " 3 1 4 .. 0 1 1 4 3 7 .. .. 1 0 1 .. .. 8 5 13 " 7 " 10 " 1 1 2 .. .. 3 3 6 3 1 4 .. 0 1 1 2 2 4 .. 9 8 17 " 10 " 12 " " .. .. .. 5 0 5 3 0 3 1 0 1 1 0 1 .. .. 10 0 10 12 " 15 " .. 10 1 • • ■ • 3 2 5 .. .. 0 1 1 ■ • .. 4 3 7 Over 15 years .. 10 12 22 .. 3 2 5 10 4 14 8 3 11 5 0 5 j 4 4 8 9 5 14 2 0 2 51 30 81 Died while absent on trial.. 516 .. 022 202 202 .. j .. 213 .. 11 4 15 Totals .. 46 28 74 T 14 11 25 61 29 90 20 7 27 j 11 2 13 29 28 57 37 19 56 3 0 3 221 124 345

A Rhhnrn H&H Length of Residence. Auckland. Kingseat. j Tokanui. Porirua. Nelson. Hokitika. Christehurch. Seaeliff. (Private M.H.). Total. \2 I , ! ; M . T . M. F. T. M. F. T. M. F. T. M. F. ' T. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. Under 1 month .. .. 101 033 101 .. •• •• •• 101 336 From 1 to 3 months .. 4 1 5 .. 1 5 6 4 0 4 . . 0 1 1 3 1 4 1 0 1 2 0 2 15 8 23 0 g 178 628 10 12 22 .. 022 257 459 022 23 35 58 1 " q " " 4 7 11 .. 2 4 6 9 9 18 3 1 4 0 1 1 3 5 8 1 4 5 .. 22 31 53 Q " 12 " " 3 6 9 .. 2 3 5 5 4 9 .. •• 2 2 4 2 2 4 .. 14 17 31 1 " 2 vears " 044 213 9 11 20 112 011 2 79 538 .. 19 28 47 " o " 3 " 1 1 2 0 2 2 3 5 8 1 1 2 .. 4 1 5 2 5 7 .. 11 15 26 " 3 " 5 " " 303 101 .. 112 .. 101 022 112 .. 7 4 11 K " 7 ..112 .. .. Oil .. .. 123 ;; 7" io ;; :: :: •• •• 112 .. .. .. .. .. 112 „ 10 „ 12 „ .. .. •• •• ,j 12 „ 15 „ •• •• •• •• 10 1 Over 15 years .. .. •• •• 101 Totals .. n 26 43 1 0 T~ 13 20 33 45 44 89 5 3 8 1 5 6 16 24 40 16 20 36 3 2 5 117 144 261

H. —7.

Table XII. —Causes of Death, 1933.

3—H. 7.

17

43 75 I « I j I 03 3 Q CaU3eS - i J ' I '§ i g S I S S ! _; •s a jā -s 1 I 3 B 1 ā ! 2 2 :? o o ■ ® P .ci =21® <j M B Pi fc W O oa <5 I EH I. General Diseases. Tuberculosis— m. e. m. e. m. e. m. e. m. e. m. e. m. e. m. e. m. e. m. e. General .. .. .. .. 2 4 .. 01 .. 10 .. 1X01 .. 4 7 Of lungs.. .. ... ..13 .. 112 0 10 .. .. 2 1 .. 7 5 Cancer 12 .. .. 2 1 .. I .. 2 0 2 3 1 0 8 6 Toxsemia .. .. .. .. •• •• •• 11 .. .. .. 10 .. 21 Diabetes .. .. .. •• •• •• 20 .. .. .. .. .. 20 Pernicious ansemia .. .. .. . • • • • • • • • • • • 0 1 .. .. 0 1 II. Diseases oe the Nervous System. Mania, exhaustion from .. .. .. .. 0120 .. .. 14 .. .. 35 Melancholia, exhaustion from ..01 .. .1 024 .. .. 1 1 .. .. 46 Confusional insanity, exhaustion from .. .. .. .. 0 1 .. 10 .. .. .. 11 General paralysis of insane .. ..70 .. .. 71 .. .. 3230 .. 20 3 Encephalitis .. .. ..01 .. .. .. .. .. •. •• •. 01 Epilepsy .. .. .. .. 30 .. 10 41 20 .. 01 21 .. 12 3 Cerebral haemorrhage •• ..03 .. .. .. 20 .. 0124 .. 48 Cerebral thrombosis .. .. • • • • • • ■ • ■ • 0 1 .. .. .. .. 0 1 Coronary embolism .. .. • • • • ■ ■ • • • • 11 • • • • • • • • 11 Progressive muscular atrophy.. .. .. •. • • •. 10 .. .. .. .. 10 III. Diseases oe the Respiratory System. Pneumonia .. . • - ■ 1 0 .. 1 2 3 2 5 0 .. 3,0 1 3 .. 14 7 Bronchitis.. .. .. ..10 .. .. 2 0 .. 1:0 .. .. .. 4 0 Acute pulmonary (edema .. .. 10 .. ■■ • • •• •• •• 10 Empyema .. .. •• •• ■■ •• 1 0 .. •• 10 IV. Diseases oe the Circulatory System. Heart-disease .. .. .. 10 10 . . 5 1 7 5 j 2 3 2 0 5 5 8 3 .. 39 27 Arterio-sclerosis .. .. •• •• •• •• 0 111 0 .. .. .. .. 11 V. Diseases oe the Digestive System. Perforated duodenal ulcers .. •. 10 . . •. . ■ . • .... .. .. 10 VI. Diseases oe the Genito-ijrinary System. Bright's disease .. .. •• •• 11 .. .. .. 10 .. .. 21 Nephritis .. .. • • •• •• •• •• 10 10 .. 12 ..1042 VII. Old Age. Senile decay .. .. .. 12 3 .. 4 1 24 12 1 2 7 2 9 10 13 2 .. 70 32 VIII. External Causes. Luminal poisoning .. .. ..10 .. .. .. •• •• •• .. 10 Suicide .. .. •• •• •• •• •• •• •• 10 .. .. 10 Fall from train .. .. ■■ •• •• •• •• •• •• 10 .. 10 Accidental burning .. .. •• •• •• •• •• •• •• 1010 IX. DIED while on TRIAL .. ..51 .. 0 3 2020 .. .. 21 .. 11 5 Totals.. .. .. 46 28 .. 14 11 61 29 20 7 11 2 29 28 37 19 3 0 221 124

II.—7

Table XIII. —Principal Assigned Causes of Insanity, 1933.

18

. Ashburn Causes. Auckland. Kingseat. Tokanui. j Porirua. Nelson. Hokitika. cll urcij. j Seaeliff. Total, f - j — i M V M F. M. F. M. JT. M. F. M. F. M. F. M. F. M. F. M. F. Heredity .. ..3 5.. .. 3 4 1 3 5 5 13 35 9 6 2 1 36 59 flnrwrenital 18 19 .. 11 2 32 12 19 33 .. 23 79 24 4 .. 127 149 Previous attack .'.' 14 18 .. 2 4 31 26 4 4 0 2 0 9 13 14 1 2 65 79 Puberty or adolescence 5 2 .. 8 2 17 13 3 0 .. 23 7 6 0 .. - Climacteric .. .. 0 11 .. .. 0 1® 0 .3.. • 0 7 0 2 .. 0 39 Senility .. .. 16 11 .. 5 1 14 13 1 2 0 1 11 8 11 11 .. 58 47 Involution .. ..11 .. • ■ • ■ 10 • • > 0 • • • • ' Pnerneral 01 .. 020301 .. 02 .. .. 09 Mental stress" .. 32 36 .. 24 1! 24 32 2 2 2 4 10 2 9 5 1 0 104 92 Alcohol .. ..4 1 .. 1 0 6 0 1 0 •• 5 4 2 0 1 0 20 5 Syphilis .. .. 12 2 .. 2 0 6 2 .. 0 1 3 0 2 1 .. 25 6 Arterio-sclerosis 10 8 .. 4 0 2 1 .. . • • • 1 Organic brain disease 11 .. • • 2 0 . • • • ■ • 0 1 .. ~ Post-operative .. • • • • • • • ■ • • 0 1 Traumatic .. .. • • • • • ■ • • • ■ '' n i i n 9 9 Heart-disease .. •• •• 1 1 •• •• 1 ok iT Epilepsy .. ..5 4.. 2 0 7 2 5 2.. 4 2 2 1 .. 25 11 Encephalitis .. • • •• •• 10 .. •• •• •• 10 10 Influenza -. • • • • • • • • • • • • _ * * _ *' _ '' ... , A 1ft a Ill-health .. .. . • ■ • 2 5 5 3 1 0 0 1 .. 1 0 1 0 10 9 Toxic 0 4 .. .. 0 1.. 0 5 Unknown .. .. 0 2 .. .. »» Transfers .. .. 21 6 65 53 2 0 7 2 4 0 63 1 7 11 5 3 174 76 Totals .. 142 128 65 53 63 31 158 130 43 50 70 16 101 167 86 52 9 3 737 630

H.—7.

Table XIV.—Former Occupations of Patients.

4—H. 7.

19

Table XIV.—Formek Occupations of Patients. »■ S' Si rS Occupations. 'S a Occupations. •§ « I 1 1 | g I | §' I _. I | 1 i g I 1 § I ' . 1 I l I 1 1 I ! I i 11:1 i 1 I | 1 I i Males. Accountant lj 1 Master mariner ] 1 Agents .. 3 1 4 Mechanics .. 2 .. .. 1 1 .. 4 Apiarist .. 1 1 Merchant 1 1 Artist .. 1 .. .. 1 Messengers .. 1 .. .. 1 2 Bakers .. .. 2 1.... 3 Metalworker 1 1 Blacksmiths .. 2 .. .. 3 , 5 Meter-reader 1 1 Bootmakers .. 1 .. .. 2 3 Miners .. 2.... 2 1 3.. 8 Bricklayers 3 3 Motor-drivers 2 .. 1 1 .. .. 4 Builder .. 1 .. 1 Orchardist 1 1 Butchers 1 1.. 2 Painters .. 1 1.... 1 1.. 4 Canvasser 1 .. 1 Pensioners .. 10 .. 2 5 .. .. 6 5 .. 28 Caretaker 1 1 Piano-tuner 1 .. 1 Carpenters .. 2.. 2 3.... 3 1.. 11 Porters .. .. 2 2 Carrier .. 1 1 Presser .. 1 1 Chemists 2 1 .. 3 Printers .. .. 2 1.... 3 Civil engineer 1 1 Prisoner .. 1 j .. .. 1 Clerks .. .. 5 .. 1 4 2 .. 1 3 .. 16 Rabbiter i| .. .. 1 Constable .. 1 1 Salesmen.. .. 1 .. .. 1 .. .. 2 1 .. 5 Cooks .. .. 2 .. .. 1 3 School-teacher 1 1 Drainer .. 1 .. 1 Seamen .. .. 3 .. 1 1 .. .. 1 2 .. 8 Drapers .. " 1 .. .. 1 2 Shearer .. 1 .. .. 1 Electricians 1 1.. 2 Signwriter 1 1 Engineers 2 .. .. 1 1.. 4 Solicitors.. 1 .. .. i .. .. 2 Engine-drivers .. 1 1.. 1 1.. 4 Steward .. 1 1 Farmers .. .. 10 .. 9 .12 1 1 8 5 2 48 Storekeeper 1 1 Farmhands 5 11 1 .. .. 5 .. 22 Students .. 2 .. 1 3 6 Fitters .. .. 1 1 2 Tailors .. .. 1 .. .. 1 2 Gardeners .. 4 .. 1 .. I .. 1 2 .. 9 Telegraphists 1 .. .. 1 .. .. 2 Gasfitter.. 1 1 Tinsmith.. 1 .. 1 Grocer .. .. 1 1 Well-borer 1 1 .. 1 Ironmonger 1 1 Wool-classers 2 .. . . 1 .. .. 3 Journalist 1 1 No occupation .. 30 .. 8 24 19 .. 20 24 1 126 Jeweller .. I .. .. 1 Transfers .. 21 65 2 7 4 63 7 5 .. 174 Labourers .. 35 .. 24 45 13 2 36 18 .. 173 Linotypist 1 1 Totals .. 142 65 63158 43 70101 86 9 737 Masons .. 1 1 1 3 Females. Clerks .. .. 2 1 3 School-teachers 2 . . .. 2 Copvholder . . 1 1 Typistes .. 2 .. .. 1 1 .. 4 Domestics .. 91 .. 29 119 11 14 85 44 3 396 Tailoresses .. 1 .. .. 1 2 Dressmakers .. 2.. 1 3 Waitress .. .. 1 1 Machinist 1 .. .. 1 No occupation .. 22 .. 1 5 39 . . 64 3 .. 134 Milliner .. 1 .. .. 1 Transfers .. 6 53 .. 2 .. 1 11 3 .. 76 Musician 1 .. 1 Nurses .. 1 .. .. 1 .. .. 2 Totals .. 128 53 31 130 50 16167 52 3 630 Pensioners .. 2 ]"'.... 3 4—H. 7.

Hi—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.

20

Discharged. | Remaining, Average "Numbers ! Percentage Percentage of Deaths r_ - 3 lst December in rSlent ! of Recoveries on on Average Numbers vtar Admitted. I . „ fl „h Year resic-ent. . Admissions. resident. Year. Aamiweu. Recovered. Relieved. Not Improved. | eacn iear. I I _ *—; i ; * r i | ™ M -n T M if. T. M. F. T. M. V. T. .M. I'- [ M - I M - F - T. j m. F. t. M. . • • • • ' 482 254 736 1875 .. •• •• •• •• •• •* 'k 'Ô iA 'or 12 48 519 264 783 491 257 748 54-53 66-01 57-56 8-21 3-58 6-70 1876 .. : 221 117 338; 129 79 208 17 8 25 2 8 10 36 L. 2gl gr?2 541 2 „ 818 49-20 50-80 49-72 7-76 7-58 7-70 1877 .. 250 112 362 j 123 57 180 20 o 01 303 9Q4 51-90 50-00 8-48 5-61 7-52 1878 .. 247 131 378, 21 68 89 14 14 28 4 4 8 51 17 bS bd* 666 337 ls00 3 45-16 50-33 47-11 8-25 4-74 7-07 1879 .. 248 151 399; 112 76 188 15 13 28 9 4 13 5o lb 396 1 125 703 371 1,074 43-66 44-96 44-17 7-68 5-39 6-89 1880 .. 229 149 378 | 100 67 167 36 25 61 5 2 7 54 3g 4Q Qg gJ 1Q 6 . 2g 3 . 6() 5 . 55 1881 .. 232 127 359 j 93 65 158 41 36 77 9 2 49 4 bd 7b9 40b 421 1>2J7 35 . 58 38 . gl 36 . 75 7 . 53 4 . 51 6 . 49 1882 .. 267 152 419 95 59 154 49 32 81 5 6 11 60 46-gg 42 . 7£ . ? . 55 3 . 78 6 . 21 1883 .. 255 166 421 ! 102 78 80 3 20 33 0 9 19 65 18 83 892 «M, j,;,, 7 , w 4 . 82 6 . 53 1884 .. 238 153 391 j 89 77 166 17 9 -.6 18 12 30 68 gg g2 5? 45 . 12 7 . 56 4 . 16 6 . 36 1885 .. 246 133 379' 95 76 71 0 5 15 25 2 27 73 22 «j.»» 1,613 984 559 1,543 47-82 36-36 42-74 5-79 3-39 4-91 1886 .. 207 165 372 99 60 15, ] (595 1 034 613 1,647 40-39 48-75 43-61 7-15 4-40 6-13 1887 .. I 255 161 416 103 78 181 34 17 i 51 .. .. 74 -7 101 1,053 Md J,b9b 95 <>3-01 57-62 1-56 4-05 6-16 1888 .. 215 146 361 116 92 208 31 28 , o9 o j 660 4Q 43 32 . 92 37 . 34 g, 69 4 . 54 5 . 86 1889 .. I 230 161 391 ! 93 53 146 31 30 61 3 1 4 70 , , 797 1 078 685 i, 76 3 42-61 55-00 47-69 7-05 5-11 6-29 1890 ..I 230 160 390 98 88 86 23 17 40 12 5 17 76 3o 11 ,095 702 797 O, 699 i, 789 37-61 43-27 40-00 7-25 5-86 6-71 1891 .. 234 17.1 405 . 88 74 162 33 24; 57: 14 14 79 41 I/O 1,110 125 7M 1,839 38-53 48-10 42-42 6-58 4-76 5-87 1892 .. 231 158 389 I 89 76 165 21 17 , 38 , 8 2 10 74 , , 4 49-72 41 . 30 6 . 66 3 . 03 j 5 . 23 1893 .. 281 179 460 101 89 90 17 2 29 10 8 18 78 101 1,229 810 2 039 , 812 2 ; 0 53 39-63 43-13 41-03 5-16 4-31 ! 4-82 1894 .. 270 176 446 j 107 76 183 15 11 26 5 4 9 64 . , g4 7 . 6g , 4 . 04 , 6 . 61 1895 .. 252 165 417 105 77 82 24 9 43 j 1 2 3 101 42 143 1,329 885 2 214 1 did gg2 2 ; 22g 37 . 41 44 . 02 3g . 13 6 . 3g 3 . 63 | 5 . 29 1896 .. 278 159 437 104 70 174 25 16 j 41 2 3 86 990 2,430 1.411 944 2,355 35-92 37-82 36-69 7-44 4-55 | 6-28 1897 .. 284 193 477 j 102 73 175; 17 12 29 10 .. 10 105 Mg j' 472 i >0 08 2,480 1,438 973 2,411 44-88 51-89 48-07 6-12 6-17 ! 6-14 1898 .. ! 254 212 466 ! 114 110 224 ; 13 23 ; 36 7 33 . gg 4g . 4g 4Q . 83 ? . 67 4 . 28 6 . 30 1899 .. 259 199 458 | 88 99 87 15 19 | 34 2 1 3 114 43 157 1 512 1 045,2 |57 g , 6 . M 1900 .. 300 202 502 | 103 96 199 29 10 39 4 , 4 9 Q6 40 . 64 42 . 17 6 . 29 6-58 6-41 1901 .. 320 223 543 125 104, 229 20 17 37 .. 2 2 02 72 74 ,b54 , 19 2,m b ? 4 . g4 0 . 2g 1902 .. 352 192 544:135 99 234 26 15 41 10 9 19 20 55 | 188 Mil 40-56 44-69 42-17 7-41 3-79 | 5-96 1903 .. 355 226 581; 144 101 245, 26 24 j 50 .. igQ i gQl g } g0 ljgg 2>g7g 47 . 0g 44 . gl 46 . 3Q 6 . 74 g-84 | 6-38 1904 .. 332 236 568 ; 157 106 : 263 24 11 35 1 0 . 4g 21 44 . ig 8 . 18 5 . 44 7 . 07 1005 .. 360 251 611 I 149 121:270 29 24: 53 .. .. .. 47 67 214 j 1 836 1 276 | 112 1,79b a9 . 75 4? . 73 42 . g4 g . 01 6 . 7 i 7 . 48 1906 .. 395 264 659 lo7 126 283 28 -2 j 50 4b gg 4g g4 g . og 4 . 9g 7 . 3g 1907 .. 359 241 600 160 139, 299 22 13 35 .. .. .. 168 64 232 1,909 1,331 3,240 I,»01 ? 5 . 5 6 . g5 1908 .. 426 318 744 180 146 326 9 2 21 1 .. 48 74 222 1,997 1,417 3,414 1,»94 & qq 1909 .. 419 297 /16 179 170 349 17 11 •• > | 3 2 92g j 44 g| 3 473 38-40 46-18 41-50 9-17 6-71 1 8-15 1910 .. 474 314 788 182 145: 327 29 27 56, .. .. .. 86 o' 2 20 l'536 3'756 1,496 3,601 36-38 53-00 43-27 9-41 7-02 8-41 1911 .. 448 317 765 163 168: 331 23 16 39 4 2 6 198 105 303 2,220 1,53b 3,/ōb iuo 1912 .. 458 381 839 184 141 325 1/ 44 61 » l'632 3 964 2 252 ] 597 3,849 37-55 50-94 42-98 8-70 6-96 7-98 1913 .. 466:318 784:175 162 337 35 48 83 1 5 6 96 111 307 , 2,332 1,632 3.964 2 ; 252 1 ; 5»/ |;» 50 40 . 67 45 -12 42-51 8-36 5-36 7-11 1914 .. 509 359 868 207 162- 369 -7 06 , ' 4,094 44-89 43-21 44-88 7-19 6-58 6-94 Zl :: il Ito ' 160 171 ' 331 35 34 T " S 80 289 1 Ijg \& l',768 4,251 30-89 47,37 37-66 8-42 4-52 6-80

H.—7.

21

1917 ] 470 374 844 171 j 152 ] 323 32 20 52 I 6 I 5 | 11 205 113 318 2,611 1,904 4,515 2,543 1,825 4,368 36-38 40-64 38-27 8-06 6-19 : 7-28 1918 .. 437 402 839 142 I 141 I 283 17 36 53 12 12 24 274 174 448 2,603 1,943 4,546 2,602 1,899 4,501 32-49 35-07 33-7310-53 9-16 9-95 1919 ..I 512 371 883 190 | 147 337 37 44 81 9 13 22 212 130 342 2,667 1,980 4,647 2,620 1,907 4,527 37-11 39-62 38-17 8-09 6-82 7-55 1920 ,, 455 418 873 162 j 148 310 27 37 64 6 10 16 210 166 376 2,717 2,037 4',754 2,674 1,980 4,654 35-63 35-32 35-51 7-85 8-40 8-08 1921 .. 479 402 881 178 j 193 371 30 . 21 - 51 15 9 24 201 117 318 2,772 2,099 2,723 2,031 4,754 37-23 47-88 42-11 7-38 5-76 6-69 1922 .. 453 386 839 156 157 313 32 20 52 10 8 18 211 184 395 2,816 2,116 4,932 2,747 2,062 4,809 34-44 40-67 37-31 7-67 8-92 8-21 1923 .. 442 366 808 168 151 319 42 38 80 15 5 20 194 131 325 2,839 2,157 4,996 2,789 2,079 4,868 38-00 41-25 39-48 6-95 6-30 6-67 1924 .. 446 377 823 152 128 280 30 42 72 9 11 20 221 95 316 2,873 2,258 5,131 2,808 2,146 4,953 34-08 33-95 34-02 7-87 4-42 6-37 1925 ,, 445 430 875 144 175 319 29 37 66 23 17 40 201 123 324 2,921 2,336 5,257 2,830 2,203 5,033 32-36 40-69 36-45 7-45 5-57 6-43 1926 .. 508 439 947 136 145 281 27 35 62 15 25 40 207 147 354 3,044 2,423 15,467 2,926 2,287 5,213 26-18 30-75 29-67 6-16 6-42 6-77 1927 .. 531 414 945 157 128 285 40 42 82 . 14 9 23 217 132 349 3,147 2,526 5,673 3,022 2,373 5,395 29-56 30-91 30-16 7-17 5-65 6-47 1928 .. 506 450 956 115 134 249 40 40 80 17 j 13 30 207 161 368 3,274 2,628 i5-,'902 3,120 2,459 5,579 22-72 29-77 26-04 6-63 6-55 6-59 1929 549 407 956 145 144 289 30 28 , 58 22 16 38 227 153 380 3,399 2,694 6,093 3,215 2,495 5,710 26-41 35-37 30-23 7-06 6-13 6-65 1930 .. 621 474 1,095 138 128 266 28 34 64 31 23 54 251 172 423 3,572 2,811 6,383 3,342 2,590 5,932 22-22 27-00 24-29 7-51 6-64 7-15 1931 .. 587 476 1,063 127 120 24>7 29 30 59 29 30 59 221 199 420 3,753 2,908*6,661 3,503 2,696 6,199 21-64 25-21 23-37 6-31 7-39 6-76 1932 587 484 1,071 141 160 301 39 42 81 38 41 79 219 169 388 3,903 2,980 6,883 3,681 2,738 6,419 24-02 33-05 28-10 5-97 6-17 6-06 1933 563 554 1,117 117 144 261 35 27 62 28 22 50 221 124 345 4,065 3,217 7,282 3,809 2,932 6,741 20-78 25-99 23-36 5-80 4-23 5-16 21,445 15,88137,326 7,767 6,626 14,393 1,508 1,391 2,899 '529 413 942 8,058 4,488 12,546 Excluding transfers between institutions —2,162 males, 1,355 females.

H.—7

Table XVI.— -Showing the Admissions, Discharges, and Deaths from Ist January, 1876, to 31st December, 1933 (excluding Transfers). H. F. T. In hospitals, 31st December, 1875 482 254 736 Admissions .. .. . • •• •• •• •• 21,445 15,881 37,326 21,927 16,135 38,062 Discharged— m. f. t. Recovered .. .. 7,767 6,626 14,393 Relieved .. .. 1,508 1,391 2,899 Not improved .. • • 529 413 942 Died .. .. .. 8,058 4,488 12,546 17,862 12,918 30,780 Remaining on 31st December, 1933 .. .. •• 4,065 3,217 7,282

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

22

Males. j Females. Both Sexes. Recovered 36-22 41-72 38-56 Relieved .. • • • ■ • • 7-50 8 • 76 7 • 76 Not improved .. .. . • •• 2-47 2-60 2-55 Died .. ., .. •• •• 37-06 28-26 33-33 Remaining .. .. •• •• 16-75 18-66 17-80 100-00 100-00 100-00

H.—7.

Table XVIII.— Debits for the Financial Year, 1933-34.

23

Auckland. Kingseat. Tokanui. | Porirua. Nelson. Hokitika. Christ church. Seacliff. 1 Head Office. Total. ! ! i . j ! £ s. d. £ s. d. £ s. d. £ s. d. £ s. d. £ s. d. £ s. d. £ s. d. £ s. d. £ s. d. Salaries.. .. .. .. .. 37,312 17 5 4,025 9 10 18,706 9 5 48,307 19 9 18,866 2 2 13,502 16 1 40,496 8 5 46,480 9 6 6,477 15 1 234,176 7 8 Official Visitors .. .. .. .. 44 17 11 .. .. 42 14 0 .. .. 21 11 0 .. .. 109 2 11 Advertising, books, &c. .. .. .. 1 6 0 i .. 160 259 160 1 13 6 3 13 3 320 22 7 11 37 05 Bacteriological research .. .. .. .. j .. .. 37 12 6 2 1 0 0 10 6 3 10 0 .. .. 43 14 0 Bedding and clothing .. .. .. 3,604 7 0 943 4 4 1,764 16 5 4,275 7 4 2,431 16 9 1,556 16 2 4,630 7 0 4,313 18 9 .. 23,520 13 9 Buildings, including additions, &c. .. .. 744 4 3 24 12 6 854 12 5 1,537 16 1 344 15 7 148 7 7 1,236 17 3 1,405 1 8 .. 6,296 7 4 Dental services .. .. .. .. 10 19 0 .. 10 4 10 16 5 10 9 10 10 1 19 3 7 12 0 11 10 0 .. 68 7 9 Farms, maintenance of .. .. .. 1,009 3 8 700 6 10 2,717 14 5 1,533 16 1 994 3 9 243 15 2 2,300 1 7 1,858 4 2 .. 11,357 5 8 Fencing, draining, and roading .. .. 36 1 0 82 8 3 354 10 1 283 0 0 131 10 0 6 9 4 198 10 9 354 15 4 .. 1,447 4 9 Freight, cartage, and transport .. .. 88 0 5 20 0 10 151 2 7 225 11 0 108 10 0 33 16 7 309 19 6 337 10 5 .. 1,274 11 4 Fuel, light, water, &c. .. .. .. 5,051 11 8 626 12 1 2,629 11 8 6,162 7 7 2,972 3 6 1,091 15 9 5,547 8 1 5,806 0 5 39 8 3 i 29,926 19 0 Funeral expenses.. .. .. .. 117 4 0 .. 22 10 0 57 15 0 21 5 0 11 5 0 47 5 0 68 14 6 .. 345 18 6 Furniture and fittings .. .. .. 159 15 0 42 17 9 56 18 9 253 15 2 190 8 5 25 18 0 689 19 1 529 9 5 .. 1,949 1 7 Gardens and shrubberies .. .. .. 9 18 1 34 15 5 54 17 8 97 10 7 22 17 2 .. 179 0 0 27 2 4 .. 426 1 3 Laundry .. .. .. .. 317 8 4 36 15 2 183 11 4 315 1 0 62 4 0 55 9 10 227 3 3 143 7 9 .. 1,341 0 8 Legal and inquiry costs .. .. .. 3 13 6 .. .. 6 12 0 .. .. .. 440 .. 14 96 Machinery, repairs, and stores .. .. 145 19 8 50 10 8 125 13 8 145 11 3 76 17 2 37 7 4 216 11 4 280 13 1 .. 1,079 4 2 Medical fees .. .. .. .. 564 8 7 .. 198 1 0 600 13 9 122 6 3 39 6 4 433 15 10 245 15 3 .. 2,204 7 0 Motor-vehicles — Maintenance of .. .. .. 32 0 0 13 18 4 61 8 8 175 12 1 81 15 8 19 1 8 236 15 4 271 19 4 .. 892 11 1 Purchase of .. .. .. .. .. .. .. 190 3 6 194 0 10 .. 200 0 0 .. .. 584 4 4 Nursing staff uniforms .. .. .. 222 2 8 35 4 2 105 8 8 368 18 8 154 6 3 97 4 8 289 18 7 359 13 2 .. 1,632 16 10 Office equipment .. .. .. 0 9 10 0 3 6 .. 22 11 5 2 15 6 .. 4 14 5 1 16 9 3 0 0 35 11 5 Patients, expenses connected with — Gratuities .. .. .. .. 38 2 4 .. 6 13 6 90 19 6 130 15 10 15 10 0 7 16 5 33 8 8 .. 323 6 3 Friends .. .. .. .. .. .. .. .. .. .. .. 85 10 0 .. 85 10 0 Recreation .. .. .. .. 1,197 3 1 426 8 5 788 4 4 263 1 1 555 7 0 397 16 0 720 7 1 815 11 7 .. 5,153 18 7 Transfers .. .. .. .. 11 7 0 .. 4 14 4 12 6 1 23 15 0 5 13 2 44 19 6 132 16 7 ,. 235 11 8 Postages, telegrams, &c. .. .. .. 76 4 5 5 16 10 35 11 6 130 0 11 33 1 10 6 10 0 78 4 9 86 13 8 162 13 9 614 17 8 Printing and stationery .. .. .. 195 17 7 19 19 8 75 19 4 143 1 8 62 1 11 48 8 8 195 17 11 124 8 10 77 10 9 943 6 4 Rations , .. .. .. 12,244 17 4 2,528 17 11 4,002 11 11 15,304 9 10 3,872 12 10 3,692 17 7 11,434 3 7 13,675 5 7 .. 66,755 16 7 Rents and rates .. .. .. .. .. .. .. .. 343 .. 677 2 1 4 0 0 669 2 11 1,353 9 3 Stores .. .. .. .. .. 648 0 0 104 12 7 409 3 8 1,211 12 7 413 14 10 214 15 5 1,150 2 4 762 11 10 .. 4,914 13 3 Surgery and dispensary — Drugs and instruments .. .. .. 413 7 3 12 12 8 81 18 2 650 9 11 148 17 9 40 3 1 383 1 1 190 8 0 .. 1,920 17 11 Wines, spirits. &e. .. .. .. 19 0 6 0 1 0 .. 12 7 6 3 2 6 .. 19 8 9 .. .. 54 0 3 Telephone services .. .. .. 53 15 3 49 1 9 68 14 6 225 12 4 69 12 0 30 1 2 126 3 11 175 18 4 118 9 11 917 9 2 Transfer and removal expenses .. .. 3 19 0 20 18 2 2 1 10 .. 15 11 6 13 3 4 14 6 4 26 1 8 .. 96 1 10 Travelling-allowances .. .. .. 36 4 3 101 10 7 25 11 9 6 7 4 91 7 10 33 19 10 124 9 8 170 6 0 236 9 4 826 6 7 Travelling-expenses .. .. .. 83 14 2 2 9 1; 8 12 9 76 12 2 19 19 3 5 11 11 49 2 7 103 13 3 202 13 4 552 8 6 Treatment in general hospitals — ! Patients .. .. .. .. 113 10 0 .. .. 21 0 0 30 3 0 3 13 0 23 0 0 64 16 0 . . 256 2 0 Staff .. .. .. .. .. 950 .. 450 .. .. 100 770 25 18 6 .. 47 15 6 Contingencies .. .. .. .. 3 11 0 .. 076 4 13 7 350 6 11 6 j .. 026 .. 18 11 11 64,624 6 2 9,909 8 4 33,513 7 8 82,811 14 10 32,267 8 2 21,389 7 5 j 72,336 14 8 78,980 18 10 8,009 11 3 403,842 17 4

H.-7

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

Table XVIIIa.— Credits for the Financial Year, 1933-34.

24

— — Auckland. Kingseat. Tokanui. Porirua. Nelson. j Hokitika. Christchurch. Seaolifl. Head Office. Total. £ s. d. £ s. d. £ s. d. £ s. d. £ s. d. £ s. d. £ s. d. £ s. d. £ s. d. £ s. d. Receipts for maintenance 24,592 10 11 3,127 2 5 9,801 12 4 28,125 3 2 7,908 9 0 2,845 17 2 25,327 1 9 23,864 5 5 .. 125 592 2 2 Receipts from farms 195 5 0 1,426 6 6 3,444 6 8 632 11 8 1,156 7 8 42 11 9 2,260 8 5 976 14 1 .. 10,134 11 9 Miscellaneous .. .. .. .. 5,710 18 4 201 11 3 2,876 0 3 8,237 19 10 2,574 17 6 1,813 16 9 5,643 11 9 7,555 18 3 0 3 4 34,614 17 3 30,498 14 3 4,755 0 2 16,121 19 3 36,995 14 8 11,639 14 2 4,702 5 8 33,231 1 11 32,396 17 9 0 3 4 170,341 11 2

Bedding ! Buildings «""J" Wines and ! Miscel- Total Cost m °tto \ D ™ *™ Mental Hospital. Salane, Fa™. W fe and | P_n, SpIrits . .aneous. . parents.. Patient. | Tear 1933-34. I Boarders). j | j I I £ s d £ s. d. £ s. d. £ s. d. £ s. d. £ s. d. £ s. d. £ s. d. £ s. d. £ s. d. £ s. d. £ s. d. £ s. d. £ s. d. £ s. d. £ s. d. Auckland 1 366 27 6 4 2 12 9 0 10 11 0 14 9 3 14 0 8 19 3 0 6 1 0 0 3 3 1 10 47 6 2 18 0 1 4 6 5 24 19 8 26 18 8 1 19 0 Kimrseat " 202 19 18 7 4 13 5 0 2 5 3 9 4 3 2 0 12 10 8 0 1 3 .. 5 3 9 49 1 2 15 9 8 8 1 2 25 10 4 28 7 8 2 17 4 TSS " 574 32 11 10 3 1 6 1 9 9 4 14 8 4 11 7 6 19 6 0 2 10 .. 4 16 0 58 7 8 17 1 6 11 0 3 30 5 11 34 16 4 4 10 5 Porirua ■' 1 545 31 5 4 2 15 4 0 19 11 0 19 10 3 19 9 9 18 2 0 8 5 0 0 2 3 5 1 53 12 0 18 4 1 5 14 10 29 13 1 33 6 0 3 12 11 .. Nelson '536 35 4 0 4 10 9 0 12 10 1 17 1 5 10 11 7 4 6 0 5 7 0 0 1 4 18 3 60 4 0 14 15 1 6 19 3 38 9 8 43 14 3 5 4 7 Hokitika " " 338 39 19 0 4 12 2 0 8 9 0 14 5 3 4 7 10 18 6 0 2 5 .. 3 5 10 63 5 8 8 8 5 5 9 10 49 7 5 53 14 1 4 6 8 Christchurch .. 1,271 31 17 3 3 12 11 0 19 6 1 16 2 4 7 4 8 19 11 0 6 0 0 0 4 4 19 0 56 18 3 19 18 6 <> 4 5 30 15 4 32 7 4 1 12 0 Seacliff .. .. 1,285 36 3 5 3 7 2 , 1 1 10 1 8 11 4 10 4 10 12 10 0 3 0 .. 4 1 9 61 9 3 18 11 5 6 12 10 3 3 1, Head Office .. .. 0 18 3 .. ! .. •• 0 0 1 ■ ■ 0 4 2 1 2 6 • • 1 2 6 1 3 5 0 0 11 , ■■ Totals 7,117 32 18 1 3 6 1 | 0 17 8 | 1 11 11 4 4 1 9 7 7 0 5 5 0 0 2 4 3 10 56 14 10 17 12 11 | 6 5 9 32 16 2 35 8 11 2 12 9 * Note.— Cost does not include interest and depreciation on land, buildings, <fcc.

H.—7.

Approximate Cost of Paper.—'Preparation, not given; printing (540 copies), £36 10s.

Table XXI. — Total Expenditure, out of Public Works Fund, for Buildings and Equipment at each Mental Hospital from 1st July 1877, to 31st March, 1934.

Table XX.— Expenditure, out of Public Works Fund, on Mental Hospital Buildings, etc., during the Financial Year ended 31st March, 1934.

By Authority: G. H. Loney, Government Printer, Wellington. —1934.

xTI/CC t/fI.J

25

Mental Hospitals. j 1877-1924. j 1924-25. 1925-26. 1926-27. 1927-28. 1928-29. 1929-30. ! 1930-31. j 1931-32. 1932-33. ! 1933-34 Net Expenditure, 1st July, 1877, ~ "— ; 1 —— — — ___ J I I to 31st March, 1934. Auckland .. .. 175,263 2,393 2,073 19 988 12 213 12 461 o L ,L f„, I ~ £ f Chnstehureh (Sunny side) .. 197,709 6,272 2,901 7 229 lo'l64 l'777 oq'qqq . i 676 155 231,494 Dunedin (The Camp) .. 4,891 ' 7 ' 777 3 °' 291 23 ' 993 4 ' 6S0 ' 7 > 96 ° 3.481 307,427 855*:: :: :: i!;B2 W : 01S f ':™ 141 '«• »:*« »3» i ū. »;™ AS Motuihi Island .. .. 561 { .. " " " .. .. .. 11,102 Napier .. .. I 147 .. | " " " "" • ■ • • • • ■ • .. 1 561 star*"*': :: f ! ls :' 50 Cm » '» »3» , 2 ; W0 „:m ' ,«jS Seaoliff .. .. .. | 189,976 3,016 J 4,767 17*888 9~408 27' jq 2 •u'snq 1 10,278 35,437 78,279 55?:: :: ::l SS w : 0 ' 6 ! 8 : M ' Is 1 > f ?:K ,.SS J;SS SKS Wellington .. .. j 29 641 I 1 I 2,170 | 9,557 936 516 .. 32,321 Wellington (Porirua) .. ; 216; 3 96 ; ssjgis I 2 7 ;315 | "207 ' " 3 0 zll'Ml T ° talS " '• !l ' 001 ' 124 68 > 438 ! 77 > 835 j 68,635 j 51,118 96,782 152,096 1 134,140 28/756 j 1^797^882

Mental Hospitals. ] Net Expenditure for Year ended 31st March, 1934. 1 £ Auckland .. .. .. .. _ _ _ I , „ Cbristchurch (Sunnyside) .. " , Q1 Hokitika ;; ;; i>*°l Nelson and Stoke .. .. ' " "I Porirua ;; " I 12 ' 2^ Puhitahi .. .. .. ,, " " » SeaclifE.. .. .... ..... d0,4d/ Tokanui " " waitati .. .. ;; ;; ;; ;; ;; ;; | 6 > 295 Total •• •• •• -• •• .. I 73,020