H.—-7.

The cases which have been classified as institutional improvements are, of course, far from well, but have improved to a stage where they are more easily nursed, are able to look after their own needs, to employ themselves usefully, and to enjoy the recreations and entertainments of the hospital. Another year's experience confirms the opinion I expressed in my last report that insulin therapy is a marked advance in the treatment of the schizophrenic patient. It has its dangers, but when the gloomy prognosis of most of these cases is considered I think that the risks are well worth while. A few cases of schizophrenia have been treated with cardiazol, but I am not yet in a position to report on them. I am greatly indebted to Professor D'A.th, of the Otago Medical School, for much help in the laboratory investigation of these cases, and to Dr. Thomson, Medical Superintendent of the Dunedin Public Hospital, and his staff for assistance in the radiological and cardiological examinations. As formerly, I visited the psychiatric wards and held an out-patient clinic twice weekly in the Dunedin Public Hospital. I also held a monthly clinic in the Oamaru Public Hospital. Dr. Hay, my Deputy Superintendent, conducted a monthly clinic in the Invercargill Public Hospital. An increasing use of his services on his visits there has been made by the Borstal Institute in the examination of problem cases there. Mr. C. B. Barrowclough, the District Inspector, Mrs. R. E. S. Reeves and Mr. A. Steven, the Official Visitors, have visited us from time to time and have shown a keen interest in the patients. Attendants F. Dudman, T. F. Olsen, and W. J. Shaw have been granted special leave and are shortly leaving with the Second Expeditionary Force. I wish them good health and a speedy return. The advent of Dr. McLean and Dr. Milne relieved the burden of my other two medical officers. I would thank Dr. Hay, my deputy, for his valued assistance. Dr. McLachlan has been the medical officer in immediate charge of the insulin treatment, and a thesis on the insulin treatment of schizophrenia which he presented to the University of New Zealand for the M.D. degree has been accepted.

MENTAL NURSES. In November the usual examination was held for the registration of mental nurses, when the following passed Passed top for Dominion: Nurse K. G. Alexander (Porirua). Auckland : Attendants —E. W. Bowie, C. H. Driver, S. Dubourdieu, G. Duncan, R. C. Hickey, R. H. Smith, G. H. Sullivan, D. H. Suttie, W. J. Williamson, H. A. L. Wright*. Nurses —J. M. Anderson, A. S. Brittain. Papakura: Attendants —0. P. Amoore*, H. R. Clifford, H. G. Eastwood, P. A. Hunter, H. EL Kindleysides, T. Parkinson. Nurses—W. E. S. Hargreaves, M. 8001, H. M. Dunning, A. S. S. Pulman. Tokanui: Attendants—C. H. Allen, R. L. Brewer, W. A. George, R. Hood, D. M. McCabe, A. L. Mills, M. J. Phillips, S. E. Pratt. Nurses—A. M. Fry, G. H. Buss, M. K. McArthur, M. E. Thomas*, G. F. Oakden, L. P. D. Duncan, H. M. Duncan, M. M. Prince, E. D. McMahon*, M. J. Armstrong*. Porirua: Attendants —T. H. Costley, R. B. Daly, C. J. Forrest, P. J. Grace, J. A. Ivey, S. R. G. Jones, V. J. Meates*, J. S. Wyrill. Nurses —K. G. Alexander*, I. A. Challis*, C. R. Dolan, M. E. M. Hardie, D. L. Milne, E. Robb, N. M. Smith, E. V. M. Williams. Nelson: Attendants—R. F. Blanch, W. H. Chase*, R. L. Edmonds*, S. G. Page, G. T. Snook, A. J. Walters. Nurses—E. V. Andrews, C. J. Cunningham, T. M- Fowler, D. T. Hawkins, E. D. M. Llovd, J. J. McMillan, I. A. Rogers, N. A. Ryan. Hokitika: Attendants —C. W. Barrowman, A. J. Cooper, 0. F. J. Fowler, K. P. Hanrahan, E. J. Holloway*, K. F. O'Brien, D. M. Oldham, J. A. Roberts, W. G. Veale, F. J. Wallace, Nurses —E. A. Chandler*, A. Mcllhatton. Christchurch Attendants—R. M. Arnott, R. F. S. Buckley, W. Cameron, E. H. Dudley, W. A. Ferguson, L. G. Grant, L. C. Jolly*, W. R. Mackrell, T. A. Moran, F. A. Newell, F. A. Partridge*, W. Ritchie, P. W. Shannahan, J. Y. Snee, S. A. Young*. Nurses— R. M. Barrett*, I. Clark, P. J. Devlin, M. J. Frisby, F. E. Hallins. E. L. Kearney*, S. J. Masters, A. R. Sayer, M. J. Smith, E. M. Sullivan. Templet on Farm: Institution Officers (Male) -A. A. Allen, F. G. J. Ashby, P. S. Cocks, I. L. C. Jolly, E. A. Vincent, G. T. Wylie. Institution Officers (Female) —K. A. Archer, H. M. Croxford*. Seacliff: Attendants- A. L. Aitclieson, F. 11. Aitcheson, W. 0. Buchler, T. Casserly, D. Fyfe, G. L. Hawkins, D. A. Ireland, C. E. Ives, W. H. Legal, W. S. Nicoll, J. Sullivan. Nurses—M. Burke, H. B. Burns, L. I. Carruthers, W. J. Currie*, W. R. Devlin, M. H. Gillon*, E. M. Grant, N. J. Hamilton, E. M. P. Hislop, G. W. Knox, J. Millar, P. C. Phela'n, M. D. Pickup*, I. E. Taylor, A. C. Trczise, H. A. Troy*, N. Wallace, T. Wyber.

* Passed with distinction.

10