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ANNUAL REPORT OF THE MENTAL HOSPITALS OF THE PROVINCE OF BRITISH COLUMBIA FOR THE YEAR 1916 British Columbia. Legislative Assembly 1917

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 ANNUAL REPORT
OF   THE
MENTAL HOSPITALS
PROVINCE OF BRITISH COLUMBIA
FOR THE YEAR 1916
t&j*
JHE GOVERNMENT OF
THE PROVINCE OC BRITISH COLUMBIA.
PRINDED BY
AUTHORITY OF THE LEGISLATIVE ASSEMBLY.
VICTORIA, B.C.:
Printed by William H. Cullin, Printer  to the King's Most Excellent Majesty.
19JC7.  To His Honour Prank Stillman Barnard,
Lieutenant-Governor of the Province of British Columbia.
May it please Your Honour :
The undersigned  respectfully  submits  herewith  the Annual Report  of the  Medical
Superintendent of the Mental Hospitals for the year 1916.
j. d. Maclean,
Provincial Secretary.
Provincial Secretary's Office,
February, 1917.  if' ii •-"■"'
Recreation-ground, New Westnjfnster
Mental Hospital, New Westminster, Members of the Provincial Mental Hospitals and Colony Farm Staffs
who have joined the Colours.
Major C E. Doherty, M.D. Captain D. D. Freeze, M.D.
Lieutenant R. Cullen.
Sergeant-major H. Banham. Sergeant-major E. Croft.
Sergeant J. O'Reilly. Sergeant D. Montgomery.
Corporal H. Hoult.
\
/
HONOUR ROLL.
KILLED IN ACTION.
*
S. McCOMBE,
Private, 10Jf.th Westminster Fusiliers.
j. Mcdonald,
Trooper, British Columbia Horse.
L.  BTJNDY,
Private, lOlfth Westminster Fusiliers.
F. UPHAM,
Reservist, Somerset Light Infantry.
W. H. WILLIAMS,
Private, lOJflh Westminster Fusiliers.
A. MILNE,
Private, 62nd Battalion, C.E.F.
/
\
Private A. Talbot.
Private W. Crystall.
Private J.
Davidson.
Private E. Orme.
Private J. Loban.
Private S.
Wickham.
Private W. D. Patchell.
Private E. Dickie.
Private A.
Milne.
Private T. Woodburn.
Private F. Upham.
Private H
A. Sparrow
Private T. E. Morris.
Private J. McDonald.
Private W
. Ronald.
Private D. Price.
Private S. McCombe.
Private J.
Robertson.
Private D. Hughes.
Private W. H. Williams.
Private G.
Davidson.
Private W. McVie.
Private A. M. Miller.
Private R.
McKechnie.
Private A. McLennan.
Private L. Bondy.
Private H
Lonsdale.
Private F. E. Frankum.
Private G. Farrant.
Private H
W. Strong.
Private A. N. Campbell.
Private W. Robertson.
Private A.
E. Smith.
Private A. Hall.
Private W. Headridge.
Private J.
Pollard.
Private A. M. Exley.
Private C. Oxenbury.
Private E.
Sands.
Private Benj. Jones.
Private G. B. McNaughton. Officers at New Westminster.
J. G. McKay, M.D., CM., Acting
Medical Superintendent.
H. C. Steeves, M.D., CM., Assistant Medical Superintendent.
T. H. Cambridge, Bursar.
W. F. Johnston, Engineer.
M. H. McCabe, Assistant Bursar.
F. Spooner, Acting Chief Male Attendant.
W. E. Hunt, Clinical Clerk & StenograpJier.
Maria Fillmore, Matron.
Thomas Cormack, Carpenter.
H. Bailey, Farmer.
R. Rees, Steward and Storekeeper.
J. Booth, Gardener.
Rev. R. Lennie,                     a
Church of England, \C]     lains
Rev. Father Murphy,
Roman Catholic,J
D. Sclater, Painter.
W. F. Beggs, Tailor.
E. B. Jones, Laundryman.
R. C McDonald, Shoemaker.
Officers of Essondale and Colony Farm.
•
J. G. McKay, M.D., CM., Acting
Medical Superintendent.
A. L. Crease, M.D., CM., Assistant Physician and Pathologist.
Gowan S. Macgowan, Bursar.
E. B. Stinchcombe, Outside Overseer.
C Fletcher, Assistant Bursar.
A. G. Parrott, Plumber.
C H. Gooding, Clinical Clerk & Stenographer
A. Hogg, Carpenter.
J. B. Pumphrey, Steicard and Storekeeper.
E. Fitzgerald, Plasterer and Mason.
R. Graham, Engineer.
S. F. Hacmbly, Baker.
Rev. 0. Yates,                      ^
J. Hargie, Laundryman.
Church of England,
Rev. Father Murphy,
.Chaplains.
A. Robinson, Barber.
Malcolm Stewart, Acting Farm Supt.
Roman Catholic,,
G. Hambly, Herdsman.
G. Mathewson, Chief Attendant.
J. F. Simmonds, Record Clerk.
T. Mowbray, Electrician.
W. C. Robertson, Engineer.
J. B. Foster, Cook.
J. McMurdo, Blacksmith.
A. A. Killen, Painter and Decorator.
G. Wickham, Dairyman.   REPORT OF MEDICAL SUPERINTENDENT
FOR THE YEAR ENDING DECEMBER 31ST, 1916.
Provincial Mental Hospital,
Essondale, B.C.,
January 31st,  1917.
The Honourable the Provincial Secretary,
Victoria, B.C.
Sir,—As Acting Medical Superintendent of the Mental Hospitals of this Province, I
have the honour to submit to you the Forty-fifth Annual Report, ending December 31st, 1916.
This embodies the reports of the Provincial Hospital at New Westminster and the Mental
Hospital and Colony Farm at Essondale, and in it will be found the usual statistical and
financial tables showing the exact movement of the Hospitals' population, an exact accounting
of the various moneys received and disbursed during the year, and statements from the heads
of the various departments.
Before proceeding further, sir, permit me to again, this year, call attention and pay just
tribute to the large number who have enlisted from our staff for overseas service. Six of
whom have entered their names upon the roll of honour by paying the supreme sacrifice, and
to the relatives of these gallant men I wish to express my sincere sympathy. To the others
who are still with the colours I extend my best wishes and hope for a speedy and honourable
termination of hostilities, so that they may again resume their duties which they so readily
gave up to serve their King and country.
With your permission, I am going to, in a sense, deviate from the stereotyped form that
we have followed for a number of years, and will make some suggestions, based wholly upon
my experience during nine years' service in these Hospitals.
Our admissions during the year totalled 353; 233 being men and 120 women. This
exceeds that of 1915 by twenty-one, and makes a total in residence at the end of December,
1916, of 1,205, showing a residential increase for the year of 115, and during the past nine
years an increase of 780, or nearly 200 per cent. These figures are of such magnitude that
they demand serious consideration on the part of the Government, so that every effort may be
made to educate the people with the idea in view of lessening the percentage of admissions
from the population in future years.
To do this with any degree of success they must be made aware of the causes. The one
which is paramount from an etiological standpoint is heredity, and of those admitted during
1916 we were able to obtain an heredity history from sixty-nine, or practically 20 per cent.
This question is a delicate one, and mentioning it may savour of eugenics; nevertheless, it is
infinitely better that the matter should be called in some manner to the attention of the
coming generations than that they should continue in ignorance, to the detriment of the
human race and the finances of the Province.
With the exception of senile conditions, the other great cause is syphilis, which is now
conceded to be the only factor entering into general paresis, and of which last year we
admitted thirty-two cases, or 9 per cent, of our total admissions. Statistics show that only
about 4 per cent, of syphilitics develop general paresis, and this means that we have a
considerable number throughout the Province, many of whom, particularly through ignorance, and possiblv on account of no outward manifestations, neglect themselves and do not receive
proper treatment. I personally feel that for the benefit of these cases, as well as for the
protection of the public, they should be reported to the health authorities, the same as cases
of smallpox or any other contagious or infectious disease.
Figuring the cost of maintenance at $200 per capita per annum, and the average duration
of hospital treatment in cases of paresis (which are invariably fatal) at three years, it will cost
the Province over $20,000 to care for those paretics admitted during 1916. Every effort is
being made to stamp out tuberculosis and to prevent epidemics of typhoid, but we are
allowing to go practically unnoticed a condition which, directly and indirectly, is playing
havoc with the physical and mental stamina of the present generation.
There is also another class of cases, idiots and imbeciles, which go to make up a large
percentage of the population of our Hospitals, and we now have in residence forty-three,
twenty of whom are under fifteen years of age. Many of these cases, if they were segregated
and trained along educational and mechanical lines, could be made more or less self-supporting,
but to do this successfully it would be necessary to have a separate institution with special
instructors. This cannot be done under the present system, and I would strongly recommend
that a hospital for the care of the feeble-minded be constructed where this work could be
carried on, as the ordinary psychopathic hospital must necessarily devote its attention to the
acute and subacute cases that come under its care.
During the past few years there have been called to my attention quite a number of cases
of morphinism, cocainism, and chronic alcoholics, which cannot be successfully treated in the
general hospitals, nor can they be legally committed to the mental hospitals under the present
"Mental Hospitals Act." I would therefore respectfully suggest that an amendment be
made to the present Act permitting voluntary admission for such cases, with a protective
clause requiring the notification of your Department within twenty-four hours of their
acceptance for treatment. Many of these cases are not only willing but are anxious to
undergo institutional treatment, fully realizing that they have not the mental stamina to
combat the habit which is slowly but surely making them derelicts and a menace and expense
to the community in which they reside.
Dentistry^.
During the past year we have overcome a long-felt want by arranging for the regular care
and attention of the patients' teeth. Since the appointment of Dr. F. P. Smith to this
department he has devoted one day each week to the examination and treatment of all
the new admittances, as well as care for the oral treatment of many of the patients older
in residence. I personally feel very grateful to Dr. Smith for the deep interest he has taken
in the patients, and commend him for establishing so thorough a system in this department.
Appended is a detailed account which the doctor has submitted of the work accomplished at
both institutions during the past five months.
Table showing Dental  Work done at both  Institutions.
Bridge-work repaired  1
Extractions  368
Fillings, amalgam  63
M         cement  16
ii         enamel       10
Lower plates  3
Plates repaired  5
Prophylatic treatments  178
Pyorrhoea alveolaris treated  63
Root-canal treatments  17   7 Geo. 5 Mental Hospitals Report. I 9
Laboratory.
Unfortunately, for the greater part of the year, it has been impossible to keep this branch
of the work up to our usual standard on account of Dr. Crease, our Bacteriologist, having to
devote a great deal of his time to routine ward-work. This condition we hope to relieve so
that he may be able to devote more attention to the Laboratory, but, nevertheless, he did 150
Wassermann blood-tests on new admissions, as well as numerous bacteriological and pathological examinations, urinalyses, and blood-counts.
It is most essential that this branch of the work be attended, and you, sir, being a
physician, will particularly appreciate the inestimable amount of valuable knowledge to be
attained through this channel, particularly in cases of paresis. We hope during the present
year to pick out a few of the most suitable paretics with the idea of trying the Swift-Ellis
treatment on them. This has been reported as giving a fair amount of success in selected
cases.
Amusements and Occupation.
It is oftentimes difficult to find just what line of treatment would be most beneficial in
certain cases, and it is absolutely essential that occupation and amusement be a portion of this
treatment. The fact that we have so much land at our disposal permits us during the summer
months to find suitable employment amidst surroundings which cannot help but be beneficiall
In the Westminster Hospital we have recreation-grounds which give the patients exceptiona.
opportunities to amuse themselves in such games as tennis, bowls, cricket, etc., and we hope
during the coming summer to have the same establishment at Essondale.
It is in the winter months that we find it most difficult to get suitable amusements, but
it has been fairly well overcome by the installation of kinematographs and the giving of shows
weekly, which are highly appreciated by the patients. These, in conjunction with concerts at
intervals throughout the winter, make a pleasant pastime and deviation from the usual
surroundings, and no doubt are very beneficial to many cases. During the summer months
we give weekly open-air concerts in the recreation-grounds on Saturday and Sunday afternoons.
Expenditures.
The necessity for economical administration, particularly at this time, has been fully
realized, and we have endeavoured in every way, without interfering with the efficiency or
care of the patients, to minimize all expenditures, with the result that our gross per capita
cost has been only 64.15 cents per diem. This not only includes amounts paid out by voucher,
but also all products obtained from the farm-gardens and nursery, at prices based upon those
had we to purchase same in the open market. The total expenditure was as follows:
$259,114.15 paid out by voucher and a credit to the farm-garden and nursery of $12,636.43,
making a total of $271,750.58; but we have collected on account of maintenance and remitted
to the Treasury Department the sum of $40,025.65, thus making a net per capita cost to the
Province of 54.39 cents per diem.
Estimates.
In submitting for your approval our estimated expenditure for the coming fiscal year of
1917-18, we have found it necessary, after having studied the markets and interviewed those
who have been supplying the institutions during the past fiscal year, to add an increase in
prices of approximately 30 per cent, on all foodstuffs, and from 35 to 50 per cent, on clothing,
■medical, and surgical supplies. I 10 Mental Hospitals Report. 1917
Estimating our population at a daily average of 1,275, it will require $167,210.15 for the
Mental Hospital at Essondale, and $130,838.76 for the Provincial Hospital at New Westminster ; these amounts cover maintenance and salaries. For the usual upkeep, which comes
under the head of general repairs, we shall require for the two institutions respectively $8,200
and $9,000.
For the maintenance of Colony Farm and the Wilson Ranch we shall require $38,600,
all of which should be returned to the Government either by produce or milk furnished to the
Hospitals, or sale of stock.    In addition, we shall require for general repairs the sum of $4,000.
For the construction of a laundry building, so that we may have at our disposal in the
main building another ward which will accommodate fifty beds, I have estimated an expenditure
of $3,800. This would only be for the purchase of supplies, as we propose to construct the
building with our own labour; the building to be 100 x 45 feet, one story, double-walled,
using concrete blocks with 2-inch air-space.
New Buildings.
The Hospital building at Essondale, which is one unit of a proposed series, was completed
and first occupied in April, 1913. It is now carrying a greater number of patients than its
originally intended capacity, and it will be necessary to make some arrangement for the future
increase of population. The present building is specially constructed for the care of chronic
cases only, and is not at all adapted for the treatment of acute and subacute conditions. I
would therefore suggest that steps be taken for the erection of the proposed acute building,
with a capacity of 150 beds. We could then admit all male cases at Essondale and devote the
New Westminster institution to the care of female cases. This would in many ways minimize
the cost of maintenance and do away with the constant transference of male patients to and
from Essondale.
Regarding the erection of a laundry, which I have mentioned in our estimates, I might
state that it is the intention to locate and construct one, so that in future, should it be
necessary to enlarge the building, it can be done without spoiling its appearance or efficiency.
Colony Farm.
Since its inception the farm has been carried altogether under a separate vote. This, I
believe, is not the most satisfactory way, as it is a very necessary part of the institution, not
only from a standpoint of supplying proper milk and vegetables, but it places us in a position
whereby we can find outdoor occupation for the patients, which in mental cases is an essential
part of the treatment, and I would suggest that the whole vote for maintenance of the farm
be incorporated with that of the Mental Hospital, but segregate the accounts on our books.
This, I believe, would simplify matters considerably and assist in obtaining greater efficiency
in many ways.
The farm during the past year has been successful in a sense, but has not quite offset the
expenditure in a direct way. It has supplied to the two institutions milk, butter, vegetables,
and horse-labour in grading operations on Hospital grounds to the value of $23,462.09, and in
addition to this there has been $10,764.11 cash remitted to the Provincial Treasury from sale
of stock. This is less than in former years owing to the fact that we are increasing our milking
herd to 100 head, and have therefore not disposed of any females.
Our dairy herd shows an increase over that of 1915 by twenty-eight head, sixteen of which
are females, and this will in itself more than offset the difference between the revenue and
expenditure. Our milking cows have averaged for the year 14,013 ft. of milk per head, and
this is 50 per cent, higher than the average for the dairy herds owned by the mental hospitals
throughout Ontario, thus going to show that the climatic conditions of the Coast are especially
well adapted for dairying purposes. •e
00
SZi
o-Vci
:  7 Geo. 5
Mental Hospitals Report.
I 11
Our horses show an increase over the beginning of the year by five head, in addition to
five sold. The present market, especially for heavy horses, shows a good demand, and I believe
that we shall be able during the coming summer to dispose of some to good advantage.
Under the statistics will be found an itemized report of crop and milk production. The
cost as related to the various departments of production.
Acknowledgments.
Before closing my report I wish to extend to the staff in general my most sincere
appreciation of the able assistance that has been given me in every department during the
past year, for it is only by co-ordinated action that efficiency can be maintained.
I wish particularly to thank my colleagues Dr. H. C. Steeves and Dr. A. L. Crease,
Assistant Medical Superintendents at New Westminster and Essondale respectively, for the
indefatigable interest that they have taken in the welfare of the patients and the Institutions
in general.
In conclusion, Sir, permit me to thank you for the able assistance that you have so readily
given us during your regime as Provincial Secretary in endeavouring to alleviate the condition
of those who are mentally afflicted, and who must necessarily undergo treatment in these
Hospitals which come under the administration of your Department.
I have the honour to be,
Sir,
Your obedient servant,
J. G. McKAY,
Acting Medical Superintendent. I 12                                         Mental Hospitals Repor
L\
1917
Table A.
Showing the Average Number of Patients in Residence each Year, the Total Amounts spent
for Maintenance, and the Per Capita Cost.
Year.
Average Number
in Residence.
Maintenance
Expenditure.
Per Capita
Cost.
1872 (81 days)	
1873	
1874	
16.57
16.07
16.76
27.42
36.41
34.61
36.52
38.17
45.42
47.18
47.86
48.73
48.70
54.67
59.11
73.55
79.43
71.30
78.78
119.87
125.24
133 92
148.64
162.97
171.43
188.91
216.53
226.44
243.24
269.56
296.62
332.23
351.55
340.90
374.57
419.24
490.80
526.85
563.33
641.02
736.72
550.54
384.07
487.24
489.07
515.74
560.56
524.17
633.13
$ 2,265 25
7,841 94
8,232 41
9,892 38
12,558 18
12,917 17
13,985 05
10,253 72
10,552 18
10,691 76
11,343 65
11,829 11
11,843 94
15,555 87
15,334 43
15,945 22
16,261 06
15,657 79
17,577 80
21,757 03
23,518 37
25,904 98
26,495 S3
31,587 89
32,001 40
36,224 76
46,420 25
54,917 45
59,349 20
55,406 08
55,345 65
59,353 57
66,052 76
63,342 07
66,596 69
74,874 64
90,269 49
96,586 32
103,900 44
126,782 50
130,924 06
119,663 71
71,079 84
125,981 45
131,420 44
123,021 70
123,878 43
116,052 21
155,698 37
$616 00
487 98
491 20
360 77
344 91
373 26
382 93
268 63
232 32
226 62
237 02
242 75
243 20
284 54
259 42
216 70
204 72
219 60
223 13
181 50
187 80
193 36
178 25
193 83
186 67
191 75
214 38
242 52
244 00
205 54
186 59
178 65
187 89
185 80
177 79
178 59
183 92
183 32
184 43
197 78
177 71
217 36
184 76
258 56
268 36
238 53
220 99
221 40
245 91
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, M.H., New Westminster	
1913, M.H., Essondale (9 months)	
1914, M.H., New Westminster	
1914, M.H., Essondale	
1915, M.H., New Westminster	
1915, M.H., Essondale	
1916, M.H., New Westminster	
1916, M.H., Essondale	 7 Geo. 5
Mental Hospitals Report.
I 13
Table B.
Showing Analysis of the Per Capita Cost.
Year.
Salaries.
Provisions.
Clothing.
Fuel and
Light.
Furniture.
Medicines.
Miscellaneous.
Total.
1872	
$279 38
$184 03
$55 81
$22 44
$15 55
$10 18
$49 30
$616 69
1873.	
221 48
166 81
14 55
23 65
21 59
7 74
32 16
487 98
1874	
231 10
152 10
22 07
23 98
28 36
7 78
25 81
491 20
1875	
153 82
113 40
13 98
16 88
25 45
6 73
30 51
360 77
1876	
143 34
114 45
18 68
22 75
17 90
2 86
24 93
344 91
1877	
177 15
126 75
20 69
4 66
20 75
3 74
19 52
373 26
1878	
176 16
124 23
30 43
13 94
7 20
9 16
21 82
382 93
1879	
134 27
95 10
3 25
15 91
6 39
6 31
7 40
268 63
1880	
111 84
87 71
5 74
14 06
6 00
3 63
3 34
332 32
1881	
112 44
81 14
6 86
12 73
5 55
2 56
5 34
226 62
121 51
84 52
7 05
12 30
4 54
3 49
3 61
237 02
1883	
123 81
92 56
6 03
11 04
4 26
2 24
2 82
242 75
1884	
124 02
90 64
7 03
12 43
4 14
2 77
2 18
243 20
1885	
169 05
84 33
6 33
15 05
3 90
2 93
2 95
284 54
1886	
159 03
69 35
5 49
16 20
3 72
1 59
4 04
259 42
1887	
127 80
59 10
5 88
15 38
3 88
93
3 81
216 78
1888	
118 34
60 47
4 41
13 90
3 11
2 09
2 40
204 72
1889	
131 70
59 11
7 20
12 93
4 13
2 07
2 46
219 60
1890	
121 54
62 77
9 02
17 31
4 00
1 29
7 19
223 12
1891	
88 35
54 79
3 83
20.43
3 40
i sa
8 81
181 50
1892	
94 25
56 74
4 69
20 53
3 35
1 80
6 42
187 80
1893	
95 50
53 55
5 43
22 60
3 39
2 69
10 20
193 36
1894	
87 76
57 07
5 25
18 83
2 98
1 43
4 93
178 25
1895	
90 83
61 15
9 90
20 41
2 51
3 10
5 93
193 83
1896	
89 13
55 93
6 30
20 29
2 56
3 63
8 83
186 67
1897	
89 09
58 18
8 36
19 11
2 95
3 86
10 20
191 75
1898	
94 68
69 43
9 94
21 82
2 76
5 12
10 62
214 37
1899	
113 31
72 91
8 31
33 96
2 50
2 73
8 80
242 52
1900	
116 04
72 62
9 06
32 10
2 15
1 71
10 32
244 00
1901	
99 16
66 65
10 12
IS 52
3 25
1 07
6 77
205 54
1902	
87 47
61 13
7 95
15 25
4 13
1 20
9 46
186 59
1903	
82 36
57 86
8 58
14 77
3 24
1 91
9 93
178 65
1904	
87 43
60 01
6 85
17 84
4 48
2 10
9 18
187 89
1905	
92 17
54 09
5 99
17 93
3 83
2 03
9 76
185 80
1906	
88 76
53 15
5 16
15 92
3 57
1 21
10 02
177 79
1907	
89 18
48 47
5 81
19 82
3 02
1 57
10 72
178 59
1908	
90 93
49 17
6 61
17 63
4 56
1 79
13 23
183 92
1909	
94 27
53 41
8 16
13 02
2 78
84
10 84
183 32
1910	
95 97
48 43
7 87
21 32
2 02
1 15
7 67
184 43
1911	
97 44
58 08
9 39
18 84
1 12
1 87
11 04
197 78
1912	
78 40
56 37
10 09
19 36
1 79
1 50
10 20
177 71
1913, M.H.,
New West.
102 37
54 07
9 43
25 27
4 74
3 21
18 27
217 36
1913, M.H.,
Essondale.
93 56
49 90
5 50
25 13
55
1 02
14 10
184 76
1914, M.H.,
New West.
115 72
68 15
2 99
24 13
69
2 64
44 24
258 56
1914, M.H.,
Essondale.
113 06
81 42
15 49
28 93
4 14
1 19
24 13
268 36
1915, M.H.,
New West.
110 94
64 32
7 57
20 30
1 88
33 52
238 53
1915, M.H.,
Essondale.
95 25
62 84
9 44
24 87
1 14
56
26 89
220 99
1916, M.H.,
New West.
105 89
74 96
2 58
18 52
1 45
18 00
221 40
1916, M.H.,
Essondale.
89 26
75 18
17 76
26 96
4 98
42
31 35
245 91 I 14
Mental Hospitals Report.
1917
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© © © © 7 Geo. 5 Mental Hospitals Report. I 15
Table D.
Summary Statement showing the Gross and Net Per Capita Cost of Insane Patients
to the Province in both Institutions.
Public Hospital for the Insane, New Westminster—
Total maintenance vouchers (12 months) $116,577 50
Colony Farm Account, milk, cream, vegetables, etc        7,007 92
Mental Hospital, Essondale, cordwood  241 00
Provincial Gaol, Westminster, potatoes and onions        1,849 95
Inventory of stock on hand, January 1st,  1916        1,652 50
$127,328 87
Less clothing and shoes to Essondale... .$5,239 85
ii    live hogs supplied, Essondale    1,969 68
ii    inventory of stock on hand, December 31st, 1916    4,067 13
 11,276 66
Mental Plospital, Essondale—
Total maintenance vouchers (12 months) $142,536 65
Colony Farm Account, milk, cream, feed, etc  9,326 94
H                 ii        vegetables to root-house  3,425 13
Nursery account, vegetables, garden-truck, fruit, etc  4,027 92
City Institution Account, Tailoring Department C  4,696 60
ii                           ii        Shoe Department  503 25
ii                           n        live hogs supplied  1,969 68
ii                             ii         sundry charges  40 00
Inventory of stock in store and wards  4,928 84
$171,455 01
Less board supplied farm employees $4,018 50
ii    coal and wood supplied Colony Farm     470  16
ii    cordwood   and   vegetables  to   City
Institution      571 00
n    inventory, stock, store, wards, coal..   7,363 53
n ii        new tools in tool-house.. .      119 35
n ii hogs, 38 head, 8,690 ft. @ 9c.    782  10
ii ii        root-house vegetables... .   2,432 00
 15,756 64
.16,052  21
 155,698 37
Total net expenditure for both institutions (12 months)       271,750 58
Less revenue collected and remitted to Treasury—
Hospital for Insane, New Westminster  $18,135 91
Mental Hospital, Essondale     21,889  74
. $     40,025 65
Total net charge to Province for both Institutions       231,724 93
Showing a net yearly per capita cost of $199.07, or 54.39 cents daily to the Province. I 16
Mental Hospitals Report.
1917
1873  $1,440 99
1874  680 00
1875  1,342 60
1876  730 31
1877  799 91
1878  479 42
1879  867 38
1880  1,433 04
1881  614 99
1882  505 18
1883  298 24
1884  98 35
1885	
1886  50 00
1887  720 59
1888  750 00
Revenue.
1889  $  220 00
1890  599 24
1891  761 15
1892  2,418 43
1893  1,585 40
1894  2,709 53
1895  4,409 23
1896.'  3,741 71
1897  3,816 80
1898  4,003 79
1899  4,769 04
1900  6,893 33
1901  12,800 76
1902  10,926 23
1903  13,639 64
1904 $15,004 22
1905  16,613 18
1906  19,058 42
1907  20,753 35
1908  25,807 83
1909  25,845 65
1910  26,137 38
1911  30,100 20
1912  35,151 97
1913  40,756 56
1914  42,731 83
1915, New West. 18,046 21
1915, Essondale.  16,329 72
1916, New West. 18,135 91
1916, Essondale   21,889 74   7 Geo. 5
Mental Hospitals Report.
I 17
STATISTICAL  TABLES.
Table No.  1.
Showing  the operations of the Hospitals, New Westminster and Essondale, for  the Year
1916, in Summary Form.
Movement of Population.
In residence, New Westminster, December Slst, 1915	
ii Essondale, December 31st, 1915	
On probation, carried forward from 1915, New Westminster ,
ii i, n Essondale	
Escaped, carried forward from 1915, New Westminster	
ii ii Essondale	
Admitted during 1916—
By ordinary forms.
By urgency forms .
From the Yukon ..
Total under treatment, New Westminster and Essondale, for year 1916.
Discharged during 1916:
From New Westminster—
As recovered	
As improved	
As unimproved	
As not insane	
On probation and still out    	
Escaped, but not discharged	
Died	
From Essondale—
As recovered	
As improved	
As unimproved	
On probation and still out ...
Escaped, but not discharged.
Died	
Total discharged from New Westminster and Essondale	
Total in residence, New Westminster and Essondale, December 31st, 1916.
New Westminster—
Total on books, December 31st, 1915	
Admissions during 1916	
Returned from Essondale	
Discharged during 1916	
Transferred to Essondale during 1916.
Total in residence, New Westminster, December Slst, 1916.
Essondale—
Total on books, December 31st, 1915	
Transferred from New Westminster during 1916	
Discharged during 1916	
Returned to New Westminster during 1916 .
Total in residence, Essondale, December 31st, 1916	
Total in residence, New Westminster, December 31st, 1916	
Grand total in residence, New Westminster and Essondale, Dec. 31st, 1916.
11
22
6
6
227
2
4
20
15
6
1
18
4
28
21
27
13
15
3
18
97
256
233
7
92
195
596
195
Female.
283
38
i
119
i
31
21
14
33
34
322
120
Total.
522
568
22
7
346
2
5
51
36
20
1
51
4
62
21
27
13
15
8
18
578
353
7
225
195
596
195
97
7
Total.
Male.    Female.     Total
233
1,085
189
896
791
104
687
209
133
309
133
309
309
309
353
1,527
938
420
518
791
687
518
Daily average population	
Maximum number present any one day	
Minimum n n 	
Percentage of discharges on admissions	
ii recoveries on admissions	
ii deaths on whole under treatment.
1,157.30
1,216.00
1,047.00
47.87
20.39
5.239 I 18
Mental Hospitals Report.
1917
Table No. 2.
Showing in Summary Form the Operations of the Hospital since its Inception.
a
o
CO
on
<
Disch
irges.
J3
400
cd
CO
o
Number Resident at
the Close of each
Year.
6
co-
CD
O
q
hH
5
13
3
3
5
7
1
2
10
5
11
5
18
17
6
12
29
2
7
32
18
13
24
26
27
38
27
43
73
46
29
48
105
62
167
108
63
115
U
©
S
CD &
r-i   "+J
o <s
7c   f"
Percentage of Recoveries to Admissions.
Percentage of Discharges to Admissions (Deaths excluded).
Percentageof Deaths
to Whole Number
under Treatment.
Year.
OJ
CD
>
O
CO
OO
Pi
©
o <u
0J
cp
CD
on
oi
0J
o
CD
P
1872	
18
15
12
29
22
14
16
18
17
13
7
8
10
20
27
36
26
41
52
49
52
44
SO
62
64
74
81
101
113
115
121
139
115
123
150
221
230
232
280
332
375
380
402
332
353
l
10
4
3
11
4
7
4
5
5
3
4
2
5
10
15
12
14
17
19
17
14
13
29
23
20
27
31
38
40
30
38
46
43
36*
48
68*
73t
84
67J
74*
90[|
58
83
73t
2
3
3
4
3
1
3
1
1
4
6
5
6
5
6
4
10
18
19
11
25
8
13
32
27
20
31
37
26
33
43
43
56
77
82
114
128
146
126
91
96
1
5
3
10
5
3
8
8
5
5
2
3
2
5
6
5
3
4
12
20
13
14
19
20
9
14
19
21
29
25
25
26
26
27
28
39
57
40
41
60
76
67
74
89
80
16
14
19
32
35
38
36
41
48
48
49
49
51
61
66
77
82
100
117
123
135
133
162
164
171
203
221
234
258
284
311
349
321
348
388
461
507
536
595
690
752
919
1,027
1,090
1,205
2
18
31
26
48
54
49
54
54
58
61
55
57
59
71
88
102
103
123
152
166
175
179
213
224
22S
246
285
327
356
377
413
466
480
505
552
666
765
816
896
1,034
1,065
1,264
1,364
1,437
1,527
5.55
66.66
33.33
10.34
50.00
28.57
43.75
22.22
29^41
38.46
42.85
50.00
20.00
25.00
37.03
41.66
46.15
34.15
32.69
38.77
32.69
31.81
16.25
46.77
35.93
27.03
33.33
30.69
33.63
34.78
24.79
27.34
40.00
33.33
23.03
21.30
28.30
31.00
30.00
19.57
18.90
22.63
14.43
25.00
20.68
5.55
80.00
33.33
26.89
63.63
78.57
62.50
27.77
29.41
61.54
57.14
62.50
60.00
25.00
59.25
55.55
69.23
46.34
44.23
46.94
51.92
72.72
40.00
64.51
75.00
37.83
49.38
62.37
57.52
52.17
50.41
53.96
62.61
61.78
52.06
41.20
53.90
64.60
59.28
54.42
53.80
62.10
45.77
52.41
47.87
5.55
1873	
16.12
1874	
1875	
2
2
2
8
11.53
20.83
1876	
1877	
1878	
1879	
9.35
6.12
16.16
14.81
1880	
8.62
1881	
8.19
1882	
3.63
1884	
1885	
1886	
5.26
3.33
6.94
6.81
1887	
1888	
1889	
4.80
2.87
3.25
1890 ...
1891	
7.64
11.69
1892	
6.95
1893 ...-	
7.60
1894	
8.92
1895	
8.92
1896	
3.94
1897	
5.69
1898	
1899	
6.66
6.42
1900	
8.14
1901	
6.63
1902	
6.06
1903	
5.57
1904	
1905	
5.42
5.34
1906	
1907	
1908	
5.04
5.08
7.44
1909	
6.40
1910	
4.57
1911	
5.83
1912	
7.02
1913	
5.30
1914	
5.43
1915	
1916	
6.19
5 24
; Three not insane.
t One not insane.
J Two not insane.
]| Four not insane. 7 Geo. 5
Mental Hospitals Report.
I 19
Table No. 3a.
Showing the Number of Admissions, Discharges, and Deaths during 1916, New Westminster.
Months.
January	
February ...
March	
April	
May	
June	
July	
August	
September . .
October	
November.. .
December...
Totals
Admissions
Discharges
Deaths.
Male.
Female.
Total.
Male.
Female.
Total.
Male.
Female.
16
13
29
6
1
7
7
6
16
9
25
1
1
3
8
31
12
43
6
6
2
2
19
7
26
1
1
2
2
24
13
37
10
24
34
2
1
29
11
40
3
3
21
11
32
2
7
9
1
17
7
24
2
5
15
5
20
3
10
13
2
15
13
28
3
2
13
7
20
1
1
5
17
12
29
16
16
32
6
3
34
233
120
353
42
66
108
28
13
11
4
2
3
i
7
2
5
5
9
62
Table No. 3b.
Showing the Number of Admissions, Discharges, and Deaths during 1916, Essondale.
Months.
January 	
February 	
March ."	
April	
May	
June	
July	
August	
September....
October	
November ....
December ....
Totals
Admissions,
Males only.
6
15
24
13
24
16
13
47
10
10
11
6
195
Discharges,
Males only.
2
2
3
30
5
1
2
15
61
Deaths,
Males only.
18 I 20
Mental Hospitals Report.
1917
Table No. 4.
Showing the Civil State of Patients admitted during 1916.
Civil State.
Male.
Female.
Total.
149
76
7
1
33
77
9
1
182
153
16
2
233
120
353
Table No. 5.
Showing the Religious Denominations of those admitted during 1916.
Religious Denomination.
Agnostic 	
Bible Student	
Christadelphian	
Confucian  	
Doukhobor	
Greek ."	
Hebrew	
Hindu	
Protestant, various denominations
Roman Catholic	
Shinto	
Unknown	
No religion	
Totals	
Male.
Female.
1
1
1
1
18
1
1
3
1
1
3
159
95
34
17
2
7
1
O
3
233
120
Total.
1
1
2
18
3
254
51
2
8
6
353
Table No. 6.
Showing the Dpgree of Education of those admitted during 1916.
Degree of Education.
Superior	
Common school
Very little ....
None	
Unknown	
Totals
Male.
Female.
5
4
199 .
99
8
2
16
13
5
2
233
120
Total.
9
298
10
29
7
353 7 Geo. 5
Mental Hospitals Report.
I 21
Table No. 7.
Showing the Nationality of those admitted during 1916.
Nationality.
Male.
Female.
Total.
1
1
1
39
1
1
1
1
8
1
1
3
7
1
2
14
1
1
11
1
4
3
14
1
1
1
1
1
10
19
1
57
1
11
19
1
96
1
6
3
1
1
2
7
5
3
1
1
5
3
15
6
4
2
1
3
15
Italy	
6
3
1
1
6
6
22
1
6
23
8
37
1
Canada—
1
12
1
12
2
27
2
6
2
23
2
16
5
41
3
7
Totals	
233
120
353 I 22                                           Mental Hospitals Report.
1917
Table No. 8.
Showing what Districts contributed Patients during 1916.
Place of Residence at Time of Committal.
Male.
Female.
Total.
1
1
1
1
1
2
2
1
1
1
1
1
2
1
1
2
1
1
1
3
1
1
5
7
1
3
1
2
3
4
3
1
1
2
1
1
1
1
1
1
14
1
1
2
2
1
4
2
1
1
1
1
1
3
1
11
2
19
1
1
1
6
1
3
2
1
1
1
1
1
1
1
1
1
1
1
2
3
1
1
1
1
2
2
3
1
1
1
1
1
1
1
1
12
1
2
1
1
2
1
1
Maillardville	
1
1
2
1
6
2
12
1
North Yakima, Wash  	
1
3
1
2
Notch Hill	
Okalla	
-   - 7 Geo. 5
Mental Hospitals Report.
1 23
Table No. 8—Concluded.
Place of Residence at Time of Committal.
Ocean Falls	
Okanagan Centre
Pender Harbour.
Penticton	
Point Grey	
Port Hammond...
Powell River	
Prince George....
Prince Rupert ...
Quathiaski	
Revelstoke	
Rossland	
Saanich	
Say ward.
Sicamous	
Sidney	
Silverdale	
Silverton	
Silver Valley	
South Vancouver..
Sperling    	
Squilax	
Steveston 	
Summerland	
Surrey	
Taft	
Trail	
Vancouver	
Vernon	
Victoria	
Waneta	
Wardner	
Wellington	
White Horse, Y.T.
White Rock	
Wilmer	
Wyatt	
Totals .
Male.
2
75
5
26
233
Female.
120
Total.
34
109
5
20
46
1
1
I
1
1
1
2
1
1
1
1
353 I 24
Mental Hospitals Report.
1917
Table No. 9.
Showing Occupations of those admitted during 1916.
Occupation.
Male.
Female.
Total.
1
1
1
2
2
1
1
1
1
1
7
1
1
1
I
1
1
1
7
7
72
.... r...
1
1
"2"'
1
1
1
25
1
1
1
1
2
9
1
1
1
1
1
7
Clerk	
2
1
1
1
1
1
7
1
5
14
2
4
1
1
1
1
1
5
14
2
4
1
1
1
1
72
1
1
87
1
1
8
1
1
3
1
1
87
1
1
8
1
1
3
1
19
1
19
1
1
3
1
3
1
2
6
1
3
2
6
1
3
2
1
1
3
4
1
2
1
1
3
4
2
2
1
1
2
1
22
1
2
Well-driller                                	
1
47
2
Totals	
233
120
353   7 Geo. 5
Mental Hospitals Report.
I 25
Table No.  10.
Showing the Age of those admitted during  1916.
Age.
Under 15 years	
From   15 to 20 years.
20 to 25    „     .
25 to 30    //     .
30 to 35    „    .
35 to 40    n    .
40 to 45    „    .
45 to 50    „    .
50 to 55     „    .
55 to 60    „    .
60 to 65     „     .
65 to 70     ,,
70 to 75    ,•    .
75 to 80 „ .
Over 80 years	
Totals .
Male.
Female.
7
4
10
6
13
6
35
17
33
17
30
15
22
15
29
15
10
8
9
7
8
2
9
2
5
2
8
1
5
3
233
120
Total.
11
16
19
52
50
45
37
44
18
16
10
11
7
9
8
353
Table No.  11.
Showing the Number of Attacks in those admitted during 1916.
Number of Attacks.
Male.
Female.
Total.
First	
206
20
2
3
1
86
26
3
292
46
Third	
5
4
Fifth	
2
1
Ninth 	
1
1
1
1
Totals                                       	
233
120
353
Table No.  12.
Showing the Alleged Duration of Attack prior to Admission.
Duration of Attack.
Male.
Female.
Total.
19
84
34
12
8
17
7
2
4
8
38
13
39
17
6
5
7
9
4
2
5
13
32
123
51
„        3 to    6      „        	
18
13
24
16
6
n        10  to  15       n                          	
6
13
51
Totals	
233
120
353 I 20
Mental Hospitals Report.
1917
Table No.  13.
Showing Statistics of Heredity in   those   admitted during 1916.
Heredity.
Paternal branch. .
Maternal branch .
Lateral branches .
Heredity, inferred
Unknown	
Totals ...
Male.
Female.
7
6
S
7
6
9
17
9
195
89
233
120
Total.
13
15
15
26
284
353
Table No. 14.
Showing the Alleged Exciting Cause of Attack of Insanity in those admitted
during 1916.
Alleged Cause.
Alcohol	
Arteriosclerosis	
Cerebral embolism. . .
Childbirth	
Epilepsy	
Hemiplegia	
Heredity, ascertained
Heredity, inferred. ..
Old age	
Pregnacy 	
Seclusion	
Shell-shock	
Syphilis	
Tabes dorsalis	
Worry	
Unknown	
Totals	
Male.
Female.
16
2
1
1
9
7
2
1
21
22
17
9
25
8
1
1
1
24
8
1
7
8
111
50
233
120
Total.
18
1
1
9
9
1
43
26
33
1
1
1
32
1
15
161
353
Table No.  15.
Showing the State of Bodily Health of those admitted during 1916.
Bodily Condition.
Male.
Female.
Total.
191
33
9
85
29
6
120
276
62
15
Totals	
233
353 7 Geo. 5
Mental Hospitals Report.
I 27
Table No. 16.
Showing the Form of Mental Disorder in those admitted during 1916.
Form of Disorder.'
Auditory hallucinosis	
Dementia precox	
Epileptic insanity	
General paralysis	
Hysteromania	
Idiocy and imbecility	
Mania, depressive condition
Melancholia	
Paranoia	
Puerperal insanity	
Senile dementia	
Terminal dementia	
Toxic insanity 	
Traumatic insanity	
Not insane	
Totals	
Male.
Female.
1
66
21
7
2
22
7
1
18
10
39
42
9
7
16
12
7
26
9
3
23
3
1
1
233
120
1
87
9
29
1
28
81
16
28
7
35
3
26
1
1
353
Table No. 17a.
Showing the Number allowed out on Probation and Ttesults during 1916, New Westminster.
Results.
Discharged recovered ..
// improved ..
// unimproved
Returned to Hospital ..
Still out at close of year
Totals	
Male.
Female.
12
11
4
8
2
8
14
16
19
34
51
77
23
12
10
30
53
128
Table No.  17b.
Showing the Number allowed out on Probation and Results during 1916, Essondale.
Results.
Discharged recovered . .
» improved...
n unimproved
Returned to Hospital .
Still out at close of j'ear
Total	
Males only.
21
27
13
4
15
80 I 28
Mental Hospitals Report.
1917
Table No. 18a.
Showing the Alleged Duration of Insanity prior to Admission in those discharged  from
New Westminster during 1916.
Duration of Insanity.
Male.
Female.
Total.
6
11
5
3
1
2
1
1
12
4
28
11
3
3
6
2
2
1
6
10
39
16
„      2 to    3      „           	
6
„      3 to    6      ,1       .                 	
4
6 to 12      „       	
8
o
*      2 to    3      „	
3
2
18
Totals	
42
66
108
Table No. 18b.
«
Showing the Alleged Duration of Insanity prior to Admission in those discharged during
1916, Essondale.
Duration of Insanity.
Less than 1 week . ..
» 1 month ..
From 1 to   2 months
„    3 „    6
n 1 ;/ 2 years ..
Unknown	
Total	
Males
only.
13
20
6
2
3
17
61 Geo.
Mental Hospitals Report.
I 29
Table No.  19a.
Showing the Length  of   Residence  of those who  were  discharged  during   1916
from New Westminster.
Length of Residence.
Discharged
recovered.
Discharged
improved.
Discharged
unimproved.
Discharged
not insane.
Le
Fr
3
3
1
2
2
2
1
5
3
3
1
16                      7
3                       2
6                       4
6                      3
•2                         3
,     2 ,,    3      //        	
,     3 »    4       „         	
,     4 ,,    5      »         	
1
,     5 /,    6       „         	
,     6 „    9      „         	
,     9 „ 12      n        	
3
2
8
1
1
3
1
6
1
2
1
,     2/,    3      »        	
,     3«    4       n         	
,     4 «    5      „        	
,     7 „    8       n         	
Totals	
51
36
20
1
Table No. 19b.
Showing the Length of Residence of those who were discharged during 1916
from  Essondale.
Length of Residence.
Discharged
recovered.
Discharged
improved.
Discharged
unimproved.
1
1
1
4
3
7
1
1
1
1
1
1
2
1
3
4
9
3
1
2
1
,,     3 i,     4     „          	
1
„     4 n     5     a         	
2
„     5 „     6     „                       	
1
.„     6 »     9     „         	
„     9 „   12     ,i        	
1
2
2
„     2 „     3     ,,         	
„     3 „     4     «         	
„        in        5        »              	
„      7 »      8      «          	
2
1
Over  8 years          	
Totals	
21
27
13 I 30
Mental Hospitals Report.
1917
Table No. 20a.
Records of Deaths for the year 1916, New Westminster.
Time ra Hospital.
Initials.
Sex.
Age.
Certified Cause.
Register
No.
Years.
Months.
Days.
3660
S. A. K.    "
F.
53
2
8
3
Exhaustion of senile dementia.
98
H. S.
F.
74
38
7
3
Malignancy of ovary.
4624
H. E. E.
F.
61
11
Cerebral haemorrhage.
4609
M. McF. R.
F.
49
S
12
Exhaustion of manic depressive insanity.
4404
G. V.
M.
53
9
21
General paralysis.
4646
G. L. G.
M.
75
12
Exhaustion of senile dementia.
1005
P. M.
M.
58
16
i
4
Chronic interstitial nephritis&mj-ocarditis.
4552
G. C.
M.
68
3
5
13
Exhaustion of senile dementia.
3911
J. A.
M.
86
2
15
Exhaustion of senile dementia.
4350
E. A. S.
F.
34
1
3
Double pneumonia.
4658
H. H.
M.
35
2
Septic absorption from gangrene.
968
W. R.
M.
80
16
2
7
Exhaustion of senile dementia.
1102
B. A. S.
F.
67
19
9
5
Pneumonia.
4661
M. A.
F.
SO
8
Pneumonia.
4124
F. F.
F.
16
1
"%
27
Pulmonary tuberculosis.
2669
M. A. B.
F.
43
5
5
19
Exhaustion of epileptic insanity.
4310
M. G.
F.
36
1
3
2
Exhaustion of manic depressive insanity.
4629
G. W.
M.
65
1
20
Exhaustion of senile dementia.
118
J. J.
F.
75
37
5
4
Senile exhaustion.
4586
K. B.
F.
52
4
2
Exhaustion of senile dementia.
3099
M. S.
M.
52
4
3
12
Exhaustion of terminal dementia.
4229
M. S.
F.
36
1
4
14
Exhaustion of melancholia.
4201
E. A. C.
M.
35
1
5
12
General paralysis.
458
F. S.
F.
51
23
11
21
Pulmonary tuberculosis.
4714
T. P.
M.
80
6
Cellulitis of right hand.
4554
J. C. C.
M.
59
6
17
Exhaustion of senile dementia.
4681
F. R.
F.
45
1
6
General paralysis.
3840
M. J. V.
F.
77
2
5
2
Cerebral haemorrhage.
4516
D. C.
M.
48
9
2
Exhaustion from inanition.
4159
G. D.
M.
44
1
8
29
General paralysis.
4636
H. S.
F.
36
3
8
Pulmonary tuberculosis.
4738
V. D.
M.
30
1
14
Tabes dorsalis.
4664
J. M. C.
M.
66
2
15
Exhaustion of toxic insanity.
4859
W. W.
M.
54
12
Cerebral embolism.
4283
S. I. D.
F.
42
1
S
2
Exhaustion of epileptic insanity.
4875
K. W.
F.
44
11
Lobar pneumonia.
4707
J. H.
M.
63
5
9
Exhaustion of senile dementia.
1933
A. McD.
M.
70
9
3
13
Senile gangrene.
1464
S. J. 0. H.
F.
49
12
8
5
Pulmonary tuberculosis.
4421
L. M.
F.
54
1
4
14
Carcinoma of uterus.
4873
J. G. A.
F.
49
1
2
Exhaustion of acute mania.
4458
R. S.
F.
30
3
30
General paralysis.
3572
C. T.
F.
54
3
7
3
Aortic aneurism.
2384
H. A.
F.
29
7
5
3
Gastro-intestinal influenza.
4922
M. A. H.
F.
59
10
General paralysis.
4917
M. C.
M.
84
19
Exhaustion of senile dementia.
4893
B. M.
M.
28
1
25
Exhaustion of dementia pracox.
2722
J. C.
M.
58
6
1
9
Exhaustion of terminal dementia.
4949
A. B.
F.
23
3
Exhaustion of puerperal insanity.
4855
J. C.
F.
47
3
26
General paralysis.
1803
J. G. W.
F.
53
is
8
24
Septic pneumonia.
4923
E. D. L.
F.
64
1
19
Exhaustion of senile dementia. ■
4956
E. F.
F.
73
13
Exhaustion of senile dementia.
4895
M. B.
F.
43
3
4
Cerebral haemorrhage.
4915
S. P.
M.
48
2
14
General paralysis.
4967
W. R. C.
M.
67
12
Exhaustion of senile dementia.
4896
T. E. L.
M.
56
3
15
General paralysis.
4771
C. A. M.
M.
64
7
11
Exhaustion of senile dementia.
4960
E. D. M.
M.
66
23
General paralysis.
3479
J. R.
F.
32
4
28
Toxic absorption of peritonitis.
3285
T. R.
F.
38
4
7
6
Exhaustion of terminal dementia.
4587
W. E. C.
M.
58
1
2
21
Cerebral embolism. 7 Geo. 5
Mental Hospitals Report.
I 31
Table No. 20b.
Record of Deaths for the Year 1916, Essondale.
Register
Initials.
No.
3108
J. R.
3694
W. C.
4452
W. B. A.
3061
J. McK.
544
W. F.
4557
J. w. c.
162S
W. B. C.
1057
W. H. b.
1559
G. P.
2495
H. H.
1524
J. Mo.
2065
R. F.
2329
J. Mc. F.
4178
R. J. H.
4438
J. M.
3103
W. H. N.
1047
J. J.
939
J. M. G.
Time
in Hospital.
Sex.
Age.
Years.
Months.
Days.
M.
43
5
M.
52
2
4
19
M.
41
8
15
M.
30
4
3
21
M.
70
22
4
5
M.
49
7
16
M.
70
10
10
23
M.
75
15
10
7
M.
37
11
8
25
M.
35
6
8
19
M.
82
12
2
21
M.
52
8
8
16
M.
30
7
7
10
M.
27
2
2
25
M.
46
1
6
20
M.
26
5
26
M.
54
16
4
29
M.
60
17
3
20
Certified Cause.
Cerebral haemorrhage.
Pulmonary tuberculosis.
Pneumonia.
Pulmonary tuberculosis.
Pulmonary tuberculosis.
Pulmonary tuberculosis.
Exhaustion of senile dementia.
Cerebral apoplexy.
Exhaustion of epileptic insanity j
Tubercular peritonitis.
Cerebral haemorrhage.
Chronic nephritis.
Fracture of skull.
Accidental drowning.
Exhaustion of general paresis.
Bronchopneumonia.
Pneumonia.
Cholelithiasis.
Table No. 21a
Showing Work done by Patients during the year 1916 at New Westminster.
Work done by Patients.
Days.
366
633
1,214
3,830
721
1,060
169
Florist	
3,773
366
2,447
366
4,147
599
150
312
875
1,138
839
Tailor	
298
20,936 Table No. 21b.
Labour of Patients under the Direction of the Ground Overseer at Essondale during the
year 1916—
Days.
Bridge....         10
Blacksmith  279
Botanical  281
Boilers and garage  1,031
Clearing  4,022
Crushing rock  407
Cutting grass  194
Chickens  371
Chores  664
Cement-work  163
Cordwood and coal  282
Colony Farm  135
Drains      594
Donkey-engine and pile-driver      324
Fencing  382
Field-work  558
Grade  730
Garden  1,591
General  1,534
Hay  157
Lawns  1,364
Logging   45
Manure  208
Mattress and dyke    .... 778
Nursery  1,505
Piggery          661
Piles  25
Roads  1,743
Root-house  456
River-work  171
Sidewalks  36
Stable-work '.  47
Snow-shovelling  106
Slashing on dyke  110
Stone fence ■    947
Teaming  751
Water-mains      1,485
Work done in Various Departments at Essondale during 1916—
Bake-shop  901
Basement and billiard-room  3,512
Carpenter  1,144
Dining-rooms  5,398
Engineer ,  1,333
General  901
Kitchen  1,184
Painter      992
.    Plasterer  1,241
Plumber  281
Scullery.      1,460
Laundry  5,510
Ward-work  23,725
Work done by Patients at Colony Farm during 1916—
Dining-room  1,464
Engineer  1,098
Farm (including fields, roads, barns, etc.)  10,374
Garden  699
General  611
Kitchen  1,006
Painter  76
Teamster  1,552
Ward-work  1,673   7 Geo. 5
Mental Hospitals Report.
I 33
Table No. 22.
Articles made by Female Patients, 1916.
Aprons	
Chemises	
Covers, bureau.. ..
Curtains, pairs.. ..
Drawers	
Dresses, gingham
//        night
Dusters	
Handkerchiefs.. ..
207
210
65
30
4
S4
19
30
289
Neckties	
Napkins, table.
Pillow-slips ...
Sheets	
Table-cloths...
Towels, bath . ,
a        roller.
n        tea ...
a        tray ..
Articles made for Nurses.
Aprons
Caps....
147
36
Cuffs, pairs.
Dresses ....
378
30
382
744
52
427
265
228
36
51
3S
Aprons
Mending done for Nurses.
         328       Dresses	
Mending done for Female Patients.
Aprons	
Blankets, canvas.,
-; wool . ..
Blouses 	
Chemises	
Drawers	
Dresses, gingham .
//        night
a        serge
Hose	
400
18
79
195
437
962
828
394
416
5,711
Petticoats....
Pillow-slips...
Sheets	
Skirts	
Spreads, bed .
Table-cloths..
Towels, bath .
a roller.
Ticks, bed....
Vests, under..
210
22
204
259
997
178
214
107
85
121
785
Mending done for Male Patients.
Aprons   	
Blankets, wool.
Drawers	
Pillow-slips ...
Sheets	
Shirts, over....
a      under. .
233
203
4,910
90
691
4,679
4,462
Socks, pairs..,
Spreads, bed .
Table-cloths..
Towels, bath .
»        roller,
Ticks, bed	
14,201
229
292
95
63
Articles made for Essondale Institution, 1916.
Bureau-covers ..
Kitchen-aprons.
Pillow-slips
Sheets	
4
51
104
150
Table-cloths..
Towels, hand.
//        roller
277
219
Fruit put up in 1916.
Currants, black.
a        red...
Crab-apples ....
Gooseberries.. ..
Pears 	
Plums	
Rhubarb	
Raspberry	
Strawberry.   ...
15
21
juarta
66
„
20
„
35
a
30
a
68
a
44
a
88
a
Pickles put up in 1916.
Pears	
Tomatoes .
24 quarts.
245      „ I 34 Mental Hospitals Report. 1917
Tailor's Report for 1916.
Uniforms made for New Westminster—
38 suits  $950 00
38 pairs of pants  221  10
1 coat  14 30
1 vest  4 00
   |1,189 40
Stock—
27 suits  $324 00
50 pairs of pants  175 00
16 coats  83 00
9 vests  27 00
20 bed-ticks  35 00
2 pillow-ticks  70
        644 70
Repairs—
331 coats ,       $115 85
136 vests  34 00
647 pairs of pants  161 75
         311 60
Miscellaneous work  50 00
Uniforms made for Essondale—
86 suits      $2,150 00
58 pairs of pants         388 60
 2,538 60
Stock—
142 suits  $1,707 00
49 pairs of pants  171 50
26 coats  143 00
40 vests  120 50
4 camisoles  16 00
 2,158 00
Repairs—
936 coats        $327 60
686 vests         171 50
1,837 pairs of pants         459 25
        958 35
Total    $7,850 65
Shoemaker's Report for 1916.
New work for house and stock—
128A pairs of men's boots  $899 50
284"      „            .,       slippers  632 25
13        u            //       moccasins      21 50
21        «         women's shoes  63 00
Repairs for New Westminster—
174 pairs of men's boots  210 25
57        "            n    slippers      58 50
123        a       women's shoes. , i..,.  110 75
Repairs for Essondale—
439 pairs of men's boots  573 50
313       n           a   slippers  253 00
Miscellaneous  15 00
Total     ' $2,837 25
Home Farm Proddce, 1916 (New Westminster).
Pork shipped alive to Essondale, 20,565 lb. @ 10 cents  $2,056 50
Pork dressed and supplied to the City Institution, 16,915 lb. @ 14 cents  2,368 10
Increase in stock, 60 hogs, value.     900 00
Hogs sold alive, 6, value  427 00
Total   $5,751 60 7 Geo. 5 Mental Hospitals Report.
Poultry Report, 1916 (New Westminster).
__ i supplied to the institution    593 doz. @ $ .40 $237 20
Chickens, dressed       92      @        1.00 92 00
Ducks, dressed     55     >,        1.26 69 50
Increase in young stock (live)    100      n         1.00 100 00
Total  $498 70
Garden Produce, 1916 (New Westminster).
Vegetables.
Green onions       1,981 lb.            @    2c. $39 62
Cooking-onions     4,985   ,,               n    3c. 149 55
Carrots   24,730  „              „     2c. 494 60
Asparagus        146  ,,              ,,   10c. 14 60
Early potatoes     1,937  ,,              ,,    2c. 38 74
Late potatoes     2,875  ,,               n     lc. 28 75
Peas         940«               //    8c. 75 20
Vegetable marrows         260   -,               ,,     lc. 2 60
Spinach     3,250  „              n  10c. 325 00
Turnips     2,600  ■<              n     lc. 26 00
Beets     8,960,,              ,,    lc. 89 60
Cabbage   18,200  „               „    2c. 764 00
String beans         545  a              n     Sc. 43 60
Broad beans           85  ,,               „     8c. 6 80
Ripe tomatoes         325   ,,               ,,     8c. 26 00
Green tomatoes         545  n              n    5c. 27 25
Parsnips     6,200  *              ,,     lc. 62 00
Celery         985 heads       ,,    5c. 49 25
Parsley            185 bunches  »    5c. 9 25
Radishes         125       n        n    2c. 2 50
Lettuce         232 dozen       ,,  25c. 58 00
Cucumbers         327                   »    2c. 6 54
Sweet corn             318 dozen       ,,   15c. 47 70
Horse-radish           65 lb.             n   10c. 6 50
Leeks        175   //             ,,    2c. 3 50
Estimated total value of vegetables  $2,397 15
Fruit.
Apples   41,545 lb. @    3c.    $1,246 35
Plums          1,925  i,              „    2c. 38 50
Prunes         825  „               ,,    3c. 24 75
Cherries         775   „                „   10c. 77 50
Strawberries     2,365,,              „   10c. 236 50
Raspberries         863   ,,               ,,   10c. 86 30
Gooseberries         140  „               „   10c. 14 00
Red currants      1,620,,               „10c. 162 00
Black currants          40 ,,              „   12c. 4 80
Pears     1,870,,               ,,     2c. 37 40
Blackberries           14  „               ,,     8c. 1  12
Rhubarb    5,470,,              ,,    5c. 273 50
Pumpkins         975  „               ,,     ] c. 9 75
Sent to lOssondale, apples     2,500  „               ,,     3c. 75 00
Estimated total value of fruit  $2,287 47
Floivering and Bedding Plants.
5,919 @ 10c. each     $ 591 90
21,345   „'   5c.    „      1,067 25
12,020   „     2c.    „      240 40
Sent to Essondale and Colony Farm  120 00
Estimated value  $2,019 55
Cut Flowers under Glass.
Cut flowers   $  250 40 I 36 Mental Hospitals Report. 1917
COLONY   FARM   REPORT.
The dairy supplied 586,537 tt). of milk at an outlay of $18,887.82, averaging 32| cents
per gallon.
The total yearly outlay on account of young cattle amounted to $8,586.95. As a return
against this outlay the young herd of eighty-eight head has increased in age twelve months,
making a cost of keep $8.13 per head per month.
The cost of young-horse department, which amounted to $1,579.85, consisting of twenty-
nine head, shows a cost of $4.54 per head per month.
The work-horses produced 1,525 days' labour at an outlay of $6,325.99, showing a cost of
$4.15 for double team and teamster per day.
Ilay-crop, 1916 (8,3 1/4. Acres sown).
Expense of raising crop     $   164 16
Yield of hay (284 tons)       3,974 61
Profit for year     $3,810 45
Note.—Yield per acre, 34 tons; cost per ton, 57 cents.
Corn-crop (1,5 Acres soivn).
Expense of raising crop     $1,009 67
Yield of green corn (1t3tj tons)    $       5 40
Ensilage made (189f tons)      1,233 25
 1,238 65
Profit for year          $228 98
Note.—Ensilage per acre, 12§ tons; cost of ensilage, $5.31 per ton.
Oat-crop, 1916 (30 Acres sown).
Expense of raising crop    $   680 16
Yield of oats (44J tons)    $1,238 21
Green oats (8 tons)     24 00
Straw (1,100 bales)  550 00
 1,812 21
Profit for year     $1,132 05
Note.—Yield per acre, \\ tons; cost per ton, $15.
Potato-crop (18 Acres planted).
Expense of raising crop     $1,662 70
Yield of crop (216f tons)      3,251 02
Profit for year     $1,588 32
Profit on sales  9 48
Total     $1,597 80
Note.—Yield per acre, 18 tons; cost per ton, $7.70.   7 Geo. 5 Mental Hospitals Report. I 37
Turnip-crop (6 Acres planted).
Expense of raising crop  $   442 99
Yield of crop (175J tons)  1,929 56
Profit for year    $1,486 57
Note.—Yield per acre, 29J tons; cost per ton, $2.54.
Carrot-crop (6 Acres sown).
Expense of raising crop  $413 64
Yield of crop (38| tons)    426 00
Profit for year  $12 36
Note.—Yield per acre, 6| tons ; cost per ton, $10.60.
Mangel-crop (6 Acres seeded).
Expense of raising crop  $411 03
Yield of crop (64 ^ tons)  778 98
Profit for year   $367 95
Note.—Yield per acre, 10f tons ; cost per ton, $6.33.
List of Produce at Sunbury Branch.
. 350 tons hay ® $14  $4,900 00
160f ,i    oats @ $28  4,502 74
2,100 bales straw @ 50 cents  1,050 00
131 tons wheat  506 00
13J    ii    barley  385 00
15       ii    potatoes       225 00
14      ii    turnips    154 00
14      „    carrots  154 00
Pork sold    325 40
Mutton sold and wool  467 86
Total  $12,670 00
Garden-truck (1 1J4 Acres planted).
Expense of raising crop  $57 35
Yield of crop (5f tons) ...   .-  89 25
Profit for year  $31 90 I 38 Mental Hospitals Report. 1917
Piggery Report, Essondale.
Expenditures.
To Stock on hand, January 1st, 1916  $   424 00
Feed supplied by Colony Farm, 1916..     32 91
Mill feed purchased  55 10
Cost of live hogs supplied by New Westminster Institution during  1916,
20,565 lb. @ 94c  1,953 68
Wages  450 00
Balance  1,128 31
$4,044 00
Receipts.
By Dressed pork supplied Mental Hospital, Essondale, during 1916, 19,366 lb.
@ 15c  $2,904 90
Sold 10 live hogs, 3,400 lb. @ 10Je  357 00
Live hogs on hand, December 31st, 1916, 38 hogs, 8,690 lb. @ 9c  782 10
$4,044 00
To Profit, $1,128.31.
Poultry Report, 1916.
Expenditures.
To Stock on hand, January 1st, 1916  $   257 25
Feed supplied by Colony Farm, 1916      386 98
Mill feed purchased  464 60
Wages  450 00
Balance  724 12
$2,282 95
Receipts.
By Eggs supplied Mental Hospital, Essondale, during 1916, 2,576J doz. @ 45c. $1,259 55
Dressed poultry supplied, 1,426 lb. @ 25c  35 65
Live birds supplied Sunbury Branch, 36 @ $1.50  54 00
Stock on hand  933 75
$2,282 95
To Profit, $724.12.
Nursery Statement, Essondale, 1916.
Receipts.
Goods to Mental Hospital, Essondale, fruit, vegetables, and truck $ 4,027 92
Potatoes supplied Hospital for Insane, New Westminster   60 00
Nursery stock supplied schools, etc., in Province {See list)      4,320 93
Inventory of vegetables and hay on hand, December 31st, 1916      3,212 28
Inventory of nursery trees and shrubs on hand, December 31st, 1916    21,193 93
$32,815 06
Disbursements.
Wages for twelve months  $ 4,180 00
Maintenance (including fertilizer, $1,400)      1,997 01
Feed for horses (Farm Book Account)      1,417 38
Blacksmith Account (Farm Book Account)  194 80
Stock of vegetables and hay on hand, January 1st, 1916      1,993 45
Inventory of nursery trees, etc., January 1st, 1916    13,534 90  23,317 54
$9,497 52
Note—
1916, nursery stock    $21,193 93
1915,        „ „           ....     13,534 90
Increase ,    $7,659 03 7 Geo. 5 Mental Hospitals Report. I 39
Trees and Shrubs shipped from Nursery during 1916.
Parliament Buildings, Victoria $ 53 63
Around chicken-house, P.M.H., Essondale  10 75
Court-house, New Westminster  32 50
Gaol grounds, New Westminster  27 50
Parksville School Board  118 75
New Westminster School Board  21 00
North Vancouver (Lonsdale School)  277 55
Hospital for Insane, New Westminster  9 75
Courtenay School Board  40 00
Langley Municipality School Board  224 00
Burnaby School Board  330 20
Parliament Buildings, Victoria  33 00
Botanical Department, Vancouver  21 65
Around residence of Medical Superintendent and Bursar  9 60
Delta School Board  129 75
Colony Farm  3 00
Airing-court, Mental Hospital, Essondale  39 30
Surrey School Board  73 80
Hospital for Insane, New Westminster  139 70
King Edward High School, Vancouver  45 00
Chilliwack School Board  22 50
Colony Farm  1 25
Coquitlam School Board  31 50
Courtenay School Board  11 20
Colony Farm  11 30
Matsqui School Board  204 60
Hospital for Insane, New Westminster  9 50
Provincial Government Agent, Kamloops  5 00
Fernie  37 60
Golden ,  38 00
Wynndel School Board  52 10
Penticton School Board    113 90
Arrowhead School Board  63 80
Rutland School Board  97 10
Chase School Board  137 20
Mental Hospital, Essondale  126 00
Cranbrook School Board  67 35
Kelowna School Board  250 40
Burnaby School Board  530 40
North Vancouver School Board  133 90
Haney School Board  136 20
North Cowichan School Board  276 60
New Westminster School Board  323 10
Total value of nursery stock shipped $4,320 93
VICTORIA, B.C. :
Printed by William H. Cullix, Printer to the King's Most Excellent Majesty.
1917.

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