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DEPARTMENT OF PROVINCIAL SECRETARY ANNUAL REPORT OF THE MENTAL HOSPITALS OF THE PROVINCE OF BRITISH COLUMBIA… British Columbia. Legislative Assembly 1939

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 DEPARTMENT OF PROVINCIAL SECEETAEY
ANNUAL EEPORT
OF   THE
MENTAL HOSPITALS
OF   THE
PROVINCE OF BRITISH COLUMBIA
FOR 12 MOUTHS ENDED MARCH 31BT
1939
PRINTED by
AUTHORITY  OF  THE LEGISLATIVE  ASSEMBLY.
VICTORIA, B.C. :
Trinted by Charles F. Banfield, Printer to tbe King's Most Excellent Majesty.
1939.  To His Honour Eric W. Hamber,
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 fiscal year ended March 31st, 1939.
GEORGE M. WEIR,
Provincial Secretary.
Provincial Secretary's Office.  Ul
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o  TABLE OF CONTENTS.
PART I.—MEDICAL. Page.
Officers and Staff, List of  7
Report—General Medical Superintendent  9
Report, Laboratory—Director of Laboratory  12
Report—X-ray Department  13
Report—Oculist .  14
Report—Physiotherapy  14
Report—Dentist '.—.  15
Report—Beauty-parlour    15
Report—Training-school  16
Report—Social Service  16
Statistical Tables—
1. Movement of Population during the Year :  20
2. Summary of Operations of Hospitals since Inception  22
3. Admissions, Discharges, and Deaths  23
4. Civil State of Patients admitted  23
5. Religious Denominations of Patients  23
6. Educational Status of Patients  24
7. Nationality of Patients  24
8. Districts from which Patients were admitted  25
9. Occupation of Patients prior to Admission—.  27
10. Age of Patients on Admission  28
11. Number of Attacks at Time of Admission  28
12. Alleged Duration of Attacks prior to Admission  28
13. Table of Heredity    29
14. Alleged Cause of Insanity in Patients admitted  29
15. State of Bodily Health of Patients admitted .—. 30
16. Form of Mental Disorder in Patients admitted  30
17. Probation, Number allowed out on  30
18. Discharges, showing Alleged Duration of Insanity  31
19. Discharges, showing Length of Residence in Hospital and Condition at Time of
Discharge  31
20. Deaths, Cause of, and Length of Time in Hospital, Essondale, New Westminster,
and Saanich  32
PART IL—FINANCIAL.
Report—Bursar   36
Balance-sheet and Profit and Loss Account, New Westminster  37
Balance-sheet and Profit and Loss Account, Essondale  38
Balance-sheet and Profit and Loss Account, Saanich  39
Expense Statement, Psychopathic Department  40
Expense Statement, Headquarters Department  40
Financial Tables—
A. Average Residence, Maintenance, and Per Capita Cost since Inception  41
B.
B  1.
Analysis of Gross Per Capita Cost 43, 44
Z,'       1   Yearly Gross Expenditure, Analysis of, since Inception 46, 47
V.        1.      \
D. Summary of Gross and Net Per Capita Cost in all Hospitals  49
E. Expense and Revenue Statement, New Westminster  50
F. Expense and Revenue Statement, Essondale  52
G. Expense and Revenue Statement, Saanich  54
Revenue, Table of, since Inception    56 X 6 TABLE OF CONTENTS.
Page.
Report, Financial—Tailor's Department  57
Report, Financial—Shoemaker's Department .  59
Production Tables—
Articles made by Female Patients, Public Hospital for Insane  59
Mending done by Female Patients for New Westminster  60
Work done by Male Patients at New Westminster    60
Supplies produced at New Westminster  60
Supplies produced at Colquitz    61
Occupational Therapy—
Wood-working Department  61
Upholstering Department  62
Weaving and Basketry Department  62
Annual Report of Occupational Therapy, Essondale, for Year ended March 31st, 1939.. 63
PART III.—COLONY FARM.
Report—Farm Superintendent  64
Report—Financial, General—Bursar  65
Balance-sheet j.  66
Profit and Loss Account :-.   67
Dairy and Herds Department—
Profit and Loss Account  68
Production and Costs Account  68
Milk Production and Cost  68
Mature Cow Department—Profit and Loss Account .  69
Calves Department—Profit and Loss Account  69
Yearling Department—Profit and Loss Account  69
Bull Department—Profit and Loss Account »  69
Work-horse Department—
Sales and Deaths Account  70
Horse-labour Account  70
Horse-labour performed  70
Hog Department—Profit and Loss Account  71
Cannery—Profit and Loss Account  71
Truck-garden and Orchard—Profit and Loss Account  72
Crop Department—Profit and Loss Account, etc  72
Tractor Account J  75
Truck Account  75
Maintenance and Administration, General    76
Miscellaneous Statements, Inventories, etc.—
Produce supplied to Essondale  76
Produce supplied to New Westminster  77
Accounts receivable  77
Equipment ,  77
Orchard and Small Fruits  77 DEPARTMENT OF PROVINCIAL SECRETARY.
Hon. George M. Weir, Provincial Secretary.             P. Walker, Deputy Provincial Secretary.
A. L. Crease, M.D., CM., General Superintendent and Provincial Psychiatrist.
E. J. Ryan, M.D., CM., Medical Superintendent.
G. S. Macgowan, Bursar.
OFFICERS AND STAFF, ESSONDALE.
Medical:                                                                          Business :
A. M. Gee, M.D., CM., L.M.C.C                                   Thos. Weeks, Assistant Bursar.
U. P. Byrne, M.B., L.M.C.C, D.P.H.                           J. Pumphrey, Steward.
J. M. Jackson, M.D., L.M.C.C.                                    F. A. Matheson, Book-keeper.
E. A. Campbell, M.D., L.M.C.C.                                    J. F. Anderson, Book-keeper and Farm
A. E. Davidson, B.A., M.D., L.M.C.C.                            Records.
T. G. Caunt, M.D., L.M.C.C.                                          Miss M. E. Latham, Stenographer.
G. Kirkpatrick, M.D., L.M.C.C.
J. W. Vosburgh, L.M.C.C.
A. J. Warren, L.M.C.C.
G. R. F. Elliot, M.D., CM., L.M.C.C
L. G. C. d'EASUM, M.B., L.M.C.C.
Milton Jones, D.D.S.
N. W. Cunningham, Chief Attendant.
Miss L. Blomberg, R.N., Supt. of Nurses.                                               Chaplains:
Miss M. Parsons, R.N., Instructress of Nurses.          Rev. E. W. P. Carter, Protestant.
Miss J. Kilburn, R.N., Social Service.                        Rev. Father S. T. Finnegan, Roman
Mrs. I. H. Wedge, Clinical Clerk.                                     Catholic.
Trades, Essondale:
J. L. Malcolm, Chief Engineer.                                   W. Worrall, Laundryman.
J. Renton, Outside Overseer.                                       P. J. Murphy, Electrician.
W. G. Armour, Baker.                                                   J. Symington, Plumber.
H. Lonsdale, Foreman of Works.                                A. L. Blair, Barber.
W. McKenzie, Mason.                                                    B. T. Brown, Auto Mechanic.
A. Cooter, Chief Cook.                                                      R. T. Hall, Occupational Therapy.
OFFICERS AND STAFF, NEW WESTMINSTER.
Medical:                                                                          Business:
L. E. Sauriol, M.D., CM., L.M.C.C, Medical           Thos. Cambridge, Assistant Bursar.
Supervisor.                                                                   J. F. O'Reilly, Steward.
C. E. Benwell, M.B., L.M.C.C.
B. H. 0. Harry, M.D., CM., L.M.C.C.                                                       Chaplains:
Miss M. Fillmore, Matron.                                           Rev. J. L. Sloat, Protestant.
Charles Monteith, Chief Attendant.                         Rev. Father T. P. Murphy, Roman
F. Gillard, Clinical Clerk and Stenographer.                Catholic.
Trades, New Westminster:
R. Gow, Carpenter.                                                         Ben Jones, Laundryman.
C. Stapleton, Gardener.                                               J. McMillan, Shoemaker.
E. J. McIntyre, Chief Engineer.                                  Wm. Powell, Painter.
H. Bailey, Farmer.                                                        W. W. Galloway, Tailor.
C. M. Doyle, Plumber.
COLONY FARM.
P. H. Moore, B.A., B.S.A., Superintendent.
OFFICERS AND STAFF, COLQUITZ.
Geo. Hall, M.D., CM., Visiting Physician.
F. M. Spooner, Supervisor.                                                    P. McLEOD, Chief Attendant.  ENTRANCE "A" BLOCK, ESSONDALE.
ADMISSION BLOCK, ESSONDALE.  REPORT OF THE MEDICAL SUPERINTENDENT.
For the Twelve Months ended March 31st, 1939.
PART I.—MEDICAL.
Provincial Mental Hospital,
Essondale, B.C., April 1st, 1939.
The Honourable the Provincial Secretary,
Parliament Buildings, Victoria, B.C.
Sir,—I have the honour to submit herewith for your consideration the Sixty-seventh
Annual Report of the Provincial Mental Hospitals at Essondale, New Westminster, and
Saanich.
The following table gives a brief summary of the movements of the Hospital population
during the year April 1st, 1938, to March 31st, 1939:—
Movement of Population.
Male.
Female.
Total.
2,232
71
2
445
1,255
83
1
382
3,487
154
On escape, but remaining on registers      	
3
827
2,750
1,721
4,471
224
109
134
195
123
74
419
232
208
467
392
859
In residence, March 31st, 1939 „	
2,283
1,329
3,612
(1.) Decrease in number of admissions this year as compared to last 7
(2.) Net increase in population at end of year  125
(3.) Rate of deaths to total treated (percent.)  4.65
(4.) Rate of discharges to admissions (exclusive of deaths) (per cent.) 78.72
ADMISSIONS.
An analysis of the birth column shows that, of the number admitted, 378 (or 45.70 per
cent.) were of Canadian birth; 264 (or 31.92 per cent.) were born in other parts of the
British Empire; and 183 (or 22.12 per cent.) were of foreign extraction. There were 2
whose birthplace was unknown.
A few years ago the nationalities of those admitted—namely, Canadian, other parts of
the British Empire, and foreign—ran 33 % per cent. each. This percentage has gradually
changed until now it runs as follows: Canadians, increased 12.3 per cent.; other parts of
the British Empire, decreased 1.4 per cent.;   and foreign, decreased 11.2 per cent.
DISCHARGES.
The following table clearly shows that the earlier in their mental trouble the patients
are brought in for treatment the far better opportunities there are for recovery and improvement than if the committal were delayed, and this truth is well illustrated in the following
table:—
Table showing Alleged Duration of Insanity, prior to Admission, in
those discharged from the three institutions during the
Year April 1st, 1938, to March 31st, 1939.
Less than six months   237
Over six months     84
Not insane 	
Duration unknown      98
Total
419 X 10 MENTAL HOSPITALS REPORT, 1938-39.
During the past year 419 patients were discharged in full. Of this number, 72 were
discharged as recovered, 258 as improved, 87 as unimproved, and 2 were not insane.
TREATMENT.
There were 827 patients admitted during the past year, which shows a decrease of 7 over
that of the previous year. The net increase in population was 125, which is especially
encouraging as our yearly average for the past few years has shown an increase of 132.3.
The rate of discharges to admissions, exclusive of deaths, has risen 11.4 per cent, above the
previous years.
The satisfactory state of the above figures is, no doubt, due to less custodial and more
active treatment. In fact, more active treatment in many ways, and which includes treatment with insulin and metrazol therapy, is being carried on intensively. A graphic picture
of how insulin works may be described as follows: In the opinion of Sakel, the founder of
insulin treatment, an organism of a single cell (amoeba) has all the powers of an individual-—
growth, reproduction, function, etc. The body-cells of an individual also have the same
functions and, in order for them to live in a mass like the body, some of the cells must form
a brain, cord, and nervous system. Stimuli travelling over the body tend to follow the same
route each time, so that the body may have many reflexes working unconsciously as well as
consciously. We walk in a crowd, wending our way and, at the same time, give our attention
to other matters also. These paths in time of mental illness let messages run over, more or
less, at random as time goes on. Stimuli from the eye may roam over and be received as
messages from the ear and, as a result, auditory hallucinations are heard which produce
delusional ideas. It is thought that in " insulin shock " these newer paths give way and the
messages are gradually routed to the old and normal paths. In time they are all re-established and the mental disease passes out of the picture as sanity is restored.
The figures showing our results with insulin are pleasing, and make the treatment appear
well worth while. During the year 89 were treated with insulin shock who were suffering
from dementia praecox. Of this number, 49.4 per cent, showed a good remission; 16.8 per
cent, were improved; 33.8 per cent, were unimproved; and 54, or 60 per cent., were
discharged.
During the years it has been noted that in rare instances cases of dementia praecox which
developed a seizure sometimes cleared up mentally. This led Meduna to try treating cases
by producing seizures with the injection of metrazol. Our results have been as follows:
Number treated, 212. Twelve per cent, showed marked improvement; 28 per cent, were
improved and 38 per cent, were unimproved; 24, or 11 per cent., were discharged. These
results are indeed noteworthy when it is considered that the disease had already existed, on
an average, 4.3 years.
Treatment in the Venereal Disease Clinic has shown a gradual increase. In 1934 there
were 19 cases under treatment, while in 1938-39 there were 68 persons who had received
treatment.
The survey to ascertain the number of tubercular patients is well under way and, from
the present findings, it would appear that about 5 per cent, of our patient population are
active cases, which is about the usual figure in mental institutions.
Each service has increased its work to a considerable extent during the past five years.
In the X-ray Department 580 pictures were taken in 1934 and during the past year 1,936
were done.
In 1934, the Hydrotherapy Department gave 2,747 treatments and in 1938-39 there were
8,152. In the Laboratory 2,286 examinations were made in 1934 while during the past year
this was increased to 17,143. The Dental Department also showed increased activity; in
1934 there were 1,044 treatments and in 1938-39 there were 5,397.
During the past year an additional dietitian was appointed in the Dietetic Department
so that further supervision could be given. An ice-cream machine was obtained which was
welcomed by both patients and staff.
The Social Service Department has greatly extended its services during the past five
years, and there is much work being done toward the re-establishment of patients. SUPERINTENDENT'S REPORT. X 11
The nursing service has increased its educational standard for probationers. The
Nursing School has had additional duties as affiliation of nurses with the General Hospitals
commenced during the year, and we had sixty-eight affiliates for a two months' course.
There were also twenty-two Public Health Nurses in training here for a week each, and this
is recognized as part of their course. The doctors not only lecture to our own nurses but also
give lectures at the Vancouver General Hospital, St. Paul's Hospital, and the Royal Columbian
Hospital.
The staff quarters at the Saanich Institution are being remodelled to provide accommodation for thirty patients and, when completed, will be quite comfortable and are certainly
very much needed.
The eye service has been conducted by Dr. Harry. The cases are many and varied and
have called for considerable skill.
The Child Guidance Clinic examined and treated 790 patients, some of whom were adults.
The latter, as a rule, require a good deal of time in order to obtain the history, make the
examination, and do the treatment. It is earnestly hoped that some day a full-time clinic for
adults may be established.
It is fortunate that we have a farm for the occupational treatment of patients and to
produce fresh vegetables, milk, and meat for the commissariat department. In addition to
providing splendid produce of the farm, this department does a great amount of canning of
berries, fruit, vegetables, and pickles which are so necessary for the diets of the patients and
staff of an institution. Then, again, the farm is valuable to the Province in supplying it
with pure-bred cows, pigs, and horses. It is also able to assist other Government Institutions
to quite an extent.
COMMENTS.
The question of overcrowding in the Hospital is one which needs serious consideration.
In addition, however, there looms up a further situation—the provision for cases coming in in
the immediate future. During the last five years there has been an increase in hospital
residence of 652 patients, a yearly average of 130. This means that new buildings will be
required. If it is not expedient to adjust the situation of overcrowding, as well as provide
buildings for the increase in the number, then the latter should receive due consideration.
There is an endeavour to isolate the tubercular patients to certain wards but, here again,
there is a challenge which must be faced sooner or later.
Some of the wards housing helpless little ones in our New Westminster branch offer a
danger by fire. Should a fire take place some of the wards would go quickly, and it would be
most difficult to remove the occupants in time and this might result in serious loss of life.
It would be of assistance to the Province to have an extension of our Vancouver Clinic in
order to cover the outside points at least once a year.
OBITUARY.
Mr. Michael Doyle, one of our old employees, passed away on November 26th, 1938. For
many years he held the position of Deputy Chief Attendant, but, latterly, his duties were in
the store where he was Assistant Steward. He was one who came out to Essondale with the
first group of patients in 1907 to clear land. He suffered from poor health during the latter
part of his service and was superannuated on September 1st, 1938, just a few months before
his demise.
ACKNOWLEDGMENTS.
I wish to take this opportunity of voicing our appreciation of the valued work of the Red
Cross Visiting Committee, who are responsible for so many of the enjoyable entertainments
given at the Hospital for the benefit of the patients and which certainly help to brighten
their lives.
I would also like to draw to your favourable attention the work and co-operation of the
British Columbia Police, who are always ready to assist us at all times.
I wish to acknowledge with very grateful thanks the loyal support and splendid co-operation tendered me by the Medical Officers of this Institution. I wish to especially mention the
Medical Superintendent, Dr. E. J. Ryan, who is unsparing in his efforts to promote the welfare of the Hospital.    I would also like to bring to your attention the work of Mr. Macgowan, X 12 MENTAL HOSPITALS REPORT, 1938-39.
the  Bursar;    Dr.  L.  E.   Sauriol,  the  Medical  Supervisor  at  New  Westminster;    and  Mr.
Spooner, Supervisor of Saanich.
Finally, to you, Sir, and the Deputy Minister, and the officers of the Public Works
Department, I wish to make formal acknowledgment of the understanding and sympathy
with which you have recognized the many problems facing an Institution of this size, and
without which it would be impossible for the Hospital to maintain its progress.
I have the honour to be,
Sir,
Your obedient servant,
A. L. CREASE,
General Superintendent.
LABORATORY REPORT.
Provincial Mental Hospital,
Essondale, B.C., March 31st, 1939.
E. J. Ryan, Esq., M.D.,
Medical Superintendent, Provincial Mental Hospitals, Essondale, B.C.
Sir,—Following is a report of the work performed in the Laboratory at Essondale from
April 1st, 1938, to March 31st, 1939:—
Blood—
Kahn, positive   57
Kahn, negative   669
Red-blood count and haemoglobin   285
White-blood count and differential  166
Schilling   1
Coagulation time   6
Bleeding time   2
Grouping   79
Sedimentation index   73
N.P.N.    164
Urea nitrogen   13
Creatinine   2
Sugar  .  164
Bromides    33
Agglutination   18
Cultures   5
Icterus index   1
Chloride   1
Plasma protein   2
Serum albumin  1
Serum globulin  1
Spinal fluid—
Kahn, positive   37
Kahn, negative   48
Globulin   95
Colloidal gold  47
Cell-count   1
Urine—
Routine general  6,631
Quantitative albumin .  328
Quantitative sugar  31
Two-hour test  5
Ascheim Zondek    7 X-RAY REPORT. X 13
Smears—
Nose, throat  3
Urethral   1
Cervical   13
Vincent's angina ....  2
Malaria   16
Miscellaneous    44
Sputa for tuberculosis   80
Animal inoculation   30
Gastric analysis   4
Faeces examination   10
Basal metabolism   31
Autopsies   61
Biopsies   5
Sections    259
Cultures   50
Vollmer tuberculin test   183
Abdominal fluid   1
Pollen sensitivity   14
Metrazol solution prepared  13,500 cc.
B.C. Police  .  12
I have, etc.,
Ultan P. Byrne,
Pathologist.
X-RAY REPORT.
Provincial Mental Hospital,
Essondale, B.C., March 31st, 1939.
__. J. Ryan, Esq., M.D.,
Medical Superintendent, Provincial Mental Hospitals, Essondale, B.C.
Sir,—The following is a report of the work performed in the X-ray Department of the
Hospital from April 1st, 1938, to March 31st, 1939:—
Number of patients X-rayed  1,643
Number of films taken   1,936
Films. Patients.
Heads           62 25
Chests   1,435 1,413
Pelvis         46 36
Sinuses         12 4
Teeth         34 14
Gastrointestinal         31 8
Extremities       267 110
Shoulders         20 19
Spine         15 8
Jaw         10 4
Mastoid            4 2
Totals   1,936 1,643
I have, etc.,
J. W. Vosburgh,
Physician and Roentgenologist. X 14 MENTAL HOSPITALS REPORT, 1938-39.
OCULIST'S REPORT.
E. J. Ryan, Esq., M.D.,
Medical Superintendent, Provincial Mental Hospitals, Essondale, B.C.
Sir,—The following is a report of the ocular practice rendered to the Hospitals for nine
months during the last fiscal year.    I was away October, November, and December.
Refractions   81
Perimeter chartings   20
Eye-grounds   34
Hordeola   _.   8
Foreign bodies   8
Corneal ulcers   2
Injured eyes   2
Irido cyclitis   8
Iritis    3
Conjunctivitis    8
Blepharitis   8
Examination for tryparsamide   20
Tonometer   3
Number of cases handled   205
I have, etc.,
Benj. H. Harry, M.D.,
Oculist.
PHYSIOTHERAPY REPORT.
Provincial Mental Hospital,
Essondale, B.C., March 31st, 1939.
E. J. Ryan, Esq., M.D.,
Medical Superintendent, Provincial Mental Hospitals, Essondale, B.C.
SIR,—Following is a report of the treatments given in the Physiotherapy Department at
Essondale from April 1st, 1938, to March 31st, 1939:—
No. of Treatments.
Infra-red lamp       512
Diathermy and inductothermy       101
Electric-light cabinet       390
Continuous-flow bath   2,540
Foam bath       213
Sitz bath         84
Tub bath       331
Cold wet packs  1,259
Ultra-violet light       957
Needle-sprays, rain-douche, etc.       887
Massage, active and passive movements      772
Miscellaneous  .      106
Total number of treatments   8,152
Total number of patients treated  2,747
I have, etc.,
Ultan P. Byrne,
Physician. DENTAL REPORT. X 15
DENTAL REPORT.
_.. J. Ryan, Esq., M.D.,
Medical Superintendent, Provincial Mental Hospitals, Essondale, B.C.
Sir,—Following is the annual report of the Dental Department:—
Provincial Mental Hospital, Essondale.
All patients admitted were examined and dental charts filed. All acute conditions were
given precedence and all suffering relieved the same day as reported. Dentures were made
for patients recommended by members of the Medical Staff. Conservative restorations of
carious teeth have been made where indicated. Periclasia cases resulting from pyorrhoea
and trench-mouth have been cared for.
Summary.
Examinations   1,208
Extractions     1,040
Fillings inserted   1,263
Treatments       173
Local anaesthetics       783
General anaesthetics         19
Crown and bridge repairs   6
Peridental treatments       164
Dentures made         63
Dentures repaired         89
Public Hospital for the Insane, New Westminster.
During the year, all of the 602 patients in the Institution have had their teeth examined
and record charts made. The most emergent cases have been cared for first, and to date the
following work has been completed:—
Diseased teeth extracted  229
Local anaesthetic used to reduce operative pain   182
General anaesthetic for extracting teeth        4
Fillings inserted      77
Patients treated for periodontoclasia      15
Minor treatments for relief of pain      67
Special emergent calls        9
New dentures made and inserted        4
Dentures repaired       2
Respectfully submitted.
Milton Jones, D.D.S.
Emery Jones, D.D.S.
BEAUTY-PARLOUR REPORT.
Provincial Mental Hospital,
Essondale, B.C., March 31st, 1939.
E. J. Ryan, Esq., M.D.,
Medical Superintendent, Provincial Mental Hospitals, Essondale, B.C.
Sir,—The following is a report of the appointments in the beauty-parlour from April 1st,
1938, to March 31st, 1939:—
Hair-cuts   11,205
Shampoos      4,849
Finger-waves       2,073
Marcels         443
Curls      1,333
Manicures  (December-April)       1,540
I have, etc.,
Frances Colvin.
Madge Donald. X 16 MENTAL HOSPITALS REPORT, 1938-39.
TRAINING-SCHOOL REPORT.
The school of nursing of the Provincial Mental Hospital completed the fiscal year ended
March 31st, 1939, with the following personnel: Registered nurses, 31; mental graduate
nurses, 38;   nurses-in-training, 88;   and male attendants, 20;   making a total staff of 177.
Resignations for the year were as follows: Registered nurses, 14; mental graduates, 20;
student-nurses, 17; and male attendant, 1. Of these, 19 left to be married, 16 for a change
of occupation, 7 at the termination of summer relief, 5 as undesirable in the training-school,
3 to take training in a general hospital, 1 owing to dislike of the work, and there was 1 death.
Miss Beth Kelso, one of our students who held a first-class teacher's certificate and had had
experience in the teaching of subnormal pupils, was transferred to the New Westminster
branch of this hospital to fill a vacancy there as teacher.
This year 15 nurses received diplomas for a three-year course in psychiatric nursing and
7 registered nurses completed the six months' postgraduate course in psychiatry.
New members accepted on the staff during the year were: Registered nurses, 13; student-
nurses, 44;   and assistant dietitian, 1.
The three-year course of training in psychiatric nursing for male students continues, with
5 students in second year and 5 in first year.
The lecture programme consists of 100 hours to first-year students, 90 hours to second-
year students, 80 hours to third-year students, and 100 hours to postgraduate students.
Twenty-four students taking the Public Health course at the University of British
Columbia were assigned here for one week for observation and study.
Affiliation between schools of nursing and the Provincial Mental Hospital was authorized
by the Registered Nurses' Association of B.C. and commenced October 1st, 1938. Thirteen
students, representing five of the seven training-schools in the Province, comprise a class
which is of two months' duration. During this time 66 hours of theory is given. Thirty-nine
students have completed this course in affiliation. The hospitals represented are the Vancouver General; St. Paul's, Vancouver; Royal Columbian, New Westminster; Royal Inland,
Kamloops;   and St. Eugene, Cranbrook.
With new groups of students and an ever-increasing teaching programme, we are much
indebted to the medical and nursing staffs for giving so freely of their time and counsel.
Linea Blomberg, R.N.,
Superintendent of Nurses.
SOCIAL SERVICE REPORT.
PROVINCIAL MENTAL HOSPITAL.
With the overcrowded condition of the hospital, it has been more than ever necessary for
the social worker to employ good case-work methods and therapy within the homes from which
the patients have come in order that the improved conditions may be maintained following
his discharge. This is particularly true of those discharged patients who have had the benefit
of newer remedial shock treatments. In order that a true estimate of the benefits received
by such treatments may be gained, the patients have had more intensive follow-up work done
with them and more careful preparation made for their discharge.
This department has been in operation long enough now to show that there is a definite
ratio between good case-work with the family while the patient is in the Hospital and a saving
in hospitalization days for the patients. Due to its very nature, preventive work with the
family cannot be estimated in the same way. This fact was very definitely brought out to the
writer during her recent visits to other hospitals where there was not a trained Social Service
Department working with the family during the patient's treatment, and where the first
interest was taken upon the patient's discharge from hospital. The family in the first
instance has learned to know the psychiatric worker and, for this reason, comes to her for
assistance in understanding the patient and so ultimately avoids distressing situations. This
contact often extends over a period of years. There is nothing quite so satisfying as to see
a mental patient recover and, being in such close contact with the families, we are able to help SOCIAL SERVICE REPORT. X 17
with the details of their rehabilitation. This year, for instance, we have been happy in being
instrumental in making arrangements for several situations where the families have been
reunited after the recovery of either the father or mother.
For example, a mother who had been a patient for four years was discharged and, after
she had been tried in the home of a relative for six months, she was considered well enough
to re-establish her own home and to care for her five children who had, of necessity, been
placed in foster-home care. Her husband had previously been a patient in the Hospital and
had died some two years prior to his wife's hospitalization. It was most encouraging to assist
in the assembling of a home with all the required furnishings which had been scattered during
the mother's mental illness, and to once more see the five children re-established in their own
home and all together again. During the four years, the children had been receiving the
benefits of good modern care and had had the prospects of a home and mother carefully
fostered and they, consequently, do not appear to bear any stigma of their experiences. This
is a family in which a good deal of case-work of a psychiatric nature has yet to be done, but
we have no particular qualms as the mother has maintained her confidence in the Hospital
and its representatives.
The Supervisor's work has changed from home assisting to supervision of staff and
co-operating on committees which has a bearing on the hospital programme as a whole.
In July of the past year, there were two conferences of both Canadian and American
Social Workers' Associations which were attended by some of the staff, and great encouragement and assistance were derived from these meetings. The Supervisor also benefited considerably from her three months' leave of absence, which was spent in study of the advancement made in this particular field in other centres.
The staff was on full strength for two months only during the whole year. Miss Rutter
attended, at her own expense, a three months' course in advanced psychiatric social work at
Smith College, Northampton, U.S.A., thus fitting herself for the specialized type of work
needed in this department. As the same workers devote part time to the Child Guidance
Clinic, statistics in both services refer in part to the same workers.
There were more co-operative cases carried with other social agencies and, while this
entails more time, it is considered by the Medical Superintendent to be part of the educational
programme.
The Welfare Field Service has given valuable assistance to the work as a whole by their
contact with the families throughout the Province. It is most gratifying to note that the
development of the Social Services in British Columbia increases the resources for the care
of the mentally ill.
We hope that the Youth Training and Recreational Centres will also assist in the rehabilitation of the patient.
The number of lectures given and the education with our own staff and with that of the
University have increased considerably, though it is felt that this is as it should be, and we
welcome all opportunities in education in ultimately assisting the cause as a whole.
Statistical Report.
Initial interviews with families of newly admitted patients  232
Therapy interviews   318
Probation visits   161
Ward visits   470
Co-operative visits to other social agencies  231
Letters to Welfare Field Service, involving resume of files  539
Lectures to professional groups and students  35
Hospital clinics   18
Conferences re hospital cases  47
CHILD GUIDANCE CLINIC.
The work of the Child Guidance Clinic has steadily increased until, at the present time,
clinics are held five days in the week. However, the amount of work attempted is not always
a criterion of its value or quality and, for this reason, a survey was made of the cases seen
since the inauguration of the service in 1932.    From this survey, although it is not as com- X 18
MENTAL HOSPITALS REPORT, 1938-39.
plete as we would wish, we were able to estimate on much that was accomplished and to learn
where we were doing our best work. There were some failures, which is to be expected, but
there was also a justifiable number of successes along with the individual obscure results
which are always found in all work of a preventive nature.
Psychiatric treatment of problem children is based upon the fact that useful citizenship
and right living are the normal growth of sound training and wholesome behaviour in childhood, and that the attainment of these ends is vitally affected by environmental influences and
by the child's attitude towards himself, towards others, and toward the opportunities and
obstacles he may encounter. Thus, his scholastic progress and deportment in school, his
heredity, his emotional nature, his interests, ambitions, and dislikes, and the experiences which
evoke the reactions that shape his character, all become the subjects of the Psychiatrist's
inquiry, and takes investigation into the home, the school, or wherever a situation exists that
may help to reveal and explain the causes of his difficulties.
It is quite obvious, therefore, that if all the factors which enter into this process of
development are to be understood by the examiner he must have first-hand knowledge of these
matters before he attempts to treat the difficulty which is making the child a problem. After
he has obtained an idea of the precipitating causes, he then has to endeavour to remedy them.
This is a long, slow process and is one which requires treatment over a period of time and,
often, even a change of treatment entirely because of the very nature of the material—human
lives. It is in the treatment that the Psychiatric Social Worker comes in. She must be in
closest touch with the Psychiatrist at all times and, in the same way, so must the Psychologist
■ be, and all others who come in contact with the case.
The statistics of the Clinic show a slight decrease in the number of new cases; however,
the cases that were dealt with entailed more therapy interviews and treatment visits than
formerly.    Some who have reported every month have shown appreciable progress.
During 1937-38 there were 805 new cases and in 1938-39 there were 790 but, from July
to the end of the year, there was only one doctor in charge of the Clinic due to shortage of
hospital staff. There were more adult cases seen, exclusive of the Borstal boys. Adult cases
take twice as long and involve a great deal more stenographic work. It is also interesting to
note that more parents of children were examined, which shows more appreciation of the fact
that Child Guidance problems very often concern the whole family and not merely the
individual and his environment.
The Psychologist, Mr. C. B. Watson, M.A., had four months' leave of absence, without
pay, in order to take a course at the University of Southern California in Clinical Psychology
and Social Psychiatry. During his absence Miss Vance, B.A., supplied for him at the Clinic.
Due to the pressure of work in the Psychology Department at the Clinic, fewer tests were
done at the Hospital. Personality tests were done on one group of University students and
on the student-nurses group at the Hospital, and these tests proved to be of great value.
J. F. Kilburn, R.N.,
Supervisor of Psychiatric Social Workers.
Statistics, April 1st, 1938, to March 31st, 1939—Child Guidance Clinic.
Vancouver.
Victoria.
Nanaimo
(including
Courtenay).
Chilliwack.
Total.
Number of Clinics held	
Total cases seen in all Clinics combined  	
Adults, new and repeats —	
Children, new and repeats	
New cases. 	
Males—
Adults _   _
Children. 	
Females—
Adults..  	
Children 	
174 (27 B.) (ISt.C.)
240
406
451 (87 B.) (1 out)
130
150
57
114
28
57
64
31
10
15
9 (ICO.)
12 (3 CO.)
32 (1 CO.)
36 (4 CO.)
5 (1 CO.)
17 (1 CO.)
7 (2 CO.)
7 (-CO.)
I
14
14
205
790
281
509
565
143
204
75
143 SOCIAL SERVICE REPORT.
X 19
Statistics, April 1st, 1938, to March 31st, 1939—Child Guidance Clinic—Continued.
Vancouver.
Victoria.
Nanaimo
(including
Courtenay).
Chilliwack.
Total
195 (5B.) (13S..C.)
33
111
20
31
81
37
14
30
2
768 and 42 (survey)
58
21
5
8
5
3
10
4
5
1
28
11
8 (-CO.)
8
11
8
3
8
2
1
1
1
....
225
Males'—
38
127
Females—
25
35
102
49
22
31
2
847
Therapy interviews	
71
Psychologist's Report—Child Guidance Clinic.
Vancouver.
Victoria.
Nanaimo
(including
Courtenay).
Chilliwack.
Total.
Psychometric examinations
(Binet's)	
518
64
34
14
630
Spread of intelligence—
Very superior  _ __	
2
2
9
2
11
Average   ■
115
23
11 (1 CO.)
1
150
138
13
6
4
161
126
10
3 (1 CO.)
3
142
106
10
9
3
128
Imbecile ,    ,... _ _ 	
20
1
4
25
Idiot _ ____  _
2
1
3
4
4
1
3
12
Observed in play. ,.  „	
4
2
1
Patient unable to talk	
....
1
Patient unco-operative 	
See observed, 1
1
1
Patient too emotionally upset...
1
....
	
Cases not given any tests...,   .
2
4
3
9
1
1
2 (1 CO.)
Patient in hospital „. —_
1 (1 CO.)
....
	
1
Observed in play ____	
2
39
1
2
1
43
348 and 139y2 hrs.
17
5
3
356 and 139 Vz hrs.
Bernreuter personality inventories
2
_
19
115
115
109
109
7
7
65
2
2
69
Tutoring—
Reading _	
102 hrs.
....
....
102 hrs.
371/. hrs.
37 V. hrs.
Reading tests  __	
17
1
1
19
A.B.C. literacy . -
1
	
	
1
1
1
1
1
5
5
Observed in play__	
7
7
2
2
Stanford arithmetic   —	
1
1
B.=Borstal Unit.
St.C.__St. Christopher's School.
CO.=Courtenay Clinic. X 20
MENTAL HOSPITALS REPORT, 1938-39.
STATISTICAL TABLES.
Table No. 1.—Showing the Operations of the Hospitals, Essondale, New Westminster,
and Saanich, from April 1st, 1938, to March 31st, 1939.
Male.
Female.
Total.
Total.
Movement of Population.
Male.
Female.
Total.
1,644
326
262
70
1
2
1,006
249
82
1
2,650
575
262
152
2
3
2,305
445
1,339
382
In residence. New Westminster, March 31st, 1938	
On probation, carried forward from 1937-38, Essondale
On  probation,  carried  forward  from  1937—38,  New West-
On probation, carried forward from 1937-38,  Saanich 	
Escaped, carried forward from 1937-38, Essondale	
Escaped, carried forward from 1937-38, New Westminster-
Escaped,  carried forward from 1937-38, Saanich.	
1
3,644
Admitted during the year 1938-39—
403
8
19
4
11
374
1
6
1
777
9
25
5
11
827
Total under treatment, Essondale,  New Westminster, and
Saanich, April 1st,  1938, to March 31st, 1939 .   	
Discharged during period, April 1st, 1938, to March 31st,
1939—
(a.)  From Essondale—
27
135
58
1
103
4
120
72
256
86
2
222
4
184
2,750
467
1,721
392
4,471
45
121
28
1
119
As  unimproved	
On probation and still out..	
64
448
378
826
(6.)   From New Westminster—
1
1
1
7
1
1
5
17
On probation and still out.	
4
Died	
10
10
14
24
(c.)   From Saanich—
1
1
7
1
1
7
Died     	
9
9
Total  discharged  from  Essondale,   New  Westminster,  and
859
2,283
1,329
3,612 STATISTICAL TABLES.
X 21
Table No. 1.—Showing the Operations of the Hospitals, Essondale, New Westminster,
and Saanich, from April 1st, 1938, to March 31st, 1939—Continued.
Male.
Female.
Total.
Total.
Movement of Population.
Male.
Female.
Total.
Essondale—
Total on books, March 31st, 1938 „	
1,716
445
1,089
382
1
2,805
827
1
2,161
486
1,472
401
3,633
Discharged  during  1938-39   —-	
448
29
9
378
23
826
52
9
327
29
577
52
1,6.75
1,071
2,746
250
23
New Westminster—
Total on books, March 31st, 193S   	
356
11
273
15
629
Discharged  during   1938-39	
10
1
14
1
24
1
1
262
9
1
262
9
1
345
258
603
Saanich—
272
9
1,675
345
263
2,746
603
263
9
263
263
1,071
258
Total in residence, Essondale, March 31st, 1939	
Total in residence. New Westminster, March 31st, 1939.
2,283
1,329
Grand total in residence, Essondale, New Westminster, and
Saanich, March 31st, 1939     	
3,612
Daily average population 	
Percentage of discharges on admissions  (not including deaths).
Percentage  of   recoveries   on   admissions ___ _,__ 	
Percentage of deaths on whole number under treatment 	
3,569.32
78.72
8.71
4.65 X 22
MENTAL HOSPITALS REPORT, 1938-39.
Table No. 2.—Showing in Summary Form the Operations of the Hospital since
its Inception.
Year.
I
Discharges.
0)  QJ
l3iS
►_;-*■» d
s
3
^^
_SJ S
&8s
c«S
O C[Q
3 S^
n<tf«J
si
°<£
<u     Is
go.-;
llll
"S   (h
w _. 'O
_ Is B ,J
$*> t, JJ
t, .. - .
CJ  OJ _» U
(HDZf-i
1872..
1873-
1874...
1875-
1876-
1877-
1878.
1879..
1880..
1881.
1882..
1883-.
1884	
1885	
1886	
1887	
1888 	
1889	
1890	
1891 	
1892	
1893  	
1894	
1895 .	
1896 	
1897	
1898	
1899	
1900	
1901	
1902  	
1903	
1904	
1905	
1906	
1907	
1908	
1909 .._
1910	
1911	
1912	
1913	
1914 	
1915 __
1916	
1917	
1918    	
Jan. 1, 1919, to March 31,1920
1920-1921 	
1921-1922 	
1922-1923	
1923-1924	
1924-1925	
1925-1926	
1926-1927 ~ 	
1927-1928	
1928-1929	
1929-1930	
1930-1931.    	
1931-1932  	
1932-1933  	
1933-1934	
1934-1935 	
1935-1936	
1936-1937	
1937-1938	
1938-1939 	
18
15
12
29
22
14
16
18
17
13
7
8
10
20
27
36
26
41
52
49
52
44
80
62
64
74
81
101
113
115
121
139
115
123
150
221
230
232
280
332
376
380
402
332
353
371
375
574
489
478
438
447
461
475
494
542
543
602
632
562
635
610
653
679
783
834
827
1
10
4
3
11
4
7
4
6
5
3
4
2
6
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
67t
74*
90§
58
83
73t
88
75
116
88
96
91
84t
63
571!
76§
75*
92t
118*
70*
581
44§
61t
71*
63*
78t
74
72 J
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
78
95
221
173
178
167
121
242
240
171
252
294
311
235
299
323
309
349
304
300
330
345
1
5
3
10
6
3
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
106
132
132
122
114
133
163
138
142
161
147
181
223
191
181
195
200
221
291
268
207
208
16
14 I
19 I
32 I
35 I
38
36 I
41 I
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
607
536
695
690
752
919
1,027
1,090
1,205
1,301
1,347
1,458
1,566
1,649
1,697
1,784
1,884
1,995
2,125
2,269
2,347
2,411
2,550
2,676
2,824
2,960
3,080
3,180
3,301
3,487
3,612
5
13
3
2
10
5
11
5
18
17
6
12
29
2
7
32
18
13
24
26
27
27
43
73
46
29
48
105
62
167
108
63
115
96
46
111
108
83
48
87
100
111
130
144
78
64
139
126
148
136
120
100
121
186
125
28
18
31
26
48
54
49
54
54
68
61
65
57
59
71
88
102
103
123
152
166
175
179
213
224
228
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
1,650
1,753
2,025
2,043
2,137
2,180
2,234
2,327
2,434
2,565
2,743
2,914
3,063
3,148
3,214
3,390
3,530
3,721
3,838
4.067
4,255
4,471
I
6.55
66.66
33.33
10.34
60.00
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
23.72
20.00
20.20
14.17
20.08
20.77
18.56
13.66
12.00
15.38
13.28 I
16.76 |
19.10
10.60
10.32
6.92
10.00
10.87
9.27
9.96
8.87
8.71
5.55
80.00
33.33
26.89
63.63
78.67
62.60
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
67.52
52.17
50.41
53.96
62.61
61.78
62.06
41.20
53.90
64.60
59.28
54.42
63.80
62.10
45.77
52.41
47.87
44.74
45.33
58.71
72.60
57.32
59.36
64.20
66.16
62.53
60.00
60.33
71.07
71.26
64.24
63.52
58.42
60.65
64.32
54.05
63.fi
67.3
78.72
5.55
16.12
11.53
20.83
9.35
6.12
16.16
14.81
8.62
8.19
3.63
5.26
3.33
6.94
6.81
4.80
2.87
3.25
7.64
11.69
6.95
7.60
8.92
8.92
3.94
5.69
6.66
6.42
8.14
6.63
6.06
5.57
5.42
5.34
5.04
5.08
7.44
6.40
4.57
6.83
7.02
5.30
5.43
6.19
5.24
6.42
7.47
6.51
6.97
5.33
6.10
7.25
5.93
5.83
6.27
5.36
6.21
7.28
6.06
5.63
6.75
6.66
6.94
7.58
6.69
4.86
4.65
* Three not insane.     t One not insane.
|| Six not insane.    I Five not insane.
t Two not insane.
I Four not insane. STATISTICAL TABLES.
X 23
Table No. 3.—Showing the Total Number of Admissions, Discharges, and Deaths
from April 1st, 1938, to March 31st, 1939.
Admissions.
Discharges.
Deaths.
Months.
Male.
Female.
Total.
Male.
Female.
Total.
Male.
Female.
Total.
1938.
34
25
59
21
23
44
15
2
17
May „ _ ,
35
29
64
15
16
31
6
4
10
36
42
44
29
80
71
12
17
13
12
25
29
9
10
3
9
12
July 	
19
August —	
35
40
75
18
21
39
16
6
22
35
34
43
32
26
35
67
60
78
21
20
24
13
17
13
34
37
37
9
8
12
6
3
3
15
11
November  _	
15
December  ___ 	
37
33
70
23
18
41
15
6
21
1939.
January  ___ _	
41
27
68
12
14
26
11
6
17
February  __	
33
30
63
25
21
46
14
10
24
40
32
72
16
•    14
30
9
16
25
Totals _____ _	
445
382
827
224
195
419
134
74
208
Table No. 4.—Showing the Civil State of Patients admitted from April 1st, 1938,
to March 31st, 1939.
Civil State.
Male.
Female.
Total.
138
248
4
43
7
5
152
139
2
70
19
290
387
6
113
26
5
445
382
827
Table No. 5.—Showing Religious Denominations of Patients admitted from
April 1st, 1938, to March 31st, 1939.
Religious Denominations.
Male.
Buddhist—	
Christian Science-
Confucianism	
Doukhobor.—	
Greek Catholic	
Hebrew.—	
Lutheran -
Mennonite 	
Penticostal	
Plymouth Brethren .
Protestant..— 	
Quaker __	
Roman Catholic 	
Rosicrucian .... —	
Congregational	
Nazarene  _
Nonconformist	
Greek Orthodox	
Salvation Army	
Seventh-day Adventist..
Spiritualist	
Unknown	
17
3
3
3
51
1
1
2
271
1
73
1
1
Totals
4
1
4
445
2
1
4
16
1
1
1
289
54
5
2
17
5
4
7
67
2
2
3
560
1
127
1
2
1
1
4
2
6
1
7
827 X 24
MENTAL HOSPITALS REPORT, 1938-39.
Table No. 6.—Showing the Degree of Education of those admitted from
April 1st, 1938, to March 31st, 1939.
Degree of Education.
Male..
Female.
Total.
3
22
364
36
20
2
45
271
33
31
5
67
635
69
51
445
382
827
Table No. 7.—Showing the Nationality of those admitted from April 1st, 1938,
to March 31st, 1939.
Nationality.
Australia-
Austria	
Armenia-
Belgium —
British West Indies-
Channel Islands	
China —	
Czechoslovakia 	
Denmark- —
England—	
Egypt  —
Finland..—	
France..	
Germany	
Holland 	
Hungary—	
India —	
Ireland.	
Italy	
Japan..	
Jugoslavia	
Lithuania-	
Latvia 	
Newfoundland .
Norway—	
Poland	
Roumania..	
Russia	
Scotland —	
Serbia	
South Africa-
Sweden	
Switzerland-	
Syria.	
United States —
Unknown	
Wales 	
Canada—
Alberta —
British Columbia-
Manitoba.—	
New Brunswick .
Nova Scotia	
Ontario	
Prince Edward Island —
Quebec..... -
Saskatchewan-
Totals	
Male.
2
1
1
1
1
2
18
2
3
87
14
7
1
1
4
3
1
1
11
6
3
3
29
1
1
18
1
17
2
11
63
16
6
7
46
11
19
13
Female.
1
1
79
1
2
1
5
1
2
11
1
3
32
29
3
7
91
12
4
1
46
3
4
18
Total.
445
2
5
1
1
1
3
18
3
4
166
1
16
1
12
1
3
2
20
2
4
3
1
1
3
14
9
6
6
61
1
2
23
1
1
46
2
3
18
154
28
10
8
92
14
23
31
827 STATISTICAL TABLES.
X 25
Table No. 8.—Showing what Districts contributed Patients from April 1st, 1938,
to March 31st, 1939.
Place of Residence.
Male.
Female.
Total.
Place of Residence.
Male.
Female.
Total.
3
3
1
1
1
1
1
1
2
15
2
1
1
5
3
2
4
2
1
1
4
1
1
1
1
2
1
1
1
1
1
1
3
1
1
1
1
1
1
2
2
1
1
2
2
2
1
13
1
1
1
1
1
4
1
2
1
1
1
1
1
2
1
1
2
1
2
2
1
2
1
1
1
1
1
1
1
2
2
5
3
1
1
1
1
1
2
2
28
1
2
1
1
2
1
1
9
1
5
1
1
1
3
4
2
1
1
5
3
1
1
1
1
1
2
1
1
2
1
3
1
1
1
5
1
2
1
1
1
1
2
1
1
1
1
2
3
1
2
1
82
1
2
1
9
1
7
1
2
3
1
1
1
1
1
4
3
1
3
1
1
3
4
3
17
1
1
8
1
3
1
2
3
1
1
2
6
1
1
2
1
3
1
5
1
3
4
58
1
1
1
2
1
2
1
1
3
1
1
1
1
2
1
5
1
3
1
2
11
1
1
2
1
1
1
3
1
1
1
4
1
1
1
1
1
1
1
1
4
140
Aldergrove-	
Harrison Mills	
1
3
Hedley -	
2
1
Bella Bella..	
Kamloops  	
Kaslo.  	
11
2
9
Bridesville	
Kingcome Inlet 	
2
3
6
1
Lake Cowichan 	
1
Campbell River	
Camp Lister 	
Canal Flats
Lillooet  	
Lumby 	
Luxton	
1
1
1
1
Leechtown ,	
Maillardville  	
Marpole	
1
4
1
1
5
Cobble Hill
Merritt —	
1
Mission	
Mount Begbie  	
4
1
Courtenay	
1
g
Nanoose Bay 	
1
Nelson 	
7
New Denver	
4
Newton 	
2
28
Nicomen Island	
1
Delta	
Northfleld  	
1
Oakalla Prison Farm 	
8
Oak Bay    	
1
Ocean Falls 	
1
141-Mile House 	
1
Oliver 	
Parksville 	
2
1
Pender Harbour  	
1
Penticton.—	
Pitt Meadows  _.
3
Esquimalt  _
2
5
6
Port Hardy 	
1
2
Field
Powell River....	
1
Prince George  	
3
Fort St. John	
Prince Rupert	
Princeton  	
10
1
2
Ganges  —
2
1
Gifford
Quesnel	
4
1
Revelstoke-  	
6
2
1
4
Ruskin	
Rutland	
1
1
8
82
58
140
206
133
339 X 26
MENTAL HOSPITALS REPORT, 1938-39.
Table No. 8.—Showing what Districts contributed Patients from April 1st, 1938,
to March 31st, 1939—Continued.
Place of Residence.
Male.
Female.
Total.
Place of Residence.
Male.
Female.
Total.
206
1
3
2
1
1
1
1
2
1
1
2
1
1
1
2
133
1
1
1
1
2
1
1
3
2
339
2
3
2
1
1
2
2
1
2
1
2
1
1
2
1
2
3
1
4
227
1
175
6
2
7
17
2
1
1
1
1
2
1
1
146
1
186
9
2
2
26
1
1
1
4
1
1
1
373
1
1
361
15
Vancouver, West 	
4
9
Smithers 	
Victoria.	
Wardner	
Webster's Corners	
Wellington-	
Wells	
43
1
Sooke _ 	
3
1
1
1
White Rock	
5
1
1
Summerland	
Sullivan  	
Winfield.  _.
Yahk	
1
2
2
Trail  	
1
Totals..	
227
146
373
445
382
827 STATISTICAL' TABLES.
X 27
Table No. 9.—Showing the Occupations of those admitted from April 1st, 1938,
to March 31st, 1939.
Occupation.
Male.
Female.
Total.
Occupation.
Male.
Female.
Total.
1
3
1
2
3
2
1
2
12
1
8
2
1
1
1
1
4
1
1
2
S
1
3
3
21
2
1
3
1
2
3
2
2
2
12
1
11
2
1
1
1
1
7
21
1
2
1
2
5
35
2
1
11
2
1
5
189
1
11
1
112
1
4
1
1
1
Brought forward _	
Merchant  	
261
1
1
13
2
1
75
1
1
2
2
1
1
1
2
2
1
1
29
3
9
1
6
1
1
1
1
1
1
1
7
2
1
1
2
1
5
1
1
232
1
107
7
2
3
8
1
9
7
1
1
1
2
493
Accountant	
1
1
Baker   	
Barber 	
Miner.	
Motorman	
Musician.. - 	
None	
Nurse	
13
2
2
182
Butcher    	
7
1
Clergyman —	
Clerk    	
Chauffeur-	
Orderly.	
Painter  	
Physician	
Plasterer.	
Police 	
Postman..	
Printer —	
Prospector—	
Prostitute   	
1
2
2
1
1
1
2
Cook..	
2
2
1
1
32
Electrician.	
Sailor - -
Salesman  	
Sawyer  - -	
3
9
SB
1
2
1
11
2
1
5
1
1
112-
1
3
1
1
22
1
2
1
1
2
189
11
1
1
6
9
Seamstress. ....
1
1
Shoemaker.	
1
1
Home-maker   	
Houseboy 	
Stationary engineer 	
Stenographer  	
Stone-cutter	
Storekeeper	
1
9
Lab. assistant 	
1
14
Lather 	
Tailor..	
2
1
2
1
2
....      1        22
1
	
1
2
1
1
2
5
Truck-driver  	
Typist	
1
Totals 	
445
382
261               232
493 X 28
MENTAL HOSPITALS REPORT, 1938-39.
Table No. 10.—Showing the Ages of those admitted from April 1st, 1938,
to March 31st, 1939.
Age.
Male.
Female.
Total.
Un
20
18
31
38
32
33
33
46
40
26
29
30
28
20
21
25
25
26
41
31
34
31
27
41
21
19
12
15
20
14
45
,     20    „        '   	
43
,      25    „ 	
47
,     30    „                                                         	
79
,     35    „    .	
63
,     40    „    .	
67
,     45    „               .               .                          	
64
,     50    „
73
,     55    „	
81
,     60    „	
47
,     65	
48
,     70    „	
42
,     75    „	
43
,     80    „	
40
Oi-(
■r    80    „	
35
Totals	
445
382
827
Table No. 11.—Showing the Number of Attacks in those admitted from
April 1st, 1938, to March 31st, 1939.
Number of Attacks.
Male.
Female.
Total.
First    	
291
37
13
2
8
3
71
252
61
20
11
6
32
543
98
Third      .         .           	
33
Fourth           	
13
14
3
103
Totals  .	
445
382
827
Table No. 12.—Showing the Alleged Duration of Attack prior to Admission from
April 1st, 1938, to March 31st, 1939.
Duration of Attack.
Male.
Female.
Total.
75
63
52
25
25
22
22
12
4
12
3
130
43
63
42
27
26
22
25
22
13
25
74
118
126
94
„     6      „       	
52
„    12      „	
51
44
„     5    „	
47
„   10    „    	
34
„    16    „     '	
17
Over 15    „    	
37
3
204
Totals	
445
382
827 STATISTICAL TABLES.
X 29
Table No. 13.—Showing Statistics of Heredity in those admitted from
April 1st, 1938, to March 31st, 1939.
Heredity.
Male.
Female.
Total.
Paternal and maternal branches  _
1
3
9
17
15
397
3
1
13
14
28
30
296
2
16
23
45
45
693
3
Totals   _     	
445
382
827
Table No. 14.—Showing the Alleged Cause of Attack in those admitted from
April 1st, 1938, to March 31st, 1939.
Alleged Cause.
Male.
Female.
Total.
13
34
1
1
1
1
7
189
1
2
16
17
15
9
3
1
1
1
35
2
1
3
1
80
1
2
5
1
1
11
24
1
1
1
11
1
139
3
12
28
30
14
13
1
1
9
3
56
1
2
1
3
5
2
24
58
2
1
1
1
1
1
18
1
328
1
5
28
45
45
23
16
2
1
1
1
44
5
1
3
1
136
1
2
2
5
10
1
3
445
382
1
827 X 30
MENTAL HOSPITALS REPORT, 1938-39.
Table No. 15.—Showing the State of Bodily Health in those admitted from
April 1st, 1938, to March 31st, 1939.
Bodily Condition.
Male.
Female.
Total.
122
273
50
105
243
34
227
516
84
Totals	
445
382
827
Table No. 16.—Showing the Form of Mental Disorder in those admitted from
April 1st, 1938, to March 31st, 1939.
Form of Disorder.
Male.
Female.
Total.
35
173
17
34
19
11
34
7
3
1
2
3
79
7
18
2
25
120
2
13
10
39
20
53
16
3
1
56
7
1
15
1
60
293
2
30
44
58
31
87
23
3
1
5
4
135
14
1
33
3
Totals 	
445
382
827
TABLE No. 17.
-Showing the Number allowed out on Probation and Results from
April 1st, 1938, to March 31st, 1939.
Results.
Male.
Female.
Total.
27
137
59
1
24
109
45
121
28
1
35
123
72
258
87
59
232
Totals  	
357
353 STATISTICAL TABLES.
X 31
Table No. 18.—Showing the Alleged Duration of Insanity prior to Admission in
those discharged from april 1st, 1938, to march 31st, 1939.
Duration of Insanity.
Male.
Female.
Total.
Less than 1 week	
1 month _
2 months .
6      „
12      ,.
2 years.
3 „    ...
3 years and over....
Not insane—	
Unknown .	
Totals	
37
38
20
9
13
12
7
22
66
38
41
21
6
1
30
32
195
75
79
41
17
25
18
13
1
52
Table No. 19.—Showing the Length of Residence of those discharged from
April 1st, 1938, to March 31st, 1939.
Discharged
recovered.
Discharged
improved.
Discharged
unimproved.
Not
Insane.
Length of Residence.
aj
la
V
'ti
1
fa
_
S
OJ
1
fa
oj'
H
fa
.2
S
oj'
'd
1
fa
2
5
14
3
2
1
2
4
7
12
2
6
8
1
1
2
20
7
16
17
17
13
21
7
5
2
12
12
18
14
29
13
8
11
7
2
2
5
25
5
2
7
4
2
7
2
2
1
2
14
5
2
4
2
1
1
2 months —
,     3      „             	
1
,     6      „        	
,     9      „               	
,12 —	
,     3    „    _          	
,     4    „    	
,     5    „    	
5 y
;ars and over.  	
.._
Totals	
27
45
137
121
59
28
1
1 X 32
MENTAL HOSPITALS REPORT, 1938-39.
Table No. 20.-
-Record of
Deaths from April
1st, 1938, to March 31st, 1939,
Essondale, New Westminster
and Saanich.
Register
Age.
Time in Hospital.
No.
Initials.
Sex.
Certified Cause.
Years.
Months.
Days.
14672
C. R. E.
M.
22
2
6
24
Pulmonary tuberculosis.
11612
J. M.
F.
45
7
5
22
Pulmonary tuberculosis.
15940
G. A. K.
F.
66
10
29
Exhaustion of senile dementia.
10878
D. P.
M.
79
8
8
8
Chronic myocarditis arteriosclerosis.
14765
C. R.
M.
64
2
5
Cardiac asthma.
14129
L. P.
m.
55
3
4
24
Bronchopneumonia.
2411
C. B.
M.
72
29
9
10
Chronic myocarditis.
16612
e. c. c.
M.
53
1
5
Bronchopneumonia.
16673
R. R.
M.
61
11
Exhaustion of general paresis.
5724
0.0.
M.
50
19
3
25
Pulmonary tuberculosis.
16686
L. W.
M.
50
9
Bronchopneumonia ;   syphilis ;  arteriosclerosis.
16530
H. A. G. P.
M.
23
2
18
Pulmonary tuberculosis.
16708
W. H.
M.
77
4
Exhaustion of senile dementia.
15361
e. s.
M.
17
1
8
8
Myocarditis  due to  sepsis due to  suppurative
mastoiditis.
13012
B. R.
M.
62
5
2
26
Exhaustion of arteriosclerotic dementia.
8983
A. M. P.
M.
42
12
3
17
Pulmonary tuberculosis.
16724
G. M. C.
M.
82
11
Chronic myocarditis arteriosclerosis.
9199
F. M. McG.
F.
29
11
10
26
Exhaustion  of   epilepsy  with   psychosis;   T.B.
kidneys and lungs.
14457
S. E.
M.
49
3
8
Coronary sclerosis. *
16723
C. F.
F.
68
15
Exhaustion of arteriosclerotic dementia.
492
J. M.
M.
69
45
6
16
Bronchopneumonia ; chronic hephritis.
16742
T. T.
M.
48
16
Exhaustion of toxic psychosis.
16660
M. L.
F.
51
1  .
24
Exhaustion of general paresis.
16419
J. K. R.
M.
59
5
23
Exhaustion of arteriosclerotic dementia.
14426
H. J.
F.
68
3
1
—.
Bronchopneumonia ; chronic cholecystitis.
16125
D. S.
M.
60
10
7
Coronary thrombosis.
15970
L. R.
M.
52
1
15
Lobar pneumonia.
16778
J. G.
M.
55
—
14
Coronary embolism.
15308
B. H.
M.
68
1
10
12
Exhaustion of arteriosclerotic dementia.
15943
T. F. H.
M.
62
1
1
3
Bronchopneumonia ; chronic myocarditis.
16699
L. F.
M.
78
2
4
Exhaustion of senile dementia.
16617
R. F. B.
M.
75
3
15
Exhaustion of senile dementia.
8193
A. D.
F.
57
14
2
9
Chronic myocarditis.
16465
J. H. T.
M.
50
5
29
Carcinoma of the bladder ;  chronic myocarditis.
16713
J. W.
M.
64
2
7
Strangulation by hanging (suicide).
16873
M. H. B.
M.
80
	
5
Coronary thrombosis.
16619
S. L.
M.
62
3
27
Exhaustion of general paresis.
16303
A. M. W.
F.
32
8
20
Pulmonary tuberculosis.
13052
F. I.
M.
51
5
4
17
Pulmonary tuberculosis.
13405
W. H. R.
M.
68
4
10
General peritonitis ; carcinoma of pancreas.
14295
A. H.
F.
27
3
5
9
Cerebral haemorrhage.
14526
E. P. Di P.
F.
18
3
1
3
Pulmonary tuberculosis.
15353
M. C. S.
F.
45
1
11
3
Bronchopneumonia.
16790
H. C. C.
M.
73
—
2
17
Exhaustion of senile dementia.
13847
L. H.
F.
52
4
1
12
Cerebral haemorrhage; bronchopneumonia.
15927
M. E. V. K.
F.
33
1
2
5
Pulmonary tuberculosis.
15298
C. L. J.
M.
43
1
11
26
Chronic myocarditis arteriosclerosis.
16654
E. P. J.
M.
74
3
27
Exhaustion of senile dementia.
1352
J. V.
M.
87
35
5
9
Coronary sclerosis arteriosclerosis.
16884
S. s.
M.
68
20
Exhaustion of senile dementia.
16844
M. McL.
F.
71
1
9
Bronchopneumonia.
6384
E. P.
F.
52
16
1
12
Pulmonary tuberculosis.
16272
B. M. S.
F.
59
10
Bronchopneumonia.
12541
C. J. R.
F.
34
6
2
28
Gangrene of lung.
15384
L. McL.
F.
18
1
11
13
Bronchopneumonia.
10343
A. B.
F.
56
9
11
23
Chronic pulmonary phthisis.
12231
J. H.
M.
67
6
9
23
Chronic myocarditis; arteriosclerosis.
4358
G. R.
M.
56
23
5
23
Coronary sclerosis ; arteriosclerosis.
16970
T. W. F.
M.
81
	
3
Exhaustion of senile dementia.
15616     |
1
L. R. S.
M.
29
1
7
27
Jacksonian epilepsy; post-traumatic. STATISTICAL TABLES.
X 33
Table No. 20.—Record of Deaths from April 1st, 1938, to March 31st, 1939,
Essondale, New Westminster, and Saanich—Continued.
Register
Time
in Hospital.
No.
Initials.
Sex.
Age.
Years.
Months.
Days.
Certified Cause.
16964
J. P.
F.
77
6
Exhaustion of senile dementia.
16712
F. L. M.
M.
36
4
3
Exhaustion of general paresis.
16009
J. L.
M.
68
1
2
14
Exhaustion of arteriosclerotic dementia.
12623
H. M. T.
F.
25
6
2
3
Pulmonary tuberculosis.
11160
J. A. A. S.
M.
71
8
7
5
Bronchopneumonia ; chronic myocarditis.
16467
G. H.
M.
69
7
23
Bronchopneumonia; chronic myocarditis.
15130
P. J. F.
M.
59
2
3
28
Exhaustion of general paresis.
16902
E. W. B.
M.
68
1
20
Chronic myocarditis.
14175
J. R. C
M.
57
3
8
28
Exhaustion of general paresis.
17026
J. R.
F.
51
6
Hypostatic pneumonia.
16881
A. T.
M.
72
2
5
Chronic myocarditis.
4076
A. A. A. A.
M.
60
24
3
14
Intestinal obstruction.
16501
A. B. L.
M.
23
8
Exhaustion of epilepsy with psychosis.
16804
C. B.
F.
74
3
13
Exhaustion of arteriosclerotic dementia.
16990
E. F.
F.
68
29
Bronchopneumonia ; chronic myocarditis ; arteriosclerosis.
4456
M. H.
F.
49
23
4
12
Pulmonary tuberculosis.
17015
W. S. V.
M.
62
22
Exhaustion of arteriosclerotic dementia.
17061
J. H.
M.
49
2
Exhaustion of general paresis.
16982
M. J. T.
F.
74
1
8
Bronchopneumonia.
16993
L.J.
M.
47
1
6
Exhaustion of general paresis.
17046
T. S.
M.
62
16
Chronic myocarditis ; bronchopneumonia.
8124
J. McL.
M.
57
14
7
11
Chronic myocarditis.
16846
T. W. E.
M.
54
3
17
Strangulation (suicide).
16421
S. P.
F.
60
10
5
Exhaustion of arteriosclerotic dementia.
6763
H. C. L.
M.
81
17
7
18
Chronic myocarditis.
14596
S. B.
M.
29
3
2
12
Pulmonary tuberculosis.
13556
H. 0.
M.
51
4
9
10
Exhaustion of general paresis.
8865
L. L.
M.
74
13
13
Exhaustion of arteriosclerotic dementia.
17020
s. c.
F.
67
1
26
Exhaustion of senile dementia.
12402
C E. G.
F.
74
6
8
14
Pulmonary tuberculosis.
17116
M. McG.
M.
46
13
Bronchopneumonia.
6348
C. N.
M.
79
18
6
18
Bronchopneumonia; chronic myocarditis.
17122
A. D.
M.
45
17
Exhaustion of general paresis.
13377
A. B.
M.
63
5
2
7
Chronic myocarditis.
17010
V. B.
M.
46
2
17
Exhaustion of dementia praeeox.
11091
J. s.
M.
69
8
11
5
Bronchopneumonia ; chronic myocarditis; arteriosclerosis.
17176
M. A. S.
F.
81
3
Bronchopneumonia ; coronary sclerosis ; arteriosclerosis.
16995
H. C. K.
M.
77
2
25
Carcinoma of the lip.
4177
L. L. B. G.
M.
55
24
3
9
Bronchopneumonia; hydronephrosis due to benign mypertrophy of prostate.
17193
J, M.
M.
60
Exhaustion of arteriosclerotic dementia ; chronic
myocarditis; decubitus.
16728
W. J. C. J.
M.
61
6
23
Exhaustion of involutional melancholia.
17123
H. W. L. C.
M.
80
1
5
Exhaustion of senile dementia.
17208
G. I. A.
F.
30
3
Chronic myocarditis.
12389
W. C.
M.
38
6
9
23
Pulmonary tuberculosis.
17206
H. T.
M.
31
9
Exhaustion of epilepsy with psychosis.
11185
J. W.
F.
51
7
9
Bronchopneumonia ; chronic hephritis ; intestinal obstruction adhesion.
15076
G. L. B.
F.
40
2
7
22
Pulmonary tuberculosis.
12118
U. M. E.
F.
63
7
3
24
Carcinoma of the stomach with metastases to
liver.
15667
W. J. T.
M.
57
1
10
13
Cerebral haemorrhage.
14547
L. K.
M.
58
3
5
14
General peritonitis; gangrene of transverse
colon;   auricular thrombosis with embolism.
12980
W. R.
M.
73
5
11
20
Bronchopneumonia.
16633
A. E. N.
M.
67
8
26
Exhaustion of general paresis.
17047
M. C.
F.
77
3
	
Exhaustion of senile dementia.
17228
A. R.
M.
75
10
Exhaustion of arteriosclerotic dementia. X 34
MENTAL HOSPITALS REPORT, 1938-39.
Table No. 20.—Record of Deaths from April 1st, 1938, to March 31st, 1939,
Essondale, New Westminster, and Saanich—Continued.
Register
No.
Time in Hospital.
Certified Cause.
Initials.
Sex.
Age.
Years.
Months.
Days.
17200
H. T.
M.
67
25
Exhaustion of paralysis agitans.
17241
A.S.
M.
79
9
Exhaustion of senile dementia.
16538
C. A. S.
M.
77
10
14
Exhaustion of arteriosclerotic dementia.
11040
G. M.
M.
37
9
1
13
Pulmonary tuberculosis ; chronic myocarditis.
9796
C. H. P.
M.
46
11
4
22
Chronic ulcerative phthisis.
16293
J. W.
M.
63
1
2
21
Exhaustion of arteriosclerotic dementia.
17231
E.G.
F.
27
	
25
Strangulation by hanging (suicide).
14739
M. K.
F.
63
3
2
9
Exhaustion of senile dementia.
15510
A. T.
M.
25
2
2
2
Pulmonary tuberculosis.
15692
T. J. F.
M.
59
1
10
30
Bronchopneumonia.
17244
C. W. D.
M.
70
	
23
Carcinoma of the upper lip.
15999
A. V. C. A.
M.
24
1
7
7
Exhaustion of schizophrenia; osteomyelitis of
left elbow.
16997
W. J. G.
M.
45
4
20
Bronchopneumonia; hydrocephalus left lateral
ventricle.
16085
E. P.
F.
71
1
5
6
Exhaustion of senile dementia.
16198
J. S.
F.
86
1
4
22
Exhaustion of senile dementia.
9914
H. K. I.
M.
63
13
2
2
Exhaustion of epilepsy with psychosis.
12385
G. H. H.
M.
50
6
11
13
Bronchopneumonia ; chronic myocarditis ; mitral
stenosis.
14720
J. M. G.
F.
76
3
3
11
Exhaustion of senile dementia.
14408
C. G.
M.
73
3
9
6
Bronchopneumonia; exhaustion of senile dementia.
17217
D. V.
M.
72
	
1
27
Exhaustion of senile dementia.
17192
D. F.
F.
64
2
7
Exhaustion of manic depressive psychosis;
bronchopneumonia.
13870
A. E. B.
M.
47
4
7
3
Exhaustion of general paresis.
14348
J. M.
M.
43
3
10
13
Pulmonary tuberculosis.
16916
J. H.
M.
55
6
11
Exhaustion of general paresis.
17110
I. MacL.
F.
70
	
3
15
Bronchopneumonia; chronic myocarditis.
15887
G. I. W.
M.
66
1
9
13
Bronchopneumonia ; chronic myocarditis ; py-
lonc scarring.
17144
F. F.
M.
74
3
3
Exhaustion of senile dementia.
17174
C. J.
M.
58
2
25
Bronchopneumonia ; chronic myocarditis.
17368
G. McL.
M.
84
4
Exhaustion of senile dementia.
17354
A. H.
M.
60
12
Exhaustion of general paresis.
17127
F. L.
M.
86
3
18
Exhaustion of senile dementia.
5133
0. H.
M.
61
21
8
17
Carcinoma of stomach.
17351
M. S. W.
M.
62
....
17
Bronchopneumonia ; chronic myocarditis ; arteriosclerosis.
16711
N. A.
F.
60
9
27
Exhaustion of senile dementia.
17057
L. S.
M.
62
4
27
Bronchopneumonia.
17320
P. L.
M.
76
1
5
Exhaustion of senile dementia.
6375
J. T.
F.
65
18
9
6
Bronchopneumonia ; arteriosclerosis.
16301
J. M. C.
F.
72
1
4
7
Coronary thrombosis ;  chronic myocarditis.
3153
J. A. McG.
M.
64
27
1
16
Bronchopneumonia ; chronic myocarditis.
17399
C. F. L.
M.
51
....
3
Pylonephritis due to prostatitis (chronic) ;
chronic myocarditis.
9398
J. G.
F.
54
12
4
3
General peritonitis; perforated intestine embolus ; mitral stenosis.
14437
A. A. C.
F.
70
3
9
18
Exhaustion of senile dementia.
16609
F. E. J.
M.
76
11
19
Exhaustion of senile dementia.
15391
V. McD.
F.
24
2
6
25
Bronchopneumonia; status epilepticics.
15819
E.G.
F.
84
1
11
	
Exhaustion of senile dementia.
16173
H. M. K.
F.
63
1
6
17
Exhaustion of arteriosclerotic dementia.
8556
M. E. J.
F.
78
14
14
Coronary thrombosis.
17398
D. McL
M.
82
	
13
Exhaustion of arteriosclerotic dementia.
14365
J. P.
M.
48
3
11
8
Pulmonary tuberculosis.
17391
M. W.
F.
63
	
20
Bronchopneumonia ; arteriosclerosis.
15333
A. R.
F.
64
2
7
—
Bronchopneumonia; mitral stenosis; chronic
myocarditis.
15878
M. A. B.
F.
69
1
10
19
Bronchopneumonia ; chronic myocarditis ; arteriosclerosis. STATISTICAL TABLES.
X 35
Table No. 20.—Record of Deaths from April 1st, 1938, to March 31st, 1939,
Essondale, New Westminster, and Saanich—Continued.
Register
Time
in Hospital.
No.
Initials.
Sex.
Age.
Years.
Months.
Days.
Certified Cause.
13843
A.M.
F.
24
4
9
4
Pulmonary tuberculosis.
4036
E. De H.
F.
73
24
10
19
Bronchopneumonia ; chronic myocarditis.
16958
L. D.
F.
70
7
Chronic myocarditis.
8851
M.S.
F.
63
13
5
12
Bronchopneumonia; chronic myocarditis.
2064
G. M.
M.
69
31
2
22
Coronary thrombosis with bifarction.
17209
S. C.
M.
69
	
2
18
Exhaustion of senile dementia.
14817
t. h.
M.
23
3
3
14
Pulmonary tuberculosis.
17151
C. Q. K.
M.
75
4
12
Exhaustion of senile dementia.
17387
H. W.
M.
61
1
6
Exhaustion of general paresis.
17431
J. T.
M.
61
16
Chronic myocarditis.
17381
J. M.
M.
66
1
13
Exhaustion of senile dementia.
16517
M. A. M. A.
F.
54
1
20
Exhaustion of arteriosclerotic dementia.
14299
V. E. M.
F.
32
4
1
7
Pulmonary tuberculosis.
15429
R. L. F.
F.
19
2
6
Pulmonary tuberculosis ;   chronic myocarditis.
15035
M. E. L.
F.
50
3
5
Pulmonary tuberculosis; tuberculosis of vertebrae ;   tuberculosis of small intestine.
16829
0. B. O.
M.
84
9
15
Exhaustion of senile dementia.
17326
E. A. F.
F.
63
2
17
Exhaustion of senile dementia.
15227
M. A. K.
F.
18
2
9
19
Pulmonary tuberculosis.
15602
V. B.
M.
19
1
4
6
Perforated appendix (with operation).
10039
E. J. R.
F.
26
10
4
....
Toxemia, from burns of lower trunk and extremities ; myocardial failure.
11366
N. R.
F.
23
8
Exhaustion of dementia praecox.
14536
L. C.
M.
24
3
12
Pulmonary tuberculosis.
16328
C. C.
M.
19
8
29
Exhaustion of idiocy.
14384
W. R. F.
M.
18
3
3
Status epilepticus.
1718
H. D.
M.
66
32
7
13
Chronic myocarditis.
13178
V. L. G.
F.
25
5
3
17
Chronic parenchymatous nephritis.
16689
A. R.
F.
36
5
Exhaustion of idiocy.
5946
P. I. P.
M.
35
19
4
	
Epileptic convulsion.
17157
M. T. F.
F.
1
15
Acute enteritis with intestinal haemorrhage.
10464
T. E. L.
F.
23
10
2
29
Exhaustion of idiocy.
13836
M. M.
F.
10
4
8
....
Bronchopneumonia with pleurisy.
15707
L. B.
M.
12
2
17
Exhaustion of idiocy.
7874
P. E. R.
F.
24
15
6
8
Exhaustion of idiocy.
16764
G. C.
F.
31
	
9
16
Pulmonary tuberculosis.
17430
G. F.
F.
6
14
Acute entero colitis.
8978
F. L.
M.
41
12
6
29
Pthisis pulmonalis.
5017
J. G.
M.
48
21
6
22
Carcinoma of liver.
2803
H. L.
M.
60
27
8
13
Pthisis pulmonalis.
972
J.J.
M.
74
38
8
28
Myocarditis.
3732
W. J. O.
M.
68
25
2
	
Coronary thrombosis.
8873
W. B. T.
M.
73
13
1
21
Coronary thrombosis.
15186
W. B.
M.
35
2
8
7
Bronchitis. X 36 MENTAL HOSPITALS REPORT, 1938-39.
PART II— FINANCIAL.
BURSAR'S REPORT.
Essondale, B.C., September 8th, 1939.
A. L. Crease, Esq., M.D., CM.,
General Superintendent of Mental Hospitals,
Essondale, B.C.
Sir,—I have the honour to submit herewith balance-sheets, profit and loss accounts, and
various other statements covering the financial operations of the Provincial Mental Hospitals
of British Columbia for the fiscal year ended March 31st, 1939.
The average daily population increased during the year by 172 as against 178 in the
previous year and this gain is naturally reflected in our expenditure. The gross operating
expense of the three institutions, including expenditures by the Colony Farm, Psychopathic
Division (outside clinics), and Public Works Department in connection with the hospitals,
amounts to $1,349,716.12, an increase of $87,112.02 over the year 1937-38. The net operating
expense increased $85,239.47.
Included in the above figures are some heavy expenditures for new equipment for the
Public Works Department, including $11,750 for rock-crushing and cement-mixing equipment
and $862 for a new ^-ton pick-up truck. Service-pay to attendants and nurses increased
salaries by approximately $14,000, while insulin and metrazol treatment of patients together
with greatly increased X-ray and dental-work has substantially added to the cost of medical
supplies and service.
Colony Farm expenditure increased $6,972.90 over the previous year while the value of
produce supplied to the institution by the farm amounted to $189,632.73, a gain of $11,774.38.
Essondale hospital was supplied with dairy and other farm produce to a value of $165,261.98,
and the New Westminster institution $24,370.75. Gross expenditure for Colony Farm was
$153,253.21; remittances to the treasury from the sale of stock and other farm produce
$18,444.30;   leaving a net expenditure of $134,808.91.
Revenue collections and remittances made during the year were as follows: Public
Hospital for the Insane, New Westminster, $17,142.43; Mental Hospital, Essondale, $177,-
165.79; Mental Home, Saanich, $14,908.17; a total of $209,216.39, exclusive of Colony Farm.
This is an increase of $1,872.55 over 1937-38.
Capital expenditures during the year included the completion of No. 2 home for Nurses
at Essondale, $4,486.56; completion of "G and Con" and "J and K" Wards, New Westminster, $12,170.32; and the construction of a new cottage for the supervisor of the Mental
Home, Saanich, at a cost of $5,921.80.
During the year a thorough audit was made and a most satisfactory report received on
the books and records of the Institution.
The work of the Bursar's department has been greatly facilitated by the harmonious
relations that have marked all our dealings with the various departments of the institution
and Government, and to yourself, Sir, to Dr. Ryan, Medical Superintendent, and to all other
officers and members of the staff I express my appreciation of the many courtesies and the
co-operation shown.
All of which is respectfully submitted.
Gowan Macgowan,
Bursar. NEW WESTMINSTER. X 37
PUBLIC HOSPITAL FOR INSANE, NEW WESTMINSTER.
Balance-sheet, March 31st, 1939.
Assets.
Cemetery   $610.89
Buildings        953,186.38
Plant and equipment         21,200.82
Furniture and fixtures         32,233.46
Inventories  (unissued stores) —
Provisions   $5,132.03
Furniture and fixtures      4,878.70
Maintenance and repairs—
Janitors' supplies     $176.22
Tools, P.W.D.   1,573.05
Stores, P.W.D.   2,619.95
     4,369.22
Clothing      12,270.45
Miscellaneous         220.63
         26,871.03
Deficit (cost of operations, 1938-39)       234,617.11
$1,268,719.69
Liabilities.
Government of Province of British Columbia  $1,268,719.69
Profit and Loss Account, March 31st, 1939.
Salaries  $124,006.36
Office supplies   1,518.58
Travelling expenses   948.15
Fuel, water, light, and power   24,387.61
Maintenance and repairs   24,740.57
Furniture and fixtures   4,129.62
Provisions   53,595.96
Clothing    10,390.98
Medical and surgical supplies  2,362.72
Incidentals and unforeseen  5,678.99
Collections for year to Treasury             $17,142.43
Net operating cost for year               234,617.11
$251,759.54    $251,759.54 X 38 MENTAL HOSPITALS REPORT, 1938-39.
PROVINCIAL MENTAL HOSPITAL, ESSONDALE.
Balance-sheet, March 31st, 1939.
Assets.
Land '.     $117,763.50
Buildings     4,347,253.32
Furniture and fixtures        113,709.72
Plant and equipment          59,016.98
Inventories (unissued stores) —
Provisions   $31,447.08
Clothing      15,021.21
Furniture and fixtures      12,154.90
Miscellaneous         2,993.32
Fuel         9,326.65
Maintenance and repairs—
Janitors' supplies       $114.11
Tools, P.W.D.   12,913.25
Stores, P.W.D.      8,785.77
    21,813.13
Medical and surgical        4,887.09
97,643.38
Deficit (cost of operations, 1938-39)   813,685.93
$5,549,072.83
Liabilities.
Government of Province of British Columbia $5,549,072.83
Profit and Loss Account, March 31st, 1939.
Salaries  $440,321.50
Office supplies   10,219.23
Travelling expenses   4,724.27
Fuel, water, light, and power  86,800.42
Repairs and renewals   104,140.53
Furniture and fixtures   17,534.50
Provisions   218,690.74
Clothing, boots, etc.   55,483.04
Medical and surgical supplies   17,663.45
Examinations, committals, and transportation   8,742.38
Incidentals and contingencies   26,531.66
Collections for year to Treasury          $177,165.79
Net operating cost for year            813,685.93
$990,851.72    $990,851.72 SAANICH. X 39
MENTAL HOME, SAANICH.
Balance-sheet, March 31st, 1939.
Buildings      $289,463.45
Furniture and fixtures        20,095.91
Implements and stock  5,478.30
Airing and recreation courts  750.00
Inventories  (unissued stores) —
Provisions   $1,297.31
Clothing      2,424.70
Furniture and fixtures      2,603.70
Maintenance and repairs—
Janitors' supplies   $259.15
Tools and stores, P.W.D.      670.66
        929.81
Fuel         192.15
  7,447.67
Deficit  (cost of operations, 1938-39)           92,196.69
$415,432.02
Liabilities.
Government of Province of British Columbia    $415,432.02
Profit and Loss Account, March 31st, 1939.
Salaries    $55,360.23
Office supplies   565.15
Travelling expenses   188.83
Fuel, water, light, and power  8,910.42
Maintenance and repairs   4,390.05
Furniture and fixtures  1,062.10
Provisions   25,075.54
Clothing   .  6,472.14
Medical and surgical supplies  353.39
Examinations, committals, and transportation   29.20
Incidentals and unforeseen   4,697.81
Collections for year to Treasury             $14,908.17
Net operating cost for year               92,196.69
$107,104.86    $107,104.86 X 40
MENTAL HOSPITALS REPORT, 1938-39.
Salaries
Less room
PSYCHOPATHIC DIVISION.
Expense Statement, March 31st, 1939.
Expenses—
Office supplies 	
Telephone and telegraph
Travelling expenses 	
Fuel 	
Water	
Light and power	
Janitor's service and supplies
Incidentals and contingencies
$15,856.58
420.00
$275.65
150.36
1,774.01
157.97
11.60
68.78
300.00
883.67
$15,436.58
3,622.04
$19,058.62
Note.—The above expenses absorbed into the New Westminster, Essondale, and Saanich
statements on basis of population.
HEADQUARTERS DEPARTMENT.
Expense Statement, March 31st, 1939.
Salaries    $17,366.37
Less room   720.00
Expenses—
Office supplies      $1,533.56
Incidentals and contingencies   76.00
$16,646.37
1,609.56
$18,255.93
Note.—The above expenses absorbed into the New Westminster, Essondale, and Saanich
statements on basis of population. FINANCIAL TABLES.
X 41
FINANCIAL TABLES.
Table A.—Showing the Average Number of Patients in Residence each Year, the Total
Amounts spent for Maintenance, and the Gross Per Capita Cost.
Year.
Average
Number in
Residence.
Maintenance
Expenditure.
Per Capita
Cost.
1872  (81 days)      —	
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
535.66
716.35
585.38
752.78
562.12
755.46
90.51
567.47
834.10
108.67
596.07
$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
15,565.87
15,334.43
15,945.22
16,261.06
15,657.79
17,577.80
21,757.03
23,518.37
25,904.98
26,495.83
31,587.89
32,001.40
36,224.76
46,420.25
54,917.45
69,349.20
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
124,124.68
166,231.51
156,574.85
222,097.37
236,631.90
357,630.99
40,433.28
233,486.76
336,585.35
51,995.87
210,887.45
$616.00
1873                                                                                       	
487.98
1874                                               	
491.20
1875                                                   .              	
360.77
1876..  	
344.91
1877                                                     ...	
373.26
1878                                                  	
382.93
1879	
268.63
1880    	
232.32
1881                                                   	
226.62
1882                        	
237.02
1883                                                                                       	
242.75
1884                                                     —	
243.20
1885	
284.54
1886                                                     	
259.42
1887                                                       	
216.70
1888                       ..    -
204.72
1889	
219.60
1890                                                    - 	
223.13
1891                                                    -	
181.50
1892  	
187.80
1893	
193.36
1894                        ....           	
178.25
1895                           	
193.83
1896                                                       -	
186.67
1897                         -              -    	
191.75
1898                                              -	
214.38
1899	
242.52
1900                                                   	
244.00
1901                                              	
205.54
1902                                                  - 	
186.59
178.65
1904                                                  	
187.89
1905	
185.80
1906                                                   	
177.79
178.59
1908                                                    - - -	
183.92
1909	
183.32
184.43
1911                           ... —	
197.78
177.71
1913, M.H., New Westminster ._	
217.36
184.76
258.56
1914, M.H., Essondale   -	
268.36
238.53
1915, M.H., Essondale	
220.99
221.40
1916, M.H., Essondale - 	
1917, M.H., New Westminster _ 	
245.91
231.72
232.05
1918, M.H., New Westminster - _	
1918, M.H., Essondale  - 	
267.47
295.03
420.97
473.38
446.72
411.44
403.52
478.47
1921-22, M.H., New Westminster 	
353.79 X 42
MENTAL HOSPITALS REPORT, 1938-39.
Table A.—Showing the Average Number of Patients in Residence each Year, the Total
Amounts spent for Maintenance, and the Gross Per Capita Cost—Continued.
Year.
Average
Number in
Residence.
Maintenance
Expenditure.
Per Capita
Cost.
890.32
120.05
603.40
942.60
127.57
628.85
963.83
139.69
620.23
1,046.78
156.28
612.28
1,151.21
164.55
652.98
1,238.81
172.99
667.33
1,302.77
221.41
701.22
1,363.43
228.96
737.12
1,414.29
226.62
547.98
1,693.31
240.43
361.88
1,991.41
264.06
389.86
2,102.92
258.95
430.00
2,191.48
263.17
489.72
2,317.22
262.56
607.26
2,361.31
257.50
510.65
2,448.90
258.38
532.41
2,602.17
261.52
596.25
2,710.32
261.62
$321,150.35
47,860.96
214,672.13
312,955.52
47,216.01
219,277.02
334,227.39
53,597.29
201,023.79
385,160.68
58,715.33
182,864.26
454,409.02
59,792.32
185,394.70
489,843.33
67,795.28
195,215.68
522,430.46
84,639.66
207,340.35
577,576.29
97,313.32
232,653.31
615,048.53
91,199.58
210,193.51
699,548.70
104,342.82
178,146.40
706,772.16
102,171.37
171,767.80
685,279.78
100,862.54
159,996.23
661,657.29
90,782.29
181,335.00
714,027.74
95,963.92
193,317.83
771,489.05
96,608.79
219,117.21
844,164.44
98,070.47
225,208.71
934,572.97
102,822.42
251,759.54
990,851.72
107,104.86
$360.71
1921-22, M.H., Saanich 	
398.67
355.77
332.01
1922-23, M.H., Saanich .-.	
1923-24, M.H., New Westminster ~	
1923 24, M.H , Essondale                           -	
370.11
348.69
346.76
383.68
324.11
1924 25, M H., Essondale	
367.94
1924-25, M.H., Saanich  -	
375.70
298.66
1926 26, M.H    Essondale                                                	
394.72
1925 26, M.H., Saanich                 	
363.37
1926 27, M.H., New Westminster              	
283.92
1926 27, M.H., Essondale                              .            	
395.41
1926-27, M.H., Saanich ,. ,	
1927-28, M.H., New Westminster	
1927-28, M.H., Essondale             	
391.90
292.53
401.01
1927-28, M.H., Saanich —           .  ~	
381.82
1928-29, M.H., New Westminster	
295.68
1928-29, M.H., Essondale	
423.62
1928-29, M.H., Saanich 	
1929-30, M.H., New Westminster.	
1929-30, M.H., Essondale   	
1929-30, M.H., Saanich	
425.02
315.62
434.88
402.43
383.58
1930-31, M.H., Essondale                                                                	
413.12
1930-31, M.H., Saanich—	
1931-32, M.H., New Westminster	
1931-32, M.H., Essondale   	
1931-32, M.H., Saanich	
433.98
492.28
354.91
402.15
1932-33, M.H., Essondale	
1932-33, M.H., Saanich	
1933-34,  M.H., New Westminster.	
1933-34, M.H., Essondale  	
1933-34, M.H., Saanich	
325.87
389.505
372.08
301.92
1934-35, M.H., New Westminster	
1934-35, M.H., Essondale	
370.28
1934-35, M.H., Saanich   	
1935-36, M.H., New Westminster 	
1935-36, M.H.,  Essnnd-lp
365.49
381.10
326.72
1935-36, M.H., Saanich	
376.18
1936-37, M.H., New Westminster _
429.09
1936-37. M.H., Essondale ..        ....              	
344.71
1936-37, M.H.,  Saanich
379.56
1937-38, M.H., New Westminster    ..    	
1937-38, M.H., Essondale              	
423.00
359.15
1937-38, M.H., Saanich 	
393.17
1938-39, M.H., New Westminster	
422.24
1938-39, M.H., Essondale  	
365.58
1938-39, M.H., Saanich 	 FINANCIAL TABLES.
X 43
Table B.—Showing Analysis of the Per Capita Cost.
Year.
Salaries.
Provisions.
Clothing.
Fuel and
Light.
Furniture.
Medicines.
Miscellaneous.
Total.
1872.
1873.
1874.
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,
1913,
1914,
1914,
1915,
1915,
1916,
1916,
1917,
1917,
M.H.
M.H.
M.H.
M.H.
M.H.,
M.H.:
M.H.,
M.H,
M.H.
M.H.
New Westminster
Essondale 	
, New Westminster
, Essondale 	
, New Westminster
Essondale 	
New Westminster
Essondale	
, New Westminster
, Essondale	
$279.38
221.48
231.10
153.82
143.34
177.15
176.16
134.27
111.84
112.44
121.51
123.81
124.02
169.05
159.03
127.80
118.34
131.70
121.54
88.35
94.25
95.50
87.76
90.83
89.13
89.09
94.68
113.31
116.04
99.16
87.47
82.36
87.43
92.17
88.76
89.18
90.93
94.27
95.97
97.44
78.40
102.37
93.56
116.72
113.06
110.94
95.25
105.89
89.26
103.41
83.57
$184.03
166.81
162.10
113.40
114.45
126.75
124.23
95.10
87.71
81.14
84.52
92.56
90.64
84.33
69.35
59.10
60.47
59.11
62.77
54.79
56.74
53.55
57.07
61.15
55.93
58.18
69.43
72.91
72.62
66.65
61.13
57.86
60.01
54.09
53.15
48.47
49.17
53.41
48.43
58.08
56.37
54.07
49.90
68.15
81.42
64.32
62.84
74.96
75.18
72.20
79.98
$55.81
14.55
22.07
13.98
18.68
20.69
30.43
3.25
5.74
6.86
7.05
6.03
7.03
6.33
5.49
5.88
4.41
7.20
9.02
3.83
4.69
5.43
5.25
9.90
6.30
8.36
9.94
8.31
9.06
10.12
7.95
8.58
6.85
5.99
6.16
5.81
6.61
8.16
7.87
9.39
10.09
9.43
5.50
2.99
15.49
7.67
9.44
2.58
17.76
10.52
18.92
$22.44
23.65
23.98
16.88
22.75
4.66
13.94
15.91
14.06
12.73
12.30
11.04
12.43
15.05
16.20
15.38
13.90
12.93
17.31
20.43
20.53
22.60
18.83
20.41
20.29
19.11
21.82
33.96
32.10
18.52
15.25
14.77
17.84
17.93
15.92
19.82
17.63
13.02
21.32
18.84
19.36
25.27
25.13
24.13
28.93
20.30
24.87
18.52
26.96
18.29
23.39
$15.55
21.59
28.36
25.45
17.90
20.75
7.20
6.39
6.00
6.55
4.54
4.26
4.14
3.90
3.72
3.88
3.11
4.13
4.00
3.40
3.35
3.39
2.98
2.51
2.56
2.95
2.76
2.50
2.15
3.25
4.13
3.24
4.48
3.83
3.57
3.02
4.56
2.78
2.02
1.12
1.79
4.74
.65
. .69
4.14
1.14
4.98
4.77
$10.18
7.74
7.78
6.73
2.86
3.74
9.16
6.31
3.63
2.56
3.49
2.24
2.77
2.93
1.59
.93
2.09
2.07
1.29
1.89
1.80
2.69
1.43
3.10
3.63
3.86
5.12
2.73
1.71
1.07
1.20
1.91
2.10
2.03
1.21
1.57
1.79
.84
1.15
1.87
1.50
3.21
1.02
2.64
1.19
1.88
.56
1.45
.42
2.38
.81
$49.30
32.16
25.81
30.51
24.93
19.52
21.82
7.40
3.34
5.34
3.61
2.82
2.18
2.95
4.04
3.81
2.40
2.46
7.19
8.81
6.42
10.20
4.93
5.93
8.83
10.20
10.62
8.80
10.32
6.77
9.46
9.93
9.18
9.76
10.02
10.72
13.23
10.84
7.67
11.04
10.20
18.27
14.10
44.24
24.13
33.52
26.89
18.00
31.35
24.92
20.61
$616.69
487.98
491.20
360.77
344.91
373.26
382.93
268.63
332.32
226.62
237.02
242.75
243.20
284.54
259.42
216.78
204.72
219.60
223.10
181.52
187.80
193.36
178.25
193.83
186.67
191.75
214.37
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
231.72
232.05
This accounting system was discontinued in 1917, and new system installed as per Table B 1. X 44
MENTAL HOSPITALS REPORT, 1938-39.
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CO    CO    CO FINANCIAL TABLES. X 49
Table D.—Summary Statement showing the Gross and Net Per Capita Cost
of Patients in the Three Institutions.
Public Hospital for Insane, New Westminster—
Total maintenance vouchers  $215,717.32
Proportion Psychopathic Division vouchers   3,239.96
Proportion Headquarters vouchers  3,103.51
Proportion Colony Farm expenditure  24,265.60
Maintenance and repairs (Public Works Department)   26,218.62
Inventories, March 31st, 1938  19,366.43
Less Essondale Clothing Account  $10,490.87
Less Saanich Clothing Account      2,790.00
Less inventories, March 31st, 1939      26,871.03
$291,911.44
40,151.90
Total, Public Hospital for Insane, New Westminster     $251,759.54
Provincial Mental Hospital, Essondale—
Total maintenance vouchers   $768,098.02
Proportion Psychopathic Division vouchers  14,484.56
Proportion Headquarters vouchers  13,874.50
Proportion Colony Farm expenditure   110,543.31
Maintenance and repairs (Public Works Department)   106,880.19
New Westminster Clothing Account  10,490.87
Inventories, March 31st, 1938   64,123.65
$1,088,495.10
Less inventories, March 31st, 1939          97,643.38
Total, Provincial Mental Hospital, Essondale       990,851.72
Mental Home, Saanich—
Total maintenance vouchers  $97,282.38
Proportion Psychopathic Division vouchers   1,334.10
Proportion Headquarters vouchers  1,277.92
Maintenance and repairs (Public Works Department)   3,759.38
New Westminster Clothing Account  .... 2,790.00
Inventories, March 31st, 1938   8,108.75
$114,552.53
Less inventories, March 31st, 1939   7,447.67
Total, Mental Home, Saanich        107,104.5
Total operating expense for the three institutions $1,349,716.12
Less collections remitted to Treasury—
Public Hospital for Insane, New Westminster       $17,142.43
Mental Hospital, Essondale        177,165.79
Mental Home, Saanich         14,908.17
      209,216.39
Total net expense for the three institutions $1,140,499.73
Total daily average population for the three institutions, 3,568.19, showing a gross per
capita of $378.26 per year or $1,036 per day, or a net per capita cost of $319.63 per year or
87.57 cents per day. X 50
MENTAL HOSPITALS REPORT, 1938-39.
Table E.—Expense and Revenue Statement of the New Westminster Hospital
for 12 Months ended March 31st, 1939.
Operating Expense Accounts.
Operating expenditure by voucher—
Salaries  	
Less room-rent
Office supplies—
Books and journals 	
Postage and office supplies
Telephone and telegraph ...
Travelling expenses 	
Fuel, water, light, and power-
Fuel  	
Water 	
Light and power
Maintenance and repairs—Janitors' supplies
Furniture and fixtures—
Bedding 	
Miscellaneous
Provisions—
Groceries
Meat 	
Fish 	
Uniforms and clothing—
Clothing 	
Boots and slippers
Medical and surgical supplies-
Drugs 	
Miscellaneous  	
Incidentals and unforeseen-
Amusements 	
Gratuities 	
Funerals 	
Gas and oil	
Laundry supplies 	
Occupational therapy
Freight and cartage ...
Miscellaneous 	
Total expenditure for year by voucher
$127,101.69
3,549.43
$48.60
537.14
599.71
$14,503.82
3,949.54
5,893.73
$3,822.51
1,920.79
$20,894.66
7,051.15
1,318.34
$20,719.23
1,975.98
$996.86
1,365.86
$1,259.53
7.00
270.00
299.09
509.65
98.11
81.98
3,083.53
Maintenance and repairs (expended through Public Works Department).
Proportion Psychopathic Division vote 	
$123,552.26
1,185.45
646.57
24,347.09
311.68
5,743.30
29,264.15
22,695.21
2,362.72
5,608.89
$215,717.32
26,218.62
3,239.96
Carried forward..
$245,175.90 FINANCIAL TABLES. X 51
Table E.—Expense and Revenue Statement of the New Westminster Hospital
for 12 Months ended March 31st, 1939—Continued.
Operating Expense Accounts—Continued.
Brought forward     $245,175.90
Proportion Headquarters vote   3,103.51
Proportion Colony Farm vote         24,265.60
Less Essondale Clothing Account     $10,490.87
Less Saanich Clothing Account         2,790.00
$272,545.01
13,280.87
$259,264.14
Summary of Profit and Loss Accounts.
Yearly Per
Capita Cost.
Salaries        $124,006.36 $207,977
Expenses—
Office supplies     1,518.58 2.547
Travelling expenses   948.15 1.590
Fuel, water, light, and power  24,387.61 40.902
Maintenance and repairs   24,740.57 41.494
Furniture and fixtures  4,129.62 6.926
Provisions   53,595.96 89.888
Uniforms and clothing  10,390.98 17.427
Medical and surgical supplies   2,362.72 3.963
Incidentals and unforeseen   5,678.99 9.524
$251,759.54 $422,238
Less Revenue Account (maintenance of patients and sundry
sales)         17,142.43 28.750
Net cost of patients' maintenance to Government-. $234,617.11 $393,488
Remarks.
Total patients in residence, New Westminster, March 31st, 1939  603
Daily average population in New Westminster for year  596.25
Gross maintenance per capita cost, one year  $422,238
Gross maintenance per capita cost, one day  1.157
Net maintenance per capita cost, one year  393.488
Net maintenance per capita cost, one day  1.078 X 52 MENTAL HOSPITALS REPORT, 1938-39.
Table F.—Expense and Revenue Statement of the Essondale Hospital
for 12 Months ended March 31st, 1939.
Operating Expense Accounts.
Operating expenditure by voucher—
Salaries     $440,730.63
Less room-rent       24,792.17
Office supplies—
Books and journals    $59.50
Postage and office supplies   3,928.67
Telephone and telegraph  4,741.79
$415,938.46
8,729.96
Travelling expenses   3,376.02
Fuel, water, light, and power—
Fuel      $58,138.80
Water          8,272.65
Light and power        23,205.92
         89,617.37
Maintenance and repairs—Janitors' supplies   1,721.70
Furniture and fixtures—
Furniture   $515.25
Bedding        13,939.45
Miscellaneous :....        7,107.03
21,561.73
Provisions—
Groceries   $93,749.63
Meat   22,399.63
Fish   7,355.74
Uniforms and clothing—
Clothing      $42,264.27
Boots and slippers          6,821.40
Medical and surgical supplies—
Drugs   $10,116.25
Instruments    1,102.64
Miscellaneous    7,923.37
Examinations, committals, and transportation—■
Examinations   $1,296.30
Committals   200.83
Transportation   7,245.25
Incidentals and unforeseen—
Amusements     $2,091.51
Gratuities     328.00
Funerals   1,395.00
Auto-tires   395.79
Auto-repairs   1,161.02
Gas and oil  1,620.63
Laundry supplies   1,477.92
Occupational therapy   1,276.11
Freight and cartage  857.64
Miscellaneous    16,073.85
123,505.00
49,085.67
19,142.26
8,742.38
26,677.47
Total expenditure for year by voucher       $768,098.02
Carried forward     $768,098.02 FINANCIAL TABLES.
X 53
Table F.—Expense and Revenue Statement of the Essondale Hospital
for 12 Months ended March 31st, 1939—Continued.
Operating Expense Accounts—Continued.
Brought forward	
  $768,098.02
Maintenance and repairs (expended through Public Works Department)  106,880.19
Proportion Psychopathic Division vote  14,484.56
Proportion Headquarters vote   13,874.50
Public Hospital for Insane Account   10,490.87
Proportion Colony Farm vote   110,543.31
Summary of Profit and Loss Accounts.
Salaries ..
Expenses-
$1,024,371.45
Yearly Per
Capita Cost.
$440,321.50 $162,461
Office supplies 	
Travelling expenses 	
Fuel, water, light, and power	
Maintenance and repairs 	
Furniture and fixtures 	
Provisions  	
Clothing, boots, and slippers 	
Medical and surgical supplies 	
Examinations, committals, and transportation
Incidentals and unforeseen	
10,219.23
4,724.27
86,800.42
104,140.53
17,534.50
218,690.74
55,483.04
17,663.45
8,742.38
26,531.66
$990,851.72
Less Revenue Account (maintenance of patients and sundry
sales)       177,165.79
3.770
1.743
32.026
38.424
6.470
80.688
20.471
6.517
3.225
9.789
$365,584
65.367
Net cost of patients' maintenance to Government... $813,685.93 $300,217
Remarks.
Total patients in residence, Essondale, March 31st, 1939  2,743
Daily average population in Essondale for year  2,710.32
Gross maintenance per capita cost, one year  $365,584
Gross maintenance per capita cost, one day  1.002
Net maintenance per capita cost, one year  300.217
Net maintenance per capita cost, one day  0.823 X 54 MENTAL HOSPITALS REPORT, 1938-39.
Table G.—Expense and Revenue Statement of the Saanich Hospital
for 12 Months ended March 31st, 1939.
Operating Expense Accounts.
Operating expenditure by voucher—
Salaries       $53,834.42
Less room-rent   720.00
Office supplies—
Books and journals   $19.90
Postage and office supplies     194.85
Telephone and telegraph   213.23
Provisions—
Groceries   $18,632.22
Meat  J  5,428.97
Fish   1,077.65
Uniforms and clothing—
Clothing        $1,948.45
Boots and slippers   724.26
Medical and surgical supplies—
Drugs   $124.79
Instruments   3.75
Miscellaneous    224.85
$53,114.42
427.98
Travelling expenses   64.65
Fuel, water, light, and power—
Fuel         $6,063.08
Water   1_        1,772.56
Light and power          1,067.00
 ■ 8,902.64
Maintenance and repairs—Janitors' supplies  493.20
Furniture and fixtures—
Bedding       $1,429.13
Miscellaneous    187.21
  1,616.34
25,138.84
2,672.71
353.39
Examinations, committals, and transportation—
Transportation   29.20
Incidentals and unforeseen—
Amusements   $716.99
Gratuities   6.00
Funerals   261.00
Gas and oil   339.84
Laundry supplies   102.07
Freight and cartage  61.31
Miscellaneous    2,981.80
  4,469.01
Total expenditure for year by voucher        $97,282.38
Maintenance and repairs  (expended through Public Works Department)  3,759.38
Proportion Psychopathic Division vote   1,334.10
Carried forward     $102,375.86 FINANCIAL TABLES.
X 55
Table G.—Expense and Revenue Statement of the Saanich Hospital
for 12 Months ended March 31st, 1939—Continued.
Operating Expense Accounts—Continued.
Brought forward     $102,375.86
Proportion Headquarters vote 	
Public Hospital for Insane Account
1,277.92
2,790.00
$106,443.78
Summary of Profit and Loss Accounts.
Salaries  .
Expenses-
Office supplies 	
Travelling expenses 	
Fuel, water, light, and power
Maintenance and repairs 	
Furniture and fixtures 	
Provisions 	
Uniforms and clothing
Medical and surgical supplies	
Examinations, committals, and transportation
Incidentals and unforeseen	
Yearly Per
Capita Cost.
$55,360.23 $211,605
Less Revenue Account (maintenance of patients)
565.15
188.83
8,910.42
4,390.05
1,062.10
25,075.54
6,472.14
353.39
29.20
4,697.81
$107,104.86
14,908.17
2.160
0.722
34.059
16.780
4.060
95.847
24.739
1.351
0.111
17.957
$409,391
56.984
Net cost of patients' maintenance to Government....    $92,196.69 $352,407
Remarks.
Total patients in residence, Saanich, March 31st, 1939  263
Daily average population in Saanich for year  261.62
Gross maintenance per capita cost, one year  $409,391
Gross maintenance per capita cost, one day    1.122
Net maintenance per capita cost, one year  352.407
Net maintenance per capita cost, one day      0.965 X 56
MENTAL HOSPITALS REPORT, 1938-39.
Revenue of Mental Hospitals since Inception.
1873	
1874 	
1875 	
1876 	
1877 	
1878 	
1879 	
1880 	
1881 	
1882 	
1883 	
1884 	
1885 	
1886 	
1887 	
1888 	
1889 	
1890 	
1891 	
1892 	
1893 	
1894 	
1895 	
1896 	
1897 	
1898 	
1899 	
1900  ..
1901 	
1902 	
1903 	
1904 	
1905 	
1906 	
1907 	
1908 	
1909 	
1910 	
1911 	
1912 	
1913 	
1914 	
1915, New Westminster
1915, Essondale 	
1916, New Westminster
1916, Essondale	
1917, New Westminster
1917, Essondale 	
1918, New Westminster
1918, Essondale 	
$1,440
680
1,342
730
799
479
867
1,433
614
505
298
98
99
.00
.60
,31
91
42
38
04
99
.18
24
35
  50
  720
  750
  220
  599
  761
  2,418
  1,585
  2,709
  4,409
  3,741
  3,816
  4,003
  4,769
  6,893
  12,800
  10,926
  13,639
  15,004
  16,613
  19,058
  20,753
  25,807
  25,845
  26,137
  30,100
  35,151.
  40,756.
  42,731
  18,046
  16,329
  18,135.
  21,889.
  21,435.
  25,350.
  35,169
  32,100.
1919-20, New Westminster   45,921
1919-20, Essondale   53,740.
1919-20, Saanich   3,215.
1920-21, New Westminster   38,323.
1920-21, Essondale .....  46,418
00
59
.00
,00
24
.15
.43
40
.53
.23
71
.80
,79
04
33
76
23
64
22
18
42
35
83
65
38
20
97
56
83
21
72
91
74
93
09
86
14
06
40
39
55
81
1920
1921
1921
1921
1922
1922
1922
1923
1923
1923
1924
1924
1924
1925
1925
1925
1926
1926
1926
1927
1927
1927
1928
1928-
1928
1929
1929-
1929-
1930-
1930-
1930-
1931-
1931-
1931-
1932-
1932-
1932-
1933-
1933-
1933-
1934-
1934-
1934-
1935-
1935-
1935-
1936-
1936-
1936-
1937-
1937-
1937-
1938-
1938-
1938-
21,
22,
■22,
-22,
-23,
-23,
■23,
Saanich
$3,580.31
New Westminster      38,409.52
Essondale     43,078.91
Saanich      4,263.65
New Westminster   34,148.55
Essondale   48,448.69
Saanich  5,698.29
-24, New Westminster   33,407.79
-24, Essondale   43,371.30
-24, Saanich  5,616.53
-25, New Westminster   37,721.99
-25, Essondale   49,929.43
Saanich  6,125.15
New Westminster   35,282.10
-25,
-26,
-26,
-26,
Essondale  63,151.50
Saanich  7,385.93
27, New Westminster   27,645.65
27, Essondale   63,943.08
Saanich   7,085.17
■27,
-28,
-28,
-28,
New Westminster      35,239.21
Essondale      75,720.87
Saanich     11,594.08
-29, New Westminster      33,995.92
-29, Essondale     88,206.54
-29, Saanich ,     10,036.86
-30, New Westminster      37,223.30
-30, Essondale      86,727.37
-30, Saanich     11,196.30
-31, New Westminster      27,326.25
-31, Essondale      89,920.81
-31, Saanich     10,491.08
-32, New Westminster      14,216.16
-32, Essondale  100,887.75
-32, Saanich     10,965.76
-33, New Westminster      15,832.13
-33, Essondale   115,905.35
-33, Saanich     13,001.66
-34, New Westminster      17,019.97
-34, Essondale   123,324.03
-34, Saanich     12,331.60
-35, New Westminster      12,506.21
•35, Essondale   126,033.66
35, Saanich     13,699.69
36, New Westminster      12,678.57
36, Essondale   140,809.77
36, Saanich      12,879.49
37, New Westminster     15,195.74
37, Essondale   156,664.93
37, Saanich      13,409.26
38, New Westminster     15,036.39
38, Essondale   173,468.25
Saanich       18,839.20
■38,
39,
39,
39,
New Westminster     17,142.43
Essondale   177,165.79
Saanich      14,908.17 TAILOR'S REPORT.
X 57
TAILOR'S REPORT, 1938-39.
Mental Hospital, Essondale.
Uniform clothing—
143 uniform suits at $40	
110 uniform pants at $10	
660 % yards uniform serge at $4.60 	
llS1^  yards uniform serge at $4.25 	
Stock—
60 camisoles at
Alterations—
84 suits altered at $1
suit altered  (special)
1
319
430
157
coats altered at 50 cents
pants altered at 35 cents
vests altered at 25 cents
Pressing—
4,158 coats at 15 cents
4,499 pants at 10 cents
2,765 vests at 5 cents ....
Repairs—
2,400 coats repaired and pressed at 40 cents _._
2,538 pants repaired and pressed at 35 cents	
1,092 vests repaired and pressed at 25 cents 	
1,217 overalls repaired and pressed at 25 cents
$5,720.00
1,100.00
3,038.30
502.57
$10,360.87
120.00
$84.00
2.50
159.50
150.50
39.25
$623.70
449.90
138.25
$960.00
888.30
273.00
304.25
435.75
1,211.85
2,425.55
$14,554.02
Public Hospital for Insane, New Westminster.
Uniform clothing—
51 uniform suits at $
78 uniform pants at
Stock-
6
15
5
4
2
3
34
stock pants at $6.50
boys' pants at $2.50 ....
canvas suits at $10	
canvas suits at $6.50 ...
canvas pants at $3.50 .
working overalls at $4
bed-ticks with walls, at 50 cents
64 pillow-ticks at 10 cents	
21 bed-ticks, crib size, at 40 cents ....
6 repair bags at 75 cents 	
Alterations—
80 suits altered at $1 	
1 suit altered  (special)  ____
1 suit altered  (special)  	
338 coats altered at 50 cents
$2,040.00
780.00
$39.00
37.50
50.00
26.00
7.00
12.00
17.00
6.40
8.40
4.50
$80.00
2.00
1.25
169.00
$2,820.00
207.80
Carried forward..
$252.25    $3,027.80 X 58 MENTAL HOSPITALS REPORT, 1938-39.
Public Hospital for Insane, New Westminster—Continued.
Brought forward        $252.25    $3,027.80
Alterations—Continued.
425 pants altered at 35 cents  148.75
180 vests altered at 25 cents  45.00
  446.00
Repairs—
2,336 coats repaired and pressed at 40 cents  $934.40
2,526 pants repaired and pressed at 35 cents  884.10
945 vests repaired and pressed at 25 cents  236.25
1,076 overalls repaired and pressed at 25 cents   269.00
2,323.75
$5,797.55
Mental Home, Saanich.
Uniform clothing—
55 uniform suits at $40     $2,200.00
59 uniform pants at $10  590.00
$2,790.00
Statement of Tailor-shop, 1938-39.
Production—
For Mental Hospital, Essondale   $14,554.02
For Public Hospital for Insane, New Westminster       5,797.55
For Mental Home, Saanich       2,790.00
$23,141.57
Material on hand, March 31st, 1939        8,876.32
$32,017.89
Costs-
Material on hand, March 31st, 1938      $5,756.85
Salaries—
Tailors   $7,980.00
Seamstresses       2,760.00
     10,740.00
Electric power       $100.00
Electric light   60.00
  160.00
Material purchases, 1938-39      14,449.99
31,106.84
Profit on operations         $911.05 SHOEMAKER'S REPORT. X 59
SHOEMAKER'S REPORT, 1938-39.
Mental Hospital, Essondale.
New work—
1 pair men's special boots  $10.00
Repairs—
783 pairs boots   $1,768.80
743 pairs slippers   647.60
       2,416.40
$2,426.40
Public Hospital for Insane, New Westminster.
Repairs—
453 pairs boots and slippers        $624.30
Statement of Shoemaker-shop, 1938-39.
Production—
For Mental Hospital, Essondale      $2,426.40
For Public Hospital for Insane, New Westminster  624.30
$3,050.70
Material on hand, March 31st, 1939         221.36
$3,272.06
Costs—
Salary of shoemaker  $1,692.00
Material purchased   917.11
Light and power   35.00
Material on hand, March 31st, 1938  172.75
2,816.86
Profit on operations         $455.20
PRODUCTION TABLES.
Articles made by Female Patients, Public Hospital for Insane, New Westminster,
Year ended March 31st, 1939.
Aprons         346           Laundry-bags   22
Bed-jackets         130          Neckties    189
Bureau-covers         160           Pillow-slips   811
Caps, nurses' uniforms          73          Sheets   1,296
Chemises        430          Table-cloths   29
Cuffs, nurses' uniforms (pairs)         123           Towels, hand   20
Curtains  (pairs)            94           Towels, roller   134
Dresses         430           Towels, tea   950
Handkerchiefs         189           Tray-cloths   132 X 60
MENTAL HOSPITALS REPORT, 1938-39.
Repaired at Public Hospital for Insane, New Westminster,
Year ended March 31st, 1939.
Aprons ...
Blankets
Blouses
  270
  1,357
  175
Chemises  ..          ..... 1,268
  58
  444
  1,808
Dresses   3,116
Coats 	
Combinations
Drawers  	
Hose (pairs)
2,767
Petticoats ..
Pillow-slips
Pyjamas
Quilts 	
Sheets	
Overalls      1,880
  474
  263
  150
  579
  1,112
Shirts ..             2,869
Socks  (pairs)   3,585
Sweaters    60
Table-cloths   52
Towels   298
Work done by Male Patients, Public Hospital for Insane, New Westminster,
Year ended March 31st, 1939.
Days.
  365
  806
  737
  492
  2,122
  365
Farmer .                        5,949
Florist    1,502
Garden  .  2,052
Kitchen   2,176
Laundry   2,481
Lawns   2,244
Auto-truck 	
Baker 	
Carpenter   	
Cemetery grounds
Dining-rooms 	
Engineer  	
Painter ..
Plasterer
Plumber .
Days.
  910
  245
  549
Piggery    1,853
Porter  1,095
School    959
Scullery   730
Shoemaker   775
Store    285
Tailor   842
Teamster   365
Wards   13,984
Supplies produced at New Westminster, 1938-39.
Fruit.
Apples, lb. 	
Cherries, lb.  	
Currants, red, lb.
Gooseberries, lb. _
  21,270
        125
        800
  55
Pears, lb.              2,465
Plums, lb.   560
Prunes, lb.   600
Raspberries, lb.   2,000
Rhubarb, lb.  7,485
Strawberries, lb.   3,200
Vegetables.
Beans, lb.
Beets, lb. .
  650
  3,465
Cabbage, lb.   6,835
Carrots, lb.   13,365
Cauliflower, lb.   180
Corn, ears   2,112
Cucumbers, lb.   1,120
Lettuce, lb.  3,700
Mint, bunches  .  30
Onions, green, lb.  1,000
Onions, ripe, lb.   3,490
Parsley, bunches   40
Parsnips, lb.   5,200
Peas, green, lb.   900
Potatoes, early, lb.   4,500
Radishes, lb.   300
Spinach, lb.   4,000
Tomatoes, ripe, lb.   1,000
Turnips, lb.   1,125
Vegetable marrow, lb.   1,200 PRODUCTION TABLES. X 61
Supplies produced at Colquitz, 1938-39.
Fruit.
Apples, lb.      1,760 Plums, lb.      1,005
Pears, lb.     2,055
Vegetables.
Beans, lb.   840 Onions, ripe, lb.   676
Beets, lb.   1,930 Parsnips, lb.   2,905
Brussel sprouts, lb.   105 Peas, green, lb.   545
Cabbage, lb.   2,980 Potatoes, late, lb.  .  22,195
Carrots, lb.   14,025 Potatoes, early, lb.  4,020
Cauliflower, lb.   185 Pumpkin, lb.   1,050
Celery, heads  .  218 Rhubarb, lb.   150
Corn, ears   7,990 Spinach, lb.   140
Cucumbers, lb.   662 Swiss chard, lb.   2,013
Kale, lb.   190 Tomatoes, greenhouse, lb.   676
Leeks, lb.   1,863 Tomatoes, green, lb.   340
Lettuce, heads   1,735 Tomatoes, ripe, lb.  2,169
Onions, green, lb.   895 Vegetable marrow, lb.   470
Farm Products.
Beef, lb.   1,422           Milk, lb.   125,589
Chicken, lb.   1,109          Pork, lb  11,561
Duck, lb.   2,384          Rabbit, lb.   742
Eggs, doz.   2,017          Veal, lb.   480
Cured Meats.
Bacon, lb.         444 Ham, lb.         568
Crops, 1938.
Hay, clover, and timothy, lb.     4,000 Hay, wheat, lb.  16,000
Hay, grass, lb.      4,000 Mangels, lb.   37,000
Hay, oat, lb.      9,000
Occupational Therapy, Mental Hospital, Essondale, Year ended March 31st, 1939.
Wood-working Department.
1938. . Cost of Materials. Value.
April   $59.50 $197.00
May   71.85 250.00
June    64.25 195.25
July   46.45 145.50
August     51.85 161.50
September   42.25 125.25
October     144.00 339.75
November   57.00 146.50
December    53.25 218.75
1939.
January        78.80 245.00
February           48.55 229.00
March          79.55 208.75
$797.30 $2,462.25 X 62
MENTAL HOSPITALS REPORT, 1938-39.
Occupational Therapy, Mental Hospital, Essondale,
Year ended March 31st, 1939—Continued.
Upholstering Department.
1938. Cost of Materials. Value.
April ....  $180.80 $360.00
May         189.62 367.32
June    159.50 328.25
July   180.44 315.94
August   159.28 318.38
September   186.95 355.15
October   224.00 373.95
November     279.88 468.88
December      190.64 335.19
1939.
January   199.85 353.80
February   202.00 359.75
March   166.95 314.10
$2,319.91
$4,250.71
Weaving and Basketry Department.
1938.
April 	
May 	
June  	
July 	
August 	
September
October ....
November
December .
1939.
January ....
February
March 	
Value only.
... $48.00
... 44.00
.. 48.50
_ 59.00
- 50.00
.. 43.50
.. 65.00
.. 56.25
.. 47.25
.. 48.50
.. 63.50
.. 51.50
$625.00 PRODUCTION TABLES.
X 63
Occupational Therapy, Mental Hospital, Essondale, Year ended
March 31st, 1939—Sewing-room.
New Garments made by Patients.
Aprons, kitchen
Aprons, rubber _
Aprons, utility ._
Bags, laundry ._
Bags, sterile 	
Bags, shoe    	
       62
        15
        48
        27
        21
        10
Bags, Christmas candy   1,750
Bandages 	
Binders  	
Bloomers   	
Caps, doctors'  ..	
  53
  44
  847
  12
Caps, milkers'   48
Cloths, dining   213
  24
  50
  4
  44
  161
  20
  86
  22
Covers, bed-pan 	
Covers, dresser 	
Covers, hot-water bottle
Covers, screen 	
Covers, table 	
Covers, tray 	
Curtains, pairs 	
Curtain tie-backs, pairs
Cushions 	
Drapes, shoulder 	
Drapes, window, pairs
Dresses, print 	
Dresses, serge 	
Dresses, strong 	
Glove-cases 	
Gowns, isolation 	
Gowns, night 	
Gowns, open back 	
Gowns, shirt 	
  79
  6
  24
  999
  3
 1. 365
  8
  92
  1,360
  36
  400
Pillow-cases    3,139
Slips, flannelette   852
Sheets, hospital ..               3,730
  97
  9
  486
  452
  767
  54
  69
Sheets, nurses' .
Stupe-wringers
Towels, hand _
Towels, roller ..
Vests  	
Ward sweaters
Miscellaneous  ..
Nurses' Uniforms.
Aprons       883
Belts       455
Bibs       589
Caps 	
Cuffs, pairs
Dresses  	
210
97
563
Aprons
Aprons
Nurses' Mending.
431 Dresses
Patients' Mending.
      310
Blankets        736
      856
        78
  1,213
      189
  76
  3,376
Bloomers 	
Chair-covers
Coats, suit
Coats, white ..
Combinations
Drawers 	
Dresses    3,375
Jumpers         77
Kimonos           44
Nightgowns     1,746
Night-shirts       313
Overalls, bakers'         14
Overalls, patients'       811
146
Pants       897
Pillow-cases        982
Sheets    2,340
Slips       636
Socks, pairs  14,773
Spreads         878
Table-cloths  	
Tick-covers   	
Towels, bath 	
Towels, roller 	
Towels, face 	
Top shirts 	
Under-shirts 	
Vests, flannelette
Vests, suit 	
97
69
16
247
80
3,431
3,059
647
140
Sale of handicraft articles made by patients in Occupational Therapy, $679.69. X 64 MENTAL HOSPITALS REPORT, 1938-39.
PART III.-COLONY FARM.
FARM SUPERINTENDENT'S REPORT.
Essondale, B.C., September 27th, 1939.
A. L. Crease, Esq., M.D., CM.,
General Superintendent of Mental Hospitals, Essondale, B.C.
Sir,—Enclosed herewith is the financial statement of the agricultural operations for the
year ended March 31st, 1939, as compiled by the Bursar's Department and presented to me.
During the past twenty-two years our operations have, gradually but definitely, changed
from farming to gardening and manufacturing so as best to meet the requirements of the
institution as a whole. The land acreage has changed but little and the population has
greatly increased, consequently our methods and procedure, of necessity, had to change in
order to cope with institutional requirements.
I am able to report a very good year, taking all branches into consideration. We are
trying to cover as many of the institution needs as is possible, but as usual our main objects
are vegetables, milk, pork products, and small fruits and cannery products.
In vegetables, both green and staple, we seem to have an ever-increasing demand which,
on account of patient-labour conditions, we seem never to be able to satisfy.
With the milk production we seem to be in a better position, having been able to supply
our quota during the year, but we have reached the limit of our stable accommodation—and
that, after remodelling and putting to stable-use buildings at the Boys' Industrial School
which were built for other purposes. However, this has worked very well and our herd is in
a better position than ever before. I am pleased to report that it is better in production,
health, type, and value than it has ever been since it was established. We have not wavered
from our policy, laid down years ago, of breeding for strength, production, and type, and we
are now beginning to reap the reward.
This year three honours have come to our herd. The cow, " Colony Flood Colantha
194433," who in 1931 and 1932 was chosen All American 2-year old and 3-year old, was given
the title of All-time All American 3-year old, and she has now a life-time record of seven
lactations of 138,982 lb. of milk and 4,559 lb. of fat.
Two of our senior sires have reached what is known as the century mark, each having
100 or more year record daughters.    They are the first two to be produced in Canada.
" Sir Romeo Mildred Colantha 6th 70275 " has now 112 tested daughters who have 241
records that average 17,471 lb. of milk and 601 lb. of fat.
" Hazelwood Heilo Sir Bessie 66155 " has 100 tested daughters with 222 records that
average 16,510 lb. of milk and 558 lb. of fat. These two sires are the foundation of our
present female herd. Good sons of these bulls are always in demand, both in the Province
and outside, and all saleable surplus has been very easily disposed of.
The swine herd has improved and pork production increased considerably as is shown in
our statement. Besides keeping up this pork-supply we have sold many young pigs as
breeders within the Province. During the past year the price of pork has been high. Consequently the demand for breeding stock is greater and we seemed to have the only herd of
any size where stock could be obtained. Although this is only secondary to us, we kept a
large surplus stock and disposed of it all, but still did not have more than 50 per cent, enough
to meet the demand, and many requests had to be just partially filled and some refused
altogether.
All other branches of the work have been kept up to standard and where possible some
slight increase has been made. Any increase has been made through hired assistance as the
number and quality of the patient-labour hours has very decidedly decreased. In certain
operations this is a big handicap. One most appreciated exception to the above statement is
the great assistance that has been rendered to the Cannery operations by the addition of
many hours of female-patient help from the institution.    This has worked most satisfactorily.
I wish to again gratefully acknowledge the loyal support given by the staff, and to state
that this staff is at a higher standard than ever before.
All of which is respectfully submitted. P. H. Moore,
Farm Superintendent. COLONY FARM. X 65
BURSAR'S REPORT ON COLONY FARM.
Essondale, B.C., September 8th, 1939.
A. L. Crease, Esq., M.D., CM.,
General Superintendent of Mental Hospitals, Essondale, B.C.
Sir,—I beg to submit herewith for your consideration, balance-sheet, profit and loss statements, and various other reports covering the operations of Colony Farm for the year ended
March 31st, 1939.
Profits for the year of $32,983.30 are $1,387.43 below last year's figure, due to the scaling-
down of inventory values of live stock. Gross farm expenditure amounted to $153,253.21;
remittances to the Treasury from the sale of live stock and farm produce, $18,444.30; leaving
a net expenditure of $134,808.91. Against this, milk, meat, vegetables, and fruit to a value
of $189,632.73 was supplied to the institution; $165,261.98 to the Provincial Mental Hospital,
Essondale, and $24,370.75 to the Public Hospital for the Insane, New Westminster.
Milk production for the year totalled 2,976,327 lb.—slightly over 4 tons per day—and the
cost of production, pasteurization, etc., amounted to $61,050.96 or 20.51 cents per gallon as
compared to 22.97 cents per gallon in 1937-38.
The dairy and herds department show profits of $17,034.74, while substantial profits
shown by other departments are: Orchard and truck-garden, $5,933.92; cannery, $12,096.99;
hog department, $25,897.97; and potato-crop, $10,205.68. Complete details of all departments and crops are to be found in the profit and loss and other statements herewith.
The cannery, again this year, enlarged its pack in an endeavour to meet our requirements
and 12,060 cases of fruit and vegetables were canned, giving us approximately 360 tons of
food.    The potato-crop of 852 tons will meet all our requirements.
Complete details of production and costs covering all departments of the farm will be
found in tables accompanying this report.
All of which is respectfully submitted.
Gowan S. Macgowan,
Bursar. X 66 MENTAL HOSPITALS REPORT, 1938-39.
BALANCE-SHEET, COLONY FARM.
April 1st, 1938, to March 31st, 1939.
Assets.
Land Account—
Colony Farm   $117,484.86
Wilson Ranch        108,164.35
  $225,649.21
Buildings and plant    251,843.38
Water system         4,411.25
Bridge           7,571.89
Fencing, pavement, etc.       68,818.67
Equipment         24,579.20
Live stock—
Bulls, as per inventory   $2,300.00
Cows, as per inventory  39,950.00
Yearlings, as per inventory   8,560.05
Calves, as per inventory  969.14
Work-horses, as per inventory  7,115.00
Hogs, as per inventory    12,775.05
       71,669.24
Sundry inventories—
Feed   $20,047.50
Gasoline   3.24
Orchard and truck-garden   11,181.00
Accounts receivable        $3,084.54
Growing Crops Apportionment Account         4,437.00
31,231.74
7,521.54
$693,296.12
Liabilities.
Surplus Account  $482,845.07
Less patient-labour        19,000.00
  $463,845.07
Profits to March 31st, 1938  $196,467.75
Profit for year       32,983.30
     229,451.05
$693,296.12 COLONY FARM.
X 67
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fflo«-3.?.?i.t.°i.ti'3«Xn X 68 MENTAL HOSPITALS REPORT, 1938-39.
DAIRY AND HERDS DEPARTMENT.
Profit and Loss Account, March 31st, 1939.
Expenses.
Total expense for year      $62,850.96
Production.
Dairy-produce supplies      $78,085.70
Ice supplies   210.00
Allowance for manure         1,590.00
       79,885.70
Profit for year      $17,034.74
Production and Costs Account, March 31st, 1939.
Dairy—
Salaries and upkeep        $2,640.41
Fuel    497.78
         3,138.19
Less allowance for manure        $1,590.00
Less allowance for ice  210.00
General herd—
Salaries and upkeep     $24,728.56
Feed        33,571.71
Pasture          1,412.50
  59,712.77
$62,850.96
  1,800.00
$61,050.96
Milk Production for Year 1938-39.
Production.
1938.                                                                                                                                                                               Lb. Cost.
April      228,798 	
May      251,052 	
June  ..     244,077 	
July      256,148 	
August      257,685 	
September      247,157 	
October      259,253 	
November      246,385 	
December      256,640 	
1939.
January      256,485 	
February      227,862 	
March      244,785 	
2,976,327 $61,050.96
Average cost of production, pasteurizing, etc., 20.51 cents per gallon. BK::P-'-'''::-.::-'- :i::#"
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X 69
4 cows destroyed
36 cows sold 	
MATURE COW DEPARTMENT.
Profit and Loss Account, March 31st, 1939.
Asset Value.
       $800.00
       4,913.50
12 cows butchered        1,750.00
Loss on inventory        6,195.10
Loss
$13,658.60
4,986.43
$8,672.17
Selling-price.
$4,102.00
884.43
$4,986.43
CALVES DEPARTMENT.
20 calves died ... 	
Pbopit and Loss Account, March 31st, 1939.
Asset Value.
     .       $120.62
Selling-price.
14 calves destroyed .
                     98.35
26 calves sold 	
          592.18
$2,385.00
33 calves vealed 	
         365.68
516.10
Hides sold _   	
31.75
$1,176.83
$2,932.85
1,176.83
Profit .
$1,756.02
7 yearlings  sold
Manure credit _.
Profit
YEARLING DEPARTMENT.
Profit and Loss Account, March 31st, 1939.
Asset Value.
        $794.09
$794.09
Selling-price.
$800.00
360.00
$1,160.00
794.09
$365.91
2  animals  sold 	
Gain on inventory
Loss
BULL DEPARTMENT.
Profit and Loss Account, March 31st, 1939.
Asset Value.
$450.00
Selling-price.
$115.00
150.00
$450.00
265.00
$265.00
$185.00 X 70 MENTAL HOSPITALS REPORT, 1938-39.
WORK-HORSE  DEPARTMENT.
Sales and Deaths Accounts, March 31st, 1939.
Asset Value. Selling-price.
2 horses died          $450.00 	
1 horse sold  75.00 $17.00
Gain on inventory     500.00
$525.00 $517.00
517.00 ■■■
Loss    $8.00
Work-horse Labour Account, March 31st, 1939.
Salaries and upkeep   $10,529.50
Feed and pasture  l.         5,261.79
$15,791.29
Less credit for manure   215.00
$15,576.29
Horse-labour charged to crop and other departments at 35 cents per hour      15,359.22
Loss           $217.07
Note.—Against cost of $15,576.29;   43,883 % hours of horse-labour were performed at a
cost of 35.49 cents per horse-hour.
Horse-labour performed, March 31st, 1939.
1938. Hours. Cost.
April  4,187 	
May       3,484 	
June   3,974% 	
July  :  4,241% 	
August   -.  4,098 	
September   3,929% 	
October   3,554 	
November   3,356 	
December    3,016 	
1939.
January   3,171% 	
February   3,162
March    3,709% 	
43,883% $15,791.29
Less credit for manure   215.00
$15,576.29 COLONY FARM. X 71
HOG DEPARTMENT.
Profit and Loss Account, March 31st, 1939.
Receipts.
By sales—
Live hogs   $3,244.33
Pork, bacon, etc., supplied to Essondale Hospital   43,246.43
Pork, bacon, etc., supplied to New Westminster Hospital   3,329.64
Pork, bacon, etc., supplied to Home for Aged  1,383.80
Pork, bacon, etc., supplied to Borstal Institute  31.59
$51,235.79
Inventory, March 31st, 1939—
Hogs        12,775.05
Expenses.
Salaries and upkeep   $6,435.09
Feed   16,131.49
Horse-labour    226.15
Truck  .  660.50
Tractor  :  7.00
$64,010.84
$23,460.23
Inventory, March 31st, 1938—
Feed       $360.27
Hogs    14,292.37
     14,652.64
38,112.87
Profit       $25,897.97
CANNERY.
Profit and Loss Account, March 31st, 1939.
Production.
Supplies to Essondale Hospital      $33,677.43
Supplies to New Westminster Hospital          4,971.90
$38,649.33
Expenses.
Repairs   $129.04
Salaries   2,480.00
Sugar and spices   4,063.62
Cans and crates   6,611.28
Fruit   10,747.80
Truck-haulage   315.00
Horse-labour    5.60
Fuel   1,000.00
Light, power, and water   1,20.0.00
      26,552.34
Profit       $12,096.99 X 72 MENTAL HOSPITALS REPORT, 1938-39.
ORCHARD AND TRUCK-GARDEN.
Profit and Loss Account, March 31st, 1939.
Receipts.
Produce supplied to Essondale Hospital    $10,753.55
Produce supplied to New Westminster Hospital   97.35
Produce supplied to Home for the Aged   1,081.15
Produce supplied to cannery   179.77
Inventory, March 31st, 1939  11,181.00
     $23,292.82
Expenses.
Vouchers   $3,283.28
Horse-labour  ..  2,018.97
Seeds, fertilizer, etc.   909.65
Inventory, March 31st, 1938  ,  11,147.00
17,358.90
Profit         $5,933.92
CROP DEPARTMENT.
Potatoes—Profit and Loss Account, March 31st, 1939.
Production.
Yield of crop, 1,705,480 lb     $15,349.32
Expenses.
Plough and disk   $653.70
Manure     1,980.70
Fertilizer and spray     655.01
Seed and planting   562.90
Cultivate and hill   464.08
Dig and haul   827.25
        5,143.64
Profit       $10,205.68
Field No. W.R. 6, 24 acres;   Field No. W.R. 7, 27 acres;   total, 51 acres.    Yield per acre,
16.72 tons;  cost per ton, $5.80.
Oats—Profit and Loss Account, March 31st, 1939.
Production.
Yield of oats, 74,215 lb.          $742.15
Yield of straw, 121,490 lb.          425.21
      $1,167.36
Expenses.
Plough and disk   $171.30
Seed and seeding   114.80
Harrow and care   57.75
Cut and haul   169.50
Thresh   76.00
Bale straw   82.90
672.25
Profit   $495.11
Field No. 8, 19 acres;  Field No. W.R. 8, 10 acres; total, 29 acres.    Yield per acre, 2,559
lb. oats and 2.09 tons straw.    Cost per ton of oats, $13.21, and of straw, $3. COLONY FARM. X 73
CROP DEPARTMENT—Continued.
Hay—Profit and Loss Account, March 31st, 1939.
Production.
Yield of hay, 394,839 lb.        $2,171.61
Expenses.
Seed and seeding   $128.00
Manure   104.60
Fertilizer and lime   300.00
Mow, rake, and haul   325.96
Bale   315.00
         1,173.56
Profit    $998.05
Field No. 2, 10 acres; Field No. 5, 10 acres; Field No. 8, 19 acres; Field No. W.R. 1,
14 acres; Field No. W.R. 2, 21 acres; total, 74 acres. Yield per acre, 2.67 tons; cost per
ton, $5.94.
Ensilage.—Profit and Loss Account, March 31st, 1939.
Production.
Yield of ensilage, corn, oats, peas, clover, etc., 720 tons        $2,160.00
Expenses.
Plough and disk   $398.72
Manure   268.75
Fertilizer   _  179.20
Seed and drilling   272.06
Cultivate    91.70
Harvest and haul   794.70
Fill silos   103.50
         2,108.63
Profit    $51.37
Field No. 2, 16 acres; Field No. 6, 5 acres; Field No. 8, 39 acres; Field No. W.R. 2,
4 acres; Field No. W.R. 4, 8 acres; Field No. W.R. 5, 12 acres; Field No. W.R. 8, 20 acres;
total, 104 acres.    Yield per acre, 6.92 tons  (cured silage) ;   cost per ton, $2.93.
Carrots—Profit and Loss Account, March 31st, 1939.
Production.
Yield of carrots, 236,520 lb.        $1,122.16
Expenses.
Plough and disk   $45.25
Manure   69.00
51.56
Seed and drilling    ..
38.40
39.96
104.40
348.57
Harvest and haul 	
Profit      ...   	
$773.59
Station field, 2.75 acres;
total, 4.75 acres.
Yield per
Field No. 1, 2 acres;
tons;   cost per ton, $2.95.
acre, 24.90 X 74
MENTAL HOSPITALS REPORT, 1938-39.
CROP DEPARTMENT—Continued.
Roots—Profit and Loss Account, March 31st, 1939.
Production.
Yield of roots, 1,064,530 lb.
Plough and disk ..
Manure 	
Fertilizer 	
Seed and drilling
Cultivate 	
Harvest and haul
Expenses.
$125.90
676.40
272.63
182.05
147.78
187.65
$2,661.32
Profit
1,592.41
$1,068.91
Field No..l, 0.5 acre;   Field No. 7, 17.5 acres;   total, 18 acres.    Yield per acre, 29.57
tons;  cost per ton, $2.99.
Onions—Profit and Loss Account, March 31st, 1939.
Production.
Yield of onions—
200 lb. green onions
28,480 lb. cured onions
Plough and disk 	
Manure 	
Fertilizer and spray
Seed and drilling 	
Cultivate 	
Harvest and haul 	
Expenses.
$20.00
398.72
$12.95
46.10
44.47
17.45
20.00
25.40
$418.72
166.37
Profit
$252.35
Field No. 2, 2 acres.    Yield per acre, 7.12 tons ripe onions and 100 lb. green onions.
Cost per ton, ripe onions $10.98 and green onions 5 cents per lb.
Barley—Profit and Loss Account, March 31st, 1939.
Production.
Yield of barley, 3,250 lb.
Plough and disk ..
Seed and seeding
Cut and haul 	
Thresh 	
Expenses.
Profit
$6.50
8.50
11.00
4.00
Field No. W.R. 5, 1.50 acres.    Yield per acre, 1.08 tons;  cost per ton, $18.46.
$32.50
30.00
$2.50 COLONY FARM.
X 75
CROP DEPARTMENT—Continued.
Pasturage;—Profit and Loss Account, March 31st, 1939.
Production.
241.25 acres of pasture        $2,412.50
Seed and seeding ...
Manure 	
Fertilizer and lime
Profit
Expenses.
$355.98
1,005.20
701.59
2,062.77
$349.73
741 hours' work ..
Salaries 	
Repairs   	
Gasoline, oil, etc.
Profit -—
TRACTOR.
Profit and Loss Account, March 31st, 1939.
Expenses.
$200.00
258.20
181.93
$741.00
640.13
$100.87
1,846% hours' work
TRUCK.
Profit and Loss Account, March 31st, 1939.
Expenses.
Salaries   $1,000.00
Repairs   403.59
Gasoline, oil, etc.   402.58
Profit
$1,846.50
1,806.17
$40.33 X 76 MENTAL HOSPITALS REPORT, 1938-39.
GENERAL EXPENSES OF MAINTENANCE AND ADMINISTRATION.
Profit and Loss Account, March 31st, 1939.
Salaries and vouchers   $18,203.70
Horse-labour    495.78
Fuel     145.00
Gasoline     110.50
Tractor use   45.00
Truck use   196.00
Proportion of Headquarters expense        $2,282.00
Loss on inventories of equipment           1,351.93
General repairs through Public Works Department       12,258.45
$19,195.98
15,892.38
$35,088.36
Less sundry credits  ..  342.90
$34,745.46
MISCELLANEOUS STATEMENTS, INVENTORIES, ETC.
Essondale Hospital—Produce supplied by Colony Farm, March 31st, 1939.
Dairy produce—
Milk, 1,757,690 lb.   $49,215.32
Cream, 4,730% lb.   946.10
Table-cream, 68,780 lb.   6,878.00
$57,039.42
Meats—
Veal, 3,970 lb.   $516.10
Beef, 9,310 lb.  884.43
Pork roasts, 90,919 lb.   24,548.13
Hams and bacon, 17,635 lb.   5,290.50
Salt pork, 8,503 lb.   2,125.75
Ribs, etc., 30,574 lb.   3,057.40
Lard, 13,461 lb.   2,019.15
Sausage, 20,532 lb.   5,133.00
Fancy meats, 3,575 lb.   1,072.50
Fruits and vegetables—
Fresh      $24,189.70
Canned         33,677.43
44,646.96
57,867.13
Sundries—
Horse-labour     $5,040.00
Gasoline    116.32
Ice    210.00
Miscellaneous (straw, bran, etc.)   298.15
Truck-work     44.00
5,708.47
$165,261.98 COLONY FARM. X 77
MISCELLANEOUS STATEMENTS, INVENTORIES, ETC.—Continued.
New Westminster Hospital—Produce supplied by Colony Farm, March 31st, 1939.
Dairy produce—
Milk, 361,300 lb.      $10,116.40
Cream, 993 lb.   198.60
Table-cream, 10,860 lb.          1,086.00
     $11,401.00
Meats—
Pork roasts, 12,332 lb.   3,329.64
Fruits and vegetables—
Fresh        $3,070.99
Canned           4,971.90
Sundries-          8'042-89
Horse-labour         $1,470.00
Miscellaneous (straw, bran, etc.)   122.22
Truck-work    5.00
         1,597.22
$24,370.75
Accounts Receivable, March 31st, 1939.
Sundry amounts due from live stock, etc., sold        $3,084.54
Remittances to Treasury.
Sundry remittances to Treasury during year 1938-39 in payment of live stock
and produce sales      $18,444.30
Summary of Equipment Inventories, March 31st, 1939.
Equipment in dairy   $5,406.50
Equipment in cannery   2,337.95
Horse and cattle barns and piggery   1,598.50
Farm implements   9,204.80
Pumping-stations and land-clearing   4,587.00
Butcher-shops   192.00
Carpenter-shop   .  368.20
Blacksmith-shop    506.75
Sundry equipment   377.50
$24,579.20
Orchard and Small Fruits.
Apple-trees        $1,324.00
Pear-trees          1,425.00
Cherry-trees   499.00
Prune-trees              1,560.00
Plum-trees           1,727.00
Strawberry-plants     240.00
Raspberry-canes          2,250.00
Rhubarb-clumps          1,200.00
Currant-bushes   450.00
     $10,675.00
Bees and bee-supplies, etc.   506.00
$11,181.00 VICTORIA,  B.C. :
Printed by Charles F. Banfield, Printer to the King's Most Excellent Majesty.
1939.
450-939-1722  

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