DEPARTMENT OF PROVINCIAL SECRETARY MENTAL HOSPITALS PROVINCE OF BRITISH COLUMBIA ANNUAL REPORT FOR 12 MONTHS ENDED MARCH 31st 1946 VICTORIA, B.C. : Printed by Don McDiarmid, Printer to the King's Most Excellent Majesty. 1947. To His Honour C. A. Banks, Lieutenant-Governor of the Province of British Columbia. May it please Your Honour : The undersigned respectfully submits herewith the Annual Report of the General Superintendent of the Mental Hospitals for the fiscal year ended March 31st, 1946. GEO. S. PEARSON, Provincial Secretary. Provincial Secretary's Office. TABLE OF CONTENTS. PART I.—MEDICAL. Page. Officers and Staff, List of 7 Report—General Medical Superintendent 9 Report—Laboratory 14 Report—X-ray Department 17 Report—Physiotherapy 18 Report—Psychologist 18 Report—Dentist 19 Report—Beauty-parlour 20 Report—Training-school 21 Report—Social Service 21 Statistical Tables— 1. Movement of Population during Year 27 2. Summary of Operations of Hospitals since Inception 29 3. Admissions, Discharges, and Deaths 30 4. Civil State of Patients admitted 31 5. Religious Denominations of Patients 31 6. Educational Status of Patients 32 7. Nationality of Patients 32 ' 8. Districts from which Patients were admitted 33 9. Occupation of Patients prior to Admission 35 10. Age of Patients on Admission 36 11. Number of Attacks at Time of Admission 36 12. Alleged Duration of Attacks prior to Admission 36 13. Table of Heredity 37 14. Alleged Cause of Insanity in Patients admitted 37 15. State of Bodily Health of Patients admitted 38 16. Form of Mental Disorder in Patients admitted 38 17. Probation, Number allowed out on 38 18. Discharges, showing Alleged Duration of Insanity 39 19. Discharges, showing Length of Residence in Hospital and Condition at Time of Discharge 39 20. Deaths, Cause of, and Length of Time in Hospital, Essondale, New West minster, and Saanich 40 PART II.—FINANCIAL. Report—Business Manager 45 Balance-sheet, New Westminster 46 Balance-sheet, Essondale 47 Balance-sheet, Saanich 48 Expense Statement, Psychopathic Department 49 Expense Statement, Headquarters Department , 49 Statement, Receipts and Disbursements, New Westminster 50 Statement, Receipts and Disbursements, Essondale 51 Statement, Receipts and Disbursements, Saanich 52 HH 6 TABLE OF CONTENTS. Financial Tables— page. A. Average Residence, Maintenance, and Per Capita Cost for the Past Ten Years 53 B ) '.. > Yearly Gross Expenditure, Analysis of, for the Past Ten Years 54 C. Summary of Gross and Net Per Capita Cost in all Hospitals 56 D. Expense Statement, New Westminster 57 E. Expense Statement, Essondale 57 F. Expense Statement, Saanich 58 Revenue, Table of, for the Past Ten Years 59 Report, Financial—Tailor's Department 59 Report, Financial—Shoemaker's Department 60 Production Tables— Articles made and repaired in Sewing-room, New Westminster 61 Occupational Therapy— Wood-working Department 62 Upholstery, Weaving, Basketry, and Shoemaking Departments 62 Patients' Clothing Department 63 Nurses' Uniforms (New) 63 Nurses' Uniforms (Repairs) 63 Mattress Department 64 Hospital Furnishing Department 64 PART III.—COLONY FARM. Report—Financial, General—Business Manager 65 Balance-sheet 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 70 Work-horse Department— Sales and Deaths Account 70 Horse-labour Account 70 Hog Department—Profit and Loss Account 71 Cannery—Profit and Loss Account 71 Orchard and Truck-garden—Profit and Loss Account 72 Crop Department—Profit and Loss Account, etc 72 Tractor Account 73 Truck Account 73 Maintenance and Administration, General 73 Miscellaneous Statements, Inventories, etc.— Produce supplied to Essondale 74 Produce supplied to New Westminster 74 Accounts receivable 74 Remittances to Treasury 75 Equipment 75 Orchard and Small Fruits 75 DEPARTMENT OF THE PROVINCIAL SECRETARY. Hon. George S. Pearson, 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. Gowan S. Macgowan, Business Manager. OFFICERS AND STAFF, ESSONDALE. Medical: A. M. Gee, M.D., CM., L.M.C.C U. P. Byrne, M.B., D.P.H., L.M.C.C J. M. Jackson, M.D., L.M.C.C. A. E. Davidson, B.A., M.D., L.M.C.C. T. G. Caunt, M.D., L.M.C.C G. Kirkpatrick, M.D., L.M.C.C. A. J. Warren, M.D., D.P.M., L.M.C.C. (on Active Service). L. G. C. d'Easum, M.B., L.M.C.C. B. F. Bryson, M.D., L.M.C.C. R. C. Novak, M.D., L.M.C.C. F. E. McNair, B.A., M.D., CM., L.M.C.C R. L. Whitman, B.Sc, M.B., D.P.M., L.M.C.C. R. M. Rice, B.Sc, M.B., L.M.C.C Milton Jones, D.D.S. C B. Watson, M.A., Psychologist (on Active Service). W. R. Brown, Director of Recreation. K. Woolcock, Pharmacist. W. Creber, Chief Attendant. Miss M. Parsons, R.N., Director of Nursing. Miss E. M. Pullan, R.N., Instructress of Nurses. Miss J. F. Kilburn, R.N., Social Service. Miss B. Cooper, Dietitian. Miss D. A. Tisdall, Occupational Therapist. Mrs. I. H. Wedge, Branch Secretary. Miss A. Dingle, Clinical Clerk. Business: Thos. Weeks, Paymaster. F. A. Matheson, Assistant Bursar. W. Headridge, Steward. J. F. Anderson, Cost Accountant. Miss J. K. Gordon, Stenographer. W. E. Skillicorn, Book-keeper. Rev. W. Barlow, Protestant. Chaplains: Rev. Father J. M. Barry, Roman Catholic. Trades, Essondale : J. L. Malcolm, Engineer. W. Worrall, Laundryman. J. Renton, Outside Overseer. T. Harrison, Electrician. W. G. Armour, Baker. G. Matthews, Plumber. H. Lonsdale, Foreman of Works. A. L. Blair, Barber. A. Cooter, Chief Cook. B. T. Brown, Auto Mechanic. R. T. Hall, Occupational Therapy. OFFICERS AND STAFF, NEW WESTMINSTER. Medical: L. E. Sauriol, M.D., CM., L.M.C.C, ■ Medical Supervisor. C E. Benwell, M.B., L.M.C.C. K. B. Sunderland, M.B., L.M.C.C. F. Gillard, Clinical and Receiving Clerk. Miss V. M. Sanders, R.N., Superintendent of Nurses. Miss W. Fighter, R.N., Assistant Superintendent of Nurses. Charles Monteith, Chief Attendant. Rev. J. L. Sloat, Protestant. Business: A. Fraser, Steward. Chaplains: Rev. Father A. B. Bergin, Roman Catholic. Trades, New Westminster: R. Gow, Carpenter. C. Stapleton, Gardener. J. H. Wilson, Chief Engineer. H. Bailey, Farmer. G. COULSON, Laundryman. J. McMillan, Shoemaker. Wm. Powell, Painter. G. Carruthers, Acting Head 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. T. A. Morris, Supervisor. P. McLeod, Chief Attendant. Report of the Medical Superintendent for the Twelve Months ended March 31st, 1946. PART I—MEDICAL. Provincial Mental Hospital, Essondale, B.C., April 1st, 1946. The Honourable the Provincial Secretary, Parliament Buildings, Victoria, B.C. Sir,—I have the honour to submit herewith for your consideration the Seventy- fourth 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, 1945, to March 31st, 1946:— Movement of Population. Male. Female. Total. 2,399 63 1 446 1,620 97 388 4,019 160 1 834 2,909 2,105 5,014 252 81 161 227 102 79 479 183 240 494 408 902 2,415 1,697 4,112 (1.) Increase in number of admissions 12 (2.) Net increase in population 93 (3.) Rate of deaths to total treated 5.84 (4.) Rate of discharges to admissions (exclusive of deaths) 57.43 ADMISSIONS. An analysis of the birth column shows that, of the number admitted, 429 (or 51.44 per cent.) were Canadian born, 235 (or 28.16 per cent.) were born in other parts of the British Empire, and 164 (or 19.70 per cent.) were of foreign extraction; 6 were unknown. DISCHARGES. The following table shows that the shorter the duration of the mental illness prior to admission, the greater are the chances of recovery through treatment:— Table showing Alleged Duration op Insanity, prior to Admission, in those discharged prom the Three Institutions during the Year April 1st, 1945, to March 31st, 1946. Less than six months Over six months Not insane Duration unknown Total 240 117 11 111 479 HH 10 MENTAL HOSPITALS REPORT, 1945-46. During the year 479 patients were discharged in full. Of this number, 117 were discharged as recovered, 232 as improved, 119 as unimproved, and 11 as not insane. In the last few years psychiatry has come greatly to the fore as a real medical specialty. The great impetus rendered to this study has been caused in no small measure by the open criticism given to it by the public write-ups of mental hospitals in the press and the stories told over the radio. It has come about through many factors, such as mental illness affecting so large a number, low salaries given to employees caring for the patients, very low per capita cost for their treatment, together with the fact that these services are supposed to share the same as other services where the real expenditure has been better understood. There is also unreasonable delay in supplying accommodation for the proper treatment and care of those suffering from mental illness, and there is definite lack in furnishing ample prevention and research. It is indeed a great satisfaction to our employees, patients, and the vast number of relatives to know that you have attacked this situation rather than remain neutral or retreat from this perplexing problem. The stress you have placed on education and raising the standard of the staff, giving them more security, the raising of the pitifully low per capita cost, the provision for recreation, occupation and the treatment of the patients, provision for prevention of mental illness, encouraging research, furnishing more accommodation—all these are basic needs on which better mental hygiene is actually founded. Before the war education of the nursing staff, both female and male, was carried on but with a skeleton service. During the war this phase suffered greatly, but since the war, it has been brought up to a more generally accepted standard. It has taken time. The employees are unanimous in expressing the fact that these courses follow those standards set by the Canadian and American Mental Hygiene Commissions, which are gradually enhanced as newer phases of teaching develop and higher standards of applications are required. A larger number of doctors are employed, and here again teaching has been instituted and provision made for higher education. This course follows the premises of the total personality rather than the phase of just psychiatry alone. Fortunately, we have on our staff a considerable number of specialists to carry out this phase of the work. The teaching includes the broad programme of treatment and also preventive work in connection with both the adult and child. Recreation and occupational work are receiving attention and are being placed in the field of general treatment. The study of neurology, as well as psychiatry, is being forwarded, and considerable neurosurgery (most competently done under Dr. Frank Turnbull) has resulted in much benefit to both the patients and hospital. This is a newer phase of treatment which is now accepted by the noted neurological surgeons of America. TREATMENT. (a.) The insulin treatment has been continued, as it has proven its value over the years in aiding the schizophrenic and other cases. The number of those treated and the resultant state as to the degree of assistance given to these patients is set out in the following table: Total. Per Cent. Recovered 23 26 Much improved 11 12 Improved 35 39 Unimproved 20 23 SUPERINTENDENT'S REPORT. HH 11 Disposal— Discharged Discharged later Transferred to electro-shock Remaining Total. Per Cent 52 58 5 6 11 12 21 24 Total 89 One naturally looks primarily at the benefit the patient receives, but the saving in the large amount of money to the hospital must not be overlooked in any form of treatment administered. (b.) The electric shock treatment has shown more and more beneficial results. It has wide application in the various cases, which is set out clearly below, and the complete course was given to 239 patients:— Male. Female. Total. Percentage. 13 15 19 25 25 19 67 56 38 34 86 81 15.89 14.23 35.89 33.89 Totals 72 167 239 Disposal— Discharged 23 9 2 10 24 4 55 14 2 25 4 66 1 78 23 4 ■ 35 4 90 5 32.64 9.62 1.67 14.64 1.67 37.65 2.09 Totals 72 167 239 We were very fortunate to obtain the interest and services of Dr. Frank Turnbull to guide our neurological branch; he operates on, and watches over, the after-treatment of our lobotomy cases. He has already done nine cases, with much benefit to the patients and the hospital. Positively the most outstanding types were chosen—those who were most difficult to treat and who did not respond to any other known methods. Results are not given for the reason that Dr. Turnbull will report them later on when the numbers are sufficient for a special article. In recent years the method of treating the venereal disease cases has improved tremendously. Last year 54 such patients underwent remedial care. At the present time the X-ray Department is doing chest X-rays on all the admissions and on the general whole patient population each year. This enables tubercular cases to be diagnosed very early, and proper treatment instituted in the incipient stages. As a result, our incidence of tuberculosis is greatly reduced. There are at the present time 69 active tubercular cases under treatment at Essondale. This same procedure is carried on at the New Westminster branch, and a total of 14 active cases are under treatment there. The work in this department has greatly increased. The chests of the patients are checked on admission and at stated periods. The staff is also carefully watched. These procedures are naturally to the advantage of the hospital and Province at large, but it makes this branch of our service busier than ever, as can be seen in the report, and it is now considered that a full-time head should take over. Dr. Gee has always done this work, but now must be relieved of this ever-growing demand. HH 12 MENTAL HOSPITALS REPORT, 1945-46. The optometrist was able to examine and prescribe for 143 patients and, in addition, carry on the required repairs arising in this field. There has been much relief given to those suffering from eye strain. The laboratory has done excellent work and under difficult circumstances of being understaffed due to war conditions; nevertheless, it has always been of great aid to the medical service. The volume of work has been considerable, and the overcrowded conditions affect this situation to a great degree, but, even with the presence of these difficulties, the reports come through in fairly good time, and the entire number of examinations totalled in all 18,873. In the Physiotherapy Department much good work has been accomplished, yet sufficient staff has not been available to enable us to extend this treatment to the degree we have in mind. Psychology has been instituted in the hospital to a more practical degree, as will be seen by the report given elsewhere. This study is to be placed in the educational field and worked up as circumstances permit. The present battery of test carried on gives the doctors a clearer insight into the status of the personality. Dr. Milton Jones has been very active in the dental service to the patients. Much was done in the way of treatments, fillings, repair, and prophylaxis, with considerable relief and satisfaction to those cared for. The activity in the Occupational Department has continued during the year. Great difficulty is still experienced in obtaining the proper materials, and there again shortage of staff is in evidence. This service is much appreciated by the patients and is a satisfactory method of treatment for those engaged in it. The work in the beauty-parlour is progressing favourably. We are hoping to have more operators; those already in this department are interested and enthusiastic and anxious to build it up. They have opened a manicuring-booth and are doing some facials and scalp treatments as well as marcels and finger-waves. Patients are also receiving haircuts regularly, and a big improvement has been noted in this respect. A radio has been installed and has proven to have beneficial effects; the patients are quieter and there are fewer disturbed reactions. Miss Parsons, R.N., was made Director of Nursing following the resignation of Mrs. Duke. Miss Pullan, in turn, took over Miss Parsons' place as senior instructress in the nursing-school. In order to build up the teaching personnel, two chosen nurses were sent to the nursing-school at McGill, where they had service in the Allan Memorial Psychiatric Institute. Their experience has been most valuable to the hospital, especially in the training of personnel. Miss Parsons is pleased at the progress made in our school, and it has been difficult to carry on, as you are all aware what a stringent shortage there is in the whole field of nursing. The Social Service Department has had a large load to carry. It is a long, tedious road to travel to gain sufficient trained staff. This is natural because it is a recent service, and excess trained personnel is not available. However, the growth of the service is steady and of great value to the patients in receiving information about the family situation and preparing the family for the return of the patient and his re-establishment. The field service throughout the Province has always been a great aid in furthering the rehabilitation of the patient in the home as well as giving a full picture of the situation from which he came. The work of the Child Guidance Clinic has increased. The growth and demand for clinical service for children have made it necessary to appoint Dr. Byrne as Director of Clinics. He is arranging for a full-time clinic in Vancouver and Victoria, and also a travelling clinic to periodically cover the whole Province. They are able to go to only the principal towns on occasions. There is difficulty in selecting personnel, and it is SUPERINTENDENT'S REPORT. HH 13 not possible to do more than is being done at the present time. There is need of a second clinical team in Vancouver, but this will be arranged for at a later date. In order to relieve the monotony of institutional life and enhance the treatment of patients, a Director of Recreation has been appointed. In the experience of the institution, rarely has anything been received with such outspoken favour by patients and staff as adding recreation to our programme. In the past, moving pictures have been shown weekly, but not all could attend, so now shows are put on actually in the wards by using the 16-mm. machine. In this way picture shows are available to every patient. Music is supplied at the dances and other entertainments. In folk-singing, pieces are shown on the screen. Outdoor music is used also by the public address hook-up system. CHANGES IN STAFF. V-E Day, May 7th, 1945, and V-J Day, August 14th, 1945, were days of great rejoicing to us all. Not only did it mean the end of hostilities, but it meant that our doctors who were on active service would be coming back to us, and also that our numerous trained attendants and other personnel would be returning as well. Mrs. Duke, who had been our Superintendent of Nurses for many years, left to be with her husband, following his return from overseas. Dr. R. L. Whitman, D.P.M., joined our staff, following his retirement from the Army. Harry Bailey, attendant at our institution in New Westminster, and Mr. Adams, engineer at Essondale, were superannuated July 31st, 1945. Also, on March 31st, 1946, H. E. Bristow and C. E. S. Wilkinson, attendants at New Westminster, were superannuated, and the institution feels the loss of these valued employees who have served us long and faithfully. COMMENTS. The cottages for the treatment of elderly patients are well under way and will serve to accommodate some of those who have been admitted during the period of construction, and will thus assist a little towards relieving the overcrowding. The buildings are comfortable, well planned, pleasant, durable, and are of cheaper construction. The new treatment unit is under construction, the excavations having started in January, 1946. This is a unit which is long overdue. Here will be housed the newly admitted cases, who will receive treatment in the most modern setting. The doctors are eagerly waiting to see its completion so that they will be able to have the proper facilities for treating their patients and can classify them in a proper degree. RECOMMENDATIONS. In the over-all mental hygiene programme our former suggestions (if they are carried out) will round out a proper form of dealing with the situation; but there is one outstanding gap, and that is the provision for out-patient treatment of adult cases, and also preventive care. The purpose of this clinic is to handle early psychotics, pre- psychotics, psychoneurotics, and psychosomatic cases. In our humble opinion the outpatient service of the future will be greater than the in-patient treatment, in the light of modern knowledge of mental hygiene. It will be much more satisfactory to the patients, relatives, and employees, and furthermore it will be a great deal more economical. ACKNOWLEDGMENTS. I would like to extend my very grateful thanks to all those who have assisted in the work of the hospital. In this connection I wish to especially mention Dr. Ryan and Dr. Gee, whose keen interest in and-deep knowledge of all hospital matters have done so much towards its smooth running. HH 14 MENTAL HOSPITALS REPORT, 1945-46. I also wish to voice my appreciation of all those who have worked so faithfully during the year and whose unfailing co-operation has done much towards helping the hospital maintain its programme. I wish to thank the returned soldier organizations for their continued interest in our many returned soldier patients, and for the extra comforts and entertainment provided them. Our thanks are due to the members of the Provincial Police Department for their courteous co-operation at all times. The work of our branch at New Westminster, which, as you are aware, cares for our subnormal class of patient, is most ably carried on under the directorship of Dr. L. E. Sauriol. Regular school classes are held, which are in charge of five graduate school-teachers. Notable progress is being made, and the children are greatly interested in their studies. More recreation is provided; there is now an industrial arts teacher who assists in the occupational therapy department. Altogether, these children are cheerful, busy, and happy, and we feel grateful to those who have been untiring in their efforts to promote the welfare of these cases, which are often more difficult of treatment. I wish also to make favourable mention of Mr. Macgowan, our business manager, upon whose department falls the heavy responsibility of the financial and business side of this large institution, and it is only due to their keen interest and foresight that the hospital has not suffered unduly from the current shortages of materials and foodstuffs. I would also wish to speak of the excellent co-operation and assistance I have received from T. A. Morris, supervisor of our branch institution at Saanich, and also from Mr. Lonsdale, the foreman of works at Essondale. Finally, to you, sir, and the Deputy Minister, and the officers of the Public Works Department, I wish to extend my sincere gratitude for your keen sympathy and appreciation of the many problems which arise in maintaining a mental hospital of this size. We have come a long way and are still looking forward, but our progress has only been made possible by the close co-operation and assistance rendered by your Department. 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, 1946. A. L. Crease, Esq., M.D., General Superintendent, Provincial Mental Hospital, Essondale, B.C. Sir,—The following is the report of the work performed in the laboratory at Essondale from April 1st, 1945, to March 31st, 1946:— Blood— Kahn, positive 75 Kahn, negative 809 Red blood-count and haemoglobin 1,384 White blood-count and differential 1,757 LABORATORY REPORT. HH 15 Blood—Continued. Sedimentation rate 444 Coagulation time _ 5 Bleeding time 5 Platelet count 3 Reticulocyte count 8 Prothrombin time 3 Fragility 3 Grouping 322 Cross-agglutination 35 Schilling count 3 Glucose 79 Glucose tolerance 3 Non-protein nitrogen 52 Urea nitrogen 4 Uric acid 1 Creatinine 4 Cholesterol 4 Bromide 38 Rh. agglutination 27 Iron 5 Culture 20 Widal 1 79 Agglutination for B. abortus 17 Paul Bunnell 1 Serum— Calcium 10 Phosphorus 3 Icterus index 17 Van den Bergh 28 Phosphatase (alkali) 3 Phosphatase (acid) 1 Hanger flocculation 15 Spinal fluid— Kahn, positive 53 Kahn, negative 52 Cell-count 19 Colloidal gold 103 Total protein 2 Sugar 1 Urines— Routine general _•_ 4,435 Acetone 1,653 Quantitative sugar 530 B romides 651 Benzidene 456 Quantitative albumin 46 Ascheim-Zondek 17 Bile 45 T.B. 1 Urobilinogen 52 Barbiturate 1 HH 16 MENTAL HOSPITALS REPORT, 1945-46. Smears— Miscellaneous 451 Gonococcus 90 T.B. 17 Vincent's angina 28 Malaria 17 Trichomonas 5 Eontana _ 4 Sputum for T.B. 88 Cultures— Miscellaneous 105 T.B. 1 Typhoid 702 Dysentery 1,171 Fseces— Parasites 6 Occult blood 7 Injections— Typhoid vaccine 504 Diphtheria vaccine 15 Staphylococcus toxoid 91 Pollen antigen 12 Scarlet fever toxin 72 Skin tests— Tuberculin (Vollmer) 179 Pollen sensitivity 25 Dick test 38 Schick test _'_ 10 Schultz Charlton 3 Smallpox vaccinations " 95 Gastric analysis 9 Gastric for T.B. 7 B.M.R.'s 54 Biopsies 3 Autopsies _ 38 Animal autopsies 25 Sections 674 Donors supplied 20 Water for bacterial count 1 Water for pH 12 Water for total acidity 1 Agglutinations for dysentery 585 Agglutinations for typhoid 183 Electrocardiographs 32 Penicillin assay 1 Ascorbic acid determinations 43 Pneumo typing 1 Dark field 2 X-RAY DEPARTMENT. HH 17 Ascitic fluid for cell count 1 Ascitic fluid for Rivalta test 1 Total number of examinations 18,793 I have, etc., Alice Hagen, Technician. X-RAY REPORT. A. L. Crease, Esq., M.D., General Superintendent, Provincial Mental Hospital, Essondale, B.C. ' Sir,—The following is the report of the work performed in the X-ray department of the hospital from April 1st, 1945, to March 31st, 1946:— Number of patients X-rayed _ , 6,777 Chests _ _ _ _ Patients. 6,114 Films. 6,166 Gastro-intesinal _____ _ 27 68 Pelvis — - - _ - - 125 155 Extremities _ _ _ _ ______ 268 639 Heads __ _ _ ___________ 39 87 Spine __ --- _ - . 68 153 Shoulders _ __ __ _ _ _ 32 61 Urinary bladder 2 3 Kidney _ _ ___ _ _ ___ 3 3 Jaws _ _ _ _ 17 30 Sinuses 12 29 Teeth 30 84 Mastoid 6 16 Ribs 14 28 Colon - __ __ _ _ _ _ _ 5 17 Gall-bladder _ _ _ _ _ __ _ 8 23 Soft tissue _ 2 4 Nose _ __ _ - 5 7 6,777 7,573 I have, etc., A. M. Gee, Physician and Roentgenologist. HH 18 MENTAL HOSPITALS REPORT, 1945-46. A PHYSIOTHERAPY REPORT. L. Crease, Esq., M.D., General Superintendent, Provincial Mental Hospital, Essondale, B.C. Sir,—Following is a report of the treatments which were given in the physiotherapy department at Essondale from July 1st, 1945, to March 31st, 1946:— Male. Female. Total. 189 655 55 43 844 55 109 47 30 210 298 95 175 188 152 47 30 295 305 172 229 505 603 404 188 1,341 186 1,754 252 3,095 438 I have, etc., Allen E. Davidson, Physician. PSYCHOLOGISTS' REPORTS. PROVINCIAL MENTAL HOSPITAL. A. L. Crease, Esq., M.D. General Superintendent, Provincial Mental Hospital, Essondale, B.C. Sir,—Following is a report of work performed for the fiscal year ended March 31st, 1946 :— Stanford-Binet A.S. Reaction Study Bell Adjustment Inventory Bernreuter Personality Inventory Gamin 10 24 33 32 34 Guilford-Martin Inventory 33 16 24 25 10 Kuder Preference Record Minnesota Multiphasic ____ Personality Schedule Purdue Pegboard Harrower-Erickson Rorschach Test S.T.D.C.R. Strong Inventory Wechsler-Bellevue Willoughby E-M Scale __. Behaviour Rating Scale Total 30 3 47 13 5 347 I have, etc., Z. Thompson, Psychologist. DENTAL REPORT. HH 19 CHILD GUIDANCE CLINIC. A. L. Crease, Esq., M.D., General Superintendent, Provincial Mental Hospital, Essondale, B.C. Sir,—Following is a report of work performed for the fiscal year ended March 31st, 1946:— Vancouver. Victoria. Nanaimo and Courtenay. Chilliwack. New Westminster. Penticton. Fotal. Stanford Binet Cattell Infant Intelligence California Mental Maturity Porteus Maze Betts Telebinocular California Test of Personality Minnesota Multiphasic Humm-Wadsworth Stogdill Behaviour Cards Monroe Reading- Haggerty Reading Gray's Oral Reading Iota Word Test Word Discrimination Test Detroit Word Recognition Columbia Vocabulary Ayres Spelling Stanford Arithmetic Strong Vocational Interest California Occupational Interest Minnesota Clerical Aptitude Turse Shorthand Nursing Aptitude Stanford Scientific Aptitude Meier Art Judgment Bennett Mechanical Comprehension MacQuarrie Mechanical Aptitude.... Crawford Tri-dimensional Minnesota Rate of Manipulation Purdue Pegboard Tweezer Dexterity Ishihara Colour-blindness Special Observation Vocational Guidance Interviews Tutoring in Reading Totals 537 40 12 8 200 150 91 17 1 83 43 1 2 1 1 1 29 43 20 10 2 1 6 9 13 1 5 2 32 3 1 1 40 1,412 19 1 15 34 12 13 15 179 47 46 41 12 3 200 209 103 17 1 111 74 1 2 1 1 1 46 70 20 11 3 2 1 6 9 13 1 5 2 32 3 1 2 40 I have, etc., Marjorie Munro, Psychologist. DENTAL REPORT. A. L. Crease, Esq., M.D., General Superintendent, Provincial Mental Hospital, Essondale, B.C. SiRj—Following is the annual report of the dental department from April 1st, 1945, to March 31st, 1946 :— Provincial Mental Hospital, Essondale. All patients able to be present were examined, and dental charts filed. All acute conditions were given precedence, and all suffering relieved the same day as reported. HH 20 MENTAL HOSPITALS REPORT, 1945-46. Dentures were made for patients recommended by members of the medical staff. Restorations of carious teeth have been made as far as possible. Examinations Summary. 645 Extractions 728 Fillings inserted 258 Treatments 137 Local anaesthetics 392 Dentures repaired 58 Dentures rebased 12 Dentures made 40 Bridges reDaired 2 Alveolotomv 11 Prophylaxis 142 Davis crown 1 Provincial Mental Hospital, New Westminster. All new patients were examined and record charts made. Examinations Summary. 305 Diseased teeth extracted _ 140 Local anaesthetics 85 Abscess treatments 6 Fillings inserted 74 Gingivitis treatments 19 Pyorrhoea treatments 47 Palliative treatments 91 Vincent's infection treatments 11 Dentures repaired 4 We have, etc., Milton Jones Emery Jones , D.D.S D.D.S. BEAUTY-PARLOUR REPORT. A. L. Crease, Esq., M.D., General Superintendent, Provincial Mental Hospital, Essondale, B.C. Sir,—The following is the annual report of the appointments in the beauty-parlour from April 1st, 1945, to March 31st, 1946:— Marcels 312 Curls 350 Finger-waves 1,034 Shampoos 2,436 Manicures 1 950 Haircuts 7,093 Oil treatments 27 I have, etc., J. White. SOCIAL SERVICE REPORT. HH 21 TRAINING-SCHOOL REPORT. The Provincial Mental Hospital school of nursing completed the fiscal year ended March 31st, 1946, with the following personnel: Registered nurses, 24; mental graduates, 30; student-nurses, 194—making a total staff of 248. This is approximately the same number of staff members as last year. Resignations for the year were 102 and replacements were 107. Three of our mental graduates returned to the hospital after successfully completing their course in general nursing. Two staff members are attending the one-year course in psychiatric nursing at the University of McGill and will return to the hospital at the termination of the course. Another forward step has been taken in the training of male members of the staff. The three-year course, which was resumed last fall, was temporarily set aside, and a qualifying course for all men was set up. The training of the men has been carried on entirely by male instructors, namely, Mr. Pritchard and his assistants R. Strong and R. Palm. Mr. Palm is responsible for the New Westminster branch employees. To date 60 charge and deputy charge attendants received a very short course, while 26 men received 100 hours' instruction. New Westminster branch had 19 men instructed in the short course and 34 in the 100-hour course. This year 29 nurses received diplomas for the three-year course in psychiatric nursing. This is the largest group to graduate in the history of the school. Two registered nurses completed their six-month course in postgraduate study. Certificates were awarded to 26 men at the graduation ceremonies. Forty-eight students from four general hospitals received a two-month affiliation course in psychiatric nursing, and 27 nurses from the public health division of the University of British Columbia were given a week of active observation in the departments of the hospital. This year an attempt has been made to provide recreational facilities for nurses. Miss Pullan and Mrs. Blythe formed an Arts and Crafts Club, and many nurses availed themselves of the opportunity and enjoyed one evening a week. Mr. Brown, Recreational Director, is planning further recreation in swimming, badminton, and moving- picture shows, etc. At the beginning of the school term, Mrs. Hopkins, who assisted with classes last year, returned to the X-ray department. Miss K. Soames joined the teaching staff. In March Miss M. E. Parsons replaced Mrs. Linea Duke as Superintendent of Nurses, and Miss E. Pullan was appointed Instructress of Nurses. Mrs. Duke very ably directed the school through the formative stage and guided it during the trying war period. With new student-nurses and an active teaching programme, we are much indebted to the medical staff, nursing staff, and other teaching personnel who have given so freely of their time and counsel. Mona E. Parsons, R.N., Superintendent of Nurses. SOCIAL SERVICE REPORT. This is the first report of this department after its amalgamation with the Social Assistance Branch of the Department of the Provincial Secretary. Because the work involves both the social services of the Child Guidance Clinic and the social services of the Provincial Mental Hospital, the report has been divided into two sections—Child Guidance Clinic and Essondale Mental Hospital. Figures do not mean a great deal, and although statistics have been kept and are available, they are not being used in the report of the Child Guidance Clinic because of the space involved. HH 22 MENTAL HOSPITALS REPORT, 1945-46. Child Guidance Clinics. The two stationary clinics, Vancouver and Victoria, are now each staffed with a permanent psychiatric social worker who, in addition to management of the clinic routine, carries a case-load of privately referred cases, as well as giving consultative services to other social workers who have the follow-up within their own agencies of clinical examinations. This move has been a decided advancement in the work, as there is now an opportunity to give help at the time needed rather than through correspondence. By " privately referred " cases we mean those cases not known or active with another social agency. As parents come to respect the advisability of asking help for emotional difficulties which they encounter with their children, they lose the false shame of attending a child guidance clinic and of receiving help through that source. They then very vigorously advise their friends to seek advice, and so with the improvements of service given the demand for this type of examination increases. However, we are far from secure in this endeavour. We should have sufficient psychiatrically trained personnel to give the required help. With the lack of adequate staff we are not only unable to sufficiently help the parents who come of their own volition and are thus ready to help, but too great emphasis is placed upon quick results and not enough thought and continual contact is given to ensure more lasting improvement. Family doctors refer cases and often ask that case-work within the home should be carried by the psychiatric social worker. These are cases we should have time for, or else the private physician gets the idea that our services cannot assist him and the child guidance programme has little to offer in the remedial or preventive field of emotionally maladjusted individuals. This department, because it represents one of the Provincial services, should be keyed to leadership in this particular field, and for this reason do a more proficient piece of work. There were 127 private children's cases carried by the two social workers; 26 of these were referred by the family physician, 18 by private schools, and the remaining 83 were referred by some member of the family—52 by the mother, 8 by the father, and 5 by the brother or sister. In aditidon to the latter, each worker had a number of pre-psychotic adults on which they did case-work following clinical appointments. When a worker has this type of service to give, she should have particularly good training and should have had the actual contact and training with the psychotic patient in hospital setting in order to be proficient in psychiatric social work, either in the preventive or the remedial centre. Mental hospital social service experience is most essential. Throughout the year the social workers of the clinic have carried on a teaching programme to social service and public health students, as well as giving a number of addresses to interested groups, such as women's and youth organizations, as well as giving psychiatric counselling to social workers who asked for it in conjunction with their case-loads. As much opportunity as possible is given each social worker to avail herself of further training while in the service by attending series of lectures given by staff psychiatrists at Essondale and by courses in advanced case-work given by the Department of Social Work at the University of British Columbia. SOCIAL SERVICE REPORT. HH 23 PROVINCIAL MENTAL HOSPITAL AND HOME FOR THE AGED. Statistical. Number of cases referred to Social Service Department, including those cases referred for probation and therapy visits only:— In Vancouver 409 Out of Vancouver 425 834 Disposition— Discharged on probation— In Vancouver 164 Out of Vancouver 323 487 Discharged in full— In Vancouver 20 Out of Vancouver 80 100 Died— In Vancouver 44 Out of Vancouver 196 240 Report of social service work carried out by member of Social Service Department at Essondale:— Initial interviews to obtain social histories— In Vancouver 347 Out of Vancouver 5 352 Probation visits— In Vancouver 170 Out of Vancouver 170 Therapy visits— In Vancouver 5,608 Out of Vancouver 5,608 Collateral 1,612 Letters 1,111 The above statistics picture a volume of work achieved by three full-time and two part-time social workers. It is needless to say that good routine is essential, but even at that thorough work cannot be done, nor can as small a staff give adequate help to the field service throughout the Province, to whom supervision must be carried on by mail. If the Social Service Department can hope to fulfil the role of working in partnership with the hospital psychiatrists, they must have time as well as knowledge to follow out plans made by the group, and to plan for adequate treatment within the home environment to ensure the investment already made by the hospital treatment. As soon as patients arrive at the hospital, plans for their " after care " must be considered, and the machinery put in motion. This is especially essential since treatments for the mentally ill are so actively used and where patients must be discharged as soon as possible because of the overcrowded condition of the hospital. The after-care can generally be accomplished through good case-work being done within the patient's own family group, but to do this, good co-operation between the HH 24 MENTAL HOSPITALS REPORT, 1945-46. home and hospital must be established and kept. The social worker is generally the person best known to both. She represents the " outside " to the patient and the " inside " to the relative. Families need to be encouraged to accept their responsibilities, and to do this they need to know that someone is near to give a helping hand. In the last year six patients have been rehabilitated in homes other than with relatives or personal friends. These patients were boarded in homes approved by municipal authorities and paid for by the social assistance received from the area from which the patient originally came. One patient had a chest condition, for which she had to remain in Vancouver to receive active treatment. She finally progressed well enough to be self-supporting. A second is partly self-supporting, and two have returned to different Provinces and to their own relatives. One has returned to the mental hospital for further care, and the other is self-supporting and welcomed by her own family who were formerly much against her ever leaving the hospital. The social service workers at the hospital have not participated in the Child Guidance Clinic this past year. Consequently, there has been more continuity in the service given to the hospital and to the social work carried on by the field workers of the Social Assistance Branch. If it was not for the latter workers, our patients and their families would receive little help. For this reason, every effort is used to give good supervision to the field service and to give as much help to them while they are at the hospital during their orientation period. Lectures to the Essondale school of nursing were given, and student training was participated in both for the University of British Columbia social work students and postgi'aduate nurses attached to the hospital. The newly developed family service of the Social Assistance Branch has been a very great help in the family care of our patients' dependents. The private social agencies of Vancouver and Victoria and the municipal workers have been most co-operative throughout the Province. We will be very glad when we can report even a fair coverage for all our patients, but to do so we will need many more workers attached right to the hospital and more psychiatric training for field workers throughout the Province. Josephine F. Kilburn. CHILD GUIDANCE CLINIC. Attached herewith is a consolidated report of the work done in the Child Guidance Clinic from April 1st, 1945, to March 31st, 1946. There has been a noticeable increase in the number of clinics held, the number of cases seen, the agencies referring the cases, and in the requests for services of the clinic in areas of the Province not already visited. In meeting the needs of the Province by extending and improving clinics there are two difficulties that must be overcome, namely, geographical and personnel. It is felt that adequate coverage within the standards recommended by the American Psychiatric Association can be provided by four psychiatric teams. Each team would consist of one psychiatrist with special training in child psychiatry, two clinical psychologists, four psychiatric social workers, including a case-work supervisor, and necessary clerical help. At present the nuclei of two teams have been carrying on the work in Vancouver, Victoria, Nanaimo (including Courtenay), New Westminster, and Chilliwack (including Mission). During the past year clinics have been held for the first time in Vernon and Penticton. Plans have been completed to conduct clinics in Nelson, Prince Rupert, and Prince George in the near future. SOCIAL SERVICE REPORT. HH 25 With the acquisition of additional trained personnel to complete four psychiatric teams, it is planned to station one team in Victoria, where facilities are already avail able, to serve Victoria and Vancouver Island. The psychiatrist from this team would act also as consulting psychatrist to the Provincial Mental Home at Colquitz. Two . teams would be stationed in Vancouver to serve the Lower Mainland area, and the- fourth team would act as a travelling team to cover the rest of the Province. In the meantime the work is being carried out from the Vancouver clinic. In addition to the work in child guidance, the clinic, in working outside Vancouver's metropolitan area, has provided clinical services where indicated for pre-psychotic adults, the aged, and for patients on probation from the mental hospital. A function of the clinical service that has shown very rapid growth is a consultative service, which is available to parents in regard to difficulties in child training and to social agencies who discuss difficulties they are finding and need to adjust while await- ing a clinic appointment for their clients. Frequently, as a result of the consultative conference, it becomes unnecessary for the client to be examined at the clinic, thus relieving the case-load. The staff of the clinic spends considerable time attending meetings and discussion groups, where an opportunity is presented to disseminate information about the clinic's functions and types of cases treated to those agencies that can make use of the clinic services in helping to solve their perplexing problems. The work of the clinic has been aided materially by the understanding co-operation of the various referring agencies who have submitted the initial case-histories and assisted in making possible the recommended treatment. Statistics. Vancouver. Victoria. Nanaimo. Chilliwack. New Westminster. Penticton. Vernon. Total. Number of clinics held 216 23 5 3 3 1 1 252 New cases 528 91 12 10 14 2 4 661 Males— 33 9 [ 42 260 43 9 7 12 1 1 1 333 Females— Adults.... 88 16 1 105 ' 147 23 3 2 4 2 1 1 2 3 181 1.1 104 21 9 Males— | 8 55 2 11 7 3 1 1 11 77 Children Females— Adults 10 31 632 1 7 112 2 21 1 14 15 1 4 4 11 42 802 Total cases Physicals 585 91 21 14 15 4 4 734 321 41 280 264 92 172 480 52 9 43 39 16 23 91 16 16 5 5 21 10 10 4 1 3 14 13 13 2 2 15 2 1 1 1 1 2 3 415 51 364 319 109 210 629 2 4 3 4 Play-room observation 450 450 54 15 54 15 P.H.N, students 15 15 578 86 21 16 8 5 4 718 Consulting conferences 32 11 7 50 Psychiatric interviews 667 191 27 26 15 11 8 945 18 1 18 1 HH 26 MENTAL HOSPITALS REPORT, 1945-46. Sources of Cases. Source. Vancouver. Victoria. Nanaimo. Chilliwack. New Westminster. Penticton. Vernon. 5 47 27 101 35 231 8 38 9 25 15 1 12 1 9 65 2 1 24 27 2 22 1 4 7 18 1 6 2 1 6 12 9 5 14 1 1 3 4 Social Service Department— T.B. Social Service 1 Ultan P. Byrne, M.B., D.P.H., Director. STATISTICAL TABLES. HH 27 STATISTICAL TABLES. Table No. 1.—Showing the Operations of the Hospitals, Essondale, New Westminster, and Saanich, from April 1st, 1945, to March 31st, 1946. Movement of Population. Male. Female. Total. Total. Male. Female. Total. In residence, Essondale, March 31st, 1945 1,761 363 275 58 3 2 1 1,369 251 94 2 3,130 614 275 152 5 2 1 2,463 446 1,716 388 On probation, carried forward from 1944—45, Essondale On probation, carried forward from 1944—45, New-Westmin- Escaped, carried forward from 1944—45, New Westminster 4,179 Admitted during the year 1945—46— By ordinary forms...'. 400 18 18 2 8 361 9 15 3 761 27 33 2 11 834 Total under treatment, Essondale, New Westminster, and Saanich, April 1st, 1945, to March 31st, 1946 Discharged during period April 1st, 1945, to March 31st, 1946— (a.) From Essondale— 55 115 63 5 72 1 137 62 110 45 5 98 71 117 225 108 10 170 1 208 2,909 495 2,105 408 5,014 448 391 839 (_».) From New Westminster— As improved 5 7 5 11 2 3 4 8 7 10 9 19 Died 28 17 45 (c.) From Saanich— 1 1 1 13 1 1 3 1 13 19 19 Total discharged from Essondale, New Westminster, and 903 Total in residence, Essondale, New Westminster, and Saanich 2,414 1,696 | 4,110 HH 28 MENTAL HOSPITALS REPORT, 1945-46. Table No. 1.—Showing the Operations of the Hospitals, Essondale, New Westminster, and Saanich, from April 1st, 1945, to March 31st, 1946—Continued. Movement of Population. Male. Female. Total. Total. Male. Female. Total. Essondale— Total on books, March 31st, 1945 1,819 446 18 7 1 1,463 388 11 j 3,282 834 29 7 2,290 521 1,862 421 Admissions during 1945—46 4,152 Discharged during 1945—46 448 37 36 391 30 839 67 36 Transferred to Saanich 942 366 37 253 30 619 67 1,769 1,441 3,210 New Westminster— Total on books, March 31st, 1945 403 46 283 28 686 28 18 17 11 45 29 74 278 36 278 36 357 255 Saanich— Total on books, March 31st, 1945 314 26 314 Discharged during 1945—46 19 7 19 7 26 1,769 357 288 1,441 255 3,210 612 288 288 Total in residence, Essondale, March 31st, 1946 2,414 1,696 Grand total in residence, Essondale, New Westminster, and Saanich, March 31st, 1946 4,110 Daily average population Percentage of discharged on admissions (not including deaths). Percentage of recoveries on admission Percentage of deaths on whole number under treatment 4,057.64 57.43 14.02 5.84 STATISTICAL TABLES. HH 29 Table No. 2.— Showing in Summary Form the Operations of its Inception. the Hospital since Year. in C .2 w JO 1 Discharges. u_ A S a -P g •a ° °_; % ►_r +* _i A a qj Q) 0D C. 01 u o c GO S3 0) !. QJ a u 0> A E 0> <y !« PI d 3 _. oj > — 0 0 e u 0 c 0 QJ 13 Percentage of Discharges to Admissions (Deaths excluded). QJ ■8 QJ O > o Oi p. T3 Gj s > -P o in Percentage of Deaths to Who Number under Treatment. 1872 18 15 12 29 22 14 16 18 17 13 7 8 10 20 27 36 26 41 52 49 52 1 10 4 3 11 4 7 4 5 2 3 3 4 3 1 i 5 3 10 5 3 8 8 5 5 2 3 2 16 14 19 32 35 38 36 41 48 48 49 49 51 61 66 77 5 13 3 3 5 7 1 2 10 5 11 2 2 2 28 18 31 26 48 54 49 54 54 58 61 55 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 5.55 66.66 33.33 10.34 50.00 28.57 43.75 22.22 29.41 38.46 42.85 50.00 20.00 25.00 37.03 41.66 46.15 34.15 32.69 38.77 32.69 31.81 16.25 46.77 35.93 27.03 33.33 30.69 33.63 34.78 24.79 27.34 40.00 33.33 23.03 21.30 28.30 31.00 30.00 19.57 18.90 22.63 14.43 25.00 20.68 23.72 20.00 20.20 14.17 20.08 20.77 18.56 13.66 12.00 15.38 5.55 80.00 33.33 26.89 63.63 78.57 62.50 27.77 29.41 61.54 57.14 62.50 60.00 25.00 59.25 55.55 69.23 46.34 44.23 46.94 51.92 72.72 40.00 64.51 75.00 37.83 49.38 62.37 57.52 52.17 50.41 53.96 62.61 61.78 52.06 41.20 53.90 64.60 59.28 54.42 5.55 1873 16 12 1874 11 53 1875 20 83 1876 1877 6 12 1878 ..... 16 16 1879 14.81 1880 8 62 1881 S 3 8 19 1882 3 1 4 1 2 I 4 3 63 1883 5.26 1884 3.33 1885 5 5 6.94 1886 10 6 15 | 5 12 | 6 14 | 5 17 6 19 | 4 17 1 10 6 5 3 4 12 20 13 14 19 20 9 14 19 6.81 1887 4 80 1888 82 5 2 87 1889 100 117 123 135 133 162 164 18 17 6 12 29 2 3.25 1890 7.64 1891 11.69 1892 6.95 1893 44 14 18 19 11 25 7.60 1894 80 62 64 74 81 101 13 29 23 8.92 1895 8.92 1896 171 7 3.94 1897 20 8 203 1 32 5.69 1898 27 ,31 13 221 234 258 284 311 349 321 348 388 461 507 536 595 690 752 919 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 18 13 24 26 27 38 27 43 73 46 29 48 105 6.66 1899 32 21 6.42 1900 113 | 38 115 | 40 121 j 30 139 j 38 115 | 46 123 | 43 150 j 36* 221 | 48 230 j 68* 232 | 73t 280 1 84 332 | 67t 375 | 74* 380 1 90§ 402 | 58 332 1 83 27 | 29 20 j 25 31 25 37 | 26 26 ! 26 8.14 1901 6.63 1902 6.06 1903 5.57 1904 5.42 1905 1906 33 43 43 56 77 82 114 128 146 27 2S 39 57 40 41 60 76 67 5.34 5.04 1907 1908 5.08 7.44 1909 6.40 1910 4.57 1911 5.83 1912 62 53.80 7.02 1913 167 108 63 115 96 46 111 108 83 48 87 100 111 130 62.10 | 5.30 1914 126 | 74 91 j 89 96 1 80 78 j 106 95 I 132 ■ 45.77 | 5.43 1915 1,437 52.41 1 6.19 1916 1917 353 371 375 574 489 . 478 438 447 461 475 494 73t 88 75 116 88 96 91 84t 63 57|| 76§ 1,527 1,650 1,753' 2,025 2,043 2,137 2,180 2,234 2,327 2,434 2,565 47.87 44.74 45.33 58.71 72.60 57.32 59.36 64.20 66.16 62.53 5.24 6.42 1918 7.47 Jan. 1, 1919, to March 31, 1920 1920-1921 221 173 178 167 121 242 240 132 122 114 133 163 138 142 6.51 5.97 1921-1922 5.33 1922-1923 1923-1924 6.10 7.25 1924-1925 5.93 1925-1926... 5.83 1926-1927 171 161 50.00 | 6.27 1 1 * Three not insa ne. t One not insane. t Two not insane. § Four not ir sane. ]] Six not insane. HH 30 MENTAL HOSPITALS REPORT, 1945-46. Table No. 2.—Showing in Summary Form the Operations of the Hospital since its Inception—Continued. B0 C Q CO w i «. Discharges. 03 £ QJ a B QJ T3 <_. •s ° QJ 0J 0_ S_ J. -0 CJ** 3 "^ u £ -p c. «*. C. QJ QJ __ ca $ u o C Qj' _. 9 QJ K V 0 u CJ _o 1 ll <p to g.s§ Percentage of Discharges to Admissions (Deaths excluded). oi Year. 13 QJ u o > o CJ QJ M >6 QJ u > 43 0 o o Is ■gJJ oji> e__ $*> h QJ uti S s OJ o^ _, PhO!?_-i 1927-1928 542 543 602 632 562 635 610 653 679 783 834 827 869 864 834 803 840 822 834 75* 92t 118* 70* 58K 44§ 61$ 71* 63* 78t 74 72* 111** 1071 71 tt 91« 87 96§§ 117tt 252 294 311 235 299 323 309 349 304 300 330 345 455 410 400 443 423 377 351 147 181 223 191 181 195 200 221 291 268 207 208 230 254 255 260 309 300 240 2,269 2,347 2,411 2,550 2,676 2,824 2,960 3,080 3,180 3,301 3,487 3,612 3,710 3,836 3,902 3,925 3,960 4,019 4,112 144 78 64 139 126 148 136 120 100 121 186 125 98 126 66 23 35 59 93 2,743 2,914 3,063 3,148 3,214 3,390 3,530 3,721 3,838 4,067 4,255 4,471 4,713 4,781 4,843 4,919 4,965 4,960 5,014 13.28 16.76 19.10 10.60 10.32 6.92 10.00 10.87 9.27 9.96 8.87 8.71 11.39 12.38 8.51 11.32 10.36 10.46 14.02 60.33 71.07 71.26 64.24 63.52 58.42 60.65 64.32 54.05 63.60 67.30 78.72 88.50 79.97 56.46 66.50 61.66 58.39 57.43 5.36 1928-1929 6.21 1929-1930 7.28 1930-1931 6.06 1931-1932 5.63 1932-1933 5.75 1933-1934 1934 1935 5.66 5.94 1935 1936 7.58 1936-1937 1937-1938 6.59 4.86 1938-1939 4.65 1939-1940 1940 1941 4.88 5.31 1941-1942 6.54 1942-1943 1943-1944 1944-1945 1945-1946 5.31 6.02 6.04 5.84 * Three not insane. ** Twelve not insane. t One not insane, ff Ten not insane. : Two not insane. § Four not insane. fl Five not insane. $} Eight not insane. §§ Seven not insane. Table No. 3.—Showing the Total Number of Admissions, Discharges, and Deaths from April 1st, 1945, to March 31st, 1946. Months. Admissions. Discharges. Deaths. Male. Female. Total. Male. Female. Total. Male. Female. Total. 1945. April 38 44 42 31 35 29 38 38 32 44 29 46 29 35 42 24 28 31 42 30 24 38 30 35 67 79 84 55 63 60 80 68 56 82 59 81 18 17 16 26 15 15 28 16 25 33 19 24 23 19 18 18 20 20 18 12 23 20 17 19 41 36 34 44 35 35 46 28 48 53 36 43 15 8 14 15 11 9 15 21 19 9 16 9 9 6 3 6 5 4 6 6 11 9 10 4 24 14 17 21 16 13 21 27 30 1946. 18 Totals 446 388 834 252 227 479 161 79 STATISTICAL TABLES. HH 31 Table No. 4.—Showing the Civil State of Patients admitted from April 1st, 1945, to March 31st, 1946. Civil State. Male. Female. Total. 136 238 9 39 21 3 175 120 5 74 14 311 358 14 113 35 3 446 388 834 Table No. 5.—Showing Religious Denominations of Patients admitted from April 1st, 1945, to March 31st, 1946. Religious Denominations. Male. Female. Total. 2 4 8 4 1 1 2 6 1 2 38 1 1 1 11 4 2 268 1 73 2 2 2 1 8 3 6 1 1 2 2 3 22 2 1 2 271 1 59 1 4 1 1 2 3 2 7 8 10 1 1 1 1 2 8 3 2 3 60 2 1 1 1 12 6 2 539 2 132 3 6 3 1 1 2 11 446 388 834 HH 32 MENTAL HOSPITALS REPORT, 1945-46. Table No. 6.—Showing the Degree of Education of those admitted from April 1st, 1945, to March 31st, 1946. Degree of Education. Male. Female. Total. 14 79 214 90 38 11 12 94 195 45 37 5 26 Good 173 409 135 75 16 Totals 446 388 834 Table No. 7.—Showing the Nationality of those admitted from April 1st, 1945, to March 31st, 1946. Nationality. Male. Female. Total. 1 4 1 11 3 1 69 1 2 1 6 1 3 4 7 1 1 2 12 10 3 7 30 1 7 1 18 3 6 3 20 93 17 2 7 56 3 6 22 1 2 1 2 1 75 3 2 2 1 1 4 13 2 2 5 6 1 4 20 1 3 23 3 3 1 18 92 12 1 5 38 5 32 2 2 14 5 2 144 1 5 3 8 Holland 2 4 8 20 Italy 4 17 Poland 16 4 50 2 10 1 41 6 9 4 Canada— 38 Q Totals 446 388 STATISTICAL TABLES. HH 33 Table No. 8.- -Showing what Districts contributed Patients from April 1st, 1945, to March 31st, 1946. Place of Residence. Male. Female. Total. Place of Residence. Male. Female. Total. 2 1 1 1 1 1 1 1 1 1 1 8 1 1 1 9 1 2 1 4 4 2 2 1 1 2 1 1 2 1 1 2 1 1 4 3 1 1 1 1 1 1 12 1 1 1 6 1 2 1 3 1 1 2 1 1 5 1 1 3 1 1 3 1 1 1 1 1 1 2 1 1 3 1 2 1 3 1 1 2 1 1 1 1 1 1 1 1 1 1 1 20 1 1 1 1 1 1 15 1 1 2 3 5 3 5 1 4 1 2 1 1 6 1 2 1 3 1 1 1 4 1 1 1 2 1 2 3 1 1 2 1 1 1 7 1 5 1 69 3 6 1 1 1 4 1 1 1 1 2 1 3 1 1 1 2 1 6 26 1 1 12 7 2 1 4 2 3 1 1 5 5 4 1 1 1 1 1 1 1 1 4 72 1 2 1 1 2 4 1 1 1 1 1 4 1 4 3 1 2 21 2 3 2 1 1 2 1 3 1 4 1 2 1 2 1 4 1 1 1 1 1 1 4 141 Kimberley 3 1 8 1 Lake Cowichan 1 1 1 3 8 Bridal Falls Lillooet 1 Lynn Valley Maillardville 1 2 Marpole 2 Buffalo Creek Burnahy Matsqui Mayne Island 2 2 1 1 Mission 7 1 1 Moyie 2 6 Naramata : 1 Nelson 9 Cobble Hill Neskainlith Indian Reserve.. 1 2 47 1 North Kamloops 2 North Pender Island 1 North Vancouver 15 Oakalla Prison Farm 9 Osoyoos 1 Paldi 1 Penticton 4 Pioneer Mine 1 Pitt Meadows 1 Port Alberni 7 Port Alice 1 Port Coquitlam 6 Port Edward 1 Port Hammond 2 Field Port Mann 4 Pouce Coupe 1 3 Prince George 6 Prince Rupert G 4 1 Qualicum Beach 1 1 1 2 1 High Bar Indian Reserve 1 1 Hudson Hope Kamloops 1 1 2 1 8 Carried forward 69 72 141 194 165 359 HH 34 MENTAL HOSPITALS REPORT, 1945-46. Table No. 8.—Showing what Districts contributed Patients from April 1st, 1945, to March 31st, 1946—Continued. Place of Residence. Male. Female. Total. Place of Residence. Male. Female. Total. 194 1 2 1 1 1 2 1 1 1 1 3 165 1 1 1 1 1 1 1 1 4 1 359 1 3 1 1 1 1 1 1 1 2 1 1 1 1 1 1 1 7 1 209 2 1 1 197 3 18 2 2 3 1 2 1 1 1 2 178 1 4 159 1 1 30 1 1 4 6 1 1 387 Salmo Taylor Flats Trail 1 6 1 1 Seton Lake Shoreacres Vancouver Vanderhoof 356 1 4 48 2 1 Wells.. 2 1 Squilax Westview White Rock 1 8 2 1 1 2 209 178 387 1 Totals 446 388 834 STATISTICAL TABLES. HH 35 Table No. 9.—Showing the Occupations of those admitted from April 1st, 1945, to March 31st, 1946. Occupation. Male. Female. Total. Occupation. Male. Female. Total. 2 1 1 1 2 1 4 3 3 1 1 1 2 1 10 1 1 1 1 3 1 1 1 2 1 4 3 1 3 1 1 1 2 1 10 1 1 1 14 2 1 10 1 2 1 1 17 1 1 1 5 1 1 1 1 1 1 42 6 5 1 1 1 2 2 3 1 217 1 1 6 3 1 1 1 66 3 1 212 19 3 1 5 1 1 1 1 6 10 1 61 2 2 1 1 1 3 1 1 3 1 1 1 1 1 40 1 1 10 1 5 1 2 3 1 1 1 1 1 13 1 5 2 2 2 1 1 3 3 2 255 1 1 1 ....... 78 8 . 13 9 2 3 6 1 6 1 467 19 3 1 6 1 1 1 1 1 7 10 Caddy 1 139 8 2 2 1 1 1 Clerk 11 2 1 10 1 2 3 1 Plumber o 1 1 3 1 1 1 [ 17 1 1 1 1 1 5 1 1 1 1 1 1 1 I 1 42 5 1 5 1 1 1 1- | 2 I 2 1 1 217 [ 1 1 1 <» 3 1 1 1 66 1 3 ! i 1 Rancher Repairman 1 1 1 53 1 Sales clerk 4 10 1 14 1 Seaman 2 2 3 Service-station operator Shipwright Shipvard-worker 1 Fisherman _ 1 1 1 Foundry-worker 1 Soldier 13 1 Stenographer 3 11 Tailor 2 2 Telephone-worker Tile-setter 2 1 Insurance agent Iron-worker Trackman Trapper 1 3 3 Usherette 1 6 Laundress Weaver Welder Totals 1 2 212 255 467 446 388 834 [ | HH 36 MENTAL HOSPITALS REPORT, 1945-46. Table No. 10.—Showing the Ages of those admitted from April 1st, 1945, to March 31st, 1946. Age. Male. Female. Total. 26 15 31 36 36 32 37 23 25 28 32 30 31 32 32 23 19 30 30 30 40 28 26 27 28 26 22 20 21 18 49 „ 20 „ 34 „ 25 „ 61 „ 30 „ 66 „ 35 „ 66 40 „ 72 45 „ 65 50 „ 49 „ 55 „ 52 „ 60 „ ! 56 65 „ 58 70 „ 52 75 „ 51 80 „ 53 Over 80 „ 50 446 388 834 Table No. 11.—Showing the Number of Attacks in those admitted from April 1st, 1945, to March 31st, 1946. Number of Attacks. Male. Female. Total. First... 257 46 17 13 2 1 1 9 4 96 226 71 28 13 7 3 2 9 4 25 483 117 Third 45 Fourth 26 Fifth 9 Sixth 3 3 Eighth 1 18 8 121 446 388 834 Table No. 12.—Showing the Alleged Duration of Attack prior to Admission from April 1st, 1945, to March 31st, 1946. Duration of Attack. Male. Female. Total. Un 39 67 47 25 13 25 30 13 2 6 4 132 43 32 64 52 34 26 21 37 22 9 7 4 48 32 71 131 46 67 Ov No Un Lif 13 8 Totals 446 388 834 STATISTICAL TABLES. HH 37 Table No. 13.—Showing Statistics of Heredity in those admitted from April 1st, 1945, to March 31st, 1946. Heredity. Male. Female. Total. Paternal branch 3 8 11 6 414 4 5 9 13 2 355 4 8 17 24 8 769 8 Maternal branch Heredity Heredity, inferred Heredity, unknown Not insane Totals 446 388 834 Table No. 14.—Showing the Alleged Cause of Attack in those admitted from April 1st, 1945, to March 31st, 1946. Alleged Cause. Male. Female. Total. 15 34 .... 1 1 1 8 207 1 1 3 2 12 1 11 6 8 3 2 1 1 23 1 4 1 1 88 1 5 3 4 36 1 2 1 10 203 1 2 11 13 2 9 5 1 2 3 2 6 1 4 1 60 1 1 6 19 70 1 1 3 Childbirth 4 24 8 2 5 3 1 29 1 1 8 1 1 1 148 1 1 6 9 446 388 834 HH 38 MENTAL HOSPITALS REPORT, 1945-46. Table No. 15.—Showing the State of Bodily Health in those admitted from April 1st, 1945, to March 31st, 1946. Bodily Condition. Male. Female. Total. 156 245 45 135 190 63 291 435 108 Totals 446 388 834 Table No. 16.—Showing the Form of Mental Disorder in those admitted from April 1st, 1945, to March 31st, 1946. Form of Disorder. Male. Female. Total. 34 12 23 32 9 33 9 12 4 1 • 9 6 10 143 88 15 3 1 2 36 13 5 30 6 66 11 8 4 1 1 9 3 1 8 121 59 4 2 70 25 28 62 15 99 20 20 8 2 1 18 9 1 18 264 147 19 3 2 1 2 Totals 446 388 834 Table No. 17.—Showing the Number allowed out on Probation and Results from April 1st, 1945, to March 31st, 1946. Results. Male. Female. Total. 55 121 71 5 46 81 62 112 48 5 42 102 117 233 119 10 88 Still out at end of the year 183 Totals .... 379 371 750 STATISTICAL TABLES. HH 39 Table No. 18.—Showing the Alleged Duration of Insanity prior to Admission in those discharged from April 1st, 1945, to March 31st, 1946. Less than 1 week „ 1 month ,, 2 months „ 3 months „ 6 months „ 12 months „ 2 years ,, 3 years Three years and over.. Not insane Unknown Totals... Alleged Duration. 252 ale. Female. 20 23 45 59 21 19 11 8 14 20 7 19 16 12 5 4 28 27 5 5 80 31 227 Total. 43 104 40 19 34 26 28 9 55 10 111 Table No. 19.—Showing the Length of Residence of those discharged from April 1st, 1945, to March 31st, 1946. Discharged recovered. Discharged improved. Discharged unimproved. Not Insanb. Male. Female. Male. Female. Male. Female. Male. Female. 6 11 8 21 1 10 10 22 8 14 13 30 25 12 3 7 2 14 12 27 16 16 9 3 2 11 41 3 2 4 6 7 1 3 2 2 21 2 2 7 8 3 2 1 1 1 3 2 1 1 1 7 13 2 1 1 5 1 1 j Totals 55 62 120 1 112 71 48 6 5 HH 40 MENTAL HOSPITALS REPORT, 1945-46. Table No. 20.—Record of Deaths from April 1st, 1945, to March 31st, 1946, Essondale, New Westminster, and Saanich. Register Initials. Sex. Age. Time in Hospital. Certified Cause. No. Years. Months. Days. 3869 J. H. S. M. 67 31 4 16 Pulmonary tuberculosis. 8039 C. F. M. 70 21 3 14 Exhaustion due to arteriosclerotic dementia. 10354 C. A. B. M. 48 16 6 7 Chronic myocarditis. 17021 E. L. F. 85 6 7 8 Exhaustion due to arteriosclerotic dementia. 22204 E. A. D. M. 76 0 4 30 Exhaustion due to senility. 9912 B. R. M. 60 17 4 30 Coronary thrombosis. 22386 W. A. M. 68 20 2 17 Exhaustion due to senile dementia. 21829 M. W. F. 56 0 10 14 Cerebral haemorrhage. 4585 B. M. F. 53 29 6 11 Lobar pneumonia. 22246 S. M. T. F. 72 0 4 20 Exhaustion due to senile dementia. 16079 G. R. M. 74 7 9 14 Chronic myocarditis. 21424 D. P. M. M. 78 1 4 5 Exhaustion due to arteriosclerotic dementia. 21711 E.S. F. 25 1 0 20 Disseminated sclerosis ; undulant fever. 2556 J. P. C. F. 65 35 3 1 Pulmonary tuberculosis. 22250 R. S. McK. M. 76 0 4 24 Exhaustion due to senile dementia. 22179 G. E. H. M. 55 0 5 22 Cancer of the head of the pancreas. 14683 W. R. H. M. 34 9 7 13 Pulmonary tuberculosis. 22499 M. R. F. M. 66 0 1 9 Exhaustion due to general paresis. 15405 F. N. F. 63 8 7 27 Chronic myocarditis. 22406 W. McC. M. 67 0 2 7 Exhaustion due to senility. 14100 N. S. F. 56 10 6 6 Pulmonary tuberculosis. 6882 A. A. M. 58 23 11 16 Chronic myocarditis. 20426 M. A. F. 25 2 8 7 Pulmonary tuberculosis. 22619 M. K. B. F. 54 0 0 9 Cerebral arteriosclerosis ; haemorrhage into the pons. 21487 J. F. R. M. 59 1 4 15 Exhaustion due to Alzheimer's disease. 18975 W. P. M. 71 4 5 14 Pulmonary tuberculosis. 20773 W. E. C. F. 63 2 3 11 Carcinoma of liver. 21631 P. R. McL. M. 63 1 2 19 Subacute combined degeneration; pernicious anaemia. 12332 H. R. W. M. 40 13 5 11 Bronchopneumonia. 22403 H. A. F. 71 0 3 19 Exhaustion due to senile dementia. 21890 F.J. F. 68 0 11 8 Exhaustion due to senile dementia. 20661 F. G. S. M. 18 2 5 12 Pulmonary tuberculosis. 22387 J. P. M. 69 0 4 3 Exhaustion due to senile dementia. 22668 M. C. M. 67 0 0 5 Chronic myocarditis. 22675 J. E. F. M. 73 0 0 4 Chronic myocarditis. 21883 P. G. M. 60 0 11 16 Exhaustion due to arteriosclerotic dementia. 22394 S. S. F. 65 0 4 4 Exhaustion due to arteriosclerotic dementia. 16107 W. V. M. 58 7 10 24 Chronic myocarditis. 18009 A. C. T. M. 55 5 7 26 Exhaustion due to general paresis. 22438 W. T. C. M.. 74 0 3 26 Acute myocarditis. 11875 M. B. F. M. 61 14' 3 6 Chronic myocarditis due to general paresis. 9701 J. C. M. 64 18 0 18 Chronic myocarditis. 12693 0. H. N. M. 74 12 11 4 Chronic myocarditis due to arteriosclerosis. 22674 F. G. W." M. 60 0 0 25 Exhaustion due to involutional melancholia. 11859 G. H. B. M. 71 14 4 5 Exhaustion due to arteriosclerotic dementia. 22297 C. w. w. M. 84 0 6 11 Exhaustion due to senile dementia. 15002 A. B. M. 65 9 3 29 Exhaustion due to arteriosclerotic dementia. 22436 G. R. M. 58 0 4 13 Exhaustion due to general paresis. 13369 H. H. M. 67 11 10 5 Chronic myocarditis. 22710 A. McK. F. 73 0 0 22 Chronic myocarditis. 20393 E.N. F. 55 2 10 22 Exhaustion due to arteriosclerotic dementia. 5634 J. A. B. M. 58 26 9 10 Coronary thrombosis. 18670 T. M. M. 61 4 11 6 Chronic myocarditis. 22720 A. L. M. 65 0 0 21 Chronic myocarditis. 18809 G. McC. F. 55 4 9 14 Cerebral haemorrhage. 22732 C. McK. M. 66 0 0 20 Coronary thrombosis. 22489 A. P. F. 73 0 4 2 Exhaustion due to arteriosclerotic dementia. 18226 W. R. M. 74 5 5 23 Chronic myocarditis due to arteriosclerosis. 22103 S. A. F. M. 1 81 0 9 22 Chronic myocarditis ; chronic passive congestion of the lungs and spleen; intracapsular fracture of neck of left femur. STATISTICAL TABLES. HH 41 Table No. 20.—Record of Deaths from April 1st, 1945, to March 31st, 1946, Essondale, New Westminster, and Saanich—Continued. Register Sex. Time !N Hospital. No. Initials. Age. Certified Cause. Years. Months. Days. 22703 E. D. W. F. 38 0 1 12 Exhaustion due to acute mania. 6976 W.N. M. 70 23 11 17 Pulmonary tuberculosis. 16003 Y. A. M. 26 8 1 21 Pulmonary tuberculosis. 22635 L. F. M. 66 0 2 10 Exhaustion due to general paresis. 22692 L. B. M. 73 0 1 21 Chronic myocarditis. 20190 K. F. F. 44 3 2 12 Intestinal obstruction due to adhesion following perforation of the ileum. 22678 S. I. F. 44 0 2 3 Pulmonary tuberculosis. 21195 W. McL. M. 63 1 11 9 Squamous cell carcinoma. 22826 A. H. M. 57 0 0 6 Cerebral haemorrhage; hypertension. 12287 M. W. F. 64 13 8 17 Pulmonary tuberculosis. 22397 F. W. M. M. 80 0 6 13 Coronary thrombosis. 22727 M. B. F. 74 0 2 1 Chronic myocarditis. 2657 O. L. W. F. 88 35 2 0 Chronic myocarditis. 22495 F. W. O. M. 70 0 5 6 Right bronchopneumoia. 22598 W. J. V. M. 46 0 3 27 Chronic myocarditis due to syphilis. 21911 H. R. M. 72 1 1 24 Exhaustion due to arteriosclerotic dementia. 23308 A. J. D. M. 62 0 7 25 Chronic myocarditis due to arteriosclerosis. 22165 S. W. W. M. 46 0 9 27 Exhaustion due to general paresis. 19888 W. C. M. 51 3 7 11 Coronary thrombosis. 20489 H. L. W. M. 60 2 10 28 Pulmonary tuberculosis. 14050 M. P. F. 71 9 11 17 Chronic myocarditis. 22673 A. B. M. 86 0 3 17 Exhaustion due to senile dementia. 22001 R. J. N. M. 89 1 1 8 Exhaustion due to senile dementia. 16161 W. P. R. M. 53 8 1 11 Exhaustion due to general paresis. 10326 A. C. E. F. 67 17 1 3 Carcinoma of breast. 22625 W. C. M. 43 0 4 18 Coronary thrombosis. 22667 A. E. B. F. 78 0 3 30 Chronic myocarditis. 19722 K. C. F. 67 3 10 25 Pulmonary tuberculosis. 16208 F. T. M. 76 8 1 4 Exhaustion due to senile dementia. 20542 C. L. L. M. 62 2 10 27 Exhaustion due to general paresis. 22838 H. B. M. 65 0 1 24 Exhaustion due to senile dementia. 22591 F. H. M. 82 0 5 8 Exhaustion due to senile dementia. 22946 J. G. W. F. 76 0 0 2 Chronic myocarditis. 21934 E. E. M. 66 1 2 24 Coronary thrombosis due to chronic myocarditis. 21263 J. R. F. 67 2 0 3 Cerebral haemorrhage. 6994 J. L. M. 59 24 1 17 Chronic nephritis due to hydronephrosis. 22723 W. D. M. 72 0 2 11 Exhaustion due to senile dementia. 22881 A. R. M. 81 0 0 16 Exhaustion due to senile dementia. 22848 M. E. H. F. 69 0 1 24 Cerebral haemorrhage. 18353 E. C. T. M. 69 5 6 27 Chronic degenerative myocarditis. 22784 S. D. M. 63 0 3 1 Exhaustion due to arteriosclerotic dementia. 22962 A. L. H. F. 58 0 0 5 Chronic myocarditis associated with diabetes and arteriosclerotic dementia. 10744 L. G. B. M. 62 16 11 12 Chronic myocarditis due to arteriosclerotic dementia. 22913 J. M. D. M. 89 0 0 29 Exhaustion due to senile dementia. 21710 I. S. M. 67 1 6 17 Exhaustion due to arteriosclerotic dementia. 16023 H. H. M. 50 8 4 10 Cerebral haemorrhage due to cerebral arteriosclerosis. 22686 J. Mel. M. 59 0 4 15 Exhaustion due to progressive muscular atrophy. 4748 D. M. M. 54 29 6 10 Right bronchogenic carcinoma with lung abscess with metastasis to left ninth and tenth ribs. 17888 J. M. M. 71 6 1 0 Exhaustion due to general paresis. 22869 D. J. H. F. 13 0 2 3 Acute encephalitis ; non-epid congenital hydrocephalus. 17407 G. M. F. 66 6 8 11 Cerebral haemorrhage. 13794 J. M. M. 56 11 5 26 Exhaustion due to paranoidal schizophrenia. 22707 E. E. G. F. 86 0 4 25 Chronic myocarditis. HH 42 MENTAL HOSPITALS REPORT, 1945-46. Table No. 20.—Record of Deaths from April 1st, 1945, to March 31st, 1946, Essondale, New Westminster, and Saanich—Continued. Time in Hospital. Register Initials. Sex. Age. No. Years. Months.j Days. 2476 C. H. I. M. 73 36 1 6 11171 A. G. R. M. 53 15 9 14 22743 S. K. K. M. 72 0 4 16 6711 S. P. M. 57 24 9 26 22830 J. E. H. F. 78 0 3 5 23041 L. m. r. F. 74 0 0 3 23046 T. M. S. M. 50 0 0 3 23039 A. V. E. M. 62 0 0 7 23033 J. McD. M. 51 0 0 9 21899 M. R. F. 68 1 4 20 23016 E.S. M. S5 0 0 17 22407 N.Y. M. 65 0 9 9 22977 S. A. P. M. 79 0 1 2 20900 A. J. B. F- 79 2 7 1 23048 T. S. P. M. 85 0 0 10 22874 E. S. McR. M. 63 0 2 24 22252 F. B. M. 77 0 11 21 22157 A. T. H. M. 80 1 0 26 22785 H. C. M. 78 0 4 9 23064 C. A. B. M. 76 0 0 6 23056 C. M. L. F. 70 0 0 12 19134 W. B. N. M. 64 4 9 8 22275 A. N. S. F. 57 0 11 21 10837 A. M. F. 62 16 5 7 20515 Y. S. F. 51 3 1 16 23078 E. R. M. 80 0 0 11 17066 J.N. M. 74 7 2 14 22840 J. P. M. 64 0 3 30 9615 J. C. F. 82 18 8 1 9844 E. C. B. M. 83 23 2 29 23040 F. C. M. 58 0 1 5 23057 M. J. C. F. 67 0 1 2 22955 E. M. F. 87 0 2 10 5836 T. R. M. 56 26 8 17 14076 A. T. M. 73 11 2 16 22050 M. E. F. 70 1 3 20 22991 J. S. M. 72 0 1 29 23074 E. P. F. 81 0 1 3 22949 J. F. O'N. M. 75 0 2 19 22497 K. N. M. 65 0 8 25 17260 R. McM. M. 25 7 0 7 23093 W. B. E. M. 78 0 0 26 11529 T. K. M. 52 15 4 9 10518 R. V. M. 35 17 0 12 22268 J. R. M. 82 1 1 6 23000 F. S. W. M. 68 0 2 24 23177 J. S. K. M. 63 0 0 5 10248 O. L. M. 68 17 6 29 20882 A. B. M. 83 2 9 14 22478 J. R. F. 30 0 10 5 22767 M. M. C. F. 37 0 6 13 23171 S. B. Z. F. 9 mo. 0 0 14 20883 M. C. F. 60 2 9 11 22849 F. H. S. F. 77 0 5 7 22566 B. L. S. F. 72 0 9 11 21623 CD. F. 83 1 10 23 23203 J. H. M. 63 0 0 4 5240 M. J. P. F. 79 28 4 20 22997 G. R. G. M. 77 0 3 7 Certified Cause. Pulmonary tuberculosis. Chronic degenerative myocarditis. Exhaustion due to senile dementia. Pulmonary tuberculosis. Adenocarcinoma of uterus. Chronic myocarditis. Exhaustion due to meningovascular syphilis. Diabetes mellitus. Exhaustion due to schizophrenia. Chronic myocarditis- Exhaustion due to senile dementia. Chronic myocarditis due to arteriosclerosis. Exhaustion due to senile dementia. Bilateral lobar pneumonia. Exhaustion due to senile dementia. Cerebral haemorrhage. Exhaustion due to senile dementia. Exhaustion due to senile dementia. Exhaustion due to senile dementia. Cerebral haemorrhage. Cerebral thrombosis. Chronic myocarditis. Carcinoma of tongue. Pulmonary tuberculosis and general paresis. Cancer of bladder. Chronic myocarditis. Exhaustion due to senile dementia. Exhaustion due to general paresis. Coronary thrombosis. Chronic myocarditis. Exhaustion due to involutional melancholia. Exhaustion due to Huntington's chorea. Chronic myocarditis. Shock due to spontaneous eruption; hydronephrosis and pulmonary tuberculosis. Exhaustion due to schizophrenia. Exhaustion due to senile dementia. Chronic myocarditis; bronchopneumonia. Chronic myocarditis. Exhaustion due to senile dementia. Exhaustion due to general paresis. Complications of lacerations of throat. Chronic myocarditis. Pulmonary tuberculosis. Complications of pulmonary tuberculosis. Exhaustion due to senile dementia. Gangrene of the transverse and descending colons and haemorrhage. Chronic myocarditis. Angina pectoris. Exhaustion due to senile dementia. Bacillary dysentery. Bacillary dysentery. Bronchopneumonia. Chronic myocarditis. Cerebral haemorrhage. Exhaustion due to senile dementia. Chronic myocarditis. Acute bronchopneumonia. Coronary thrombosis. Exhaustion due to senile dementia. STATISTICAL TABLES. HH 43 Table No. 20.—Record of Deaths from April 1st, 1945, to March 31st, 1946, Essondale, New Westminster, and Saanich—Continued. Register Age. Time in Hospital. No. Initials. Sex. Certified Cause. Years. Months. Days. 17732 I. R. M. 26 6 6 18 Bilateral pulmonary tuberculosis. 22689 A. S. W. F. 76 0 7 25 Chronic myocarditis. 23083 M. J. S. F. 69 0 2 5 Chronic myocarditis. 9492 K. F. A. F. 64 19 0 27 Chronic myocarditis. 23072 G. W. S. M. 83 0 2 13 Exhaustion due to senile dementia. 23197 W. G. S. M. 72 0 0 12 Chronic myocarditis. 22715 S. A. F. 92 0 7 20 Carcinoma of the breast. 8772 D. W. B. M. 88 20 6 15 Chronic myocarditis ; arteriosclerosis. 22685 V. G. F. 77 0 8 0 Arteriosclerosis ; chronic myocarditis. 22722 J. P. B. M. 62 0 7 20 Exhaustion due to arteriosclerotic dementia. 23035 M. T. F. 51 0 3 0 Cancer of breast with metastases. 23027 K. S. M. 66 0 3 8 Left renal thrombosis; perinephric haemorrhage ; arteriosclerosis. 13838 R. W. G. M. 46 11 8 14 Pulmonary tuberculosis. 15566 A. W. ,M. 63 9 2 23 Coronary thrombosis. 3887 A. C. F. 82 32 2 8 Chronic myocarditis. 22661 Y. S. L. M. 58 0 8 24 Exhaustion due to general paresis. 5081 H. W. M. 65 28 9 15 Coronary thrombosis. 22852 E. W. F. 82 0 6 2 Chronic myocarditis. 23232 L. D. F. 47 0 0 14 Lobar pneumonia. 22906 W. S. McK. M. 80 0 5 23 Exhaustion due to senile dementia. 21069 N. K. F. 62 2 7 25 Coronary occlusion. 23044 C. L. F. 63 0 3 14 Chronic myocarditis. 23210 A. G. J. M. 72 0 1 0 Exhaustion due to senile dementia. 8829 E. V. V. M. 90 20 5 23 Carcinoma of head of pancreas. 23124 H. R. M. 62 0 2 8 Exhaustion due to general paresis. 15524 M.S. F. 70 9 3 29 Diabetes mellitus. 22170 J. P. R. M. 69 1 4 2 Cerebral vascular accident. 23090 D. M. M. 53 0 3 0 Acute mania. 2506 L. F. M. 61 36 3 14 Bronchopneumonia. 20714 M. K. M. 39 3 1 19 Tubercular peritonitis due to tuberculosis. 17917 A. M. McL. F. 70 6 5 23 Coronary thrombosis. 21109 D. D. M. 67 2 8 2 Exhaustion due to senile dementia. 23311 I. G. M. F. 71 0 0 10 Cerebral haemorrhage; arteriosclerosis ; diabetes. 23325 P. G. M. 59 0 0 12 Acute mania ; acute myocarditis. 23245 C. H. F. 67 0 1 18 Chronic myocarditis. 6455 W. G. b. M. 63 25 8 17 Idiopathic epilepsy with psychosis. 20826 L. W. M. 53 3 0 20 Pulmonary tuberculosis. 5783 H. F. F. M. 58 18 1 4 Coronary thrombosis. 7435 A. S. M. 62 22 10 10 Coronary thrombosis. 7326 M.S. M. 68 23 3 25 Myocardial degeneration. 14252 M. J. W. M. 65 12 0 16 Cerebral haemorrhage. 6164 C. L. M. M. 63 25 10 13 Interstitial nephritis. 9394 C. S. M. 45 19 0 30 Cancer of stomach. 9091 H. D. M. 50 19 7 9 Cancer of liver. 4827 E. C. S. M. 79 29 4 29 Myocardial degeneration. 7086 L. C. M. 63 24 0 24 Carcinoma of stomach. 17130 M. G. M. 38 7 2 2 Acute bronchitis. 6017 C. L. M. 72 26 5 17 Coronary thrombosis. 3731 D. R. M. 76 32 7 19 Myocardial degeneration. 9799 M. J. D. M. 45 18 7 5 Cardio-renal disease. HH 44 MENTAL HOSPITALS REPORT, 1945-46. Table No. 20.—Record of Deaths from April 1st, 1945, to March 31st, 1946, Essondale, New Westminster, and Saanich—Continued. Netu Westminster. Initials. Sex. Age. Time in Hospital. Certified Cause. No Years. Months. Days. 18731 W. A. B. M. 8 mo. 5 21 Exhaustion due to idiocy. 19660 C. M. M. F. 24 3 6 8 Iliocolitis. 22358 G. K. M. 6 mo. 3 6 Hydrocephalus. 14676 M. J. C. F. 24 9 7 9 Pulmonary tuberculosis. 22610 B. E. N. M. 1 6 Status epilepticus. 22647 G. A. C. F. 1 23 Exhaustion due to idiocy. 20858 S. A. MacK. F. 9 2 2 17 Juvenile general paresis ; congenital syphilis. 17559 P. P. B. M. 29 6 2 26 Pulmonary tuberculosis. 16369 L. B. M. 36 7 7 5 Pulmonary tuberculosis. 16106 D. A. F. 50 8 1 15 Pulmonary tuberculosis. 22911 L. L. M. 1 2 10 Exhaustion due to hydrocephelus. 21825 J. B. F. 2 1 6 4 Exhaustion due to idiocy. 13586 A. B. F. 53 11 10 18 Chronic endocarditis. 18882 V. O. M. 26 5 2 Bronchopneumonia. 11282 C. E. G. M. 48 15 8 21 Bronchopneumonia. 22893 D. C. F. 12 3 17 Bronchopneumonia. 16410 L. S. M. 30 8 27 Status epilepticus. 23149 A. S. M. 10 mo. 1 2 Hydrocephalus. 21705 R. R. M. 2 1 10 14 Bronchopneumonia. BUSINESS MANAGER'S REPORT. HH 45 PART II—FINANCIAL. BUSINESS MANAGER'S REPORT. Essondale, B.C., December 17th, 1946. A. L. Crease, Esq., M.D., CM., General Superintendent of Mental Hospitals, Essondale, B.C. Sir,—I beg to submit herewith for your consideration the financial report of the Provincial Mental Hospitals of British Columbia for the year ended March 31st, 1946, including balance-sheets, profit and loss accounts, and various other tables and reports. The gross operating costs of the three institutions, see Table C, amount to $2,228,565.13, exclusive of the cost-of-living bonus, an increase of $257,462.48 over the previous year. When the cost-of-living bonus is included for both years, the increase amounts to $272,627.63. This gives a gross daily per capita per patient of $1.63 as against $1.48 in 1944-45, an increase of 15 cents per day. This increase of 10 per cent, is due in part to steady price increases in all lines and to additional services and treatment for patients. X-ray, recreational, and occupational departments have been enlarged and made far greater use of. The medical and nursing staffs have also been increased by the return of employees from the services and by the addition of staff to permit the full operation of the attendants' school and other services. Maintenance and sundry collections increased from $317,735.15 in 1944-45 to $350,163.87. Our daily average patient population increased 101—from 3,957 to 4,058. Patients in residence on March 31st, 1946, numbered 4,110. Recreational and occupational therapy have been paid particular attention during the year, although the latter has been very handicapped through lack of and inability to secure equipment. The psychopathic division, conducting clinics throughout the Province, expended $20,446.59, and this has been incorporated into our cost statements; also included is Public Works Department expenditures of $152,006.83, covering maintenance of buildings, plant, and grounds. Purchases from Colony Farm of milk, vegetables, pork, and other produce amounted to $193,623.92 and forms part of our dietary costs. Respectfully submitted. Gowan S. Macgowan, * Business Manager. HH 46 MENTAL HOSPITALS REPORT, 1945-46. PROVINCIAL MENTAL HOSPITAL, NEW WESTMINSTER. Balance-sheet, March 31st, 1946. Assets. Cemetery $610.89 Buildings $953,186.38 Plant and equipment 21,200.82 Furniture and fixtures 32,233.46 1,006,620.66 Inventories (unissued stores) — Medical care, drugs, etc. $1,896.54 Nursing and ward service supplies 19,552.96 Dietary 5,770.13 Fuel 1,827.06 29,046.69 Buildings, grounds, and general maintenance supplies 3,667.75 Petty Cash Account— Cash on hand and in bank 150.00 $1,040,095.99 Liabilities. Government of the Province of British Columbia— Capital expenditure $1,039,945.99 Provincial Mental Hospital, Essondale— Accountable advance 150.00 $1,040,095.99 ESSONDALE. HH 47 PROVINCIAL MENTAL HOSPITAL, ESSONDALE. Balance-sheet, March 31st, 1946. Assets. Land $117,763.50 Buildings $4,361,106.54 Furniture and fixtures _■_. 113,709.72 Plant and equipment 59,016.98 4,533,833.24 Inventories (unissued stores) — Medical care $14,291.59 Nursing and ward service supplies 48,481.77 Dietary 23,571.30 Fuel 4,296.14 90,640.80 Buildings, grounds, and maintenance supplies 33,537.59 Business Manager's Petty Cash Account— Advance, New Westminster institution $150.00 Vouchers collectable 981.98 Cash on hand and in bank 868.02 ■ 2,000.00 Pay-roll Account— Provincial Government vouchers collectable $84,769.27 Less overdraft at bank 83,769.27 1,000.00 Patients' Trust Fund— Cash on hand and in bank 39,525.74 $4,818,300.87 Liabilities. Government of the Province of British Columbia— Capital expenditure $4,775,775.13 Business Manager's petty cash advance 2,000.00 Pay-roll Account advance 1,000.00 ■ $4,778,775.13 Patients' Trust Account— Cash on hand and in bank 39,525.74 $4,818,300.87 HH 48 MENTAL HOSPITALS REPORT, 1945-46. PROVINCIAL MENTAL HOME, SAANICH. Balance-sheet, March 31st, 1946. Assets. Buildings Furniture and fixtures Airing and recreation courts Inventories (unissued stores) — Nursing and ward service supplies Dietary Fuel Laundry Buildings, grounds, and maintenance supplies __ Cash on hand and in bank— Petty Cash Account Patients' Trust Fund $291,174.59 20,095.91 $311,270.50 750.00 $11,741.59 3,323.96 1,751.00 467.17 $200.00 539.91 17,283.72 983.05 739.91 $331,027.18 Liabilities. Government of the Province of British Columbia— Capital expenditure $330,287.27 Current advance 200.00 Patients' Trust Account— Cash on hand and in bank $330,487.27 539.91 $331,027.18 HEADQUARTERS DEPARTMENT. HH 49 PSYCHOPATHIC DEPARTMENT. Expense Statement, March 31st, 1946. Salaries $15,951.76 Office supplies 855.23 Telephone and telegraph 418.34 Travelling expenses 1,301.99 Fuel 178.71 Water 11.95 Light and power 123.20 Janitor's service and supplies 221.38 Incidental expenses 1,384.03 $20,446.59 Note.—The above expenses absorbed into the New Westminster, Essondale, and Saanich statements on basis of population. Per Cent. Essondale 78 New Westminster 15 Colquitz 7 HEADQUARTERS DEPARTMENT. Expense Statement, March 31st, 1946. Salaries _■_ $26,758.67 Office supplies 1,911.23 Travelling expenses 229.61 $28,899.51 Less rent credits 327.50 $28,572.01 Note.—The above expenses absorbed into the New Westminster, Essondale, and Saanich statements on basis of population. Per Cent. Essondale 78 New Westminster 15 Colquitz 7 HH 50 MENTAL HOSPITALS REPORT, 1945-46. PROVINCIAL MENTAL HOSPITAL, NEW WESTMINSTER. Receipts and Disbursements for Twelve Months ended March 31st, 1946. Receipts. Maintenance— Receipts for patients' maintenance Excess of disbursements over receipts Disbursements. Office, stores, and general Medical care Nursing and ward service Less credits, including rent deductions Dietary Less credits, including board deductions Light, heat, water, and power Laundry Cars and trucking Occupational therapy Miscellaneous expenses Provincial Secretary's Department vouchers Less increase in inventories Buildings, grounds, and general maintenance- Public Works Department vouchers Plus decrease in inventories $52,317.34 343,395.29 $395,712.63 $193,449.87 12,970.20 $83,276.74 22,201.22 $15,496.08 20,799.11 180,479.67 61,075.52 53,775.66 5,235.32 199.10 7,017.30 10,272.63 $354,350.39 604.04 $353,746.35 $41,824.03 142.25 41,966.28 $395,712.63 ESSONDALE. HH 51 PROVINCIAL MENTAL HOSPITAL, ESSONDALE. Receipts and Disbursements for Twelve Months ended March 31st, 1946. Receipts. Maintenance— Receipts for patients' maintenance $272,050.19 Miscellaneous— Sale of sundry O.T. articles 1,399.98 Total receipts $273,450.17 Excess of disbursements over receipts 1,363,140.95 $1,636,591.12 Disbursements. Office, stores, and general $54,725.95 Medical care 136,400.93 Nursing and ward service $775,170.83 Less credits, including rent deductions 43,477.64 731,693.19 Dietary $508,362.12 Less credits, including board deductions 127,684.59 380,677.53 Light, heat, water, and power 150,729.40 Laundry 14,949.16 Cars and trucking 11,534.53 Occupational therapy 24,395.82 Miscellaneous expenses 35,779.24 Provincial Secretary's Department vouchers $1,540,885.75 Plus decrease in inventories 4,888.62 $1,545,774.37 Buildings, grounds, and general maintenance—■ Public Works Department vouchers $100,802.06 Less increase in inventories 9,985.31 90,816.75 $1,636,591.12 HH 52 MENTAL HOSPITALS REPORT, 1945-46. PROVINCIAL MENTAL HOME, SAANICH. Receipts and Disbursements for Twelve Months ended March 31st, 1946. Receipts. Maintenance— Receipts for patients' maintenance $24,414.76 Excess of disbursements over receipts 171,846.62 $196,261.38 Disbursements. Office, stores, and general $9,475.65 Medical care 6,087.78 Nursing and ward service $84,423.39 Less credits, including rent deductions 1,558.07 82,865.32 Dietary $45,027.92 Less credits, including board deductions 11,291.81 33,736.11 Light, heat, water, and power 23,287.46 Laundry 2,315.28 Cars and trucking 3,238.65 Occupational therapy 5,321.78 Miscellaneous expenses 20,384.37 Provincial Secretary's Department vouchers $186,712.40 Plus decrease in inventories 37.31 Buildings, grounds, and general maintenance— Public Works Department vouchers $9,380.74 Plus decrease in inventories 130.93 $186,749.71 9,511.67 $196,261.38 FINANCIAL TABLES. HH 53 FINANCIAL TABLES. Table A.—Showing the Average Number of Patients in Residence each Year, the Total Amounts spent for Maintenance, and Gross per Capita Cost. (For Past Ten Years.) Year. Average Number in Residence. Maintenance Expenditure. Per Capita Cost. 1936-37, New Westminster 510.65 2,448.90 258.38 532.41 2,602.17 261.52 596.25 2,710.32 261.62 603.03 2,796.69 271.35 611.17 2,884.96 279.95 607.40 2,976.62 286.40 605.17 3,042.06 284.06 601.15 3,047.75 279.61 606.25 3,072.84 277.87 610.36 3,163.61 283.67 $219,117.21 844,164.44 98,070.47 225,208.71 934,572.97 102,822.42 251,759.54 990,851.72 107,104.86 263,036.99 1,044,253.55 115,171.63 269,354.39 1,114,944.32 114,496.86 265,107.15 1,080,329.80 134,961.02 272,710.60 1,111,175.96 140,988.20 282,859.56 1,232,172.03 153,428.62 339,375.79 1,437,497.52 194,229.34 395,712.63 1,636,591.12 ' 196,261.38 $429.09 1936-37, Essondale 344.71 1936-37, Saanich 379.56 1937-38, New Westminster 423.00 1937-38, Essondale 359.15 1937-38, Saanich 393.17 1938-39, New Westminster 422.24 1938-39, Essondale 365.58 1938-39, Saanich . 409.39 436.19 1939-40, Essondale 373.38 1939-40, Saanich 424.43 440.71 1940-41, Essondale 386.46 1940-41, Saanich 408.99 436.46 1941-42, Essondale 362.93 1941-42, Saanich 471.23 450.76 365.28 1942-43, Saanich 496.43 470.65 404.25 547.96 559.80 467.81 1944 45 Saanich .. 698.99 648.32 517.32 691.86 HH 54 MENTAL HOSPITALS REPORT, 1945-46. « 55 P Q « _q < < w EH °. <. Ph w o p. ta H Z P O on O o «S to << m h 3w 3 I E > § a_ 5 s •z H P-i H tn o M o l-H It O X m M w m <! 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CO ■«* ■* CO ,_H c- HH OS 1.* HH c. t- IO CM fc- co >H o 00 HH t- cs o 10 IO CM co IO €-> IO IO o >o CO CO I-- C ) h- OS OS CO LO LO co o o t- eg CO CO t- co 00 O IO CO *# HH H< CI on ,-H CO cs ta _o CO OS © co IO T-I CM CS IO HH CO CO t- IO o cs 1*- •^Jl ^f CIS TSM KM IQ IO no co 1- ■^ CO Tt< CM ■^ 00 c:j © 00 ITS CS IO © IO co © CM eo CM c_ 00 00 O © CO on © f- OO 00 00 rH CO IO IO o © t- rH 00 rH ■** lO »o CD CO ^cf" rH r- CM HH © © o CO O-l Hh CM © Tf o M* IO HH 00 r- C. r-i t- CO t> rH CO fc- CS t- ou rH CI lO HH iH rH 09 HH CO r- »Q "*P -eft ■** 1- CO ■^v ro ■H I- OS CM © N 4 > rH rH 1-1 CS CO CO *+■ ^ nn ,__ . ^t< o OO c; LX) co o o t- ^f CT. on 1- h- co 00 i—i 00 rH CM © <Z) CO CM CO 00 oo © ■* (0 CO © CO IO 00 t- c. © ai &3- OS CO rH Cvl CO H^ IO I- CO nn on CO no r- kfl CM •^ o © CO fc- 00 © OC5C.COa.-_.(C'<l'COOMCONKl'. lOOOHCDlOO^NCOMO-t-t-IOl-. HHOSCOCOlOCMCSl>rHCOCOCMIN©rH © »o r- HH •Vf. CO 00 CO •*!< on ,_l © CJ ^1H t- CM © IO CM iH HH CO o fc- o t- © IO h- CO rH r-t CM 00 on <TS on i- m CO (X) _N 0t) IO co r- IO CM IO io CM U3 CS o CO © IQ 00 t- rH 00 rH OS OS rH 00 *tf co IO nj no CM © © IO © t- rH © 00 IO CN © CM ■H io C: t- © © CO © r- CM CO t— co rH o IO rH Hh .o on co on © 00 o Ol © CM t- IO ori C:: IQ 00 o CO © tr CM "* c- co c__; OMt-COT)iOWCQ(_)_-C.OIOlQID tHcj.ioc.^iaMioujcotti-r.nt-to rHCO rH1** rHH/ rHH^ iH tJH H h JS 01 ! *_ i J! 4> a A : S ti E a : § H i £ Fj I* ! ^7 i I * A i? ^ Its'? s : t_ o * _S 2 ! is a! : r -2 __ = Z IS 1 !5 P£ Saan New p 0. a ft c i H > C S G _ e t. 0 if 1 8 S t- tr r- on oc on os o* CO « CO CO c cc ^* ^r ■^1 HH -^ ■*: "i* ■* -* ee sc cc t- o CO co c*- c^ CO c CO Tr)" Tj HH H- HH FINANCIAL TABLES. HH 55 m O 55 r—( o < a P O 05 <: S> m EH HH P. w Q 55 P o H m rH H 55 < w" w r* 03 O Eh 03 H 55 P O o o < 03 03 o Q 55 < o Ph 2 p Eh HH Q 55 w Ph H 03 03 O O o r5 o W cc I pq H _5r| S42 B.5 OJ ■S 5 C5 _s B __! OTJrH CJ MC_> B jj*> 3 5 £ 0«3 £ S § Si .S'S-Br. ^t* «JPh K 6_ to •a-a go SSiSf br: ^_S Or/i OK.COffiNO.lO_-O.NHH Ht-oOlOt-Nt-ffiNHO-tD C-rH©00rHHcfcO">*CMt-lOCM N H o" N N W ffi t-" t|(" W (O* (O t-rHHjHOOCOlOCOCOCSCSCOCS CMr-IrHCMCMrHCOH^rHCOCCrH eft- - - * * COt-OCDCM©t-CMOSOOmt- COQOOHt-HffirlNNt-lC ^lOtDlONin-^aicDCDtOH "* b- M CC H O r-I HO O CO rH tH 0_-MCOCOHMN(D0.03IO ffi COOffirHOOffiCOOOOCMCSH* CDOSt-HHt-OS-OrHrHt-t-OO ^C-CCC-HCffiinMNC-M CD os co s CD O CO © CM •<* C-> C- © CO CM CO 00 CM 10 10 CM © © IO -H CM O IO 0 0 10 cs CO rH CM CO rH IO CM H t" CM 10 © •M* 1— CO CO <-> CO CO CO © rH c- r-H- Ol 00 1-1 CO H=f eo 10 10 1— r-l at TP no 10 10 on © CO rr> OU CO CM CM CM ■HHi-HHCOCOOCDCMCSLOCSlO rHCOOOSOSrHHHO-.-CO-H.CO CO CO O M ID CS CM IO CM ffi CD rH Id CM rH CO CO t— rH ee. CO co © CO tH rH 10 TH CD © 00 10 •-# 0 fc- CO O r— rH CM in 10 nn CO CO 00 •«* IO cs en Ol 10 © CO LO 00 CM © CD © © CO CD © CM CM rH CM HH CM eft- 1-1 H ,_, ^ © ___, O © © CM 00 c- H O 0 CM ■^ CO © CM rH ■■# •Tf on HH IO © © on 00 CXI t- ok CO © O © tr CD fc- 10 CD CO CO IO N ffi 00 ffi tJ ' lOCOMCOHCOfHrftDCOo: tV3- CM CO CO CO lOcocot-cDOOt-cM-^coeo COCOCMCMLOCMCDOrHCDrH NffitDHtffiOtDCQIOTtf 60 g 13 ■^CO-OOIOCMrHIOOOOCMt- O0H.fDH-CDrHCMffi---<-MCO00 Nlfilfl^HHOllCHNHO rH CD t- H- t- CM t- IO O O CM *# CS 00 © 00 © CM ffi rH CD rH 00' r-T Co" rH CO CO" CO IO -^ OS O CD ffi CM O ^ CD IO rH -* ^P HH # # * # # •5 © « ffi 2 7 a S S I 2 « i? s » . 1 (0 Hjl ' h* J. d "3 o) n ._ a en E *H r^ B — B feoBfeoBfeO .__«c-.__w_jQJ-j ^HmgH_Qr5H 3.*' s £ <5_5hI HH 56 MENTAL HOSPITALS REPORT, 1945-46. Table C.—Summary Statement showing the Gross and Net per Capita Cost of Patients in the Three Institutions. Gross operating costs— New Westminster $395,712.63 Essondale 1,636,591.12 Saanich 196,261.38 Gross cost for the three institutions $2,228,565.13 Less collections remitted to Treasury 350,182.27 Net cost for the three institutions $1,878,382.86 Cost-of-living bonus 184,638.23 $2,063,021.09 Daily average population for the three institutions 4,057.64 Gross per capita cost, one year— Exclusive of cost-of-living bonus $549.23 Including cost-of-living bonus 594.73 Gross per capita cost, one day— Exclusive of cost-of-living bonus 1.50 Including cost-of-living bonus 1.63 Net per capita cost, one year— Exclusive of cost-of-living bonus 462.93 Including cost-of-living bonus 508.43 Net per capita cost, one day— Exclusive of cost-of-living bonus 1.27 Including cost-of-living bonus 1.39 FINANCIAL TABLES. HH 57 CD H O- m 1 55 w 03 X Eh 55 O > w is EH HH O Ph H. <! Eh P. 03 O W M W H _Q 55 I-H g H «3 Eh is Ph G EH Ch o H 55 W S w H <! Eh W 03 55 HH Ch !*! H w H. P5 <! fH a rb & OT rH S4J CSC) S CJ ^ o CS hh OS cs CM 00 CO O CO IO c. CO T-i LO CO IO IO CO LO CO t- CO LO CO LO CM IO 00 rH CD 00 00 CM CO ffi O ex; CD €>f> CM rH _e &« o H o .2 Mt(H cd 5 f_ CO tr- © CD CM O O CO 00 O LO rH -*_" t- CO rH CO CO CM CS CO CO ffi ffi 00 L0 ffi t- (M CO HH CM hh <_D --1 CM rH © CM OS t- 3 ?. LO O O CM IO t- c 03 y ft 69- rH < O -^ CO t- CO CM CM CO co >n'A cprO ►31 i—1 LO ffi rH on <o CD CO rH C ■^t t- CO O CM c- ** Co" CM io 60- J3 cn ^ _H i CO IO ffi rH O t- M< c S3 _^ CD CM O (-_. t> ■J ffi IO c- 00 Ud t- CM 00 CO p! \"£ » rH ffi no «_► rH H CO c. £ _i CO ^ w <. OJ o ,fi IO - rH IO O CO O © CD CM -^t C. Z OT " rH CM ffi t" CO HH CO C- 00 C. > i—i ■5t3 +* Ph fi^ rH ffi t- «fO- rH CO CO 60 CO CO O «* s PS CM 00 00 Ch * Ph ^ Tl< il Eg .5 •< t- c. © Sb CO in CO el TJ CU W CO go a a O ffi eo- -O co co : nr 00 -1 CJ-fi CO t- c oc CO T CO CO Ol o I-H « as- cc c. T3 1 co © cs t- oc CO rH CO H: CD ir- rHXl . 4SN CD CM oo CO or IO CS c- C io C£ CO C> >H US rH HH HH CS OC CM rH © C IO t- c c. _«3- CJ g ft X H. CJ fi cd fi a> u fi 1) a Pi u 0 a ft c P QJ B B 0) _0 CU G cu I CJ t f 0 a ■• D ^ r •a B ft ft 3 03 a? fi cS T3 rH t B =. _0 „ .5 I OT 0 h t > 3 .2 + e i i-E ] C : ; i 1 -1 I C i ; < j _. * 'S 1 B J p ff i to r H a C. ^ _5 CJ rr £ 1 1 J b r 9 c 3 5 J 5 s » j ! * ft -c 3 JH O 3 cS u : i » Eh 3 | .2 _ '3 c 3 > . V ; c r- J h J L ^ C ) rS . p j CD H W Q K < a H a w 03 ffi H 55 o HH W « o HH ►J <! Eh S 03 O M w a 55 o 03 03 H w ffi H Ch O H 55 H S H H ■< Eh 02 55 w Ph X H 3 M <: Eh r1 ^ Ph o .2 cs o g <. o h3£ o °_i2 c_ "^ M CC. CO Eg IS 11 T_3 CJ rHT3 . « C CJ rC 'J r. m be c C- CO L- CO t- t- CO © ■ rH HH CO CM t- ^ CO t- OS CD IO OS M CO 00 CD US CM 00 CM IO tr -M CM CM CO © CO ffi CO 00 CD CM CM CT. os CO IO IO OS CO OS ee 00 CS HH CO © CO IO 00 IO 2 3 CM IO CO o CS CD CO o 00 © cs © OS IO H CO © © 00 00 cs r-l ffi ffi CM CO CO 00 cc CM o IO os Cvl CD « CO co t- CM CM rH OS t- © Tj< IO t- CO rH rH* r-l rH CD ffi 00 t- ffi CM ■«* IO CM "* CO CO* -tf CM CM IO IO 00 o IO CM O OS ■HJI OS CO CO OS t- IO CD 00 CM ■^ OS CO od cm" CO CM CM CM CM IO CM CM CO CO HHt-CDCMt-ffiCSlO© CSlOCMCDffiOSlOCSCM CMI-MHHcOlOCOr-.C0CS H t- K. CO H CO CM C- CO t- ft .' =s b!) rH C ^ •H J3 CJ rH fi ca h fi fi cfl . c3 p, ' 0) C ot rt fi CJ OT ft T3 M C 1111 § § § 3 11 HH 58 MENTAL HOSPITALS REPORT, 1945-46. CD H OS ffi o P. < a w a 55 W 03 ffi Eh 55 o > hJ w is EH as o Ch hh < Eh Ph 03 O w ffi Q 55 CO Ch ffi H Ch O Eh 55 H § W Eh < H CO H 03 55 Ph Ph W HH PQ < Eh e i?a<_ _! s-S CMCOH^COIOCSCMCDCD CO M-*t-NHCO"*t-OC IO 00 r_j COCMffiCMC- rH rH t- CO OS XfeQ &9- a. "m W* ° S cd 3 cd IO00IO©!—ICMlOOOt- 00 COt-USCS©OCOt-CO CD eo _OC-"^OOCOIOOOi-HH- ,__] r-l t-COCOCO-OCOCOCMOC CD ■^ot-cc^ccNcom HO CM 3 S CD OS «! O ee- :■© rH : h- 00 © 00 CS t- OT +j rH rH OS CM 00 ffi (N © IO CM Ot C- rH rH H ■«JI o e& rfi cSos J firH ed co ffi CD © t- t- EH IO ffi © l-l rH CO rH l> o CD iH t- CO t- *■* rH CO rH 0s CM CC && w l-J M «. 8 J3 ! CM IO IO rH ,_, OO t- US ffi OS o S «3: OmO) n«"H CO z tH t- rH rH CO I z CO OS ffi 00 »,V rH CO ,H 00 P.S.2 K TT -tf o tr- t-; s O rS CO CO 00 CO P. OS OS <& &3- ZR _. ■^P C. © JN CO CM w o CM* flrfr u 5. So ffi co : t- t- ■II CJrfi OTrf c 8 © CO rH rH rH rH 66- ■ ** fin ft (» t- 00 tU'Ti CMrHCDt-lOiOCOi—1 r- o 4J fi 0) C-t-^l'CMCDrHCOCM© NO-'tONCONCOr OS r^ & R t- gX^ ffi |l &3- CJ fi W fi be fi .s a) cd H ft cd O 0> T3 fi m JJ 1 c c c a t % r- a a O ft TJ fi cd c ! c C . CU bo fi Cd ft ft TJ C 03 CJ b . 1 1 _ 1 E m" ■ C CO cd A £ CD e a f bo t •fi S fi « -p c -I * EH ■5 'ed VI i a c cE C — _ ( j b D r« t _t _ i. _ C ! p ( c c bo fi S 1 TAILOR'S REPORT. HH 59 Remarks. New Westminster. Essondale. Saanich. 612 610.36 $648.32 1.78 693.70 1.90 3,210 3,163.61 $517.32 1.42 562.84 1.54 288 $691.86 1.90 Gross maintenance per capita cost, one day Gross maintenance per capita cost, including cost-of-living bonus, Gross maintenance per capita cost, including cost-of-living bonus, one day 2.02 REVENUE OF MENTAL HOSPITALS FOR PAST TEN YEARS. 1936-37 $185,269.93 1941-42 $238,532.90 1937-38 207,343.84 1942-43 261,986.32 1938-39 209,216.39 1943-44 322,522.87 1939-40 245,837.55 1944-45 317,735.15 1940-41 229,045.45 1945-46 350,182.27 TAILOR'S REPORT, 1945-46. Provincial Mental Hospital, Essondale. Stock Alterations Relining Pressing Repairs Total.. $8.00 944.40 472.50 1,100.50 4,787.90 $7,313.30 Provincial Mental Hospital, New Westminster. Stock Alterations Relining Pressing Repairs Total.. $2,563.80 551.00 382.50 560.35 3,941.10 $7,998.75 HH 60 MENTAL HOSPITALS REPORT, 1945-46. STATEMENT OF TAILOR-SHOP, 1945-46. Production— For Mental Hospital, Essondale $7,313.30 For Mental Hospital, New Westminster 7,998.75 $15,312.05 Material on hand, March 31st, 1946 755.50 $16,067.55 Costs— Material on hand, March 31st, 1945 $575.48 Salaries— Tailors $1,860.00 Seamstresses 2,000.00 Shirt-maker 1,260.00 5,120.00 Electric power $100.00 Electric light 60.00 160.00 Material purchased, 1945-46 10,987.58 16,843.06 Loss on operations $775.51 SHOEMAKER'S REPORT, 1945-46. Provincial Mental Hospital, Essondale. Repairs— 586 pairs of boots $1,219.40 Provincial Mental Hospital, New Westminster. Repairs— 300 pairs of men's boots $634.10 272 pairs of women's shoes 290.90 $925.00 Statement op Shoemaker-shop, 1945-46. Production—■ Essondale $1,219.40 New Westminster 925.00 $2,144.40 Material on hand, March 31st, 1946 149.40 $2,293.80 Costs— Salary of shoemaker $1,740.00 Materials purchased 502.79 Light and power 35.00 Material on hand, March 31st, 1945 135.92 2,413.71 Loss $119.91 PRODUCTION TABLES. HH 61 PRODUCTION TABLES. Articles made in Sewing-room, Provincial Mental Hospital, New Westminster, Year ended March 31st, 1946. Aprons, nurses' 146 Bedpan-covers 78 Bedspreads, crib 4 Belts, abdominal 2 Bibs, nurses' 194 Caps, nurses' 71 Cuffs, nurses' 162 Curtains 24 Camisoles 13 40 2 4 41 6 23 Coffee-bags Chair-covers Dresses, junior Food-covers Hoovers Ironing-board covers Buttonholes made Isolation gowns Laundry-bags, T.B. Physicals Press-covers Sheets Shrouds 14 1 3 36 24 26 Silence-cloths 10 Table-cloths 27 Tea-towels 118 T-straps Triangular bandages Urn-bags Uniforms, nurses' Uniform waists Waist-bands 14 8 37 67 19 59 3,986 Articles repaired at Provincial Mental Hospital, New Westminster, Year ended March 31st, 1946. For Female Wards. Aprons, nurses' 108 Aprons, kitchen Bibs, nurses' Bibs Brassieres Blouses Blankets Blankets, crib ___ Bedspreads Bedpan-covers ___ Bedjacket Caps, nurses' Cuffs, nurses' ____ Caps, cooks' Camisoles Corselettes Curtains Dresses Dresses, junior Diapers Hose Hoovers 429 33 59 10 74 78 228 94 51 1 5 19 2 32 4 10 1,248 663 34 159 83 Ironing-board covers Isolation gowns Kimonos Laundry-bags Nightgowns 16 43 41 15 672 Nightgowns, junior 416 Pyjamas 69 Panties 1,051 Panties, junior 319 Pillow-slips 116 Princess slips 641 Princess slips, junior 359 Runners 18 Sheets 321 Sheets, crib Sun-suits Sweaters Sweaters, junior Silence-cloths Table-cloths Towels Vests 176 54 133 19 4 14 375 396 Vests, junior 209 HH 62 MENTAL HOSPITALS REPORT, 1945-46. Articles repaired at Provincial Mental Hospital, New Westminster, Year ended March 31st, 1946—Continued. For Male Wards. Aprons, kitchen Blankets Bedspreads Combinations Drawers 68 45 92 125 728 69 2 Nightshirts 150 Nightshirts, junior 269 Pyjamas 78 Pillow-slips 69 Drawers, junior Laundry-bags Pillow-tick Sweaters ___ Socks Sheets Topshirts _ 1 74 2,078 155 972 Topshirts, junior 152 Towels 183 Undershirts 1,533 Undershirts, junior 287 White coats 18 Occupational Therapy, Mental Hospital, Essondale, Year ended March 31st, 1946. 1945. April May June July August September October _____ November December . 1946. January February __ March 1945. April __ May _ June __. July .... August September October _____ November _ December __ 1946. January ____ February _. March Wood-working Department. Upholstery Department. Cost of Material. $131.70 162.20 136.40 105.05 126.20 142.55 118.55 229.85 73.55 155.00 113.00 238.60 $1,732.65 Cost of Material. $357.50 426.20 453.05 394.30 442.60 348.45 665.10 574.80 187.55 299.15 451.65 456.90 $5,057.25 Value of Products. $340.40 391.95 338.50 261.15 306.90 379.25 292.95 559.30 186.20 363.40 274.25 571.35 $4,265.60 Value of Products. $743.05 797.15 829.15 782.20 801.15 719.05 1,199.60 1,114.80 560.75 690.25 874.90 930.90 $10,042.95 PRODUCTION TABLES. HH 63 Occupational Therapy, Mental Hospital, Essondale, Year ended March 31st, 1946—Continued. 1945. October 1945. April __ Weaving Department. Basketry Department. Cost of Material. $4.80 August October ____ November December Cost of Material. $0.45 28.20 5.05 1.00 .2.30 $37.00 Value of Products. $24.00 Value of Products. $2.70 88.20 24.75 5.00 11.00 $131.65 Shoe-making Department. 1945. April May June July August September October November . December _. 1946. January February _. March Cost of Material. $79.45 67.45 102.45 75.10 63.55 87.10 81.50 83.00 44.15 89.90 66.50 98.45 $938.60 Value of Products. $183.45 155.25 235.30 170.60 141.25 193.95 180.20 188.75 100.10 204.05 151.45 221.50 $2,125.85 Patients' Clothing Department. Print dresses 1,382 Strong dresses 1,747 Slips 2,111 Vests 1,482 Nightgowns 1,105 Bloomers 997 Bed-jackets 4 Isolation gowns Open-back nightgowns Panties Men's nightshirts Ward jackets Special dresses Dining-room uniforms Nurses' Uniforms (New). Aprons 1,793 Bibs 957 Belts 857 Caps Cuffs (pairs) Uniforms Uniforms Nurses' Uniforms (Repairs). 386 Aprons 180 575 515 405 384 2 1 421 708 762 612 HH 64 MENTAL HOSPITALS REPORT, 1945-46. Occupational Therapy, Mental Hospital, Essondale, Year ended March 31st, 1946—Continued. Mattress Department. Mattresses 638 Hospital sheets Pillow-slips Property-bags Hand-towels Slippers (pairs) Roller towels Trousers altered (pairs) Barber towels Nurses' sheets Table-napkins Coats altered Table-cloths Suit altered Hospital Furnishing Department. 5,514 Sanitary belts 3,955 T-binders 250 Triangular bandages Chefs' caps Tea-bags Cabinet-covers Face-cloths Surgical head-scarves Dressing-bags Sterile supply-bags ____ Air-ring covers Table-covers Bedpan-covers Kitchen aprons Tea-towels Net curtains (pairs) _ Drapes lined Lambrequins Lambrequins lined Doctors' caps Feeding-bibs Table-runners Milkers' hats Tray-cloths Dining-room aprons Screen-covers Hot-water bottle covers Cushion-covers Cooks' aprons Doctors' towels T.B. laundry-bags Surgical sheets Lithorotomy sheets Laporotomy sheets Doctors' leggings Key-cords 1,474 9 336 8 100 392 359 16 289 1 84 87 218 31 500 24 8 156 5 113 215 102 747 39 26 9 20 16 12 3 3 112 100 75 75 9 72 84 28 7 2 1 1 24 24 74 24 2 Laparotomy towels Doctors' aprons Nightshirts 483 Topshirts 2,292 Undershirts 3,550 Underdrawers 2,462 Socks (pairs) 12,146 Overalls 751 Jumpers 33 Blankets 218 Spreads 814 Sheets 2,523 Pillow-cases 631 Bath-towels 279 Hand-towels 92 Tea-towels 4 Roller towels 23 Table-cloths 48 Aprons 396 White coats 248 White overalls 18 White pants 12 Doctors' coats 45 Pneumonia jackets 40 Isolation gowns 443 Laundry-bags .... Kimonos X-ray gowns Screen curtains Ward jackets Dresses Nightgowns Slips Vests Bloomers Baby nightgowns Combinations Stupe wringers ___ Laundry-bags Sweaters Tray-covers Bedpan-covers Binders Bath-mats 55 70 2 16 45 3,731 2,519 913 895 721 3 19 12 18 4 2 2 12 6 COLONY FARM. HH 65 PART III. —COLONY FARM. BUSINESS MANAGER'S REPORT ON COLONY FARM. Essondale, B.C., December 17th, 1946. A. L. Crease, Esq., M.D., CM., General Superintendent of Mental Hospitals, Essondale, B.C. Sir,—Herewith please find financial statements covering operations of Colony Farm for the year ended March 31st, 1946. The profit and loss statement shows a loss on operations of $12,327.07 after charging up cost-of-living bonus and patient-labour. If patient-labour were not taken into account, a profit of $6,672.93 would result. The value of this farm in giving an occupational outlet to certain types of patients is something not reducible to figures, but is a point which should not be lost sight of. The fact that the farm is also ineligible to benefit from Dominion Government subsidies, while maintaining a price in line with market quotations, naturally results in a loss of some thousands of dollars of revenue. This is evident in the report of the Dairy and Herds Department, where a loss of $3,405.66 is shown. The only other department showing a loss is the Work-horses, Sales, and Deaths. The Hog, Orchard and Truck-garden, and Field Crop Departments all show substantial profits. The bulk of the farm's produce has been received by the Essondale and New Westminster hospitals, whose purchases amounted to $171,992.07 and $21,631.85 respectively, while the Home for the Aged, the Boys' Industrial School of Port Coquitlam, and the Mental Home at Colquitz participated to a lesser extent. Full particulars may be had from the profit and loss statements and other reports presented herewith. Respectfully submitted. Gowan S. MacGowan, Business Manager. HH 66 MENTAL HOSPITALS REPORT, 1945-46. BALANCE-SHEET, YEAR ENDED MARCH 31 ST, 1946. Assets. Land Account— Colony Farm $117,484.86 Wilson Ranch 108,164.35 $225,649.21 Buildings and plant 260,332.17 Water system 4,411.25 Bridge 17,535.89 Fencing, pavement, etc. 68,818.67 Inventories— Equipment $28,675.50 Bulls 3,500.00 Cows 62,650.00 Yearlings 14,150.95 Calves 1,922.03 Work-horses 3,370.00 Hogs 20,509.00 Feed 19,730.50 Gasoline and sundry 945.25 Orchard and truck-garden 12,409.10 167,862.33 Accounts receivable 35,370.62 Growing Crops Apportionment Account 5,891.42 $785,871.56 Liabilities. Surplus Account $454,667.27 Profits to March 31st, 1945 $331,420.29 Profits for year 1945-46 $18,784.00 Less patient-labour 19,000.00 216.00 331,204.29 $785,871.56 COLONY FARM. HH 67 PROFIT AND LOSS ACCOUNT, YEAR ENDED MARCH 31ST, 1946. Department. Debits. Credits. Loss (Deaths and Destroyed). Loss. Gain. $87,563.98 5,387.00 842.05 570.98 275.00 1,475.00 15,344.57 44,049.80 28,622.39 21,140.69 3,476.74 2,939.04 39,709.65 20,337.89 $84,158.32 7,982.76 4,695.42 818.27 728.00 560.00 15,790.00 58,786.42 28,824.91 33,759.46 4,964.00 3,633.00 3,089.22 42,729.00 $3,405.66 $1,045.00 45.00 330.00 75.00 490.00 $3,640.76 3,898.37 577.29 Bulls 528.00 425.00 445.43 14,736.62 202.52 12,618.77 1,487.26 693.96 36,620.43 22,391.11 $271,734.78 $290,518.78 $1,985.00 $40,451.09 $61,220.09 ., destroyed s1 ock, and pati 40,451.09 $20,769.00 .. $1,985.00 ... 19,000.00 20,985.00 $216.00 12,111.07 all operating $12,327.07 HH 68 MENTAL HOSPITALS REPORT, 1945-46. DAIRY AND HERDS DEPARTMENT. Profit and Loss Account, March 31st, 1946. Expenses. Total expenses for year $87,563.98 Production. Dairy produce supplies $81,658.32 Credit for manure 2,500.00 84,158.32 Loss for year $3,405.66 Production and Costs Account, March 31st, 1946. Dairy— Salaries and upkeep $2,648.63 General herd— Salaries and upkeep $33,612.20 Feed 48,782.99 Pasturage and green feed 2,520.16 84,915.35 $87,563.98 Less allowance for manure 2,500.00 $85,063.98 Milk Production for Year 1945-46. Production. 1945- Lb. Cost. April 200,185 May 231,440 June 216,068 July 223,726 August 228,535 September 216,742 October 218,632 November 218,551 December 223,246 1946. January 238,295 February 216,375 March 236,188 2,667,983 $85,063.98 Average cost of production, pasteurization, etc., 31.9 cents per gallon. COLONY FARM. HH 69 MATURE COW DEPARTMENT. Profit and Loss Account, March 31st, 1946. Asset Value. 4 cows died or destroyed $1,050.00 2 cows sold 125.00 28 cows butchered 4,212.00 Gain on inventory $5,387.00 Profit for year Selling Price. $5.00 136.80 4,248.56 3,592.40 $7,982.76 5,387.00 $2,595.76 4 calves died or destroyed 23 calves sold 39 calves vealed Manure, credit CALVES DEPARTMENT. Profit and Loss Account, March 31st, 1946. Asset Value. $45.00 531.20 265.85 $842.05 Profit for year Selling Price. $3,635.00 860.42 200.00 $4,695.42 842.05 $3,853.37 YEARLING DEPARTMENT. Profit and Loss Account, March 31st, 1946. Asset Value. 2 yearlings died or destroyed $335.00 1 yearling butchered 153.90 1 yearling sold 82.08 Manure, credit $570.98 Profit for year Selling Price. $5.00 103.27 200.00 510.00 $818.27 570.98 $247.29 HH 70 MENTAL HOSPITALS REPORT, 1945-46. BULL DEPARTMENT. Profit and Loss Account, March 31st, 1946. Asset Value. 1 bull sold $100 00 Selling Price. $137.06 1 bull died or destroyed 75 00 1 bull butchered 100 00 151.74 439.20 Gain on inventory $275.00 $728.00 275.00 Profit for year $453.00 WORK-HORSE DEPARTMENT. Sales and Deaths Account, March 31st, 1946. Asset Value. Selling Price. 5 horses sold __ $735.00 $550.00 2 horses died or destroyed 500.00 ' 10.00 Loss on inventory 240.00 $1,475.00 $560.00 ■- 1,475.00 Loss for year $915.00 Work-horse Labour Account, March 31st, 1946. Salaries and upkeep $10,760.96 Feed and pasturage 4 583.61 $15,344.57 Less credit for manure 250.00 $15,094.57 Horse-labour charged to crop and other departments 15,540.00 Profit for year $445.43 Note.—Against cost of $15,094.57, 25,172 hours of horse-labour were performed at a cost of 60 cents per horse-hour, including teamsters' wages. COLONY FARM. HH 71 HOG DEPARTMENT. Profit and Loss Account, March 31st, 1946. Receipts. By sales— Live hogs $3,389.23 Pork supplied Essondale Hospital 31,259.54 Pork supplied New Westminster Hospital 3,028.65 By credit for manure 600.00 Inventory, March 31st, 1946 20,509.00 $58,786.42 Expenses. Salaries and upkeep $6,064.65 Feed 18,268.15 Horse-labour 31.00 Truck 696.00 Tractor 58.00 $25,117.80 Inventory, March 31st, 1945 18,932.00 44,049.80 Profit $14,736.62 CANNERY. Profit and Loss Account, March 31st, 1946. Production. Supplies to Mental Hospital, Essondale $22,257.95 Supplies to Mental Hospital, New Westminster 4,576.41 Supplies to Mental Hospital, Colquitz 1,884.30 Supplies to Sanatorium, Tranquille 94.25 Supplies to Home for the Aged, Port Coquitlam 12.00 $28,824.91 Expenses. Salaries $4,200.00 Repairs 801.37 Fruit and vegetables 14,649.37 Sugar, spice, etc. 3,109.30 Cans, crates, and containers 4,116.85 Truck-haulage 445.50 Fuel 800.00 Light, water, and power 500.00 28,622.39- Profit $202.52 HH 72 MENTAL HOSPITALS REPORT, 1945-46. ORCHARD AND TRUCK-GARDEN. Profit and Loss Account, March 31st, 1946. Receipts. Produce sold to sundry institutions $374.14 Produce sold to Essondale Hospital 19,171.10 Produce sold to New Westminster Hospital 561.97 Produce supplied to cannery 1,243.15 Inventory, March 31st, 1946 12,409.10 Expenses. Salaries, seeds, etc. $4,341.19 Horse-labour 2 849.00 Truck-haulage 43.50 Tractor-work 348.00 Manure and fertilizer 700.00 Inventory, March 31st, 1945 12,859.00 $33,759.46 21,140.69 Profit $12,618.77 FIELD CROPS AND PASTURAGE. Profit and Loss Account, March 31st, 1946. Yield Yield Crop. Acreage. (Tons). per acre. Value. Potatoes 59.00 792.73 13.44 $26,978.02 Oats 19.00 17.34 0.91) 1,015.10 Straw 19.00 32.18 1.69 j Hay 91.00 112.43 1.24 3,035.61 Ensilage 50.50 925.50 18.32 4,164.75 Onions 3.75 20.84 5.56 1,991.42 Mangels 8.00 49.78 6.22 248.92 Turnips 3.00 51.41 17.14 2,005.02 Pasturage and green feed 291.75 3,290.16 $42,729.00 Costs. Horse-labour $6,059.00 Tractor-work 3 317.00 Trucking 505.50 Manure 3,360.00 Fertilizer and spray 3 035.02 Seeds and sets _. 2 981.37 Supervision 1,080.00 20,337.89 Profit $22,391.11 COLONY FARM. HH 73 TRACTOR. Profit and Loss Account, March 31st, 1946. 2,478 hours' work Expenses. Salaries and upkeep _ _ $3,045.82 Gasoline and oil ___ • 430.92 3,476.74 Profit ____ _ $1,487.26 TRUCKS. Profit and Loss Account, March 31st, 1946. 2,422 hours' work ____ __ _ _ $3,633.00 Expenses. Salaries and upkeep _ _ __ __ _ _ $2,509.26 Gasoline and oil _ ___ 429.78 2,939.04 Profit $693.96 GENERAL EXPENSES OF MAINTENANCE AND ADMINISTRATION. Profit and Loss Account, March 31st, 1946. Salaries and vouchers $27,306.43 Horse-labour 1,088.50 Truck-work 394.50 Tractor 252.00 Heating 60.00 Gasoline, oil, etc. 352.11 Sundry 1,152.25 - $30,605.79 9,103.86 $39,709.65 Less sundry credits 3,089.22 $36,620.43 Proportion, Headquarters expense $2,100.00 General repairs through Public Works Department 7,003.86 HH 74 MENTAL HOSPITALS REPORT, 1945-46. MISCELLANEOUS STATEMENTS, INVENTORIES, ETC. Mental Hospital, Essondale—Produce Supplied by Colony Farm for year ended march 31st, 1946. Dairy produce— Milk, 1,602,546 lb $49,678.91 Cream, 1,306 quarts 979.67 Table cream, 7,414 gallons 11,837.40 $62,495.98 Meats—■ Veal, 3,990 lb. $798.00 Beef, 24,848 lb. 4,441.68 Hearts, livers, tongues, 644 lb. 124.31 Fresh pork, 167,218 lb. 30,935.34 Pork plucks, 3,242 lb. 324.20 Fruits and vegetables— Fresh $44,706.61 Canned 22,257.95 36,623.53 66,964.56 Sundries—Horse-labour 5,908.00 $171,992.07 Mental Hospital, New Westminster—Produce Supplied by Colony Farm for year ended march 31st, 1946. Dairy produce— Milk, 181,700 lb $5,632.70 Cream, 282 quarts 211.49 Table cream, 1,089 gallons 1,742.40 Meats— Fresh pork, 16,196 lb $2,996.25 Pork plucks, 324 lb. 32.40 Fruits and vegetables— Fresh $6,389.20 Canned 4,576.41 $7,586.59 3,028.65 10,965.61 Sundries— Tractor-work $40.00 Miscellaneous 11.00 51.00 $21,631.85 Accounts Receivable, March 31st, 1946. Sundry amounts due from live stock, etc., sold $35,370.62 COLONY FARM. HH 75 MISCELLANEOUS STATEMENTS, INVENTORIES, ETC.—Continued. Remittances to Treasury. Sundry remittances to Treasury during year 1945-46, in payment of live stock and produce $226,376.78 Summary of Equipment Inventories, March 31st, 1946. Equipment in dairy Equipment in cannery $4,084.50 3,890.20 Horse and cattle barns and piggery 4,139.00 Farm implements 12,359.30 Pumping-stations and land-clearing 3,186.00 Butcher-shop 166.00 Carpenter-shop 357.50 Blacksmith-shop 493.00 $28,675.50 Orchard and Small Fruits. Apple-trees __ Pear-trees ___ Cherry-trees Prune-trees _ Plum-trees ___ Strawberry-plants Raspberry-canes — Rhubarb clumps ___ $730.00 1,523.00 444.00 1,752.00 1,925.00 300.00 2,000.00 3,200.00 $11,874.00 VICTORIA, B.C. : Printed by Don McDiarmid, Printer to the King's Most Excellent Majesty. 1947. 405-247-9433
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DEPARTMENT OF PROVINCIAL SECRETARY MENTAL HOSPITALS PROVINCE OF BRITISH COLUMBIA ANNUAL REPORT FOR 12… British Columbia. Legislative Assembly [1947]
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Title | DEPARTMENT OF PROVINCIAL SECRETARY MENTAL HOSPITALS PROVINCE OF BRITISH COLUMBIA ANNUAL REPORT FOR 12 MONTHS ENDED MARCH 31ST 1946 |
Alternate Title | MENTAL HOSPITALS REPORT, 1945-46. |
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British Columbia. Legislative Assembly |
Publisher | Victoria, BC : Government Printer |
Date Issued | [1947] |
Genre |
Legislative proceedings |
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Text |
FileFormat | application/pdf |
Language | English |
Identifier | J110.L5 S7 1947_V02_11_HH1_HH75 |
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Sessional Papers of the Province of British Columbia |
Source | Original Format: Legislative Assembly of British Columbia. Library. Sessional Papers of the Province of British Columbia |
Date Available | 2016 |
Provider | Vancouver : University of British Columbia Library |
Rights | Images provided for research and reference use only. For permission to publish, copy or otherwise distribute these images please contact the Legislative Library of British Columbia |
CatalogueRecord | http://resolve.library.ubc.ca/cgi-bin/catsearch?bid=1198198 |
DOI | 10.14288/1.0339795 |
AggregatedSourceRepository | CONTENTdm |
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