DEPARTMENT OF PROVINCIAL SECRETARY MENTAL HOSPITALS PROVINCE OF BRITISH COLUMBIA ANNUAL REPORT FOR 12 MONTHS ENDED MARCH 31st 1947 VICTORIA, B.C.: Printed by Don McDiAltMlD, rrhiTer to the King's Most Excellent Majesty. 194S. 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, 1947. 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 16 Report—X-ray Department 18 Report—Physiotherapy 19 Report—Psychologist 20 Report—Dentist 1 : 22 Report—Optician __ 23 Report—Beauty-parlour 23 Report—Training-school 23 Report—Social Service 24 Statistical Tables— 1. Movement of Population during Year : 32 2. Summary of Operations of Hospitals since Inception 34 3. Admissions, Discharges, and Deaths 35 4. Civil State of Patients admitted 36 5. Religious Denominations of Patients 36 6. Educational Status of Patients 37 7. Nationality of Patients 37 8. Districts from which Patients were admitted 38 9. Occupation of Patients prior to Admission 40 10. Age of Patients on Admission 41 11. Number of Attacks at Time of Admission 41 12. Alleged Duration of Attacks prior to Admission 41 13. Table of Heredity 42 14. Alleged Cause of Insanity in Patients admitted 42 15. State of Bodily Health of Patients admitted 43 16. Form of Mental Disorder in Patients admitted 43 17. Probation, Number allowed out on 43 18. Discharges, showing Alleged Duration of Insanity 44 19. Discharges, showing Length of Residence in Hospital and Condition at Time of Discharge 44 20. Deaths, Cause of, and Length of Time in Hospital, Essondale, New West minster, and Saanich 44 PART II.—FINANCIAL. Report—Business Manager 49 Balance-sheet, New Westminster 50 Balance-sheet, Essondale 51 Balance-sheet, Saanich . 52 Expense Statement, Psychopathic Department 52 Expense Statement, Headquarters Department 53 Statement, Receipts and Disbursements, New Westminster 53 Statement, Receipts and Disbursements, Essondale 54 Statement, Receipts and Disbursements, Saanich 55 S 6 TABLE OF CONTENTS. Financial Tables— page. A. Average Residence, Maintenance, and per Capita Cost for the Past Ten Years 56 B . ' I Yearly Gross Expenditure, Analysis of, for the Past Ten Years 57 C. Summary of Gross and Net per Capita Cost in all Hospitals 59 D. Expense Statement, New Westminster 60 E. Expense Statement, Essondale 60 F. Expense Statement, Saanich 61 Revenue, Table of, for the Past Ten Years 62 Report, Financial—Tailor's Department 62 Report, Financial—Shoemaker's Department 62 Production Tables— Articles made and repaired in Sewing-room, New Westminster 63 Occupational Therapy—- Wood-working Department 64 Upholstery, Basketry, and Shoemaking Departments 64 Sewing-room—New Garments, etc 65 Hospital Furnishing Department 66 Mattress Department 66 Nurses' Uniforms Department 66 Mending-room 67 PART III.—COLONY FARM. Report—Financial, General—Business Manager 68 Balance-sheet 1 69 Profit and Loss Account 70 Dairy and Herds Department— Profit and Loss Account 71 Production and Costs Account 71 Milk Production and Cost 71 Mature Cow Department—Profit and Loss Account 72 Calves Department—Profit and Loss Account _'_ 72 Yearling Department—Profit and Loss Account 72 Bull Department—Profit and Loss Account 73 Work-horse Department— Sales and Deaths Account 73 Horse-labour Account 73 Hog Department—Profit and Loss Account 74 Cannery—Profit and Loss Account 74 Orchard and Truck-garden—Profit and Loss Account 75 Crop Department—Profit and Loss Account, etc 75 Tractor Account 76 Truck Account 76 Maintenance and Administration, General 76 Miscellaneous Statements, Inventories, etc.— Produce supplied to Essondale 77 Produce supplied to New Westminster : 77 Accounts receivable . 77 Remittances to Treasury 73 Equipment ; 73 Orchard and Small Fruits . ; 78 DEPARTMENT OF THE PROVINCIAL SECRETARY. Hon. George S. Pearson, Provincial Secretary. Norman Baker, Deputy Provincial Secretary. A. L. Crease, M.D., CM., Director of Mental Hygiene and Psychiatry. E. J. Ryan, M.D., CM., Medical Superintendent. A. M. Gee, M.D., CM., L.M.CC, Deputy Medical Superintendent. Gowan S. Macgowan, Business Manager. OFFICERS AND STAFF, ESSONDALE. Medical: 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. McK. Kirkpatrick, M.D., L.M.C.C. A. J. Warren, M.D., D.P.M., L.M.C.C. (on Leave). 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. A. L. Swanson, M.D., L.M.C.C. G. A. Nicolson, M.D., L.M.C.C. P. D. Croft, M.D., L.M.C.C. A. E. Robertson, M.D., L.M.C.C. W. D. Love, M.D., L.M.C.C. Milton Jones, D.D.S. C. B. Watson, M.A., Psychologist. 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 Nursing. Miss J. F. Kilburn, R.N., Social Service. Miss A. Rose, Dietitian. . ■,-.,_■ Miss E. Weekes, Occupational Therapist. Mrs. I. H. Wedge, Branch Secretary. Miss A. Dingle, Senior Stenographer. Miss J. Irving, Librarian. Business : J. F. Anderson, Paymaster. G. A. Grieve, Cost Accountant. F. A. Matheson, Assistant Business Mrs. J. Nesbitt, Stenographer. Manager. W. E. Skillicorn, Book-keeper. W. Headridge, Steward. Chaplains: Rev. J. Naylor, Protestant. Rev. Father J. P. Kane, Roman Catholic. Trades: J. Wilson, Engineer. J. Renton, Outside Overseer. J. G. Merrick, Baker. H. Lonsdale, Foreman of Works. A. Cooter, Chief Cook. W. Worrall, Laundryman. T. Harrison, Electrician. G. Matthews, Plumber. A. L. Blair, Barber. B. T. Brown, Auto Mechanic. R. T. Hall, Occupational Therapist. OFFICERS AND STAFF, NEW WESTMINSTER. L. E. Sauriol, M.D., CM., L.M.C.C, Deputy Superintendent. C E. Benwell, M.B., L.M.C.C. K. B. Sunderland, M.B., L.M.C.C. F. Gillard, Receiving Clerk. E. Jones, D.D.S., Visiting Dentist. Mrs. M. Wilcox, Clerk-Stenographer. Medical: Miss V. M. Sanders, R.N., Superintendent of Nurses. Miss E. C. Herchmer, R.N., Assistant Superintendent of Nurses. Walter Dobbie, Chief Attendant. R. Palm, Male Nursing Instructor. Miss B. Kelso, School Principal. J. Jackson, Industrial Arts Instructor. J. Lynes, Recreational Instructor. Business: A. Fraser, Steward. Rev. T. Murphy, Protestant. R. Gow, Foreman of Works. C StapletON, Head Gardener. J. McMillan, Shoemaker. F. Pearce, Acting Head Tailor. Chaplains: Rev. Father A. B. Bergin, Roman Catholic. Trades: C Hauck, Chief Engineer. G. COULSON, Laundryman. 3. Fraser, Painter. C M. Doyle, Plumber. COLONY FARM. P. H. Moore, B.A., B.S.A., Superintendent. OFFICERS AND STAFF, COLQUITZ. George Hall, M.D., CM., Visiting Physician. T. A. MORRIS, Supervisor. P. McLeod, Chief Attendant. Male Building, Essondale. Entrance to the Acute Building, Essondale. Report of the Medical Superintendent For the Twelve Months ended March 31st, 1947. PART I.—MEDICAL. Provincial Mental Hospital, Essondale, B.C., April 1st, 1947. The Honourable G. S. Pearson, Provincial Secretary, Parliament Buildings, Victoria, B.C Sir,—I have the honour to submit herewith for your consideration the Seventy- fifth Annual Report of the Provincial Mental Hospitals at Essondale, New Westminster, and Saanich. The following table gives a brief summary of the movement of the hospital population during the year April 1st, 1946, to March 31st, 1947:— Movement of Population. Male. Female. Total. 2,414 82 465 1,696 102 415 4,110 184 880 2,961 2,213 5,174 260 93 151 340 92 87 600 185 238 504 519 1,023 2,457 1,694 4,151 Increase in number of patients admitted this year as compared to last 46 Net increase in population 41 Rate of deaths to total treated 4.5% Rate of discharges to admissions (exclusive of deaths) 68.1% ADMISSIONS. An analysis of the birth column shows that, of the number admitted, 485 (or 55.11 per cent.) were Canadian born, 226 (or 25.68 per cent.) were from other parts of the British Empire, and 164 (or 18.63 per cent.) were of foreign extraction; 5 were unknown. DISCHARGES. The following table clearly shows that the earlier cases are brought to the hospital for treatment following the onset of their mental illness, the greater are the chances of their recovery:— Table showing Alleged Duration of Insanity, prior to Admission, in those discharged from the Three Institutions during the Year April 1st, 1946, to March 31st, 1947. Less than six months 302 Over six months 192 Not insane 7 Duration unknown 99 Total 600 S 10 MENTAL HOSPITALS REPORT, 1946-47. During the year a total of 600 patients were discharged in full. Of this number, 97 were discharged as recovered, 270 were discharged as improved, 226 were discharged as unimproved, and 7 were discharged as not insane. There has been a gradual change taking place in psychiatry. At last it is coming into its rightful place in medicine. The advances in treatment over the last few years are most noteworthy. Unfortunately a situation has arisen that is indeed disturbing. The demand for service is far in advance of facilities for carrying it out. For instance, the requests for treatment and care of young children and of the aged are becoming greater and greater. These requests which are made to us are for the most part, and to say the least, heart-rending. The human mind is quite resilient and freely adapts itself to the ever-changing conditions of life. People overcome difficulties they encounter, showing plainly that man's resistance to mental illness is very strong. The load of psychiatric cases is large, and yet one feels that there is a tendency on the part of people to dwell on psychological " jargon " and imagine that illness exists when the findings do not bear this opinion out. Too much stress in public education is not a good thing until facilities are actually provided for patient care. There is a growing opinion that in the treatment of individual psychiatric cases the whole situation should be assayed—heredity, home training, home environment, school, business, and recreational attainments. This is as it should be, with the result that more and more is being accomplished in treatment. A hospital for the treatment of mental illness is necessarily large, yet its hand should be strengthened by barriers set up to treat prospective cases early and prevent as many as possible from ever having to come to the hospital. In order to do this, we should have a proper out-patient clinic for the treatment of adults who are beginning to develop mental illness. When staff is available, it is our intention to further increase our clinics for the handling of children who are behaviour problems. This clinic at the present time is accomplishing much in this regard. The average number of admissions annually for the past ten years to this hospital is 831. This figure we expect to rise in the future, following the war period. Therefore, we will treat in the next ten-year period at least 10,000. The new admission clinic you now have under construction here will enable the medical staff to treat these patients more intensely and under more favourable conditions. Your idea of only admitting for a period of four months should work out splendidly for the patients and should also lessen the number of hospital-days. There is much unrest in the world at the present day, but it is pleasing indeed to work with the medical men here and to see the whole-hearted way in which they tackle the tasks and the amount they accomplish even under handicapped conditions. The teaching of doctors, nurses, and attendants has always been carried on, but now there is a gradual increase in the students of medicine, psychology, social service, and laboratory. Trained personnel is difficult to obtain. Teaching benefits not only the students, but also enables us to obtain desirable employees. Up to the present time we have not been able to engage in research projects. TREATMENT. (a) Insulin shock therapy has been carried out during the year in quarters that had become too small, yet the over-all picture that is set out below in the table is gratifying. Arrangements are being made to utilize dormitory space, so that we can treat cases earlier who otherwise would have to wait their turn:— SUPERINTENDENT'S REPORT. S 11 Results Total. Per Cer Recovered . 27 31 Much improved 3 3 Improved 34 40 Unimproved 22 26 Total 86 Disposal— Discharged 49 57 Discharged later 10 12 Remaining in hospital 27 31 Total 86 (b) Subinsulin shock has been used as treatment in certain cases, but more from a physical than from a mental standpoint. It has been of benefit and has served to relieve tensions. The results are shown in the following table:— Total. Per Cent. Much improved 1 5 Improved 11 64 Unimproved 1 5 29 Total 17 (c) Electric shock has been used considerably, and is a valuable treatment in a wider application, as seen in the table below. It has been used conservatively and is not regarded as a " cure-all," yet it is proving itself well as time goes on:— Male. Female. Total. Per Cent. • Results— 15 23 41 27 22 18 93 ' 44 37 41 134 71 13.07 14.49 47.35 25.09 106 177 283 Disposal— Discharged 47 1 16 1 39 2 70 14 1 12 15 60 5 117 14 2 28 16 99 7 41.34 4.95 .70 9.89 5.65 34.98 2.49 Totals 106 177 283 (d) The neurosurgeons have devoted some time to the study of lobotomy, with the result that a very worthy treatment has developed. In this hospital it has been used with the most advanced cases where all other forms of treatment have failed, and Dr. Frank Turnbull has done very excellent work in this regard. The table below shows that the results are most encouraging. It is now felt that it will be of value in early cases which offer a grave prognosis. Lobotomy is not limited to the field of mental illness, but is used in other ways, sometimes where severe and prolonged pain exists. S 12 MENTAL HOSPITALS REPORT, 1946-47. Results Total. Per Cent. Much improved 14 31 Improved 23 51 Unimproved 8 18 Total 45 Disposal— Discharged 11 24 Discharge pending 5 11 Remaining in hospital _■_ 29 64 Total 45 Dr. Milton Jones has had a busy year in the dental department. He has done much and valued work, and the various fields of dentistry have been well handled. He has had great experience in his study, which he has brought to bear in his duties, and his work has been much appreciated. The optometrist has accomplished much in aiding the patients with glasses, repairs, etc. More and more reading is taking place with the advent of Miss Irving, our librarian. The beauty-parlor has suffered less on account of obtaining staff, and, in consequence, the work has been more satisfactory to the patients. It is a very important phase of hospital life and adds to the general tone of feeling. The training-school, under Miss Parsons, the director of nursing, has been very busy as more and more demands have been placed upon it, and we are gradually strengthening. Miss Pullan has done well in her department as instructress. She has studied in the advanced fields of nursing and is now, as her assistants return from postgraduate courses at McGill, better able to cope with our extended program in teaching. The shortage of accommodation for nurses has been a handicap, especially in view of staffing our new clinical building. It has been even more difficult to obtain nurses lately than it was during the war period. The child guidance clinic personnel has been increased and, in consequence, the volume of work done has been greater. We are conscious that more must be done to aid those requiring treatment, and that it must be made more accessible for those to obtain it who live in more distant districts as well as those in places of greater population. This has not been easy, due to the difficulty of getting trained staff; however, it is gradually being accomplished. It will be seen from the report attached that regular clinics are held in Vancouver and Victoria, and also at much more distant places. It is very pleasing to see what the staff has really accomplished, and the great interest shown wherever the clinics are held. The occupational department, on both the male and female service, has done a great deal for the patients, as well as aiding the hospital in no small degree. In the treatment of mental illness, keeping the patients interested and employed means a happier unit. One sees a good deal of talent amongst them; a sample of their work is not only good, but surprisingly so in many cases. We think now in terms of not only avocation but also vocation. As staff is available, this service is showing a healthy growth. In this important undertaking Miss Weekes and Mr. Hall are really doing very well. The laboratory unit is gradually expanding and is serving the doctors greatly in aiding with the teaching, which is so important. It is our purpose to stress this phase, so that we have applied to have this department rated as a recognized teaching laboratory. We conduct regular clinico-pathological conferences. A splendid pathological museum is being rapidly developed and will be housed in the new clinical building. More and varied work has been done during the year, as shown in the tables attached. SUPERINTENDENT'S REPORT. S 13 The physiotherapy department has functioned well during the year and has helped materially in the general treatment. Further details of this valuable work are noted in the table found elsewhere in this report. The volume of X-ray work done at the institution has grown considerably, and it has greatly assisted in the treatment of the patients. The over-all amount of work done falls favourably within the amount needed in hospital classification. The department of psychology is being built up under the direction of Mr. Watson, in spite of being short-handed. The increased function of this field is essential, not only to give a better view of the capability, personality, and attitude of those under treatment, but also in the teaching of the many and varied students here and the different groups coming here for lectures and clinics. The important and good work done by the Child Guidance Clinic is also set out in an extensive table attached to this report. Mr. Brown, in charge of the recreation for the patients, has done excellent work in this department. The hospital life of the patient is entirely changed. There is more to look forward to in the field of pleasant and beneficial activities, so necessary in institutional life. It is greatly appreciated by the patients themselves, as well as their relatives and friends. Mr. Walker, in charge of the audio-visual department, has given the patients picture shows with the 35-mm. machines and, in addition, sends around the 16-mm. machine to the various wards housing patients, many of whom would otherwise be deprived of this pleasure. It has indeed been a great joy to the patients and sweeps away the monotony of illness. He also greatly aids by supplying music, both inside and out. Not the least important part of his work is assisting in the teaching program. In the social service department it has been very difficult to build up sufficient staff for our own social service. This department has been very active, and Miss Leigh has consistently worked to give Miss Kilburn, in charge of the service here, proper staff to carry on the work, which is such a great aid to both patients and hospital. It not only helps with detailed histories for medical study, but assists the patients and relatives during convalescent leave, and it is a wonderful comfort to troubled relatives. A detailed report is to be seen elsewhere. CHANGES IN STAFF. P. Walker, I.S.O., former Deputy Provincial Secretary, who guided the work of the mental hospitals among his many and varied duties, retired on June 30th, 1946. To those of us who enjoyed the privilege of working with him, we carry many pleasant memories of our associations together. His judgment on matters arising in the course of duty could always be relied upon as being sound. Mr. Walker was born in London, England, on March 28th, 1880. It was in 1897 that he arrived in British Columbia, and on June 6th, 1907, entered the service of this Province. He commenced his duties as clerk in the Provincial Secretary's office, became chief clerk in 1910, and Deputy Provincial Secretary on December 1st, 1928. He held this position with distinction until his retirement on June 30th, 1946. He was deservedly recognized for his good work by having bestowed on him the Imperial Service Order. Gowan S. Macgowan, business manager of the institution, retired on superannuation after forty years of continuous service in that position. He left the staff in splendid health and was very active. This is a wonderful accomplishment. He was born in Charlottetown, P.E.I., on February 18th, 1882. When he was 10 years of age, the family moved to St. Paul, Minnesota. After finishing school, he started work with the Canadian Immigration Service in St. Paul. In May, 1901, he came to Vancouver and joined the staff of W. S. Macgowan & Co., New Westminster, and was with them until 1907, when he entered the Civil- Service as Assistant Assessor and Collector of S 14 MENTAL HOSPITALS REPORT, 1946-47. Taxes for the District of New Westminster and Yale. In 1908 he was transferred from the Finance Department to the position of bursar of the mental hospital. This makes a lengthy and successful service of forty-six years, which is something of a record. This year there have been many more changes in the staff than is usual. Mr. Watson returned to the staff after serving overseas. He formerly was in psychology at the clinic, but, as the load is much heavier, he has taken over the direction of psychology and the educational program at Essondale, with Dr. Davidson as clinical director. Many of our staff reaching the age of superannuation were retired. They were old and trusted employees whom it takes time to replace. Those of us who have had the pleasure of working with them certainly miss the presence of their company, together with the high type of service they performed. It is not possible to write of them individually, but the list is given below:— Essondale.—T. Weeks, paymaster; W. G. Armour, baker; J. L. Malcolm, chief engineer; T. Hockey, engineer; J. Mitchell, cook; L. Bovet, cook; I. Watts, deputy chief attendant; E. English, attendant; W. R. Berry, attendant; Mrs. Monteith, seamstress; Mrs. F. A. Jefferson, supervisor, nurses' home. Public Works: A. Tanner, carpenter; D. H. Stewart, carpenter; J. A. Young, painter; W. Knorr, painter; G. Wingrove, mason; D. A. McMillan, painter; C Vaughn, maintenance; W. J. Scott, maintenance; M. J. Hughes, fire chief; J. Saunders, carpenter. New Westminster.—C. Monteith, chief attendant; E. Swarbrick, attendant; R. Harvey, baker; T. Archibald, engineer; Mrs. A. R. Hood, seamstress; G. Carruthers, tailor. Public Works: R. Gow, carpenter; W. Powell, painter. Saanich—K. Field, charge attendant; J. W. Fulton, charge attendant. COMMENTS. It was arranged with Professor Cameron of McGill University, in the Department of Psychiatry, to send our doctors in turn for a period of three months postgraduate study. The doctors who haVe already had this course have received great satisfaction from it, and in consequence our service in turn has shown much improvement. In order to build our teaching and expand our course in the school of nursing, a few chosen nurses are having a year's instruction in psychiatric nursing at McGill. A school of nursing must have a course which is acceptable to the Canadian Association of Nursing, and it is to meet these requirements that we are building up our school. We have, during the year, obtained the services of Dr. Ardeth Robertson. It has long been our wish to have a lady physician, and Dr. Robertson is now on our permanent staff. The clinical director, Dr. Allan Davidson, with the assistance of Mr. Watson, is building up a physicians' study course, and regular study seminars are set out and closely followed. The appointment of a graduate librarian, Miss Irving, took place on March 3rd, 1947, and she is building up a library for both patients and staff. There is a deep need of proper housing for children under the age of 6. One hesitates to think of children of such tender years coming to a mental hospital, but one finds very distressing home unhappiness in the many cases where mothers, already overburdened with the care of their normal children, find themselves, in addition, having to look after one or more subnormal children. In some instances the grief in the home is beyond human endurance. A fire-proof unit for the treatment of young children is certainly indicated. It is a difficult situation, as they come in numbers and have to be held in such numbers even on our adult admitting wards. A unit for this purpose could be placed in our New Westminster branch. There is an ever-increasing demand for accommodation for those in the other extreme of age; namely, those who have reached 70 years and over. SUPERINTENDENT'S REPORT. S 15 In the problem of caring for the mentally ill, a proper layout for the treatment of the early and pre-psychotic adult patients is required. This entails a modest start in an area that permits of expansion as time goes on. In this area also children can be treated and observed as facilities are added. Now that the splendid admitting clinic at Essondale is well on in its construction, it would aid greatly to have a building at Essondale to treat the female patients who suffer from very active psychoses and exacerbations of more acute phases. It would be well again to consider the establishment of a new institution for mental illness now that Essondale has grown well beyond that point for which it was erected. ACKNOWLEDGMENTS. I would like to tender my very sincere thanks to all members of our large staff for their faithful work in connection with the running of the hospital. I would especially like to bring to your favourable attention the valuable and untiring efforts of Dr.-Ryan and Dr. Gee, whose loyal co-operation and able knowledge have done so much to aid in the progress of the hospital. It is not possible to mention by name all those who have by their faithful service assisted in the work of the hospital, but I would like at this time to express our appreciation of what they have done, and are doing, for our institution. The returned soldier organizations continue to help the veterans in many ways— by extra comforts, entertainment, rehabilitation, etc., and it is gratifying to know that they can always be relied upon to interest themselves in a fellow comrade. Our thanks are due to the various members of the Provincial Police Department who are ever-ready to afford us their fullest co-operation whenever it is requested. Our branch at New Westminster which cares for the subnormal type of patient is doing excellent work under the guidance of Dr. L. E. Sauriol. Regular school classes are held by graduate teachers. The children do remarkably well and show a great interest in their studies. They are also receiving increased entertainment and have done splendidly in occupational therapy. They are happier, healthier, more cheerful, and enjoy their busy life, and great credit is due to those in charge. I would also like to mention with grateful thanks the work of Mr. Morris, the supervisor at Colquitz. This unit is a difficult one, as it houses the insane criminals and criminally insane. There has been extraordinarily little difficulty experienced in caring for this particular type, and one feels this is due in great measure to the splendid, management of its supervisor. I would also wish to make mention of Mr. Macgowan, the business manager, whose task, with rising costs, has not been an easy one. He has always had remarkable prescience of what may be expected, and in consequence we have suffered very few shortages either in food or materials. When one considers the size of the hospital and the numbers involved, this is most praiseworthy. Lastly, to you, sir, and to the Deputy Minister and the officers of the Public Works Department, I would like to express my grateful thanks for all that you have done to help the hospital maintain its program. We are proud that, in spite of many difficulties, we have retained our standard, and realize that it is only because of the sincere interest and co-operation of the Department this has been possible. I have the honour to be, Sir, Your obedient servant, A. L. Crease, Director of Mental Hygiene and Psychiatry. S 16 MENTAL HOSPITALS REPORT, 1946-47. LABORATORY REPORT. Provincial Mental Hospital, Essondale, B.C., March 31st, 1947. A. L. Crease, Esq., M.D., CM., Director of Mental Hygiene and Psychiatry, Provincial Mental Hospital, Essondale, B.C. Sir,—The following is the report of the work performed in the laboratory at Essondale from April 1st, 1946, to March 31st, 1947 :— Blood— Kahn, positive 109 Kahn, negative 858 Red blood-count and haemoglobin 1,451 White blood-count and differential 2,065 Sedimentation rate 707 Coagulation time 12 Bleeding time 12 Prothrombin time 2 Platelet count 6 Reticulocyte count ; 12 Grouping 15 Rh. factor 3 Cross agglutination 26 Volume index 1 Saturation index 1 Glucose _. 108 Glucose tolerance 13 . Non-protein nitrogen 114 Urea nitrogen 20 Urea clearance . 1 Creatinine 24 Cholesterol 23 Bromide 38 Vitamin C 2 Chloride 1 Fragility 1 Barbiturates 2 Culture 17 Widal 22 Agglutination for B. abortus 13 Paul Bunnell 5 Serum— Total protein 2 Calcium 11 Phosphorus 9 Icterus index 5 Van den Bergh 31 Hanger flocculation 5 Sodium 8 Potassium 6 Alkaline phosphatase 6 LABORATORY REPORT. S 17 Spinal fluid— Kahn, positive Kahn, negative Cell-count Colloidal gold Colloidal mastic Total protein Sugar Chloride Urines— Routine general Acetone Quantitative sugar Bromides Benzidene Quantitative albumin Two-hourly Ascheim-Zondek Bile Urobilinogen T.B. P.S.P. Smears— Miscellaneous G.C. T.B. Vincent's angina Malaria Trichomonas Diphtheria Dark field Sputum—T.B. Cultures— Miscellaneous Diphtheria Typhoid Dysentery T.B. : Faeces— Parasites Occult blood Fat (quantitative) Gastric analysis Gastric contents for occult blood Gastric contents for T.B. B.M.R.'s Biopsies Autopsies Animal autopsies Sections Donors supplied B.C. Police cases 76 67 99 105 29 97 2 1 4,888 1,949 718 776 415 22 6 31 8 18 2 2 258 61 26 105 25 12 6 3 126 46 6 1,156 2,585 2 20 29 1 13 2 5 75 7 88 21 942 25 2 S 18 MENTAL HOSPITALS REPORT, 1946-47. Water for bacterial count ,- 18 Milk for bacterial count 3 Ascitic fluid, cell-count 1 Ascitic fluid, Rivalta test 1 Pleural fluid, cell-count 1 Pleural fluid, Rivalta test 1 Hydrocele fluid, cell-count 1 Electrocardiographs 47 Agglutinations for dysentery 1,414 Agglutinations for typhoid 148 Museum specimens 195 Skin tests— Tuberculin (Vollmer) 234 V Protein sensitivity 1 Undulant fever 5 Dick test . 7 Smallpox vaccinations 289 Injections— Typhoid vaccine 653 Diphtheria toxoid 3 Staphylococcus toxoid 11 Pollen antigen 40 Scarlet-fever toxin 10 Brucellin 11 Total number of examinations 23,819 I have, etc., Alice Hagen, Technician. X-RAY REPORT. A. L. Crease, Esq., M.D., CM., Director of Mental Hygiene and Psychiatry, 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, 1946, to March 31st, 1947:— Number of films taken 7,487 Number of patients X-rayed 6,322 Patients. Films. Chests 5,397 5,433 Gastro-intestinal 82 238 Pelvis 80 88 Teeth 16 60 Extremities 404 852 Shoulders 29 56 Sinuses 19 38 Heads _ 72 211 Jaws 32 62 Mastoid 15 29 PHYSIOTHERAPY REPORT. S 19 Spine Gall-bladder Ribs Urinary bladder Nose Kidney Colon Barium enema ___ Abdomen Patients. Films 86 199 14 35 29 61 6 17 8 18 7 15 6 34 6 21 14 20 6,322 7,487 I have, etc., A. M. Gee, Physician and Roentgenologist. PHYSIOTHERAPY REPORT. A. L. Crease, Esq., M.D., CM., Director of Mental Hygiene and Psychiatry, Provincial Mental Hospital, Essondale, B.C. SIR,—Following is a report of the treatments which were given in the physiotherapy department at Essondale from April 1st, 1946, to March 31st, 1947:— Male. Female. Total. 385 636 29 51 6 51 913 516 1,946 246 8 14 1,021 29 50 85 222 657 545 247 ' 1,062 6 317 101 91 Needle showers, rain douches, etc Massage, active and passive movements 273 1,570 1,061 2,193 1,308 14 331 3,576 379 4,416 619 7,992 992 I have, etc., A. E. Davidson, Clinical Director. S 20 MENTAL HOSPITALS REPORT, 1946-47. PSYCHOLOGISTS' REPORT. PROVINCIAL MENTAL HOSPITAL. A. L. Crease, Esq., M.D., CM., Director of Mental Hygiene and Psychiatry, Provincial Mental Hospital, Essondale, B.C. Sir,—Following is a report of work performed for the fiscal year ended March 31st, 1947:— A.S. Reaction Study 4 Bell Adjustment Inventory 16 Bernreuter Personality Inventory 17 Gamin 18 Guilford-Martin 21 Kuder Preference Record 11 Minnesota Multiphasic 13 Personality Schedule 13 Purdue Peg-board 1 Harrower-Erickson Rorschach Test 7 S.T.D.CR. 21 Strong Inventory 4 Wechsler-Bellevue 33 Willoughby E-M Scale 10 Hartford Retreat 6 Behaviour Rating Scale 12 P.S. Experience Blank 4 Total 211 I have, etc., Z. Thompson, Psychologist. PSYCHOLOGISTS' REPORT. S 21 CHILD GUIDANCE CLINIC. A. L. Crease, Esq., M.D., CM., Director of Mental Hygiene and Psychiatry, Provincial Mental Hospital, Essondale, B.C. Sir,—Following is a report of work performed for the fiscal year ended March 31st, 1947:— s ■it .5 a, Stanford Binet Weschler Bellevue Cattell Infant Intelligence California Mental Maturity Porteus Maze Betts Telebinocular California Test of Personality Minnesota Multiphasic Humm-Wadsworth Temperament.... Bell Adjustment Inventory Bernreuter P-S Experience Blank Mental Health Analysis Stogdill Behaviour Cards.... Monroe Reading _. Haggerty Reading Gray's Oral Reading Iota Word Test Word Discrimination Test Columbia Vocabulary Master Achievement (Reading) Ayres Spelling Stanford Arithmetic Wide Range Achievement Strong Vocational Interest California Occupational Interest Kuder Preference Record Minnesota Clerical Aptitude N.I.P. Clerical Turse Shorthand Test for Ability to Sell Stanford Scientific Aptitude Meier Art Judgment Bennett Mechanical Comprehension MacQuarrie Mechanical Aptitude Detroit Mechanical Crawford Tridimensional Minnesota Rate of Manipulation Purdue Peg-board Tweezer Dexterity Stenquist Assembly Ishihara Colour-blindness Opthalmagraph Special Observation Vocational Guidance Interviews Reading Tuition 380 115 57 20 9 114 146 87 7 9 3 3 1 7 107 33 1 1 4 1 4 11 3 20 53 1 6 1 5 6 7 2 1 16 6 38 4 2 2 5 4 34 hrs. 13 12 558 118 59 20 9 114 227 93 7 10 1 7 159 76 2 1 1 4 1 6 28 3 22 70 1 9 3 6 1 5 7 12 5 1 16 6 39 4 2 2 5 4 4 34 I have, etc., Marjory H. Munro, Psychologist. S 22 MENTAL HOSPITALS REPORT, 1946-47. DENTAL REPORT. A. L. Crease, Esq., M.D., CM., Director of Mental Hygiene and Psychiatry, Provincial Mental Hospital, Essondale, B.C. Sir,—Following is the annual report of the dental department:— Provincial Mental Hospital, Essondale. All patients able to present themselves were examined, and dental charts filed. All acute conditions were given precedence, and relieved the same day as reported. Dentures were made for patients recommended by members of the medical staff, and dentures were repaired as required from day to day. Restorations of carious teeth have been made as far as time would permit. Examinations Summary. 677 Extractions 644 Fillings inserted 169 Treatments 163 Local anaesthetics 331 Dentures repaired 84 Dentures rebased 13 Dentures made 39 Bridges repaired 1 Alveolotomy 6 Prophylaxis 91 Davis crown 1 General anaesthetics 2 Provincial Mental Hospital, New Westminster. All new patients were examined and record charts made. Summary. Examinations 420 Diseased teeth extracted 182 Local anaesthetics 156 Fillings inserted 91 Peridontal treatments 38 Palliative treatments 43 Dentures repaired 3 We have, etc., Emery Jones, D.D.S. Milton Jones, D.D.S. TRAINING-SCHOOL REPORT. S 23 OPTICAL REPORT. A. L. Crease, Esq., M.D., CM., Director of Mental Hygiene and Psychiatry, Provincial Mental Hospital, Essondale, B.C. Sir,—Enclosed please find optical report of work done at the Provincial Mental Hospital, Essondale, from April 1st, 1946, to March 31st, 1947:— Refractions, April 1st, 1946, to March 31st, 1947: Male, 52; female, 98; total, 150. Repairs and replacements sent to J. S. Hudson Optical Supplies, 92. Minor repairs and adjustments at hospital (approximately), 50. I have, etc., H. H. Woodbridge, Optometrist. BEAUTY-PARLOUR REPORT. A. L. Crease, Esq., M.D., CM., Director of Mental Hygiene and Psychiatry, Provincial Mental Hospital, Essondale, B.C. Sir,—The following is the annual report of the appointments in the beauty-parlour from April 1st, 1946, to March 31st, 1947 :— Marcels 1,291 Finger-waves 2,111 Shampoos 3,402 Haircuts 1,733 Permanents 39 We have, etc., E. Embree. M. Townsend. TRAINING-SCHOOL OFFICE REPORT. The Provincial Mental Hospital school of nursing completed the fiscal year ended March 31st, 1947, with the following personnel: Registered nurses, 13; mental graduates, 39; nurses-in-training, 182—making a total staff of 235. Resignations for the year numbered 205 and replacements 207. A large number of appointments and resignations are summer relief. This year has been even more difficult, with regard to staff, than preceding years have been. With more specific therapy, new wards opened, overcrowded conditions, and a large turnover of staff, senior members are finding their responsibilities even greater and hours long. We are greatly looking forward to the forty-four-hour week, when we feel our staff will be a more stabilized one. Several changes have taken place in the training-school office. Miss H. Lipsey returned from the New Westminster branch and replaced Mrs. B. Burton as assistant director of nurses. Miss K. Soames resigned to take another position. Miss M. Thiemann has taken over a position as head supervisor in the female building. Miss A. Kirkham and Mrs. A. Palvesky, having completed the one-year course in psychiatric nursing at McGill University, have returned, and are valuable members of our staff. S 24 MENTAL HOSPITALS REPORT, 1946-47. The teaching department has progressed very favourably, and much has been accomplished within the year. Twenty-six nurses received their diplomas in psychiatric nursing after a three-year course. Two registered nurses completed the six months' course in postgraduate study. Certificates were awarded fifty-one male students from Essondale and nine from the New Westminster branch. Forty-eight students from four general hospitals and three degree students from the University of British Columbia completed the two months' affiliation course in psychiatric nursing. Special classes were given to one hundred psychology students, ninety-five public health and fifty educational students from the University of British Columbia. Eighteen nurses from the public health division of the University of British Columbia were given one week of active observation and instruction in the different departments of the hospital. This heavy class program has placed greater demands upon the heads of wards as well as the teaching department. More recreation facilities are available, and many staff members have enjoyed dances, badminton, swimming, tennis, picnics, etc. A new recreation-hall will greatly relieve the recreational needs of all staff. Again may we thank those who have given so freely of their time and counsel. We are much indebted to the medical staff, nursing staff, and other personnel who have helped in the running of the training-school through a difficult year. M. E. Parsons, R.N., Director of Nursing. SOCIAL SERVICE REPORT. CHILD GUIDANCE CLINICS. A. L. Crease, Esq., M.D., CM., Director of Mental Hygiene and Psychiatry, Provincial Mental Hospital, Essondale, B.C. Sir,—Attached herewith is a consolidated summary of the work done in the child guidance clinics throughout the Province from April 1st, 1946, to March 31st, 1947. Regular clinics were held in Vancouver, Victoria, Nanaimo, New Westminster, Chilliwack, Penticton, and Vernon. In addition, clinics were held for the first time in Nelson, Prince Rupert, Prince George, Cranbrook, and Kamloops. The clinic was received with enthusiastic interest in these areas and with requests for repeat visits as soon as practicable. There has been a definite increase in the number of clinics held, the number of repeat cases seen, and in the number of psychiatric interviews. An outstanding advance has been in the number of consulting conferences held and in the number of agencies availing themselves of the services of the clinic. There continues to be a noticeable scarcity of trained personnel. It has not been possible to complete the four psychiatric teams as outlined in last year's report. Nevertheless, through the co-operation of the Department of Welfare, more psychiatric social workers have been made available. Thus it has been possible to provide a more complete service to the cases that have been seen at the clinic. The most urgent needs of the clinic at the present time are:— (1) Opening the Victoria clinic on a full-time basis. This would provide a greater service to the residents of Victoria and Vancouver Island. At the same time it would relieve the present travelling team, enable it to make more frequent visits to the Interior, and assist in relieving the pressure on the team working in the Vancouver area. SOCIAL SERVICE REPORT. S 25 (2) Enlargement or addition to the already overcrowded structural facilities of the Vancouver clinic. The shortage of space prevents the most efficient functioning of the Vancouver clinic. (3) Provision of an observation and treatment centre for certain selected cases that are seen at clinic which show serious behaviour difficulties, necessitating their immediate removal from their present surroundings. Adequate foster-home care cannot be provided due to the primary nature of their disorder and their marked anti-social reaction to it. They respond to the more unemotional relationship that can be provided by trained personnel. At the same time that they are receiving treatment in a centre, their parents can be educated and conditioned for their return to the home. Such a program will require additional expenditure, but will pay in the avoidance of a complete break in the personality and in the return of the children to a more healthful and satisfying mode of living. Even with the present absence of satisfactory facilities it has been possible, through the co-operation of other agencies, to carry on this work in a very limited way and with gratifying results. Personality patterns are formed very early in the life of the child and rapidly tend to become permanent. If we are to reduce the volume of mental disease and raise the level of mental health throughout the Province, we must make it easy for people who need help to get help. It is a- function of the clinic to offer consultation, diagnosis, and treatment to patients with personality problems and to give follow-up treatments, in case of need, to convalescent psychotic patients. If the cause of public mental health is to be furthered, these individuals must be induced to come to the clinic so that they may be helped as promptly as possible. The clinics do more than is generally realized to prevent early social maladjustments. They are also a means of incorporating psychiatry into community activities and relating it to education, social work,, and clinical psychology. In addition to diagnosis and treatment, other functions of the clinic are training, education, and research. Training and education are going on constantly, particularly with our own staff and also with workers referring cases to the clinic or taking advantage of the consultative service. In addition, public health nurses and social workers in training are attached to the clinic for a period of orientation. A noticeable advance during the past year has been the establishment, in the Vancouver clinic, of an internship in clinical psychology. This is available to a limited number of university graduates who have majored in psychology during their academic course. On the completion of their internship the majority of these graduates will be qualified and available for staff appointments within the psychiatric service of the Province. It is to be expected that some will be stimulated to continue further postgraduate work elsewhere. Many persons imagine that research is something carried out only in a laboratory. One of the most important researches is the careful study of all patients. From these observations new facts may be deduced leading to better methods of study and treatment. This is bound to benefit the individual patient. It is thirty-seven years since the first child guidance clinic was established by Dr. William Healy in Chicago. This year also marks the twenty-fifth anniversary of the establishment of a habit clinic by Dr. Douglas Thom, which in turn led directly to the first state program of preventive mental hygiene under Dr. Thom in Massachusetts. Dr. Thom was always cautious about claiming- a preventive value for the habit clinic. He felt that the immediate values to the child provided sufficient justification for this work. S 26 MENTAL HOSPITALS REPORT, 1946-47. The work of the clinic is only possible through the co-operation of the various agencies that refer cases to it and assist in carrying out the recommendations made for the individual patient. Annual Report of Child Guidance Clinics, 1946-47. u Qt > 3 o a os > o > d J B c. z o la o d o in *<_ z » si v bo •~ o 8^ h s C a i £_" a o S > s s h E3 o c a; PL) .5 o o 1 o E-i Number of clinics held.. New cases Males— Adults Children Females— Adults Children 243 459 26 183 112 138 148 14 93 14 27 607 488 434 235 3 23 607 154 1,221 23 74 5 38 6 25 12 1 5 1 5 86 80 21 64 30 165 6 16 1 11 4 8 1 5 2 24 22 14 26 1 38 5 13 9 4 6 5 1 19 16 13 20 31 1 4 4 4 4 4 4 3 4 2 8 6 1 1 8 8 8 8 12 2 10 10 10 10 10 8 4 14 2 8 7 8 8 4 8 16 2 7 7 1 1 8 8 8 8 1 21 3 12 1 6 2 3 12 12 8 12 1 20 1 4 1 3 ' 4 4 3 4 3 3 1 4 1 3 4 4 2 4 7 291 619 34 285 121 179 175 Males— Adults Children 16 109 Females— Adults 15 35 Total cases Physicals Urinalysis Play-room observation.. P.H.N, home visits P.H.N, students 793 664 529 235 3 23 773 197 1,552 Case conferences Consulting conferences. Psychiatric interviews.. SOCIAL SERVICE REPORT. S 27 Sources of Clinic. Source. > B o P a > d 1 8) C oj z | o '£ o o > c o % z 8^ .£ a 3 M G ^ •~ O c 1 c o a > o o u XL a c o o a o o 1 3 19 67 83 7 250 15 1 2 2 3 38 11 2 32 6 2 3 1 3 53 1 3 1 2 11 4 9 1 24 16 3 2 5 1 8 9 17 1 8 8 Catholic Children's Aid Society.. Child Guidance Clinic Child Welfare Division 8 LI 4 1 6 3 8 12 4 City Social Service Department. City Social Welfare Correspondence School Crippled Children's Hospital Fairbridge Farm School Family Welfare Association • Family Welfare Bureau Hospital Social Service Jewish Family Welfare Bureau.. Saanich Health Division School for Deaf and Blind Social Welfare Branch Vancouver General Hospital— Out-patients' department Social service department 4 y.w.c.a I have, etc., Ultan P. Byrne, M.D., D.P.H., Director of Child Guidance Clinics. PSYCHIATRIC SOCIAL WORKERS' PARTICIPATION IN CHILD GUIDANCE CLINIC SERVICES. The participation of the psychiatric social workers in clinic services was governed by the fact that during the greater part of the year personnel fluctuated and, in the main, was limited to one worker. This would be a factor governing a number of home visits of a follow-up nature. With additional personnel, it is the hope of the psychiatric social workers that after-care and follow-up will be more intensive, and, as a result, patients better serviced within the clinic treatment program. The following reveals the fluctuation in psychiatric social worker personnel. In May one worker from the social service department of the Provincial Mental Hospital transferred to the child guidance clinic, Vancouver, to enable the worker already at the clinic to take a three months' leave of absence for further training at Smith College. This worker returned to the clinic, but was given further training with the social service of the hospital in preparation to fill the position of psychiatric social worker in the travelling child guidance clinic team. In November it was necessary to transfer the worker from Victoria back to the Vancouver child guidance clinic, and to replace her with one of the Vancouver personnel. In February, 1947, we were fortunate S 28 MENTAL HOSPITALS REPORT, 1946-47. in securing a well-trained psychiatric social worker to act as the supervisor at the child guidance clinic. This has been most fortunate, as it has given the feeling of stability which was so badly needed. One of the most encouraging developments in the child guidance clinic services is the manner in which the consultative service has been used. This consultative service is one in which clinic services are given to a social worker interested in a client, but there is no actual, or only casual, contact with the client by the clinic staff. Social workers of private and public agencies have found it valuable to discuss with the psychiatrist the mental hygiene problems of their clients in order to receive psychiatric interpretation which they can apply to their case-work plans. The consultative service is valuable in its provision of an area in which the social workers can clarify their thinking on a case. The Director's contribution to this service has brought to the case-working agencies clarification of their skills. The clinic teaching function has also been noticeable and has met with the appreciation of the community. Our Director has participated in and helped the workers in preparation of radio talks, panel discussions, and meetings with groups. He has obtained and helped with the formation of a library and library facilities. This has been of invaluable help both to the immediate staff and the clinic, and to other agencies working with the clinic. It has encouraged real team-work throughout the staff. He has given direction and teaching on the individual case-history to his own staff and the staffs of other Provincial and private agencies. The orientation of social workers and public health nurses has been established and has been a function rather than a sideline with the social workers. There is now a well-defined program arranged with the active participation of all the staff team. The travelling clinic has enlarged, and more time has been given to the Victoria clinic, which is now showing the necessity of a full-time clinic with added personnel in the psychiatric social service. The psychiatric social work staff looks forward to the time when the clinic will function as an active treatment centre. We are aware as social workers that the first function of the child guidance clinic is to study and treat individuals referred to it, and that the individual treatment and rehabilitation to his home and community is the highest type of service the child guidance clinic can render. The return of an adjusted child to his home is the best interpretation of the value of the child guidance clinic in the mental hygiene program. Annual Work Report of Social Workers. Child Guidance Clinic, Vancouver, 1946-47. Cases carried forward from previous fiscal year 49 Cases referred during year— New 71 Reopened 6 Transferred in 1 Total 78 Total cases carried during year 127 Cases transferred out 10 Cases closed 55 Total _*. 65 Total cases carried forward 62 SOCIAL SERVICE REPORT. S 29 Case-work services— Office interviews 77 Home visits 41 Telephone 95 Collateral 41 Histories taken 54 Other than case-work services— Conferences attended— Agency : 734 Private 42 Consultative .-. 164 Travelling clinics— Victoria 23 Others 25 Total 48 Child Guidance Clinic, Victoria, 1946-47. Cases carried forward from previous fiscal year 25 Cases referred during year— New 30 Reopened 5 Transferred in 4 Total 39 Total cases carried during year 64 Cases transferred out 5 Cases closed 27 Total 32 Total cases carried forward 32 Case-work services— Office interviews 254 Home visits 191 Telephone 100 Collateral 31 Histories taken 22 Other than case-work services— Conferences attended— Agency 52 P r i vate 19 Consultative 15 Letters— In : SO Out 76 Telephone— In 673 Out 511 (Miss) J. F. KlLBURN, Supervisor, Psychiatric Social Work. S 30 MENTAL HOSPITALS REPORT, 1946-47. PROVINCIAL MENTAL HOSPITAL AND HOME FOR THE AGED. The personnel of the Social Service Department has increased in this last year. There are now seven workers, but still we could use twice as many, and if it were not for the magnificent work done by the field service throughout the Province, it would be difficult to meet increased demands from the medical staff of the hospital. To facilitate this, we. have divided our staff, making three separate departments, with an experienced person in charge of each. The supervisor for field staff arranges with the individual districts for reports from the family of the patient. This necessitates a complete resume of the factual information known to the hospital at the time of admission to assist the field service workers in their work with the families. When the field service workers visit and forward their history to the hospital, there is always some direction with the case-work within the family, and the hospital supervisor visits the patient on the ward and acts as the liaison officer between the hospital and the home through the field worker. Because of the more extensive hospital treatments with the patients, these case-histories are required as soon as possible. So also must the work go on within the home in preparation for rehabilitation and throughout the probation period. She is in need of assistance, but only a well-trained person can fill this post. For this latter reason, we obtained the services of a psychiatrically trained teacher as supervisor for the junior members of the staff. Her salary is paid through the University of British Columbia, and she is full time on our staff. In this way we hope to have fully trained workers throughout our whole service. Our third department is still not functioning to the full, but is making strides in specializing in rehabilitation of the patient for whom there is unsuitable or no home to which to return. Although this is the newest department, it had a good showing in this last year, and it tends to keep rehabilitation of all patients very much in the limelight. As time goes on, we hope to develop some real sources for both male and female patients. At the present time, with employment easy to obtain, we are fortunate to have the co-operation of the Provincial Employment Handicapped Section interested and helpful with the project. There is still a great deal to be done in this area, but we are anxious not to extend too far and take away the responsibility from the patient's family. We consider good work done with the family from the very onset of the illness our best investment because only as we interpret mental illness to the families do we see as a service holding out hope for the future rather than regret for the past. This last year has been particularly busy with extension in all fields of social welfare. There have been some twenty-six workers for orientation. The individual time allotted to the mental hospital varied from two days to a week. The public health nurses have had some orientation. Postgraduate nurses attached to the hospital are also with us for a period. There have been new committees working out procedures for the field staff on which the Psychiatric Division of Social Welfare must participate. The whole staff has a pride in the Psychiatric Division of Social Welfare and try to co-operate in every way with the hospital personnel. We would like to thank the medical staff of the hospital for their kindnesses, particularly with the teaching instructions which they gave so readily to the social workers and to those with us for orientation. Statistical. Number of cases referred to Social Service Department, including those cases referred for probation and therapy visits only:— In Vancouver 1,178 Out of Vancouver 759 1,937 Out of Vancouver _ 170 Discharged in full— In Vancouver _ 67 Out of Vancouver 25 Died— In Vancouver 68 Out of Vancouver _____ 105 SOCIAL SERVICE REPORT. S 31 Disposition— Discharged on probation— In Vancouver 199 369 92 173 Report of social service work in Greater Vancouver carried out by members of Social Service Department directly attached at Essondale:— Initial interviews to obtain social histories— In Vancouver - 449 Out of Vancouver 6 455 Probation visits— In Vancouver 229 Out of Vancouver 229 Therapy visits— In Vancouver : 3,482 Out of Vancouver —— 3,482 Collateral (conferences with other social agencies, committee meetings, etc.) 1,300 Letters re patients not in Greater Vancouver, including requests for social histories and probation visits, and general supervisional, etc. 1,760 (Miss) J. F. KlLBURN, Provincial Supervisor, Psychiatric Social Work. S 32 MENTAL HOSPITALS REPORT, 1946-47. STATISTICAL TABLES. Table No. 1.—Showing the Operations of the Hospitals—Essondale, New Westminster, and Saanich—from April 1st, 1946, to March 31st, 1947. Movement of Population. Male. Female. Total. Total. Male. Female. Total. 1,769 357 288 72 5 3 1 1 1.441 255 98 4 3,210 612 288 170 9 3 1 1 2,496 465 1,798 415 In residence, Saanich, March 31st, 1946 On probation, carried forward from 1945-46, New Westmin- On probation, carried forward from 1945-46, Saanich Escaped, carried forward from 1945-46, Essondale Escaped, carried forward from 1945-46, New Westminster 4,294 Admitted during the year 1946-47— 409 27 20 1 8 382 10 20 3 791 37 40 1 11 By urgency forms 880 Total under treatment, Essondale, New Westminster, and Saanich, April 1st, 1946, to March 31st, 1947 32 140 75 5 85 2 134 64 124 142 2 90 84 96 264 217 7 175 2 218 2,961 504 2,213 519 5,174 Discharged during period April 1st, 1946, to March 31st, 1947— (a) From Essondale— 473 506 979 (b) From New Westminster— 1 4 1 7 3 5 2 3 4 9 3 10 Died 13 13 26 (c) From Saanich— As recovered 1 2 4 1 10 1 2 4 1 10 Died 18 1 18 Total discharged from Essondale, New Westminster, and Saanich 1 1 1,023 Total in residence, Essondale, New Westminster, and Saanich 2,457 | 1 1,694 j 4,151 STATISTICAL TABLES. S 33 Table No. 1.—Showing the Operations of the Hospitals—Essondale, New Westminster, and Saanich—from April 1st, 1946, to March 31st, 1947—Continued. Movement of Population. Male. Female. Total. Total. Male. Female. Total. Essondale—■ Total on books, March 31st, 1946 1,842 465 10 1 1,539 415 22 3,381 880 32 1 2,318 514 1,976 542 4,294 473 27 14 506 36 979 63 14 1,056 362 27 259 36 621 63 1,804 1,434 3,238 New Westminster— Total on books, March 31st, 1946 389 23 295 35 Received from Essondale 684 13 10 13 22 26 32 58 292' 14 292 if Total in residence. New Westminster, March 31st, 1947 366 260 626 Saanich— Total on books, March 31st, 1946 306 19 Received from Essondale 306 18 1 18 1 19 1,804 366 287 1,434 260 3,238 626 287 287 287 Total in residence, Essondale, March 31st, 1947 2,457 1,694 Grand total in residence, Essondale, New Westminster, and 4,151 Daily average populations 4,129.80 Percentage of discharged on admissions (not including deaths) 68.18 Percentage of recoveries on admission 11.02 Percentage of deaths on whole number under treatment 4.59 S 34 MENTAL HOSPITALS REPORT, 1946-47. Table No. 2.—Showing in Summary Form the Operations of the Hospital since its Inception. Year. Discharges. O U zs Q or* aj f to u C tn o a. Q oj'g y o ; gin *$___ a ai S*3 1*2-S Is 1872.. 1873.. 1874.. 1875.. 1876.. 1877.. 1878.. 1879.. 1880.. 1881.. 1882.. 1883.. 1884.. 1885.. 1886.. 1887.. 1888.. 1889.. 1890.. 1891.. 1892.. 1893.. 1894.. 1895.. 1897 1898 1899 1900 1901 1902 1903 1904 1905 1906 1907 1908 1909 1910 1911 1912 1913 1914 1915 1916 1917 1918 Jan. 1, 1919, to March 31, 1920.. 1920-1921 1921-1922 1922-1923 1923-1924 1924-1925 1925-1926 1926-1927 18 15 12 29 22 14 16 18 17 13 7 8 10 20 27 36 26 41 52 49 52 44 80 62 64 74 81 101 113 115 121 139 115 123 150 221 230 232 280 332 375 380 402 332 353 371 375 574 489 478 438 447 461 475 494 1 10 4 3 11 4 7 4 5 5 3 4 2 5 10 15 12 14 17 19 17 14 13 29 23 20 27 31 38 40 30 38 46 43 36* 48 68* 73f 84 67t 74* 90 § 58 83 73t 116 88 96 91 84t 63 57|| 76§ 10 18 19 11 25 8 13 32 27 20 31 37 26 S3 43 43 56 77 82 114 128 146 126 91 96 78 95 221 173 178 167 121 242 240 171 1 5 3 10 5 3 5 5 2 3 2 5 6 5 3 4 12 20 13 14 19 20 9 14 19 21 29 25 25 26 26 27 28 39 57 40 41 60 76 67 74 89 80 106 132 132 122 114 133 163 138 142 161 16 14 19 32 35 38 36 41 48 48 49 49 51 61 66 77 82 100 117 123 135 133 162 164 171 203 221 234 258 284 311 349 321 348 388 461 507 536 595 690 752 919 1,027 1,090 1,205 1,301 1,347 1,458 1,566 1,649 1,697 1,784 1,884 1,995 2,125 5 13 3 2 10 5 11 5 18 17 6 12 29 2 7 32 18 13 24 26 27 27 43 73 46 29 48 105 62 167 108 63 115 96 46 111 108 83 48 87 100 111 130 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 1,487 1,527 1,650 1,753 2,025 2,043 2,137 2,180 2,234 2,327 2,434 2,565 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 67.52 62.17 50.41 53.96 62.61 61.78 52.06 41.20 53.90 64.60 69.28 54.42 53.80 62.10 45.77 52.41 47.87 44.74 45.33 58.71 72.60 57.32 59.36 64.20 66.16 62.53 50.00 5.55 16.12 11.53 20.83 9.35 6.12 16.16 14.81 8.62 8.19 3.63 5.26 3.33 6.94 6.81 4.80 2.87 3.25 7.64 11.69 6.95 7.60 8.92 8.92 3.94 5.69 6.66 6.42 8.14 6.63 6.06 5.57 5.42 5.34 5.04 5.08 7.44 6.40 4.57 5.83 7.02 5.30 5.43 6.19 5.24 6.42 7.47 6.51 5.97 5.33 6.10 7.25 5.93 5.83 6.27 * Three not insane. t One not insane. t Two not insane. § Four not insane. | Six not insane. statistical tables. S 35 Table No. 2.—Showing in Summary Form the Operations of the Hospital since its Inception—Continued. c_ S s CO 1 < Discharges. _i c. P 5 3"S EO w (D <y . —. CO s__ 2 w a oj BD Bj p U It Pa °S ■ fll CO &S a c..S o o o c H vB fcM<. Percentage of Discharges to Admissions (Deaths excluded). 0J Year. T3 01 U Hi > o _> g K s H A o o zz oil S° p a oj^r*4J (, rt S . . . 3 t. 1927-1928 542 543 602 632 562 635 610 653 679 783 834 827 869 864 834 803 840 822 834 880 75* 92t 118* 70* 581 44§ 6 It 71* 63* 78t 74 72J 111** 1071 71tt 91H 87 96§§ 117tt 97§§ 252 294 311 235 299 323 309 349 304 300 330 345 455 410 400 443 423 377 352 496 147 181 223 191 181 195 200 221 291 268 207 208 230 254 255 260 309 300 240 238 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 4,110 4,151 144 78 64 139 126 148 136 120 100 121 186 125 98 126 66 23 35 59 91 41 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 5,174 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 11.02 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 68.18 5 36 1928-1929 6 21 1929-1930 7.28 1930-1931 6.06 1931-1932 5.63 1932-1933 5.75 1933-1934 5.66 1934-1935 5.94 1935-1936 7 58 1936-1937 6.59 1937-1938 4.86 1938-1939 4.65 1939-1940 4.88 1940-1941 5 31 1941-1942 6 54 1942-1943 5 31 1943-1944 6.02 1944-1945 6.04 1945-1946 5.84 1946-47 4.59 * Three not insane. ** Twelve not insane. f One not insane, ft Ten not insane. % Two not insane. XX Eight not insane. § Four not insane. §§ Seven not insane. 11 Five not insane. Table No. 3.—Showing the Total Number of Admissions, Discharges, and Deaths from April 1st, 1946, to March 31st, 1947. Months. Admissions. Discharges. Deaths. Male. Female. Total. Male. Female. Total. Male. Female. Total. 1946. 42 40 40 37 42 29 54 37 22 41 44 37 38 34 45 38 27 36 38 31 29 31 33 35 80 74. 85 75 69 65 92 68 51 72 77 72 20 21 29 20 24 18 22 21 25 22 18 20 21 17 43 26 16 25 52 50 22 20 18 30 41 38 72 46 40 43 74 71 47 42 36 50 8 17 20 10 7 11 12 19 12 18 9 8 11 8 8 5 9 8 9 5 11 4 3 6 19 25 28 July 15 16 21 24 23 1947. 22 12 March 14 Totals 465 415 880 260 340 600 151 87 238 S 36 MENTAL HOSPITALS REPORT, 1946-47. Table No. 4.—Showing the Civil State of Patients admitted from April 1st, 1946, to March 31st, 1947. Civil State. Male. Female. Total. 148 236 14 37 27 3 175 123 19 75 23 323 359 33 112 50 • 3 465 415 880 Table No. 5.—Showing Religious Denominations of Patients admitted from April 1st, 1946, to March 31st, 1947. Religious Denominations. Male. Female. Total. 5 1 1 9 3 2 5 5 2 2 45 2 1 4 3 302 1 58 1 1 2 1 2 7 2 4 2 1 1 1 1 5 2 2 1 21 4 1 1 2 1 307 54 1 1 7 5 3 10 4 2 1 6 10 4 4 1 66 6 5 609 112 Rosicrucian.. Seventh-day Adventist Sikh 7 Totals 465 415 statistical tables. S 37 Table No. 6.—Showing the Degree of Education of those admitted from April 1st, 1946, to March 31st, 1947. Degree of Education. Male. Female. Total. 15 82 236 90 42 17 102 211 52 33 32 184 447 142 75 Totals 465 415 880 Table No. 7.—Showing the Nationality of those admitted from April 1st, 1946, to March 31st, 1947. Nationality. Male. Female. Total. 2 3 1 11 4 3 73 8 3 3 1 3 12 2 5 1 3 9 6 4 24 1 2 1 11 21 1 2 5 16 107 21 5 12 44 2 9 24 3 1 2 1 2 59 1 4 1 1 8 2 1 1 5 6 1 4 34 4 1 23 4 1 24 109 21 5 6 42 11 27 2 6 2 13 5 5 8 4 Holland 1 2 3 20 4 6 2 3 14 12 58 1 5 Canada— 40 42 18 86 20 51 465 415 880 S 38 MENTAL HOSPITALS REPORT, 1946-47. Table No. 8.—Showing what Districts contributed Patients from April 1st, 1946, to March 31st, 1947. Place of Residence. Male. Female. Total. Place of Residence. Male. Female. Total. 1 2 2 1 1 1 1 1 1 14 1 1 • 1 1 4 3 1 1 1 1 4 1 1 1 3 1 1 1 1 1 1 1 1 2 2 4 1 1 1 2 1 4 1 1 1 2 1 1 1 1 12 1 1 8 1 5 1 1 1 2 2 1 2 1 1 1 1 2 1 1 1 1 3 1 1 1 1 1 4 1 1 2 2 2 1 2 2 1 1 1 1 1 26 1 1 1 1 1 1 12 1 8 2 1 2 3 1 6 1 1 1 2 1 1 1 4 2 2 1 1 1 1 1 1 1 1 1 1 4 2 2 5 1 1 2 1 3 2 8 1 1 1 1 79 1 1 1 1 6 2 2 1 2 1 2 2 5 1 1 4 1 2 47 7 1 7 3 1 2 1 1 4 1 1 1 2 1 7 6 1 1 1 1 2 1 1 2 4 2 1 67 3 2 3 1 1 4 1 1 1 1 1 1 2 3 2 2 33 1 8 3 1 3 1 5 6 1 1 1 3 1 2 3 1 1 2 1 2 1 1 146 1 1 4 Ladysmith 2 1 Langley 9 2 2 1 1 1 6 1 1 3 Chapman Camp , 1 McBride 3 Merritt 1 1 7 Montney 1 Cobble Hill 4 6 1 Natal Nelson 2 2 80 Northfield 1 15- 1 10 Oak Bay Ocean Falls Oliver 3 2 2 PortKells Glen Valley Gold Bridge : 1 Hedley Richmond Robson Roseberry Hope 1 1 79 67 146 225 178 403 STATISTICAL TABLES. S 39 Table No. 8.—Showing what Districts contributed Patients from April 1st, 1946, to March 31st, 1947—Continued. Place of Residence. Male. Female. Total. Place of Residence. Male. Female. Total. 225 1 1 1 2 1 1 1 1 3 1 1 178 1 1 1 7 1 403 1 1 1 1 1 2 1 1 1 2 10 1 1 1 239 4 1 166 7 37 2 2 2 5 189 3 162 1 5 42 1 1 1 5 1 2 2 428 Trail 7 1 328 Silverton Vanderhoof 1 12 Victoria Walnut Grove Webster's Corner West Burnaby.. 79 Smithers 1 3 Stave Falls 1 7 3 White Rock 7 Williams Lake Totals 2 Topley 465 415 880 239 189 428 S 40 MENTAL HOSPITALS REPORT, 1946-47. Table No. 9.—Showing the Occupations of those admitted from April 1st, 1946, to March 31st, 1947. Occupation. Male. Female. Total. Occupation. 'Male. Female. Total. 3 1 2 1 3 1 3 1 1 8 9 2 1 4 1 1 3 3 3 1 2 46 9 1 1 1 4 1 2 82 32 4 7 1 1 2 1 1 1 2 6 19 1 1 1 1 230 4 8 1 1 3 1 2 1 4 1 1 3 2 1 8 2 15 2 1 4 1 1 19 3 4 1 3 1 2 47 9 1 1 1 4 1 230 4 8 1 1 2 82 1 32 4 7 1 1 2 248 1 5 4 7 1 1 3 71 4 1 1 1 1 1 1 1 72 2 2 7 1 2 1 1 1 1 1 1 1 1 1 7 2 1 4 2 1 1 278 1 66 4 25 1 8 1 1 18 2 10 Cook Florist Longshoreman Waitress Totals 465 415 248 278 526 STATISTICAL TABLES. S 41 Table No. 10.—Showing the Ages of those admitted from April 1st, 1946, to March 31st, 1947. Age. Male. Female. Total. 33 11 31 45 35 36 36 26 18 37 38 40 25 26 28 19 15 34 37 43 47 31 22 32 26 21 30 19 17 22 52 26 65 30 , 82 35 , 78 40 , 83 45 67 50 , 48 55 „ 50 60 „ 63 65 59 70 ,, 70 75 ,, 44 80 ,, 43 Over 80 50 Totals 465 415 880 Table No. 11.—Showing the Number of Attacks in those admitted from April 1st, 1946, to March 31st, 1947. Number of Attacks. Male. Female. Total. 268 52 28 7 5 30 5 70 234 87 30 5 11 4 1 19 1 23 502 139 Third 58 12 Fifth ". 16 Sixth 4 Eighth 93 Totals 465 415 Table No. 12.—Showing the Alleged Duration of Attack prior to Admission from April 1st, 1946, to March 31st, 1947. Duration of Attack. Male. Female. Total. 41 56 63 30 33 26 41 20 11 5 5 96 38 29 69 54 36 38 31 38 16 13 1 1 51 38 70 125 117 66 71 57 79 36 24 6 6 147 76 „ 6 „ 12 „ 5 „ „ 10 „ „ 15 Life Totals 465 415 880 S 42 MENTAL HOSPITALS REPORT, 1946-47. Table No. 13.—Showing Statistics of Heredity in those admitted from April 1st, 1946, to March 31st, 1947. Heredity. Male. Paternal branch Maternal branch Heredity Heredity, inferred... Heredity, unknown Not insane Totals 7 442 5 465 Female. Total. 1 11 6 396 1 1 16 12 7 415 Table No. 14.- -Showing the Alleged Cause of Attack in those admitted from April 1st, 1946, to March 31st, 1947. Alleged Cause. Acromegaly.. Alcohol Alzheimer's disease- Arteriosclerosis Brain-abscess Cancer Cardio-renal disease Cerebral defect Cerebral haemorrhage.. Cerebral trauma Congenital Constitutional Coronary thrombosis Disseminated sclerosis.. Drugs Epilepsy Familial amourotic idiocy.. Heredity Heredity, inferred Heredity, paternal Heredity, maternal Huntington's chorea Hydrocephalus Hyperthyroidism Injury, birth Jacob-Crutchfeldt's disease.. Lues (syphilis) Not insane Parkinsonism Post-encephalitic Parkinsonism.- Post-measles encephalitis Pyelonephritis Senility Simmond's disease Spastic paraplegia Trauma Tumour of the corpus collosum... Worry Unknown Totals.. Male, 1 20 37 1 5 8 238 1 1 1 25 5 1 1 80 1 Female. Total. 4 3 24 2 1 1 2 1 3 18 244 1 1 14 1 6 1 11 1 1 1 1 1 1 57 1 24 3 61 2 1 1 2 2 8 26 482 1 2 2 20 1 12 7 1 16 3 2 1 3 1 33 6 1 1 1 1 137 1 1 2 1 4 6 880 STATISTICAL TABLES. S 43 Table No. 15.—Showing the State of Bodily Health in those admitted from April 1st, 1946, to March 31st, 1947. Bodily Condition. Male. Female. Total. 190 200 75 182 172 61 372 372 136 Totals 465 415 880 Table No. 16.—Showing the Form of Mental Disorder in those admitted from April 1st, 1946, to March 31st, 1947. Form of Disorder. Male. Female. Total. Arteriosclerotic dementia Disseminated sclerosis with psychosis Epilepsy with feeble-mindedness Epilepsy with psychosis General paresis Imbecility and idiocy Involutional melancholia Korsakoff's psychosis Manic depressive Meningo-vascular syphilis Mental deficiency with psychosis Moron Not insane Paranoia Paranoidal state Psychoneurosis Pre-senile psychosis Psychopathic inferior with psychosis Psychosis with tabo paresis Psychosis with somatic disease Organic psychosis following brain abscess. Schizophrenia Senile dementia Toxic psychosis (alcohol) Toxic psychosis (undetermined) Traumatic psychosis Totals 37 1 3 7 21 32 174 80 21 23 1 4 11 9 31 9 2 46 4 4 1 2 7 12 1 178 55 2 1 1 60 2 7 18 30 63 17 2 81 1 13 11 6 1 2 14 6 11 2 18 1 352 135 23 1 3 465 415 Table No. 17.—Showing the Number allowed out on Probation and Results from April 1st, 1946, to March 31st, 1947. Results. Male. Female. Total. 33 143 79 5 48 93 64 127 147 2 58 92 270 226 7 106 185 401 490 891 S 44 MENTAL HOSPITALS REPORT, 1946-47. Table No. 18.—Showing the Alleged Duration of Insanity prior to Admission in those discharged from april 1st, 1946, to march 31st, 1947. Alleged Duration. Male. Female. Total. 33 41 18 14 15 17 11 7 37 6 62 28 69 29 20 35 23 18 9 70 2 37 61 110 47 34 50 40 29 16 107 7 99 Totals 260 340 600 Table No. 19.—Showing the Length of Residence of those discharged from April 1st, 1946, to March 31st, 1947. Discharged recovered. Discharged improved. Discharged unimproved. Not Insanb. Male. Female. Male. Female. Male. Female. Male. Female. Under 1 month 2 • 8 7 9 5 1 2 12 11 22 8 4 2 1 1 1 12 18 17 26 31 17 5 5 1 12 6 15 17 29 23 18 3 3 3 10 42 1 1 3 6 4 4 2 16 39 5 5 5 10 19 11 6 6 41 1 1 1 1 1 „ 6 months 1 ,, 2 years ,, 3 years 1 „ 5 years Totals 32 64 144 127 79 147 5 2 Table No. 20.—Record of Deaths from April 1st, 1946, to March 31st, 1947, Essondale, New Westminster, and Saanich. Initials. Sex. Age. Time in Hospital. Certified Cause. Years. Months. Days. 21042 E. F. F. 60 2 9 23 H-emorrhagie infarction of right lung due to mitral stenosis and chronic myocarditis. 23361 M. A. F. 20 7 Delirious mania. 23346 J. G. M. 81 11 Bronchopneumonia. 10634 E. E. G. F. 70 16 1 Coronary thrombosis ; pulmonary tuberculosis. 22998 M. R. F. 77 5 14 Chronic myocarditis due to hypertension. 19752 J. M. F. 77 4 4 16 Chronic myocarditis. 23103 C. V. M. 68 3 30 Chronic myocarditis. 23372 J. W. M. 69 8 Chronic myocarditis. 23187 E. B. F. 77 2 26 Chronic myocarditis. 23393 S. I. M. F. 66 2 Chronic pyelonephritis; tumour of the corpus collosum. 23370' E. F. A. F. 39 11 Exhaustion due to catatonic schizophrenia. 23186 W. J. A. M. 64 2 29 Myocardial insufficiency due to chronic hypertensive myocarditis. 23411 H. S. F. 60 3 General paresis due to syphilis. 1 STATISTICAL TABLES. S 45 Table No. 20.—Record of Deaths from April 1st, 1946, to March 31st, 1947, Essondale, New Westminster, and Saanich—Continued. Time in Hospital. Register No. Initials. Sex. Age. Certified Cause. Years. Months. Days. 23335 C. E. F. 66 30 Coronary thrombosis. 23082 F. B. M. 70 4 27 Senility due to senile dementia. 23371 I. F. F. 85 25 Chronic myocarditis due to hypertension. 23403 J. B. W. M. 66 18 Coronary thrombosis due to arteriosclerosis. 10187 F. K. M. 76 17 11 28 Chronic myocarditis. 23410 R. W. M. 80 19 Bronchopneumonia. 22207 D. K. F. 88 1 5 18 Arteriosclerotic gangrene ; chronic myocarditis. 14832 J. McM. M. 69 10 5 25 Chronic myocarditis due to arteriosclerosis. 17353 G. M. M. 54 7 3 8 Pulmonary tuberculosis. 23314 M. M. F. 70 1 21 Bronchopneumonia ; pernicious anaemia ; cellulitis of face. 16703 H. G. F. 81 8 26 Chronic myocarditis. 17001 S. J. S. M. 75 7 8 14 Cerebral arteriosclerosis. 23466 W. M. M. 72 2 Bronchopneumonia; chronic myocarditis. 17589 V. F. T. M. 68 7 3 Chronic myocarditis. 8311 M. T. M. 62 21 9 20 Peritonitis due to perforated gastric ulcer. 20583 L. M. B. F. 77 3 6 3 Chronic myocarditis; arteriosclerosis. 23091 H. C. J. M. 80 5 9 Senility due to senile dementia. 20350 A. G. M. 47 3 9 22 Acute pulmonary edema. 10925 G. H. M. 74 16 8 26 Cerebral haemorrhage. 18267 J. M. H. F. 57 6 3 6 Coronary thrombosis. 16178 H. W. F. 67 8 9 7 Chronic myelogenous leukemia. 21495 E. B. F. 63 2 4 11 General paresis ; pansinusitis ; hypertension. 3849 A. E. G. M. 73 32 6 26 Senility with dementia. 19580 J. S. M. 62 4 8 26 Pulmonary tuberculosis. 23474 J. R. W. M. 66 14 Coronary thrombosis. 4126 L. T. P. M. 77 31 10 20 Chronic myocarditis. 21565 H. W. M. 68 2 3 23 Chronic mania. 5645 L. M. F. 58 27 7 26 Coronary thrombosis. 19241 0. E. M. 47 5 1 25 General paresis of the insane due to syphilis. 23392 E. C. P. M. 75 1 25 Senility with dementia. 23107 U. H. S. M. 68 5 21 General paresis of the insane. 6215 F. B. M. 73 26 4 9 Senility with psychosis. 23062 E. H. M. 77 6 19 Chronic myocarditis. 20083 B. E. McL. F. 64 4 4 27 Arteriosclerosis; Chronic myocarditis. 23714 W. H. H. M. 56 22 Coronary thrombosis. 23528 E. F. M. 66 3 General paresis of the insane. 23615 T. R. P. • M. 66 2 4 General paresis of the insane. 23631 B. F. J. M. 59 2 5 Chronic myocarditis. 15717 M. M. G. F. 50 9 7 2 Right apical pulmonary tuberculosis ; generalized arteriosclerosis. 18299 W. V. H. M. 51 6 6 25 Left coronary occlusion. 23561 N. L. F. 40 3 2 Pyelonephritis due to cystitis ; hypostatic pneumonia. 23571 A. G. W. F. 74 2 30 Coronary thrombosis. 7785 A. J. K. M. 66 23 3 20 Perforated gastric ulcer; coronary sclerosis. 23296 B. M. H. F. 49 6 12 General paresis due to syphilis. 22948 S. A. H. F. 68 11 17 Bronchopneumonia ; coronary sclerosis. 10853 E. A. W. F. 66 17 2 17 Pulmonary tuberculosis. 23463 H. S. M. 84 4 16 Senility with psychosis. 15354 A. B. M. 71 10 1 12 Pulmonary tuberculosis ; bilateral pyelonephritis. Coronary thrombosis due to coronary sclerosis. 13101 J. C. M. 78 13 6 7 23705 s. w. M. 74 1 20 General paresis. 6626 C. McG. M. 74 25 10 15 Perforated duodenal ulcer. 14220 M.J. M. 60 11 9 5 Bilateral pulmonary tuberculosis. 20848 D. H. LeP. M. 23 3 6 15 Pulmonary tuberculosis. 23831 H. G. A. M. 67 4 Right cerebellar haemorrhage. 12072 G. G. M. 51 15 2 28 Peritonitis due to perforated duodenal ulcer. 19551 G. K. M. 81 5 1 24 Senility with dementia. 21128 M. L. 1 F. 59 3 2 12 Coronary thrombosis ; pulmonary tuberculosis. * S 46 MENTAL HOSPITALS REPORT, 1946-47. Table No. 20.—Record of Deaths from April 1st, "1946, to March 31st, 1947, Essondale, New Westminster, and Saanich—Continued. ! Register No. 13481 23708 12996 21832 23697 23869 15966 23318 23824 23885 22039 23560 22345 23774 9663 23498 23762 23489 16158 17721 19223 23902 23034 21645 19640 23486 13614 17233 17624 2707 23031 23496 23341 15153 23310 23562 2733 21632 17571 23488 14289 19238 23471 23268 23529 20420 14144 23546 3436 23271 21005 20319 20324 22375 Initials. M. W. J. M. C. C. H. M. E. M. T. N. E. M. E. A. P. A. K. C. C. J. M. V. R. J. D. F. M. K. O. E. R. J. W. J. S. A. G. Y. K. E. L. S. H. McG. C. H. M. E. A. R. G. Y. L. T. E. T. CD. E. J. P. H. C. A. M. A. M. S. W. D. J. K. P. D. F. G. E. L. I. R. L. V. B. A. G. E. J. M. B. F. B. A. D. M. J. H. F. A. B. M. P. H. W. C. H. P. P.J. V. L. S. R. T. J. McK. C. E. A. E. M.S. J. L. H. W. G. E. W. Sex. Age. Time in Hospital. Years. M. 74 M. 58 M. 86 F. 55 F. 63 F. 81 F. 82 F. 52 M. 43 F. 6 mo. F. 86 M. 66 M. 74 M. 3 mo. M. 69 F. 72 M. 54 M. 57 M. 59 F. 76 F. 66 M. 64 M. 51 F. 70 M. 90 F. 67 M. 89 F. 80 F. 83 M. 64 M. 75 M. 61 M. 58 F. 38 M. 47 M. 76 F. 75 F. 22 M. 71 M. 62 M. 74 F. 54 M. 75 M. 77 M. 63 M. 77 F. 40 M. 74 M. 69 M. 63 F. 69 M. 50 F. 44 F. 19 12 13 2 2 1 19 2 4 12 7 7 35 35 2 7 11 5 3 11 33 Months. 11 2 9 3 1 1 4 2 1 4 10 7 Days. 8 21 4 17 2 11 6 5 3 7 10 23 6 2 6 4 18 9 25 1 16 5 26 5 12 1 27 5 18 3 5 4 7 7 18 16 6 28 2 17 8 19 25 4 12 6 13 21 9 25 7 12 25 2 28 10 2 17 22 7 20 27 19 5 28 1 19 30 20 20 15 13 11 Certified Cause. Chronic myocarditis. General paresis. Coronary sclerosis with chronic myocarditis. Carcinoma of the ovary ; pulmonary embolism. Pulmonary embolism. Acute pyelonephritis due to diabetes. Chronic myocarditis due to coronary arteriosclerosis. Bronchopneumonia. Pleurisy with effusion and atelectasis, left lung. Meningitis due to hydrocephalus and meningocele. Chronic myocarditis due to coronary sclerosis. Pulmonary embolism. Chronic myocarditis. Acute hydrocephalus. Chronic myocarditis. Chronic myocarditis due to coronary sclerosis. Exhaustion due to schizophrenia. Fractured skull with intracranial hemorrhage. Carcinoma of the bladder with metastasis of the liver. Bronchopneumonia. Bronchopneumonia. Bilateral pulmonary embolism with infarction of the lower lobes of both lungs. Bronchopneumonia. Chronic myocarditis. Senility with dementia. Chronic myocarditis. Cerebral arteriosclerosis with psychosis. Cerebral thrombosis. Chronic myocarditis. Chronic myocarditis. Senility with psychosis. Bronchopneumonia. Thrombosis of the left coronary artery due to arteriosclerosis. Pulmonary tuberculosis. Cerebral thrombosis. Senility with dementia. Cerebral haemorrhage. Pulmonary tuberculosis. General paresis of the insane. General paresis. Chronic myocarditis. Metastatic adenocarcinoma of the skull, pelvis, and long bones. Acute obstruction of the large bowel. Senility with dementia. Bronchopneumonia. Senility with dementia. Mesenteric thrombosis. Senility with dementia.' Cancer of the stomach. General paresis of the insane. Parkinson's syndrome. Mesentery thrombosis. Pleurisy with effusion due to pulmonary tuberculosis. Lobar pneumonia epilepsy. STATISTICAL tables. S 47 Table No. 20.—Record of Deaths from April 1st, 1946, to March 31st, 1947, Essondale, New Westminster, and Saanich—Continued. Register Initials. Sex. Time in Hospital. No. Age. Certified Cause. Years. Months. Days. 19785 A. E. B. F. 71 ■4 7 21 Cerebral haemorrhage. 4790 D. S. M. 79 30 2 4 Pulmonary tuberculosis. 11423 O. N. M. 56 16 1 17 Chronic degenerative myocarditis. 23646 W. A. McL. M. 68 17 Chronic myocarditis. 23676 A. S. M. 56 6 Simmond's disease. 15225 A. P. F. 64 10 1 26 Chronic myocarditis. 13116 M.S. F. 74 13 4 5 Cerebral haemorrhage due to arteriosclerosis. 21719 H. McC. F. 71 2 4 Chronic myocarditis. 6768 F. W. • M. 70 25 5 9 Cerebral haemorrhage. 23652 J. P. F. 72 23 Chronic myocarditis. 22943 M. A. W. F. 67 10 11 Chronic myocarditis. 23013 H. W. T. M. 72 9 12 Myocarditis. 23639 C.J. M. 66 1 Chronic degenerative myocarditis. 22941 M. C. F. 58 10 18 Chronic myocarditis. 18787 E. M. S. F. 77 5 11 Chronic myocarditis. 1544 J. W. McC. M. 75 42 1 Chronic degenerative myocarditis; bronchopneumonia. , 16922 F. L. M. 62 8 1 7 Gangrene of the left foot; bronchopneumonia. 23109 B. M. J. F. 67 8 9 Chronic myocarditis. 16877 E. W. M. F. 74 8 1 28 Chronic myocarditis ; bronchopneumonia. 7958 P. S. M. 74 22 10 27 Senility with senile dementia. 22631 P. P. M. 79 1 3 25 Chronic myocarditis ; diabetes mellitus. 22638 E. H. F. 62 1 3 21 Generalized arteriosclerosis; cerebral haemorrhage. 23737 C. A. M. 73 2 20 Senility with dementia. 23944 J. M. M. 66 6 Chronic myocarditis. 23274 CD. M. 74 9 2 Cerebral embolism due to chronic degenerative myocarditis and arteriosclerosis. 22669 D. D. M. 51 1 5 23 Bilateral bronchopneumonia. 23166 J. F. M. 57 10 18 Bronchopneumonia ; diabetes mellitus. 22100 A. R. M. 81 2 1 26 Senility with dementia. 5871 J.J. M. 71 27 7 5 Senility with dementia. 16639 D. S. M. 41 8 8 13 Bilateral pulmonary tuberculosis. 21554 J. T. F. 79 2 9 28 Right bronchial pneumonia; chronic nephritis. 23899 J. B. F. 58 1 Pituitary tumour; right bronchial pneumonia. 21704 A. M. F. 70 2 8 3 Bronchopneumonia subdural hematoma. 23883 L. D. M. M. 70 1 12 Bronchopneumonia. 23811 R. S. F. 58 2 4 Coronary thrpmbosis. 23925 J. M. F. 66 26 Lobar pneumonia. 23945 M. A. N. F. 63 24 Pneumonia ; metastatic carcinoma of brain. 2392 C S. M. 6« 37 6 15 Coronary occlusion. 23830 L. W. F. 69 6 13 Chronic myocarditis; arteriosclerosis. 9843 C F. M. 57 19 3 Coronary occlusion. 23718 M. P. McD. F. 46 3 28 Pulmonary embolism with infarction due to thrombosis in right auricular appendage. 23577 L. F. S. F. 70 5 30 Bronchopneumonia. 24055 A. E. C. M. 86 3 Bronchopneumonia. 23934 W. H. K. M. 70 1 11 Chronic myocarditis. 22824 P. R. M. 70 1 4 20 Senility with dementia. 21100 M. J. S. F. 78 3 5 13 Chronic myocarditis. 23995 E. D. M. F. 58 16 Bronchial pneumonia; chronic myocarditis; anaemia. 23795 M. G. M. 101 3 3 Bronchopneumonia. 24009 B. S. F. 75 8 Senility with dementia ; arteriosclerosis. 11031 J. H. M. 77 7 1 7 .Chronic degenerative myocarditis. 23464 G. W. F. 58 7 23 General paresis of the insane. 23607 A. V. McG. F. 84 5 29 Cerebral haemorrhage. 14037 V. McN. F. 34 12 3 17 Exhaustion due to epilepsy. 21039 K.J. M. 64 3 6 19 Bronchopneumonia. ' 21259 M. C. F. 42 3 3 3 Generalized tuberculosis. 23360 J. P. E. M. 44 9 3 Cerebral compression. S 48 MENTAL HOSPITALS REPORT, 1946-47. Table No. 20.—Record of Deaths from April 1st, 1946, to March 31st, 1947, Essondale, New Westminster, and Saanich—Continued. Time in Hospital. Register Initials. Sex. Age. Certified Cause. No. Years. Months. Days. 22779 D. L. S. M. 25 1 5 23 Acute miliary tuberculosis. 20812 A. K. M. 72 3 9 5 Arteriosclerosis, general. 23828 J. F. G. M. 59 3 3 Shock and haemorrhage due to duodenal ulcer. 22740 E. D. M. 63 1 6 23 Bronchopneumonia. 23878 J. E. M. 76 2 28 Bronchopneumonia. 17727 E. R. S. F. 42 6 6 10 Renal tuberculosis. 23748 J. T. W. M. 82 4 22 Bronchopneumonia. 13531 C. McC. M. 40 13 1 10 Lobar pneumonia. 23320 E. R. E. M. 75 10 7 Subdural haemorrhage due to fracture of base of skull. 24067 M. W. M. 38 9 Acute glomerular nephritis due to acute manic state. 24064 F. A. M. 45 12 Exhaustion due to acute manic psychosis. 19737 C. R. H. M. 72 "o 2 10 Rupture of dissecting aneurism of abdominal aorta due to arteriosclerosis. 4311 M.S. M. 77 32 25 Carcinoma of the stomach. 2687 D.C. M. 74 36 5 20 Pneumonia (influenza). 18287 J. Q. M. 65 6 11 10 Bronchopneumonia. 18110 A. T. S. M. 41 1 1 30 Acute intestinal obstruction. 7237 M. B. F. 80 24 11 . 27 Senility. 21885 J. H. M. 89 2 7 15 Senility. 10546 T. D. M. 66 18 1 2 General paresis. 12912 R. McN. F. 48 14 1 26 Perforated duodenal ulcer. 24107 T. E. M. 73 .... 14 Senility with dementia. 986 0. E. F. M. 73 47 5 Cerebral haemorrhage, right hemisphere. 1227 H. E. M. 75 44 11 2 Tuberculous pneumonia. 23354 G. S. F. M. 14 10 26 Miliary tuberculosis. 23687 M. M. F. 1 6 20 Bronchopneumonia ; congenital abnormality of the brain. 11820 G. H. M. 72 16 25 Chronic myocarditis. 23617 G. A. R. F. 44 7 22 Generalized peritonitis due to ulcer of the bowel. 18872 F. A. M. 62 6 4 10 Pulmonary tuberculosis. 19926 D. McL. M. 73 5 1 Bronchopneumonia. 14613 J. M. M. 42 11 6 28 Pulmonary tuberculosis. 24143 C. B. R. F. 66 18 Coronary thrombosis. 15544 A. C. M. 51 10 3 26 Volvulus of the sigmoid colon. 18732 C. C. McD. M. 38 6 6 8 Pulmonary tuberculosis. 18008 B. S. M. 67 7 4 13 Lobar pneumonia. 22410 L. T. F. 67 2 1 4 Chronic myocarditis. 22956 A. W. F. 59 1 5 13 Bronchopneumonia. 24117 H. T. M. 55 1 18 Perforated duodenal ulcer. 21190 A. M. M. 72 3 7 Bronchopneumonia. 11436 J. E. C. M. 54 17 9 29 Coronary thrombosis. 5436 T. L. M. 72 38 8 9 Carcinoma sigmoid. 8940 T. H. S. M. 50 20 4 25 Coronary thrombosis. . 7402 C. A. M. 58 23 11 Myocardial degeneration. 9136 A. E. T. M. 65 20 3 27 Cerebral haemorrhage. 19614 T. Y. M. 65 5 1 22 Carcinoma of pancreas. 20179 D. V. M. 54 4 5 27 Aneurism of aorta. 5419 J. E. M. 73 28 9 12 Myocardial defeneration. 8443 H. T. M. 58 12 26 Bronchial pneumonia. 16597 J. C. M. 57 8 10 15 Carcinoma of stomach. 13348 A. G. D. M. 20 12 10 19 Exhaustion of status epilepticus. 21706 D. M. F. 3 2 5 5 Exhaustion of idiocy. 13550 W. R. S. M. 16 12 11 3 Exhaustion of idiocy. 14481 R. S. M. 17 11 « 8 Pulmonary tuberculosis. 18378 C. A. H. M. 14 6 8 18 Congenital hydrocephalis. 13111 R. D. W. M. 31 12 10 4 Cerebral haemorrhage. 22326 J. W. F. M. 3 2 1 21 Epileptic convulsions. 15965 A. G. A. F. 41 9 9 16 General glandular tuberculosis. 17080 B. P. F. 19 8 5 22 Pulmonary tuberculosis. BUSINESS MANAGER'S REPORT. S 49 PART II.—FINANCIAL. BUSINESS MANAGER'S REPORT. A. L. Crease, Esq., M.D., CM., Director of Mental Hygiene and Psychiatry, Provincial Mental Hospital, Essondale, B.C. Sir,—I beg to submit herewith for your consideration financial statements of the Provincial Mental Hospitals of British Columbia for the year ended March 31st, 1947, including balance-sheets, profit and loss accounts, expense statements, and various statistical reports. Our daily average population for the three hospitals for the year under review was 4,130. This is an increase of 72 over the previous year. The gross operating costs (see Table C), including the cost-of-living bonus, amounted to $2,847,403.64, as against $2,413,203.36 in 1945-46, an increase of 18 per cent., while the gross per capita cost increased from $1.63 per day for the year 1945-46 to $1.89 per day for the year 1946-47. This is an increase of 15.9 per cent. Maintenance and sundry receipts amounted to $339,397.94, a decrease of $10,789.33 from the previous year. Child guidance and outside clinic expenditures increased from $20,446.59 to $31,293.23, while the Public Works Department's expenditure amounted to $185,362.91, as against $152,006.83 in the previous year. Both these amounts are included in our statements. Purchases from Colony Farm of milk, cream, vegetables, fruit, and meat for the Essondale and New Westminster institutions amounted to $252,815.24 and form part of our dietary costs. During the year under review supplies such as sheeting, nurses' blue uniform material, crockery, and some lines of provisions were more difficult to secure than any time since the start of the war, and if it had not been for supplies purchased from the War Assets Corporation, it would have been most difficult to maintain our high standards. We have given much attention to the care and comfort of the patients and have continued to expand the occupational therapy, audio-visual, and recreational departments for their benefit. Gowan S. Macgowan, business manager, retired March 31st, 1947. Mr. Macgowan entered the service with the Provincial Government on April 1st, 1907, and served the Government, the hospital in particular, for forty years. I am sure we all wish him many years in which to enjoy his retirement. In closing I wish to express my appreciation of the many courtesies shown and the close co-operation that has been maintained between the various departments of the hospital, the Government, and the staff at all times. All of which is respectfully submitted. F. A. Matheson, Business Manager. S 50 MENTAL HOSPITALS REPORT, 1946-47. PROVINCIAL MENTAL HOSPITAL, NEW WESTMINSTER. Balance-sheet, March 31st, 1947. 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. $2,001.64 Nursing and ward service supplies 19,312.91 Dietary 11,114.20 Fuel 1,816.61 34,245.36 Buildings, grounds, and general maintenance supplies 1,144.00 Petty Cash Account—Cash on hand and in bank 150.00 $1,042,770.91 Liabilities. Government of the Province of British Columbia—Capital expenditure____ $1,042,620.91 Provincial Mental Hospital, Essondale—Accountable advance 150.00 $1,042,770.91 ESSONDALE. S 51 PROVINCIAL MENTAL HOSPITAL, ESSONDALE. Balance-sheet, March 31st, 1947. 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, drugs, etc. $15,334.75 Nursing and ward service supplies 73,125.39 Dietary 32,180.49 Fuel __; 3,861.46 124,502.09 Buildings, grounds, and general maintenance supplies 21,652.33 Business manager's Petty Cash Account— Advance, New Westminster institution $150.00 Vouchers collectable 1,619.30 Cash on hand and in bank 230.70 2,000.00 Pay-roll Account— Provincial Government vouchers collectable $146,822.83 Less overdraft at bank 145,822.83 1,000.00 Patients' Trust Fund—Cash on hand and in bank 47,217.32 $4,847,968.48 Liabilities. Government of the Province of British Columbia— Capital expenditure $4,797,751.16 Business manager's petty cash advance 2,000.00 Pay-roll Account advance 1,000.00 $4,800,751.16 Patients' Trust Account—Cash on hand and in bank 47,217.32 $4,847,968.48 S 52 MENTAL HOSPITALS REPORT, 1946-47. PROVINCIAL MENTAL HOME, SAANICH. Balance-sheet, March 31st, 1947. Assets. Buildings $291,174.59 Furniture and fixtures 20,095.91 $311,270.50 Airing and recreation courts 750.00 Inventories (unissued stores)—■ Nursing and ward service supplies $14,542.31 Dietary 5,343.05 Fuel 1,956.00 Laundry 237.40 22,078.76 Buildings, grounds, and maintenance supplies 504.50 Cash on hand and in bank— Petty Cash Account $200.00 Patients' Trust Fund _•_ 762.30 962.30 $335,566.06 Liabilities. Government of the Province of British Columbia— Capital expenditure $334,603.76 Current advance 200.00 $334,803.76 Patients' Trust Account—Cash on hand and in bank 762.30 $335,566.06 PSYCHOPATHIC DEPARTMENT. Expense Statement, March 31st, 1947. Salaries $24,802.79 Office supplies 744.68 Telephone and telegraph 686.08 Travelling expenses 2 890.73 Fuel _ 249.68 Water 13 20 Light and power 128.36 Incidental expenses _'_ 1 777.71 $31,293.23 Note.—The above expenses absorbed into the New Westminster, Essondale, and Saanich statements on basis of population: Essondale, 78 per cent.; New Westminster, 15 per cent.; Saanich, 7 per cent. NEW WESTMINSTER. S 53 HEADQUARTERS DEPARTMENT. Expense Statement, March 31st, 1947. Salaries $29,394.13 Office supplies 1,510.38 Travelling expenses 331.61 Incidental expenses 89.89 $31,326.01 Less rent credits 200.00 $31,126.01 Note.—The above expenses absorbed into the New Westminster, Essondale, and Saanich statements on basis of population: Essondale, 78 per cent.; New Westminster. 15 per cent.; Saanich, 7 per cent. PROVINCIAL MENTAL HOSPITAL, NEW WESTMINSTER. Receipts and Disbursements for Twelve Months ended March 31st, 1947. Receipts. Maintenance— Receipts for patients' maintenance $50,673.61 Excess of disbursements over receipts 397,495.28 $448,168.89 Disbursements. Office, stores, and general $15,000.90 Medical care 26,254.21 Nursing and ward services $214,914.76 Less credits, including rent deductions 12,001.98 202,912.78 Dietary $100,071.16 Less credits, including board deductions 22,766.47 • 77,304.69 Light, heat, water, and power 54,327.76 Laundry 5,498.75 Cars and trucking 344.59 Occupational therapy 10,787.43 Miscellaneous expenses 10,354.46 Provincial Secretary's Department vouchers $402,785.57 Less increase in inventories 5,198.67 $397,586.90 Buildings, grounds, and general maintenance— Public Works Department vouchers $48,058.24 Plus decrease in inventories 2,523.75 50,581.99 $448,168.89 S 54 MENTAL HOSPITALS REPORT, 1946-47. PROVINCIAL MENTAL HOSPITAL, ESSONDALE. Receipts and Disbursements for Twelve Months ended March 31st, 1947. Receipts. Maintenance—Receipts for patients' maintenance $263,502.76 Miscellaneous—Sale of sundry O.T. articles 1,737.66 Total receipts $265,240.42 Excess of disbursements over receipts 1,677,136.27 $1,942,376.69 Disbursements. Office, stores, and general $61,993.27 Medical care 193,973.37 Nursing and ward service $863,560.97 Less credits, including rent deductions 41,471.90 822,089.07 Dietary $605,359.39 Less credits, including board deductions 142,107.32 463,252.07 Light, heat, water, and power 181,711.06 Laundry 17,215.56 Cars and trucking 14,368.56 Occupational therapy 29,619.98 Miscellaneous expenses 52,737.68 Provincial Secretary's Department vouchers $1,836,960.62 Less increase in inventories 33,861.29 $1,803,099.33 Buildings, grounds, and general maintenance— Public Works Department vouchers $127,392.10 Plus decrease in inventories 11,885.26 139,277.36 $1,942,376.69 SAANICH. S 55 PROVINCIAL MENTAL HOME, SAANICH. Receipts and Disbursements for Twelve Months ended March 31st, 1947. Receipts. Maintenance— Receipts for patients' maintenance $23,647.68 Excess of disbursements over receipts 190,812.44 $214,460.12 Disbursements. Office, stores, and general $10,086.20 Medical care 6,274.03 Nursing and ward service $95,229.82 Less credits, including rent deductions 2,226.16 93,003.66 Dietary $64,591.74 Less credits, including board deductions 9,234.48 55,357.26 Light, heat, water, and power 25,374.14 Laundry 1,932.69 Cars and trucking 5,120.65 Occupational therapy 6,882.94 Miscellaneous expenses 4,832.47 Provincial Secretary's Department vouchers $208,864.04 Less increase in inventories 4,795.04 $204,069.00 Buildings, grounds, and general maintenance— Public Works Department vouchers $9,912.57 . Plus decrease in inventories 478.55 10,391.12 $214,460.12 S 56 MENTAL HOSPITALS REPORT, 1946-47. 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. 1937-38, New Westminster 532.41 2,602.17 261.62 596.25 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 3,163.61 283.67 626.29 3,217.03 286.48 $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 1,636,591.12 196,261.38 448,168.89 1,942,376.69 214,460.12 $423.00 1937-38, Essondale 359.15 1937-38, Saanich 1938-39, New Westminster 393.17 422.24 1938-39, Essondale 365.58 1938-39, Saanich 1939-40, New Westminster 409.39 436.19 1939-40, Essondale : 373.38 1939-40, Saanich 424.43 440.71 1940-41, Essondale 386.46 1940-41, Saanich 408.99 436.46 362.93 1941-42, Saanich 471.23 1942-43, New Westminster 450.76 1942-43, Essondale 365.28 1942-43, Saanich 496.43 470.65 1943-44, Essondale 404.25 1943-44, Saanich 547.96 559.80 467.81 1944-45, Saanich 698.99 648.32 1945-46, Essondale 517.32 1945-46, Saanich 691.86 715.59 1946-47, Essondale 603.77 748.60 FINANCIAL TABLES. S 5. « H a P g m P < < OB <! H >h Z H Eh H m < Ph as o P M fa 3« w M P l-H Q H Ph H 02 o_ O o CI l-H O a M H P ca •3 EH Is Ho B 5 § e o "_ c 9 Q o rt to 2 Jifsf 13 IJ <_ cs £ p, s o o.s* fel En "B'O ►J S ^ £3 h.3 Pi H X •H <M ■"tf" te en ns rq eo »o CM t- es ->* IO c- IO eo CO CO 00 x-i 00 © 00 eo •^P eo r- IN 10 •-i CO r- IO ■*f ■"•■ <■■-> CD C4 to 00 [.- 00 o N en A lO ■* M (McoomasoeD-rfrMeOiH ■■* ** »0 o <is to ___, IO »o o a 00 on B> o IO CO os CO 00 ■** 00 oo ■^ iH CN CO 1Q •** c» IO on ,_< r— (-> o CN r— ,-( r-| -tf on CM r- r- r- CO 1 ) CO © (M CO 00 IO IO o to ir in 10tD^IOaOMIOOOWtO(C 00 O O tr- CO CM O O C4 OS CM CO Tt" tY) CM CO co tr IN CO CO t-H »o OS r~\ ID io CO -tf ** os (N CO CD © IO cc eo CO -* CO ■^ CO IO 00 t OS (N "^ OS O ■ onho" mN^dHOJoioNcriT|i COlOOOOlOOC-O^HCOCMOt-OrHlM NffiHM'<ll,!|lC01l03HtCO'Jl«ei. 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CSCT101C710SC7SOSCSOSC1CSCSOSOSCS S 58 MENTAL HOSPITALS REPORT, 1946-47. o Z i—i Q < a <n P o s > Eh i—i « W Q Z P 02 !« J z 3 w « o Ph o_ Eh g p o o o «. 02 o hh Q z <: o « Ph « P H 3 z w Oh W t/2 m O tA O a Z £ o W 02 M M Eh Ho Sic-Si .£ C0|S H 3 ja i p « mescal III ^1 111 g.s s O eh 5 So J5 <_ ra o n BsSf H JIB'S S 6 OlOMOiNWlOt-ONHHOO THt-00Wtr-(NIr-OSiNi-i©©cO _T-.H©CO.-HT_HCO^t,cgi_-lOCMrH t_-i-H^COCOlOCOCOOSOSCOOS"«< MHHWNHM-'I'r-IM'Orll1 ^10CDIONIO'll05COCOC_.HHl--H r.t-MMHOHIOO!CHHWt-ffl Ot-COGOOOi-HCOtMCOOSOOlOlOOJcO <DOO)HOOO)tDO.ONaii.^t-N cocsir-^c-OsiO'—irHtr-t-ooiocoeo ^<NCOCSrHCOCS_U3COCMt-COCOIr-CC ■* io oo ■* h a. r-1 o io* o" io o* 6* n ^* &e- CM !N HtCNHMNHIO CD CO os CO IO o to o N b- © o CO 00 CO CO CO CI © IO 04 IO U3 cm OS OS IO CM o IO o t- o IO cr. 00 CM CO 00 © CD CM 00 00 rH IO rH CI ■<* t- CM IO © CM CD O CM in CM xji CO r- -n CO CO rH t- H CM 00 CO i-i IO CD IO IO CD ** CO CO O co m IO f- rH © Tft on -tf 00 o •^ IO lO Of) OS CO CO «* CO CM CM «5r IO IO CM CO CO Hl^JOCOO!DNO)lOO.IOOOION HcooojajHT.ot-coTfiflo.Hee CO CO O M CO OVNIONOJCO-^NH IO M1 N lO IO © CO r- rH © rH iH IO rH cs 00 IO ■«# © ir 00 © CM t- r- CM © IO r-H IN IO ID © on to on m in o IO 00 to c- CM CO NOaHT.fO.'*IOO.O.OOONCO OOt-lOCOOOT-llOOOOOt-COOOCO'^ltcO CMcoeooeoc-cotr-iocooocooseoco t-* t-" W N O) OO OJ* ■* H « IO* ■* H ■* CO* lOCOCOCOHM^HMicOXCOt-lOlO se- CM CO CO CO "a* ■"# IO IO CO r-H i- W-*iO«COOINu. CM CM 0O CO IO "* lOCOCOt-eoOOt-CMxttQOCDtr-CMlOCM MMNNIONCOOHBHIOlOfO wosco'^ffioeoeoio^'^t-H^pq CO l-H t- ■^f CO IO O IO co -^ eo ■*_< co N IO IO ^ H r-T o" rH CO CO se- ■** co r-.UJOOOCMt-OSO'^f WOt-NCOW^COt- CSCDrHC«lrHOrH©(M on I- en © r— © ,_) IO t- lO <* t- CO CM IO CO 00 t- CD © CM CM tp 1*- -# h- IN r- on o o (N (X) o © to ir.i © o C/j © CM -m TP *# © CI © »o eo eo © o tr- ■* CO -<* CM t- i-i oo *# id • CM lO -^ CO t- © C-' 00 "^ CD I -cf* CO* CO (N CO CM -<1H CO CD IO IO t- iH "«* H IO #■»### u u I-I h a G fl c 8 S § g F In ' (1 **■? * .^ ^ £ 1 EC * .i £ 3 1 •• S c 6 S c s c C I i § Z pe z a. _£ ^ k c! 2; a 4 K rH«M rr ■^ "^ CO cr ■* t* ■^ T "? «<* w ■^ "*f •^ CM CM w CO « cc ■^ IO ir CD CD CO ■^ © c- © © © o © © © © © © FINANCIAL TABLES. S 59 Table C.—Summary Statement showing the Gross and Net per Capita Cost of Patients in the Three Institutions. Gross operating costs— New Westminster $448,168.89 Essondale 1,942,376.69 Saanich 214,460.12 Gross cost of the three institutions $2,605,005.70 Less collections remitted to Treasury 339,561.71 Net cost for the three institutions $2,265,443.99 Cost-of-living bonus 242,397.94 $2,507,841.93 Daily average population for the three institutions 4,129.80 Gross per capita cost, one year— Exclusive of cost-of-living bonus $630.78 Including cost-of-living bonus 689.48 Gross per capita cost, one day— Exclusive of cost-of-living bonus 1.73 Including cost-of-living bonus 1.89 Net per capita cost, one year— Exclusive of cost-of-living bonus 548.56 Including cost-of-living bonus 607.25 Net per capita cost, one day— Exclusive of cost-of-living bonus 1.50 Including cost-of-living bonus 1.66 S 60 MENTAL HOSPITALS REPORT, 1946-47. t- t/_ X O OS < Q fa" O Z w 02 M z O w > EH OS o fa p < E-i O M OS H E-i 02 z § Eh 02 H w M Eh Eh O En z fa" s w Eh <C H CO w 02 Z H fa H m < Eh la T a 0 s 'Soi Oo a 10 U! © C- <M -* 09- oc V CO 0 © r- CD t- CC OC CO IT t- IC 00 co 0- (N IT t- CC CO t- 0 00 © 10 c- In w 0 c u .2 *3 0 (tf _3 "-< 43 01 u ft <i 0 OrHCOCMrHlOOSCOCO© OlHCOCONt-lO'J'^Ol OOSCMOCOOO-^t-^rr-. o^ioeocoos-tfooioco OrHi—1 Ol M Tj CO t- CO 10 IO (C M H ■* IO OOO H N O t- IO ri H IO ee- cm © 00 CD H m a_ -m Qj TJ 3}! O tree CM CO CM 69- 00 t> CS w* rH US O CD O t- CM* CM rH <N © 0 0 0 CM CM CO 0 CM 10" TO g i EH W a < Q > Si 0 • OyOJ a™ "* rH O rH CD © CM CO rH CM «■#' CO* O rH rH rH O CO H 00 CM OS rH rH fie- rH rH 0 © CO CO as 00 CO 10 eo «■ ,£3 O • nco g g«W co^^ Eg" ri co H rf CO CO CD IO OS rH © CO cm' 0 t> cs 10 tr- cm 00 10 b- CO H* O) IO H 10 t- CD CO CO ^1 ■*J* t- cm" co a — • II 022 §1 1° QQ 0 p. CM 00 10 0 00 03- -rt" CM 00 IO O 00 u Is TJ iy ri 45 K <M **_ IO 00 CO ■*? se- # CM lO CD 7 0 © 06 CD CO «■ >> h PL. 0 CM CM CM -^i 00 O •tf CM CD t- © 06 10 CD er> CD CO CM © CJ CO C7^ <^> "Si 1 Q> .rH JhTJ . JiScj Ad L< CO©CDeDt-10©COCM Ht-t-HOt-IO^M dm^Ho!o6-tjii>^ OCOrHt-CDCl-tfOOO OSlOCSOCM-^COt-CO ©CM-^O-rflO OO && CM rH O IO rH rH CM rH © CM eo 00 CM tn S 00 a U X a u a a 0) p, O TJ c ri CO . A Pi a CO CO 0) "C ja *ri W C. f- ( o t T P a a i %■ c -t- ( t C 0 * J cc t I a t '> i- c r a b c *r c > J- c J. a c e C _- a +- IS + e 2! s H > i b IS c -0 »H +s -c (3 ri ? 0 > P a t- 1 1 c c % e B e, t C S a 1 i 03 P O 01 6 a ? 0 S Q C ri c d H-= s "0 £ a, C 01 CJ ^c (3 0 a t C P O H a a bi % 'I 0 t— 05 o w p z H ra X H z o s H > w H Pi o fa j < Eh O a Q z o «2 02 W H w Eh fa O Eh Z H « H <c Eh CO « m Z fa fa X! w H p pq < EH e t-t-COCMCMlOt-rHOlCS t- ^6- NOCOMCOM^NMM tr- o.aic-r.tDiOT.oicoco co H Ifl ■* ^i 10 H t? O >h kO e^ ae- & ■£ » t-rHIOOO^fCDCDOOOOCO C7_ NN^COt-lOIOOlCOC 3 CD O .2 3 fe COOlOCMIOIOOO©C-t- CD CSOJ-^CDrHCMCOCDt-CM CO HNf^Nt-ffflO OS CM eOCS©lOCOrHrHCMlOCO "^< rH © <! O ea- O CO © CM CO CO CO : cm : oj t- rH © CO tr- "* CS : © CO co +3 co ^_3 CM 00 H t- ■<* rH (M r-i ' r-{ "^ © t- O © IO IO CM 00 "q* rH rH OS CO rH in rH CM ■* rH rH CO 60- «* ■* e CM 6fr J2 IO © C5 CO CO CM EH Z o»Sos t- co ^-n ■>? CO Tf CM "^ CO CM 00 CO IO IO € eo H i-H co IO CO CM CO m 5 Q rH tr- CO CM Tf eo- <C >H rtg« © t- 0 -* O) CJ H S ss s o""-1 os 00 tr- 03 eo tr H CM tj< IO CM io •-< ^1_,+J* ■HI OO CO 'HI CO ^* Ph R " K e O P Cv CM 8 PS c © Ph e CM S K « && S3 el t- O "«t U CM CO t- TJ oj 03 +> C. W >* 1 CM CM V e/s- t- r- tr ,_, __ lv- t- CO c cc IT cr oo t- T c OC © CO ra rH fn f** (M 0- or r^ © CC i^- ,_, oc © co ec c oc w_ © © C r- on -* 2 5 o3 c C( 10 1— tx: CM ^ 10 O CD "ftp IO v~ IN t- CO « 0 c 11. >H 00 cm" 69 CO it p. 01 u p a E E E 0) O 0 c p QJ c c GS *o; a 01 bl : b > *_ CO TJ C CO 0) e 0 b P ri 0 u a p ri > P CO p, p. p w a 0 •0 a + ri bl s ri IH a 0) a a CO P T c p 0 u w co' ri c 0 'E c73 c Q 0 t, e c 5 01 ri bi > IH a 0 5 ri 0 ,£ b 2 > U X c g r4 1 ri t- a O .2 '+H ri p P t O p Gt s a b .s "5 EH FINANCIAL TABLES. S 61 t- C5 EH X o Ph < a p w p z w 02 a H Z o fa > P fa & M O < Eh fa co O ffi P o t—< Z < <c CO fa a H fa O H Z fa s fa H -c H CO z fa fa fa fa e *>»*£ • rH c CC X CD IT CO t- t> © T" P. w CM c^ 0C 00 IT ac O 00 C\ CO H M -U in H CC tr- tr t- ■>* cc cc 00 CO e> ot ee r- CM r- O" "ef CD e/^ CO 6Q- &, 44 • o c © CC ■^t tr- *# cc 1Q ■^ tr- Cv CM CM e c- j-\ "8 CC as •*! a 2 CO ■* CN OC OS CM © CM CN f- © ri o ri P *H +S 0> 00 i> o CC CD CO CN CO CO C CD o CM CM CO t-< i-h rH CO cc er ■* o cc c eo IO CN IC CD "S c "iP c in CM U Pi «- CM <J o m- CD cc CD "* IO © <« OC O IO to © CD -d « tr^ s co IP e/s- CM cc c OS C^ CM OS 31 O © rH c_> ee- CJ ■__! Ifi O CD © CD Jh •> p S^f °S2 0i c V. CD tr CM H -ct ■^ io o- © 00 9 EH CO - ,r CUTJ "£ IO CC 10 OS Cv CM J Ah 0. CO ys- CM a a <; r- 03 © CO © t- IT c- o 10 © © r- c t- EH own ,_ « i-i tr cc CD Z TJ o io cc oc CO H V, tr- ■«! © N S-xS^i f V, rH* co" -,C* __c. W- ae- w tr p io io CM » i o OS o Oh • (h a OS fi- w CV3- „ H * 11 h CO CM rt IO t> CO 2 » ec tr- •§ CC 1 1 w ■» © © © •** CO CJrC to ri lO o CO Tl IO CM C£ t> ■< CD Ul C: o- (N OJ © CO t- 6* CM* Ph a €ft OC V CO ■* IO IT IO CO Tt •* T3 , OC cc t- IT- IT CO Oi C- H TJ tc © CD CD © OS IT IO M § £ © 0" CN © ■rJH CK c< t- r- CD cc IT CJ IO CO C (M C- "**i UftS t> Tl IT Tf IO C\ IC tr- -ct CD gx^ cc fM >« Cj9- 00 Q> co P a p. P c. P 0 be f B G ri £ Sh CJ r Pi u t- O 01 0 ft 0 P TJ C ri co" cu c a < 0 b 0 0 c a r < TJ c ri > a c a 1 « "ft ft p CO b X c Q 0 r- r- a r H-) b ri t 1 u c A > 5 o, r-H V ri C c C E C 6 oc 5 QJ a J. c +->* t P s " o 'ri W < c. ? 0 1 b c « 1 0 p ^ < ri 0> (. . * ^ H- 1 X c > 0 ■1? ri & ft 'q 0 f i c ? iz i= r- r- C_ C "2 £ S 62 MENTAL HOSPITALS REPORT, 1946-47. Remarks. New Westminster. Essondale. Saanich. Total patients in residence, March 31st, 1947 Daily average population for one year Gross maintenance per capita cost, one year. Gross maintenance per capita cost, one day... 626 626.29 $715.59 3,238 3,217.03 $603.77 $1.65 292 286.48 $748.60 $2.05 Revenue of Mental Hospitals foe Past Ten Years. 1937-38 $207,343.84 1938-39 209,216.39 1939-40 245,837.55 1940-41 .___ 229,045.45 1941-42 238,532.90 1942-43 $261,986.32 1943-44 322,522.87 1944-45 317,735.15 1945-46 350,163.87 1946-47 339,561.71 TAILOR'S REPORT, 1946-47. Provincial Mental Hospital, Essondale. Alterations Relining ____ Pressing ___ Repairs Total $961.60 234.00 877.90 4,387.95 $6,461.45 Provincial Mental Hospital, New Westminster. Stock Alterations Relining Pressing Repairs Total $492.40 655.20 225.00 540.25 3,647.80 $5,560.65 SHOEMAKER'S REPORT, 1946-47. Provincial Mental Hospital, Essondale. Repairs—552 pairs of boots $1,199.00 PRODUCTION TABLES. S 63 SHOEMAKER'S REPORT—Continued. Provincial Mental Hospital, New Westminster. Repairs— 303 pairs of men's boots $656.60 321 pairs of women's shoes 300.00 $956.60 PRODUCTION TABLES. Articles made in Sewing-room, Provincial Mental Hospital, New Westminster, Year ended March 31st, 1947. Aprons, nurses' Apron bands 170 145 Bibs, nurses' 256 Bibs, childs' Bedpan-covers Bags, miscellaneous Bags, urn Bedspreads, crib Curtains 21 8 7 89 3 22 Caps, nurses' 54 Caps, cooks' 5 Cuffs, nurses' 185 Glove-cases 5 Hoovers Ironing-board covers Isolation gowns Press-covers Serviettes Table-cloths Tea-towels 1 21 1 38 146 5 293 Uniforms, nurses' 135 Uniform waists, nurses' 36 Uniform skirts, nurses' 3 Uniform sleeves, nurses' 48 Uniform pockets, nurses' 12 Buttonholes made 6,139 Articles repaired at Provincial Mental Hospital, New Westminster, Year ended March 31st, 1947. Aprons, nurses' Aprons, kitchen Bibs, nurses' Bibs, childs' Brassieres Blankets Blankets, crib ___ Bedjackets Blouses Bags, laundry Bedpan-covers Caps, nurses' _ Caps, cooks' Cuffs, nurses' _ Camisoles Curtains Dresses, senior For Female Wards. 410 347 76 105 10 74 46 10 75 14 4 7 4 72 212 4 1,537 Dresses, junior 953 Diapers 57 Hose 206 Hoovers 17 Housecoats 27 Isolation gowns 99 Ironing-board covers 11 Nightgowns, senior 864 Nightgowns, junior 510 Pyjamas 160 Princess slips, senior 480 Princess slips, junior 294 Panties, senior . Panties, junior . Pillow-slips Runners Sheets Sheets, crib Sun-suits Sweaters Towels Table-cloths 1,099 369 245 10 310 279 45 63 263 6 Uniforms, nurses' 187 Vests, senior 447 Vests, junior 130 S 64 MENTAL HOSPITALS REPORT, 1946-47. Articles repaired at Provincial Mental Hospital, New Westminster, Year ended March 31st, 1947—Continued. For Male Wards. Aprons, kitchen Blankets Bedspreads Bathrobes Coats (white) _. Combinations _ Drawers, senior . Drawers, junior. Flag Isolation gowns 459 152 249 12 49 146 768 66 1 2 Nightshirts, senior 129 Nightshirts, junior 96 Pillow-slips 159 Pyjamas 178 Sheets 371 Towels 316 Undershirts, senior 986 Undershirts, junior 184 Topshirts, senior 1,038 Topshirts, junior 205 Socks (pairs) 2,564 Laundry-bags 9 Swim-trunks 150 Occupational Therapy, Mental Hospital, Essondale, Year ended March 31st, 1947. 1946. April May June July August September October ___.. November . December . 1947. January February _. March 1946. April May June July August September October November December 1947. January ___ Wood-working Department. Upholstery Department. Cost of Material. Value of Products. $183.35 $458.25 236.05 549.10 186.05 417.60 112.25 273.60 181.40 456.10 318.85 773.60 216.75 554.35 166.75 401.10 117.85 276.65 361.50 925.85 217.25 509.60 288.45 672.30 $2,586.50 $6,268.10 Cost of Material. Value of Products. $439.35 $806.60 424.55 809.95 333.40 716.90 368.40 792.35 484.90 914.50 581.25 1,049.35 252.25 551.80 381.45 739.70 179.40 388.90 232.35 526.25 PRODUCTION TABLES. S 65 Occupational Therapy, Mental Hospital, Essondale, Year ended March 31st, 1947—Continued. Upholstery Department—Continued. February _ 467.05 893.10 March 430.65 860.45 Basketry Department. $4,575.00 $9,049.85 1946. May Cost of Material. $0.50 Value of Products. $1.50 June .25 1.00 August .50 1.50 September .40 1.50 October 5.30 26.80 1947. January 2.50 2.50 February .50 2.50 March 1.00 3.75 Shoe-making Department. $10.95 $41.05 1946. April Cost of Material. $65.75 Value of Products. $154.75 258.45 May 110.85 June 83.50 188.30 July 39.85 91.10 August 110.25 251.45 September 92.80 86.85 210.60 October 194.90 November _ ___ 75.20 170.70 December __ 58.10 131.35 1947. January __ 91.30 202.40 February 70.30 162.95 March — . 101.95 237.95 ■ $986.70 $2,254.90 Seiving-room—New Garments made by Patients. Patients' Clothing Department. Print dresses 1,906 Strong dresses 1,584 Slips 316 Vests 591 Nightgowns 394 Bloomers 195 Isolation gowns Open-back nightgowns Panties Men's nightshirts Ward jackets Special dresses 188 137 984 439 309 7 S 66 MENTAL HOSPITALS REPORT, 1946-47. Occupational Therapy, Mental Hospital, Essondale, Year ended March 31st, 1947—Continued. Sewing-room—New Garments made by Patients—Continued. Hospital Furnishing Department. Glove-cases Pillow-covers Draw-sheets Baby nightgowns _ Stupe wringers Laporotomy sheets Table-runners Shoe-bags Pneumonia jackets X-ray gowns Dresser-covers Table-covers, embroidered Tea-cloths, embroidered ____ Laundry-bags Clinic gowns Bags for beauty-parlour____ Cheese-box cover _'___ Hospital sheets Pillow-slips Property-bags Hand-towels Slippers (pairs) Roller towels Nurses' sheets Table-cloths Doctors' coats (altered). 60 105 570 31 50 1 4 60 50 24 6 6 4 124 58 12 1 424 1,648 332 1,431 121 338 80 207 2 Chef caps 86 Tea-bags 211 Cabinet-covers 144 Table-covers 83 Bedpan-covers 151 Kitchen aprons (repaired) 674 Kitchen aprons 127 Tea-towels 1,469 Net curtains (pairs) Drapes, lined (pairs) Drapes, unlined (pairs)_ Lambrequins Valences Small curtains Doctors' caps Table-runners Tray-cloths 58 12 88 86 5 13 12 4 114 55 Dining-room aprons Screen curtains 115 10 48 181 32 41 132 Key-cords 93 Cushion-covers Doctors' towels T.B. laundry-bags Examining-table sheets Baby jackets Diapers Mattress Department. Mattresses (new). 1,501 Aprons Uniforms Bibs Belts _______ Nurse's Uniform Department (Replacements). 2,131 Caps 798 1,270 864 448 Cuffs (pairs) 659 Probation bibs 30 Aprons Nurse's Uniform Department (Repairs). 917 Belts 295 Caps 41 Cuffs (pairs) PRODUCTION TABLES. S 67 Occupational Therapy, Mental Hospital, Essondale, Year ended March 31st, 1947—Continued. Inventory of Women's Industrial Therapy Department. Completed Work, Mending Department. Nightshirts 686 Topshirts 2,009 Undershirts 3,985 Underdrawers 2,826 Socks 11,835 Overalls 808 Jumpers 38 Blankets 223 Spreads 569 Sheets 2,986 Pillow-cases 687 210 48 6 9 33 560 134 14 15 51 25 540 Bath-towels Hand-towels Tea-towels •_ Roller towels ____ Table-cloths Aprons White coats White overalls _ White pants Doctors' coats __. Pneumonia jackets Isolation gowns Laundry-bags ___ Kimonos X-ray gowns Screen curtains Ward jackets Dresses 44 63 6 6 130 5,242 Nightgowns 3,879 Slips 1,588 Vests 1,105 Bloomers 1,119 . 2 9 Baby nightgowns Combinations Stupe wringers ____ Sweaters Bedpan-covers Binders House-coats Glove-cases Dining-room dresses Pyjama pants Pyjama tops — Cooks' caps 2 1 6 2 2 8 23 2 1 S 68 MENTAL HOSPITALS REPORT, 1946-47. PART III.—COLONY FARM. BUSINESS MANAGER'S REPORT ON COLONY FARM. A. L. Crease, Esq., M.D., CM., Director of Mental Hygiene and Psychiatry, Provincial Mental Hospital, Essondale, B.C. Sir,—Enclosed herewith please find profit and loss accounts and various other statements covering operations of Colony Farm for the year 1946-47. Please note that the profit and loss statement shows a profit for the year of $47,246.04 after covering all operating costs, including cost-of-living bonus on employees' salaries and $19,000 charged for patient-labour. The statement, however, does not cover a fire loss of feed in the amount of $9,530.15. This profit of $47,246.04, as against an operating loss of $12,327.07 for the year 1945-46, is due to the lifting of Dominion Government subsidies. Previously the farm maintained prices in line with market quotations but were ineligible to benefit from the subsidies. When the subsidies were lifted, they were able to take full advantage of price increases. The dairy and herds department showed a profit of $18,684.37, as against a loss in 1945-46 of $3,405.66. Other departments showing large profits were: Hogs, $21,533.67; cannery, $18,809.49; orchard and truck-garden, $24,389.12; and field crops and pasturage, $26,351.72. The greater part of the farm's produce was received by the Essondale and New Westminster hospitals, whose purchases amounted to $225,724.41 and $27,090.83 respectively. The Boys' Industrial School and Home for the Aged of Port Coquitlam; the Mental Home, Colquitz; and the Tranquille Sanatorium, Tranquille, also received a certain amount of produce, but to a very much lesser extent. Full particulars of the operation of the different farm departments may be had from the various reports and statements presented herewith. I regret to report that during the year under review Colony Farm suffered a very disastrous fire. The fire occurred on the morning of December 10th, 1946, and completely destroyed the large building known as the arena. One farm- employee, Ian Ferguson, lost his life in the fire, and five horses were also lost, while one horse had to be destroyed later as a result of injuries received. A large quantity of feed was lost, and the farm office, located in the building, was destroyed, along with all the farm records. As a result of this fire, the operation of Colony Farm will be greatly handicapped. All of which is respectfully submitted. F. A. Matheson, Business Manager. COLONY FARM. S 69 BALANCE-SHEET, YEAR Ei-JDED MARCH 31ST, 1947. 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 $28,024.00 Bulls 6,300.00 Cows 80,000.00 Yearlings _, 7,615.95 Calves 2,401.28 Work-horses 2,310.00 Hogs 18,752.20 Feed 17,769.66 Gasoline and sundry 421.11 Orchard and truck-garden 12,779.10 176,373.30 Accounts receivable 81,402.39 Growing Crops Apportionment Account 4,268.15 $838,791.03 Liabilities. Surplus Account $446,055.05 Profits to March 31st, 1946 $331,204.29 Profits for year 1946-47 $80,531.69 Less patient-labour 19,000.00 61,531.69 392,735.98 $838,791.03 S 70 MENTAL HOSPITALS REPORT, 1946-47. PROFIT AND LOSS ACCOUNT, YEAR ENDED MARCH 31st, 1947. Department. Debits. Credits. Loss (Deaths and Destroyed). Loss. Gain. $85,541.17 4,600.00 1,398.40 420.90 337.50 465.00 13,452.40 46,095.95 37,019.49 22,221.51 4,235.72 2,864.93 41,791.92 21,993.87 $104,225.54 9,358.96 4,894.23 930.00 2,414.07 50.00 14,018.00 67,629.62 55,828.98 46,610.63 5,146.00 3,151.50 367.33 48,345.59 $18,684.37 $850.00 81.20 100.50 5,608.96 3,577.03 609.60 Bulls 2,076.57 225.00 $190.00 565.60 21,533.67 18,809.49 24,389.12 910.28 286.57 41,424.59 26,351.72 $282,438.76 $362,970.45 $1,256.70 $41,614.59 $123,402.98 ock, and pati 41,614.59 $81,788.39 ... $1,256.70 ... 19,000.00 20,256.70 Profit for year before providing for cost-o $61,531.69 14,285.65 $47,246.04 Note.—Fire loss, which has not been charged in the above statement, on December 10th, 1946, was as follows:- Feed for stock $8,935.15 Work-horses 595.00 Total $9,530.15 COLONY FARM. S 71 DAIRY AND HERDS DEPARTMENT. Profit and Loss Account, March 31st, 1947. Expenses. Total expenses for year _•_ $85,541.17 Production. Dairy produce supplies $101,725.54 Credit for manure 2,500.00 104,225.54 Profit for year $18,684.37 Production and Costs Account, March 31st, 1947. Dairy—Salaries and upkeep $5,567.11 General herd— Salaries and upkeep _ $33,100.02 Feed 44,740.70 Pasturage and green feed 2,133.34 79,974.06 $85,541.17 Less allowance for manure 2,500.00 $83,041.17 Milk Production for Year 1946-47. Production 1946. (Lb.). Cost. April 237,772 May 283,887 June 259,586 July 243,020 August 248,100 September 234,005 October 226,740 November 210,164 December 211,323 1947. January 217,154 February 207,572 March, 239,833 2,819,156 $83,041.17 Average cost of production, pasteurization, etc., 29.5 cents per gallon. S 72 MENTAL HOSPITALS REPORT, 1946-47. MATURE COW DEPARTMENT. Profit and Loss Account, March 31st, 1947. Asset Value. 4 cows died or destroyed _. $850.00 3 cows sold 425.00 28 cows butchered 3,325.00 Gain on inventory $4,600.00 Profit for year Selling Price. $331.65 4,315.31 4,712.00 $9,358.96 4,600.00 $4,758.96 CALVES DEPARTMENT. Profit and Loss Account, March 31st, 1947. Asset Value. Selling Price. 10 calves died or destroyed $81.20 $1.25 20 calves sold 732.15 3,413.61 55 calves vealed 585.05 1,279.37 Manure, credit 200.00 $1,398.40 $4,894.23 ======_= 1,398.40 Profit for year $3,495.83 YEARLING DEPARTMENT. Profit and Loss Account, March 31st, 1947. Asset Value. 1 yearling died or destroyed $100.50 1 yearling sold . 320.40 Manure, credit $420.90 Profit for year Selling Price. $420.00 510.00 $930.00 420.90 $509.10 COLONY FARM. S 73 BULL DEPARTMENT. Profit and Loss Account, March 31st, 1947. Asset Value. 2 bulls sold —-_ __. $337.50 Selling Price. $492.45 1,921.62 Gain on inventory _ _ $337.50 $2,414.07 337.50 Profits for year ____ $2,076.57 WORK-HORSE DEPARTMENT. Sales and Deaths Account, March 31st, 1947. 3 horses sold as discards $75.00 $50.00 2 died or destroyed 225.00 Loss on inventory 165.00 $465.00 $50.00 , 465.00 Loss for year $415.00 Work-horse Labour Account, March 31st, 1947. Salaries and upkeep $10,491.20 Feed and pasturage 2,961.20 $13,452.40 Less credit for manure _ 200.00 $13,252.40 Horse-labour charged to crop and other departments 13,818.00 Profit for year $565.60 Note.—Against cost of $13,252.40, 24,018 hours of horse-labour were performed at a cost of 55 cents per horse-hour, including teamsters' wages. S 74 MENTAL HOSPITALS REPORT, 1946-47. HOG DEPARTMENT. Profit and Loss Account, March 31st, 1947. Receipts. By sales— Live hogs $7,049.18 Pork supplied Essondale Hospital 37,792.40 Pork supplied New Westminster Hospital 3,435.84 By credit for manure 600.00 Inventory, March 31st, 1947 18,752.20 $67,629.62 Expenses. Salaries and upkeep $6,306.62 Feed 18,133.33 Horse-labour 98.00 Truck = 873.00 Tractor 176.00 $25,586.95 Inventory, March 31st, 1946 20,509.00 46,095.95 Profit $21,533.67 CANNERY. Profit and Loss Account, March 31st, 1947. Production. Supplies to Mental Hospital, Essondale $43,046.09 Supplies to Mental Hospital, New Westminster , 9,493.09 Supplies to Mental Hospital, Saanich 3,054.70 Supplies to Sanatorium, Tranquille 219.20 Supplies to Boys' Industrial School, Port Coquitlam 15.90 $55,828.98 Expenses. Salaries $4,184.53 Repairs 185.73 Fruit and vegetables 21,949.89 Sugar, spice, etc 3,496.98 Cans, crates, and containers 5,424.36 Truck-haulage ' 378.00 Fuel 900.00 Light, water, and power 500.00 37,019.49 Profit $18,809.49 COLONY FARM. S 75 ORCHARD AND TRUCK-GARDEN. Profit and Loss Account, March 31st, 1947. Receipts. Produce sold to sundry institutions $300.31 Produce sold to Essondale Hospital 29,214.39 Produce sold to New Westminster Hospital 1,116.01 Produce supplied to cannery 3,200.82 Inventory, March 31st, 1947 12,779.10 $46,610.63 Expenses. Salaries, seeds, etc $4,843.61 Horse-labour 2,946.00 Truck-haulage 139.50 Tractor-work 674.00 Manure and fertilizer 1,209.30 Inventory, March 31st, 1946 12,409.10 22,221.51 Profit $24,389.12 FIELD CROPS AND PASTURAGE. Profit and Loss Account, March 31st, 1947. Crop. Acreage. Potatoes 62.00 Oats 34.00 Straw 34.00 Hay 98.00 Ensilage 58.00 Onions 3.50 Mangels 8.00 Turnips 3.75 Pasturage and green feed 254.00 Yield Yield (Tons). per Acre. Value. 700.20 11.29 $29,750.45 34.60 1.02 968.80 51.00 1.50 867.00 201.00 2.05 5,226.00 980.00 16.90 4,410.00 24.54 7.01 2,213.24 66.80 8.35 334.00 35.90 9.57 1,702.76 2,873.34 $48,345.59 Costs. Horse-labour $6,600.00 Tractor-work 4,164.00 Trucking 423.00 Manure 3,310.00 Fertilizer and spray.. 3,063.15 Seeds and sets 3,275.72 Supervision 1,080.00 Sundry expenses 78.00 21,993.87 Profit $26,351.72 S 76 MENTAL HOSPITALS REPORT, 1946-47. TRACTOR. Profit and Loss Account, March 31st, 1947. 5104 hours' work - - $5,146.00 Expenses. Salaries and upkeep ._ $3,682.72 Gasoline and oil __ 553.00 4,235.72 Profit $910.28 TRUCKS. Profit and Loss Account, March 31st, 1947. 2,101 hours'work $3,151.50 Expenses. Salaries and upkeep $2,232.86 Gasoline 632.07 2,864.93 Profit $286.57 GENERAL EXPENSES OF MAINTENANCE AND ADMINISTRATION. Profit and Loss Account, March 31st, 1947. Salaries and vouchers $26,846.23 Horse-labour 965.00 Truck-work 78.00 Tractor 120.00 Gasoline, oil, etc. 131.60 Sundry 918.10 Loss on equipment inventory 2,363.32 Proportion, Headquarters expense $2,100.00 General repairs through Public Works Department 8,269.67 $31,422.25 10,369.67 $41,791.92 Less sundry credits 367.33 $41,424.59 COLONY FARM. S 77 MISCELLANEOUS STATEMENTS, INVENTORIES, ETC. Mental Hospital, Essondale—Produce supplied by Colony Farm for Year ended March 31st, 1947. Dairy produce— Milk, 1,766,940 lb. $65,953.32 Cream, 1,607.5 quarts 1,282.46 Table cream, 7,596 gallons 13,689.65 $80,925.43 Meats— Veal, 6,059 lb $1,201.00 Beef, 23,846 lb. 4,232.63 Hearts, livers, tongues, 824 lb. 161.05 Fresh pork, 187,191 lb. 37,438.20 Pork plucks, 3,542 lb 354.20 Fruits and vegetables— Fresh $54,747.81 Canned 43,046.09 43,387.08 97,793.90 Sundries—Horse-labour 3,618.00 $225,724.41 Mental Hospital, New Westminster—Produce supplied by Colony Farm . for Year ended March 31st, 1947. Dairy produce— Milk, 134,250 lb $4,232.73 Cream, 283 quarts 226.38 Table cream, 1,095 gallons 1,970.40 $6,429.51 Meats— Fresh pork, 17,003 lb. $3,400.60 Pork plucks, 352 lb. 35.24 3,435.84 Fruits and vegetables— Fresh $7,655.39 Canned 9,493.09 17,148.48 Sundries—Tractor-work 77.00 $27,090.83 Accounts Receivable, March 31st, 1947. Sundry amounts due from live stock, etc., sold $81,402.39 S 78 MENTAL HOSPITALS REPORT, 1946-47. MISCELLANEOUS STATEMENTS, INVENTORIES, ETC.—Continued. Remittances to Treasury. Sundry remittances to Treasury during year 1946-47, in payment of live stock and produce Summary of Equipment Inventories, March 31st, 1947. Equipment in dairy Equipment in cannery Horse and cattle barns and piggery Farm implements Pumping-stations and land-clearing Butcher-shop Carpenter-shop Blacksmith-shop $235,351.95 $4,412.50 3,852.20 4,190.00 12,033.30 2,638.00 143.00 296.50 458.50 $28,024.00 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 1,962.00 1,925.00 300.00 2,000.00 3,300.00 $12,184.00 VICTORIA, B.C.: Printed by Don McDiarmid, Printer to the King's Most Excellent Majesty. 1948. 490-148-8398
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DEPARTMENT OF PROVINCIAL SECRETARY MENTAL HOSPITALS PROVINCE OF BRITISH COLUMBIA ANNUAL REPORT FOR 12… British Columbia. Legislative Assembly [1948]
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Title | DEPARTMENT OF PROVINCIAL SECRETARY MENTAL HOSPITALS PROVINCE OF BRITISH COLUMBIA ANNUAL REPORT FOR 12 MONTHS ENDED MARCH 31ST 1947 |
Alternate Title | MENTAL HOSPITALS REPORT, 1946-47. |
Creator |
British Columbia. Legislative Assembly |
Publisher | Victoria, BC : Government Printer |
Date Issued | [1948] |
Genre |
Legislative proceedings |
Type |
Text |
FileFormat | application/pdf |
Language | English |
Identifier | J110.L5 S7 1948_V02_03_S1_S78 |
Collection |
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 | 10.14288/1.0340001 |
AggregatedSourceRepository | CONTENTdm |
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