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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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 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.
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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.
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7
250
15
1
2
2
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38
11
2
32
6
2
3
1
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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.
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© 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.
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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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