DEPARTMENT OF PROVINCIAL SECRETARY MENTAL HOSPITALS PROVINCE OF BRITISH COLUMBIA ANNUAL REPORT FOR 12 MONTHS ENDED MARCH 31st 1949 VICTORIA, B.C.: Printed by Don MoDiaemid, Printer to the King's Most Excellent Majesty. 1950. 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, 1949. 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 11 Report—Laboratory 17 Report—X-ray Department _ 20 Report—Physiotherapy 21 Report—Psychologist - . 22 Report—Dentist 23 Report—Optician 24 Report—Beauty-parlour 24 Report—Department of Nursing 24 Report—Occupational Therapy Department 26 Report—Recreational Therapy Department 27 Report—Library 28 Report—Child Guidance Clinics 28 Report—Social Service 36 Statistical Tables— 1. Movement of Population during Year 41 2. Summary of Operations of Hospitals since Inception 43 3. Admissions, Discharges, and Deaths 44 4. Civil State of Patients admitted 45 5. Religious Denominations of Patients 45 6. Educational Status of Patients 45 7. Nationality of Patients 46 8. Districts from which Patients were admitted 47 9. Occupation of Patients prior to Admission 48 10. Age of Patients on Admission 49 11. Number of Attacks at Time of Admission 50 12. Alleged Duration of Attacks prior to Admission 50 13. Table of Heredity 50 14. Alleged Cause of Insanity in Patients admitted 51 15. State of Bodily Health of Patients admitted_ 51 16. Form of Mental Disorder in Patients admitted 52 17. Probation, Number allowed out on 52 18. Discharges, showing Alleged Duration of Insanity 53 19. Discharges, showing Length of Residence in Hospital and Condition at Time of Discharge 53 20. Deaths, Cause of, and Length of Time in Hospital, Essondale, New West minster, and Saanich 54 PART II.—FINANCIAL. Report—Business Manager______ 59 Expense Statement, Psychopathic Department 60 Expense Statement, Headquarters Department 60 5 HH 6 TABLE OF CONTENTS. Financial Tables— Page- A. Average Residence, Maintenance, and ver Capita Cost for the Past Ten Years 61 B . „'.. V Yearly Gross Expenditure, Analysis of, for the Past Ten Years 62 C. Summary of Gross and Net per Capita Cost in all Hospitals _ 64 D. Expense Statement, New Westminster 65 E. Expense Statement, Essondale 66 F. Expense Statement, Saanich 67 Revenue, Table of, for the Past Ten Years 68 PART III.—COLONY FARM. Report—Financial, General—Business Manager 69 Profit and Loss Account 71 Dairy and Herds Department—Profit and Loss Account 71 Work-horse Department—Profit and Loss Account 72 Hog Department—Profit and Loss Account 72 Cannery—Profit and Loss Account 73 Orchard and Truck Garden—Profit and Loss Account 73 Crop Department—Profit and Loss Account, etc 74 Tractor Account 74 Truck Account 74 Maintenance and Administration, General 75 Miscellaneous Statements, Inventories, etc.— Produce supplied to Essondale 76 Produce supplied to New Westminster 76 Accounts receivable 76 Remittances to Treasury 76 Equipment 77 Orchards and Small Fruits 77 DEPARTMENT OF THE PROVINCIAL SECRETARY. Hon. George S. Pearson, Provincial Secretary. R. A. Pennington, O.B.E., 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., Deputy Medical Superintendent. Frederick A. Matheson, Business Manager. OFFICERS AND STAFF, ESSONDALE. Medical: U. P. Byrne, M.B., D.P.H., D.I.H., Director of Child Guidance Clinics. J. M. Jackson, M.D., Radiologist. A. E. Davidson, B.A., M.D., Clinical Director. T. G. Caunt, M.D. G. McK. Kirkpatrick, M.D. A. J. Warren, M.D., D.P.M.(London). B. F. Bryson, M.D. F. E. McNair, B.A., M.D., CM. A. L. Swanson, B.A., M.D., CM. G. A. Nicolson, M.D., Pathologist. P. D. Croft, B.Sc, M.D., CM. A. E. Robertson, M.D., CM. W. D. Love, M.Sc, Ph.D., M.D. N. L. Richardson, M.D., CM. W. P. Fister, M.D., M.R.CP.(Edin.), F.R.CP.(Can.). W. J. S. Edington, M.D. A. J. Shulman, M.D., CM. G. H. Stephenson, M.D. L. I. M. Coleman, B.Sc, M.D., CM. Milton Jones, D.D.S. C B. Watson, M.A., Psychologist. W. R. Brown, Director of Recreation. K. WOOLCOCK, Pharmacist. W. Creber, Chief Attendant. W. Pritchard, Head Male Instructor. Miss M. Parsons, R.N., Director of Nursing. Miss E. M. Pullan, R.N., B.A.Sc, Instructress of Nursing. Miss J. F. KlLBURN, R.N., Social Service. Miss G. Barber, B.H.E., Dietitian. Miss E. Weekes, O.T.R., Charge Occupational Therapist. Miss J. Irving, B.A., B.L.Sc, Librarian. Mrs. I. H. Wedge, Branch Secretary. Miss A. Dingle, Senior Stenographer. Business: J. F. Anderson, Assistant Business Manager. L. Fox, Paymaster. G. A. Grieve, Cost Accountant. Chaplains : W. E. Skillicorn, Book-keeper. W. Headridge, Steward. Miss A. Makita, Stenographer. Rev. J. Naylor, Protestant. Rev. Father J. P. Kane, Roman Catholic. Trades: H. Lonsdale, Foreman of Works. J. Wilson, Engineer. Wm. P. Dodgshon, Outside Overseer. T. Harrison, Electrician. G. Matthews, Plumber. D. Anderson, Laundryman. A. L. Blair, Barber. W. A. Wardle, Chief Cook. J. C. Merrick, Baker. R. T. Hall, Charge Occupational Therapist. HH 8 MENTAL HOSPITALS REPORT, 1948-49. OFFICERS AND STAFF, NEW WESTMINSTER. Medical: L. E. Sauriol, M.D., CM., Deputy Medical Superintendent. C. E. Benwell, M.B. R. D. B. Herrick, M.D., D.P.H., D.P.M. A. P. Gould, M.D., CM. F. Gillard, Receiving Clerk. E. Jones, D.D.S., Visiting Dentist. Miss V. M. Sanders, R.N., Superintendent of Nurses. Miss E. C. Herchmer, R.N., Assistant Superintendent of Nurses. Miss E. A. Johnston, R.N., Instructress of Nurses. R. Palm, Male Nursing Instructor. Mrs. E. T. Loree, School Principal. J. Jackson, Industrial Arts Instructor. J. Lynes, Recreational Instructor. Mrs. K. Barnsdale, Occupational Therapist. Miss M. G. Coulson, Clerk-Stenographer. Business : A. Fraser, Steward. Chaplains : Rev. P. C. McCrae, Protestant. Rev. Father G. Rogers, Roman Catholic. Trades: C. M. Doyle, Foreman of Works. C. Hauck, Engineer. C. Stapleton, Head Gardener. L. S. Da vies, Electrician. C. M. Doyle, Acting Plumber. G. Coulson, Laundryman. J. McMillan, Shoemaker. L. Arnold, Assistant Barber. J. Fraser, Painter. W. Jenkins, Head Cook. V. G. Copp, Baker. J. C. Purse, Head Tailor. COLONY FARM. John A. Hay, Superintendent. COLQUITZ. L. G. C. d'Easum, Medical Supervisor. T. A. Morris, Supervisor. P. McLeod, Chief Attendant. HH 10 MENTAL HOSPITALS REPORT, 1948-49. Admission Building, Essondale. Patients under trees near Female Building, Essondale. Report of the Medical Superintendent. For the Twelve Months ended March 31st, 1949. PART I.—MEDICAL. Provincial Mental Hospital, Essondale, B.C., April 1st, 1949. 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- seventh 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 fiscal year April 1st, 1948, to March 31st, 1949. Movement of Population. Male. Female. Total. 2.493 110 691 1,776 119 569 4,269 On probation, but still remaining on registers New admissions during current year 229 1,260 3,294 2,464 5,758 523 110 130 442 119 79 965 Continued on probation at end of year Died during year 229 209 763 640 1.403 In residence, March 31st, 1949 2,631 1,824 4,355 Increase in number of patients admitted this year as compared to last 149 Net increase in population 86 Rate of deaths to total treated 3.63% Rate of discharges to admissions (exclusive of deaths) 76.59% ADMISSIONS. An analysis of the birth column shows that, of the number admitted, 725 (or 57.54 per cent.) were Canadian born, 305'(or 24.21 per cent.) were from other parts of the British Commonwealth, and 227 (or 17.19 per cent.) were of foreign extraction. DISCHARGES. The following table indicates quite clearly that the earlier cases are brought to the Hospital for treatment following the onset of mental illness, the greater are the chances for their recovery:— Table showing Alleged Duration of Insanity, prior to Admission, in those discharged from the Three Institutions during the Year April 1st, 1948, to March 31st, 1949. Less than six months : 336 Over six months 298 Without psychosis 83 Duration unknown 248 Total. 965 11 HH 12 MENTAL HOSPITALS REPORT, 1948-49. During the year a total of 965 patients were discharged in full. Of this number, 137 were discharged as recovered, 345 were discharged as improved, 403 were discharged as unimproved, 78 were discharged as without psychosis, and 2 were discharged as not insane. This report will be much more satisfactory to you, sir, for the following reason. The problem you faced when you took charge was most perplexing. One hardly knew where to begin. A world war, a period of financial depression, another world war, with its aftermath, took a great toll. Notwithstanding all this, under your direction the well-planned moves you instigated are beginning to bear fruit. The great number of patients, their relatives, together with the staff, are aware of this beneficial progress. It has been necessary not only to build up the staff and arrange for their tuition, but also to better their conditions. It was only possible to accomplish this step by step. The new clinic you started is well along now. Over the years this will indeed prove a blessing. The new Act bringing mental illness directly into the field of medicine cannot be proclaimed before completion of the building programme and arranging for proper staff. When a clinic is formed, there is a triad of essentials for which one must plan: (1) Intensive treatment and rehabilitation, (2) education, and (3) research. (1) A clinic must meet with the standards demanded of it in the way of building, furnishings, equipment, staff education, together with ample facilities for the treatment of mental and physical illnesses. It is required to have the same provisions as are found in a classified general hospital plus the specialty of psychiatry and that of neurology. These cardinal points have been arranged for in our programme. (2) Education has been sufficiently stressed. We now have a graduate librarian and a library for patients and staff. The new England Journal of Medicine, 1949, said of a library that there were two important factors that distinguish man from the less elevated animals—the ability to reason and the capacity of speech. A refinement has enabled each generation of mankind to profit most fully from the experience of its predecessor. There has been the setting-down of ideas and the preservation of records, whether carved in stone, scratched in clay, or impressed on printed page. It is only by consulting its records that man has been able to build adequately upon the experience of the past. The library in our clinic is situated on the ground floor in order that books may be obtained easily by patients and staff alike. The suite consists of patients' and staff library, doctors' reading-room, together with a room for the storage of films for the use of the audio-visual department. The Clinical Director and Director of Education arrange for an educational programme for psychiatrists, psychiatric nurses, psychologists, social service workers, and other ancillary services. The university is the seat of learning. Now that a medical school is contemplated, much study is being directed toward doing our part to aid in the field of psychological medicine. (3) Research is extremely important. There is in all an enormous sum of money spent year after year on the maladjusted in the Avhole of Canada as well as in British Columbia. When a person breaks, there is a mental illness for which he is treated medically. When he breaks the situation and becomes delinquent, he is treated through the Courts. The cost of either is great. Therefore, it is a " must " to have basic research in psychological medicine in a university setting. One wonders, why the delay? In a business establishment of equal proportions, research would be inaugurated. It cost $50,000 to find penicillin. We are all familiar with the great saving of expense and human lives that the advent of this drug has caused. SUPERINTENDENT'S REPORT. HH 13 It is fortunate, indeed, that the nation is growing more conscious how great an asset health is to society. The Dominion Government is very materially helping along the different Provinces with the programmes which they already have under way. Your acceptance of this gracious offer will be of lasting benefit and lends a much more hopeful outlook to both patient and family. TREATMENT. (a) Insulin.—Now that we have provision for more patients under this medication, it has enabled us to increase the number under treatment. This year the results obtained are as follows:— Results Total. Per Cent. Recovered - 40 18 Much improved - 19 8 Improved 108 50 Unimproved - 46 21 Total Disposal— Discharged 213 75 Discharged later 55 Discharge pending -___ 21 Transferred to lobotomy 12 Died 2 Remaining in hospital 48 35 25 9 6 1 22 (b) Convulsive Shock Therapy.—This has been an active item of treatment, showing its beneficial effect in the table below:— Male. Female. Total. Per Cent. Results— 10 18 38 22 34 16 131 68 44 34 169 90 13 10 50 26 88 249 337 Disposal— 25 7 1 12 1 41 1 81 16 1 38 6 106 1 106 23 2 50 7 147 2 31 g 14 43 88 249 337 (c) Lobotomy.—There have been a number of patients who have not benefited from other forms of treatment. After study of these particular cases, our committee on lobotomy selected fifty-one in all for operation. The record below shows the result obtained in the various groups of mental illness who were operated on for the relief of their symptoms. Dr. Frank Turnbull performs this classically accepted type of operation:— HH 14 MENTAL HOSPITALS REPORT, 1948-49. Patients operated on for the Relief of Symptoms. Result. Disposal. Diagnosis. Number of Patients. Much improved. Improved. Unimproved. Discharged. Remaining in Hospital. Died later. 6 14 4 2 4 3 3 . 7 1 3 1 3 6 3 3 8 1 Patients operated on for Improved Hospital Adjustment. Manic depressive.. Schizophrenia Miscellaneous 1 1 0 1 25 2 12 11 1 24 1 1 1 Total Patients operated on. 7 39 5 3 6 3 3 19 1 14 2 3 7 3 4 32 2 Schizophrenia Totals 51 12 22 17 13 38 Dr. Milton Jones shows in his report on the dental service a large number of patients whom he examined and treated. Through great experience this has been possible. The time has now come for this department to be enlarged and more assistance made available. The Optical Department has done well. This department should also be enlarged and more modern equipment installed. It is an important part of our hospital organization and most exacting in its nature. Further details are given elsewhere in this Report. The beauty-parlour, so necessary in a hospital setting, has done much to add to the comfort and proper feeling of the ladies. Much more work has been accomplished this year, as may be seen in the attached report. The nursing in a hospital is a most difficult task to arrange. I am most thankful that we have, during and since the war, such a competent staff managing this department during these excessively trying times. Mr. Creber and his assistants have experienced a great inconvenience. Miss Parsons and her staff suffered even more. Both staffs have done wonders, and much praise is due them. The Child Guidance Clinic conducts a service which is quite laudable. Deviations from the normal are met with early, and it is in this stage that future trouble is either avoided entirely or the case assumes a much less serious character at a later date. We know this service should have been extended. We were unable to do this on account of lack of trained personnel. We have been badly in need of accommodation suitably set out for the observation of certain of the cases with which we have dealt. A most comprehensive report of the work they have accomplished is found elsewhere in this Report. The Social Service and Psychological Departments function both in the Hospital and Child Guidance fields. They are important members of the working team. It is by pooling all ohr findings that diagnosis and treatment are facilitated. We are aided in our work by help received so readily from the Provincial field service. The Occupational Therapy Department is playing a more and more important role in the field of hospital life. We consider this phase both from the standpoint of SUPERINTENDENT'S REPORT. HH 15 vocation and avocation. Provision is being made to enlarge our facilities and make them more readily available. It is a splendid section of our programme both from the point of therapy and also from what is actually accomplished. A detailed report is added later. The general laboratory service has been indeed a busy one. The work over the years has grown tremendously. Dr. Nicolson, our Pathologist, has been away studying, and Miss Alice Hagen during this time has done a splendid work and has assisted the medical services at every turn most competently. The laboratory staff is making every effort to enhance our teaching programme as well as doing the great volume of work required of a large laboratory. The X-ray Department has continued to function as well as our somewhat limited equipment will permit. The X-ray service has increased, and more and more is required of it. We are looking forward to having additional machines of a more up-to- date type suitable for the task in hand. The Physiotherapy Department has done well. However, this study will come under physical medicine, and will thus be a branch of our medical service. In this category will be the study of rehabilitation, which will come as a great blessing. Intensive treatment, combined with rehabilitation, will be an advance to which we have looked forward for a long time. The service given by the Psychological Department is gradually accomplishing more and more. Its director is much concerned in our educational field and our library. One wonders how we functioned before without this most worthy adjunct in our clinical field of endeavour. Recreation is a " must" to us all. It is even more so in the field of mental illness. The satisfaction to patients and staff is really vivid. The field of application is large. Hospital life is made much more pleasant. Patients now have their programme well listed and can run over the time and place where the activities will be held. If, for some unforeseen reason, an event has to be called off, plenty is heard about it. This, of course, is an indication of how recreation is going over and what it means to them. At first it was not realized just how important was our Audio-Visual Department. Now it is becoming abundantly clear. It not only helps greatly with recreation and amusement of patients by furnishing large and small movies, but it supplies sound equipment for special occasions. It comes strongly into the field of education. It performs a splendid service in all types of photography. The Social Service Department is a busy section. It aids us in gaining the family setting as it really exists. It is a good contact between the Hospital and the public. It is the focal point in rehabilitation, and assistance is received through the Provincial field service in the many districts. The Social Service Report is found elsewhere in this issue. CHANGES IN STAFF. Dr. Edington joined our staff in May, 1948. Dr. Nicolson went to study at the Pathological Department at the Vancouver General Hospital in July, 1948. Dr. Shulman joined our staff in August, 1948. Miss Shand went to McGill University in September in order to take the Psychiatric Nursing Course. Dr. Alfred Warren returned to our service from England. Dr. Coleman became a member of our staff in September. Dr. Fister went for study to the Montreal Neurological Institute under Dr. Penfield in November. Dr. Swanson left for the Northwestern University in Chicago to take his degree in hospital administration. HH 16 MENTAL HOSPITALS REPORT, 1948-49. Miss E. Brown, R.N., went to the Montreal Neurological Institute in order to take a postgraduate course in neurosurgery. In July, Miss McLeod was appointed Nursing Counsellor for the Women's Division. P. H. Moore retired from the service as Superintendent of Government Farms of British Columbia. A. Hay was appointed to the position rendered vacant by this retirement. T. Squires, carpenter, retired from the Public Works Department staff. William McKay, painter, was also retired from the Public Works. Reginald Johnston, one of our charge psychiatric nurses, died on December 31st. He had a long service with the Hospital. He seemed well preserved and in good health, and his death from a heart ailment came as a shock to us all. J. Slater, one of our psychiatric nurses, passed away on September 13th. He was most regular in his attendance over the long years of his hospital service. His illness came as a surprise both to himself and his friends. He was courageous, indeed, right up to the end. COMMENTS. We went through a small outbreak of diphtheria. During May and June we experienced a flood which is so familiar to us all, as its effects were widespread. On July 7th we opened a Home for the Aged unit at Vernon, which accommodated 160 patients. Later, in March, 40 more elderly patients were transferred, so that there is now a total of 200 patients in residence. Our Hospital received a temporary recognition by the Royal College of Physicians and Surgeons of Canada, allowing us to teach. A very noteworthy privilege was granted to British Columbia, whereby she was allowed to use the " Ottawa grants " to aid in carrying out what she would have accomplished in the ordinary course of our programme. The Act required for the conducting of the clinics of psychological medicine was passed but has not as yet been proclaimed. ACKNOWLEDGMENTS. At the close of this report 1 feel it a privilege to make certain acknowledgments. It is impossible to mention all who have rendered service toward the Hospital, but they are remembered. I wish especially to commend to your favourable attention the splendid help and co-operation of Dr. Ryan and Dr. Gee. Their task has been great, almost insurmountable at times. The overcrowding and the many distressing calls for assistance have indeed caused much concern. They have met these trying situations with cheerful courage, which has aided in no small way the smooth running of the Hospital. Mr. Matheson, our Business Manager, is worthy of comment. His is a position of extreme responsibility, and its ramifications many. Careful foresight has to be exercised at all times to see that supplies do not run short, and the trend of the markets must be watched. Costs are still high, and I feel much credit is due Mr. Matheson and his staff for the able manner in which their work is carried out. The returned-soldier organizations still maintain their sympathetic contact with the Hospital. They are ever ready to lend a helping hand both to those remaining in the Hospital and those seeking rehabilitation. The members of the British Columbia Police service aid us materially at all times and in ways which are not evident to a great many. I may say that their sympathetic co-operation has eased our task on more than one occasion. Our branch at New Westminster is a valuable portion of your hospital service and is under the immediate direction of Dr. Sauriol. The school is conducted by certified school-teachers, and it is amazing what is done for these subnormal cases. Recreational and occupational activities are important features and are eagerly anticipated. One feels gratified that so much can be done to make their lives happy and useful. LABORATORY REPORT. HH 17 At Colquitz, as you know, are housed our criminally insane, and they are a more difficult type to treat. Dr. d'Easum is ably carrying on this work, and one is pleased to note that more is being done for the patients than was at one time deemed possible. We are glad, indeed, to report that Mr. Morris has recovered from his severe knee injury and is back on the staff once again. He has always shown keen interest in the work of the Hospital and its progress. I also wish to remember at this time the Department of Public Works, which has always been ready to assist us, and our demands have been heavy. Lastly, to you, sir, and to your deputy, I acknowledge with a deep sense of gratitude your efforts to forward the work of the Hospital. Your keen perception of our problems and sympathetic understanding have done much to mitigate the many difficulties and frustrations that arise. Without your clear insight into our needs, the Hospital would not have shown the onward progress it has. Mental illness is now recognized as being in the field of medicine at university level. This recognition is most encouraging for further effort to round out and complete our programme. I have the honour to be, Sir, Your obedient servant, A. L. Crease, Director of Mental Hygiene and Psychiatry. LABORATORY REPORT. Provincial Mental Hospital, Essondale, B.C., March 31st, 1949. 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, 1948, to March 31st, 1949:— Blood— Kahn, positive 84 Kahn, quantitative 81 Kahn, negative 1,685 Red-blood count and haemoglobin 2,372 White-blood count and differential 2,317 Sedimentation rate 818 Sternal-marrow count _ 2 Coagulation time 67 Bleeding time 77 Prothrombin time 29 Platelet count 38 Reticulocyte count _ 64 Fragility 1 Barbiturate 2 Glucose 188 Glucose tolerance 14 Insulin sensitivity 2 HH 18 MENTAL HOSPITALS REPORT, 1948-49. Blood—Continued. Non-protein nitrogen 163 Urea nitrogen 13 Urea clearance 1 Uric acid 3 Creatinine 2 Cholesterol 52 Bromide 44 Chloride 3 Pot. thiocyanate 3 C02 determination 2 Diastase 1 Serum— Total protein 11 Alb.-glob, ratio 2 Calcium 4 Icterus index 32 Van den Bergh 24 Hanger flocculation 10 Alkaline phosphatase 4 Thymol turbidity 1 Blood— Culture 19 Widal 18 Agglutination for B. abortus 11 Paul Bunnell 3 Spinal fluid—■ Kahn, positive 39 Kahn, quantitative 11 Kahn, negative 69 Cell count _■_ 165 Colloidal gold 114 Total protein 159 T.B. . 1 Chloride 2 Glucose 2 Urines— Routine general 9,164 Acetone 3,471 Quantitative sugar 755 Pentose 2 Levulose 1 B romides 1,165 Bromide, quantitative 1 Iodide 11 Chloride 5 Benzidene 1,182 Quantitative albumin 83 Bence Jones protein 2 Ascheim-Zondek 26 Bile 16 Urobilinogen 26 T.B 11 LABORATORY REPORT. HH 19 Urines—Continued. Barbiturate ____ P.S.P. 24-hour 1 Volhard and Fahr tests 1 Phenylpyruvic acid 2 Urea nitrogen : 3 Diastase 1 Smears— Miscellaneous 314 G.C. 42 T.B. 35 Vincent's angina 45 Malaria 25 Trichomonas 14 Diphtheria 1,722 Dark field 2 Fontana 2 Leprosy 1 Sputum— T.B. 211 24-hour for T.B 27 Elastic fibres 1 Cultures— Miscellaneous 104 Diphtheria 1,432 G.C. 1 Typhoid 1,055 Dysentery 869 T.B. 8 B. abortus 3 F_eces— Parasites 13 Occult blood 30 T.B. 7 Bile 2 Fat 2 Injections— Typhoid vaccine 562 Diphtheria vaccine 102 Pollen antigen 35 Scarlet fever toxin 35 Skin tests— Tuberculin (Vollmer) 174 Undulant fever 3 Schick test 246 Smallpox vaccinations 58 Gastric analysis 15 Gastric for T.B. 27 Vomitus for occult blood 2 B.M.R.'s : 162 Biopsies 4 Autopsies 70 HH 20 MENTAL HOSPITALS REPORT, 1948^49. Animal autopsies 53 Sections 1,136 Water for bacterial count 85 E.K.G. : 225 Agglutination for dysentery 63 Agglutination for typhoid 29 Diphtheria virulence test 4 Ascitic fluid, routine 1 Milk for butter-fat 8 Total number of examinations 33,839 I have, etc., G. A. Nicolson, Pathologist. 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, 1948, to March 31st, 1949 :— Number of films taken 11,613 Number of patients X-rayed 8,829 Patients. Films. Chests 6,887 7,045 Extremities 556 1,546 Heads 182 547 Spines 844 1,278 Pelvis 32 38 Shoulders 61 124 Jaws 21 57 Gastro-intestinal 28 294 Nose 17 54 Abdomens 71 103 Ribs 25 50 Teeth 19 57 Sinuses 23 74 Mastoids 6 • 16 Barium enema 16 107 Gall-bladder 14 68 Pyelograms 15 94 Pneumo-encephalograms 6 50 Soft tissue (neck) 2 4 Kidney 2 2 Hard palate 2 5 I have, etc., 8,829 11,613 J. M. Jackson, M.D., Director of Radiology. PHYSIOTHERAPY REPORT. HH 21 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 in Essondale from April 1st, 1948, to March 31st, 1949 :■— Male. Female. Total. Continuous maths Cold wet packs Foam baths Electric cabinet baths Needle spray, rain spray, douches, etc Massage, active and passive movements.... Inductothermy, short wave Infra-red radiation Ultra-violet radiation (mercury quartz).... Sitz baths Tub baths Footbath Arm bath Chiropody Electro-surgery Total number of treatments Total number of patients treated 2 40 58 740 525 1,064 64 4 287 70 120 74 3,352 409 819 2 209 209 572 477 3,530 182 6,009 663 1,123 2 211 40 267 1,312 1,002 4,594 246 4 287 70 120 74 9 9,361 1,072 I have, etc., A. E. Davidson, Clinical Director. PSYCHOLOGIST'S 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 work performed for the fiscal year ended March 31st, 1949:— Test. Essondale. New Westminster. Boys' Industrial School. New Haven. Oakalla. Total. Ascendence Submissive Study Benjamin Proverbs Bennett & Fry Mechanical Comprehension California Test of Personality Casuist Form Board Chicago Non-verbal Culture Free Test Detroit Reading Tests Five Figure Form Board Gamin General Clerical Guilford Martin O.Co.Ag Hanfmann-Kasanin Ingraham Clark Diagnostic Reading KentE.Y.G Kent Rosanoff Kuder Preference Record Lee-Clark Reading Readiness McQuarrie Test of Mechanical Ability Mental Health Analysis Minnesota Multiphasic Monroe Reading and Arithmetic Occupational Interest Inventory Otis Self-administering P.S. Experience Blank Personal Audit Porteus Maze Performance Scale Purdue Peg Board S.T.D.C.R Seguin Form Board Shipley Hartford Retreat Scale Stanford Achievement Stanford Arithmetic Stanford Binet Form L Stanford Binet Form M Thermatic Apperception Test Thurston Test of Mental Alertness Tiegs & Clark Progressive Achievement Two Figure Form Board Vineland Social Maturity Vocational Interest Inventory Wechsler-Bellevue Intelligence Wechsler Memory Scale Totals 1 22 1 15 2 4 7 2 7 2 1 7 6 1 2 49 4 1 9 1 1 68 1 16 1 1 1 144 24 24 4 2 24 19 31 27 1 1 62 15 24 6 26 528 317 20 15 23 116 1 22 1 35 24 4 2 6 24 7 2 7 2 19 1 7 6 25 2 23 49 4 1 1 114 28 3 27 239 1 1 78 1 1 1 15 24 6 23 301 24 55 46 231 1,177 Psychiatric Nursing Staff. Test. Male. Female. Total. 129 129 129 165 165 165 165 Guilford Martin Test O.Co.Ag 129 294 165 129 Totals 387 495 882 Grand total: 1,177+882=2,059. I have, etc., C. B. Watson, Psychologist. DENTAL REPORT. HH 23 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 newly admitted patients able to present themselves were examined, and dental charts filed. All acute conditions were given precedence, and relieved the same day as reported. New dentures were made on recommendation of the medical staff, and other dentures repaired as needed. Restorations of caropis teeth have been made as far as time would permit. Summary. Examinations 688 Extractions 477 Fillings inserted 151 Treatments 168 Local anaesthetics 296 Dentures repaired 72 Dentures rebased 7 Dentures made 29 Bridges repaired 2 Alveolotomy 6 Prophylaxis 96 General anaesthetics 4 Provincial Mental Hospital, New Westminster. Summary. Examinations 524 Extractions 402 Fillings inserted 47 Treatments 63 Prophylaxis and pyorrhoea treatments 125 Dentures repaired — 1 General anaesthetics 17 Local anaesthetics 76 We have, etc., Milton Jones, D.D.S. Emery Jones, D.D.S. HH 24 MENTAL HOSPITALS REPORT, 1948-49. 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, 1948, to March 31st, 1949:— Refractions: Male, 41; female, 93; total, 134. Repairs and replacements sent to J. S. Hudson Optical Supplies, 169. Minor repairs and adjustments at Hospital, 55. 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 a report of the appointments in the beauty-parlour from April 1st, 1948, to March 31st, 1949:— Shampoos , 4,822 Finger-waves 4,695 Marcels 107 Haircuts 3,911 Permanents 431 Oil treatments 101 Manicures 1,304 We have, etc., E. EMBREE. M. TOWNSEND. REPORT OF DEPARTMENT OF NURSING. A. L. Crease, Esq., M.D., CM., Director of Mental Hygiene and Psychiatry, Provincial Mental Hospital, Essondale, B.C. Sir,—I respectfully submit the report of the Department of Nursing for the fiscal year ended March 31st, 1949. This year ended with the following personnel: Registered nurses, 16; psychiatric graduates, 53; psychiatric nurses-in-training, 214—making a total staff of 283. Resignations for the year numbered 178, and new appointments, 193. The reasons for resignations are as follows: 26 to he married, 17 because of ill-health, 49 to continue education (approximately 30 of these were summer relief), 13 resuming household duties, 25 to take up some other occupation, 8 found hours too long, 30 unsuitable, 6 at completion of postgraduate course, 2 superannuated, 1 over age, and 1 death. This turnover of staff, although great, is not as large as last year. This may be attributed in part to one of a number of factors, namely, long hours, insufficient number REPORT OF DEPARTMENT OF NURSING. HH 25 of staff because of lack of accommodation, overcrowded conditions for patients which make working conditions more difficult, lack of recreational facilities at Hospital, and the distance from town. This year greater demands have been placed on head nurses and students with a still more active treatment programme. With our new nurses' residences, which will allow for the straight eight-hour day, and the new auditorium, we trust the staff will be a happy, contented, and satisfied one. The School of Nursing has had another busy and successful year. Thirty-two nurses received diplomas in psychiatric nursing, having completed the three-year course; one registered nurse completed the six months' course in postgraduate study and thirteen male students received certificates, having completed the qualifying course. The three-year course commenced this year for male staff. Twenty affiliate students from Vancouver General Hospital and three University of British Columbia degree students completed their two-month course of experience and instruction. Nine nurses from the Public Health Division of the University of British Columbia were given three days' observation and instruction, while special clinical demonstrations and lectures were provided for 100 social service students, 54 psychology, 20 public health, and 134 educational. Miss E. Pullan, Head Instructress, obtained her Bachelor of Science degree in the fall of 1948. To her go the best wishes of all staff members. Miss C. Livingstone joined the staff in July and is a valuable member in her capacity as clinical and classroom teacher. Miss E. Johnstone returned from McGill University and spent a successful year in organizing and teaching the staff of the New Westminster branch, where the three-year course for nurses and attendants has been inaugurated. Also this year, sixteen nurses completed the qualifying course at that branch. Miss H. Shand is the fourth nurse to go to McGill University to take the course in teaching and supervision in psychiatric nursing. She will return in July upon completion of her course to assist with the teaching programme. Miss E. Brown at this date is taking a six months' course in neuro-surgery at the Montreal Neurological Institute. Miss Brown is preparing to take over the operating theatre in the Crease Clinic. Miss J. Menzies, from the teaching department, organized the Aged unit at Vernon, which was opened in July. At this time five psychiatric graduates transferred to this unit, and we felt keenly the loss of these nurses. The remaining staff are nurses' aides whom Miss Menzies prepared for their duties before returning to Essondale for the teaching- year. Miss L. Whitehead, a psychiatric graduate, is in charge of that unit. In January, 1949, Miss C. McLeod was appointed Nursing Counsellor. Miss McLeod has been a member of this nursing staff for almost ten years. We regret losing Miss McL'eod from the nursing staff; however, her knowledge of staff problems will be of distinct value to her in carrying out her new duties. Commencing in the fall of 1948 our health programme for nurses included a complete physical examination within the first month of service. This includes a complete medical examination with chest X-ray, Kahn, urinalysis, haemoglobin, mantou, and any inoculations which have not previously been done. This examination is not only of great value to the staff member, but also to the Hospital. Our registered nurse in charge of the nurses' infirmary has been of tremendous value. Again, for the nursing staff, I would like to thank those who have given so freely of their time and counsel, for their interest and help in the teaching programme through another difficult year. I have, etc., Mona E. Parsons, R.N., Director of Nursing. HH 26 MENTAL HOSPITALS REPORT, 1948-49. OCCUPATIONAL THERAPY DEPARTMENT. A. L. Crease, Esq., M.D., CM., Director of Mental Hygiene and Psychiatry, Provincial Mental Hospital, Essondale, B.C. Sir,—In addition to the production reports which appear elsewhere in this Report, some mention should be made of the activities carried on in the Occupational Therapy handicraft workshops in the Admitting and also the Female Buildings. It is the aim of this department to provide suitable employment for as many as possible of the women patients. Occupations are chosen with the patient's interests and capabilities in mind. Many women prefer to do household tasks as they would at home. For these people the sewing, mending, and ironing provide ample opportunity for them to do work which is useful to the Hospital and beneficial to themselves. These activities give them a regular routine and the knowledge that they are helping others. In the handicraft workshops, women are encouraged to learn new arts and develop new skills. Occupations which are used for therapeutic purposes with good results include weaving, needlework, knitting, dressmaking, drawing and painting, square knotting, and rug-hooking. As much use as possible is made of salvaged materials. For special occasions such as Hallowe'en, Christmas, Easter, this department has co-operated with other departments in the Hospital to make and arrange costumes or decorations for the various recreational and social activities. During the summer months, certain patients are permitted to make gardens in space allotted for this purpose. This activity is under the direction and supervision of Miss Hincks, Assistant Director of this department. The schoolroom is another feature of the department. Here classes are provided for younger patients or anyone who is interested in improving his or her academic standing. Several patients are enrolled for correspondence courses provided by the Department of Education at Victoria. An effort has been made to provide opportunities in occupational therapy for patients confined to the wards at the Home for the Aged as well as in the Admitting and Female Buildings. In this we have been fortunate in having the co-operation of the nursing staff for much of the actual supervision of the work, with visits by staff occupational therapists whenever possible. During the year, displays of finished articles produced in this department were shown at the Women's Institute Annual Flower Show at Port Coquitlam, at the opening of the Legislature in the Parliament Buildings in Victoria, and also at the Hudson's Bay store in Victoria. Much public interest was gained by these displays. I have, etc., MlLLICENT E. WEEKES, Director, Occupational Therapy Department. RECREATIONAL REPORT. HH 27 RECREATIONAL 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 for your information the following report showing attendance figures and the variety of recreational programmes promoted by the Recreation Department from April 1st, 1948, to March 31st, 1949: Number of Total Programmes. Programmes. Attendance. Bingo gatherings 9 3,600 Swimming 91 3,640 Dances 73 14,600 Bands and concerts 13 9,100 Inter-ward cribbage and checker tournaments 30 900 Crossword and cryptogram contests 25 * Physical education periods—• Outdoor 90 3,150 Indoor 32 832 Picnics 20 800 Music appreciation periods 48 4,800 Variety parties or dances 17 6,800 Totals 448 48,222 * Unestimated. With reference to the above physical education classes, these include participation by the patients in such sports as tennis, volleyball, archery, horseshoes, tether tennis, goal-hi, golf, calisthenics, club swinging, wand and dumb-bell drills, handball, basketball, shuffleboard, badminton, and scrimmage. The following are special or progressive inaugurated events to our programme this fiscal year:— (1) The addition of R. E. Routley, of the male nursing staff, to our recreational staff. (2) The inauguration of summer staff picnic and sports dances. (3) The opening annual sports and field day, at which 1,500 patients spent the entire day outdoors, participating in the events and entertainment. (4) The formation of fall and winter evening physical education and game classes for insulin and active treatment patients. (5) The advancement of our weekly programme bulletin from a one-page sheet to a four-page weekly booklet, with newsy events and crossword and cryptogram contests, etc. (6) Inter-ward chess tournaments were started and will be included with the regular cribbage and checker tournaments. (7) Separate ward tournaments of various kinds were organized throughout the year by the Recreation Department and supervised by and through the co-operation of the male and female nursing staff on these individual wards. With reference to the above figures, may I respectfully draw your attention to the fact that with the exception of bands, concerts, and music appreciation periods, which are classified as entertainment periods, the whole of the above programme has required actual physical and mental participation by the patients. HH 28 MENTAL HOSPITALS REPORT, 1948-49. I feel sure that with the continued support of my staff and the co-operation I have received from the ward staff, there is no limit to the further progression of the recreational programme. I have, etc., W. R. Brown, Recreational Director. LIBRARY 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 medical and patients' libraries for the year ended March 31st, 1949:— Medical Library. Book collection 615 New books added 251 Total 866 Journal collection 61 New journals added 21 Total . 82 Journals bound (volumes) 49 Patients' Library. Book collection 2,500 New books added 615 Total 3,115 Number of borrowers 922 Number of books circulated , 7,750 I have, etc., Jean S. Irving, Assistant Librarian. 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 are consolidated summaries of the work done in the Child Guidance Clinics throughout the Province from April 1st, 1948, to March 31st, 1949. These tables are based on the complete examination or re-examination of each case. Partial examinations are shown in the reports of psychiatric interviews, psychological examinations, etc. CHILD GUIDANCE CLINICS. HH 29 Table 1 shows in summary the general activities of the Clinics. There has been an increase in the number of Clinics held, in physical examinations, urinalyses, playroom observations, and case conferences. For the first time in its history, a Clinic was held at Murrayville. All the other places listed have had Clinics on previous occasions. Table 2 shows the number, sex, and status of all cases, both new and repeat, examined at the Clinics. This table reveals an increase in the total number of cases seen. This increase is accounted for by an increase in the number of new cases, mostly adult males and female children, and an increase in the number of repeat male cases, both adult and children. Table 3 is an analysis of the sources of all cases referred to the Clinics. It is to be noted that while the largest number of cases are referred by social agencies, a considerable proportion are from other sources—'Courts, schools, medical and health agencies, parents, relatives, private physicians, and others. There has been a marked increase in the number of candidates screened for their, suitability for retraining and rehabilitation under the Borstal system. Table 4 is a summary of the problems and disorders presented by the new cases seen at the Clinics. The two largest groups are the primary behaviour disorders and cases for adoption. Table 5 gives an analysis of age-groups and intelligence. It shows that a considerable number of the children seen at the Clinics are in the pre-adolescent or younger groups and of average or better than average intelligence. In these groups the childhood emotional bonds and influences are still mainly in the home. Therefore, the greatest possible benefit to the child can be expected from changing attitudes within the home. This manoeuvre may be too late when the extra-family or social bonds of adolescence become stronger than the intra-family bonds. This emphasizes the importance of remedying abnormal behaviour in children by working with the parents. The parents are usually eager for help with the baffling problems the children present. Table 6 shows the number and types of psychological tests carried out in the Clinics. There is much fundamental research to be done concerning normal physical and emotional development and their interrelationship. The factors of inborn temperament, parental attitudes, and place in the family in developmental patterns require thorough investigation. During the year notable progress has been made in increased accommodation and equipment. The house next to the Clinic at 445 Thirteenth Avenue West has been remodelled into eleven offices. This will help in a measure to relieve some of the overcrowding which was interfering with the proper functioning of the Clinic. The provision of extra diagnostic and treatment equipment for all the Clinics will make it possible to detect physical abnormalities at an earlier date and will be of great assistance in treating these defects. The teaching equipment will improve the training given to students in the mental health service. During the year three members of the Clinic staff have been absent on leave for postgraduate training. It is hoped that the programme of postgraduate training for members of the Clinic staff will be continued. The most important and basic Clinic need is for increased professional staff. Lack of suitably trained personnel prevents the completion of the present establishment. This lack of staff is not peculiar to the Province, but it is continent-wide. Another need, constantly growing more pressing, is the provision of a residential observation and treatment centre for certain selected cases of emotionally disturbed children in the pre-adolescent group. Without adequate treatment this group usually shows an inevitable progression so that permanent institutional care, of one type or another, is required. HH 30 MENTAL HOSPITALS REPORT, 1948-49. At the Vancouver Clinic, which is under observation during office hours only, there is an ever-present danger of fire and theft. The buildings are of frame construc tion and house, apart from replaceable furniture and equipment, a set of over 8,000 files of patients seen at the Clinic. If lost or destroyed, these files are irreplaceable. I would like to express my appreciation of the co-operation of all those who have made it possible for the Clinics to function in an adequate and satisfactory manner. Table 1.—Summary of Clinics' Activity, April 1st, 1948, to March 31st, 1949. > a o .2 £ >> 6 0J 4- W c 'p fl ,-C o cd * 6 2 fl c 0 +- y 0 o h T3 O EQ g < c CJ B cd > 4J> CJ u H s S *"!_ ate '3 "5 .3 o c cd u OJ > -_» S fl cd O O <_ 1 ra cd *_ o H 243 24 1 4 1 3 ft 8 2 fl 2 2 1 296 636 85 3 15 4 11 11 31 7 8 7 8 4 830 529 3 3 8 7 4 554 258 258 689 70 4 15 4 11 11 30 7 8 7 8 5 869 210 11 1 1 2 1 3 1 1 231 1,105 161 8 28 8 21 20 44 9 15 13 16 8 1,456 Table 2.—Number, Sex, and Status of all Cases examined at Child Guidance Clinic, April 1st, 1948, to March 31st, 1949. B O ed c. 6 o e fl C o cd d fl j rj t. O <H to S ti fl ta > cj > 3 i t_ 1 tr CD "oj 2 o s cd 55 c > ■h fl <_ CL, fl cd u O O ,J- a Id ra 1 _H 629 68 l 15 3 9 7 23 5 5 7 7 3 782 Males—■ Adults 108 2 110 Children 251 36 l 11 1 .. 4 14 4 5 4 1 2 339 Females— Adults 69 7 1 1 78 Children 201 23 4 1 4 3 8 1 3 6 1 255 198 20 3 1 2 4 8 2 3 1 1 243 Males— 34 1 1 Children 100 15 2 1 4 2 3 Females— Adults 7 1 8 Children 57 3 1 1 3 1 66 827 88 4 15 4 11 11 31 7 8 7 8 4 1,025 CHILD GUIDANCE CLINICS. HH 31 Table 3.—Sources of all Cases referred to Child Guidance Clinic, April 1st, 1948, to March 31st, 1949. Agency or Source. Number of Cases. Total. Percentage Distribution. 321 157 64 36 21 7 1 1 5 5 43 9 7 2 2 1 1 1 2 3 47 13 5 3 43 2 3 119 37 60 2 1 1 608 10 66 73 45 122 37 60 4 59.32 Y.M.C.A 0.98 6.44 7.12 Public— Other— 4.39 11.90 3.61 5.85 9. Other 0.39 Totals 1,025 100.00 HH 32 MENTAL HOSPITALS REPORT, 1948-49. Table 4. — Problems and Disorders presented by the New Cases given full Examination by Child Guidance Clinic, April 1st, 1948, to March 31st, 1949. Children. Adults. Total. M. F. M. F. 1. Primary behaviour disorders— (a) Habit disorders— 9 1 4 3 1 3 2 1 1 2 1 2 2 1 3 2 2 22 2 1 10 2 3 6 3 1 1 6 1 3 7 1 3 1 3 5 1 2 1 1 1 7 1 11 1 8 2 6 2 3 3 1 1 .... 3 .../ 1 .... 1 1 1 15 2 7 3 1 Other (_) Personality disorders— 10 3 4 2 3 2 1 Other 13 (.) Neurotic disorders— 3 Stammering 2 1 1 1 Other (d) Conduct disorders— 4 2 2 33 3 1 21 3 12 2 12 2 4 Other 1 2. Psychotic and pre-psychotic— 2 1 Other 3. Psychoneurosis and neurosis— 1 .... 1 1 1 child guidance clinics. HH 33 Table 4. — Problems and Disorders presented by the New Cases given full Examination by Child Guidance Clinic, April 1st, 1948, to March 31st, 1949—Continued. Children. M. F. I Adults. Total. 4. Convulsive disorders— Epilepsy Other 5. Psychopathic personality 6. Educational disability— (a) Associated with dull normal or border-line intelligence.. ib) Special mental disability— Writing Reading Arithmetic Other 7. Mental deficiencies— (<x) Famelial (_) Mongolism (c) With developmental cranial anomalies (d) With congenital spastics... (e) Post-infectional (/) Post-traumatic (g) With epilepsy (h) With endocrine disorders (.) With other organic nervous disorders (j) Undifferentiated (fc) Other 8. Mental retardation 9. No ascertained mental deviation— (a) W M (d) («) (/) (_-) (ft) Problem of physical health and development.. Spastics Speech problems Hearing problems School problems Social problems ,. Placement Adoption Unmarried mother.. Married mother Other Unascertained Normal personality (1) (2) (3) (4) (5) 10. Vocational guidance.. 11. Borstal 4 1 2 j 3 12 4 I .... [ .... 6 j 1 1 1 I 24 15 3 11 14 1 6 5 4 1 3 13 16 91 74 1 87 103 9 16 1 4 1 4 4 1 41 1 2 1 9 11 1 <» 1 < - 30 | 165 54 62 2 ! 2 .... 1 22 5 13 75 HH 34 MENTAL HOSPITALS REPORT, 1948-49. Table 5.—-Chart comparing Ages with Intelligence Quotients of all New Cases given Full Examination at Child Guidance Clinic from April 1st, 1948, to March 31st, 1949. Males. Females. 0-19 1 i 20-49 2 1 5 i 2 ! 7 1 2 3 2 6 1 3 1 9 50-69 25 70-79 3 ! 3 ! 7 4 5 1 1 24 80-89 5 1 " i 25 | 9 ! 9 ! 17 | 5 11 11 7 12 13 7 6 6 4 3 2 1 1 38 90-99 59 100-109 74 110-129 22 1 13 [ 12 7 7 5 I 67 130-139 3 1 1 2 1 1 8 140+ j 1 1 I Totals 82 | 61 | i 53 53 35 17 4 305 Intelligence Quotient. Age in Years. 1-4. 5-9. 10-14. 15-19. 20-24. 25-29. 30-34. 1 35-39. 1 40-I-. 1 ! Totals. 0 19 7 10 3 8 16 27 26 6 5 16 9 19 16 19 8 2 1 2 6 4 13 15 11 111 4 1 1 4 6 7 24 23 17 1 2 3 7 11 15 11 1 1 20 49 15 50-69 70-79 80 89 38 25 54 90-99 100-109 110 129 82 95 74 130-139 140+ 1 -- 1 12 2 Totals 103 93 66 84 49 1 j ! i 398 child guidance clinics. HH 35 Table 6.—Psychologists' Eeport of Tests administered in Child Guidance Clinics, 1948-49. Test. u V > P o CJ c cd > cd 'j. Q +_ CJ i> d J c cd z 1 tn ti I 55 te fl q +- CJ a OJ CL. ,2 t cd H 3 s u cd 2 1 ° '3 H o o u fl fi B o c dj > e < s 0 S "cd o_ 13 U o 1 fl o ■ji % 55 "ed O H 509 239 67 24 2 3 1 41 206 20 1 26 1 1 3 72 153 77 20 1 4 7 12 15 2 69 11 7 13 1 1 1 2 13 4 19 10 19 21 58 115 70 6 3 3 18 2 3 4 23 13 1 1 1 1 1 1 1 1 1 1 32 4 2 19 2 11 5 1 1 2 2 1 1 15 12 8 8 3 6 1 4 1 4 1 4 3 4 6 1 1 1 3 1 1 1 1 1 1 7 6 2 2 1 1 7 4 4 3 4 3 1 1 1 1 7 1 1 2 6 1 1 7 1 2 2 3 658 250 70 27 2 3 1 1 44 280 22 1 29 1 1 3 82 219 114 26 2 5 Iota Word Test 8 15 16 2 75 12 9 N.I.I.P. Clerical 14 1 1 Aptitude Test for Teaching 1 1 9 14 . 4 22 12 19 22 58 115 I have, etc., Ultan P. Byrne, M.D., D.P.H., Director of Child Guidance Clinics. HH 36 MENTAL HOSPITALS REPORT, 1948-49. SOCIAL SERVICE REPORT. REPORT OF PSYCHIATRIC SOCIAL WORKERS' PARTICIPATION IN PROVINCIAL MENTAL HOSPITALS AND HOMES FOR THE AGED. The Social Service Department attached directly to the Provincial Mental Hospitals and Homes for the Aged has in previous years endeavoured to work as part of the team assisting in the patients' treatment. In order to do this, there must be an understanding of the needs and the psychiatric factors involved in the illness of the patient, and an ability to co-operate with the rest of the team and at the same time work within the limits of our own profession on a case-work level, but maintaining an understanding of the job of the other team members and how their work dovetails to make a co-operative plan. There was a time when most of the energies of the psychiatric social workers were spent in the taking of social histories. These histories were often so long and involved that they became of little use to the rest of the team. History-taking without case work with the patients and their families is fast fading out. We must be able to interpret the patient's pattern of living, his total environment, and his probable assets for rehabilitation. To do this, the psychiatric social worker is the person who has the contact with the home and community from which the patient came. This last year the whole team has been more aware of the needs for rehabilitation. The Psychological Department has been of great assistance in giving us leads in types of occupation for which the patient is best fitted. The rehabilitation home, " The Vista," has been a great help. Through the observation, treatment, and job-finding carried on in this centre, the female patients have shown a more permanent recovery. With the male patients, we have one male staff member assigned to work with the patients who are about ready and are discharged. We hope this will lead to a new division of rehabilitation within the Social Service Department. There have been 121 patients helped to find jobs. Some of the patients had more than three jobs found for them before a placement fitted to the patient's needs presented itself. The help received through the field service embracing all of British Columbia has been absolutely wonderful. We are indeed fortunate to have the assistance from this source. Only those of us who worked in this field previously fully appreciate the total coverage which we now have. From most remote sources, the field submits case- histories and prepares the ground for the patient's return home, and reports back to us during the patient's six months' probation. We, in turn, supervise and give as much guidance as possible. This again is team play. The slow, steady work involved in education of this group of field workers has paid dividends. It is one of our pleasures to participate in their training and supervision. In conjunction with the educational work, we also enjoyed having two social service students from the University of British Columbia doing field work within the Mental Hospital setting. There were six clinics given to the whole social service class of the University of British Columbia at the Mental Hospital. The staff psychiatrist directed and gave these clinics, and again as part of the team we participated. We have had the usual number of visitors from other fields and participated in the University lecture course for the public health nurses, as well as having them for stated periods of orientation. Our department spoke to eight groups in the community. The staff of the Social Service Department has been increased and, as a whole, has been fortunate in receiving more teaching and actual participation in the total planning for improved treatment for the patients. We are indeed fortunate to be an active and participating part of the whole Hospital programme. social service report. hh 37 Provincial Mental Hospital and Home for the Aged Statistics, April 1st, 1948, to March 31st, 1949. Number of New Cases referred to Social Service Department. In Vancouver : 524 Out of Vancouver 726 1,250 The number of new admissions was increased by 139 during the past fiscal year. Disposition. Discharged on probation— In Vancouver 244 Out of Vancouver 231 ■ 475 This is an increase of 75 cases which were referred for probation services. Report of Social Service Work carried out by Members of the Social Service Department at Essondale. Initial interviews to obtain social histories— In Vancouver 1,364 Out of Vancouver 8* 1,372 Other interviews entailing case work such as consultations with other social agencies, public and private, employers, school authorities, and other resources in Vancouver 1,198 Probation visits— In Vancouver 725 Out of Vancouver 725 Out-of-town supervisory service by mail— Letters to the Provincial field staff requesting social histories and probation visits, and of a general supervisory nature 2,123 Letters to other social agencies in and out of British Columbia 287 2,410 Social histories, probation and other reports, and letters of a general consultative nature received from Provincial field staff 1,531 Histories, reports, and letters received from other Social Agencies in and out of British Columbia 352 • 1,883 . Orientation periods for nine public health nurses, one postgraduate nurse, and fifty-four field service staff. Special Assignments.. Old-age pension _ 412 Reports on rehabilitation of special cases in Vancouver 432 * These are cases referred to our department for special work by trained psychiatric social workers under the direct supervision of the psychiatrist. HH 38 MENTAL HOSPITALS REPORT, 1948-49. REPORT OF SOCIAL WORKERS' PARTICIPATION IN THE CHILD GUIDANCE CLINICAL SERVICES. During the past fiscal year the social workers in the Child Guidance Clinic setting have done more intensive work with individual cases. We have tried to give as high- standard work as possible, and endeavoured to give a quality of service to a limited number rather than a little work on a quantity of cases. This, of necessity, demands greater skill, particularly in a public welfare service. The staff have worked to the limit of their capacity with an enthusiasm and real interest as only can be enjoyed when there is true team play. The pre-clinical work with patients has shown what can be done when a child and his parents have been properly prepared for a clinical examination. We have found that there has been a more definite acceptance of the psychiatrist's findings and plan of treatment. In fact, it has shown that this period is most important and in good preparation ; a great deal of team time is saved with a greater real acceptance of the service. The consultative service given to social agencies has also helped as a time-saver, as well as a help toward more constructive case work to the whole family group. The teaching element of the consultative clinic is of great value. Here, mental hygiene principles are brought out in relation to a specific case, which in turn demonstrates to the work what can be considered in the treatment of others. The participation of a social worker in group discussion assists in more logical thinking, readiness to study, and relate what she has learned to her clients. The Clinic is stationary and travelling, and has reached a large group of allied professions—teaching, nursing, medical. The individual case has been used as a basis for this teaching. In all clinicals, co-operative case work has increased. It is here that the psychiatric social worker acts as a consultative or leader, while not actually devoting the time to the individual case. This requires greater skills and higher training on the part of the psychiatric social worker. In this last year we have had more students for orientation for from one-day to two-week periods. There is a great deal of planning involved in this sort of work, and the needs of the patient must always be kept in mind and not neglected. We are conducting the clinic for the treatment of children primarily, and not a teaching clinic. The latter is incidental but also most important. We never think of a report of this kind without remembering that each child has parents, uncles, aunts, etc., and often these persons require quite as much or more help. We have once again to treat the environment in the broad sense, as well as the patient. Throughout the-Province the field service has asked for and has worked from travelling clinical service. The case-loads are all high and valid as to problems, but they try not to neglect the child that with some help now may prevent years of distress to the family and to the parents. Prevention, unfortunately, does not show dividends in dollars and cents—that is, on paper—but we know from a study of our case-histories that with the assistance of help at a crucial time, there has been a great deal of unhap- piness, delinquencies, etc., prevented. The Clinical Director's report should be read in conjunction with this report, as psychiatric social workers are only a part of the team which participates in the work of the Child Guidance Clinics. SOCIAL SERVICE REPORT. IH 39 Statistical Report of the Psychiatric Social Workers, Provincial Child Guidance Clinics, for the Fiscal Year April 1st, 1948, to March 31st, 1949. Vancouver. Victoria. Total. Case-work services— 65 102 14 170 100 81 1,121 960 218 297 34 1 21 2 1 59 114 33 48 11 92 58 34 419 57 21 1 12 72 98 Cases referred during the year— 150 25 Total number of cases carried during fiscal year (C.F.+New+R2) 262 158 115 Total number of interviews with and regarding patients (included are relatives, physicians other than Clinic psychiatrists, social workers attached to other social agencies, school personnel, public health 1,540 1,017 239 Other than case-work services— Conferences attended— 298 Persons referred for orientation— Social workers attached to other agencies Total 71 186 Travelling clinics (not including Victoria Child Guidance Clinic) — 32 150 J. F. Kilburn, Provincial Supervisor, Psychiatric Social Work. HH 40 MENTAL HOSPITALS REPORT, 1948-49. ___-9n_H-H8-N-Mn Hundred-bed unit, Home for the Aged, Essondale. General view of Colony Farm, Essondale, during flood, June, 1948. STATISTICAL tables. STATISTICAL TABLES. HH 41 Table No. 1.—Showing the Operations of the Hospitals—Essondale, New Westminster, and Saanich—from April 1st, 1948, to March 31st, 1949. Movement of Population. In residence, Essondale, March 31st, 1948 In residence, New Westminster, March 31st, 1948 In residence, Saanich, March 31st, 1948 On probation, carried forward from 1947-48, Essondale On probation, carried forward from 1947-48, New Westminster On probation, carried forward from 1947-48, Saanich Admitted during the year 1948-49— By ordinary forms By urgency forms— By voluntary forms From the Yukon By warrant Total under treatment, Essondale, New Westminster, and Saanich, April 1st, 1948, to March 31st, 1949 Discharged during period of April 1st, 1948, to March 31st, 1949— (a) From Essondale— As recovered— As improved : As unimproved — Without psychosis.... Not insane On probation and still out Escaped, but not discharged Died (6) From New Westminster— As improved As unimproved On probation and still out. Escaped, but not discharged Died (c) From Saanich— As recovered As improved As unimproved On probation and still out Escaped, but not discharged Died Total discharged from Essondale, New Westminster, and Saanich Total in residence, Essondale, New Westminster, and Saanich Male. Female. Total. 1,832 371 295 103 4 1 S3 179 209 61 1 100 731 1,514 262 530 30 110 15 5 [ 7 I 503 7 55 1 1 73 162 188 17 1 116 632 3,346 633 290 221 5 1 1,533 37 165 16 1 136 341 397 78 2 216 1,362 1 5 10 S 16 Total. Male. Female. Total i I 2,603 ; 1,895 ] 4,498 691 569 | 1,260 1,294 I 2,464 j 5,758 I I 763 | 640 1,403 2,531 j 1,824 4,355 HH 42 MENTAL HOSPITALS REPORT, 1948-49. Table No. 1.—Showing the Operations of the Hospitals—Essondale, New Westminster, and Saanich—from April 1st, 1948, to March 31st, 1949—Continued. Movement of Population. Male. Female. Total. Total. Male. Female. Total. Essondale— 1,935 691 15 1 1,632 569 16 3,567 1,260 31 1 2,642 769 2,217 658 4,859 731 24 14. 632 26 1,362 50 14 1,427 375 24 263 26 638 50 1,873 1,559 3,432 New Westminster— Total on books, March 31st, 1948 399 31 289 24 688 16 15 8 16 24 31 55 293 14 293 14 368 265 633 Saanich— Total on books, March 31st, 1948 307 17 307 16 1 16 1 17 1,873 368 290 1,559 265 3,432 633 290 290 290 2,531 1,824 Total in residence, Saanich, March 31st, 1949 Grand total in residence, Essondale, New Westminster, and Saanich, March 31st, 1949 4,355 Daily average population Percentage of discharged on admissions (not including deaths). Percentage of recoveries on admission Percentage of deaths on whole number under treatment 4,313.59 76.59 10.87 3.63 STATISTICAL TABLES. HH 43 Table No. 2.— Showing in Summary Form the Operations of the Hospital since its Inception. Year. n ti .2 M DQ a Discharges. 3 a g ■Ti«M '5 ° CU V K°_] X tV<i E£.s a__ 2 fit rt at 01 rt 3 u o C 6 CO 5 u ti _■ a V s 3 CD aj il t*H _ oo i 8 s I +J Ih'S P.P.-JJ Percentage of Discharges to Admissions (Deaths excluded). Percentage of Deaths to Whole Number under Treatment. Recovered. Not recovered. 1872 18 1 i 16 1 1 18 5.55 5.55 5.55 1873 15 10 2 5 14 I 2 31 66.66 80.00 16.12 1874 12 4 3 19 5 26 33.33 33.33 11.63 1875 29 3 3 10 32 13 48 10.34 26.89 20.83 1876 22 11 3 5 35 3 54 50.00 63.63 9.35 1877 14 4 4 3 38 3 49 28.57 78.57 6.12 1878 16 7 1 3 8 36 2 54 43.75 62.50 16.16 1879 18 4 1 8 41 5 54 22.22 27.77 14.81 1880 17 5 5 48 7 58 29.41 29.41 8.62 1881 13 5 3 5 48 61 38.46 61.54 8.19 1882 7 3 1 2 49 1 55 42.85 57.14 3.63 1883 8 4 1 3 49 57 50.00 62.50 5.26 1884 10 2 4 2 51 2 59 20.00 60.00 3.33 1885 20 5 5 61 10 71 25.00 25.00 6.94 1886 27 10 6 6 66 5 88 37.03 59.25 6.81 1887 36 15 5 5 77 11 102 41.66 55.55 4.80 1888 26 12 6 3 82 5 103 46.15 69.23 2.87 1889 41 14 5 4 100 18 123 34.15 46.34 3.25 1890 52 17 6 12 117 17 152 32.69 44.23 7.64 1891 49 19 4 20 123 6 166 38.77 46.94 11.69 1892 52 17 | 10 13 135 12 175 32.69 51.92 6.95 1893 44 14 1 18 14 133 2 179 31.81 72.72 7.60 1894 80 62 13 19 29 1 11 19 20 162 164 29 2 213 224 16.25 46.77 40.00 64.51 8.92 8.92 1895 1896 64 23 | 25 9 171 7 228 35.93 75.00 3.94 1897 74 81 101 20 | 8 27 | 13 31 1 32 14 19 21 203 221 234 32 18 13 246 285 327 27.03 33.33 30.69 37.83 49.38 62.37 5.69 6.66 6.42 1898 1899 1900 IIS 1 S8 27 1 29 258 284 311 349 24 26 27 38 356 377 413 466 33.63 34.78 24.79 27.34 57.52 62.17 50.41 53.96 8.14 6.63 6.06 5.57 1901 115 | 40 121 1 30 20 31 25 25 26 1902 1903 139 1 38 1 37 1904 115 46 | 26 26 321 28 480 40.00 62.61 5.42 1905 123 160 43 | 33 36* 43 27 28 348 388 27 43 505 652 33.33 23.03 61.78 52.06 5.34 5.04 1906 1907 221 I 48 I 43 39 57 40 41 60 76 67 74 461 507 536 595 690 752 919 73 666 765 816 896 1,034 1,065 1,264 1,364 1,437 1,527 21.30 28.30 31.00 30.00 19.57 18.90 22.63 14.43 25.00 20.68 41.20 53.90 64.60 59.28 54.42 53.80 62.10 45.77 52.41 47.87 5.08 7.44 6.40 4.57 5.83 7.02 5.30 5.43 6.19 5.24 1908 230 232 280 332 375 380 68* | 56 73t 77 46 1 1909 29 48 105 1910 84 671 82 114 1911 1912 74* | 128 905 1 146 62 | 167 1 1913 1914 402 I 58 I 126 1,027 | 108 | 1.090 1 63 1 1916 332 | 83 | 91 | 89 353 73t | 96 j 80 1916 1,205 115 1 1917 : 371 | 88 j 78 j 106 375 1 75 I 95 1 132 1,301 1,347 96 | 46 1,650 1,753 23.72 20.00 44.74 45.33 6.42 7.47 1918 Jan. 1,1919, to 1 I March 31,1920 574 | 116 | 221 132 1,458 111 2,025 20.20 58.71 6.51 1920-1921 489 | 88 | 173 478 1 96 1 178 122 114 1S3 1,566 1,649 1,697 108 83 48 2,043 2,137 2,180 14.17 20.08 20.77 72.60 67.32 59.36 5.97 5.33 6.10 1921-1922 1922-1923 438 91 167 1923-1924 447 461 475 494 84t 121 163 138 142 161 1,784 1,884 1,995 2,125 87 100 111 130 2,234 2,327 2,434 2,565 18.56 13.66 12.00 15.38 64.20 66.16 62.53 50.00 7.25 5.93 5.83 6.27 1924-1925 63 | 242 57|| | 240 76g | 171 1 1925-1926 1926-1927 * Three not insa le. t One not insane. t Two not insane. § Four not in sane. || Six not insane. HH 44 MENTAL HOSPITALS REPORT, 1948-49. Table No. 2.—Showing in Summary Form the Operations of the Hospital since its Inception—Continued. Year. Discharges. cd ti .2 CQ to TJ 0J tH V > TJ 03 Sh 0) th a ■n o < PS- % u Q TJ«H •s ° ti « a ra oj ai CQ V ai CO o P »"g ili "ft" u o j o oi si **H rr) [fl _?-8g~ lssB| •sis 2-8 h 5 c » « g 0-£"5 ** P.1TS8 hoZh 1927- 1928- 1929- 1930- 1931- 1932- 1933- 1934- 1935- 1936- 1937- 1938- 1939- 1940- 1941- 1942- 1943- 1944- 19.5- 1946- 1947- 1948- 1928. 1929 1930. 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940. 1941. 1942 1943 1944 1945. 1946. 1947. 1948. 1949 542 543 602 632 562 635 610 653 679 783 834 827 869 864 834 803 840 822 834 880 1,111 1,260 75* 92t 118* 70* 581 44§ 61. 71* 63* '78$ 74 72t 111** 1071 71tt 91» 87 96§_ H7tt 97§§ 124M 137|| 252 294 311 235 299 323 309 349 304 300 330 345 455 410 400 443 423 377 352 496 560 748 147 181 223 191 181 195 200 221 291 268 207 208 230 254 255 260 309 300 240 238 240 209 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 4,269 4.355 144 78 64 139 126 148 136 120 100 121 186 125 98 | 126 66 23 35 59 I 01 41 I 118 | 86 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 5,447 5,758 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 11.34 10.87 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 63.64 76.59 5.36 6.21 7.28 6.06 5.63 5.75 5.66 5.94 7.58 6.59 4.88 4.65 4.88 5.31 6.54 5.31 6.02 6.04 5.84 4.59 4.40 3.63 * Three not insane. t One not insane. J Two not insane. § Four not insane. U Five not insane. ** Twelve not insane. ff Ten not insane. tt Eight not insane. §§ Seven not insane. TT TT Three not insane ; twenty without psychosis. || Two not insane ; seventy-eight without psychosis. Table No. 3.—Showing the Total Number of Admissions, Discharges, and Deaths from April 1st, 1948, to March 31st, 1949. Months. Admissions. Discharges. Deaths. Male. Female. Total. Male. Female. Total. Male. Female. Total. 1948. 57 63 51 58 51 48 65 51 58 52 64 73 45 50 49 71 42 43 39 52 38 53 34 53 102 113 100 129 93 91 104 103 96 105 98 126 51 54 37 52 39 47 34 27 40 33 54 55 27 24 35 76 42 30 29 32 35 37 35 40 78 78 72 128 81 77 63 59 75 70 89 95 8 9 11 10 9 17 14 5 9 12 14 12 10 10 9 4 6 6 7 6 9 19 16 14 September 20 18 November. December 1949. January 11 15 19 March 21 Totals 691 569 1,260 523 442 965 130 79 209 statistical tables. HH 45 Table No. 4.—Showing the Civil State of Patients admitted from April 1st, 1948, to March 31st, 1949. Civil State. Male. Female. Total. 214 360 17 49 49 2 243 180 16 93 35 2 142 84 4 Totals 691 569 1,260 Table No. 5.—Showing Religious Denominations of Patients admitted from April 1st, 1948, to March 31st, 1949. Religious Denominations. Male. Female. Total. 1 2 4 2 3 2 1 4 9 7 3 42 5 1 1 2 459 131 1 2 2 5 1 1 1 1 6 1 2 1 2 7 2 5 1 2 24 3 6 406 91 2 1 4 1 2 3 10 1 4 1 3 4 1 11 11 12 1 5 66 8 1 1 8 865 222 1 2 3 6 5 1 Unity 1 1 691 569 1,260 Table No. 6.—Showing the Degree of Education of those admitted from April 1st, 1948, to March 31st, 1949. Degree of Education Male. Female. Total. 14 127 347 140 62 1 9 156 281 78 45 23 283 628 218 N' 107 1 691 569 1,260 HH 46 MENTAL HOSPITALS REPORT, 1948-49. Table No. 7.—Showing the Nationality of those admitted from April 1st, 1948, to March 31st, 1949. Nationality. Male. Female. Total. 4 5 2 1 1 14 4 2 85 8 2 4 2 2 5 23 1 6 1 2 1 1 1 6 1 8 2 8 39 1 11 2 44 5 4 1 3 38 138 36 9 16 73 4 13 52 1 1 1 2 1 1 1 2 92 7 2 2 1 1 2 10 3 1 1 5 8 6 32 2 2 1 32 2 1 43 149 33 6 6 60 4 8 37 1 5 6 4 2 1 15 5 4 177 15 4 6 2 Holland 1 3 7 33 1 Italy 9 2 3 1 1 1 11 1 Poland 16 2 14 71 1 13 2 3 76 7 5 1 3 Canada— 81 British Columbia 287 69 15 22 133 8 21 89 Totals 961 569 1 260 Table No. 8 statistical tables. —Showing what Districts contributed Patients from April 1st, 1948, to March 31st, 1949. HH 47 Place of Residence. Male. Female. Total. Place of Residence. Male. Female. Total. 4 1 2 1 1 1 1 1 1 1 16 5 1 1 1 5 1 6 2 1 4 1 1 1 1 19 1 1 3 5 8 2 3 1 2 35 11 11 3 2 5 6 1 1 1 6 1 8 3 1 142 2 3 1 1 1 6 1 10 1 9 61 1 11 11 1 1 1 1 5 2 3 2 7 1 1 1 2 1 1 2 6 11 3 1 1 1 1 1 3 2 4 1 2 2 2 1 1 2 1 95 3 1 1 1 1 1 7 - 7 10 46 1 14 2 2 1 1 4 2 0 5 1 1 1 1- 1 1 3 1 7 2 1 1 1 1 1 1 3 2 3 1 1 | 237 2 6 2 1 1 2 2 13 1 17 1 19 107 1 1 25 11 1 3 2 2 1 1 9 2 5 2 12 2 2 2 1 3 18 Lumby Langley Prairie Maillardville Metchosin Michel Milner Mission Mount Lehman Nanaimo Naramata Nelson New Westminster New Hazelton .• North Pender Island North Vancouver Oakalla Oak Bay Ocean Falls Cobble Hill Osoyoos 1 1 Parksville 2 1 8 1 1 1 4 4 3 5 3 1 1 1 4 2 1 3 4 1 2 1 15 9 3 1 1 1 1 3 1 1 2 3 2 1 1 2 1 1 1 3 1 3 Pender Harbour Penticton Pitt Meadows Port Alice Cumberland Port Hardy Port Kells Port Mann Port Melon Dollarton Port McNeill Poplar Galiano Ganges Garibaldi 1 1 2 6 Princeton Progress Quatsino 3 3 1 1 10 5 3 2 1 1 1 1 1 2 1 6 7 1 1 2 1 1 25 14 3 4 3 1 1 1 4 1 1 2 Greenwood Queen Charlotte City Haney Quesnel Quilchena Redstone Heffley Creek Richmond Trvings Landing Rosedale Rossland Royston Rutland Sechelt Sidney Silverton Slocan 142 95 1 237 339 240 579 1 HH 48 MENTAL HOSPITALS REPORT, 1948-49. Table No. 8.—Showing what Districts contributed Patients from April 1st, 1948, to March 31st, 1949—Continued. Place of Residence. Male. Female. Total. Place of Residence. Male. Female. Total. 339 1 2 1 9 1 1 5 1 1 268 4 1 240 579 633 5 33 1 3 3 5 5 1 1 1 494 9 46 1 1 1 2 6 1 5 1 1 1 1,127 1 2 1 5 1 244 1 1 4 1 1 9 1 1 10 2 1 512 4 14 Victoria Sturdee Sointula Westbank 79 Steelhead Steveston 1 1 1 3 9 3 6 Trail White Rock 10 Tranquille Thrums Williams Lake Woodfibre 2 1 1 2 Totals 633 494 1,127 691 569 1,260 Table No. 9.—Showing the Occupations of those admitted from April 1st, 1948, to March 31st, 1949. Occupation. Male. Female.. Total. Occupation. Male. Female. Total. 5 2 2 2 1 3 3 3 1 5 1 2 1 1 1 2 1 20 1 8 1 3 12 1 1 1 1 2 1 1 1 5 2 2 2 1 3 3 90 29 119 Domestic Draughtsman 1 16 16 1 1 2 3 2 2 51 7 2 1 2 1 1 1 2 4 1 1 1 116 41 5 1 1 5 1 1 8 5 1 11 1 303 13 3 2 1 1 2 Electrician— 3 2 3 Engineer, marine Farmer 2 3 1 5 3 51 Fireman Florist Flunkey Fruit inspector ■ ...... 1 3 14 1 4 1 1 2 2 1 1 1 2 1 20 1 3 22 1 1 3 16 1 1 1 1 1 2 1 1 1 9. Bulldozer operator Furrier Gardener Cabinetmaker Hairdresser Home-maker Hotelman Housekeeper Janitor Labourer Laundress Logger 303 Clerk Companion 13 Contractor Cook 116 41 Cutter Lumber-grader Machine operator Machinist Master mariner Mechanic Milkman 1 1 1 | 12 90 1 29 1 119 372 368 —■ statistical tables. HH 49 Table No. 9—Showing the Occupations of those admitted from April 1st, 1948, to March 31st, 1949—Continued. Occupation. Male. Female. Total. Occupation. Male. Female. Total. 372 1 12 1 1 1 1 1 1 1 96 1 - 7 1 1 1 1 1 1 1 1 4 1 80 1 1 1 2 17 3 368 1 1 3 106 9 1 1 1 25 1 4 7 740 1 12 1 2 1 2 3 1 1 1 202 9 1 1 7 1 1 1 1 1 1 1 1 1 4 1 1 105 1 1 2 6 17 10 614 528 13 | 1 3 1 6 1 1 1 2 1 [ 1 1 21 2 1 i 10 | 5 1 1 2 2 1 2 ■ 2 1 j 3 1 8 1 1 2 1 5 7 1 2 1,142 13 4 Section foreman 1 6 1 1 Shoemaker. 4 1 2 Newspaperman Soldier 1 1 1 21 2 1 15 1 2 Tailor Tallyman 2 Postmaster 1 2 2 4 Trader 1 8 1 1 2 1 5 7 1 Welder 2 School-teacher 691 569 1,260 Carried forward 614 528 1,142 Table No. 10.—Showing the Ages of those admitted from April 1st, 1948, to March 31st, 1949. Age. Male. Female. Total. 33 32 58 60 61 49 55 61 36 43 48 48 44 31 32 30 19 34 58 59 56 49 33 37 36 43 31 25 30 29 63 „ 20 „ 51 „ 25 „ 92 30 118 „ 35 120 „ 40 „ 105 „ 45 „ 104 „ 50 „ 94 „ 55 , ... 73 „ 60 „ 79 „ 65 „ 91 „ 70 „ 79 „ 75 , 69 „ 80 „ '. 61 Over 80 , 61 Totals 691 569 1,260 HH 50 MENTAL HOSPITALS REPORT, 1948-49. Table No. 11.—Showing the Number of Attacks in those admitted from April 1st, 1948, to March 31st, 1949. Number of Attacks. Male. Female. Total. First 345 89 24 12 2 2 36 64 117 311 96 34 8 5 2 1 36 17 59 656 185 Third 58 Fourth 20 Fifth 7 Sixth 2 3 72 81 176 Totals 691 569 1,260 Table No. 12.—Showing the Alleged Duration of Attack prior to Admission from April 1st, 1948, to March 31st, 1949. Duration of Attack. Male. Female. Total. 45 173 31 36 24 56 9 5 4 1 67 183 57 43 161 40 36 28 55 16 8 1 1 15 117 48 88 334 6 „ 71 „ 12 , 72 52 5 „ 111 „ 10 , 25 „ 15 „ 13 5 2 82 300 Life 105 Totals 691 569 1,260 Table No. 13.—Showing Statistics on Heredity in those admitted from April 1st, 1948, to March 31st, 1949. Heredity. Male. Female. Total. 1 7 682 1 5 563 1 1 12 1,245 2 Totals 691 569 1,260 statistical tables. HH 51 Table No. 14.—Showing the Alleged Cause of Attack in those admitted from April 1st, 1948, to March 31st, 1949. Alleged Cause. Male. Female. Total. 80 1 53 * 4 46 347 3 14 7 1 1 2 19 1 1 5 1 1 1 94 4 1 4 18 3 1 1 23 2 1 3 37 361 1 6 5 1 2 1 4 1 1 88 1 1 4 1 76 2 1 T 83 707 1 9 21 12 1 1 1 4 1 23 1 2 5 1 Post-encephalitic Parkinsonism 2 1 183 4 2 5 Totals 691 569 1,260 Table No. 15.—Showing the State of Bodily Health in those admitted from April 1st, 1948, to March 31st, 1949. Bodily Condition. Male. Female. Total. 321 328 42 246 288 35 567 616 77 691 569 1,260 HH 52 MENTAL HOSPITALS REPORT, 1948-49. Table No. 16.—Showing the Form of Mental Disorder in those admitted from April 1st, 1948, to March 31st, 1949. Form of Disorder. Male. Female. Total. 52 3 16 16 42 21 22 9 13 11 16 5 15 2 10 1 221 98 34 2 3 2 3 40 1 2 31 24 3 6 4 31 22 59 14 11 3 12 30 6 7 8 1 202 87 8 4 2 1 1 6 2 1 1 1 12 76 6 22 20 73 43 81 23 24 23 46 11 22 2 18 1 1 423 185 Toxic psychosis— 42 6 5 Pseudotaboparesis 1 1 2 3 Without psychosis— 46 2 1 2 3 43 691 569 Table No. 17.—Showing the Number allowed out on Probation and Kesults from April 1st, 1948, to March 31st, 1949. Results. Male. Female. Total. 64 182 215 1 61 35 109 73 163 188 1 17 57 119 137 345 403 9 92 228 Totals 667 618 STATISTICAL tables. HH 53 Table No. 18.—Showing the Alleged Duration of Insanity prior to Admission in those discharged from April 1st, 1948, to March 31st, 1949. Alleged Duration. Male. Female. Total. 52 73 29 21 37 19 23 17 46 61 1 144 43 59 35 24 27 47 12 15 55 20 1 104 95 132 64 „ 3 „ 45 „ 6 „ 64 „ 12 „ 66 „ 3 , 32 101 81 2 248 Totals 523 442 965 Table No. 19.—Showing the Length of Residence of those discharged from April 1st, 1948, to March 31st, 1949. Length of Residence. Discharged recovered. Discharged improved. Discharged unimproved. Without Psychosis. Male. : Female. Male. Female. Male. Female. Male. Female. 17 6 10 11 20 67 47 15 3 2 2 5 8 20 17 53 42 10 4 3 1 5 95 4 5 . 12 14 5 4 7 1 68 65 13 6 19 19 9 7 2 2 46 44 5 6 3 3 1 5 ,, 2 months „ 3 „ 11 11 13 7 4 1 19 13 21 12 2 7 1 6 „ 3 „ 12 „ 1 3 „ „ 4 „ .: 1 5 „ Totals 64 73 182 163 215 188 62 18 HH 54 MENTAL HOSPITALS REPORT, 1948-49. Table No. 20.—Record of Deaths from April 1st, 1948, to March 31st, 1949, Essondale, New Westminster, and Saanich. Time in Hospital. Certified Cause. Sex. Age. Years. Months. Days. F. 69 3 10 1 Bronchopneumonia. f. 64 6 10 12 Lobar pneumonia. F. 74 2 6 25 Coronary thrombosis ; arteriosclerotic cardiovascular disease. M. 55 27 11 26 Coronary thrombosis ; pulmonary tuberculosis. F. 64 7 14 Coronary thrombosis ; hypertension ; arteriosclerosis. M. 63 24 7 Bronchopneumonia due to chronic pyelonephritis. F. 80 31 Bronchopneumonia. F. 18 21 Spastic paraplegia. M. 41 5 2 13 Bilateral pulmonary tuberculosis. M. 77 5 6 10 Coronary thrombosis due to coronary sclerosis. F. 41 4 6 19 Tuberculosis pneumonia ; bilateral pulmonary tuberculosis. M. 53 7 Bronchopneumonia; ulcerative colitis. F. 83 26 Coronary thrombosis. F. 55 19 Bronchopneumonia ; adenoma of the thyroid. M. 90 3 6 30 Senility with dementia. F. 29 17 Pulmonary tuberculosis—bilateral for advanced. M. 50 14 4 22 Pulmonary tuberculosis. M. 65 9 8 10 Lobar pneumonia. F. 64 9 4 3 Chronic myocarditis ; coronary sclerosis. F. 28 4 8 27 Diphtheria; rheumatic endocarditis. F. 67 1 Bronchopneumonia ; hypertensive cardiovascular disease. M. 42 11 9 9 Pulmonary tuberculosis. M. 69 6 11 30 Pulmonary tuberculosis ; tuberculosis enteritis. M. 40 4 Pulmonary tuberculosis. M. 71 1 12 Bronchopneumonia. F. 58 1 Chronic glomerulonephritis ; hypertensive cardiovascular disease. M. 70 1 10 21 Coronary thrombosis due to arteriosclerosis. F. 35 20 Terminal bronchopneumonia. F. 78 1 4 Senility with dementia ; hypertension ; arteriosclerosis. F. 68 7 9 8 Bronchopneumonia. F. 61 6 5 16 Exhaustion of general paresis ; hypertensive cardiovascular disease. M. 58 2 16 Peritonitis ; volvulus of the sigmoid with gangrene and perforation. F. 68 21 Right lobar pneumonia. M. 69 2 29 Chronic myocarditis. M. 60 2 19 Extradural abscess due to frontal sinusitis ; terminal bronchopneumonia. M. 36 14 2 Idiopathic epilepsy. F. 35 4 6 26 Tuberculosis peritonitis ; bilateral pulmonary tuberculosis. F. 83 2 25 Bronchopneumonia. M. 68 13 3 10 Senility with dementia. F. 43 2 3 Disseminated sclerosis. M. 78 13 5 4 Terminal pneumonia due to chronic myocarditis. M. 71 6 1 18 Senility with dimentia. F. 28 11 1 2 Bilateral pulmonary tuberculosis. M. 44 7 9 2 Pulmonary tuberculosis. M. 33 4 Bilateral pulmonary tuberculosis. M. 62 1 16 Gastric haemorrhage. M. 65 5 Subdural haemorrhage ; acute appendicitis. F. 62 8 6 18 Bronchopneumonia; angio-edothelial sarcoma. M. 52 2 5 Shock due to ha.morrhage due to bilateral amputation of both legs. F. 80 22 Bronchopneumonia. M. 64 26 10 17 Perforated gastric ulcer. F. 68 2 25 Bronchopneumonia. M. 54 14 3 28 Bronchial pneumonia. M. 63 2 22 Bronchopneumonia. M. 64 5 6 30 Bilateral pulmonary tuberculosis. M. 64 17 7 15 Coronary thrombosis. F. 25 1 Cardiac collapse and respiratory failure due to insulin shock treatment and schizophrenia. M. 78 29 Bronchopneumonia. F. 63 29 2 22 Bilateral pulmonary tuberculosis. M. 80 8 8 3 Senility with dementia. M. 67 2 22 Cerebral haemorrhage. STATISTICAL TABLES. HH 55 Table No. 20.—Record of Deaths from April 1st, 1948, to March 31st, 1949, Essondale, New Westminster, and Saanich—Continued. Sex. Time in Hospital. Certified Cause. Age. Years. Months. Days. M. 88 2 16 Pulmonary tuberculosis. F. 88 5 17 Exhaustion of senile dementia; hypertensive cardiovascular disease; generalized arteriosclerosis. F. 65 2 7 B ron chop n eu mon ia. M. 81 14 8 15 Bronchopneumonia. M. 46 7 29 Strangulation by hanging. M. 64 6 15 Chronic myocarditis. F. 75 7 Bilateral bronchopneumonia. M. 56 16 3 14 General paresis. F. 69 4 3 Tuberculosis of the adrenals ; miliary tuberculosis. M. 89 2 Chronic myocarditis. M. 60 1 4 31 Bronchopneumonia. F. 55 19 10 29 Coronary occlusion ; coronary sclerosis. M. 69 4 10 G Gastric haemorrhage. F. 50 12 9 Chronic myocarditis due to hypertensive cardiovascular disease. F. 24 1 8 Tuberculosis peritonitis due to tuberculosis salpingitis due to tuberculosis of the bone (spine). M. 49 28 4 6 Intestinal obstruction. F. 62 1 4 8 Mitral stenosis (chronic rheumatic fever) and cerebral haemorrhage. M. 79 10 3 8 Chronic myocarditis. M. 35 3 17 Terminal pneumonia. M. 72 10 15 Senility with dementia. M. 46 1 26 Hypertensive cardiovascular disease (malignant hypertension). M. 51 21 11 30 Chronic myocarditis. F. 71 1 15 Coronary thrombosis. M. 27 1 8 16 Status epilepticus. F. 62 8 8 Osteitis deformans ; cerebral atrophy. M. 61 19 6 20 Chronic myocarditis. M. 43 4 5 25 Chronic myocarditis ; pleurisy with effusion. M. 76 3 Chronic myocarditis. F. 56 4 Toxic psychosis (alcohol) ; diabetes mellitus ; carbuncles. M. 59 3 20 Chronic myocarditis. M. 64 22 9 12 Right lower lobar pneumonia. M. 68 16 11 5 Coronary thrombosis ; myocardial infarction. M. 35 1 11 28 Disseminated sclerosis. M. 64 2 8 Generalized arteriosclerosis. M. 74 2 2 23 Chronic myocarditis. M. 60 16 9 11 Chronic myocarditis. M. 78 3 17 Senility with dementia. M. 68 27 Chronic myocarditis. M. 51 3 25 Pulmonary embolism; lymphosarcoma. M. 68 5 22 Chronic myocarditis. F. 62 3 4 Chronic myocarditis ; coronary sclerosis ; fibrosis uteri. M. 67 5 10 7 General paresis. F. 48 10 4 10 Chronic myocarditis. M. 68 1 4 17 Bronchopneumonia; chronic myocarditis. M. 59 1 2 26 Bronchopneumonia. F. 64 9 10 Uremia; chronic glomerulonephritis; hypertensive cardiovascular disease. M. 62 14 Chronic nephritis ; hypertension and generalized arteriosclerosis. M. 54 3 9 Aortites with insufficiency (syphilis). M. 28 5 5 28 Bilateral bronchopneumonia ; bilateral pyelonephritis. M. 66 9 5 Terminal pneumonia due to cardiovascular syphilis with cardiac decompensation; chronic nephritis. M. 57 10 3 30 HEemopericardium due to myocardial infarction due to coronary thrombosis. F. 71 4 11 25 Coronary occlusion. F. 64 5 27 Chronic myocarditis ; hypertensive and arteriosclerotic cardiovascular disease. M. 77 26 11 19 Terminal pneumonia ; chronic myocarditis. F. 63 4 6 Exhaustion and pre-senile dementia ; cerebral arteriosclerosis. M. 50 2 13 Cerebral haemorrhage due to hypertension and arteriosclerosis. HH 56 IENTAL HOSPITALS REPORT, 1948-49. Table No. 20.—Record of Deaths from April 1st, 1948, to March 31st, 1949, Essondale, New Westminster, and Saanich—Continued. Time in Hospital. Certified Cause. Sex. Age. Years. Months. Days. F. 56 8 30 Lobar pneumonia (right) ; uremia. F. 54 11 6 5 Carcinomatosis. M. 50 8 6 Bronchopneumonia. F. 48 14 Coronary occlusion due to myocardial infarction due to hypertension ; bronchopneumonia. M. 28 1 4 15 Epilepsy. M. 64 14 5 20 Carcinoma of the stomach. M. 66 1 9 Chronic myocarditis. F. 59 1 4 29 Coronary occlusion ; cerebral arteriosclerosis. M. 59 8 5 7 Cerebral haemorrhage. M. 62 28 Cerebral haemorrhage. M. 34 5 2 29 Bilateral pulmonary tuberculosis. M. 47 4 7 4 Bilateral pulmonary tuberculosis. F. 21 3 7 15 Uremia ; acute glomerulonephritis. F. 53 19 5 6 Far advanced bilateral pulmonary tuberculosis; rheumatic endocarditis. F. 68 28 24 Coronary occlusion ; adenoma of sigmoid colon with intussusception. M. 59 8 Cerebral haemorrhage ; acute mania. M. 68 2 16 Bronchopneumonia. F. 66 3 28 Pulmonary oedema ; bronchopneumonia. F. 58 1 19 Pulmonary infarct due to pulmonary embolus; amyloidosis, chr. rheumatoid arthritis. F. 54 8 11 31 Far advanced bilateral pulmonary tuberculosis. M. 82 15 11 6 Bronchopneumonia. M. 68 8 28 Bronchopneumonia. M. 58 2 1 27 Pleurisy with effusion. M. 61 8 1 10 Intestinal obstruction ; tubercular cervical adenitis. F. 66 10 7 6 Carcinoma of breast (right) ; cardiac decompensation. M. 57 12 3 9 Bilateral pulmonary tuberculosis. M. 24 3 4 2 Bronchopneumonia ; pulmonary tuberculosis. M. 68 1 10 18 Cerebral embolism and thrombosis. F. 56 2 Inanition toxemia ; pulmonary tuberculosis. F. 62 13 Bronchopneumonia : cardiac decompensation ; arteriosclerotic cardiovascular disease; carcinoma of the cervix with metastasis of right lung and liver. F. 81 4 21 Bronchopneumonia. M. 67 10 2 24 Myocardial infarction. M. 72 4 9 16 Senility with dementia. F. 55 1 1 4 Interpeduncular brain tumour. F. 61 2 19 Chronic myocarditis ; coronary thrombosis. F. 88 10 26 Bronchopneumonia. M. 16 2 8 Bilateral pulmonary tuberculosis. M. 48 7 22 Bilateral pulmonary tuberculosis. F. 69 30 Carcinomatosis—intra-abdominal, possibly liver or ovary, primary not identified. M. 48 13 5 15 Bilateral pulmonary tuberculosis. F. 71 6 Bronchopneumonia. M. 62 1 1 21 Bronchopneumonia. M. 73 3 1 25 Bronchopneumonia. M. 63 3 10 3 Bronchopneumonia. M. 61 4 4 7 General paresis. M. 75 4 31 Cerebral haemorrhage. F. 43 3 3 22 Bronchopneumonia ; cardiac decompensation ; arteriosclerotic cardiovascular disease; chronic glomerulonephritis. M. 56 7 Bronchopneumonia. M. 65 19 7 10 Chronic myocarditis. M. 66 9 5 Terminal pneumonia. F- 20 11 1 15 Haemorrhagic oedema of lungs due to influenza. F. 71 20 Bronchopneumonia ; cardiac decompensation ; chronic glomerulonephritis. F. 62 1 1 22 Bronchopneumonia ; influenza ; hypertensive cardiovascular disease. F- 49 21 5 8 Acute coronary occlusion. STATISTICAL TABLES. HH 57 Table No. 20.—Record of Deaths from April 1st, 1948, to March 31st, 1949, Essondale, New Westminster, and Saanich—Continued. Time in Hospital. Sex. Age. Certified Cause. Years. Months. Days. F. 60 6 9 Bronchopneumonia ; cystitis. M. 61 1 10 24 Epilepsy due to past traumatic epilepsy ; chronic myocarditis. F. 64 2 10 Bronchopneumonia; cerebral arteriosclerosis. M. 70 1 10 6 Senility with dementia. M. 60 8 8 16 Bilateral pulmonary tuberculosis. M. 70 1 6 24 Carcinoma of the tongue; metastasis to cervical lymph nodes and both lungs. M. 52 10 Bronchopneumonia. M. 60 8 2 23 Bronchopneumonia. M. 65 3 1 28 Lobar pneumonia. M. 63 6 24 Bronchopneumonia. M. 25 13 11 20 Bilateral pulmonary tuberculosis. F. 64 11 8 2 Cerebral vascular accident; hypertensive cardiovascular disease. F. 60 29 3 Coronary occlusion ; arteriosclerotic cardiovascular disease. M. 87 7 8 25 Terminal bronchopneumonia. F. 80 5 Acute dilatation of stomach ; senile delirium. M. 69 2 26 Chronic myocarditis with myocardial degeneration (non-rheumatic). F. 51 12 Chronic myocarditis and myocardial degeneration due to thyrotoxicosis ; chronic gastric ulcers ; chronic pancreatitis. M. 66 25 4 8 Cerebral haemorrhage. M. 49 9 11 16 Tuberculosis of the lungs. M. 65 18 8 Myocardial degeneration. M. 64 32 8 8 Coronary thrombosis. M. 63 24 10 15 Arteriosclerosis. M. 43 12 4 4 Carcinoma of stomach. M. 76 23 6 19 Exhaustion of senile dementia. M. 61 36 20 Myocardial degeneration. M. 5 ' 3 2 17 Toxic anaemia and purpura. F. 16 2 3 8 Haemorrhage in cerebellar tumour. F. 39 2 8 11 Myocarditis. M. 10 4 1 25 Exhaustion of status epilepticus. M. 28 13 5 11 Acute pulmonary tuberculosis. M. 21 9 2 15 Acute bronchopneumonia. F. 5 2 27 Internal hydrocephalus. F. 52 16 11 26 Bronchopneumonia. HH 58 MENTAL HOSPITALS REPORT, 1948-49. Occupational therapy display at Y.M.C.A., New Westminster. First annual sports day drawing to a close. BUSINESS MANAGER'S REPORT. HH 59 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 the financial report of the Provincial Mental Hospitals of British Columbia for the year ended March 31st, 1949, which includes various tables and reports. The daily average population for the three hospitals at Essondale, New Westminster, and Saanich increased by 120—from 4,194 to 4,314—the full increase being absorbed by the Essondale hospital. Gross operating costs rose from $3,583,480.50 to $4,319,706.15, an increase of $736,225.65. This brought our gross per capita cost per day to $2.74, as against $2.33 in the preceding year. The headings under which the heaviest increases occurred were " Nursing and Ward Service," " Dietary," and " Cost-of-living Bonus." " Nursing and Ward Service " includes salaries of all nursing staff, both male and female, as well as clothing, boots and slippers, bedding, hardware and crockery, towels, linen, and sundry furnishings. " Dietary " covers all foods and salaries of dietitians, cooks, bakers, and other kitchen staff. A decrease in expenditure under the heading of " Light, Heat, Water, and Power " will be noted, as against the year 1947-48. This was due to the transfer of the engineers and other boiler-house staff to the Department of Public Works, and a corresponding increase in the expenditure under the headings of " Buildings, grounds, and general maintenance " will be noted. Revenue remitted to the Treasury Department covering maintenance collections rose from $350,995.41 to $477,680.57. Purchases from Colony Farm of milk, cream, meats, vegetables, fruit, etc., for the Essondale and New Westminster hospitals amounted to $246,817.49. This was about $10,000 less than the previous year but would have been possibly $40,000 more but for the disastrous floods of May and June, 1948, in which the farm lost its potato, carrot, beet, onion, and other farm crops. It had been planned to put the female nursing staff on the eight-hour day, forty- four-hour week during the year, but shortage of accommodation and inability to recruit the necessary nurses prevented this from being done. Buildings, grounds, plant and equipment, and furnishings have been maintained in a good state of repair and some replacements made where essential. Plans are being prepared for a new store and laundry building as both services find their present quarters inadequate. It is planned to service both the Provincial Mental Hospitals at Essondale and New Westminster as well as the Home for the Aged, Port Coquitlam, with these facilities when they are completed. Also under consideration is an auditorium and recreation centre, an infectious unit, and additional accommodation for nurses, as well as four 100-bed units at New Westminster. In closing I would like 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. HH 60 MENTAL HOSPITALS REPORT, 1948-49. PSYCHOPATHIC DEPARTMENT. Expense Statement, March 31st, 1949. Salaries $47,968.81 Office supplies 798.49 Telephone and telegraphs 615.27 Travelling expenses 6,173.34 Fuel 750.98 Water 48.70 Light and power 209.14 Incidental expenses _'_ 3,843.47 Cost-of-living bonus 7,084.22 $67,492.42 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.; and Saanich, 7 per cent. HEADQUARTERS DEPARTMENT. Expense Statement, March 31st, 1949. Salaries $40,961.05 Office supplies 1 2,551.05 Travelling expenses 831.51 Incidental expenses 149.47 Cost-of-living bonus 6,321.18 $50,814.26 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.; and Saanich, 7 per cent. financial tables. HH 61 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 Per Capita Expenditure. Cost. 3263,036.99 $436.19 1,044,253.55 373.38 115,171.63 424.43 269,354.39 440.71 1,114,944.32 386.46 114,496.86 408.99 265,107.15 436.46 1,080,329.80 362.93 134,961.02 471.23 286,077.54 472.72 1,167,787.55 380.59 146,898.22 517.14 306,150.79 509.28 1,317,789.96 432.38 163,226.64 583.77 373,672.82 616.37 1,558,923.64 507.32 207,979.27 748.48 433,041.89 709.49 1,769,363.15 559.29 210,798.32 743.11 497,945.37 795.07 2,117,563.62 658.24 231,894.65 809.46 662,357.80 1,054.70 2,622,349.15 800.62 298,773.55 1,029.16 800,776.92 1,267.55 3,162,819.02 931.86 356,110.21 1,237.52 1939-40, New Westminster.. 1939-40, Essondale 1939-40, Saanich 1940-41, New Westminster.. 1940-41, Essondale 1940-41, Saanich 1941-42, New Westminster.. 1941-42, Essondale 1941-42, Saanich 1942-43, New Westminster*. 1942-43, Essondale 1942-43, Saanich 1943-44, New Westminster.. 1943-44, Essondale 1943-44, Saanich 1944-45, New Westminster.. 1944-45, Essondale 1944-45, Saanich 1945-46, New Westminster.. 1945-46, Essondale 1945-46, Saanich 1946-47, New Westminster... 1946-47, Essondale 1946-47, Saanich 1947-48, New Westminster... 1947-48, Essondale 1947-48, Saanich 1948-49, New Westminster... 1948-49, Essondale 1948-49, Saanich $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 3,217.03 286.48 628.00 3,275.41 290.31 631.75 3,394.08 287.76 I * Maintenance expenditure includes cost-of-living bonus paid employees, years' reports. This is also included in all subsequent HH 62 MENTAL HOSPITALS REPORT, 1948-49. m o M CO P o "■h. -a < > 0_ Eh OS H Q P a w go !" < < CO < H >H H Eh _h tn «. Cm a o o o tn o « O o 2 o W cc M H a m <! 6^3 11 5 £ i c. £ a , a •?U -C4J « o _S H o HBS ft ■3 «8 ^-r£;r 3> rt £ ft S ^5 V bfl (3 jo fl d H -fl m* a o o.S Ph." Ills OJ < fl 03 oj 1-1 J. <_ _.Sc .,--. ft H X W og"8!. 0_ Ch > CilOCOC-OJCOlOO C-lOCOCOcOCOi-HC© COco'r-HTf-<fe__.t-C- COiOt— "Ot^C-OOI COttr-ICOCi-frHcO eo -^ ui a to . - Tf in to ■*# w r-i rH tO 00 CO <N rH r-l OJ O tH (O tO CO Ci tr- fc~ o «o O CO CC O ffl "* H H H Tf CO O (M CO CO tr- Ci IO iH 3 © o o T* IO o © © CO o 10 OJ CO Oi m o to Ci* o 00 T# (M t- r- —1 CO CO Tf t- CO CO Oi uu 00 00 T* H h- (70 OJ CO CO -_. Tf Tf CM CO CO O CO eo 00 CO CO est CO rH Tf rH Ol OJ CO IO CO Ci T* in m <-» <T> CO OJ © LO CO CO 00 Oi Ci T* CO rH Ci rti <~> OI 01 Tf o CO ou Tf Oi .-1 CO s Tf Ol cc r- CO 00 Sfcr w "" CO io CO rti Tt Ci rH CJ c- eo rH © 00 Tf t- Ci IO o to on on CO O t- Oi CO no 3 t- CM Tf CO __- CO 00 03 on Ci rH CO o Tf o Oi Ol ou __- IO IO 00 CO en Tf Tf IO CO © OJ CO OJ rH Cs OO r- rH CM Oi 00 ,_i tt nn Ol OJ eo o on Ol o CO Oi nn OJ t- to IO eo OJ -t fM Tf r~ -v in IO eo Oi t- CO Oi IO Tf t- © Ci Tf COi-HlOCCi-HOOCMTf ©©oooicocootr-co ©locOr-HOOTft-jnto ©COCOCMCOTfrHTfrH COCiC-l_--OlOOCit- COCOttCntOrHCOrHtt H* nn IN m on to H Tf © t- '_- t- CO eo IO CXI t— OS on OJ on \r, o CM rt> Oi IO t- rH r> rH Oi r-\ 00 w- -. IO o eo on OJ CO h* 00 Oi OJ H IO Oi t- CO rH © IO rH Tf CO nn CO on 0-1 1— IQ ID © o CO Oi t- CO OJ -rr i- CO CO COCOt-OJOCOlOCO. eoio-ococoiocot-© rH Tf r-l Tf rH Tf rt * h V C R w c G _s il Is? c © © © --H CM OJ OJ T "T i i O rH rH rH Ci Ci a to co co ■ CiOiOiCiCiCiCiCiGi FINANCIAL TABLES. HH 63 03 3 g s <; w K 05 P O (—< > OJ -H O Z P o w co .H P <; < h © EH CO O U CO »_ o M O u tt o K M h M o B Ho iiil I 5.7! C 53 0) S§2 ft ■ S ,233 Z O eh "a S _S n.±_ "SkbO bO m fl T3 CJ A rtfefn «h CQ aj1 to_ ri o oo io OJ i-H &9- - oooc-CDCMcoci-HcoonioeoTft-cicoco i©_O00OJIr-0Jt-Tf(0ciTfO0ii0T}it-t- oOiHt-o]io©ci©eot-oiiooococo__- t- . so so* fc-" co" Tf co" t-* eo" Ol ©" t-* __-" rH oj" cm" oo" ©" ^OHlOt-lOOMlOHQHMtONfflO rHeOCOrHeO-0(NTft-OlTfrHNCOCOcqOO' to © 1—1 r- 00 i- to cn CM CO CO tr> T# co IO on on 1— on tp rH 03 m tt Ol r- m r- ir. CO «> Oi to CO CD CO to cn Ol 60 <M T* t- CO t- U3 rH Tt Oi fr- IO IO © eo OS ^ rH h- 0) r- in Tf Ol 00 CO Ol co CO T* fc" to on rH on 0(1 CO e/j rH r~, i-H rH (TO fc- o (0 Ol CO fc- CM os Otl IO 1^ 03 to CO 03 Ci 10 Tf Tf oq 00 © 00 tH et CM CM fc- CD © eo CO 03 Tf CO tr- uitointtin^CitototOrHrHtr- r-fc co io © _-M00HOH10o«0HriM_-0)W!0N _ t?-eOOOOOTHC001COCiOO-Ol001CO©OJTf OJ CD IO CO n 03 irr, rn to on o Ol 03 Tf Tf r- IN on 03 (0 nn r/-, fM CO 03 r- -r*. \- 03 in h- |- on If? o? CO (/i CO © in 03 OQ Tt CM on 03 rH CD o. CO OI t- CO CO CO CO to Tt t* cd © eo io oj co ■ IQ rH IO to CO © eo IO CD © CD o Ol Tt t- Ci Tf © CO Ol 00 00 fc- CO Tt 00 Oi Tf Oi CO c CO IO Tt 00 fc- o CD Ol CO to Ol IO IO Ol © O) IO Tt Tt Ol o T# to I-H. fc- © fc- rH © to 03 CO OJ CO fc- C0 Ci to CM 00 cc CD Tt OJ CO CD © Tt © Ci 00 Tf, rH to Ol T* t- Tf Ol IO o Ci OJ CD IO <—1 Ci Tf 00 00 L— Cl TtCOCO©COIOIO->rH©TtOOTtcOO©©OJ 00 CM © Ttioioeoi-fiorHiococicocoTtsooiir-ooio io eo t- CMC»tHC0C0OlOJlOlOrH_O0Je0C0rHC0C0lOlOOJ00 W W H TfrH OT CO t-H CO* Tfio CO Tf 00 iH THTfTfcOCD©©CM©lOOiU_)C0-OOJOlTfoiC0©© rHCD©CiCli-.TfOt-eOTf600"i.HCDrHCOCO COCO© CO OO O M CD C.N_JNCl(OT.Nr.NHO)HM-* W H H rH IO N rl IC* t" W W t- Ol !0 t-* N CO H M © I-H IO to © CO to fc- 03 00 CO LO CO Tt © 03 fc- CO 00 o Ol T* fc- Tf cr. 00 fc- co © CD C3 rH _o co IO OJ OJ © IO Tt CD Tf OJ ta IO Oi CO IO CD 03 © C- 00 03 CO Ol Ol CO m 00 CO CO IO Tt Oi to Ci IO OJ CO 00 fc- CO 00 © Ci CD O to co OJ eo © o Tt oi © to T-. Tf to rH o tt no r^ CO CO rH IO CO © CO Ol 00 fr- rH © O Ol "Tf CO © to ou H 03 CO © L— o ca rH Tf Tt nn T# Oi OS Of) (-> 04 on © © rH © cr. IO nn .T Tf CO Tf Ol to Ci;- © CO L- CO t> to to 00 CO Oi CD cc Tt CO CC © Ol fc- Oi on Tf rH Tt rH Tf CO I— in 00 f/1 CO fc- to Tf to on CO r- to 10 CO t- CO 03 €«■ Ol CO CO CO Tf r-H CO ""■ CO Tf IO IO CO rH ^ T^ . IN Ol 00 ro in Tf Ol T-H © 03 fc- 00 Ol Tt IO Ol CO to Ol to OJ Tf Tt 00 Tt 03 © 00 CD CO' CO Tf IO to CO t- to on r- on '0 r~ OI in oi nn © in 03 Oi tr-- eo ^f O OI OJ 03 CD Tf 03 © CD eo IO Tt Tt t- Tt Ol DO Tt to © co eo t-0JTfs00J©©-MC0t-©b- QHCOlfJC-CCWOOOC-CICOOH tHCO rH tr- tt tr- 01©tH t-H i-H © © CM t- © © Tf t- ffl Tf o o 00C_t-COCQCit_-©O- IO t- IO Tf -OlO©t-©TflOeC lOCOTf C000tr-©©OJOl©00lO-OrHt- rH©t-Ttt-OJt-CO©©©OJ©CO©CO©CO ©CO -O©©OJTfCi00©©TfS__J_O©Ci_»©e0lOrHC0 OOOOJIMC-HOfHT.'J'tOO.OlOMN IO© O 00* t-H of rH © C~ rH CO Tt IO Tf OJ IO Tf 00 fc- rH Ci tr- 00 Tf to tr- h fli> B C fl fl fl fl fl Fi Ej 1 __* s g g s 3* PS 7 10 1 > fl 5 t 1 CQ fl 1 J .£ I a J .& £ « r* .0 is a TS 1 § r r c I C c 1 c p ^ c 5 & c m rn h c a. S 5 & (x r-\ P a K rt tt I? 8 8 fc r^ id W CQ T. cc tc t— |T tr- CC ex Oi © © Tt Tf ^j T Tf Tt Tf Tt T Tf Tt Tj Tf Tt Tf CC o- Tf ir co tf eo t* fc- r- on CO CO T* T Tf T © cr c Oi o a © c 0 03 o* a 03 a © c- o V HH 64 MENTAL HOSPITALS REPORT, 1948-49. Table C.—Summary Statement showing the Gross and Net per Capita Cost of Patients in the Three Institutions. Gross operating costs— New Westminster $800,776.92 Essondale 3,162,819.02 Saanich 356,110.21 Gross cost for the three institutions $4,319,706.15 Less collections remitted to Treasury 477,680.57 Net cost for the three institutions $3,842,025.58 Daily average population for the three institutions 4,313.59 Gross per capita cost, one year $1,001.42 Gross per capita cost, one day $2.74 Net per capita cost, one year $890.68 Net per capita cost, one day $2.44 financial tables. HH 65 Tfl o. H 0_ w o OS < s Q H Q 55 H DQ X Eh z o > p Eh 03 O 5. P < 0. __ O w Oj H Eh __ g s H CO H M Eh i. © Eh 5? H w Eh <q H 02 H CO 52; H Ph X H H P Eh e CD CC O t- 00 T- 00 © 00 c 00 © T to Tf OC co ec fc- r- 0 N w r eo TO IO Oj rH r- 03 a TO HJ IO IO © T- 01 CO C © Ol rH tr- © Tf ir © O 0 © 0. © C on CO 00 c CO t- oc CO -3 <u rH T IO t; © C © r- 10 cr CO CM IT Cr or t- oc oc Ui © IT O t; T © TO «. 0 TO tr fc- (N C © O 0 a c CM CO S0 HH ee © ir c ■ r- ec CO 31 O. 0 c ifi © 0 00 cc rn" © O TO ja C cfl "^ a_ " ,_l CO - J J ti™ O CD Of Ci r- lO cr © 00 OS Tf .- 00 OC CO IO a t- t- CD © OJ CT LO © TO K p Cfl CO w <3 J3 tt © r- CO © IO C © T- © H °S2 to o" IO z rt © to 00 H IO cc fc- 10 K •s-d-if fc- T- rH eo ^g" TO- O T- TO- X 117 CO 0 O TT fc- r- s 0 fe t- Tf © ft « 09 CO or Oi ta- gz el @° CO tJ e or Tf cd IO fa OJ 00 Tf 01 QJ M CC Cr: fc- TO- CD oi OQ N Bfl ta © on eo 10 CO io CO CO Oi CO 0: fc- OJ *H Ph » « 01 09 or M Ol CC a IO O 0 O rH CC O! O © © Tf 1- r- ce m on © rH © Tf a p p cr IC lO »o « &g eo cn Ml rH cc on cn 10 Tt- © Ti |h TO 0) 3 0 W = ec r _t SJ f p. G 0 c ( n n r c c X r a r ( H- 0 ■*- 0 t H f a a _f £ a a 3 CO E a 6 X P a D I c 1 k b P a 1 9 i t 4 b « . X p c I 1 1 _ - K I m W i- «_ or < a a t C oi ? X J X 6 b e "E 0 ? r- 1 > r- 'I 0 5 +. B "5 i _ e. C 1 1 ! i « c • i -7 I CC c Cr HH 66 MENTAL HOSPITALS REPORT, 1948-49. G- Tfl O- i-H H CQ X » < a Q H P 55 H oa W _H 55 o H s & EH 03 O P <. Eh i—i Cm CO O a w p < a Z o CO H H ta Eh p. O Eh 55 H H H << Eh CC H o_ 25 w p. H H M <! Eh <_ OOrHrHOIOTfCOI-OOTOOC CO WCOCOt-OMMO^Hr CO C oj © co oi Ci m r- tc eo c^ rH CS 00 CO CO IO CM rH CO OC CO TO CO CM © TO- P. HJ OC O]©lOT-.TfC0©t-TfTl OI o ti _oeot-t-©oeoeoco.- © o .2 1*6 COrHCiCitOeOCiCaCOtOtr Oi COCOCOTfOCD©T. © © C rH OOlCNlOMNtiatOC 00 ©T-Hi-HCOCOTHOOrHCMTfCs CO OC CO-L.C.t-Mrlt-1-.WCIC CO U Ch TO CM t-H fc- rH CM O rH_ <* o ^? eo TO- oc Tft-T-H01OTfC0t> rH c- T-HCOOrHlOOCOOO Tf to CO +f ic © CO fc- If co eo co to LO eot-co©©t-eo(Moo CM OtflNtHNlOl HtS _5Mt.OOt.cCNH CO* o K-H C t- M CO CO TO Bo »'*'H tfl . .? © Tf io CO © co M CO t. f eo © io © 1 © (M* E tH 09 Q to rH in co OJ CD CD IO O to eo Tf Sai Cfl CO co eo © © OI rH © IO TO Tf OJ TO1 1 °_l2 01 * IO t- Ci O) CM OJ CD CM t- IO eo' Tf o oi © eo Ci z CO fc" OS t- CO 00 H t-h eo oo © © > A. Cp cfl CO w tr? rH Gi rH OJ OJ* rH Ci CO CO 00 TO- OJ © OJ 0 Tf CC fc- co ec OJ* S fS CD Tf rH t- a O n • ft eo co to fe CO eo OJ IO EH OJ OJ B E TO TO £ frag «! fc OJ cr CJ CO c. c tc If §E oc cc ■^) © CO id CO 8* IO TjH ec TO —1 Tt © ©" CO TO u Pi fc! H s o Tf fc- oc cr © t/> CO © CD OC Cr CC © CQ fc» u ce tr- ir Tf cc cr CM © TT fc» cr- IC CO tr o tc of Ph P" W ee IO TO © ec (T CM tJ Tt OJ OC -T eo CO 'C 1 o c_ oc Ti rH a- cc 0) "H JhX) . 2 p <u rP o - eo u c rH <X IO OC If T* CO a __- rH cr © ec CO CD 0 T* tr- r- IC Tf © © oc © S as © © CC tO cr IO rH Ci- o t» 5 ^"^ Tj cc 00 r- e< CM L- CC Tt |fl TO Ol o © CN : CM CM eo" _> B 0) 0) a p ri x p W it _E 'ri s B P. t~ 1 O a i p ■C a QJ B . c bs 1 ri < r 1 X) to S C - 1 c E > p a V a ti p cd t. a 3 to bl XI p cd t a a - ■ & b IS ri 1 i CU .S3 P 8f 0 CJ ^_ 0 Sh ' b a a X 0 Cfl ti c a a c c s- K t q IE s b _ jE. c 5 _» c fi a - H- rZ t> h^ > p HJ p Jh a c 1 + p t CJ c 8 c e. s cr b -i p cc 1 cr Q O E- V CO p » FINANCIAL TABLES. HH 67 o. T. C5 H CO X o '05 Q H Q z H co H Eh 55 o > P H & Eh 05 o G. P H ft CO o W X o n 55 VI a X Eh fe O Eh 52 H B w Eh <: H VI H co 55 H ft X! H I W P P. <C E-i e >_*___ w H Tfoot-oicocoeocoo" o IN Ci cc t-co©oo-0©©eD_f" If Tj r- Tf00T-HrHCDrHrH0n__r fc Tt cc Ci CO tr- rH CO ri 00 C « TO Tf CO o <» $ ■y r H-> Tt c t-eOT-H00t-cieocNC 0 P tr- IC TfCO-OrHOJCDTft-O o 0 .2 ta t-iocO©©t-CM-OCC c gog Cf cr CD rH OJ O tr- COCO©C£ ©C0-O©Tf00rHTf_O-^ o. C Nt-0«riOM-.C cc Tf © OJ CM cr tc CJ P. to ec < o ■V ec 00 CO © OJ © Tf <N IO © Ul-hi 11 Tj ©' © OJ* eo c CC to rH ' © Tf __- eo fc- a JS CM tO T-H Tf © o TO V » ""I T-H CO © © cr Oi x __. ^H © 0 M © to ^ rH to - « ajxi +f OC cc Tl IO © er eo z fc- oc If c: Tf CD to 9 *= Q O. o c c^ s H p t: er Tf © tr O. ' Tj " Tj IO ee rn Cn rico OI TO p- Q < w J3 OT 0- Of o IO if o © C tc © H S SIS IO cc ed cd IC z EC fc" IC © © c BS © CH . w to to o Z "3*0 tS OC er Tf ft B;3 TO o -y wM t- o fc- R Tf O IO © -r o fi co tree o ■o © ft IO CN i- t. K Ol OI d _. H TO «/i (- gz c S< 8 D3 CO g si zn i. IO CC 00 © ~a a © Tj Tl _r a a y QJ lg Tf © © ci cc if cfl ■+-> CD w CO " Hg u P 1° QJ ! © Cd CJ T* © CC 0 CJ-P to CO *" OC t- C£ c c or IC ^r ec LO c- c: Ci CI > ; IO ec oa Tf t- &. ec T_ 4_r Cm A M B — £ to t- IO ce © eo t- oi oc __, Tf t ■9 i IO t- CC cc Oi CO fc- CD cr Oi •j: ca ■ ft : u : fi ; Jh'3 Tf t- OC CC to rH tr- oc © rH a p oi rti OJ H CO ~o IO rn co oc o* in a oc t> OC c eo OI IO rH eo CO gap © IO ^f Tf eo co c ec t- — OQ 5 M**3 Tj CO Ol CJ |fl « CO _*> 6Q ri ; QJ to ° 'C « £ •—i u co CD .s , fl ai fl » QJ ft p cfl p QJ T^ 2 Ph bo fl fl "S HP Cfl £ tH CJ Pi r 'ri u o a QJ XJ a r c P QJ fl ri to a c e. bfl c r 1 c X c . (> B C I c fl cd c CI C "l r - tr Pi ft 3 CO b X f ct c I X 0 & X r a H- c. bi _ •Si u p. 3 0 5 | 4 to E Si 1 QJ Ul c H- a a c cE C r I ~- k c. ,t X I b c •r 1 E |2 0 b J- 1 p +■ o ( 1 1 1 0 5 | e c 1 J C c, i C D i 1 '2 1 -7 C HH 68 mental hospitals report, 1948-49. Remarks. New Westminster. Essondale. Saanich. Total patients in residence, March 31st. 1949 Daily average population for one year Gross maintenance per capita cost, one year. Gross maintenance per capita cost, one day... 633 631.75 $1,267.55 $3.47 3,432 3,394.08 $931.86 $2.55 290 287.76 $1,237.52 $3.39 REVENUE OF MENTAL HOSPITALS FOR PAST TEN YEARS. 1939^0 $245,837.55 1944-45 $317,735.15 1940^1 229,045.45 1945-46 350,163.87 1941-42 238,532.90 1946-47 339,561.71 1942-43 261,986.32 1947-48 350,995.41 1943-44 322,522.87 1948-49 477,680.57 COLONY FARM. HH 69 PART III.—COLONY FARM. BUSINESS MANAGER'S REPORT ON COLONY FARM. A. L. Crease, Esq., M.D., CM., Director of Mental Hygiene and Psychiatry, Essondale, B.C Sir,—Herewith please find profit and loss and various other financial statements and reports covering operations of Colony Farm for the year ended March 31st, 1949. The disastrous floods of May and June, 1948, wiped out most of the farm's crops such as potatoes, carrots, beets, onions, hay, ensilage, and pasture, and resulted in the Field Crops and Pasturage Department showing a loss of $15,382.47, as against a profit of $38,369.96 for the year 1947-48. The loss of pasture also affected milk production and necessitated the purchase of substitute feed for stock. Further additional expenditures were necessary to recultivate and reseed the flooded land. The over-all result of this is shown in the Profit and Loss Account where a loss of $27,918.19 on the year's operations is shown, whereas a profit of $59,842.54 was recorded for the year 1947-48. The Dairy and Herds Department showed a profit of $21,706.60 despite loss of pasture and feeding and housing problems. Other departments showing profits were: Hogs, Cannery, and the Orchard and Truck-garden. The orchard and most of the truck-garden crops were on higher ground and were unaffected by the high water. Most of the farm's produce was received by the Essondale and New Westminster hospitals, whose purchases totalled $226,581.77 and $20,235.72 respectively. Lesser amounts were received by the Boys' Industrial School, Home for the Aged, Colquitz Mental Home, and Tranquille Sanatorium. In reviewing the work of the year, I would be remiss in my duty if I failed to express my appreciation to P. H. Moore, Superintendent of Farms; J. A. Hay and the farm staff; to H. Lonsdale, Superintendent of Works; S. M. Schofield, Resident Engineer; and, indeed, the full staff and patients of the Essondale hospital; also the staff and boys of the Industrial School and many others who so willingly helped during the flood period. It was only by their day and night efforts that complete flooding of the Colony Farm was avoided. In spite of these efforts it was necessary to transfer the 240 patients from the Farm Cottage and Annex buildings to the hospital proper. It was not, however, necessary to move any of the live stock. Fortunately, there was no damage to any of the buildings or equipment on the farm. As a result of this flood extensive work has been done on the dykes, and it is hoped that a recurrence will not be possible. Yours truly, F. A. Matheson, Business Manager. HH 70 MENTAL HOSPITALS REPORT, 1948-49. Break in west dyke, Colony Farm, Essondale. Working on dyke at Colony Farm, Essondale. "■-.-■V ' ■: -.■-. .'■".-"" ■■:■ -'■ colony farm. Profit and Loss Account, Year ended March 31st, 1949. HH 71 Department. Debits. Credits. Loss. Gain. $125,930.35 75.00 9,042.61 72,868.38 46,842.25 30,093.40 14,434.77 5,507.89 53,026.25 24,912.27 16,536.88 $147,636.95 100.00 9,114.00 92,993.03 54,799.85 36,567.37 14,525.00 5,575.00 510.86 9,529.80 $21,706.60 25.00 71.39 20,124.65 7,957.60 6,473.97 90.23 67.11 $52,515.39 15,382.47 16,536.88 Totals $399,270.05 $371,351.86 | $84,434.74 j 56,516.55 $56,516.55 $27,918.19 * Field crops and pasturage suffered heavy loss from flood-water. DAIRY AND HERDS DEPARTMENT. Profit and Loss Account, March 31st, 1949. Receipts. By sales— Live animals $26,699.23 Beef supplied to institutions 1,225.57 Dairy produce 110,032.15 By credit for manure 3,300.00 Inventory, March 31st, 1949 98,384.00 $239,640.95 Expenses. Salaries and upkeep $43,959.73 Feed 79,245.62 Horse-labour 500.00 Trucking 1,000.00 Tractor-work 1,225.00 Inventory, March 31st, 1948 92,004.00 Profit for year.. 217,934.35 $21,706.60 HH 72 MENTAL HOSPITALS REPORT, 1948-49. WORK-HORSE DEPARTMENT. Profit and Loss Account, March 31st, 1949. Receipts. 1 horse sold $50.00 Horse-labour charged to crops, etc 9,014.00 Credit for manure 100.00 Inventory, March 31st, 1949 1,150.00 $10,314.00 Expenses. Salaries and upkeep $6,962.21 Feed and pasturage 2,105.40 Inventory, March 31st, 1948 1,175.00 10,242.61 Profit for year $71.39 HOG DEPARTMENT. Profit and Loss Account, March 31st, 1949. Receipts. By sales— Live hogs $2,564.88 Pork supplied Essondale Hospital 65,330.13 Pork supplied New Westminster Hospital 5,668.72 Pork supplied Tranquille Sanatorium 1,401.30 $74,965.03 By credit for manure 600.00 Inventory, March 31st, 1949 17,428.00 $92,993.03 Expenses. Salaries and upkeep $7,022.41 Feed 37,608.47 Light and power 800.00 Fuel 100.00 Horse-labour 1,000.00 Truck 1,750.00 Tractor 1,050.00 $49,330.88 Inventory, March 31st, 1948 23,537.50 72,868.38 $20,124.65 COLONY FARM. HH 73 CANNERY. Profit and Loss Account, March 31st, 1949. Receipts. Supplies to— Mental Hospital, Essondale $43,017.20 Mental Hospital, New Westminster 8,558.65 Mental Home, Colquitz 2,355.25 Tranquille Sanatorium 823.75 School for the Deaf and the Blind 45.00 $54,799.85 Expenses. Salaries _ $4,860.00 Repairs . 334.58 Fruit and vegetables 21,553.33 Sugar, spice, etc 7,721.67 Cans, crates, and containers 8,472.67 Fuel 1,200.00 Water . 500.00 Light and power 900.00 Tractor-hauling 350.00 Truck-hauling 950.00 46,842.25 $7,957.60 ORCHARD AND TRUCK-GARDEN. Profit and Loss Account, March 31st, 1949. Receipts. Produce supplied to— Mental Hospital, Essondale $21,836.90 Mental Hospital, New Westminster 640.89 Boys' Industrial School 410.08 Colony Farm cannery 1,168.90 $24,056.77 Inventory, March 31st, 1949 . 12,510.60 Expenses. Salaries, seeds, etc. , $6,158.80 Fertilizer, spray, and manure 1,500.00 Horse-labour 1,386.00 Tractor-work ___, '_ 3,150.00 Trucking 125.00 Fuel 50.00 $36,567.37 $12,369.80 Inventory, March 31st, 1948 17,723.60 30,093.40 Profit for year $6,473.97 HH 74 MENTAL HOSPITALS REPORT, 1948-49. FIELD CROPS AND PASTURAGE. Profit and Loss Account, March 31st, 1949. Yield Yield Crop. Acreage. (Tons). per Acre. Value. Potatoes 68.75 53.00 $2,681.00 Oats 34.75 Hay 99.50 12.00 240.00 Ensilage 73.00 255.00 1,147.50 Onions 4.00 1.98 224.30 Mangels 5.00 75.00 15.00 525.00 Turnips 4.00 64.72 16.18 3,612.00 Pasturage and green feed 164.00 1,100.00 $9,529.80 Costs. Horse-labour $2,436.00 Tractor-work 7,353.50 Trucking 1,000.00 Manure 2,500.00 Fertilizer and spray 2,269.73 Seed and sets 8,041.41 Supervision 1,290.00 Sundry expenses 21.63 ■ 24,912.27 Loss $15,382.47 Note.—Crops were either wholly or partially destroyed by flood-water of May and June, 1948. TRACTORS. Profit and Loss Account, March 31st, 1949. 8,300 hours' work at $1.75 $14,525.00 Expenses. Salaries and upkeep $13,161.95 Gasoline : 1,272.82 14,434.77 Profit $90.23 TRUCKS. 2,230 hours' work at $2.50 $5,575.00 Expenses. Salaries and upkeep $4,981.92 Gasoline and oil 525.97 5,507.89 Profit $67.11 COLONY FARM. HH 75 GENERAL EXPENSES OF MAINTENANCE AND ADMINISTRATION. Profit and Loss Account, March 31st, 1949. Salaries and miscellaneous expenses $28,195.77 Horse-labour 500.00 Trucking 750.00 Tractor-work 1,050.00 Gasoline and oil 412.25 Sundry 196.50 ■ $31,104.52 Proportion, Headquarters expense $2,100.00 Repairs through Public Works Department 15,186.96 Loss on inventory of equipment 4,141.77 21,428.73 $52,533.25 Less sundry credits 17.86 $52,515.39 HH 76 MENTAL HOSPITALS REPORT, 1948-49. MISCELLANEOUS STATEMENTS, INVENTORIES, ETC. Mental Hospital, Essondale—Produce supplied by Colony Farm for Year ended March 31st, 1949. Dairy produce— Milk, 1,217,340 lb $62,571.19 Cream, 903.5 quarts :_____ 768.01 Table cream, 7,853.4 gallons 16,897.13 Meats— Beef, 916 1b $164.88 Veal, 2,972 lb 1,026.20 Hearts, .livers, etc., 118.75 lb 34.49 Fresh pork, 209,043 lb 64,668.53 Pork plucks, 3,308 lb 661.60 $80,236.33 Fruits and vegetables— Fresh $33,188.54 Canned 43,017.20 66,555.70 76,205.74 Sundries—Horse-labour 3,584.00 $226,581.77 Mental Hospital, New Westminster—Produce supplied by Colony Farm for Year ended March 31st, 1949. Dairy produce— Milk, 47,450 lb $2,479.62 Cream, 284 quarts 241.44 Table cream, 1,092 gallons 2,348.40 Meats— Fresh pork, 18,110 lb $5,602.23 Pork plucks, 332% lb 66.49 $5,069.46 5,668.72 Fruits and vegetables— Fresh $938.89 Canned 8,558.65 ■ 9,497.54 $20,235.72 Accounts Receivable, March 31st, 1949. Sundry amounts due from live stock, etc., sold $515.72 Remittances to Treasury. Sundry remittances to Treasury during year 1948-49 in payment of live stock and produce $375,239.67 colony farm. HH 77 MISCELLANEOUS STATEMENTS, INVENTORIES, ETC.—Continued. Summary of Equipment Inventories, March 31st, 1949. Equipment in dairy Equipment in cannery Horse and cattle barns and piggery__. Farm implements Pumping-stations and land-clearing.. Butcher-shop Carpe*nter-shop Blacksmith-shop $4,276.50 4,542.50 3,475.50 24,501.80 2,188.00 49.00 1,223.75 689.50 $40,946.55 Orchard and Truck-gardens. Apiary supplies Plum-trees r Prune-trees Pear-trees Apple-trees Cherry-trees Raspberry-canes Rhubarb-clumps Strawberry-plants _ Vegetables on hand— $152.60 1,806.00 1,950.00 1,523.00 628.00 371.00 1,600.00 3,300.00 100.00 1,080.00 $12,510.60 VICTORIA, B.C. : Printed by Don McDiarmid, Printer to the King's Most Excellent Majesty. .1950. 520-150-6062
- Library Home /
- Search Collections /
- Open Collections /
- Browse Collections /
- BC Sessional Papers /
- DEPARTMENT OF PROVINCIAL SECRETARY MENTAL HOSPITALS...
Open Collections
BC Sessional Papers
DEPARTMENT OF PROVINCIAL SECRETARY MENTAL HOSPITALS PROVINCE OF BRITISH COLUMBIA ANNUAL REPORT FOR 12… British Columbia. Legislative Assembly [1950]
jpg
Page Metadata
Item Metadata
Title | DEPARTMENT OF PROVINCIAL SECRETARY MENTAL HOSPITALS PROVINCE OF BRITISH COLUMBIA ANNUAL REPORT FOR 12 MONTHS ENDED MARCH 31ST 1949 |
Alternate Title | MENTAL HOSPITALS REPORT, 1948-49. |
Creator |
British Columbia. Legislative Assembly |
Publisher | Victoria, BC : Government Printer |
Date Issued | [1950] |
Genre |
Legislative proceedings |
Type |
Text |
FileFormat | application/pdf |
Language | English |
Identifier | J110.L5 S7 1950_V03_09_HH1_HH77 |
Collection |
Sessional Papers of the Province of British Columbia |
Source | Original Format: Legislative Assembly of British Columbia. Library. Sessional Papers of the Province of British Columbia |
Date Available | 2017 |
Provider | Vancouver : University of British Columbia Library |
Rights | Images provided for research and reference use only. For permission to publish, copy or otherwise distribute these images please contact the Legislative Library of British Columbia |
CatalogueRecord | http://resolve.library.ubc.ca/cgi-bin/catsearch?bid=1198198 |
DOI | 10.14288/1.0340943 |
AggregatedSourceRepository | CONTENTdm |
Download
- Media
- bcsessional-1.0340943.pdf
- Metadata
- JSON: bcsessional-1.0340943.json
- JSON-LD: bcsessional-1.0340943-ld.json
- RDF/XML (Pretty): bcsessional-1.0340943-rdf.xml
- RDF/JSON: bcsessional-1.0340943-rdf.json
- Turtle: bcsessional-1.0340943-turtle.txt
- N-Triples: bcsessional-1.0340943-rdf-ntriples.txt
- Original Record: bcsessional-1.0340943-source.json
- Full Text
- bcsessional-1.0340943-fulltext.txt
- Citation
- bcsessional-1.0340943.ris
Full Text
Cite
Citation Scheme:
Usage Statistics
Share
Embed
Customize your widget with the following options, then copy and paste the code below into the HTML
of your page to embed this item in your website.
<div id="ubcOpenCollectionsWidgetDisplay">
<script id="ubcOpenCollectionsWidget"
src="{[{embed.src}]}"
data-item="{[{embed.item}]}"
data-collection="{[{embed.collection}]}"
data-metadata="{[{embed.showMetadata}]}"
data-width="{[{embed.width}]}"
data-media="{[{embed.selectedMedia}]}"
async >
</script>
</div>

https://iiif.library.ubc.ca/presentation/cdm.bcsessional.1-0340943/manifest