{"@context":{"@language":"en","AIPUUID":"https:\/\/open.library.ubc.ca\/terms#identifierAIP","AggregatedSourceRepository":"http:\/\/www.europeana.eu\/schemas\/edm\/dataProvider","AlternateTitle":"http:\/\/purl.org\/dc\/terms\/alternative","CatalogueRecord":"http:\/\/purl.org\/dc\/terms\/isReferencedBy","Collection":"http:\/\/purl.org\/dc\/terms\/isPartOf","Creator":"http:\/\/purl.org\/dc\/terms\/creator","DateAvailable":"http:\/\/purl.org\/dc\/terms\/issued","DateIssued":"http:\/\/purl.org\/dc\/terms\/issued","DigitalResourceOriginalRecord":"http:\/\/www.europeana.eu\/schemas\/edm\/aggregatedCHO","FileFormat":"http:\/\/purl.org\/dc\/elements\/1.1\/format","FullText":"http:\/\/www.w3.org\/2009\/08\/skos-reference\/skos.html#note","Genre":"http:\/\/www.europeana.eu\/schemas\/edm\/hasType","Identifier":"http:\/\/purl.org\/dc\/terms\/identifier","IsShownAt":"http:\/\/www.europeana.eu\/schemas\/edm\/isShownAt","Language":"http:\/\/purl.org\/dc\/terms\/language","Provider":"http:\/\/www.europeana.eu\/schemas\/edm\/provider","Publisher":"http:\/\/purl.org\/dc\/terms\/publisher","Rights":"http:\/\/purl.org\/dc\/terms\/rights","SortDate":"http:\/\/purl.org\/dc\/terms\/date","Source":"http:\/\/purl.org\/dc\/terms\/source","Title":"http:\/\/purl.org\/dc\/terms\/title","Type":"http:\/\/purl.org\/dc\/terms\/type","Translation":"http:\/\/purl.org\/dc\/terms\/description"},"AIPUUID":[{"@value":"1b500343-3be4-4c84-9cf3-405bb2c9320f","@language":"en"}],"AggregatedSourceRepository":[{"@value":"CONTENTdm","@language":"en"}],"AlternateTitle":[{"@value":"MENTAL HEALTH SERVICES REPORT, 1961\/62","@language":"en"}],"CatalogueRecord":[{"@value":"http:\/\/resolve.library.ubc.ca\/cgi-bin\/catsearch?bid=1198198","@language":"en"}],"Collection":[{"@value":"Sessional Papers of the Province of British Columbia","@language":"en"}],"Creator":[{"@value":"British Columbia. Legislative Assembly","@language":"en"}],"DateAvailable":[{"@value":"2018-01-26","@language":"en"}],"DateIssued":[{"@value":"[1963]","@language":"en"}],"DigitalResourceOriginalRecord":[{"@value":"https:\/\/open.library.ubc.ca\/collections\/bcsessional\/items\/1.0363349\/source.json","@language":"en"}],"FileFormat":[{"@value":"application\/pdf","@language":"en"}],"FullText":[{"@value":" DEPARTMENT OF HEALTH SERVICES\nAND HOSPITAL INSURANCE\nMental Health Services Branch\nPROVINCE OF BRITISH COLUMBIA\nANNUAL REPORT\nFOR TWELVE MONTHS ENDED\nMARCH 31\n1962\nPrinted by A. Sutton, Printer to the Queen's Most Excellent Majesty\nin right of the Province of British Columbia.\n1963\n To Major-General the Honourable George Randolph Pearkes,\nV.C., P.C, C.B., D.S.O., M.C.,\nLieutenant-Governor oj the Province oj British Columbia.\nMay it please Your Honour:\nThe undersigned respectfully submits the Annual Report of the Mental Health\nServices Branch, Department of Health Services and Hospital Insurance, for the\nyear ended March 31, 1962.\nERIC MARTIN,\nMinister oj Health Services and Hospital Insurance.\nOffice oj the Minister oj Health Services and Hospital Insurance,\nVictoria, B.C., January 24,1963.\n Department of Health Services and Hospital Insurance,\nMental Health Services Branch,\nVancouver, B.C., January 23, 1963.\nThe Honourable Eric Martin,\nMinister oj Health Services and Hospital Insurance,\nVictoria, B.C.\nSir,\u2014I have the honour to submit the Annual Report of the Mental Health\nServices Branch for the twelve months ended March 31, 1962.\nA. E. DAVIDSON, B.A., M.D., F.A.P.A.,\nDeputy Minister of Mental Health Services.\n TABLE OF CONTENTS\nPART I.\u2014HEADQUARTERS\nPage\nReport\u2014Director of Mental Health Services 7\nReport\u2014Business Manager 18\nReport\u2014Personnel Officer 30\nReport\u2014Supervisor of Psychiatric Social Work 34\nReport\u2014Director of Nursing Services 40\nReport\u2014Department of Nursing Education 44\nPART II.\u2014CREASE CLINIC OF PSYCHOLOGICAL MEDICINE\nAND PROVINCIAL MENTAL HOSPITAL\nReport on Crease Clinic\u2014Medical Superintendent 47\nReport on Provincial Mental Hospital\u2014Medical Superintendent 51\nReport on Treatment Services\u2014Acting Clinical Director 68\nStatistical Tables\u2014Crease Clinic 70\nStatistical Tables\u2014Provincial Mental Hospital 81\nPART III.\u2014THE WOODLANDS SCHOOL AND\nTHE TRANQUILLE SCHOOL\nReport\u2014Medical Superintendent 96\nStatistical Tables\u2014The Woodlands School 112\nStatistical Tables\u2014The Tranquille School 118\nPART IV.\u2014PROVINCIAL MENTAL HOME\nReport\u2014Medical Superintendent 119\nStatistical Tables 121\nPART V.\u2014GERIATRIC DIVISION\nReport\u2014Medical Superintendent 126\nStatistical Tables\u2014Valleyview Hospital, Essondale 139\nStatistical Tables\u2014Dellview Hospital, Vernon 146\nStatistical Tables\u2014Skeenaview Hospital, Terrace 151\nPART VI.\u2014MENTAL HEALTH CENTRE\nReport\u2014Director of Mental Health Centre 155\nStatistical Tables 159\n <\no\no\nB\n2\nffl\nt\/3\nW\nu\nrt\n>\n(-4\nm\nca\n<\n5.\nI\no\nz\n<\ncn\nH\nUW\nrp\nS3\nSen\nSS\no\u00ab\n\u00ab.\u00a7\nprjrt\nH\nKW\nIS\nPh<\n\u00b0\u00a7\ns\nHi\no\ns\ntrt.\no\nrt\nW\ncd\n00\ns\n0\n3\nz\nu\nQJ\nu3z\n^\n>i\"53\nrt g\n\u2022as\n=<.\nffi>\n13\nE\no\nU\na\nu\nrr\ne\nCU\ni\u00bb*\nffl\n^\nC\nX\n3\n>\nCT\nrt\nP.\nC\nS\nU\n\u20220\na\nc.\na\nF*\n5 3\n3 rt\np\nrt\n^\n0 >\n^ 4)\nttZ\nH\nrO\nH\n13\n_T\nft\na\nSi\nO fl\nCO\n'i-i\nrt\nIs\nrt\ntt\ncu\n0\nrt\n>\ntt\ntt\nCO\ncu\n0\n Report of Mental Health Services Branch\nFor the Twelve Months Ended March 31, 1962\nPART I.\u2014HEADQUARTERS\nREPORT OF DIRECTOR OF MENTAL HEALTH SERVICES\nA. E. Davidson, M.D., Deputy Minister of Mental Health Services\nand Director of Mental Health Services\nThe Mental Health Services Branch is concerned with all activities relating to\nmental health and mental illness in the Province of British Columbia. The Branch\nhas been more specifically involved with the provision of care and treatment for\nemotional and mental illnesses. This Report deals primarily with the specific institutions and services which are operated by the Province.\nThe expansion of the services rendered by the several units comprising this\nBranch has been very rapid during the past few years. The total staff employed in\nthe Mental Health Services Branch as of March 31, 1962, was 3,078. This total\ndoes not include students enrolled at the School of Psychiatric Nursing, Essondale.\nThe total expenditure for the fiscal year 1961\/62 was approximately $16,000,000.\nThe total number of patients receiving care in the various units of the Branch during\nthe period under review was 12,714. These few figures give a general indication\nof the extent and the scope of the services rendered to the public of this Province\nby the Mental Health Services Branch.\nSTATISTICAL COMMENTS\nStudy of the accompanying tables will show the steady increase in the number\nof patients seeking help from the various divisions of the Mental Health Services.\nDuring the year, 4,193 patients were admitted to the in-patient units of this\nservice. This figure compares with a total of 3,924 patients admitted during the\nprevious year. It is interesting to note that 2,023 or some 48 per cent of the patients\nsought help on their own volition as voluntary patients. This trend is a most encouraging sign, which indicates an acceptance of mental illness as a treatable condition.\nIt is also an indication of the public confidence in the treatment facilities that are\nprovided by the Mental Health Services Branch.\nIn spite of the fact that the admission rate is rising, it is to be noted that there\nwas a decrease of 156 patients in residence by the end of this year. There have\nbeen increases in the population of the schools for the mentally retarded and in the\nGeriatric Division. Thus the decrease in population is explained by the active treatment programme in the Provincial mental hospitals, where the resident population\nwas reduced by 247 patients during the year.\nAdmissions to our Psychiatric Division (Crease Clinic and Provincial Mental\nHospital) increased from 3,375 in 1960\/61 to 3,661 admissions in 1961\/62. Of\nthese admissions, 1,894 were first admissions and 1,767 were readmissions. Nevertheless, the population of the Provincial Mental Hospital, Essondale, decreased by\n242 during the year.\n7\n I 8\nMENTAL HEALTH SERVICES REPORT, 1961\/62\nTable 1.\u2014Showing Patients in Residence in the Various Institutions oj the Provincial Mental Health Services, April 1,1961, and March 31, 1962, Together with\nIncrease or Decrease.\nInstitution\nIn Residence, Apr\n1, 1961\nIn Residence, Mar.\n31, 1962\nIncrease (+)\nMen\nWomen\nTotal\nMen\nWomen\nTotal\nDecrease (\u2014)\n108\n1,608\n288\n758\n147\n246\n105\n279\n136\n1,340\n640\n26\n484\n124\n244\n2,948\n288\n1,398\n173\n730\n229\n279\n110\n1,464\n283\n791\n153\n248\n106\n293\n145\n1,242\n561\n139\n472\n126\n255\n2,706\n283\n1,352\n292\n720\n232\n293\n+ 11\n\u2014242\nMental Hospital, Colquitz -\t\n\u20145\n\u201446\n+ 119\n\u2014 10\n+3\nValleyview Hospital, Essondale ..\t\nSkeenaview Hospital, Terrace .\t\n+ 14\nTotals \t\n3,539\n2,750\n6,289\n3,448\n2,685\n6,133\n\u2014 156\nTable 2.\u2014Showing in Summary the Admissions and Population Increase oj the\nProvincial Mental Health Services jor the Ten-year Period April 1, 1952, to\nMarch 31, 1962.\nYear\nTotal\nAdmissions\nAdmissions\n65 Years\nand Over\nAdmissions\n15 Years\nand Under\nVoluntary\nAdmissions\nPopulation\nIncrease\nIndex of\nIncrease\n1952\/53 \t\n1953\/54 \t\n2,518\n2,437\n2,492\n2,855\n2,720\n2,936\n2,993\n3,296\n3,924\n4,193\n357\n347\n348\n392\n385\n442\n425\n506\n580\n557\n179\n169\n71\n58\n57\n106\n135\n182\n254\n200\n768\n834\n884\n1,153\n1,083\n1,012\n1,118\n1,316\n1,695\n2,023\n290\n215\n88\n26\n\u201478\n38\n\u201490\n20\n42\n-156\n11.54\n8.82\n1954\/55\t\n1955\/56\t\n1956\/57\t\n1957\/58\t\n3.53\n0.91\n\u20142.87\n1.29\n1958\/59 \t\n1959\/60 _\n1960\/61\t\n-3.00\n0.61\n1.07\n1961\/62..... ..\u201e\n\u20143.72\nTotals -\t\n30,364\n4,339\n1,411\n11,886 1 395 1 \t\nThere were 214 patients admitted to The Woodlands School. The programme\nin the School has been increased and greatly enriched, and this advance has resulted\nin a total of 1,960 patients receiving care in the School during the year. This\ncompares with a figure of 1,868 patients in 1960\/61.\nThere were 318 patients admitted to the Geriatric Division. This figure compares with 285 admissions during the previous year. Altogether 1,642 patients\nreceived care and treatment in the units of the Geriatric Division this year.\nThe Mental Health Centres in Burnaby and Victoria have continued to provide\nactive psychiatric services to patients who can attend these Centres on an ambulatory\nbasis. These Centres offer both consultative and therapeutic services. A total of\n632 new patients were seen in the Adult Clinic of the Mental Health Centre at\nBurnaby. Eight hundred and five children attended the Children's Clinics in\nBurnaby and Victoria.\nMAIOR EVENTS AND TRENDS\nIn addition to the regular services which have continued during the year,\nconsiderable expansion has occurred in several units. Additional services have also\nbeen provided to certain geographic areas. During the year there has also been\nplanning for the development of new services in several parts of the Province.\nThe position of Consultant in Medical Records and Statistics was added to the\nBranch establishment this year. The principal duties of the incumbent in this\n HEADQUARTERS I 9\nposition are (a) to provide consultative services on medical records and statistics to\nthe Deputy Minister; (fe) on instruction of the Deputy Minister, to act as consultant\nto the heads of the various divisions of the Mental Health Services in reference to\nmedical records and statistics within their areas and to consult with the supervisors\nof medical records offices as requested regarding personnel problems, maintenance\nof records, and changes of procedure; (c) to act as liaison officer to the Division of\nVital Statistics, Health Branch, in the planning, collecting, and presentation of\nstatistics: (d) on instruction of the Deputy Minister, to assist persons from outside\nthe Mental Health Services Branch in obtaining statistics and material for approved\nmental-health research projects. Miss Agnes Dingle was appointed to this position\non lune 1, 1961.\nThe development of open-ward programmes in the Crease Clinic and the\nProvincial Mental Hospital has continued with further expansion during the year.\nOver two-thirds of the wards at the Crease Clinic and the Provincial Mental Hospital\nare now open. This means patients on these wards have the freedom to come and\ngo, and in this way they must assume increased responsibilities for their own activities. This year, for the first time, two wards at Valleyview Hospital were converted\nto open-ward status.\nThe boarding-out care programme referred to in last year's Report has been\nexpanded. The programme is designed to care primarily for patients who have\nreceived maximum benefit from hospital care and who can carry on in the community\nin suitable accommodation. This programme is carried on in close collaboration\nwith the Department of Social Welfare. Boarding homes are selected and supervised\nby members of the social service staff of the Mental Health Services Branch. Patients\nare selected and placed in various boarding homes, where they are supervised by the\nMental Health Services personnel. Altogether 317 patients have been placed in\nboarding homes since this programme began. Many patients have continued their\nimprovement following transfer from the Mental Hospital, so that in due course it\nhas been possible to discharge them from boarding homes to independent living in\nthe community.\nA significant expansion during the year has been the development of the\nRehabilitation and After Care Clinic in Vancouver. This Clinic provides psychiatric\nfollow-up and after-care services for patients discharged from the Crease Clinic and\nProvincial Mental Hospital. It was opened in December, 1961. It is located at\n\" Venture,\" the half-way house at 445 West Thirteenth Avenue, Vancouver. It\nserves principally patients discharged to the metropolitan Vancouver region. It is\nhoped that this service can be expanded to include other parts of the Province. Since\nthe start of this programme in December, 412 patients who have been discharged\nhave been registered in this Clinic and are there receiving after-care and follow-up\nservices.\nWith a view to preparing patients who have been in hospital for a prolonged\nperiod of time for their return to the community, an \" activities of daily living \" programme has been developed at the Provincial Mental Hospital. It is designed to\nretrain and re-educate patients in modern living activities with a view to preparing\nthem to make their adjustment to community life. Twenty-nine patients have had\nthe privilege of the training this year.\nIn lanuary of 1962 a serious fire occurred at the Riverside Annex of the Provincial Mental Hospital. One patient unfortunately lost his life. One hundred and\ntwenty-three patients were evacuated quickly from the building. Emergency measures were made to accommodate these patients in other areas of the Hospital. The\nPublic Works Department took quick action in the renovation of the damaged\nbuilding. It is planned to return the patients to this area early in the coming year.\n I 10 MENTAL HEALTH SERVICES REPORT, 1961\/62\nConsiderable attention has been given to the development of a plan for the\nevacuation of patients from the Provincial Mental Home at Colquitz. This facility\nis not regarded as suitable for the provision of modern psychiatric care. It is planned\nto transfer patients from Colquitz to our institutions on the Mainland. The provision of certain additional facilities is necessary in order to prevent any overcrowding\nin the existing institutions. It is hoped that the movement of patients from Colquitz\nwill begin during the coming year. Simultaneously with the abandonment of the\nColquitz institution, planning will be continued for the development of modern psychiatric facilities for the Vancouver Island area.\nThe facilities at The Tranquille School have continued to expand. One hundred and nineteen patients were transferred from The Woodlands School this year,\nto bring the resident population up to 292 as of March 31st. Up to the present time,\npatients accommodated in this School are all older ambulatory persons requiring\nonly residential-type care. Planning continues for the provision of care for the more\nhandicapped mentally retarded in this unit.\nThe operation of the Valleyview Hospital as a separate mental hospital for\ngeriatric patients with mental illnesses has continued successfully. This Hospital has\noperated very efficiently and provides a worth-while service for this type of patient.\nThe development of the Social Service Department in this Hospital has been most\nwelcome. The Social Service Department is able to assist in the screening of the\nvarious patients seeking admission to the Hospital. In addition, it also renders very\nvaluable assistance in the preparation of patients for discharge to their homes or to\nsuitable boarding-home accommodation.\nA start was made to expand the psychiatric services provided in Victoria and\nthe Vancouver Island area. For some time past the only Provincial services available in Victoria have been provided by the Child Guidance Clinic. Only one\npsychiatrist has been employed in this area. This year an additional psychiatrist,\ntogether with ancillary personnel, has been employed with a view to providing services for both adults and children.\nConsiderable progress has been made toward developing regional mental-health\nservices throughout the Province. A psychiatric team from the Mental Health Centre\nin Burnaby has been visiting the Upper Fraser Valley health units to provide consultative psychiatric services to this area. The time spent by the visiting team in this\narea has been substantially increased this year.\nIn accordance with the planning reported last year, a regional mental-health\nclinic has been developed for the Okanagan region. This clinic will consist of a\npsychiatrist, psychologist, psychiatric social worker, and mental-health nurse, together with necessary clerical staff. It will be centred at Kelowna, where suitable\naccommodation will be provided in an addition to the Community Health Centre.\nThis clinic will serve the major centres in the South Okanagan, North Okanagan,\nand Central Health Units. There will be regular clinics held in Penticton, Kelowna,\nVernon, Salmon Arm, Revelstoke, and Kamloops. Consultative services will be\navailable to physicians, health agencies, the Social Welfare Department, and educational services.\nThere have been a number of major items of capital construction completed or\ncommenced within the Mental Health Services during the past fiscal year. The\nmajor items in this area include: \u2014\n(1) The completion of the central surgical-supply room at the Provincial\nMental Hospital, Essondale.\n(2) Continuation of construction of an incinerator at Essondale.\n(3) Construction of a central accounting office at Essondale.\n HEADQUARTERS I 11\n(4) Commencement of construction of a new Industrial Therapy Building at\nEssondale. This work commenced in February of 1962.\n(5) Renovation of the Riverside Annex Building, which was partially destroyed by a fire occurring in January of 1962.\n(6) The planning for the reconstruction and conversion of the Nurses' Home 2\nBuilding at The Woodlands School. The purpose of this reconstruction is\nto provide modern administrative facilities for the operation of the unit.\n(7) Planning for the construction of the building at Essondale to accommodate\nthe telephone exchange and the Provincial Mental Hospital Employees'\nCredit Union,\nGENERAL COMMENTS\nOur programme in public relations has continued throughout the year. To this\nend, each institution made arrangements for interested groups to visit in order to see\ntheir programmes in action and to have the opportunity of imparting instruction\nregarding mental illness and its associated problems. Throughout the year there\nhave been many groups visit the various centres and facilities, such as service clubs,\nmedical and nursing groups, classes from the University, etc. In this way the public\nobtains some impression of the many aspects of mental illness and a knowledge of\nthe functioning of the various units of the Mental Health Services.\nI would again like to commend the Canadian Mental Health Association and\nthe Association for Retarded Children of British Columbia for the work they have\nperformed in regard to the mentally ill and the mentally retarded. These organizations have done much to assist the patients. The presence of their volunteers in our\ninstitutions brings the community much closer to the mentally ill person. It also\ndoes much to convey to the community what is taking place in our various centres.\nThese organizations have done a great deal to further the ends of mental health in\nour Province.\nThe thirty-first graduation exercises were held in the Vincent Massey Junior\nHigh School auditorium in New Westminster on the evening of April 27, 1961.\nNinety-six student-nurses (sixty-four women and thirty-two men) received diplomas\nsignifying their successful completion of a two-year course in psychiatric nursing.\nMr. Willard Ireland, Provincial Librarian and Archivist, gave a stimulating and\ninteresting graduation address.\nThe Council of Psychiatric Nurses held its annual meeting on April 26, 1961.\nOne thousand two hundred and fifty-one nurses are now licensed under the Psychiatric Nurses Act. This year again two psychiatric nurses were enabled to take\nfurther training with assistance provided from bursary funds. One psychiatric nurse\nattended the Eighth Pacific Northwest Laboratory in Group Development at North\nBend, Wash., in June, 1961. A second psychiatric nurse was granted assistance to\nattend the Fifteenth Annual Summer Laboratory in Human Relations conducted by\nthe National Training Laboratory in Bethel, Maine, in July, 1961.\nThe Narcotic Addiction Foundation continues to receive guidance from the\nMental Health Services Branch through Dr. A. E. Davidson, who serves as a member\nof the board of directors. Dr. F. G. Tucker serves in a similar capacity on the board\nof directors of the Alcoholism Foundation. The Mental Health Services is thus able\nto assist in the planning of the programmes of these two important services.\nThe Mental Health Services staff members continued to participate in the\nin-service training programme for senior school counsellors which is conducted\nunder the auspices of the Vancouver School Board with financial assistance through\nthe Mental Health Grant. Seven senior teachers took the course this year. Since\nthe inception of the programme seven years ago, sixty-three teachers have been given\n I 12 MENTAL HEALTH SERVICES REPORT, 1961\/62\ntraining. A summary of the numbers trained for each of the participating School\nBoards is as follows: Vancouver, 44; Richmond, 5; Burnaby, 4; Surrey, 4; North\nVancouver, 2; Coquitlam, 2; New Westminster, 1; Langley, 1.\nThe professional staff throughout the Mental Health Services has shown a\nprogressive improvement throughout the year. Numerous trained personnel in the\npsychiatric, social service, and psychiatric nursing field have been added to our\nservices. Dr. R. W. Harrington was appointed to the position of Director of the\nRehabilitation and After Care Clinic in December, 1961. Dr. L. Holland was\nappointed to the staff of the Mental Health Centre, Victoria, in lanuary, 1962.\nIt is with regret that I report the death of one of our senior physicians, Dr.\nW. P. Fister, a competent and highly respected member of the staff of the Crease\nClinic and Provincial Mental Hospital. Dr. Fister was employed as consultant in\nneurology and served in the department since 1948. He was especially skilled in\nthe field of medicine and had taken special training in the field of neurology and\nelectroencephalography. He developed the neurological department at the Crease\nClinic to a state of high efficiency. Actually, the service which was provided by the\nneurological department at the Crease Clinic under Dr. Fister's direction was unique.\nHis services will be sorely missed.\nMENTAL HEALTH GRANT\nThe Government of Canada, through the Department of National Health and\nWelfare, made available to British Columbia a Mental Health Grant \" to assist in\nan extended programme for the prevention and treatment of mental illness, including\nrehabilitation and free treatment.\" This is the fourteenth year that this Mental\nHealth Grant has been made available.\nThe grant provided for 1961\/62 was $791,907. Projects to the total value of\n$733,483.66 were submitted to and approved by the Department of National Health\nand Welfare. Expenditures made and claims submitted to the Federal Treasury by\nMarch 31st totalled $692,502.53. The details of the expenditures are shown in\ntabulated form in the Business Manager's section of this Report, which appears\non page 29.\nProfessional Training\nDr. F. G. Tucker, Clinical Director, Provincial Mental Hospital and Crease\nClinic, was awarded a bursary to permit him to enrol in the administrative psychiatry\ncourse at Columbia University, New York City.\nSix physicians were granted bursaries to enable them to enrol for graduate\nspecialist training in the Department of Psychiatry, Faculty of Medicine, University\nof British Columbia. These bursaries, which are tenable for one year, commenced\nin July. Special arrangements were made by the Professor of Psychiatry, University\nof British Columbia, for two of the trainees to undertake their training at the Allan\nMemorial Institute of Psychiatry, McGill University, Montreal.\nTen social workers were granted bursaries to permit them to enrol at the School\nof Social Work, University of British Columbia. One trainee withdrew just before\nthe course commenced and was not replaced.\nTwo registered nurses were awarded bursaries to permit them to enrol for\nadvanced studies in the School of Nursing, University of British Columbia.\nOne clinical psychologist was given a bursary to permit him to continue with\nadvanced postgraduate studies in his specialty at the University of British Columbia.\nAll the persons who were assisted by bursaries were required to sign formal\nagreements whereby they obligated themselves to give a stipulated return in service\n HEADQUARTERS I 13\nto the Mental Health Services Branch of the Province on the completion of their\ntraining periods.\nA number of short courses and institutes for staff personnel were supported by\nthe Mental Health Grant, as follows:\u2014\nTwelve senior nurses attended an institute on nursing administration and supervision for superintendents of nurses and chief male nurses. This institute was given\nby the Department of University Extension, University of British Columbia, in\nresponse to a request from the Mental Health Services Branch.\nDr. R. Parkinson, senior psychiatrist with the Adult Clinic of the Mental Health\nCentre, Burnaby, attended a five-day institute on group psychotherapy at the\nUniversity of Saskatchewan.\nDr. John Walsh, Deputy Medical Superintendent of the Provincial Mental\nHospital, attended the Thirteenth Annual Mental Hospital Institute of the American\nPsychiatric Association held in Omaha in October.\nSix nurses holding supervisory and head nurse positions attended an institute\nentitled \" Person to Person \" sponsored by the School of Nursing, University of\nWashington, Seattle.\nMiss A. K. Carroll, Provincial Supervisor of Psychiatric Social Work, and Miss\nB. J. Mitchell, Director of Nursing Services, attended the Second Canadian Mental\nHealth Services Institute held at Ottawa in January.\nThe Superintendent of Nurses of the Valleyview Hospital attended an institute\non nursing service administration sponsored by the American Psychiatric Association in San Francisco.\nEquipment and Supplies\nProvincial Mental Hospital, Essondale.\u2014The Surgical Department was supplied with equipment to the value of $12,000, comprising a new anaesthetic machine,\nnew overhead theatre lamp, mobile X-ray unit with universal seriography complete\nwith cassettes. The laboratory was supplied with a new autotechnicon to replace\nthe original instrument received in 1949. To modernize the dental clinic, high-speed\ndental equipment to the value of $1,300 was authorized for purchase.\nThe Woodlands School.\u2014The laboratory was supplied with a new Leitz binocular microscope.\nValleyview Hospital.\u2014Eight walkers, one mobile sitz bath, and one mobile\npatient-lifter were supplied to the wards for use in the nursing care of the aged\npatients. The Physiotherapy Department was equipped with an ultra-sonic machine,\nmuscle-stimulator, and associated accessories.\nCommunity Mental-health Programmes\nThese continue to be supported along the lines described in previous Annual\nReports. The assistance provided to the Vancouver School Board in the course for\nsenior school counsellors was included with the project to assist the mental-hygiene\nprogramme of the Metropolitan Health Committee of Greater Vancouver to simplify\nadministration.\nA new project this year made available $4,800 as a grant in aid of the stipends\npaid to the consultant psychiatrist and senior social worker employed by the Narcotic Addiction Foundation.\nPsychiatric Services in General Hospitals\nThe psychiatric division of the out-patients' department of the Vancouver\nGeneral Hospital was assisted by a grant to provide the salaries of two psychiatric\nsocial workers, one psychiatric casework aide, and one medical stenographer.\n I 14\nMENTAL HEALTH SERVICES REPORT, 1961\/62\nDepartment of Psychiatry, University of British Columbia\nThis was the second year in which Mental Health Grant funds were made\navailable to the Department of Psychiatry of the University of British Columbia to\nassist in the establishment of a graduate training programme. The sum of $29,412\nwas approved for this project. The grant provided the salaries of the clinical psychologist and a medical secretary, as well as for tutorial supervisors and honoraria\nfor lecturers and visiting specialists. There was also provision to purchase additional\ntape recorders.\nPersonnel for Mental Health Services\nAs in previous years, a grant provides the stipends for the consultants in neurosurgery, general surgery, orthopaedic surgery, internal medicine, and dermatology.\nThese consultants supply their services to all of the institutions of this Branch which\nare located in the Lower Mainland region of the Province.\nOur hospitals and clinics have again received assistance in the provision of\nsalaries for members of the treatment staff, including such specialists as psychiatrists,\npsychiatric nurses, laboratory technicians, clinical psychologists, social workers, and\ndieticians. In total, 108 personnel are involved in these grants.\nDirector of Mental Health Services\nA new project which was approved this year provides salaries for a consultant\nin medical records and statistics and a consultant in clinical psychology for the office\nof the Director of Mental Health Services. Approval was received for the continuation of the project to study the necessity and feasibility of establishing a combined\ncourse in psychiatric and general nursing.\nResearch Projects\nAs in previous years, Mental Health Grant assistance has been given to several\nmajor research projects. The studies are conducted in the Faculty of Medicine,\nUniversity of British Columbia, by the Departments of Neurological Research and\nof Pharmacology. This year the sum of $76,607.16 was appropriated for these\nresearch studies.\nCOMPARATIVE SUMMARY OF INCREASES AND DECREASES IN RESIDENT POPULATION BY MAJOR DIVISIONS OF MENTAL HEALTH\nSERVICES BRANCH, 1952\/53 TO 1961\/62.\nFiscal Year\nProvincial\nMental\nHospitals\nSchools for\nMental\nDefectives\nGeriatric\nDivision\nCrease\nClinic\nTotal\n1952\/53..\n1953\/54..\n1954\/55.\n1955\/56.\n1956\/57..\n1957\/58..\n1958\/59..\n1959\/60.\n1960\/61..\n1961\/62.\n-64\n+62\n+44\n+2\n\u201470\n-49\n\u2014 135\n-253\n\u201471\n\u2014247\n+277\n+ 104\n+ 19\n+ 19\n+ 14\n+76\n+86\n+93\n+75\n+73\n+49\n+50\n\"+15\n+9\n-15\n-30\n+ 156\n+59\n+7\n+28\n\u2014 1\n+25\n-10\n-31\n+26\n\u2014 11\n+24\n\u201421\n+ 11\n+290\n+215\n+88\n+26\n\u201478\n+38\n-90\n+20\n+42\n-156\n HEADQUARTERS\nI 15\nCOMPARATIVE SUMMARY OF TOTAL PATIENTS UNDER CARE FOR\nMAJOR DIVISIONS OF MENTAL HEALTH SERVICES BRANCH BY\nFISCAL YEARS 1952\/53 TO 1961\/62.\nFiscal Year\nProvincial\nMental\nHospitals\nSchools for\nMental\nDefectives\nGeriatric\nDivision\nCrease\nClinic\nTotal\n1952\/53 \t\n5,227\n5,040\n5,051\n5,247\n5,335\n5,408\n5,377\n5,458\n5,530\n5,803\n1,130\n1,278\n1,263\n1,278\n1,275\n1,373\n1,481\n1,740\n1,868\n1,960\n1,202\n1,255\n1,292\n1,330\n1,287\n1,349\n1,373\n1,459\n1,587\n1,642\n1,436\n1,499\n1,606\n1,894\n1,721\n1,714\n1,744\n1,705\n1,846\n1,876\n8,995\n1953\/54\t\n9,072\n1954\/55 \t\n9,212\n1955\/56 \t\n9,749\n1956\/57 --\n1957\/58 '\t\n1958\/59 \t\n9,618\n9,844\n9,975\n1959\/60 -\t\n10,362\n1960\/61\t\n10,831\n1961\/62 \t\n11,281\nMOVEMENT OF POPULATION OF MENTAL HEALTH SERVICES,\nAPRIL 1, 1961, TO MARCH 31, 1962\nPsychiatric\nDivision\nSchools for Mental Defectives\nGeriatric\nDivision\nTotal\nM. F.\n1\nT.\nM.\nF.\nT.\nM.\nF.\nT.\nM.\nF.\nT.\nIn residence, April 1, 1961 \t\nOn probation, carried forward from\n1960\/61 \t\n2,004 1,476\n1221 308\n51 1\n3,480\n430\n6\n905\n12\n666\n11\n1,571\n23\n630\n4\n608\n8\n1,238\n12\n3.539J 2,750\n138j 327\n5J 1\n6,289\n465\nOn escape, carried forward from\n1960\/61\t\n6\nTotal as at April 1, 1961\t\n2,131[1,785| 3,916\n917| 677| 1,594\n634\n616| 1,250\n3,682! 3,078\n6,760\nAdmissions\u2014\nFirst admissions to Mental Health\n988\n140\n906 1,894\n1\n1911 331\n60\n65\n1\nI\n521 112\n137\n7\n160\n14\n297\n21\n1.185 1.118\n2,303\nReadmissions to different institu-\n147\n777\n205\n761\n352\nReadmissions to same institution...\n712 724[ 1,436\n37\n102\n1,538\n1,840 1,821\n571 45\n3,661\n102\n125\n24\n89| 214\n128 152\n144\n61\n174\n13\n318\n74\n2,109\n142\n2,084\n186\n4,193\nTransfers in. -\t\n328\nTotal admissions to indi-\n1,897| 1,866| 3,763\n149\n1\n217| 366\n205\n187\n392\nI\n2.251| 2.270\n4,521\nTotal under care\t\n4,028j 3,651\n7,697\n1,056\n894j 1,960\n839\n8031 1,642\n5,791 J 5,162\n10,9531\nSeparations\u2014\nDischarged in full \t\nDied \t\nOn probation but not discharged\nEscaped but not discharged\t\n1,7431 1,728\n113 70\n213 j 407\n7 1\n3,471\n183\n620\n8\n76\n11\n12\n58\n11\n10\n134\n22\n22\n11\n148\n9\n9\n167\n16\n20\n315\n25\n1,830]' 1,795\n272 j 248\n234 433\n7| 1\n3,625\n520\n667\n8\n2.0761 2.206 4.282\n99\n23\n79\n115\n178\n138\n168\n24\n192\n13\n360\n37\n2.343 2.477\n4,820\n95 [ 58\n153\n142\n186\n328\nTotal separations from indi-\n1 I\n2,171|2,264| 4,435\n1\n122] 194\n316\n192\n205| 397\n2,485 (2,663\n5,148\n-147 -89|-236\n+ 39| +34| +73\n+ 17\n-10| +7\n-91) \u201465\n\u2014 156\nIn residence, March 31, 1962\t\n1,857| 1,387| 3,244\n1 I\n944| 7001 1,644\n1 1\n647\n598! 1,245\n1\n3,448\n2,685\n6,133\ni Total under care for all Mental Health Services includes total as at April 1, 1961, plus the total admissions\nto individual institutions minus transfers out.\n I 16\nMENTAL HEALTH SERVICES REPORT. 1961\/62\nMOVEMENT OF POPULATION IN INDIVIDUAL INSTITUTIONS,\nAPRIL 1, 1961, TO MARCH 31, 1962\nPsychiatric Division\nCrease Clinic\nProvincial Mental Hospitals\nTotal\nEssondale\nColquitz\nM.\nF.\nT.\nM.\nF.\nT.\nM.\nM.\n1 F.\n1\n1\nT.\nIn residence, April 1, 1961\u2014\t\nOn probation, carried forward\nfrom 1960\/61 \t\n108\n136\n244\n1,608\n121\n4\n1,340\n308\n1\n2,948\n429\n5\n288\n1\n1\n2,004\n122\n5\n1,476\n308\n1\n3,480\n430\nOn escape, carried forward from\n1960\/61 \t\n6\nTotal as at April 1, 1961.\n108\n136\n244\n1,733 | 1,649\n3,382\n290\n2,131\n1,785\n3,916\nAdmissions\u2014\nFirst admissions to Mental\n505\n24\n203\n579\n46\n275\n1,084\n70\n478\n483\n116\n509\n327\n145\n449\n810\n261\n958\n988\n140\n712\n906\n191\n724\n1,894\n331\n1,436\nReadmissions to different institutions \t\nReadmissions to same institution \u2014 \t\n732\n900\n1,632\n1,108\n48\n921\n45\n2,029\n93\n9\n1,840\n57\n1,821\n45\n3 661\n102\nTotal admissions to individual institution\t\n732\n900\n1,632\n1,156\n966\n2,122\n9\n1,897\n1,866\n3,763\nTotal under care \t\n840\n1,036\n1,876\n2,889 | 2,615\n5,504\n299\n4,028\n3,651\n7,679\nSeparations\u2014\u25a0\n701\n3\n855\n1\n1,556\n4\n1,040\n103\n212\n6\n873\n69\n407\n1\n1,913\n172\n619\n7\n2\n7\n1\n1\n1,743\n113\n213\n7\n1,728\n70\n407\n1\n3,471\nDied \t\n183\nOn probation but not dis-\n620\nEscaped but not discharged\t\n8\n704\n26\n856\n35\n1,560\n61\n1,361 1 1,350\n64 j 23\n2,711\n87\n11\n5\n2,076\n95\n2,206\n58\n4,282\n153\nTotal separations from\nindividual institution ....\n730\n891\n1,621\n1,425\n1,373\n2,798\n16\n2,171\n2,264\n4,435\nNet increase or decrease._\t\n+2\n+9\n+ 11\n\u2014 144 | \u201498\n-242\n\u20145\n\u2014 147\n-89\n\u2014236\nIn residence, March 31, 1962 \t\n110\n145\n255\n1,464 | 1,242\n2,706\n283\n1,857\n1,387\n3,244\n HEADQUARTERS I 17\nMOVEMENT OF POPULATION IN INDIVIDUAL INSTITUTIONS,\nAPRIL 1, 1961, TO MARCH 3.1, 1962\u2014Continued\nSchools for Mental Defectives\nThe Woodlands School,\nNew Westminster\nTranquille School,\nTranquille\nTotal\nM.\nF.\nT.\nM. | F.\nT.\nM.\nF.\nT.\nIn residence, April 1, 1961\t\nOn probation, carried forward from\n1960\/61\t\n758\n12\n640\n11\n1,398\n23\n147\n26\n173\n905\n12\n666\n11\n1,571\n23\nTotal as at April 1, 1961\n770 | 651 | 1,421\n147 | 26 | 173\n917\n677\n1,594\nAdmissions\u2014\nFirst admissions to Mental\nHealth\n60\n65\n52\n37\n112\n102\n\t\n\t\n60\n65\n52\n37\n112\n102\nReadmissions to same institution\t\n125\n10\n89\n11\n214\n21\n14\n117\n131\n125\n24\n89\n128\n214\n152\nTransfers in \t\nTotal admissions to individual\ninstitution \t\nTotal under care \t\nSeparations\u2014\n135\n100\n235\n14\n117\n131\n149\n217\n366\n905 | 751 | 1,656\n161 | . 143 | 304\n1,066\n894\n1,960\n76\n11\n12\n58\n11\n1 io\n134\n22\n22\n \t\n\t\n76\n11\n12\n58\n11\n10\n134\n22\n22\nDied \t\nOn probation but not discharged\t\n99\n15\n79\n111\n178\n126\n8\n4\n12\n99\n23\n79\n115\n178\n138\nTotal separations from individual institution \t\n114\n190\n304\n8\n4\n12\n112\n194\n316\nNet increase or decrease \t\n+33 | -79 | -46\n+6 | +113 | +119\n+39\n+34\n+73\n791 1 561 1 1,352\n153\n139\n292\n944\n700\n1,644\nGeriatric Division\nValleyview Hospital,\nEssondale\nDellview Hospital,\nVernon\nSkeena-\nview\nHospital,\nTerrace\nTotal\nM. [ F. 1 T.\nM. \u25a0\nF. | T.\nM.\nM.\n*\nx.\nIn residence, April 1, 1961..\u2014\t\nOn probation, carried forward\nfrom 1960\/61....\t\nTotal as at April 1, 1961\nAdmissions\u2014\nFirst admissions to Mental\n246\n3\n484\n8\n730\n11\n105\n1\n124 229\n.... 1 1\n279\n630\n4\n608\n8\n. 1,238\n12\n249\n492 1 741\n106 | 124 | 230 | 279\n634\n616\n1,250\n90\n5\n113\n11\n203\n16\n34\n2\n47\n3\n81\n5\n13\n137\n7\n160\n14\n297\n21\nReadmissions to different institutions \t\n95\n15\n124\n10\n219\n25\n36\n4\n50\n3\n86\n7\n13\n42\n144\n61\n174\n13\n318\n74\nTotal admissions to individual institutions...\nTotal under care\t\nSeparations\u2014\n110\n134\n244\n40\n53\n93\n55\n205\n187\n392\n359 | 626 | 985\n146 | 177 | 323 | 334\n839\n803\n1,642\n8\n74\n8\n9\n117\n16\n17\n191\n24\n1 I \t\n36 | 50\n1 1 -\t\n1\n86\n1\n2\n38\n11\n148\n9\n9\n167\n16\n20\n315\n25\nDied\t\nOn probation but not discharged \t\n90\n21\n142\n12\n232\n33\n38\n2\n50\n1\n88\n3\n40\n1\n168\n24\n192\n13\n360\n37\nTotal separations from\nindividual institution..\n111\n154\n265\n1\n40 | 51\n91\n41\n192\n205\n397\n+2 | \u201412 | \u201410\n+ 1 | +2 | +3 | +14\n+ \"\n-10\n+7\nIn residence, March 31, 1962\n248\n472\n720\n106\n126\n232 | 293\n647\n598\n1,245\n I 18 MENTAL HEALTH SERVICES REPORT, 1961\/62\nBUSINESS MANAGER'S REPORT\nF. A. Matheson, Business Manager\nAttached hereto are the financial reports for the British Columbia Mental\nHealth Services Branch for the fiscal year ended March 31, 1962.\nTables A to J, inclusive, deal with the in-patient care units, while Tables K,\nL, M, and N deal with the community services, rehabilitation centres, department\nof nursing education, and general administration, respectively.\nTable A shows the daily average patient population as 6,207.30, a decrease\nof 85.07 from the previous year. This decrease is due mainly to a reduction in the\nresident population at the Provincial Mental Hospital, Essondale, of 83.44.\nMaintenance expenditures for the in-patient care units increased by $423,-\n902.06 to $15,832,999.14, the increase being made up of $406,880.27 in salaries\nand the balance of $17,021.79 in supplies and operating expenses.\nThe gross daily per capita cost rose to $6.99 for the year, an increase of 28\ncents over the previous fiscal year. The net per capita cost is $6.04, an increase of\n16 cents over 1960\/61.\nMaintenance revenue continued to rise, the 1961\/62 totals showing as $2,150,-\n802.56, an increase of $243,954.85 over the 1960\/61 total of $1,906,847.71.\nThe farms at Essondale, Colquitz, and Tranquille were taken over by the Department of Agriculture on April 1, 1961, but continued to supply the Mental Health\nServices Branch with dairy produce, meats, vegetables, and canned goods. Transactions involving produce valued in excess of $500,000 were effected between the\ntwo departments during the year.\nAssistance from the Federal Government through the medium of health-grant\nprojects continued to be extremely important to our programme, and the funds provided, totalling $692,502.53, were expended for equipment, personnel, and staff-\ntraining. A detailed statement covering these expenditures is appended to this\nreport.\nI regret to advise that an unfortunate fire occurred in the Riverside Annex\nBuilding at Colony Farm on the evening of January 31, 1962, in which a patient\nlost his life. The fire caused such damage that the patients housed in this building had to be provided for elsewhere in the Hospital. Funds were immediately\nreleased to the Department of Public Works for the repair of fire damage, and work\nin this connection was completed in April of 1962.\nA second shift started operating in the central laundry at Essondale in March,\n1962. The start of this shift was necessary in order for the laundry to meet demands.\nThe second shift is proving to be most satisfactory as, in addition to being better\nable to meet the demands for laundry, they are also able to improve the standard of\nwork and to maintain a higher standard of cleanliness in the laundry.\nRadios have been installed in a number of Hospital and Public Works vehicles\nat Essondale in order to increase the efficiency of the transportation department.\nThe volunteer fire department at the Skeenaview Hospital, Terrace, has been\nreactivated, and it has been supplied with all the necessary equipment, including a\nsmall fire-truck.\nThe Public Works Department at Essondale and New Westminster was reorganized, and Mr. W. R. Meadows was appointed as General Superintendent with\nheadquarters in Vancouver. Mr. D. Murray was appointed Superintendent of Public\nWorks for Essondale and The Woodlands School. The Public Works staff in both\nthese areas are now considered as one and are interchangeable. These changes have\nincreased the efficiency and improved the service supplied to us by the Public Works\nDepartment.\n HEADQUARTERS I 19\nThe year under review has been a particularly active one in so far as planning\nand construction are concerned. Some of the main items of interest in this regard\nare as follows:\u2014\nGeneral Administration.\u2014A contract in the amount of $29,134 was let for the\nconstruction of a new Accounting Building at Essondale. This building was completed in November, 1961. With the completion of this building, we were able to\nconsolidate our accounting departments, and as a result have a much more efficient\noperation.\nThe butcher-shop section of the central stores at Essondale was completely\nrenovated.\nProvincial Mental Hospital, Essondale.\u2014The brick and ornamental-stone work\non the outside of the Crease Clinic was repaired and cleaned.\nWards North 3 and South 3 of the North Lawn Building were converted into\ninfirmary wards, and the infirmary patients from Wards D 2 and E 2 in the Centre\nLawn Building were transferred to these new infirmary wards.\nThe Deputy Minister appointed a committee to plan a new medical clinic for\nEssondale. This committee submitted a report regarding our requirements, and the\nPublic Works Department has appointed an architect, who is now working with the\ncommittee preparing preliminary plans.\nPlans for the complete renovation of the West Lawn kitchens and dining-rooms\nare presendy being prepared.\nA contract in the amount of $103,614 was let for the new Telephone Exchange\nand Credit Union Building.\nA contract in the amount of $503,462 was let for the new Industrial Therapy\nBuilding.\nA contract was let for a new Public Works Shop Building.\nPlans are being prepared for new fire-escapes for the Centre Lawn Building.\nWork in connection with the building of a new incinerator at Colony Farm is\nproceeding.\nProvincial Mental Home, Colquitz.\u2014The old boiler-house was converted into\na storage-shed.\nValleyview Hospital, Essondale.\u2014Plans are being prepared for the complete\nrenovation of Buildings VV. 1, 2, and 3.\nSkeenaview Hospital, Terrace.\u2014-The exteriors of all the Hospital buildings were\npainted, and the general offices were renovated.\nA chlorinator was installed in the water system.\nA survey was made of the fire-alarm and telephone systems, and work on plans\nfor their replacement started.\nThe Woodlands School, New Westminster. \u2014 A contract in the amount of\n$58,054 was let for the conversion of Nurses' Home No. 2 to an Administration\nBuilding.\nToilet facilities were provided for four outside playing areas.\nThe Tranquille School, Tranquille.\u2014New showers were installed in the Central\nBuilding.\nWork was started on the renovation of the Greaves Building to make it suitable\nfor crib-patient care.\nAir-conditioning units were installed in the Main Building and Annex, and in\nthe patients' dining-room.\nThe power-house smoke-stack was replaced.\nA survey of the water system is being carried out by consulting engineers.\nFour houses were received from the Department of Highways for staff residences. Work in connection with the installing of these houses on the grounds and\nservicing them is proceeding.\n I 20 MENTAL HEALTH SERVICES REPORT, 1961\/62\nA contract has been let for the installation of a new floor in the pumproom of\nthe boiler-house.\nWork in connection with the installation of new fire-escapes in the Central\nBuilding was started.\nVictoria.\u2014The Minister appointed a committee to start planning for a new\nmental-health facility in Victoria. This committee is under the chairmanship of the\nDeputy Minister.\nKelowna.\u2014Plans for the establishment of a mental-health centre at Kelowna\nto serve the Okanagan area have been completed, and the plans to enlarge the Kel\nowna Community Health Centre to provide accommodation for the centre have\nbeen approved.\nIn addition to the above, I am also pleased to be able to report that the build\nings, grounds, equipment, and furnishings in all the institutions were well main\ntained, and that a considerable amount of new equipment and furniture, both replace\nment and additional, was purchased during the year.\nFINANCIAL TABLES\nTable A.\u2014Showing the Average Number of Patients in Residence Each\nYear, the Total Amounts Spent for Maintenance, and the Gross\nYearly and Daily per Capita Cost, 1952\/53 to 1961\/62.\nAverage\nl\\\/f a i n tpn 3r\\ n f*f>\nYearly\nDaily\nInstitution\nNumber in\nResidence\n.V1l1J11LLiU11JL.L\nExpenditure\nper Capita\nCost\nper Capita\nCost\n1952\/53\nProvincial Mental Hospital, New West-\n949.24\n$1,590,703.00\n$1,675.76\n$4.59\nProvincial Mental Hospital, Essondale...\n3,440.34\n4,441,278.38\n1,290.94\n3.54\nProvincial Mental Home, Colquitz.-\t\n284.79\n433,108.50\n1,520.80\n4.17\nHome for the Aged, Port Coquitlam\t\n442.94\n617,445.55\n1,393.97\n3.82\nHome for the Aged, Vernon \t\n224.18\n384,971.73\n1,717.24\n4.70\nHome for the Aged, Terrace \t\n292.07\n325,842.57\n1,115.63\n3.06\nCrease Clinic -\t\n230.77\n759,406.04\n3,290.75\n9.02\nTotals for the year \t\n5,864.33 | $8,552,755.77\n$1,458.44 $4.00\n1953\/54\nThe Woodlands School -\t\n1,150.76\n$1,768,922.31\n$1,537.18\n$4.21\nProvincial Mental Hospital, Essondale....\n3,491.15\n4,393,682.65\n1,258.52\n3.45\nProvincial Mental Home, Colquitz \t\n285.28\n421,622.61\n1,477.93\n4.05\nHome for the Aged, Port Coquitlam..\t\n469.13\n683,511.48\n1,456.98\n3.99\nHome for the Aged, Vernon\t\n228.26\n378,006.20\n1,656.03\n4.54\nHome for the Aged, Terrace\t\n293.19\n330,968.40\n1,128.85\n3.09\nCrease Clinic... \t\n235.16\n788,302.36\n3,352.20\n9.18\nTotals for the year \t\n6,152.93 | $8,765,016.01\n$1,424.53 | $3.90\n1954\/55\nThe Woodlands School \t\n1,204.60\n$1,811,848.81\n$1,504.11\n$4.12\nProvincial Mental Hospital, Essondale ...\n3,517.75\n4,685,444.76\n1,331.94\n3.65\nProvincial Mental Home, Colquitz\t\n285.74\n426,786.04\n1,493.62 4.09\nHome for the Aged, Port Coquitlam\t\n527.33\n739,859.92\n1,403.03\n3.84\nHome for the Aged, Vernon\t\n230.72\n368,726.10\n1,598.15\n4.38\nHome for the Aged, Terrace\t\n296.42\n328,553.97\n1,108.41\n3.04\nCrease Clinic \t\n238.63 i 860,673.73\n3,606.73\n9.88\nTotals for the year... \u2014\t\n6,301.19 $9,221,893.33 -\nI\n$1,463.52\n$4.01\n1955\/56\n1\nThe Woodlands School.\t\n1,219.45\n3,508.79\n$2,032,263.32\n5,377,708.34\n$1,666.54\n1,532.64\n$4.55\n4.19\nProvincial Mental Hospital, Essondale...\nProvincial Mental Home, Colquitz\t\n285.30\n428,248.27\n1,501.05\n4.10\nHome for the Aged, Port Coquitlam\n539.27\n797,392.10\n1,478.65\n4.04\nHome for the Aged, Vernon \t\n229.62\n371,438.14\n1,617.62\n4.42\nHome for the Aged, Terrace\t\n287.30\n351,087.68\n1,222.02\n3.34\nCrease Clinic\t\n257.96\n935,501.07\n3,626.54\n9.91\nTotals for the year \t\n6,327.69 | $10,293,638.92\n1\n$1,626.76 $4.44\n1\n headquarters\nI 21\nTable A.\u2014Showing the Average Number of Patients in Residence Each\nYear, the Total Amounts Spent for Maintenance, and the Gross\nYearly and Daily per Capita Cost, 1952\/53 to 1961\/62\u2014Continued.\nInstitution\nAverage\nNumber in\nResidence\nMaintenance\nExpenditure\nYearly\nper Capita\nCost\nDaily\nper Capita\nCost\n1956\/57\n1,232.48\n3,503.60\n284.81\n541.83\n232.58\n288.45\n232.85\n$2,246,193.06\n5,851,370.53\n446,497.91\n831,370.73\n402,867.14\n350,880.96\n996,288.31\n$1,822.50\n1,670.10\n1,567.70\n1,534.38\n1,732.17\n1,216.43\n4,278.67\n$4.99\nProvincial Mental Hospital, Essondale \u2014\nProvincial Mental Home, Colquitz.\t\nHome for the Aged, Port Coquitlam\t\nHome for the Aged, Vernon\u2014\t\n4.58\n4.30\n4.20\n4.75\n3.33\nCrease Clinic \u2014\n11.72\n6,316.60 $11,125,468.64\n$1,761.31 $4.83\n1957\/58\nThe Woodlands School\t\n1,266.21\n3,410.79\n285.36\n538.56\n231.34\n288.63\n235.31\n$2,484,024.86\n5,716,745.90\n460,863.85\n898,225.93\n395,584.86\n379,826.63\n1,077,897.96\n$1,961.78\n1,676.08\n1,615.03\n1,667.83\n1,709.97\n1,315.96\n4,580.76\n$5.37\nProvincial Mental Hospital, Essondale.\u2014\nProvincial Mental Home, Colquitz\u2014\t\nHome for the Aged, Port Coquitlam\n4.59\n4.42\n4.57\n4.68\nHome for the Aged, Terrace\u2014 .',\t\nCrease Clinic \t\n3.61\n12.55\nTotals for the year\t\n6,256.20 $11,413,169.99\n$1,824.30 $5.00\n1958\/59\n1,377.31\n3,301.84\n282.99\n539.13\n226.33\n282.92\n236.88\n$2,968,725.50\n6,088,091.20\n488,028.69\n961,921.63\n410,529.00\n386,804.84\n1,149,344.46\n$2,155.45\n1,843.84\n1,724.55\n1,784.22\n1,813.86\n1,367.19\n4,852.01\n$5.91\n5.05\n4.72\n4.89\nProvincial Mental Hospital, Essondale\u2014\nProvincial Mental Home, Colquitz ~\n4.97\nHome for the Aged, Terrace \t\n3.75\n13.29\nTotals for the year \t\n6,247.40\n$12,453,445.32\n$1,993.38 $5.46\n1959\/60\nCrease Clinic \t\nProvincial Mental Hospital, Essondale\u2014\nThe Woodlands School _\n226.80\n3,135.48\n1,395.44\n53.74\n283.50\n560.16\n230.92\n285.18\n$1,233,254.59\n6,672,849.09\n3,443,231.64\n400,957.24\n523,480.74\n1,400,239.30\n444,975.54\n412,230.25\n$5,437.63\n2,128.17\n2,467.49\n7,461.06\n1,846.49\n2,499.71\n1,926.97\n1,445.51\n$14,86\n5.81\n6 74\n20 39\nProvincial Mental Home, Colquitz\t\nValleyview Hospital, Port Coquitlam\nDellview Hospital, Vernon\t\n5.05\n6.83\n5.26\n3 95\nTotals for the year .. .\n6,171.22 $14,531,218.39\n$2,354.68 | $6.43\n1960\/61\n237.72\n3,008.02\n1,415.30\n126.01\n287.16\n695.41\n232.05\n290.70\n$1,313,678.32\n6,775,567.11\n3,637,555.12\n542,556.16\n518,591.72\n1,754,500.08\n448,792.02\n417,856.55\n$5,526.16\n2,252.50\n2,570.17\n4,305.66\n1,805.93\n2,522.97\n1,934.03\n$15.14\n6.17\n7.04\n11.80\n4.95\n6.91\n5.30\nProvincial Mental Hospital, Essondale....\nThe Woodlands School \t\nTranquille School, Tranquille \u2014\t\nProvincial Mental Home, Colquitz\t\nValleyview Hospital, Port Coquitlam\t\nDellview Hospital, Vernon \t\n,\nTotals for the year \t\n6,292.37\n$15,409,097.08\n$2,448.85 $6.71\n1961\/62\n241.92\n2,824.58\n1,351.62\n250.33\n284.90\n736.29\n230.38\n287.28\n$1,344,906.48\n6,927,591.07\n3,639,782.25\n657,736.27\n507,315.85\n1,848,097.68\n464,314.47\n443,255.07\n$,5559.30\n2,452.61\n2,692.90\n2,627.47\n1,780.68\n2,510.01\n2,015.43\n1,542.94\n$15.23\n6.72\nProvincial Mental Hospital, Essondale...\nTranquille School, Tranquille\t\nProvincial Mental Home, Colquitz\nValleyview Hospital, Port Coquitlam\nDellview Hospital, Vernon \t\n7.20\n4.88\n6.88\n5.52\n6.7.07.30 1 \u00ab1^ SI? QQQ 14\n$2,550.71\n$6.99\n1\n I 22\nMENTAL HEALTH SERVICES REPORT, 1961\/62\nTable B.\u2014Summary Statement Showing the Gross and Net per Capita Cost\nof Patients in all Mental Health Services Institutions for the Year\nEnded March 31, 1962.\nGross operating costs\u2014\nCrease Clinic $1,344,906.48\nProvincial Mental Hospital, Essondale 6,927,591.07\nThe Wodlands School, New Westminster 3,639,782.25\nTranquille School, Tranquille 657,736.27\nProvincial Mental Home, Colquitz 507,315.85\nValleyview Hospital, Port Coquitlam 1,848,097.68\nDellview Hospital, Vernon 464,314.47\nSkeenaview Hospital, Terrace 443,255.07\nGross costs of all institutions.\n$15,832,999.14\nLess collections remitted to Treasury 2,150,802.56\n$13,682,196.58\nDaily average population 6,207.30\nGross per capita cost, one year $2,550.71\nGross per capita cost, one day 6.99\nNet per capita cost, one year 2,204.21\nNet per capita cost, one day 6.04\nRevenue (Patients' Maintenance Collections) oj the Mental Health Services\njor the Past Ten Years\n1952\/53 $1,147,831.65 1957\/58 $1,724,046.70\n1953\/54 1,300,056.89 1958\/59 1,838,158.33\n1954\/55 1,343,848.02 1959\/60 1,821,810.53\n1955\/56 1,358,708.26 1960\/61 1,906,847.71\n1956\/57 1,546,266.32 1961\/62 2,150,802.56\nTable C.\u2014Expense Statement of the Crease Clinic of Psychological\nMedicine, Essondale, for Twelve Months Ended March 31, 1962\nSalaries, Supplies, and Operating\nExpense\nNet Vouchered\nExpenditure as\nper Public\nAccounts\nServices and\nSupplies from\nPublic Works\nDepartment\nActual Cost\nof Operation\nYearly per\nCapita Cost\n$1,001,157.70\n2,686.52\n2,863.77\n1,739.09\n23,870.00\n87,243.18\n120,449.85\n9,600.00\n26,817.61\n4,200.00\n10,529.47\n1,587.51\n$1,001,157.70\n2,686.52\n2,863.77\n1,739.09\n23,870.00\n87,243.18\n120,449.85\n9,600.00\n26,817.61\n4,200.00\n10,529.47\n1,587.51\n52,161.78\n$4,138.38\n11.11\n11.84\n7.19\n98.67\n360.63\n497.89\n39.68\n110.85\n17.36\n$52,161.78\n43.52\n6.56\nBuildings and grounds, etc \t\n215.62\nTotals \t\n$1,292,744.70\n$52,161.78\n$1,344,906.48\n$5,559.30\n HEADQUARTERS\nI 23\nco\nX\nH\nZ\no\n>\n-J\nW\nH\n(.\no\np.\nw\n<\nQ\nZ\nO\nM\nOT\nrn\n\u25baj\n<\nOc\nOT\nO C4\nMS\nH rt\nZ cn\nx\nu\nS o\n> w\nIi\nSpa\nW\ns\nH\nPh\nO\nH\nZ\nBJ\n\u00a7\nW\n<\n(t\nca\nw\nOT\nz\nw\na.\nX\nW\nw\ni-i\n\u00ab\n3\ngl\nh(.o\\0(sr~ccacoHt.ot.r-(. \u2014\n>\no\nr-Tftr-oocor-.'^r~-THr-i>^'tN r-\nts rt\nc& oo o oo rir\\ ri '~h rt mTt m o ot^ o\n\u00a7.2\nr. rt d d os rt rt c<, vri r-' tt r> so o os\" rn\nUS\nHHrfiNNOio^ooouirJonov o\\\nM\/)c.>o,\u00abm|or- fMr-\"r-oooo >n\n\u25a0\u00a71\nSo\nrH rf 0\\ (N co\" ro d ts \u00a9 \"* CO O 0\\ *\u25a0\u00ab Q r^\noo co O cn \u2014i fo i\u2014 r- r(H^tf in\nOv WTfO ro o os\no w\nro \u2014\" so\n<\ntft \u00ab\u25a0\n\u25a0ur.\nq*\nOS o\\ Tt\nro as co\nO m\n\u00abo\\\n00\nO in\nST-\nC* SO* >T)\nin\nCO 00*\nc.oot\ntt\n00 o\ns\u00a3\nr^ *5 *h\nQ\\\nrt Os\nd\na.\n1\n0m\ntOCOO?\nm\nTf so\nS^ w\nc. r- co\nm\noo O\n\u00bb CO\n\u00ab\u25a0*->\nCO 00\n3\ni w-\n\u25a0a\n<\n>.\nIh\no\n\u00a72\n00 I\u2014 rt\n00\n! Tt 00\nc\nu\n>\nr~-mmm\nSO Os rH\nOs 00\na\nrt m n\nc-\nm m\n0 .\nr^rt tn\noo d d\nI\n.O m\n~t so CO\nT- fS\n\u00a7 rt\nft, 3\n&\u00b1rt\nin o\n6*\na 01. c\nra\u00a3| o Q.J3 a.\nd d\nm m\nCK 0\\\n00 oo\no o\n\\0 SD\n\u00ab5\u00a3\u00b0\n\u00ab\u25a0 6ft\n\u25a0o a\n. fl> C\nr-Tj-'*r-c3\\oo',i-t-Tj-r-t-Ti-Tr Tt\nVouchei\npenditur\nas per\nc Accou\n00 CO O 00 oo t-; tn \u2022-; \"* \u00a9 Tf m O O OS\nrirtddosr^mdm'ortt>'s6d rt\nrtrtmnrtrintnotnonon o\nf-mrnr-rtrtt-^xt^rtOrtt^ooo m\nrtTtOsnocr~o\\t^OrtmOOsrt rt\nOOm O m rt CT, rt SO rt rt Tf O\n-. x -r\nOs m rt o m ri\n\u00ab>(. -S\nz \u00a3\nW ffi-\nS3\nn\n0.\na\nX\nW\nCO\nd\n>,\nrt\na\nra\na.\ni-i\nP.\n0)\no\n\u00a3\nc\nrt\nc\nS\nE\n%\n*ra\nC\no\nC\nu\n*3\nc\nH O\n3\na\n3\n4\nc\n'5\na\na\n|\na\na\nra\nu\nCO\nCf\nra\n\u00a9\nO\n\n\u00ab\nh\n1\n*\u25a0\nfl.\n!\n1\n\u00ab\nfl.\ntr\nr\nR\n1\nE\n!\nc\nra\n0\nr-\n\u2022 c\n1\nH\nc\nC\ne\n|\n!\nB\nt\nc\nra\n5\n1\nX\n3\n<\n>\nc\n1\n5\nc\n4-\n'c\n3\nCO o\n2\nOT\nH\nZ\no\nS\nw\n>\nH\nPh\no\nw\nH\nOT\nz\n5^\nO \"-1\no -\na rt\nOT U\nw\na\nH\nPh\nO\nH\nZ\nW\n2=\n-\n<\nca\nz\nOh\nX\np.\np.\nM\nH.\nm\n<\nto\n8.2\nCSS\na .\ni^ to\na\".\nMl\n*Brt8\n5 55 \u00ab<\n^W Trt\noo r-r r- ^ r, vocTtNOH co-3-d\ncNTtr^m \u2014 h o\\ vo f) w o m h O;\nc*,i\/ir-r.^_ji>iOr.fnfr^T.,t\nr- x it, n n n \u2014y3\nSO Os\nOs m\nocmmocGOO'sommsoTtri\nOs O sO t^ SO O O Ci tx>Ttrfr~\nsci On t> od ocid rt m ri ri oo\" oo\no o\\ - o o\\ o o\\ifi r. m in o\ntn \"* *T Os rt o rt *o Tt h Tt CK\nric-osDinro^TtvoincodfS\n\u2014> r- ^ to \\o (N ts\noo r-\nin o\no; in\no r-\nco in\n\u00abft-eo\nm in\nro O\nro ro\ni-HTtoomro \u2014 ooo^ornm'OTt\nCO ^O Os 0\\ tr, O SO O O CS CO Tt Tt\n\u25a0yd tt\" sc a\" \u2014< oc oc d <-* in oi c4 oo\"\nsoasOOsOsc~asoosmcimm\nOs m^ ro Tt ro rn -h o \"* VO \"* r-< Tt_\n^C^r4\"ro\\0^rosD'Tt\\o'inrod\nto \u2014 oc Tt ro so O.\nin -h Tt i-i\na o\n3 &\n\u00bb 3\n\u25a0a bj\ncu u *- i-\n1 b 1 *, a\n\u00a3\u00bb\u00a7SS\nS s\nrTS\n. e&r-\n- \u2014 w\nrt u a> a) ...\n118811\nrt fl> rt 2\no c-h rt\nagSa\na a rt 5\n15 \u00bb\u2022 S 2\n&\u2022\u00a7 &2 ac\no. afl|a\nDrtHOOo.\n\u25a0\u00bb M \u00a3\n\u25a0a \u2122- H\n1 a\n I 24\nMENTAL HEALTH SERVICES REPORT, 1961\/62\nCO\nX\nH\nz\no\n>\nH-l\nw\nH\ne.\no\nPh\na\nri\nI-l\nz\n<:\nK\nH\n\u00a3.:\nS:\nu\non ,\nI-l\nH-l\nI\n\u00a7'\n\u00ab\na\nH\nBh\nO\nH\nZ\nw\nS\nw\nH\n<\nH\non\nQ\nW\nQ\nZ\nP.\nZ\nw\nPP\nw\nI-l\npq\n<:\nH\n*5\nUS\n3 a\n<\na j\n3s\nflro\nc o t. d\n\u2022o \u00a33\ncu o d\nill!\nZW \u00a3\na\nO\nCJsOcsin^-inossosocoosr-No\u00a9\nTt Tt m coi in rt ri oo as in m rt rt oo\nas \u00a9 cs\" rt as\" rl ro **h m rH d d pq c-^\nts *-. so co oo cn in cs ro cn to\nioo\u00a9---;cO'-H\u00a9tSoqoqr-;CS\u00a9t^;\nii-iKost--fS,^HTtascococN\n. cn c. so tho n r-in o m n\n.SDroco\u00a9cS\"\"4-asasooinoo\nf so\" co so\" in TtTtr^in\nB S\na o\n'3 &\nS |\n\u00bb C u\n- ^ to\n: ** *> s I\nSO X 3 & 4J\n$ Sgv.^ ra\n\u25a09\n\u2022J 5) U U J.5\nII26S|\nJ?OHoaS\n- i> 5\n|5 a S3\n\u00a32 th &\n*H -Q =- ^\n5 a c 2\nQrtHOO.\ni cu\n\u20223 8\n\u00a7 a\"\nrt 2 3\n* \u00ab> 0\nIrfH\ncS\n\u20223 ^3\na\nH\nZ\no\nw\n>\nss\nrt\nH\nBh\no\nB.\nN\nH\n5\nc.\n\u25ba .\no\nU\no\nX\nz\nIs\nO Q\ncA vi\n0< q\ntd t^\na W\nEm\nBh\nO\nH\nZ\nw\n2\nBJ\nH\n<\nH\nt\/3\nz\nS-l\nOh\nX\nw\no\n<\nfe I\nto\nus\n\u2022rjn\n\u00b02\na.\ndro\n\u00a7 \u00b0^ 55\n2*11\n> a-5 a\n\u2022o\n8 *>\nyaoH\no d \"<\nZW \u00a3\nsooo--itSTtso\u00a9ooinooinin\n00 Tt cs rt oo oq as Tt in in co Tt\n\"-ipii-iedod ifinHvdm'ino\\\nO CS rH ri SO --(\nmcsm'-iosooN'-iOscoTto\nCS Os \u00a9 O \u00a9 \u00a9 oo so rt ro c\u00a9 ts\nas so so' co' i> o\\ \u00a9 d as' co' in \u00a9\n'-.OTtOSOco^fN'noocSrn\nosr-roincooO'-iTtos^min\u00a9\nSO mrirt CO\" 1-4 rt Tt\nto\nro\nOs\nto\nTt\n oo\" d d rH CO in\nrtOt-soifl-f.'-'OOC.\nOst~-coinrocOi\u2014'Ttovnm\nto\nsC \u00ab.\nto\nOs -\na \u00a3Px: u\nX ,5 OlJrt\n<0 rH pq rt\nCD OJ\n01 rt\na 3\n.2 ft\nH ftg\nr\u00bb O -H ti *\n; Ss c a 2 3 x\n)OHrtrtQrtH0O\n\u25a0o 3 ,2\n*m\n HEADQUARTERS\nI 25\nTable H.\u2014Expense Statement of the Valleyview Hospital, Port\nCoquitlam, for Twelve Months Ended March 31, 1962\nSalaries, Supplies, and\nOperating Expenses\nNet Vouchered\nExpenditure\nas per\nPublic Accounts\nServices and\nSupplies from\nPublic Works\nDepartment\nActual Cost of\nOperation\nYearly per\nCapita Cost\n$1,334,650.55\n5,346.47\n1,312.19\n1,292.11\n62,300.04\n85,866.90\n204,422.28\n18,000.00\n4,800.00\n67,576.94\n1,921.70\n2,216.19\n6,135.05\n\t\n$1,334,650.55\n5,346.47\n1,312.19\n1,292.11\n62,300.04\n85,866.90\n204,422.28\n18,000.00\n4,800.00\n67,576.94\n1,921.70\n2,216.19\n6,135.05\n52,257.26\n$1,812.67\n7.26\n1.78\n1.75\n84.62\n116.62\n277.64\n24.45\n6.52\n91.78\n2.61\n3.01\n8.33\n$52,257.26\n70.97\nTotals \t\n$1,795,840.42\n$52,257.26\n$1,848,097.68\n$2,510.01\n 1 26\nMENTAL HEALTH SERVICES REPORT, 1961\/62\nVO\nX\nu\nft.\n<\nQ\nW\no\nz\nffl\nCO\na\nH\nz\no\nS\n\u00ab\n>\ni-i\nw\n&\no\nBh\nsT\no\nz\nS\nw\n>\n<\ns\no\nX\n-\n>\nI-l\nhJ\nBh\nQ\nBJ\na\n(M\nBh\no\nH\nZ\nBJ\nw\n-.\nH\non\n\u00ab\nto\nz\ntt\nfl.\nX\nP9\nw\n.i-i\n<\no\n a03 a\nZ1^ 3\nPh\no\nO to to\no in sq\nm\" co' \u00a9\nas \u00a9 oo\nro oo rs\ni-Tro tS\nto i-i CS\nr-vovo\nTt O^ro\nts cf ts\"\nas in r\u2014\nts Tt r-\n\u2014 00 ro\ni-i Os ro o in it Th\nin as in os as m so\nin oo Tt so* i-< \u00a9 CS\n\u00a9 so r. Tt so so in\nin >0 co oo in \u00a9 O\nco ro so cS oo i\u2014i in\nd H\n2 S\nI *\na o\naa\n13 ra\n(fl 5 Ih\ne rt S\n(g pig g\n\u25a0SO. OKI\nsi\n\u25a09\ne\n\u202238 \u2022\n\u00a7 2 3\nla.o\n\u25a0 \u25a0 ft\nr^h a\nJS\u00bb3\n.a i\u00a78\nQhJOO\nJi\n\u25a0O XI\nc a\nr.\nso\nON\na.\nCO\nO\n>\n<\nZ\nw\nVi\nr<\nca\nw\na\nH\ntt\no\nH\nZ\nw\ntt\nH\n<\nH\nCfl\nW\nZ\nVi\nOr\nX\nw\ni-i\nBh\n<\n*u\no\n\u00ab a\nS-2\nUS\n\u00ab\nHi\nso\n\u2022or.\nas\nflO\\\na .\n2 ^\na .\nm cfl S M\n.2 a y ra\n> as a\nn a.o a>\n\u2022a 8\nto to d\nfgj\niit<\n> p, ra u\ni as ts oo in so\nr-\" i-i\" d ri '\nri t oo\no\nrt '\no\nrn :\nVO !\nto !\nOs\nro !\nto\nt\u2014\nO\nco :\n\u25a0*\n\u00a9\nr-\nvo\nm\n\u00ab-\nOsOsTtsOao\u00a9CSco \u2014 TtcS\u00a9\nf\u00bb so in \u20141 t-; 00 *-\u25a0 Tt ts oo in i\u2014i\nco d oo* cs' cS oo* Tt Tt tn so \u00a9 so\nr-i-i-fsooomr-mr--^-soso\nosts\u00bbnro\u00a9asinooirias Tt\nooi-T a. rH*orf'H\\D in\ntS CS 1-1 00 rt\nts\n6 S\na *\na o\n*3 r\\\nry-rj\n\u00ab d\ni \u00a3\na\n8 8\nt\/3 O\n0.2\n2 8\nV d\n(U cu\na B s j\nX S jS id\n \u2022 ;\nrt ro\nts\n1\nrt n\") rt j\nn\u00a9tSTfi-HOsin\nTf Tf\nd\nPh\ncocoTj-r~r-mi>Tt^H\nTf Tf\n+\n,_\nrt\n\u2022-HOTtrocsos'-'csts\ncSr-^TftOTfTtto\nTf rH\nr-\no\nro m\nto i-i ro\n\u00a9 \u00a9\ni\nfl.\n\u2022o\n<\nH\n1\nu\nr-r-\u00a9mfomcstS'-i\ni\nto\ntni-ir~sO'-iror-rocs\nm --I\nT\n*rt\n\u00a9mm rt as rn\nso m\n2\ncs\nTt Tf\n+\nP.\na>\nm tn r- i-i\nt\u00a3 as | ts\nro so\nro\ns\nSO Tf 00 rt\noo as\nTf Tf\n1\na.\n1\nUh\nwi\n\u00ab_,\n8\n0\noo ro oo t+ r- \u00a9 i m\n\u00a9 CO rt SO CS_ Tf : I OO\nCO Os\nv.\n00 00\n\u00a9\n3\nin r* \u00ab h ri h\" 1 i co\nro to\n\u00a9\nfc\n43\ni m\n[\n13\nto\nUl\na.\nPH\nl-l\nrO\nm t~~ \u00a9 I\u2014 rH OS ! r-\n\u00a9 cs\nfS\n00\nB\n\u25a0*\u00bb-irt\nOs Os\n|\nPS\ns\nO\na\ncn\n3\na\n5\n*o\nrt\nO\nQ> <\nVi\n1 r> \u2014\n\u00a3 \u00ab\nd\nO\nX\nrto\nd\n4C\nci\n1\ntf\nC\n1\n'I\nC\nEr\n.311*1\n> J '3 2 \"et c\nrt T3 \u00bbrt\u00bb u\nSC\nO\ni\n_ 1\n0\n+\ndl\n_rt\nc\nIE 8**11 11\n> re\nfl\nc\nO X\nCt\nc\n>\n3\n1\n3 h\na.\nP\nO 53\n.\n I 34 MENTAL HEALTH SERVICES REPORT, 1961\/62\nREPORT OF THE PROVINCIAL SUPERVISOR OF\nPSYCHIATRIC SOCIAL WORK\nMiss A. K. Carroll, Provincial Supervisor\nThroughout the Mental Health Services the social service departments have\nfound this year to be one of increasing demands, extension of services, challenge,\nstimulation, and serious endeavour. The latter has called for an analysis and re-\nfocussing of social service organization, administrative procedures, services, and\nfunctions in order to provide a basic minimal coverage of patients' needs arising from\na situation involving increased admissions, accelerated treatment, and discharge.\nFUNCTIONAL DISTRIBUTION OF CONSULTATIVE RESPONSIBILITIES\nProvincial Mental Hospital and Crease Clinic\nIn the light of the demands in the changing situation noted above, the chief\nsocial worker of this division requested consultative help which involved a study of\nthe patient-group and the problems presented at the points of admission and discharge from the Provincial Mental Hospital and Crease Clinic. The study was\nspecifically related to ascertaining ways in which social services might be reorganized,\nrelocated, and refocussed to best meet the demands of the changing situation.\nThe study, focussed as it was on ascertaining the psycho-sociologic statuses\nof patients being admitted for psychiatric treatment, resulted in a recommendation\nfor the development of centralized sections in the social service departments of the\nProvincial Mental Hospital and Crease Clinic, the responsibilities of these sections\nbeing to cover the admission and discharge social-service needs of patients entering\nhospital for short periods of treatment and care.\nThis recommendation was accepted, and the sectional organization and services\nwere developed under the supervision of senior social workers. These positions were\nestablished through job study and reclassification. The responsibilities of this personnel are to over-view discharge plans for short-stay patients generally, further\nextend coverage through brief social services, particularly those related to discharge,\nand the subsequent provision of social services in those instances where they cannot\nbe given by social workers assigned to specific services or teams. Additionally, this\ndevelopment of a brief social service section frees other casework staff to meet the\nmore complex social needs of acutely ill patients. This development, to date, while\nnot still possible of total coverage, has nevertheless resulted in more efficient discharge plans.\nDuring this year the social service department has been concerned not only\nwith consolidating and improving existing services to in-hospital patients and their\nfamilies, but with their expansion into the areas of intermediate care (family-care\nhomes and boarding homes) and after-care services as well. Since the start of the\nintermediate-care programme in 1959, some 317 improved mental patients from\nlong-term treatment units have been placed in boarding homes, and in some instances\nwith foster-families. Of this group of 317 patients, 134 have been discharged in full\nto municipal and Provincial social welfare services. One hundred and fifty patients\nin this group remain in intermediate care of the Provincial Mental Hospital, living in\nboarding homes and family-care homes. Throughout the fiscal year, social workers\nin the Provincial Mental Hospital have assumed the necessary placement and supervisory responsibilities in relation to this group and in relation to the care and social\nprogrammes in operation in the boarding homes. The boarding-home programme\nhas been co-ordinated by the consultant who works closely with the administration\n HEADQUARTERS I 35\nand regional offices of the Department of Social Welfare. However, over the years\nof the boarding-home operation 52 per cent of the total monthly in-patient man-\nhours of social work has been spent in the preparation of patients for boarding-home\ncare, their placement and continuing supervision. As a result, less than 50 per cent\nof total monthly man-hours was spent in services to patients during their hospitalization. To bring relief to this stressing situation, it was recommended that one\nsocial worker be appointed to administer the boarding-home programme as a beginning to the creation of a specific establishment. This appointment to the Provincial\nMental Hospital was made during the fiscal year. The co-ordination of the programme will continue as before.\nThis appointment will undoubtedly relieve to a degree the demands made on\nthe in-hospital social service department in the area of intermediate care of patients.\nThe duties of the boarding-home social worker involve home-finding, home-studying,\nrecommending licensing, the supervision of the boarding-home operation, the supervision of the programme for the patients in boarding homes, and the supervision of\nthe individual patients placed.\nIn the boarding-home programme, the Provincial Mental Hospital assumes\nresponsibilities in regard to the motivation of patients toward the acceptance of\nboarding-home placement, transportation of patients to boarding-homes, emergency\nservices, consultative services, and general psychiatric over-view.\nClose co-operation with the Department of Social Welfare is maintained both at\nadministrative and operational levels. At the latter level, co-operation is achieved\nby the boarding-home social worker being appointed to the Provincial Mental Hospital staff and in the evaluation, licensing, and supervision of boarding homes\nworking with the office of the Inspector of Welfare Institutions and, in this specific\narea, under the supervision of that office.\nThe assistance of the Official Committee has been of great value in the boarding-\nhome programme in the services this office brings in legal protection to the person\nof the patient and his estate.\nDuring the year the progress in the on-going development of the boarding-home\nprogramme has been rewarding and reassuring. Administratively, progress has been\nmade in definitive planning for financing, as well as in the delineation of functions\nand servicers between the Department of Social Welfare and the Mental Health\nServices in relation to the development of a service adequate in standards of intermediate care and valuable to the patients in the maintenance of easeful social functioning and purposeful social behaviour.\nValleyview Hospital\nDuring the year a social service department has been established at Valleyview\nHospital. This establishment permits three social-work positions. The social workers have been active in the pre-admission phase of the patients' hospitalization,\nduring which the applicant for admission and his social situation are studied and\nassessed. As a result of such studies and assessments and in consultation with the\npsychiatrists, private placement in boarding-home or nursing-home care has been\nrecommended as more suitable and valuable to the applicant. In such instances,\nrelatives have been helped to understand the benefit of the recommendation to the\napplicant and then assisted in the placement of the applicant in suitable care with\nthe reassurance that the hospital stands by to help the relative and the applicant and\nthat the social worker will continue to visit if this is desired.\n I 36 MENTAL HEALTH SERVICES REPORT, 1961\/62\nSocial workers have also been active in studying and assessing the needs of\nselected patients in the Hospital who could be discharged to the care of relatives or\nfriends, as well as being active with selected patients who could, with the necessary\ncasework help and support in conjunction with services from psychiatry, nursing,\noccupational, and recreational therapy, be motivated toward the use of boarding-\nhome care.\nThe social workers have been active in community interpretation and in promoting, with the assistance of community public health and welfare agencies, cooperative policies whereby aged persons may be assisted in a way geared to the\nprevention of hospitalization, as well as to the assistance of the aged person leaving\nhospital. This work has been directed toward making the Hospital a part of a totally\ncommunity-based programme for the aged, in which it functions as a hospital and is\nrelated by co-operative policies to community services for the welfare of the aged.\nThe Woodlands School\nDuring the year this staff of seven social workers has averaged 124 home visits\nper month to parents having mentally subnormal children awaiting admission. Social\nservices to parents of mentally subnormal children awaiting admission, measured on\nthe basis of direct interviews and excluding letter and telephone interviews, numbered 217 monthly. Additionally, social services to an average of seventy-four\npupils in residence accounted for 449 interviews per month. Social services were\nrendered to an average of fifteen patients per month who were on probation to\nparents, relatives, foster homes, or work homes.\nGroup-work consultation services have been offered to nursing personnel additional to direct activity with groups of pupil-patients resident in areas designated to\nenhance the social habits and skills of the pupils.\nThe need to provide for and develop family-care and boarding-out facilities is\nrecognized by the administration, and to this end a committee has studied the\nproblems of mental subnormality confronting the Mental Health Services and the\nDepartment of Social Welfare.\nMental Health Centres\nConsultation and services have been given regarding the recruitment and training of social-work personnel specifically in relation to the responsibilities of the\nsocial-work consultant to the travelling clinics and the position of regional supervisor of psychiatric social work in the Okanagan region Mental Health Centre.\nIn summary, an outstanding feature of social-work practice throughout all the\ndivisions of the Mental Health Services has been the activity of personnel in work\nwith groups. In the Provincial Mental Hospital, social workers, with consultation\nfrom the social group worker have been active with patient-groups in hospital, in the\nhalf-way homes, and in the boarding homes. Such groups served a therapeutically\nuseful purpose in helping prepare patients for their return to community life by\nproviding them with an opportunity to share their feelings associated with discharge\nfrom hospital and, through the group support thus engendered, to clarify and resolve\nmany anxieties and concerns which were besetting them.\nIn The Woodlands School, social workers have also been active as consultants\nto nurses in group programmes on the wards and directly with groups geared to\nsharing experiences, discussing problems, sharing concerns in a way which brought\nease individually and enhancement of group inter-supports.\nIn the Mental Health Centres, social workers have been active in group programmes in the Adult Clinic.\n HEADQUARTERS I 37\nRehabilitation and After-care Unit\nThis year a senior social worker was appointed to the stationary team in this\nunit, which is a new service. This social worker has responsibility for co-ordinating\nthe social service aspects of the after-care programme, as well as supervisory responsibility for meeting social-work requirements in the after-care out-patient department.\nOther responsibilities involve social services to in-patients in the half-way homes\nand liaison and consultation to co-operating agencies, as well as supervision of the\nstudent training programme.\nSocial-work Consultant Service\nThis service to divisions, as noted above, entailed the expenditure of 41 per\ncent of the consultant's monthly man-hours of work. Direct consultative services\nto all divisions was given in the following areas: Patient selection and motivtaion\nin the use of intermediate-care facilities, such as family-care homes and boarding\nhomes; recruitment, staffing, and staff-patterning; organizational and functional\nchanges to permit expansion of coverage of patients' needs; development of casework supervisory skills; intake and discharge functions of social workers in geriatric\nservices; the detailing of adequate social services to patients in boarding homes and\nfamily-care homes; the formulation of interagency co-operative service policies in\nthe after-care unit.\nPERSONNEL AND RECRUITMENT FOR SOCIAL SERVICE\nDEPARTMENTS, MENTAL HEALTH SERVICES\nThe recruitment of social workers to the Mental Health Services continues to\nbe facilitated by the use of Federal Mental Health Grants. These are offered to\ngraduate university students through the auspices of the National health grant. This\nyear seven social workers were recruited to the service from the pool of practising\nsocial workers in the community. Nine social workers, recipients of Federal Mental\nHealth Grant bursaries, returned to staff. Of this nine, six bursary students were\nfrom the social service staff of the Mental Health Services and three were recruited\nfrom outside the service. Early in February some eighteen persons with Bachelor\nof Arts degree applied for Federal Mental Health bursaries. Of this number, ten\napplicants were selected. Of this number of ten applicants, three applied from the\nsocial service departments of the Mental Health Services and seven were recruited\nfrom outside the service. The values of the Federal Mental Health bursary programme can be clearly realized in that some 80 per cent of social-work staff have\nbeen recruited through this means.\nPROFESSIONAL EDUCATION AND STAFF DEVELOPMENT PROGRAMMES, SOCIAL SERVICE DEPARTMENTS, MENTAL HEALTH\nSERVICES.\nSixteen students from the School of Social Work, University of British Columbia, had field-work placements in the Mental Health Services. The student\ntraining programme, in which casework supervisors and senior social-work practitioners co-operate, offers opportunities for contact with the University and opens up\nmany opportunities for attendance at educational conferences and seminars focussed\non the enrichment and expansion of teaching and supervisory methods. On the\nother hand, University faculty have an opportunity to gain some understanding of\nthe standards of practice and the programme operating in the agency of field-work\n I 38 MENTAL HEALTH SERVICES REPORT, 1961\/62\nplacement. This co-operation in an education programme has mutual benefits\nwhich are inestimable to agency and school progress.\nIn the Provincial Mental Hospital and Crease Clinic, the staff development\nprogramme during the year was in line with the growing emphasis on the importance\nof social-work research to the profession as a whole. A project was commenced\ntoward the end of the previous fiscal year, but was of necessity continued well into\n1961 before tabulation of statistics was completed. The purpose of the study was\nto obtain a valid sample of a group of patients from which it was possible to draw\nsocial research information at any time. In order to meet the requirements of individual hospital units, some adaptation was necessary on the basic schedule employed.\nThe study, which was completed by the Crease Clinic social-work staff and\nwhich was illustrative of the general approach, was concerned with 354 male and\nfemale patients, including those who were resident as of December 31, 1960, and\nthose who were admitted during the following month. Basic social information on\neach patient was obtained primarily from his clinical record, and included such\nitems as identifying data, length of hospitalization, casework services rendered, etc.\nFrom some twenty-two categories thus covered, it is now possible, through use of\nthe I.B.M. system (to which this research was geared), to draw out many different\nsamples of social factors which were common to this patient-group, and to use this\nmaterial in predicting special problem areas and casework needs.\nIn the Mental Health Centres the staff development programme in social work\nhas continued with a twice-a-month meeting of social workers in the two clinics.\nOne major focus in this year has been an attempt to study and integrate some of the\nrecently developed research and methods designed to make better use of appropriate social-science knowledge and strengthen professional contributions to understanding family dynamics and implementing services at the level of family and social\ninteraction. This has involved review of literature, case discussion, and consideration\nof application to the clinical setting. These and other staff meetings in the individual\nclinics help considerably to encourage good standards, the flexible use of skills,\nstepped-up learning, and integration of new staff to clinical practice. We are pleased\nthat the general-staff meeting programme has developed so well this year, and I feel\nthat this has aided in extending knowledge and perspective.\nA series of meetings between psychiatry and social-work senior staff in the\nAdult Clinic has been most useful in dealing with some aspects of policy and procedure, sharing thinking about complementary professional roles, and working out\nproblems of communication and interdisciplinary responsibilities. The management\nof team programmes, particularly where there is close sharing and interaction, always\npresents a challenge to good communication and clarity of function, and I believe a\nmore regular provision for meetings of this kind will facilitate teamwork. It has\nbeen agreed that a meeting every month of social-work supervisor and team leaders\nwill be tried as a method of continuing this kind of communication and further\nclarifying team interaction.\nIt was possible during the year to arrange to send ten members of the social\nservice staff of the Mental Health Services to the following institutes and workshops: National Conference on Social Welfare; Chief Social Workers' Institute,\nState Mental Health Programmes; Social Workers' Institute; Canadian Psychiatric\nAssociation; Pacific Northwest Regional Institute of Medical Social Work Section\nof the National Association of Social Work; Seminar in Social Work, University of\nBritish Columbia.\nEarly in July of this year, Professor Eleanor Cockerill of the School of Social\nWork, University of Pittsburgh, visited the Mental Health Services for a week. Miss\n HEADQUARTERS\nI 39\nCockerill had just returned from a sabbatical year, during which she had worked as\nsocial-work consultant to Dr. MacMillan and in his programme in community-\ncentred psychiatry. Miss Cockerill, one of the United States' great scholars in social\nwork and a leadership person in the community organization of public- and mental-\nhealth services, addressed multi-disciplinary groups throughout the divisions. She\nalso conducted an inspiring short institute for social workers in the Mental Health\nServices. The theme of the institute was \" Social Work Trends and Challenges.\"\nIt was an inspiring visit from a person of signal ability in her field.\nCentral Branch Responsibilities\nThe following reports have been prepared for branch administration: Organizational and Administrative Aspects of Boarding Home and Family Care, special\nreports regarding residential treatment needs of mentally and emotionally ill children\nas well as mentally subnormal children. A kit has been set up for directing social\nworkers in basic social services to the aged. A report on procedures in the inter-\nprovincial transfer of psychiatric patients on discharge was completed, as well as a\nreport on protection needs of children being discharged from residential units.\nAn interdepartmental case review committee has been set up through which the treatment and discharge needs of children are reviewed. Membership is drawn from the\nDepartment of Social Welfare and Mental Health Services.\n I 40 MENTAL HEALTH SERVICES REPORT, 1961\/62\nREPORT OF THE DIRECTOR OF NURSING SERVICES\nMiss B. J. Mitchell, Director of Nursing Services\nThe provision of nursing care to the large numbers of patients who receive care\nand treatment within the Mental Health Services is the prime responsibility of the\nnursing administrators responsible for the nursing service departments in the units.\nThe Director of Nursing Services is responsible for providing assistance on a consultation basis to these nursing administrators and for the administration of the\nDepartment of Nursing Education (through the Associate Director of Nursing Education). This past year has seen the continued struggle of the nursing service\ndepartments to respond to the increasing pressure from within and without the\norganization to both improve and increase nursing services and nursing education.\nRaising the standards of nursing care inevitably creates problems for the individual\nnurse, aide, or student and for the administrative staff. The nurses, aides, and\nstudents are being motivated to gain new knowledge and skills. Fortunately the\nMental Health Services and the community are beginning to be able to provide more\nassistance and encouragement to the growing needs of the 2,317 nursing personnel.\nDepartment of Nursing Education\nThe weekly consultation and supervision sessions with the Associate Director\nof Nursing Education and her staff have permitted me to share in the development of\nseveral aspects of the nursing educational programmes. Details of these programmes\nare found in Miss Lonergan's report. Other specific activities have included talks to\nthe psychiatric nursing students, clinical course students and faculty; attendance at\nthe official functions of the Department; individual interviews with clinical programme students and presentation of diplomas; participation in (but less direct\nresponsibility for) graduation activities; and planning for an aide-training programme for the men and women psychiatric aides at Essondale and The Woodlands\nSchool. The improved organization of the Department and the individual and group\nsupervision provided for the instructors have enabled the Department to reach a new\nlevel of functioning. Its growing reputation will serve to improve the nursing care to\npatients, bring recognition to the Mental Health Services, and attract nurses who\nwish to learn and teach psychiatric nursing in a clinical setting.\nCONSULTATION TO UNITS\nCrease Clinic and Provincial Mental Hospital\nBesides the usual consultation services provided, the major task in this unit was\nto assist with the extensive study of the reorganization of the nursing service departments. The effort and time the committee members spent in discussion, reading,\nand consultation is yielding useful information for immediate use and is providing the\ndata and direction for the most significant changes in the nursing services. This\nunit's nursing services were able to demonstrate the value of team nursing, nursing-\ncare plans, ward clerks, central supply service, and remotivation groups for the\nimprovement of patient care.\nValleyview Hospital\nBi-monthly consultation visits to this unit have permitted the observation of the\nincreasing ability of the nursing personnel to improve their own nursing skills and to\nmake use of the other therapeutic services for better patient care. Orientation,\nsupervision, and evaluation of nursing personnel have been a strong feature of this\nunit.\n headquarters i 41\nThe Woodlands School\nThe opportunity to work with the senior nursing personnel at The Woodlands\nSchool and, through them, to observe the enthusiasm and dedication of members of\nthe nursing personnel has helped me to appreciate the growing role of the psychiatric\nnurse in the training programme for the severely retarded and the need for registered\nnurses especially skilled in the nursing of sick children. In February I was asked to\nassist with the study of the reorganization of the nursing service departments.\nSkeenaview Hospital\nIn November, Skeenaview Hospital was visited for two days. Discussions with\nthe Medical Superintendent of the Geriatric Division, Dr. B. F. Bryson; the Supervisor, Mr. W. E. Skillicorn; and the Chief Male Nurse, Mr. F. Stewart, provided a\nbackground of achievements and problems against which to observe the on-going\ncare of the geriatric patients. The limitations of the physical setting and numbers of\ntrained nursing staff have not prevented the staff from promoting a nursing-care\nprogramme designed to keep the elderly gentlemen mobile and provide enjoyable\nactivities.\nThe Mental Health Centre\nVisits to this Centre have permitted the observation of the nurse's role in group\nand individual therapy with patients. The opportunity the Superintendent of Nurses,\nMiss Arneson, had to receive supervision from a social-work supervisor, Miss Ellen\nBateman, in regard to her individual therapy with selected patients was considered\nvaluable. The Day Centre programme for emotionally disturbed children was expanded under the skilled management of the senior nurse, Miss Escudero. This is\none of the few areas in the Province where suitable nurses can gain supervised practice in the care and treatment of these children. The Mental Health Centre continues\nto be regarded as a training area for selected nurses to gain added skill in psychiatric\nnursing, in collaborative teamwork, and in working with community agencies.\nCommittee and Educational Activities of Nursing Personnel\nThe nursing administrators continue to meet monthly at the unit nursing conference, chaired by the Director of Nursing Services. Major projects undertaken\nduring the year were planning for a second nursing institute in co-operation with the\nDepartment of Continuing Medical Education of the University; initiation of a\nNursing Supplies Committee, whose purpose is to assist in the discriminating selection of products used by nursing personnel in the care of patients in the Mental\nHealth Services; consideration and approval of revised charting procedures prepared\nby the Nursing Procedure Committee; and study of a health programme for patients\nand staff in the Mental Health Services.\nThe nursing administrators in all units encouraged their nursing staff to take\nadvantage of educational opportunities. Most nursing departments continued to\nprovide an in-service educational programme, the type and length varying with the\navailability of nursing and other personned prepared to give lectures. Forty-three\nnurses attended institutes, conferences, and lecture programmes, which were held\nin Vancouver and Seattle. A few nurses were priviliged to attend outstanding\nworkshops and institutes held in Ottawa, New York, San Francisco, and Bethel,\nMaine. Those who attended reported enthusiastically about their experiences, and\nthe information and knowledge they gained was shared with other personnel in their\nunit.\n3\n I 42\nMENTAL HEALTH SERVICES REPORT, 1961\/62\nFive registered nurses (three from the Crease Clinic and Provincial Mental\nHospital, one from Valleyview Hospital, and one from The Woodlands School)\nenrolled in the ten months' extension course in nursing administration, sponsored by\nthe Canadian Nurses' Association and the Canadian Hospital Association. An additional three registered nurses enrolled as part-time students in the University School\nof Nursing in order to take a psychiatric nursing course.\nSince 1945 the Mental Health Services has used the Federal Mental Health\nGrant bursaries in order to increase the educational qualifications of registered nurses\nwho held supervisory and teaching positions. Seventeen of the twenty-five nurses\nwho have been given bursaries are still employed in the Mental Health Services.\nTwo nurses are presently attending the University of British Columbia with the\nassistance of mental-health bursaries.\nIn January I was asked to be chairman of one of the plenary sessions entitled\n\" Nursing Services Should Be Unified \" at the Second Canadian Institute on Mental\nHealth Services held in Ottawa. The privilege of hearing and sharing ideas and\ninformation with leading members of the psychiatric health team in Canada was one\nof the highlights of my professional career.\nCommunity Activities\nAs in previous years, several faculty members of the School of Nursing of the\nUniversity of British Columbia worked closely with nurses in the Mental Health\nServices in planning and conducting educational experiences in psychiatric nursing\nfor the nursing students in the degree and certificate programmes. Two conferences\nwere arranged to plan and evaluate the twelve-week clinical experience in psychiatric\nnursing for twenty-eight students and senior field experience for seven students. An\nall-day tour of the Crease Clinic and Provincial Mental Hospital was co-ordinated\nfor thirty-one nursing students.\nSeveral orientation programmes for public health and other nursing personnel\nwere conducted during the year. An all-day tour of the Mental Health Services was\narranged for members of the Union Board of Health in Victoria, and talks were given\nto two units of the Metropolitan Health Committee. The opportunity to work on\ncommittees with several lay and professional members of the community has been\nan educational and enriching experience. Committee membership has included the\nVancouver Branch of the Canadian Mental Health Association, and the Board of\nExaminers and two task committees of the Registered Nurses' Association of British\nColumbia.\nRECRUITMENT ACTIVITIES\nSince 1959 the graduates of the psychiatric nursing programme have been\nassigned to one of the three large hospital units in accordance with the psychiatric\nnurses' employment preferences and aptitudes, and the relative need for nurses in\nthe units. The Personnel Officer of the Civil Service Commission uses the assembled\ninformation during the usual employment process.\nAugust, 1961, Class\nFebruary, 1962,\nClass\nWomen\nMen\nTotal\nWomen\nMen\nTotal\nNumber in class .\u2014 \t\nNumber employed in Mental Health Services\u2014\nCrease Clinic and Provincial Mental Hospital\t\nValleyview Hospital \t\nThe Woodlands School\t\n33\n9\n2\n11\n15\n4\n1\n6\n48\n13\n3\n17\n41\n15\n12\n8\n14\n5\n5\n4\n55\n20\n17\n12\nTotals \t\n22\n11\n33\n35 14\n49\n HEADQUARTERS\nI 43\nThere has been a gradual increase in the number of registered nurses who\nindicate an interest in psychiatric nursing and in employment opportunities in the\nMental Health Services. During the fiscal year a total of twenty-three registered\nnurses were interviewed, and in so doing an orientation to the Mental Health Services was provided. Seven of these nurses were employed\u2014two as clinical supervisors, one as project co-ordinator, three as clinical instructors, and one as a staff\nnurse. The fifteen registered nurses enrolled in the six-month clinical programme\nwere interviewed. The majority were interested in gaining further experience in\npsychiatric nursing, and three sought nursing positions in the Mental Health Services.\nMENTAL HEALTH GRANT PROJECT No. 609-5-136\nThe study of nursing education begun in October, 1960, has continued throughout this fiscal year and is expected to be concluded by June, 1962. The thinking and\nconclusions of the various committees were assembled in a comprehensive report,\nwhich was submitted to the Deputy Minister of Mental Health Services in June,\n1961. An additional grant for the continuation of the project was received, and in\nNovember a co-ordinator, Miss Alice Wright, and a secretary were appointed. The\nSteering and Advisory Committees and three task committees proceeded to develop\na detailed plan for the proposed programme in psychiatric and general nursing. In\nFebruary the chairman of the project and Mr. Harold Lacey, psychiatric nurse representative of the Council of Psychiatric Nurses' Association, were invited to attend\na meeting in Ottawa of the Sub-committee on Personnel, Mental Health Division,\nDepartment of National Health and Welfare. On the return trip to Vancouver, consultation with the Senior Nursing Consultant of the Ontario Hospital Services Commission and a visit to the Nightingale School of Nursing in Toronto permitted the\ncollection of pertinent information for the use of the Steering Committee.\nThis past year's work with my associates has been reviewed with satisfaction.\nI can look forward optimistically to the progress which can be made through the\nco-operative efforts of the growing human resources in the Mental Health Services\nand in the community.\n 1 44 MENTAL HEALTH SERVICES REPORT, 1961\/62\nDEPARTMENT OF NURSING EDUCATION\nMlSS M. M. LONERGAN, ASSOCIATE DIRECTOR OF NURSING EDUCATION\nThe purpose of the Department\u2014the preparation of nursing personnel for\nMental Health Services in the Province of British Columbia\u2014is realized through\nthe nursing programme offered by the Department.\nPSYCHIATRIC NURSING PROGRAMME\nStudent Census\nApril 1, 1961 271 (191 women and 80 men)\nMarch 31, 1962 245 (181 women and 64 men)\nEnrolled 126 (92 women and 34 men)\nCompleted programme 94 (63 women and 31 men)\nWithdrawals, April 1, 1961, to March\n31, 1962 55 (36 women and 19 men)\nOver one-third of the number of students withdrawing did so due to academic\nfailure and one-quarter because of personality unsuited to psychiatric nursing.\nTherefore, these two factors have become major criteria in the screening of applicants and the selection of students for this programme.\nThe curriculum offers 560 hours of planned academic instruction in biological\nsciences and nursing subjects, the emphasis and focus being psychiatric nursing.\nTwo principal methods of teaching were employed this past year:\u2014\n(a) Group work, which involved dividing each class into small groups, repeating lectures, promoting student preparation for and participation in classes,\nand instructor-guided discussion period.\n(b) Ward practice, which involved correlating classroom and clinical learning\nopportunities, and orientation of instructors and nursing staffs to \" what\nstudents are learning and should have opportunities to practise.\"\nClinical experience is made available, through an increasingly more stable rotation\nplan, in the practice of pyschiatric (acute and continued treatment), mental deficiency, geriatric, and medical-surgical nursing.\nClinical teaching is concentrated largely at the preliminary and junior levels of\npsychiatric nursing experience, where limited objectives are achievable through\nplanned orientation, nursing conferences, psychiatric team rounds, weekly classes,\nincidental teaching, and evaluation interviews. Mental-deficiency nursing experience has been stabilized through the implementation of a rotation plan for men and\nwomen, and which provides for five weeks' practice in bed care and five weeks in\nactive self-help wards.\nThe student organization of the School of Psychiatric Nursing elects an executive representative body\u2014the Student Council. Operating expenses are obtained\nfrom fees payable by the student upon entry into the School. Grants are made to\nvarious activities, and charges are made for social functions sponsored by the Council. Students have been representative members with faculty on committees formed\nby the school adminstration. Sports, social activities, and special projects, diverse\nin nature, are sponsored by the Council for the student-body.\nAFFILIATE PROGRAMME IN PSYCHIATRIC NURSING\nThe purpose of the programme is to help the student nurse enrolled in a general\nhospital school of nursing in British Columbia to increase her understanding of\n HEADQUARTERS\nI 45\npeople and their emotional needs, and to help her devolop some skills in providing\nnursing care for psychiatric patients. The programme also serves to help the student\nto become better informed about mental health, mental illness, and mental hospitals\nso that she becomes a potential resource person in the community.\nThe programme is divided into two six-week periods, each including formal\nlectures, clinical experience, and ward classes. The junior period emphasizes the\nneed for self-understanding, the study of factors contributing to mental illness, and\nthe nursing care of acutely ill psychiatric patients. In the senior period, formal lectures are supplemented by student-presented seminars, the topics of which are related\nto community aspects of psychiatric care.\nFaculty representatives of the home schools have increased the number of their\nvisits to this Department, and the affiliate instructor has met with faculty members at\ntheir home schools.\nTwo students withdrew, and 224 students from the six general hospital schools\n\u25a0completed the three-month programme.\nCLINICAL PROGRAMME FOR REGISTERED NURSES\nFourteen out of fifteen registered nurses successfully completed this six-month\nprogramme. Of these, four obtained nursing positions in the Mental Health Services, nine obtained positions in psychiatric units of general hospitals in this and\nother Provinces, and one returned to the instructor position she held prior to entering the programme.\nThe academic content of the programme includes courses in psychiatric\nnursing, sociology, psychology, group dynamics, and principles of interviewing.\nTeaching methods emphasize group discussion, patient-centred teaching, field-trips,\nout-of-class assignments, and seminars.\nClinical experience is correlated with the academic. Guided experience is provided on acute- and continued-treatment wards and progresses from nursing care for\none patient only to participation as a member of the ward staff with some administrative responsibility.\nPSYCHIATRIC AIDE PROGRAMME\nDuring the past year much effort and planning were directed toward re-establishment of the orientation course for psychiatric aides. Meetings were held with\nrepresentatives of the branch office, Civil Service Commission, and the Departments\nof Nursing Service of the Crease Clinic and Mental Hospital, Essondale, and the\nValleyview Hospital. Two course outlines, varying in content and length, were submitted, as well as proposed conditions for the operation of an orientation course.\nProblems related to the difficulty of releasing aides from service are presently under\nconsideration.\nPOST-BASIC PROGRAMME FOR SENIOR NURSING STAFF\nA refresher course was again offered to senior nursing service staff in March,\n1962, and is planned to extend for several months, with nurses attending four or five\nhours a week on duty time. The purpose of the course is to provide an opportunity\nfor nurses in responsible positions to review, discuss, and study current trends in administration, medical-surgical nursing, and the field of mental health and psychiatry.\nEighty-five men and women from the Crease Clinic and Mental Hospital, the Valleyview Hospital, and The Woodlands School are presently enrolled in the course.\n I 46 MENTAL HEALTH SERVICES REPORT, 1961\/62\nFACULTY\nIn March, 1962, the faculty numbered nineteen. During the year there were\nseveral changes in its personnel. Miss R. Miller was promoted from the position of\nclinical instructor to that of senior instructor, affiliate programme. Two nursing\nsupervisors transferred from the nursing service division of the Crease Clinic and\nMental Hospital, Essondale, to clinical instructor positions\u2014Mrs. K. MacKinnon to\nthe male side of Crease Clinic and Miss H. Sullivan to The Woodlands School. Miss\nL. Gee, Mrs. R. Katzel, Miss M. McFarlane, and Miss G. Patrick joined the faculty\nas clinical instructors. The Department regrets the departure of Mrs. E. Gibson,\nnursing counsellor; Mrs. F. Sinclair, rotations instructor; and Mr. F. Tudgay,\nclinical instructor.\nThe Associate Director participated in the Unit Nursing Conference Institute on\nNursing Administration at Rockland, University of British Columbia. The Assistant\nDirector attended the Civil Defence Course for Nurse Educators at Arnprior, Ont.\nA senior instructor attended the World Congress of Psychiatry at Montreal, and a\nclinical instructor attended a remotivation course at Weyburn, Sask.\nThe purpose of the faculty committee on out-of-department examinations is to\nprepare and mark (a) licensing examinations for the Council of Psychiatric Nurses\nand (b) promotional examinations for the Civil Service Commission. Seven separate test papers were prepared and 192 examinations marked and graded.\nOther faculty activities included \" open house \" for 275 high-school students\nand counsellors; introduction of a new student clinical experience evaluation form\nand guide; assignment of preliminary men students to female wards, as a first clinical\nexperience; inclusion of a St. John Ambulance first-aid course in the psychiatric\nnursing programme curriculum; supervision of beginning instructors for a four-\nmonth orientation period; recruitment addresses and interviews at various high\nschools on the Lower Mainland and Vancouver Island; participation in Mental\nHealth Services projects; and implementation of a clinical experience rotation plan\nfor the psychiatric nursing programme.\nIt is noteworthy that faculty activities invariably involved and were dependent\nupon the assistance of nursing staff. It is a distinct pleasure to the Department to\nacknowledge this support from nursing divisions of the Mental Health Services\nBranch, and to express its appreciation for the services provided by many departments of the Crease Clinic and Mental Hospital, Essondale.\n CREASE CLINIC AND PROVINCIAL MENTAL HOSPITAL\nI 47\nPART II.\u2014CREASE CLINIC OF PSYCHOLOGICAL MEDICINE\nAND PROVINCIAL MENTAL HOSPITAL\nREPORT OF THE CREASE CLINIC OF\nPSYCHOLOGICAL MEDICINE\nREPORT OF THE MEDICAL SUPERINTENDENT\nT. G. Caunt, Medical Superintendent\nThe Crease Clinic of Psychological Medicine completed its eleventh year of\nservice to the mentally ill of British Columbia with the fiscal year ended March 31,\n1962. During this period the treatment policy has continued as established originally, mainly to provide residential intensive treatment care for those patients who\nare believed capable of benefiting from four months or less of psychiatric treatment.\nProspective patient admissions to the Crease Clinic are screened first by the\ncommunity doctor, then by the Crease Clinic admitting doctor regarding their\nsuitability for admission.\nThe Crease Clinic has operated efficiently and at capacity in all departments.\nAgain this year more use is being made of the Crease Clinic by more of the mentally\nill of British Columbia. More patients are being admitted each year to the Crease\nClinic voluntarily. More patients retained their civil rights while receiving treatment in the Clinic, and more patients were discharged fit to return to the community\non completion of their treatment.\nExamination of the following table, which is a summary of population in the\nCrease Clinic for the year, shows that the number of patients admitted was 1,632.\nThe previous year's total was 1,581 admissions.\nMale\nFemale\nTotal\nIn residence, April 1, 1961\t\n108\n136\n244\nAdmissions\u2014\n505\n24\n203\n579\n46\n275\n1,084\n70\n478\nReadmissions to a different institution of Mental Health Services\n732\n900\n1,632\n840\n1,036\n1,876\nSeparations\u2014'\n701\n24\n2\n3\n855\n34\n1\n1\n1,556\n58\n2\n1\nDied\t\n4\n730\n891\n1,621\n+2\n110\n+9\n145\n+ H\n255\nThe admission rate of voluntary patients continues to increase. There were\n1,139 such admissions, which is 69.8 per cent of the total and 4 per cent more than\nin the previous year.\nA total of 1,621 separations is noted for the year ended March 31, 1962. Of\nthese, fifty-eight patients, twenty-four men and thirty-four women, were admitted to\n I 48 MENTAL HEALTH SERVICES REPORT, 1961\/62\nthe Provincial Mental Hospital, Essondale, for continued treatment, or 3.55 per\ncent of the discharges. This compares with 3.74 per cent in the previous year. One\nthousand five hundred and sixty or 96.45 per cent of the Crease Clinic patients were\ndischarged directly to the community.\nOne thousand three hundred and twenty-nine or 81.44 per cent of the 1,632\npatients accepted for treatment in the Crease Clinic retained and were capable of\nexercising their full civil rights during the course of their treatment. Only 303\npatients or 18.56 per cent were, in the opinion of the Clinical Director, too sick\nmentally to look after themselves or their own affairs.\nDr. W. J. G. McFarlane, specialist in psychiatry, joined the Crease Clinic staff\nand was appointed Admitting Officer, replacing Dr. R. W. Harrington, who was\nappointed Director of the Rehabilitation and After Care Programme at 445 West\nThirteenth Avenue, Vancouver.\nOperating-room\nHigh standards have been maintained and an excellent service provided to\npatients by the specialist consultant staff and surgical residents.\nDuring their six-month rotations, Dr. K. G. Atkinson and Dr. D. A. Brown,\nsurgical residents, have evaluated 3,546 patients from the Provincial Mental Hospital, Essondale; Crease Clinic; Valleyview Hospital; The Woodlands School; and\nColquitz Hospital who required surgical investigations or follow-up after surgical\nprocedures.\nThe following surgeries and procedures represent the 92.5 per cent bed capacity\nof the surgical ward:\u2014\nGeneral major surgeries 133\nGeneral minor surgeries 165\nNeurological surgeries 11\nOrthopaedic surgeries 64\nUrological surgeries 75\nEye surgeries 30\nEar, nose, and throat 21\nPlastic surgeries 24\nChest surgeries 6\nPlasters with anaesthetics 22\nDental extractions 45\nBlocks 23\nTotal 619\nThis year an increase has been shown in the number of new admissions to the\nHospital which have been evaluated and treated by this unit. Several patients with\npsychological problems which have been partly due to their complexions have had\nplastic surgery, enabling them to be rehabilitated.\nSeveral pieces of new equipment have improved working facilities for the staff.\nThe installation of an overhead light with reflector in the operating-room has made\na great improvement in the lighting. The mobile X-ray unit has made it possible to\ndo neurological arteriograms and urological procedures in the operating-room. This\nX-ray unit has also proven invaluable in the diagnosis of seriously ill patients on the\nsurgical ward. The purchase of the new anaesthetic machine has provided for more\nversatile anaesthetics. The carbon dioxide absorber has made it possible to do\nanaesthetics for surgery on tuberculosis patients.\n CREASE CLINIC AND PROVINCIAL MENTAL HOSPITAL I 49\nDEPARTMENT OF NEUROLOGY\nSince the last report of the Department of Neurology, it has suffered the untimely loss of Dr. W. P. Fister, who had ably directed and guided its work for the\nprevious eleven years. Changes in the workings of the department instituted by\nDr. Fister shortly before his death have continued, resulting in an increase in the\nnumber of consultations and a closer clinical supervision of the organic-neurological\ncases. These changes have proved of benefit to all.\nIn addition, the department has been able to spread its work by opening up a\nnew unit for electroencephalography at The Woodlands School. It has also been\nable to make use of the existing unit at the Mental Health Centre for out-patient\nfollow-up cases and for referrals from the Willingdon Avenue School for Girls.\nAlready these changes appear to be appreciated.\nNeurosurgical consultations and procedures continue to be provided by Dr.\nFrank Turnbull. Lectures to University of British Columbia students and nursing\nstaff here have continued as in previous years.\nA detailed account of the laboratory studies for the fiscal year is tabulated\nbelow:\u2014\nElectroencephalograms 1,277\nPneumoencephalograms 105\nOperations 11\nNeurological consultations 121\nNeurosurgical consultations 11\nVisual perimetry examinations 26\nLectures 7\nThe 1,277 electroencephalograms were done for the following groups:\u2014\nProvincial Mental Hospital 566\nCrease Clinic 423\nThe Woodlands School 114\nOut-patients 43\nOakalla Prison Farm 27\nHaney Correctional Institution 7\nGirls' Industrial School 53\nStaff 3\nBritish Columbia Penitentiary 6\nNew Haven 2\nMental Health Centre and Child Guidance Clinic 33\nTotal 1,277\nLibrary\nThe librarian, Mrs. Reeves, reports an active year. The Library Committee\nhas made efforts to acquire reference works and keep current literature up to date.\nMore than twice as many books were purchased than in the previous year, and\nemphasis was placed on acquiring representative books in the allied fields of psychiatric nursing and general medicine. The circulation of journals has increased fourfold, and the circulation of books has increased considerably.\nAdvantage was taken of the interlibrary loan privileges to borrow material from\nthe University of British Columbia and other Canadian universities, as well as the\nNational Library of Medicine in Washington, D.C. Our library has reciprocated\nthis privilege.\n I 50 MENTAL HEALTH SERVICES REPORT, 1961\/62\nIn the patients' library, cataloguing the entire book collection has almost been\ncompleted. Generous donations have been received, including a collection of popular fiction titles from a local public library.\nMedical Library\nBook collection 2,770\nBooks bought 172\n2,942\nLosses 3\nDonations of old medical books to the University of British\nColumbia 3 5\nDonations to The Woodlands School 27\n 65\nTotal collection 2,877\nCurrent journal subscriptions 110\nCirculation of books 1,441\nCirculation of journals 866\nInterlibrary loans received 119\nInterlibrary loans sent 8\nPatients' Library\nBooks bought \u2014 - _ - - - -\nBooks donated _ _ _ \t\nDiscards\n 47\nLosses\n65\nTo Centre Lawn\t\n 75\nTo Skeenaview\t\n 100\n3,675\n483\n423\n4,581\n287\nTotal collection 4,294\n CREASE CLINIC AND PROVINCIAL MENTAL HOSPITAL\nI 51\nREPORT OF THE PROVINCIAL MENTAL HOSPITAL,\nESSONDALE\nREPORT OF THE MEDICAL SUPERINTENDENT\nT. G. Caunt, Medical Superintendent\nThe year ended March 31, 1962, saw the completion of the eighty-ninth year\nof continuous service provided for the mentally ill of British Columbia by the\nProvincial Mental Hospital.\nMovement of Population\nMore patients were admitted, treated, and discharged than in any previous\nyear. A total of 2,029 patients was admitted from the community. This figure does\nnot include patients transferred to this Hospital from other units of the Provincial\nMental Health Services or patients who were returned from probation.\nThe following table gives a summary of the movement of population for the\nProvincial Mental Hospital for the year ended March 31, 1962:\u2014\nMale\nFemale\nTotal\n1,608\n121\n4\n1,340\n308\n1\n2,948\n429\n5\nTotal as at April 1, 1961 \t\n1,733\n483\n116\n509\n24\n5\n18\n1\n1,649\n327\n145\n449\n34\n11\n3,382\nAdmissions\u2014\n810\nReadmissions to a different institution of Mental Health Services\t\n261\n958\nAdmitted direct from Crease Clinic _. \t\n58\n5\n29\n1\n1,156\n966\n2,122\n2,889\n1,040\n103\n9\n53\n2\n212\n6\n2,615\n873\n69\n10\n13\n407\n1\n5,504\nSeparations\u2014\n1,913\nDied .. .\n172\nTransferred to Provincial Mental Home, Colquitz\t\n9\n63\n15\n7\n1,425\n\u2014 144\n1,464\n1,373\n\u201498\n1,242\n2,798\n242\nIn residence, March 31, 1962 \t\n2,706\nAlthough the number of admissions to the Provincial Mental Hospital was the\nhighest on record, the treatment programme was such that it has been possible to\nfurther reduce the number of patients in residence. The total in residence at March\n31, 1961, was 2,948, and the total in residence on March 31, 1962, was 2,706, a\nreduction of 242.\nThe percentage of patients recovered or improved, as compared to admissions,\nwas 85.3 per cent. This compares with 75.1 per cent the previous year. The percentage of deaths to the number under treatment was 3.1 per cent. The percentage\nof discharges to admission (exclusive of deaths) was 123.8 per cent. The average\ndaily patient population was 2,824.58. This is a reduction of 183.44 from the\nprevious year, when the daily average population was 3,008.02.\n I 52 MENTAL HEALTH SERVICES REPORT, 1961\/62\nThis year 100 Order in Council patients were admitted. This is a reduction\nover the previous year, when 126 Order in Council patients were admitted.\nDuring the year the admission of Federal cases requiring psychiatric treatment\nfurther declined from the previous year's total of 223. The Department of Veterans'\nAffairs and the Department of Indian Health Services most frequently requested our\nservice. On March 31, 1962, the following Federal cases were in residence:\u2014\nDepartment of Veterans' Affairs 131\nImperial veterans (D.V.A.) 1\nIndian Health Services 35\nYukon Territorial Government 7\nBritish Columbia Penitentiary 2\nTotal 176\nThe average monthly admission rate in 1959 was 113.91; in 1960, 133.25; in\n1961, 150; and for the year ended March 31, 1962, 169. This gives an indication\nof the increasing demands of the people of British Columbia for the services provided by this division of the Provincial Mental Health Services.\nThe increased rate of patient admissions, treatments, and separations has\nincreased the work load of every department of the Provincial Mental Hospital.\nThe patient-treatment team has operated efficiently and at capacity.\nAll proven and accepted types of therapy are available and continue to be used\nfor the benefit of the patients in the Provincial Mental Hospital.\nGeneral Comments\nI appreciate the fullest co-operation and support which has been given me by\nall staff members of the Crease Clinic and Provincial Mental Hospital.\nThe Honourable Eric Martin, Minister of Health Services and Hospital Insurance; Dr. A. E. Davidson, Deputy Minister of Mental Health Services; and all\ndivisions of the Mental Health Services Branch have been co-operative and helpful.\nAll departments of Government and community services associated with the welfare\nof our patients have been most helpful.\nWard doors are kept open and grounds privileges are extended wherever this\nis indicated and is possible in keeping with the physical and mental condition of the\npatients. Sixteen of the twenty-one men's wards are open, as are eighteen of the\ntwenty-three women's wards. This policy is helpful to the patient therapeutically,\nas well as being considered an aid to patient and staff morale. The number varies,\nbut at present over 2,000 or over two-thirds of the Crease Clinic and Provincial\nMental Hospital patients have free access to the Hospital grounds.\nEach year there is a noticeable increase in the community interest in the Crease\nClinic and Provincial Mental Hospital. Each year more visitors come singly, in\ngroups, or as organizations to see friends or relatives, participate in patient therapeutic programmes, or assist with the Canadian Mental Health Association hospital\nvolunteer organization's activities. This increased community interest in mental\nhealth has made it possible for more patients to spend day, night, week-end, or\nlonger visits in the community with relatives or friends, to their mutual advantage.\nMany changes and improvements have been made for the benefit of patients\nin many areas of the Hospital. There is a continuing improvement in nursing techniques. In-service staff lectures and community study are further improving nursing\nstandards. Each year more University of British Columbia and general affiliate\nnurses from the six British Columbia general hospitals' schools of nursing come to\n CREASE CLINIC AND PROVINCIAL MENTAL HOSPITAL\nI 53\nthe Crease Clinic and Provincial Mental Hospital. Interns in occupational therapy,\npsychology, medicine, and dietetics also attend during the summer months.\nOn December 19, 1961, a Rehabilitation and After-care Centre at 445 West\nThirteenth Avenue, Vancouver, was opened. Dr. R. W. Harrington, specialist in\npsychiatry, was appointed Director. This unit, with its staff and treatment teams\nfrom the Provincial Mental Hospital, provides an after-care service for discharged\npatients. It is proving to be successful, and the demand for service is increasing\nrapidly. The Director of the Rehabilitation and After-care centre also supervises\nthe operation of the two half-way houses in Vancouver\u2014-the \" Vista \" for female\npatients, which was opened in 1948, and the \" Venture \" for male patients, which\nhas been in operation since 1957.\nThe moving of D 2 and E 2 infirmary wards to the North Lawn Building is\nespecially noteworthy and is a tremendous improvement in the care and treatment\nof infirmary patients. The vacated wards, D 2 and E 2, in the Centre Lawn Building\nwere renovated and converted to male and female admitting wards. This change has\ngreatly improved the efficiency of patients' admission and care.\nThe problem for caring of the mentally ill of this Province is a constantly\nincreasing one. It is therefore a pleasure to report that considerable improvement\nhas been made in patient treatment. The discharge rate has increased, and boarding-\nhome and after care services have been expanded. In addition to improvements\nin patient housing and building maintenance, much further beautification of the\nHospital grounds has been accomplished.\nThere are many acts of courage and heroism performed in the course of duty\nby staff members in an institution of this size during the period of a year, many of\nwhich are not reported. I wish to commend Colony Farm staff members Mr. Harry\nCurrie and Mr. John Attridge, who were instrumental in saving a patient's life from\ndrowning in the Coquitlam River on August 4, 1961. I also wish to commend the\naction of Mr. E. Fisher, assistant charge nurse of Riverside Annex Building, who, at\nconsiderable risk to his life, was instrumental, with his staff, in evacuating the\npatients in four minutes from the Riverside Annex Building and personally saving\ntwo patients in the fire which claimed one life on January 31, 1962.\nWomen's Nursing Division\nThe Women's Nursing Division has completed a very rewarding year under the\nable direction of Mrs. M. L. McKay, Superintendent of Nurses.\nDuring this past year the Women's Division of Nursing has continued to expand\nits services and has been involved in considerable reorganization, which has resulted\nin further improving the quality of nursing care.\nOne of the milestones of the year occurred in September of 1961 when the\nCentral Supply Department was opened. The purpose of this department is to provide a service of properly autoclaved equipment and supplies which are normally\nused in the care of patients. It also serves as an organized control of the care and\nmanagement of hospital equipment, thereby increasing the general economy of its\nusage.\nIn July of 1961 the two infirmary wards were moved from the Central Supply\nBuildings to the North Lawn Building. This move paved the way for the renovation\nof Ward E 2 in the Centre Lawn Building, which is now functioning as the women's\nadmitting ward of the Provincial Mental Hospital. One feature which is notable is\nthe fact that this ward now contains an admitting suite, which is a great improvement\nover the past procedures.\n I 54 MENTAL HEALTH SERVICES REPORT, 1961\/62\nIn order to accommodate the two new wards in the North Lawn Building, a\nreassessment of patients was necessary, which resulted in many transfers to other\nwards or out of the buliding. In the Centre Lawn Building this change has resulted\nin newly admitted patients receiving more individualized and improved nursing care.\nWith the exception of E 3, all female wards in this building are now declared open.\nDuring the year there has been a continued trend to encourage the socialization\nof patients. This has obtained in work as well as recreational situations. The usual\nparties continue to be arranged, which makes provision for the joint participation of\npatients from the men's and women's wards. One such example is the Christmas\nparty, which was held for the first time for all patients within the building on\nWard E 3.\nContinued efforts have been made to improve patient-care through more efficient assignment of nursing staff. To this end, all wards in the Crease Clinic adopted\nteam nursing and are finding it improves nurse-patient relationships.\nIn the East Lawn Building the staff from Ward H 4 has initiated group nursing,\nwhich has proved an improvement over previous assignments. As a result of this\nsystem, some of the regressed patients have demonstrated progress, and this encourages its continuance.\nMale student psychiatric nurses were assigned for the first time to the women's\nwards. This proved to be successful from both the view-point of patients and staff.\nIn an effort to simplify nursing administration, daily staff attendance sheets have\nbeen instituted. A new policy has also been drawn up in conjunction with the pay\noffice which has greatly improved the procedure of issuing monthly pay-cheques.\nPlans are continuing as scheduled to separate the nursing and dietary departments. Such a procedure is the initial step toward a clearer delineation of nursing\nfunctions and should prove most valuable in the future.\nSupervisors in each area now have a manual on policies and procedures to\nwhich they can refer. This is proving to be particularly useful to new members of\nthe nursing staff.\nThe in-service Educational Programme has continued into the third consecutive\nyear under the leadership of Mrs. B. Lowry. A total of fifty-two hours of lectures\nwas given to the following three levels of male and female staff: (a) Psychiatric\naides, (b) general-duty nurses, and (c) charge and assistant charge nurses. Included\nin this programme were lectures in oxygen therapy, which 191 staff members\nattended, and lectures on mouth-to-mouth breathing and resuscitation, which were\nattended by 247 individuals.\nThe trend toward additional preparation continues among the senior nursing\nstaff. Three members have been carrying night-school courses for some years and\nhope eventually to go to university.\nIn the past year two head nurses, Mrs. J. Unger and Mrs. L. Thompson,\nenrolled in a correspondence course in nursing unit administration, which was sponsored by the Canadian Nurses' Association and financed by Federal Health Grant.\nOne supervisor, Mrs. E. Wilton, enrolled in this course at her own expense. The\nsenior clinic supervisor, Mrs. A. Axtell, attended lectures in psychiatric nursing\nthroughout the year at the University of British Columbia.\nIn May, 1961, Mrs. M. Mounce, Assistant Superintendent of Nurses, attended\nthe Nurse Educator Course in Civil Defence at Arnprior, Ont. In July Mrs. C. Ross,\ncharge nurse, attended the Laboratory of Human Relations held in Bethel, Maine.\nAn institute on remotivation was held in September and was attended by Mrs.\nM. Simpson, senior supervisor in East Lawn, and by Mrs. M. Elias, a psychiatric\n CREASE CLINIC AND PROVINCIAL MENTAL HOSPITAL\nI 55\nnurse from that building. Mrs. M. Bidwell, head nurse from North Lawn Building,\nalso attended one week of lectures at Willow Chest Centre.\nIt should be noted that these various institutes and courses have provided stimulation as well as contributing to the general interest in modern concepts of patient-\ncare.\nMen's Nursing Division\nMr. R. H. Strong, Chief Psychiatric Male Nurse, reports that steady advances\nhave been made in the nursing care of the mentally ill and that staff education has\nincreased considerably. The results have been an increasing interest and participation in various team activities. It has been noted in the past year that many of our\nnursing staff are contributing much of their free time by returning to the Hospital in\noff-duty hours to assist with social and recreational functions for the patients.\nThe establishment of unit medical directors and unit nursing supervisors in\n1960 made possible a more cohesive and organized unit than previously. It has been\npossible to obtain a closer and better co-ordinated psychiatric team in each unit,\nwhich involves all related disciplines. In the past year these units have certainly\nproven their value both to patients as well as all other staff.\nA number of remotivation programmes at the Hospital continue to function\nquite effectively. The Farm View project, under the supervision of psychiatric nurse\nMr. A. Finnie, is gradually being extended farther up the hill behind West Lawn.\nThe landscaping being undertaken by groups of male and female patients on this\nproject is beautifying the area considerably.\nThe remotivation programmes in West Lawn have taken the form of picking\nthe better of the regressed patients from C 4 in groups of ten and moving them to a\nsmall ward, B 4, and giving them concentrated therapies. Most of them improved\nso as to be able to be placed on open wards. Some of them later were discharged\ncompletely.\nRiverside area has worked diligently on the Riverside Park project, and, as\nwell as landscaping and beautifying the allotted park-site, they built a picnic shelter,\nbarbecue, erected a flagpole, and started working on a fish-pond which they hope\nto complete this year. Patients in this area also made a small nine-hole golf-course\nin the airing-court and made a bowling-green at the east end of the building with the\nhelp of the gardeners.\nThis past year three separate therapeutic groups were formed in the Riverside\narea\u2014(1) ward discussion groups, (2) resocialization groups, and (3) remotivation\ngroups. The three groups work in co-ordination. The results have been gratifying.\nA number of the participating patients have been discharged, and a fair number\nhave been transferred to boarding homes.\nCredit for assisting in the resocialization of many of the patients in Riverside\narea must be given to a group of student nurses from the School of Nursing of the\nUniversity of British Columbia. Patients were taken on picnics, fishing trips, sightseeing tours, in addition to the regular-scheduled recreational programmes. Other\nstudent nurses from the University were assigned to Crease Clinic Building, Centre\nLawn Building, and West Lawn Building.\nThe successful experiment of allowing patients to go into the community on\nberry-picking expeditions was repeated this year and was even more successful.\nTwenty patients made a total of $1,435 during the blueberry season. One patient\nin particular made the highest amount of any picker according to the berry-farmer.\nHe made $169 in the season, and several others made well over $100. The money\nwent into the patients' respective accounts. The aforementioned patient, as well as\n I 56 MENTAL HEALTH SERVICES REPORT, 1961\/62\nseveral others, used his money to help rehabilitate himself when he was discharged\nfrom Hospital.\nIn July thirty-seven patients were transferred to West Lawn Building from\nNorth Lawn Building. All infirmary patients from D 2 were transferred to the\nNorth Lawn Building. The ward was then renovated and redecorated, and on February 12, 1962, was reopened as the male admitting ward for the Provincial Mental\nHospital, with 33 beds maximum. Patients are now taken directly to the admitting\nsection of the ward from the rear of the building, instead of the front of the building\nas formerly. Ward D 4 has now become a continued-treatment ward.\nAt 5.34 p.m. on January 31, 1962, fire broke out in the Riverside Annex, and\nall patients except one were immediately evacuated. This patient was overcome by\nsmoke fumes before he could be reached. Response to the fire call by the Fire\nDepartment was rapid. A great deal of credit is due the nursing staff for getting\ntheir patients out in four minutes. The senior nurse, Mr. E. Fisher, entered the\nbuilding through the bathroom window to rescue two crippled patients. The patients\nevacuated had to be temporarily relocated on different wards in the Hospital.\nThe Riverside Annex is now completely renovated and the patients returned.\nThe fire-walls and fire-doors in the Riverside Annex undoubtedly saved the building\nand prevented a major catastrophe.\nThe Public Works Department has completed many important projects in the\nmale service areas this past year. The bootroom was renovated to a very modern\nand attractive barber-shop. The opening of the new shop is another step toward\nnatural community life. We consider this an important project to have been completed because of the therapeutic value in having a central barber-shop where all\nmale patients in West Lawn Building, Centre Lawn Building, and Crease Clinic\nBuilding may go at will, on the days scheduled for their wards, rather than the barber\nhaving to go to each ward.\nFormal in-service lectures commenced again in September, and our staff have\nbeen very keen to attend in their turn. Four 64-hour post basic courses were also\nre-established by the Department of Nursing Education for the benefit of charge and\nassistant charge nurses and will continue until December, 1962. In the early part\nof 1962 a short course of administration was conducted by the Personnel Officer,\nMr. Dowling, for the benefit of charge psychiatric nurses. Other disciplines and\nmedical staff have devoted much of their time toward staff in-service education.\nOn April 24 and 25, 1961, Mr. R. H. Strong, Chief Psychiatric Male Nurse,\nEssondale, was privileged to attend a nursing institute for senior nursing supervisory\npersonnel at Rockwood Centre. This was an all-B.C. institute, with guidance and\ndirection from Mr. A. Thomas and Mrs. B. Smith, of the Adult Education Department of the University of British Columbia.\nIn September Mr. M. Savoie, psychiatric nurse, was enrolled in a special one-\nweek course at Weyburn on remotivation. Mr. Clare, Riverside Unit Supervisor,\nattended for one day as an observer, as did the Acting Clinic Director. In September\nMr. Knight, Chief Psychiatric Nurse, Crease Clinic, attended a one-week course on\nhuman relations and later a further week on communications in Vancouver under\nthe Canadian Department of Labour Training Programme. Mr. E. Gustafson, assistant charge psychiatric nurse, attended a two-part institute at the University of\nWashington on a course entitled \" Person to Person \" in November, 1961, and February, 1962. Each part took five days.\nThe ground supervisors interviewed a total of 3,098 patients for grounds privileges during the year (1,656 males and 1,442 females).\n CREASE CLINIC AND PROVINCIAL MENTAL HOSPITAL I 57\nDepartment of Psychology\nThe Department of Psychology, under Mr. J. W. Borthwick's direction, reports\na successful year.\nAn increased availability of psychologists plus more active use of Federal training grants and better liaison with the University of British Columbia have made it\npossible to recruit and keep a larger staff than we have had for several years. As a\nresult, the activities of the Department of Psychology have expanded, and it has\nbeen able to provide a more comprehensive service in the Crease Clinic and Provincial Mental Hospital.\nDuring the year, 3,710 psychological tests were administered and 780 reports\nabout patients were submitted. Group tests (to be used for counselling and guidance) were administered to new students in the School of Psychiatric Nursing.\nMany lectures and talks of a psychological nature were delivered. Increasing\nactivity in training programmes resulted in more requests for the department's contributions. Topics ranging from communication to psychological development were\ncovered in 111 hours of lectures.\nThe greatest expansion in the activities of the department was related to group\ntherapy. Most of the staff were involved with a therapeutic group during the year.\nA total of 545 group sessions was conducted. One member co-ordinated the intensive group programme for young acutely ill schizophrenics in the Crease Clinic. The\npsychologist attached to the East Lawn Building helped to develop ward programmes\nfor more disturbed patients. A group discussion programme was begun for closed-\nward patients in the West Lawn Building. A number of nurses participated with\nthe psychology staff in group programmes and are now leading their own groups.\nIn conjunction with an occupational therapist, one of our staff prepared a manual,\n\" Working with Intensive Therapeutic Groups,\" which summarizes their philosophy\nand methods. Specific techniques they have found most useful are included. Copies\nhave been distributed primarily to interested nurses.\nThere has been more opportunity for research by members of the department.\nA number of small projects have been undertaken, and the department has been\nable to make use of the four students employed during the summer to gather and\nprocess data. In one project, regression equations have been worked out to predict\nintelligence test scores from a new test which requires less than ten minutes to\nadminister.\nThe department repeated the summer programme for graduating students from\nthe University of British Columbia. The most immediate reward from this programme has been the recruitment into the Mental Health Services as permanent staff\nof three of these students following their graduate training.\nSocial Services\nDuring the year the staff of the Social Service Department was concerned, not\nonly with consolidating existing services to patients and their families, but with then-\nexpansion into the areas of boarding-home and after-care services as well. Also,\nas a result of the growing emphasis on group treatment of patients in psychiatric\nsettings, the social caseworkers, and more specifically those assigned to the Crease\nClinic, found themselves engaged increasingly in services to groups of patients in\naddition to those regularly provided on an individual basis. The appointment of a\nqualified social group worker to the staff of this department was of immeasurable\nassistance.\nAn example of this latter service is the group for adolescent patients which for\nseveral months was in operation in the Crease Clinic under the leadership of a social\n I 58 MENTAL HEALTH SERVICES REPORT, 1961\/62\ncaseworker, who did, however, make extensive use of the consultation available from\nthe social group worker. Similar help was also provided in relation to those group\nservices offered to family members of Crease Clinic patients as an aid to their better\nunderstanding of emotional and mental disorders.\nOf particular interest are the patient-groups which, under the direct guidance\nof the social group worker, were commenced at the \" Vista \" and \" Venture\"\nrehabilitation units. Such groups served a therapeutically useful purpose in helping\nto prepare patients for their return to community life by providing them with an\nopportunity to share their feelings associated with discharge from Hospital.\nIn addition to the above, the social group worker has been responsible for\ndirect services to two groups of patients in the Provincial Mental Hospital.\nThe work of the department, particularly in the long-term units, has expanded\nconsiderably in the area of boarding-home care. The statistical summary of placements effected shows that 104 patients, whose needs were primarily for domiciliary\ncare, were placed in licensed boarding and family-care homes, offering smaller group\nliivng experiences and more individualized attention than is possible in the hospital\nsetting. At the same time, beds were freed for more acutely ill patients.\nFor some patients, particularly younger ones who are recovering from serious\nacute mental illnesses., there is a therapeutic benefit to be derived from placement in\nfamily-care homes which accommodate not more than two or three patients and\nprovide a supportive milieu for testing out treatment gains in a setting nearer to that\nof normal family life. Although the availability of this type of facility has been\nlimited, it represents an area which undoubtedly will be developed in the future.\nThe aforementioned statistics refer only to patients placed in domiciliary boarding care and who were expected to remain under the supervision of Hospital services\nfor an indefinite period. Of this group, twenty-one or 13 per cent were returned to\nHospital for further treatment. As of March 31st, however, a significant number\nof this returned group were again being considered for boarding-home care and\nshould be placed within the next few months.\nDuring the year it was possible to assign one social worker from the West Lawn\nservice on a full-time basis in the Riverside Building, with the result that Social\nService participated actively in planning for 79 of the 101 patients who were either\ndischarged from this building or placed in domiciliary boarding-home care. The\nlatter programme accounted for eleven patients of the total group of seventy-nine\nwho were referred for social service help in planning and carrying out physical separation from the Hospital. Of the remaining sixty-eight who were discharged, thirty-\neight were carried in after-care by the Riverside social worker. The above figures\nindicate an increase in discharge rates over the previous year and point to the value\nof carefully planned and executed discharges in that it has been necessary to return\nvery few of this group to the Hospital.\nSocial-work activities in the Centre Lawn Building continued to be concerned\nprimarily with the provision of brief social and casework services on an accelerated\nbasis. The results of a study undertaken by members of the social service staff in\nthis unit toward the end of the previous year confirm this fact in that it revealed that\na notable percentage of the unattached male patients admitted during a specified\nperiod were subsequently diagnosed as suffering from non-psychotic illnesses and,\nfor this reason, were not eligible for continuing treatment in the Mental Hospital.\nHowever, because of the indigent state of such patients generally, the social workers\nwere, of necessity, engaged in processing referrals for financial assistance and accommodation. This situation has continued to exist throughout this year and has\nabsorbed a significant proportion of social-work time.\n CREASE CLINIC AND PROVINCIAL MENTAL HOSPITAL I 59\nWith a view to increasing the over-all coverage of brief services, particularly\nthose related to discharge, and also to free caseworkers to meet the more complex\nsocial needs of acutely ill patients, the admissions and brief services sections, both\nin this unit and the Crease Clinic, were reorganized under senior social workers\nwhose responsibilities included an over-view of discharge plans for patients generally.\nThe arrangement, while not possible of 100 per cent coverage, has nevertheless\nresulted in more efficient discharge plans.\nAs in the previous year, the staff of the East Lawn Social Service Department\nwas actively engaged in preparing patients for domiciliary boarding-home care and\nin the ongoing supervision which this programme entailed. More than 60 per cent\nof such placements made within the year emanated from this unit.\nFurthermore, as a result of efforts on the part of Hospital personnel to sustain\nthe interest of relatives in the treatment and well-being of the long-term patients, an\nincreasing number of patients from the East Lawn Building were successfully rehabilitated to the care and supervision of family members. Such arrangements have\ninvolved the social-work staff in supportive services during the probationary period\nand in some cases beyond it.\nThe social and casework services rendered by the department are reflected in\nthe statistical summaries for the year. In the Provincial Mental Hospital 2,880\npatients were in receipt of either brief or continuing services, as compared with 1,981\npatients during the previous year. This is an increase of 899 or approximately 45\nper cent. This increase derives largely from the Centre Lawn Building, where intake\nto the department more than doubled that of the preceding year.\nIn contrast, the statistics for the Crease Clinic have remained consistent with\nthose of 1960\/61 and show only a slight rise in intake of cases to the department\n(1,491 as compared with 1,409, or an increase of 5.8 per cent).\nThese services have involved the social workers of the Mental Hospital in\n19,935 interviews.\nSimilarly, the social workers in the Crease Clinic were engaged in 6,347 interviews with or on behalf of patients.\nThe number of patients placed in domiciliary boarding care during the year has\nincreased considerably. As of March 31, 1962, 113 patients were accommodated,\nin comparison with forty-nine patients as of March 31, 1961.\nAs in former years, the staff accepted responsibility for contributing to the\neducation of the community, the profession itself, and allied disciplines through\nspeaking engagements, lectures, and orientations. As a means of meeting educational responsibilities toward the profession, twelve students from the School of\nSocial Work, consisting of nine first-year students (B.S.W.) and three second-year\nstudents (M.S.W.), were accepted for field-work practice under the instruction of\nnine senior and supervisory caseworkers. The programme has been mutually beneficial to students and instructors in that it stimulated professional growth and improved standards of practice. In addition, the services of the social group worker\nwere requested by the School of Social Work for lecture purposes in the area of\ncraft work.\nTwo members of the social-work staff were granted educational leave in order\nto complete the requirements for the master's degree in social work under Federal\nMental Health bursary and will be returning to duty in May, 1962. The staff was\nalso represented at two conferences and institutes geared to recent developments in\nsocial-work method and professional practice.\nA research project begun in the previous year was completed. Basic social\ninformation was obtained on 354 male and female patients resident in the Hospital\non December 31, 1960, and patients admitted during January of 1961. From the\n I 60 MENTAL HEALTH SERVICES REPORT, 1961\/62\nsome twenty-two categories uncovered, it was possible, through the use of the I.B.M.\nsystem, to draw out many different samples of social factors which were common to\nthis patient-group and to use this material in predicting special problem areas and\ncasework needs. While it was not a specific focus of the research project, there was\na strong indication that a large majority of the patients comprising the sample had\nnot had contact with community social agencies. It is expected that further research\non this particular aspect will be undertaken.\nOccupational Therapy\nThe Occupational Therapy Department, under the leadership of Miss June\nArcher, Supervisor, has gradually expanded its services to meet the growing need to\ninvolve all grades of patients in meaningful activity programmes. Increased involvement with other services has shown a considerable expansion from individual treatments carried out in the department to group work involving greater numbers of\npatients on the wards. This reflects mainly the enthusiasm and co-operation of the\nnursing staff who have organized and maintained such groups in conjunction with\nthe occupational therapy-recreational therapy programmes. The recently established Unit Activities Co-ordinating Committees, which are comprised of representatives from each discipline directly involved with any activity programme planned for\npatients within a unit, have enabled increased communication and understanding of\nthe differing needs of the patients in acute and long-term areas.\nAt these meetings an effort has been made to prevent overlapping of activities\nand to evaluate the most therapeutic use of each discipline's contribution for the\nwelfare of the patient.\nThe Activities of Daily Living Programme commenced in April, 1961, and is\ngradually beginning to show good results. In January the Hospital provided a house\nfor use of the patients involved in this intensive domestic rehabilitation programme.\nWith increased facilities, eight patients can now be accommodated. The close cooperation and interest of medical, nursing, social service, and volunteer staff has\nhelped to develop the potentialities of the unit and the placement of patients on\ndischarge. Twenty-nine patients attended this unit.\nIt is hoped that in the future selected patients taking part in the programme\nwill be able to live and sleep in the home with the minimum of supervision. This\nwould provide a reality testing situation to establish the amount of independence patients can achieve within the Hospital setting prior to discharge into the community.\nIn relation to the expansion of the Activities for Daily Living Programme and\nthe establishment of the unit in Home 110, many groups of patients have been\ninvolved in providing furnishings for this area. Patients in West Lawn and Centre\nLawn woodwork departments have assisted in framing pictures and reconditioning\nfurniture for the home, while the ladies have been concerned with the soft furnishings.\nThe need to provide meaningful work projects has been met in a variety of\nways, such as the construction of the Riverside Park area and the picnic-site above\nWest Lawn, where patients and staff have participated in their construction.\nSeveral departments have started framing suitable calendars, posters, and prints\nin an attempt to supply the wards with pictures. These are being catalogued, and\neventually it is hoped that a picture library will be established.\nThe experience gained in the observation and participation in an intensive group\nsituation, such as the somnolent insulin, has been reflected in an increasing use of\nsuch techniques. Much of this is the result of the interest and co-operation shown\nby the Psychology Department.\n CREASE CLINIC AND PROVINCIAL MENTAL HOSPITAL I 61\nIn North Lawn the recent assessment and regrouping of patients according to\ntheir mental status and potential chances of rehabilitation has led to a more integrated treatment programme using small intensive groups on a multi-discipline basis.\nThe range of activities and media used with these groups has widened to include all\ntypes of experience from simple cookery classes to visiting places of interest outside\nthe Hospital.\nEducational responsibilities in orientating other disciplines and outside groups\nto occupational therapy have been carried out. Methods included lectures, demonstrations, seminars, and the production of a manual, \" Working with Small Intensive\nGroups,\" by Mr. Geddes, Psychology Department, in collaboration with Miss Ogden,\nof the Occupational Therapy Department. All these have been geared to help\nnursing students in their increasing role in activity settings both on the ward and in\nthe Occupational Therapy Departments.\nFive graduate students from the University of Toronto and three first-year\nstudents from the Universite de Montreal each spent nine weeks interning in the\ndepartment during the summer months. These students contributed greatly to the\ndepartment and showed much appreciation of the interest shown by other staff.\nThe annual occupational-therapy sale was held on December 6th and realized\n$2,785.25. This year Valleyview work was sold earlier at a sale in its own building.\nRecreational Therapy\nThe Recreational Therapy Department, under Mr. G. Maxwell, has had an\nactive programme throughout the year. There has been a considerable growth of\nsocio-recreational techniques as part of the Hospital's treatment programme.\nRevision of staff working-hours and increased co-operation with volunteer\ngroups have resulted in maximum use of recreational facilities.\nPennington Hall continues to prove an active magnet, attracting the time and\nattention of many hundreds of patients during those grounds-privileged hours when\nthey are free to select activities of their own choosing.\nA new billiard table has been installed in the West Lawn Building.\nA regular afternoon swimming programme at Hillside Pool is conducted during\nthe summer months for grounds-privileged patients.\nA varied programme of outdoor activities is available during the summer\nmonths.\nThe music therapist reports a busy year, during which, in addition to regular\nweekly music programmes on the wards, he conducted activities in the Music Centre\nin the East Lawn Building, provided individual instrument instruction for eighteen\npatients, gave weekly music appreciation sessions averaging twenty patients, and\nformed a patient orchestra of seven to nine members. Choir practice was held every\nTuesday afternoon, and choral and organ performances contributed much to the\nregular religious services each Sunday.\nThe statistical report shows increased activity in all areas. The sessions and\nattendance were made up as follows:-\u2014\u2022\nSessions Attendance\nCrease Clinic 976 34,058\nProvincial Mental Hospital 1,828 154,881\nMusic therapy 453 13,294\nStaff recreation 235 8,235\nTotals 3,492 210,468\n 1 62 mental health services report, 1961\/62\nPatients' School\nThe school is open for classes from 8 a.m. to 4 p.m. At the end of the year\nthere were forty-three patients\u2014twenty-six adults and seventeen adolescents\u2014in the\nteaching programme. Thirty-seven of these attended the regular daily classes, and\nsix who were unable to do so received instruction on the wards.\nTo suit the needs of a hospital, the programme is necessarily varied. The main\naim is to assist the individual to resume or complete his interrupted schooling\nwhenever possible. Correspondence courses available from the Department of Education have proved of great value. Nearly half the enrolment availed themselves\nof one or more of these courses. In addition to the above, classes in elementary\neducation for those who desire it and classes for New Canadians to improve their\nEnglish have been carried.\nRehabilitation and After-care\nThe After-care Unit of the Crease Clinic and Provincial Mental Hospital was\nopened on December 19, 1961, under the direction of Dr. R. W. Harrington, with\nthe object of giving follow-up services to patients in the community. The headquarters is a psychiatric community clinic located at 445 West Thirteenth Avenue,\nVancouver. The clinic is open daily from Monday to Friday.\nThe general goal of the unit is to maintain patients out of hospital and in the\ncommunity functioning up to their capabilities.\nDuring the sixteen weeks of its operation, 457 patients were under follow-up\ncare, and of this number fifty-one had been discharged from care.\nThere are two treatment divisions in the After-care Unit. One is the resident\nteam, made up of the directing psychiatrist, a social worker, and a mental health\nnurse; the other is made up of six visiting teams from units of the Crease Clinic and\nProvincial Mental Hospital, each consisting of two doctors, one social worker, and\na psychiatric nurse. Each of these teams is responsible for the follow-up of patients\ndischarged from their unit areas and devotes one-half day per week to the clinic.\nPhysiotherapy\nThe Physiotherapy Department, under Mr. Borge Dahl, has had an active\ntreatment programme. A clinic has been opened in the East Lawn Building. One\nthousand seven hundred and thirty-three patients received a total of 16,257\ntreatments.\nA wide range of physiotherapeutic procedures are available\u2014hydrotherapy,\ninfra-red, short-wave diathermy, massage, exercises, ultraviolet light, wax baths, and\nfaradic-galvanic electrotherapy.\nIn addition to these, chiropody treatments were given to 742 patients.\nA nurse's aide assists with the work in this Department.\nDepartment of Radiology\nThis department, under the direction of Dr. J. M. Jackson, reports an improved\ndiagnostic service due to the acquisition of a modern mobile X-ray unit with special\npower outlets in both the operating-room and the surgical ward. A modern machine\nfor making rapid serial radiographs of the vascular system in the brain has improved\nthe service to the Neurosurgical Department.\nA tota of 10,847 patients was X-rayed, and 17,402 films were taken.\nMany specialized X-ray examinations have been completed for the Surgical\nand Neurosurgical Departments, and the demands for X-ray investigations in cases\nof internal medicine have increased considerably.\n crease clinic and provincial mental hospital i 63\nDepartment of Laboratories\nThis department, under the direction of Dr. G. A. Nicolson, reports increased\nactivity over the past year.\nThe total number of procedures performed is 58,328, an increase of 687 over\nthe previous year. This increase was fairly evenly distributed throughout the departments of chemistry, bacteriology, haematology, and histology. In chemistry there was\na significant increase in the number of kidney-function tests and urinary chromato-\ngrams performed. In bacteriology there was a sharp increase in the number of\ncoagulase tests performed, indicating an increasing incidence of haemolytic staphylococcus aureus infections. In haematology there was an increase in the number of\nblood sedimentation-rate tests due to the establishment of this procedure as a\nroutine admission test for all patients. There was also a marked increase in prothrombin time determinations, reflecting a widening interest in arteriosclerosis and\nits related complications. This was further demonstrated by a marked increase in\nthe number of electrocardiograms carried out. The histology department showed\nincreased activity resulting from an increase in the number of autopsies performed,\nwhich totalled 234, more than in any previous year for the Provincial Mental Health\nServices. This produced an autopsy rate of 81 per cent, which is exceptionally high.\nThe technician training programme has produced three more successful candidates for certification by examination by the Canadian Society of Laboratory Technologists, and one other student has just completed a year of training and has thereby\nbecome eligible to take the examinations.\nPharmacy Department\nThe pharmacy, under the direction of Mr. K. Woolcock, continues to supply\nthe needs of the Mental Health Services. Services to out-patients have shown considerable expansion during the year. There is a general trend toward individual\nprescriptions for patients whether in or out of hospital.\nNew regulations to control certain drugs\u2014namely, barbiturates and amphetamines\u2014have been put into operation to meet the requirements of Federal legislation\nconcerning these drugs.\nThe Unit Pharmacy Committee meets regularly 'and continues to make recommendations for the improvement of the Pharmacy service.\nOptical Department\nMr. H. H. Woodbridge, optometrist in charge of the Optical Department, reports on the completion of another year of active service to our patients.\nDuring the year a total of 1,027 procedures was carried out, consisting of 529\nexaminations, 278 major repairs, and 220 minor repairs.\nDental Department\nThe Dental Department, under the direction of Dr. W. C. Cusack, has maintained its activities during the year.\nDr. Smithurst resigned on December 31, 1961, and was replaced by Dr. Hil-\nborn. Mr. Discher, dental technician, resigned in November, 1961, and was replaced by Mr. Watson.\nThe programme of services includes examination and treatment of patients in\nthe Dental Department, visits to wards for this purpose, and special extractions in\nthe operating-room as required. There is a great demand for dentures, and a priority\n I 64 MENTAL HEALTH SERVICES REPORT, 1961\/62\narrangement ensures that those in need receive them before discharge to a boarding\nhome or other community facility.\nDuring the year 4,548 patients were seen, and 1,188 examinations and 9,259\noperations were completed.\nSome modern equipment to supplement that in the operating-room has been\ninstalled. A new high-speed drill has been accepted very favourably by the patients.\nChaplain\nRev. John F. O'Neil, E.D., B.A., L.T.A., the resident chaplain, has continued\nto provide valuable opportunities for worship for Protestant patients, and weekly\nservices are held in Pennington Hall. Additional services are held in the wards for\nthose unable to attend at Pennington Hall. Rev. F. Filer, Valleyview Hospital chaplain, provides a service for North Lawn patients.\nThe Roman Catholic chaplain, Rev. Father Freschette, O.F.M., resigned. Rev.\nWilliam S. Lacko, S.J., was appointed in his place and took up duty on May 1, 1961.\nSince that time a greatly expanded service has been provided. Mass is said weekly.\nVisits to the sick and dying are made at all times on request, and services at Hospital\nburials are provided. In addition, two afternoons each week are devoted to visiting\nthe various areas of the Crease Clinic and Provincial Mental Hospital so that patients\nmay talk with their chaplain.\nBusiness Administration\nQuite a large number of projects of varying scope were begun or completed\nduring the year. The more noteworthy included the following:\u2014\n(1) A more systematic procedure for obtaining accurate daily census figures.\n(2) The commencement of operation of the central supply room.\n(3) The consolidation of the Dietary Department, such that dietary functions\nwould be performed by members of that department.\n(4) The introduction of orientation lectures for all new members joining the\nstaff.\n(5) The completion of a properly equipped barber-shop for the patients.\nThe year saw the commencement of construction on the new Industrial Therapy\nBuilding and the Telephone and Credit Union Building.\nClose co-operation has been maintained with the Public Works Department,\nfrom whom we have had every assistance.\nSuccess is being met in brightening the patients' areas, and to this end new\nfurniture, drapes, and brighter paint colours are being used whenever possible.\nThe general office took delivery of a posting-machine and transferred all patients' trust records from ledgers to machine cards.\nThe sum of $1,036,309.29 was collected in maintenance fees on behalf of our\npatients, and $172,671.08 was received for individual patients' comfort expenditures.\nThe amount expended by these patients was $162,233.27.\nPension applications submitted on behalf of patients totalled 227, of which\n150 were approved by March 31, 1962. Five hundred and twenty-eight staff requisitions were issued to cover hirings, promotions, and transfers.\nAudio-Visual Department\nDuring the year an extensive survey at the ward level was made of movies\nshown by this department. The object of this procedure was to show movies that\nwere more suitable and more likely to meet the tastes of the patients than had pre-\n CREASE CLINIC AND PROVINCIAL MENTAL HOSPITAL I 65\nviously been the case. The broad plan is to use a children and adult programme and\nthen divide the patients into these two broad categories.\nThe educational library of 16-mm. films is still very popular, and new films\nhave been added in order to keep up with demands. Physicians and supervisors\nhave been given instruction in the operation of the 16-mm. projector for the running\nof instructional films for staff members.\nBlack-and-white photography has been used extensively by the Public Works\nDepartment to illustrate different phases of their work. Clinical motion-picture\nfilms have been made in conjunction with research, and the Mental Health Centre\nhas borrowed a 16-mm. motion-picture camera in order to aid it in the production\nof a child-series movie.\nDuring the year the 35-mm. films at Pennington Hall were shown on 145 occasions to a total of 38,767 patients; in The Woodlands School they were shown 101\ntimes to 17,207 patients. The 16-mm. ward shows were presented at Essondale,\nRiverside, and Valleyview 323 times to 19,032 patients. Weekly 16-mm. shows\nwere presented at The Woodlands School, Allco Infirmary, Haney, Kamloops, and\nTranquille.\nIndustrial Therapy Department\nThe staff of this department has maintained a closer tie than previously with\nclinical groups and other patient therapy activities. This liaison has been stimulated\nin view of the construction of the new Industrial Therapy Building, which will place\nthe staff in a closer proximity to the treatment groups. This will make it possible\nto stress the therapeutic advantages to be derived from the work carried out in this\ndepartment.\nThe following are the significant statistics for the year:\u2014\nTotal patients employed in trade-shops during the year 2,510\nPatients progressed to hospital work level 110\nPatients discharged to community 182\nThe following figures indicate the productivity of this department:\u2014\nManufactured Repaired\nItems Items\nDry-goods Section 74,955 \t\nMending Section 98,961\nTailoring Section 6,292 13,345\nMattress and Canvas Section 8,025 1,271\nPrinting Section 3,678,718 \t\nMachine and Metalsmithing Section 1,877 868\nCabinet-shop 429 2,013\nUpholstery Section 1,066 943\nUniform Section 9,679 11,303\nShoe section 435 8,610\nLaundry\nDuring the year the volume of linen going through our department amounted to\n9,352,754 pounds and that of dry cleaning to 116,840 pounds. This increase represents approximately 1 pound of linen per patient-day, giving an average consumption\nfor Essondale, The Woodlands School, Valleyview, and Mental Health Centrfe of\n5.3 pounds per patient-day.\nDuring the year, on account of the increased volume of linen, a reorganization\nwas made of the shifts in the laundry such that there were introduced two shifts on a\nsix-day week basis rather than one shift on a seven-day week basis. This reorganiza-\n I 66 MENTAL HEALTH SERVICES REPORT, 1961\/62\ntion has enabled the department to increase its capacity and to maintain an improved\nservice to the Hospital.\nMedical Records\nDuring the year Miss A. Dingle was transferred to the Deputy Minister's office\nas Consultant in Medical Records and Statistics. Mrs. P. A. West was appointed in\nher place.\nAs the result of a study undertaken in the previous year, a more efficient method\nof collecting and distributing the daily census figures on patient movement was put\ninto operation. It is now possible to supply accurate census figures to the various\ndepartments on a daily basis and in a standardized form.\nThe work load in the admitting unit of the Provincial Mental Hospital has increased such that there has been an increase in admissions of 11.06 per cent and an\nincrease in discharge of 22.86 per cent in comparison with those of the previous year.\nDietary Department\nThe provision of meals to our large organization has been well carried out by\nmembers of the Dietary Department under Mrs. M. E. Marr, dietetics administrator.\nDuring the year the following volume of meals was served:\u2014\nTotal general-menu meals served to Crease Clinic and Essondale patients 3,311,398\nTotal special-diet meals served to Crease Clinic and Essondale\npatients 406,245\nTotal general-menu meals served to Crease Clinic and Essondale staff 125,458\nTotal special-diet meals served to Crease Clinic and Essondale\nstaff 6,345\nTotal of all meals served 3,849,446\nTotal raw-food cost per meal $0.2716\nDuring the year there was a consolidation of this department whereby the\nnursing staff attached to the Dietary Department was replaced by dietary aides.\nThis has formed part of a programme whereby dietary staff become responsible for\nesentially dietary functions formerly done either by nursing staff or by nursing staff\nseconded to the Dietary Department. With the introduction of electric food-carts in\nseveral areas, and with the change-over of certain procedures, success is being met\nin providing an improved quality and variety of food for patients unable to go to\ndining-room areas.\nPlans are virtually completed for the renovation of the West Lawn kitchen and\ndining-room areas. This is a part of the continuing programme to modernize dietary\nfacilities in this hospital.\nVolunteer Service\nThe volunteer service, through its co-ordinator, Mr. G. Dodsworth, has been\nvery active and has done much excellent work for our patients. An average of 175\nvolunteers visited the Hospital at least once a week, and another fifty visited every\ntwo weeks or oftener. The total group has volunteered approximately 53,400 man-\nhours of work to patients.\nA new and welcome addition was a group of high-school students from New\nWestminster whose social club chose to volunteer for this work.\nAn important extension of the programme was the establishment of a regular\nvisting schedule for a volunteer from Nanaimo. This volunteer visits most new\n CREASE CLINIC AND PROVINCIAL MENTAL HOSPITAL I 67\nadmissions from the Nanaimo area and follows up when they return home by\ninteresting them in the special group operated by the local mental health association.\nThe apparel-shops have shown greatly increased activity; 3,761 patients visited\nthese shops and received 16,794 articles of clothing. In addition, a very large\nnumber of prizes were given out during the year, including Carnival Day. Two\nfashion shows were put on for the patients.\nThe Christmas gift programme was again successful, with every patient in the\nHospital receiving a gift.\nSeveral organizations have adopted wards and provide gifts. The most recent\nare the Lutheran Churches of Vancouver, the Vancouver Association of Insurance\nWomen, and the Alpha Beta Phi Sorority of Nelson, B.C. These organizations make\nmonthly contributions.\nTwo volunteers have assisted the Psychology Department with an experimental\nproject with long-term patients.\nCivil Defence\nThe Essondale Civil Defence Planning Committee remained active during the\nyear, and regular monthly meetings have been held.\nNew identification cards were issued to registered Civil Defence personnel in\naccordance with a block of numbers allotted to this Civil Defence unit.\nAt the request of the American Psychiatric Association, a report on Essondale\ncivil defence and hospital disaster planning was submitted. This was related to an\nincreasing interest in this subject on the part of mental hospitals in the United States.\nA survey of Hospital buildings has been carried out with a view to providing\ninformation on their relative value as a protection against blast and fallout. As a\nresult of the information obtained, a plan to move patients from upper floors to basements and other areas giving a high degree of protection which could be attained at\nshort notice has been evolved.\nAs in previous years, the incoming classes of psychiatric nursing students were\ngiven a four-hour orientation to civil defence and hospital disaster. Radio communication instruction courses have been given, and as a result 150 members of the staff\nhave obtained the restricted radio operator's licence of the department of Transport.\nThe unit has taken part in two National Civil Defence exercises, mainly communications.\nTwo senior nursing-staff members have attended courses of instruction at the\nCivil Defence College at Arnprior, Ont., and three other members have attended\nCivil Defence courses of instruction at Victoria.\n I 68 MENTAL HEALTH SERVICES REPORT, 1961\/62\nTREATMENT SERVICES\nM. O. Calverley, Acting Clinical Director\nThis report will be more meaningful if it is read in sequence with Dr. Tucker's\nin the 1960\/61 Annual Report.\nThe need and demand for psychiatric services in the Province continues to\nexpand. Though there is general agreement that these should be provided at the\ncommunity level, it appears likely that several years will pass before this is accomplished in any adequate measure. Meanwhile the pressure for diagnostic and\ntreatment services in the Crease Clinic and Provincial Mental Hospital mounts, as\nreflected by a 3.5-per-cent and 12.7-per-cent increase in admissions in these units\nrespectively in the past year. Though modern treatment techniques and enlightened\nattitudes toward early discharge have made it possible to cope with larger numbers\nof patients, and even reduce the resident population of chronically ill, these in themselves are only a part solution to the growing demands for psychiatric services in a\nrapidly expanding population. As it is also generally agreed that there should be\nno expansion of the physical facilities for general psychiatry in the Essondale area,\nthe alternative is to accelerate diagnosis and treatment by necessary increases in\nprofessional staff, who can later be shifted to community-based services, on a full-\nor part-time basis, as provision for such is made.\nIn keeping with this philosophy, an important development in the clinical services in the past year has been the launching of our after-care programme. After\nseveral years in the planning stages, this project became functional December 19,\n1961, at 445 West Thirteenth Avenue, Vancouver, and by March 31, 1962, had\nregistered 432 people for after-care. Dr. Robert W. Harrington, as Director of\nRehabilitation and After-care is in charge of this unit and has a resident staff consisting of a social worker, a mental health nurse, and a stenographer-receptionist.\nThey are assisted by treatment teams from each of the units at Essondale, who go\nin to conduct clinics each week, offering after-care to patients discharged from their\nunit who require such care, and are within commuting distance and cannot obtain it\nfrom other sources in the community. Such a treatment team consists of a senior\nand junior psychiatrist, a social worker, and a psychiatric nurse. This plan has the\nadvantage of providing a considerable degree of continuity of care in terms of personnel. It permits earlier discharge in some instances, and by sustaining that group\nof patients who previously had little or no follow-up care after leaving hospital, it\nis anticipated that the readmission rate will be lowered. Such after-care clinics are\ngood examples of the feasibility and advantages of staff dividing their time between\nthe institution and the community. If adequate provision is made for the expected\nrate of growth of the after-care programme, it will constitute a significant shift in\nmental-health care from Essondale to the community from which the patient comes\nand to which he returns after hospitalization, which usually will be a relatively brief\nepisode in the total course of his illness.\nOur half-way houses, \"Vista\" and \"Venture,\" also in Vancouver, are now\nunder the direction and guidance of the resident staff of the after-care unit. As was\nexpected, this closer identification with a treatment team is creating a more therapeutic atmosphere in these units. The number of beds in \" Vista\" was increased by\nfour to ten in November, 1961. A total of 113 patients used these rehabilitation\nfacilities during the year. The persisting difficulties in finding employment slows the\nmovement of patients into the community from half-way houses as it does from the\nhospital as well.\n CREASE CLINIC AND PROVINCIAL MENTAL HOSPITAL\nI 69\nOur consultant staff in all branches of medicine and surgery have rendered\nvaluable service to our patients throughout the year. They supervise and work\nclosely with our medical and surgical residents. Two infirmary wards previously\nlocated in the Centre Lawn Building have been moved to more suitable locations in\nthe North Lawn Building. In addition to improving infirmary ward care, this has\npermitted the renovation of D 2 and E 2, the wards vacated, which have since been\nreopened as the male and female admitting wards for the Provincial Mental Hospital.\nThese bright, relatively pleasant surroundings constitute a therapeutic atmosphere\nfor newly admitted patients.\nThe medical clinic planned for Essondale should do much to facilitate and\nfurther general medical and surgical care of our patients. The rising average age\nof those in the continued-treatment areas is resulting in a growing need for such\nservices. The increased amount of general nursing care that such cases require is\nmaking heavy demands upon our nursing services.\nAs anticipated, there has been an expansion of the special boarding-home care\nplan for partially disabled patients who are able to get along outside of hospital.\nA total of 104 were so placed last year, for a grand total of 184 since this plan went\ninto effect. Much of the work that has ensured the success of this project has been\ndone by our Social Service Department. Again it demonstrates the bridging of the\ngap between hospital and community in the provision of care.\nNew treatments have been limited to the selection and judicious use of the most\npromising of the psychotropic drugs, from the large numbers of such compounds\nreaching the market. Milieu and group activity therapies provide the common\ntreatment background upon which specific therapies, tailored to the individual\nrequirements of each patient and his illness, are superimposed. The therapeutic\ninfluence of trained staff continues to be the major tool for the treatment of psychiatric illness, and unfortunately the most difficult to provide in adequate quality and\nquantity. In this respect the contribution of community volunteer workers has\ncome to play a prominent part in treatment services, complementing the progressive\nefforts of the intramural therapeutic disciplines.\nThere is now a sufficient body of knowledge and treatment techniques available\nto make vast strides in coping with the problem of psychiatric illness, providing\nthe facilities and trained staff can be obtained to adequately apply these advances in\npsychiatric theory and practice.\n I 70\nMENTAL HEALTH SERVICES REPORT, 1961\/62\nSTATISTICAL TABLES\nCREASE CLINIC\nTable 1.\u2014Movement of Population, Crease Clinic, April 1, 1961,\nto March 31, 1962\nMale\nFemale\nTotal\n108\n505\n24\n203\n136\n579\n46\n275\n244\nAdmissions\u2014\n1,084\nReadmissions to a different institution of Mental Health Services ....\n70\n478\n732 900 1,632\nTotal under care \t\n840 | 1,036 | 1,876\nSeparations\u2014\n701\n24\n2\n3\n855\n34\n1\n1\n1,556\nDischarged direct to Provincial Mental Hospital, Essondale\t\n58\n2\n1\nDied \t\n4\n730 891\n1,621\n+2 | +9\n110 I 145\n+ 11\n255\n CREASE CLINIC AND PROVINCIAL MENTAL HOSPITAL\nI 71\nTable 2.\u2014First Admissions to Crease Clinic, by Health Unit and School\nDistrict of Residence and Sex, April 1, 1961, to March 31, 1962\nHealth Unit\nMale\nFemale\nTotal\nHealth Unit\nMale\nFemale\nTotal\nEast Kootenay, Cranbrook\u2014\nSchool District No. 1 \t\n2\n4\n3\n2\n1\n8\n3\n7\n2\n1\n10\n2\n1\n7\n2\n4\n1\n3\n11\n1\n2\n1\n2\n4\n1\n2\n4\n9\n3\n1\n12\n4\n31\n3\n14\n179\n34\n3\n2\n5\n3\n11\n2\n1\n10\n4\n1\n7\n1\n6\n1\n14\n1\n1\n4\n5\n1\n7\n3\n4\n6\n12\n37\n3\n12\n206\n41\n3\n1\n6\n4\n3\n4\n9\n1\n3\n5\n12\n2\n4\n21\n4\n2\n17\n6\n1\n11\n2\n9\n1\n23\n1\n1\n3\n1\n6\n4\n6\n2\n5\n16\n6\n5\n18\n16\n68\n6\n26\n385\n75\nMetropolitan Health Committee,\nVancouver\u2014Continued\nSchool District No. 44 \t\n\u201e 45\t\n21\n7\n24\n17\n13\n2\n1\n5\n2\n1\n1\n1\n4\n3\n2\n2\n2\n2\n5\n3\n2\n2\n9\n1\n2\n1\n2\n1\n1\n2\n2\n2\n3\n34\n7\n27\n25\n9\n3\n7\n8\n4\n2\n2\n1\n1\n2\n1\n2\n17\n5\n4\n2\n3\n3\n7\n1\n6\n3\n2\n1\n1\n4\n3\n1\n2\n\u201e 2...\t\n , 3\n55\n14\n\u201e 4\nSimon Fraser, New Westminster\u2014\n.School District No, 40\n, 5\n\u201e \u201e \u201e 18\n51\n,, 43\n42\nSchool District No. 7\t\nNorth Fraser Valley, Mission\u2014\nSchool District No. 47.\n.. 8\n22\n 10\t\nWest Kootenay, Trail\u2014\nSchool District No. 9 _\n,, 11 -\n\" 'a 7fi\n5\n1\nUpper Island, Courtenay\u2014\u25a0\nSchool District No. 47\n\u201e 71 ...\n12\n\u201e \u201e \u201e 12\n10\nSouth Okanagan, Kelowna\u2014\nSchool District No. 14\n, 15\t\n\u201e \u201e \u201e 72...\t\n5\nSkeena, Prince Rupert\u2014\nSchool District No. 50. .\n\u00bb 51\n\u201e , \u201e 57\n3\n\u201e \u201e \u201e 16 .\n1\n\u201e \u201e \u201e 17\n6\n , 23 .\n , 53\t\n4\nu ,. 77\n 54\t\nPeace River, Dawson Creek\u2014\nSchool District No. 59\n\u201e 60...\n 81\t\nGreater Victoria Metropolitan\nBoard of Health-\nGreater Victoria\u2014School District No. 61 (parti)\t\n3\nNorth Okanagan, Vernon\u2014\nSchool District No. 19 ..\n4\n 20\t\n\u201e 21 \t\n3\n4\n22\n\u201e 78\t\nSouth Central, Kamloops\u2014\nSchool District No. 24\n22\n., 75\nSaanich and South Vancouver\nIsland\u2014\nSchool District No. 61\n(parf2)\n , 26\t\n\u201e 29 -\n, 30\n8\n\u201e 31\t\nSchool District No. 62\n 63\t\nCentral Vancouver Island, Nanaimo\u2014\u25a0\nSchool District No. 65\n4\nCariboo, Prince George-\nSchool District No. 27\t\n2\n., 55\n3\n\u201e 56\t\n 57\t\nUpper Fraser Valley, Chilli\n 66\t\n 67\t\n,, 68\n2\n5\n16\nwack\u2014\u25a0\n 69..\t\n2\nSchool District No. 32 _\n 70\n8\n> 33\nSchool districts not covered by\nhealth units\u2014\nSchool District No. 46 . .\n, 48\t\n\u201e 49\n\u201e 73\t\n 74\t\n 80\nBoundary, Cloverdale\u2014\nSchool District No. 35\n\u201e 36\n4\n2\n3\n\u201e 37\t\nMetropolitan Health Committee,\nVancouver\u2014\n2\n5\n2\nSchool District No. 38\t\n5\n , 39 \t\n3\n , 41... . .\n5\nTotals\t\n529\n625\n1,154\n1 Includes Victoria, Esquimalt, and Oak Bay.\n2 Saanich only.\n I 72\nMENTAL HEALTH SERVICES REPORT. 1961\/62\no\ng\nQ\n<\n\u25a0~\nO\nQ\nO\nX\nH\nW\nS3\nu\nI\no\nw\n<\nw\nBJ\n0\no\n*0\nON\nCO\nZ i-h\n2 j\n% P\n9 -\nrrj Q\nPh on\nQ Q\nQ\nH\nco\nW\nri\nCL,\nP\no\nO\n\u25a0\nH\nO\n<\np-\nIS\n-rf\n00\nIBJOX PUEJO\nt\u2014 CO\nCO H\n-Tf\nOs tO\ncd\nV.\nrt r-\nrs\no t>\nr-\nTf rt\nM\nS\nri O\n<-i\nSO rt\no\nCO tS\nVI\nrH\ncs\nXI\nSO\nrt rt\nv*\nrt rt\n\ntu\nt\n0\nH \u00a7\nIs\n3\nX\nX\ns\nr\ntt\nu\nE\ncd\n't,\n>\nu\n0\n>\n-t\nOn\nO\n<\no\nVO\nrA\nOn\n<\nVi\nca\na\nz\n<\nD\nO\nOh\n9\nw\no\n<\no\nz\no\n<\n-r\n<\ne-\nz\nVi\nCO\na\nw\ncn\n<\nQJ\nf.\na\no\nH\nZ\no\n<\ncn\n05\nW\nh.\n05\n<\nct-\n\u25a0fl\nrl\nV\nts\nSC\nIN\n1-4 r-\nrr\nr^\n-C\nIEJOX PUEJQ\n\u00ab\nBh\ntrt Tt CS H |rf ^H\no\n1 OQ O rt rt Tf\nH\nrr\nrt t> CH [ *-(\n\u2022*t\ntt.\nrH i-l oo cn [ TH , CS CO\n, m . ; i 1-1\nVI\ns\n1\nCO tS 1 ! i CO rH t-\nvi cS , : ;\nCO\nii\ncd\nV\nD.\n3\n0\nIh\n00\non\nOv\nm\ntt.\ni i j j !\ns\n. r-r 00 1 1 1 C. ( i-H j\n! I\"\ncs ooiics o Ttts.Ttts:,.\nI\ntt.\nj , 1 rH\nrH CS CO , W , rH\n, 1-1 co ! i |\nTT\ns\n' i\nOv\nro\n1\ntt\n\"-X \\\n| \u25a0 ,r- -- | j* | |\u00ab\n\u2014\" Tt CS rt , Kf CS T-\nI i C. 1 1 TH\nro\ns\nrH ,\n! ' ' \u25a0\nt-i . so m \\ \u25a0, . Tt ;\niiiiii\nn\n2\n1 ^ M j i\n1.1! 111\nCS , CS : rt i vo\nOv\n7\nCu\n11 \u25a0 \u25a0 1 j\n-* ^ ^ O , rt Tt\n\"\ns\n*\" i j i\n1 ! II II\nTt\n(.\n[lillll! 1 1 i 1 1 | (\u2022!\nO\ns\n\"co\nC\non\n\u25a0f\n0\ns\nX\n0\np.\nir\na\nu\ns\n?\no\n1\ntn\n0\ng\nrt\n0\na\ns\n1\n\u2122 a\n! e\nrt\ncn\nii\nit\n2 F\n3 g\n< r-\n^\n,-a cc\nu\n-a\nit\no\n^s\nS f\nJ3|\na \u00a3\na.\nc\n>\nc\nc\ne\nc\na\n-|\nX\n1\n6\ne\no.\nP\nX\nfl.\nit\n\u00a3\ni.\n\u00b0 c\n\u25a0II\nH -c\n\u2022S p\nft R\no \u00ab-\nN Z\n43 4:\nvi C\nS S\nes \"-\nu u\n0 3\n\u25a0gT\nS \"\n0 c\n\u20220 .\n>\nCl\n 0\nJ3 <->\ntt >^\n*rj co\nP= ft\n.\"S t.\n0 0\n!d i\n>\u00bb u\no\nCQ\nS\nt\n0-\nw~\nPh\n<\n CREASE CLINIC AND PROVINCIAL MENTAL HOSPITAL\nI 73\nm ci m Os rt m so vo co Tt vocoi-.ro\ntn > ri m rn m csvdco\ntt co cs cs m\nCS OS O C- rH Tf Tt\n\u00a9 es *-< \\c co cs vo rtr^i-\u00ab vo co i-\u00bb vo cocs\nMMM!\n! r I i\nUIMi! Ill\ni I Ii\nllll:\nI i\n\\rt I cs rt ri I cs i\nI II I II ! II II\nI I\ni i\ni !\nI th VO rH I i-l 00\nI CS VI \nV\nfl\nrt\n(H\n0\n0\nft\nc\na\noj _\nqj 3 -B .\n\u25a0\u00a7\u00a7\u00ab\na p s?\n8 s S\n-rti\n4> O O\n43 \"\n\u2022o\na\nfi\ns\no\nr.\ns\na\nu\n6\n0\n(Ti\nCO\n1 C\n0)\nto\n?\n14)2\na'.a o \u25a0\nS 3 i-i .\n\u25a0 2 B 9 ;\n\u00a3 d \u00a3 5\nS \u00a7 2 3\nc s S \u2022\n3 I\nO tj\n'43 es\n, 3 \" fl \"3\n\u25a0o . a&'\nJ ^.- 3\n, r3 rt in\ni rt e m\nJ 3 \u00a7 QJ\n8 la\nSab\ns-o S.rt-'o \u2014 s\nH\u00a3\u00ab Sfi.piSpi.pr-\n. \u2014 rt\nS 2 a ~\n\" w ui cd\n3 \" \"^\naj w .-, rt\nb.a\n'C O ''\nB 3 3 3 rt u\nQJ qj 'rt M P XI '^ S3 '\n\u2022^ tr S3 QJ 1hT!t1\nx b o a 3 P y\n3^tC\u00a3S & &\n< K o. 0 Z a. o.\n^ i u\nI a &a\nllll\nt3 *. T3 S*\na O QJ rt I .3\nu s .> k 5 rt\nS E 35o\u00a3\nrtttl 0.0*0\nI -i\n3 <\na\nll J\ne-gS.rt\n\"r; \u2122 .\"3 u\noj aj; !\n. rt I\ntB !\n\\%ri\n.3 a \u201e ri\n5.9 i30.\n. I '2 ? Z\nB S111\nh - oj O O\nS\"o x>\ns fi a\n3 &&\n|||\nIh tH\nhO SI\nS a\nJ\"*\"\no o\n<-h cS *-\u25a0\ni i\nh ic. in\n\"*\nft.\nin\n2\nTt\nTf\nnl\nS\nI CS ^ CO Tt 1\nI tS 00\ni\nI CO CS~\n\u25a01 CO rH I | CS\nn \\ rt I CO CS rt\nI i\n* tS , rt SO\n13 s\n.2 &\nfi \u00ab ft\ngas\nP a y 5 :\nB T* tn 6 \u25a0\n9 5 9 >\nS it! Xi cn\nhh rT\nHH iH ^\nO0h<\nC S Ih a.H\n111 .\u00a7\nfl\nrt\n> >,\nto cn cn\nPh Ph Ph\nh\ntft\nft\nI\nb\n5.\nUi\n;S\nE\nOrtS\n\u2022rt a qj\n89\"\n\u00a3 \u25a0a\n\u00a7 3 2 2\nM -rt 4h 43\nfl \u00b0 \u00b0\n^ cn cn\ngo. P.\n.2 a\n- QJ\ngs\nS3\n35\nO 333\n3 .\n!\u00a7\n\u00bb rt-2\nQJ QJ HJ\n\u25a0* w 2\naj -h rt\n& rt QJ\nfi g.\u00bb\n3 S\nsi\nQJ ^ -I\nK \u00ab \u00ab\n. . QJ\na >>,.\n\u2022.Mo.\n3\n|ou\nU \u25a0\u00a7 .\nQJ l 33\n| J a\nI o 2\n1. f\nlis\n1 >, rt\nto jj\na 3\n'go\n*\u00b0 \u00a3S\n|sE\nOQ\nI 'I\naaa\n1 B \u00b0\ng| s\nw rt a\nQJ Jj QJ\n111\u00b0\n&o -d ^3 V\nO 43 rt .\n\u00ab o c L, j v\nO Wm << 05\nin fl 2\no S -0\nft Jo rt\n\u2022 111\n CREASE CLINIC AND PROVINCIAL MENTAL HOSPITAL\nI 75\nmm m rt ^t rH CScom TH rnrf oo\ncsm co iTt-H csi-ico\nI I\ni t i\na 2\nIII\nrt \u00ab fl\nfl fl QJ\no'~ o,\nto ^3 <0\nSs-a |\nrt o 'S . .\n3 | \u00abo\nrt ftl Oh .3\nE 1\nV\nfl\n0)\n.a\nT3\nfl\nrt\ne\n.2\nrK\naj\n4.\nS|\n1\n_ o \u00b0 =u +2\n9 a o td \u2022g\n2? M3 a*.\nB QJ Mfi w\no a a \" a j,\n3 g-o b S\nO. rt rt 13TJ\nlis I\n2\u00a7\n3 u\na ^\n4= fi\nS \u00a3 CO\nOo. rt9\n.2 fe^\na a ^\n5 | QJ\nfi at!\nUMO\nS?ag\nftOrt\nJ.SO\n5 rt 3\n\u25a0^ > .\n. Jh Ih\n00\n 1 76\nMENTAL HEALTH SERVICES REPORT, 1961\/62\nTable 6.\u2014First Admissions to Crease Clinic by Marital Status, Mental\nDiagnosis, and Sex, April 1, 1961, to March 31, 1962\nTable 7.\u2014Readmissions to Crease Clinic by Marital Status, Mental\nDiagnosis, and Sex, April 1, 1961, to March 31, 1962\nTable 8.\u2014First Admissions to Crease Clinic by Mental Diagnosis, Years\nof Schooling, and Sex, April 1, 1961, to March 31, 1962\nTable 9.\u2014Readmissions to Crease Clinic by Mental Diagnosis, Years of\nSchooling, and Sex, April 1,1961, to March 31, 1962\nTable 10.\u2014First Admissions to Crease Clinic by Citizenship, Age-group,\nand Sex, April 1, 1961, to March 31,1962\nTable 11.\u2014First Admissions to Crease Clinic by Religion and Sex,\nApril 1, 1961, to March 31, 1962\nTable 12.\u2014First Admissions to Crease Clinic by Previous Occupation and\nSex, April 1, 1961, to March 31, 1962\nDetailed information for the above tables may be obtained on request.\nTable 13.\u2014Live Discharges from Crease Clinic by Condition on Discharge,\nDisposition to, and Sex, April 1,1961, to March 31, 1962\nDisposition to-\nCondition\nHome\nClinic\nAgency\nGeneral\nHospital\nWelfare\nInstitution\nOther\nMental\nHospital\nOther\nTotal\nGrand\nTotal\nM.\nF.\nM.\nF.\nM.\nF.\nM.\nF.\nM.\nF.\nM.\nF.\nM.\nF.\n7\n11\n556\n118\n12\n33\n754\n51\n\t\n\t\n1\n1\n~2\n\t\n~\n\" 6\n20\n~~9\n26\n7\n~~2\n7\n11\n563\n146\n12\n33\n766\n79\n19\nMuch improved-\n44\n1,329\nUnimproved\t\n225\nTotals-\n692\n850\n\u2014\n\t\n2\n2\n\t\n1\n26\n35\n7\n2\n727\n890\n1,617\n crease clinic and provincial mental hospital\nI 77\nTable 14.\u2014Live Discharges from Crease Clinic by Mental Diagnosis, Condition on Discharge, and Sex, April 1, 1961, to March 31,1962\nMental Diagnosis\nCondition on Discharge\nRecovered\nM.\nF.\nMuch\nImproved\nM.\nImproved\nM.\nUnimproved\nM.\nTotal\nM.\nGrand\nTotal\nSchizophrenic disorders\t\nManic-depressive reaction..\nInvolutional melancholia\t\nParanoia and paranoid states..\nSenile psychosis-\nPsychosis with cerebral arteriosclerosis\nAlcoholic psychosis ..\nPsychosis of other demonstrable etiology-\nOther and unspecified psychoses..\nAnxiety reaction without mention of somatic symptoms.\nHysterical reaction without mention of somatic symptoms\t\nPhobic reaction.\nObsessive-compulsive reaction\t\nNeurotic-depressive reaction\t\nPsychoneurosis with somatic symptoms\n(somatization reaction) affecting digestive system.\nPsychoneurosis with somatic symptoms\n(somatization reaction) affecting other\nsystems.\nPsychoneurotic disorders, other mixed and\nunspecified types \t\nChronic brain syndrome with neurotic reaction\t\nPathological personality-\nImmature personality\t\nAlcoholism \t\nOther drug addiction-\nPrimary childhood behaviour disorders-\nMental deficiency-\nOther and unspecified character behaviour\nand intelligence disorders\nChronic brain syndrome with behavioural\nreaction-\nChronic brain syndrome, N.O.S..\nEpilepsy-\nOther diseases of central nervous system\nnot associated with psychosis-\nObservation without need for further medical (psychiatric) care\t\nOther, unknown, and unspecified conditions\t\nTotals-\n12\n11\n33\n212\n17\n24\n4\n4\n3\n13\n72\n2\n96\n563\n212\n41\n32\n11\n1\n2\n4\n4\n21\n108\n15\n2\n7\n231\n3\n13\n21\n14\n766\n22\n2\n1\n1\n2\n2\n2\n2\n1\n3\n3\n3\n1\n4\n\"146\n20\n241\n20\n25\n8\n1\n6\n6\n8\n16\n74\n5\n101\n11\n4\n86\n18\n25\n1\n12\n5\n12\n6\n7\n12\n1\n1\n727\n249\n46\n36\n11\n2\n2\n6\n6\n24\n125\n18\n3\n7\n248\n2\n_4\n890\n490\n66\n61\n19\n3\n8\n12\n14\n40\n199\n26\n3\n12\n349\n16\n8\n106\n49\n25\n3\n28\n5\n14\n14\n9\n21\n1\n3\n 8^\n1,617\n I 78\nMENTAL HEALTH SERVICES REPORT, 1961\/62\nX\nVi\ncn\na\nz\n<\nrf\no\n04\na\nVi\nO\n<\ncn\nO\n55\nO\n<\nQ c.\nz _r\nrjj *'\nS M\n* y\na 3\n-1 \u2014\nU .\nr\u2014I\n<2\nw\nO\no\ntt!\ntt,\neo\nW\nO\n55\nO\n>\nw\nH-l\n09\n-\n2\nOh\n<\nc ni\nt\u2014 cioooscirtmrtri moomrHosmoori th rn r. ^h \\\u00a3> *-i t-\nOH\nNMOMniniHfNHN moov)\\DHr.nvD : : rt rt ri ir-\nCO rt V.\n3\nf.\ni-i t^ co ro oo rt cn ro th\ntn I a\\ \"\"* r- co ro j O OO : m ao rn \\0 \\\u00a3> rt ,-. i-H ! ifn\ns\nTH 00 t- rH j -^f rHrH j f4\nIM 1 (S i-\"H j\n1 ^- rH\n5 \ngo\n(.\n1 1 1 1 1 !' 1 1\nIII j i ! I 1 1 I\n1\ns\ni 1 ! i 1 ! ! i\nurn ii ~ i ii\n:rtrt\nj I 1 ! rH : ! ; i-\nMHhrH | I 1 || ||\nso\n1\n1.\n1 1 1 1 i i !\nMi i ! i ! i\nj j J i j j j j\n\" r. I IO 1 |\u00ab !\n1 rH i\nto\ns\n1 j\n| j j inn ! ! !\njClrtrtllT-Ci It T. rt|\nso\n1\nft\nMi IN\n! ! \\ rt | j | If.\n(S ! . | !(SH !! [ j j|\n*o\ns\niii iiii\nill: iiiiii\n1 MN 1 IN |H 1 CO | 00 i i-h i | (I ! | !!\ntn\n1\nPh\nf I Ml\n1 ! i i ! 1 i 1 i 1 i\nri : :\"iHrt 1 i\n>n\ns\n1 ! Iiii M i i i !\n1 IHUlH lU) Iff! rt* IA 1 1 |H || 1 rn II\nin\nA\nII II\nCi \\ th m m th rH ', Ci -rH SO \\ rf \\ '. \\ rH II ! ij\n1 CM CN\nmt\ns\nj !\n1 ! 1 rt CO 1 I I t~- r(ln l\u00abrt 1 |N | 1 j I rH|\n: co co\n^\nrt\nPh\nIII III\nIIIOrHlllTt rtrt 1 1 1 1 it) rt| ! | ||\n: rn ta\\\nrt\nV\nrt\n5.\ni i i II\nM inm^Htri im m m n Ci m \\ ; rn i i ; t i\n!\nH\n00\nrt\nA\nrf\nPh\nii ll i \u25a0 ii\ni\nS\nrn j j Ov Wi jcs jro rN ;Hrt ; i j\nj cs o\nn !\\ON j t- th rt j j rt j j M j j | j\nj tC r>\non\n<\nm\n1\nII ii 1 I I 1 11\nrt i co ro co i ro \u25a0 vO N 1 ; hh i ,r. irt (SI\nrH j SO\nro\ns\n1 \u25a0\nIiiii i i ! !\nrt th m -rt c* \u25a0 m , Os nNH in : : i | i ii\nro\np.\n1-1 i\ni iii i i i i i 1\nn\nCO ! rt {-1 m ! CN ! 0\\ lllimiil II ! | CN rt\n1 cs o\nro\ns\n, rt rt J 1\nrH\n'. I : Os rt \\ n '. Os s\nE\n>\nR\nsi\no\nco\n\"(0\n3\n*t\n_c\n*C\nt\nR\n0\n|\nr-\na\nC\n1\n< 0\nX\n1\no\n5\no\n31\no g\n8 \u00a3\nCO \u2014J\n3 t\nI-l u\n\u2022O ca\no o\n\nt\n;.\n'r\n1\n\u20221\n5\n1\n1\nC\n,1\n1\nr\nt\n.f\n1\np.\nc\nc\ni\na\nc\nu\nt\n1\ni-\n\u00a3\nC\n- c\n1 t\nf\nr\nI\n<\n.5\n!\n%\ns\nc.\n'\n, >\nt\n(L\nt\ne\n1\n03\nC\n.\nc\n1\nc\n1\nc\nK\n'1\n1\n1\n- R\n1\nc\n1\nSr\no \u00a3\nto r-\nfi-,\n\u00a3 \u25a0\n\u25a08 5\n\u25a0I\nk\nC\n1\nt\n.\nc\n\"3\nE\n*e\nC\n.]\n|\na\ng\ne\nCf\nX\n'.\n.\n1\n1\ne\n1\nc\n1\n0\nc\n-J:\nc\n\u2022 v.\na .\n5 c\n2 E\n6 f\n1 C\no \u2022-\n1^\n\u2022h 5\ntu c\nal\n,0 b\nv-. C\nH 0 X\no *\no g\nP\\\n\u2022th +. r~\nB o^\nrt ca it-\nIP\no o\nO CJ\nto to\nSecondary or due to diseases\norgans and circulatory syste\nSecondary or due to diseases\n%\na\nc.\n5\n\u25a0B\nc\nc\na\n.\nc\nt\nfl-\n[it\ntn T\\ C\n3 f rt X\n11]\nft g|\n\u25a0o S 8\nO H -j\n'cj S s\n&?-8\nW Cfl C\n3 o C\n\u2022g-Sf\nS^11\nCH.\nO\na\no\nS\nS\no\ns\n1\no\neS\n\u00a3\n\u20221?\n\u2022Si\nJ3\nj3 a\nO\n%\n.\nK\np-\n<\nP.\nO\n<\n CREASE CLINIC AND PROVINCIAL MENTAL HOSPITAL\nI 79\nrt rn ro ^t \u25a0* o\\'\nrH ro 00 (^\noo co r> oo cN\nCN ICNvOrtOOrt i vO CN CO I I CN >0\nccrtcimrtmOsri \u00bbn O co\nS-\u00ab\n(N rtr-iCO CN^Or-CN\nI j\nj ^ I\nrt CN CN ! rH\nrt n rt co\nCN I TH m rt\nrt \\sO rt Ci rt rt rtrtrt ro\nTh rt ! ION Irt\nI 0O rH | rH\nit\nu\nfl\nn\n\u25a0d\ni dB\nUE B\n\u25a0a.\nco o\nXft\nS a\n.2 0*3\nSal\nh M co\nISA\no j? w\n. ft \u00b0\nill\nm 0 s\nI co G e S N ,-\n2 E\nh a r,\nr S \u00b0rt\n>- .3 & .fl (H I\nW rt |_( o \u2022-< r\nS S u ,\u00a3 P *\n3 o 6 S o -\nIIIII\nCJ I* O T3 fi\n01 01 ?. CHI\n(H Cfl (H CJ CO j;\nc3 \"3 \u00ab3 -5 g 3\n3\u00a7^S g\u00b0\nilll\n9 S 55\nrt ^3 rt\ns 11\no o n \u25a0\na g \u00a73,\nS,sgs.\u00a7\nW rt. 5? O\n-h .J S\ngo g'\n2.3 a\ngup.\na I a\nSii\nego\n\u25a0Ort\"\nh ao\n3 3 S\nO 2W\n-\u25a0a\n0 9\n\u25a0a ft\n\u00a7 a\no. o\nfj. \u2022-\no.o.\u00a7\nrti \u00bb\nOrtrt\n\u00ab Jh \u25a0\no- Of\n\u00ab\u00abl\n_ ts o ??\n\u25a0a a \u00b0 2\nCD TJ ^ 3\n\u2022 .0 <0 '\nS3 GXI Crr\nU. h\u00ab3,\nrt rt o\nOSS\nrt *S\nQ) Vh\"\u00ab\n\u00b0 8 fl\nSj.2\ns si\nill\n5 rl H ^\n3 O 3 o\n$03. -a 12\n1 9\nH.O\ns a\no o\nI-l u\nX. x,\nfl s\np. >>\nco co\n.9|\nri cd\n9\nIt *t r^t\nSS.2\n.2 rt\nii p\n810\no\n2 .2 ot'S\n\u00a7\u00a7&S\n'. tj 3 -\n3 :. &\nflag!\n16 8!\n9 2\no b\n6ja as i c\no\u00abo o o\n I 80\nMENTAL HEALTH SERVICES REPORT, 1961\/62\nX!\nVi\nca\na\n2\n<\nco\nO\nX\nft\no\nz\nw\nto\n53\no\nz\nO CM\n52\nh cn\n\u00ab c\n<:\n3,\nm S\nCT1\nt.\no o\nfl\nO\nz H\nI-l >-<\n\u25a0d\nfl\nW rt\nrt\ncn\n< rt\nW\nJO\nO\nPi hJ\nU 2\n43\nca\no ^\ns\nBh\n\nto\nJ3\nBJ\na\no\n+*\nPS\nu\n<\n>\nffi\no\nu\nCO\ne3\nQ\nbj\n>\nBJ\n\u25baJ\nn\n<\nfl\n_o\n**^\ncd\nE\nT3\n\nQ\nx\nvi\nca\nQ\nZ\n<\nOh\"\nD\nO\n0.\no\nI\nVi\no\n<\ncn\nO\nz\nQ so\no\nH\nON\nhJ\nU\n<\nW\nu\n2 S\nrt ft.\no *\u00a3\nz\n5\nrt\n.\nu\nu\nO\nBJ\nQ\nVi\nH-l\npq\n<\n\u25a0dH\n,-H -^H t-1 ?\u20141\n-*\nrH\nrt\n3\nJ\nPP\nl-i\ncm\no\n00\n\"\u25a0fr\nS\n! ! i\nj\nCTV\nro\nPh'\ni i i\n<\n1\nm\ns\nI i I\n1\nCO\n1\no\nPh\ni\nCO\nS\n1 1 1\n7\ntn\nPL.\n1 ! i\n!\nCN\ns\n1 i i\ni\nPP\n1 1 1\n1 i ;\nCN\ns\ni ! !\nOs\n7\nPh\ni 1 1\n|\ns\n1 ! 1\n1\ntJ-\npp\nI j j\ni\nO\ns\ni i i\n>\ntn\nO\no\non\nto\n5\nc\n\n\" X\no\nri\nit\npq\nw\n<\nBJ\nu\nz a\no\nz\nh-l\nOh\nOh\nP\nU\n\noO\nS\niiii\ni\n'\n5\nPP\nMM\n|\nin\ns\nllll\n!\nso\npp\nMM\n1\ni\nIii:\n;\nSO\ns\nf\nOv\nin\n1\npp\nllll\n|\nrr IT\u2014\/\nC.\nm\ns\ni I\nTt\nt.\nMM\ni\n1\n>n\ns\nOv\nt.\niMl\n|\nco\n1\n. rH\nrH\n\"t\ns\n1 rH I |\nTH\n3\npp\n! ! i\nllll\n6\n\u2022^t\ns\n00\n<\n1\nm\nCO\npp\n!\n$\nMM\n1\nS\npp\nMM\n1\nCO\ns\ni\nO\nCN\n1\nm\nCN\np.\nllll\n!\ns\n1\npp\nJIM\ni\nCN\ns\ntill\n1\nOv\npp\ni\nm\ns\n\u25a0*\npp\ni j j j\ni\ni\ns\niiii\nfi\na\na\na\no\nu\n3\nrt\nU\nX\nc\n0\n1\nc\n.2\ni3 r\n>\nc\nc\nT3 X\nSi\n- ^2\n8\nc\n-\nb\n<\n\u20221\n\"3\nS\n<\n CREASE CLINIC AND PROVINCIAL MENTAL HOSPITAL\nI 81\nPROVINCIAL MENTAL HOSPITAL, ESSONDALE\nTable 1.\u2014Movement of Population, Provincial Mental Hospital, Essondale, April 1, 1961, to March 31, 1962\nMale\nFemale\nTotal\n1,608\n121\n4\n1,340\n308\n1\n2,948\n429\n5\nTotal as at April 1, 1961 _ \t\n1,733\n1,649\n3,382\nAdmissions\u2014\n483\n116\n509\n24\n24\n327\n145\n449\n34\n11\n810\nReadmissions to a different institution of Mental Health Services.\t\n261\n958\n58\n35\n1,156\n966\n2,122\n2,889\n2,615\n5,504\nSeparations\u2014\n1,040\n103\n64\n212\n6\n873\n69\n23\n407\n1\n1,913\nriled\n172\n87\n619\n7\n1,425\n1,373\n2,798\n\u2014 144\n1,464\n-98\n1,242\n\u2014242\nIn residence, March 31, 1962 \t\n2,706\n I 82\nMENTAL HEALTH SERVICES REPORT, 1961\/62\nTable 2.\u2014First Admissions to Provincial Mental Hospital, Essondale, by\nHealth Unit and School District of Residence and Sex, April 1, 1961,\nto March 31, 1962.\nHealth Unit\nMale\nFemale\nTotal\nHealth Unit\nMale\nFemale\nTotal\nEast Kootenay, Cranbrook\u2014\nMetropolitan Health Committee,\nSchool District No. 2\t\n3\n2\n5\nVancouver\u2014Continued\n\u201e 3..\t\n2\n1\n3\nSchool District No. 44\t\n6\n18\n24\n\u201e 4 \t\n1\n1\n 45\t\n1\n7\n8\n\u201e 5 \t\n2\n2\nSimon Fraser, New Westmin\n\u201e 18\t\n2\n2\nster\u2014\nSelkirk, Nelson\u2014\nSchool District No. 40\t\n21\n9\n30\n3\n2\n5\n\u201e 43\t\n15\n13\n28\n\u201e 8 \t\n1\n1\n\u201e 10\t\n1\n1\n2\nSchool District No. 42\t\n8\n11\n19\nWest Kootenay, Trail\u2014\n\u201e 75\t\n6\n7\n13\nSchool District No. 9 .\u2014\t\n6\n7\n13\n\u201e 76\t\n2\n2\n\u201e 11 \t\n5\n2\n7\nUpper Island, Courtenay\u2014\n , 12 \t\n2\n1\n3\nSchool District No. 47\t\n2\n5\n7\n\u201e 13\t\n2\n2\n\u201e 71\t\n5\n2\n7\nSouth Okanagan, Kelowna\u2014\n 72\t\n2\n1\n3\nSchool District No. 14 \t\n2\n2\n4\nSkeena, Prince Rupert\u2014\n 15. \t\n3\n2\n5\nSchool District No. 51\t\n2\n2\n\u201e 16 \t\n1\n1\n 52. \t\n8\n6\n14\n 17-\t\n1\n1\n2\n 53\t\n2\n3\n5\n\u201e 23\t\n8\n5\n13\n\u201e 54\t\n2\n1\n3\n\u201e 77 \t\n1\n1\nPeace River, Dawson Creek\u2014\nSchool District No. 59\t\n7\n5\nNorth Okanagan, Vernon\u2014\n12\nSchool District No. 19 \u2014\n1\n2\n3\n\u201e 60\t\n1\n1\n2\n\u201e 20\t\n6\n5\n11\n\u201e 81\t\n1\n1\n\u201e ?! \t\n1\n1\nGreater Victoria Metropolitan\n\u201e 22 \t\n4\n3\n7\nBoard of Health-\n\u201e 78\t\n1\n1\n2\nGreater Victoria\u2014School Dis\nSouth Central, Kamloops\u2014\ntrict No. 61 (parti)\t\n21\n21\n42\nSchool District No. 24\t\n8\n7\n15\nSaanich and South Vancouver\n\u201e 29..\t\n6\n1\n7\nIsland\u2014\n\u201e 30\t\n2\n1\n3\nSchool District No. 61\n\u201e 31\t\n1\n2\n3\n(part2) \t\n3\n4\n7\nCariboo, Prince George\u2014\nSchool District No. 63\t\n3\n3\nSchool District No. 27.\t\n5\n1\n6\n\u201e 64.\t\n1\n1\n\u201e 28\t\n2\n2\n4\nCentral Vancouver Island, Na\n\u201e 55\t\n2\n\t\n2\nnaimo\u2014\n\u201e 56\t\n11\n1\n5\n1\n16\nScohol District No. 65 \t\n\u201e 66....\t\n2\n1\n2\n2\n4\n\u201e 57\t\n3\n 58. \t\n1\n2\n3\n 67-...\t\n3\n3\n6\nUpper Fraser Valley, Chilli\n\u201e 68\t\n5\n4\n9\nwack\u2014\n\u201e 69\t\n1\n2\n3\nSchool District No. 32\t\n7\n7\n\u201e 70\t\n4\n9\n13\n33\n5\n8\n13\nSchool districts not covered by\n\u201e 34\t\n8\n9\n17\nhealth units\u2014\nBoundary, Cloverdale\u2014\nSchool District No. 46\t\n4\n3\n7\nSchool District No. 35\t\n5\n6\n11\n 49 ...\n2\n1\n3\n\u201e 36\t\n21\n21\n42\n\u201e 73 \t\n1\n1\n2\n\u201e 37\t\n1\n1\n2\n\u201e 74\t\n6\n4\n10\nMetropolitan Health Committee,\n\u201e 80 \t\n3\n3\nVancouver\u2014\nUnorganized\t\n6\n6\nSchool District No. 38\t\n8\n6\n14\n12\n5\n17\n\u201e 39\t\n 41\t\n278\n31\n215\n27\n493\n58\nTotals \t\n624\n508\n1,132\ni Includes Victoria, Esquimalt, and Oak Bay.\n2 Saanich only.\n CREASE CLINIC AND PROVINCIAL MENTAL HOSPITAL\nI 83\nz\no\n[rt\nl\/l\nS\na\n<\npp\no\na\nn\nffi\nH\nUJ\ns\n(H\npq\na\n-i\n-.\na\nz\nQ\n(N\nC\/l\nVO\n1\/3\nriv\nw\n, 1\n-1\nrt\n\no\nPh\nOh\neu\n.\nX\nu\nBJ\nH\nC\/3\nZ\na\no\n<\n<\/!\n\u201e\nHJ\nOh\n<\nP\no\nOS\na\nP.\nVi\nn\nn\nz\n<\n<\ncn\nZ\no\n(\/>\n(\/)\nS\na\n<\nH\ncn\np<\nrh\nVi\n<\n\u25a0a \u2014\nON\nTt m\nTt Tt\nON\nOH\nU-\nrt C- rt\n\u00a33\nCN CN\nrH CN\nrt\n.\nrt o r- o\\ t-\nrt OO Tt rt CN\nCN\nri\nr. cn\nNC\nCN (N\nm\nX rt\n1\"\ngo\nMHin j ,\n-.\nso . a i, ;\n00\nB.\n1-1 ! :\nr i !\n1-1\n\n1 rt\n1-1\nOv\nCN 1 1\nro\nP.\n1-1 i i\nrH | rH | I\n>A\ns\n1-* 1\nCN 1 1\nC\n~ 1\nCN\nO\nCO 1 I\nm\nNO 1 ro j\nOn\nf.\nt r | ,\noj\n1- 1 1\n,H\ns\nND\nCN |\n<*\n\"^\n1\nm\nrxi\nt>\nBh\n\nm\n5,\nf-roc.ro i\nT\nrt to NO rt\nto ro |\nr~\nm rH\n\u00bbft\nrt\nrt\nA\nro rt co ;\nBh\nCN CN | ;\ntc\nn co j\nNO\nS\nTt rH SO CN CO\nBo\nM\nTt CS\ntr~\nTt Tt 1\no\nOs\nro\n1\n\"n\nfT\n00\nPC\nro ro\nr-\nCN ro\nNO\nTt vn \u25a0* ro th\nr-\nuo\nro\n>:\nrt ro\noc\nro ro [\nr-\n\\o\nro\nB.\n(N\nro\nsC\nrr\ncn CN j\nrt\nCN rt ON ro i\nNO\nm\ns\nTt CN\nr-\nCN rH ro |\nr~\nOs\n(N\ntn\nPh\nrt^r^ | 1\n! !\nm CN v. CN i\nCN rH\n5\ns\nr- to so m rt\n1\nrt CN\nir\nJ\nro\nOS rt so rt\nCN\nBh\nrt ri\nCN\nci tr- rt ri rt\nro oo so i cn\nCN\nri\nri\nro\nOS\n2\nm\nBh\nr\n\u25a0\nco m ro cN j\n-r\nHf.rt i\n*~\"<\nS\n1\ni CN : !\nr\nrt\n\"*\nB.\no\ns\n[.Mil\nCs\n1 1 1 El\ni i i i i\nc\nK\nO\nE\nEg\ns\n\u2022o\no\n<\n.\ni\n-a\no\nX\n\u2022a\n0\nrX\nIH\nL.\n\u00a3\n.\nX\nC\nCf\ne\nc\n>\nc\nc\n0\nc\nc\nH\n2 c\n\u00a3\n>\n2 I 5\n>\n. .\n\u00a3\nc\ntt\na tt -X-\nC\n>\n\u00a3\ns\nrX\n0\nc\n>\n$\n0\nrZ\n0\n I 84\nMENTAL HEALTH SERVICES REPORT, 1961\/62\nX\nBJ\nca\na\nz\n<\ntt\no\nri\na\ni\nBJ\nO\n<\ncn\nO\nZ\no\n<:\not-\nt- TH .* I\nhh rl <\nrr HH 00 I\n<\nH\nZ\nBJ\nBJ\"2\n< ^\nz w\no\n1\/1\nrt\nu\nrt\n<\nIs\nOh\n\"3 -M\nSC as\n-J rt\ncd hh\n<\nz\n>\no\nOh\no\nH\ntn\nZ\nO\nO\n<\nH\ncn\nM\npq\nBJ\ni-l\nM\ncd >\nso\ns\nI.\n_\u00a3_\ntL,\n_s^\nPL,\nb;\n\u00a3\nPC,\n\u00a3\n\u00a3\nPh\n\u00bbnrt riHp-^On\nOn ?h j w\ni\u2014i ro i\ni rO rt m 1 rH\ni i r\nI !\nCN rn rt CN\nr i r\n11\nMil\nI r* i cn no no\nI L\nj rH CO rt \\ m\ni r i'\nIT-HC. C.T.CHH |CS N\nI I\nI !\ni I\n| C* CN rH j\ni i !\nl-t r-rrr.\ni i\nI T-* ON 00 \" I HH VO\nIiiii\nen I\ni !\n| cS '\u2022\u00a3\u25a0 ro I cN r-\nrt \\th Ith\n\nx) \u00ab'g\nIBit\nb a \u00b0\n&MX\nScjc\ncd cd ss o\ncd rt \" rt\nUPh , vi\nB *a qj o S 2 -g oj\n\u00ab \u00ab a 3\n-o \"\"3 '\nR\nX\no\ni\nbl\n>.\nto\n>>\ne\nI I 5\n=3 J>.H\n r- -\u2022\u2022 \u201e f.\nccoc!ICi3j:\u00a3\n113 o 3\n1 < fir\nE\nB w u y Q\nO O <3 ^ O\n\u2022g-S 2\u00ab g\nQj CU U qj f\n\u25a0sus\nE >T^\n CREASE CLINIC AND PROVINCIAL MENTAL HOSPITAL\nI 85\ntn no Os ro ^ m\nI Tf rt in C~ Tf rt\n\\mmxr~cA l mm rt cn\n|\u00a9*H H H CO H H CONOUO^O\nC- ' rt \"|H^\nm ^t rt so ri m \" ^ rt\nI rt CO CO i ^ \"3\" CO\nI I\nt 1 ! !\nI- l l i\nMl i\ni i 1\nu ii\nM ts\n! I I I\nIII!\n! I\nM I\ni I\nI I I\niii i\n! I !\nii ii\nI CS i HH HH\ncn I TH T-l\nCSHH | | CS T\nI en r* i cs I\n-I ]rrtS>\nI \u2014 IN I\n3 6 g\nE 8 \u25a0 C\nV o 2-a\nK~ S S\nilss-s\nG H U h H\n2 \u00ab \u00a3 5\n\u25a033 \u00abB \u25a0?\nSS S u\nIlS\"3 o\nI co tj 3\nl 'ffl CJ 'h2\n0 S3\nI fi\nI S3\ne\u00a3\n. \u00ab rt\na \u00a7 i &\niSgl=3B\ni\u00bb a \u2022? s >\n\u25a0OS a\ncd co\nO .g\ng en\nPh r- < < cn\nI * >>.H\nB u5\ni, ,B E cd\nss-s |\nrt \u00bb B \u00b0\nE .5 \" &\nCO Id 33 E\na a n s>\n\u00b03 33 .. Vi\np, O \u00a3>\nIh\nH H. CU\n3 S SS-S\ncd BJ 0. O\nE\nrt V\n^^\nIrrH O S\n! J)tl \u00a3\no \u25a0- ra iS\nnS-d S Bfl'\no a, .\u25a0 I\naj cn o O. X t)\n\u00a33J= S-3 &\n0 J5 U Q ch rt\naEg\no\u00a3\u00a3\nZ0< PL, U\n& CO\nso\nM -r cu y a\nffl >, u rt 3\n15 o 5 xl\nh u in co\n.5 \u2022\u00a7 B \u00ab hh\n\"CC 3\u00a3 3\nE iu -3 S -3\n*? \"\u00b0 b \"<\nHi si\nrr SO TI?\nS 9\nto\n>.cO\nIO to\n\u00a7 s\no o\nrt it\nXi X}\nc 5\n>s >,\ncn cn\nB C\nea 'ra\nui ui\nX. rD\no u\n3\n\u00a3-5 &\ncd co h. wo\naj a o ^ |h\nxi .c ft \"S x>\no uuwo o\n I 86\nMENTAL HEALTH SERVICES REPORT, 1961\/62\nBJ\nca\no\nz\n<\noT\no\nUr\no\nI\nw\n3\ncn\nO\nZ\no\n<\nhJ\n<\nH\nZ\nBJ\nVO\nOv\nw ..\nri ^t\n< CO\np\nZ\no\ncn\ncn\nj o\nw vo\nO OV\nE~\nESd\nZ p<\nBJ O,\nI-l\n<\nz\nI\nOS\nPm\no\nH\ncn\nZ\nO\noo\ncn\n\u00a7\n<\nBJ\nBJ\n>-l\n\u00ab\nSo\nS5\ncd ;>\ngo\ntt.\n_tt.\n3\nA\na,\njL\ntf\ntt.\nA\n_tf\nrt CO--HCN H^OCO-1 rN I\nCN . rt rt -rf OS Tt rt rt a g,\n6 7 <3 &\u2022\no .a \u00a3 Q.\ncd\nI bo\nco .2\nIH B\nIB\n.\u00ab -3\n\u20223 o\no 3\n.as\nCfl\ni >-S\ntUOtrH\n00 u o\nO H\nQ S w\nO ,3 to\nD ^ co\n4> o ra\n3*2 i\n5 w\nB E 3\nn *o \u00a3 I\niS *3\n, ,cu >,\nU CO ^ CO\n0 Ph < Ph\ncfl ^ C\no c &\nft B\ni rt\n3| I\n^\u00a7a\n3 Ih 35 fl\n3.2 2 3\n2saf\n3 3 aS &\nH M CJ -tf\nio\u00bb;\n- --&*\n.2 c\n\"rt ^ *t\n3 COT*\n3 > 3\nr* r\\ \u25a0*\nto 8 \"cfl\n\u2014 3 o\n.3\nD -O r- ..\n3 o a P\nv}\nB U \u2014 m\nH \u00ab \u00b14\na a*\n\"5 \u00a7 n\n*Xt g !\nco cj 'rt 3\nS3 w CJ hj\n3 3 rt CJ\nTH TH OJ Cd\no \u2022\u00a7 t OJ\n&&&\"\n0<0< \u00ab\u2022\n! E cu\ni .2 e -a s\n! J. .2 \u00ab >\na] CJ E WJ\ni 2: \u00ab o qj\nw O CO 00\n\" u S3 n'\nOJ tl\nM > 'rt CiO\n3 'lo * .S\n& S .2 tj\nB t? co QJ\noaoic\n?-3 3 M\n.a .a a a\nX 3 co 3\n-b \u25a0\u00a3 S \u00bb\n0.OZP.\n CREASE CLINIC AND PROVINCIAL MENTAL HOSPITAL\nI 87\nm t> m ri\"& coo\\r^rHcN oo>hhnm\\d\n<-hco^ccncn t\u2014 r~ os -n rn coco\n! !\nrfrtOs Irt i-HCNCO^OrH y-j ^t ,-t ,-h ,-< ,-1 (-q rt\nMl I I t I I\ni i\n; i\nI !\n00 rH ; CN rt\nCN rH CO !H\n! n rn rn CN i CN CN\nI rH (N rH \u2014 CN rt rt\nill!\n1\no\nS I\n\u25a03 I\nQJ I\nE i\na b\n33:\n\u25a0o a j\nS Sj\nes tn \"\n\u20223 ol\nQJ 'rt I\n3 o '\nES\nw B n 2\nG I, E ,]\n\u00b0 a o 2\n\u2122a \u25a0a E\n\u2022S \u00b0 o 2\n._, oo .co 'B\n\u2022S\"\u00b0 S\nCO y O Cfl\n^ OH g\ng'SSrt\n3\nrX ga\nu \"3 ra\n111\nlas\nSbS\nJ3\ncu .*, a> S3\nb b\nCBSt)\nO O 3 -rt\no. co\nrr TU\nago\nih n \u00a3\nco ocn\n8#\n-a ra\n\u00a3? 6\n'\u25a0B S\n\u00a7 s a\n\u2022 SS-3\nOr a 8 \u00ab\n2rt \u00abS'S\n??\u25a0\u00a7?\n\u2022b a a 3\ng c J \u00a3\n>, .\nI .t3 >T\n.\"B cu\n>>* S .a\nrt 2 a \u00a3\nio -3 QJ U\nI a10 I\nsill\n3ESo\nsBdrB\nE 8\nH \"\nIS J\n\u25a0Otj.2\nW rH O\nmx; (C 3\n3 o .2 g\nill\noSS\n60 * S\nffl >, cu\nrn QJ QJ\nSao.\n.3-a a\n\u2022H CU S\nqj CB 3\n.SiJ'a\nffl \u25a0O E\ni-j\"\n3 $ <-\nXI e cu\ns|s\nm\u00a3o\nJB I\nJ30\n\u25a0pas\n4) q>\nb a\no o\n\u25a0- tt\nX XJ\nto to\n.2 .2 & g\n3 3 ft C\no o \u00ab \no\nri\nPh\nBh\nO\nZ\nO\nH\n\nso\nrH^cOTtCOOOrHCi-j,\nr>00H(T)NNO'HTf j rH\n(HVlNrlH\ni r i r i\nIWtH tH\nVlV-iCNCNCNrHooVOcNCN\nI I\ntr-^rtrHrimrtrtsom\nOOmrHmrtrtmOOSrH\ni CO co ro 00 ro\nI rH 00 CS i CN\n1 rH , , m\nj rH cs) rt \u00a9 CO , rH\nt rt r~ ro CN\nO ro ro CN I rn , so O *\ni rt C- *n 1 rH \u00bb\ni c* CN ro SO\nOrHrHT-H .rn , ri m tn\n00 CN I j i rt ro rt CN t\n! I I\nrr r,HH l\nI c rt <\n\u00bb.a -a'\ns ts 1:\n\u2022a to .3 .\na cu o\nO <-\" 3\nw JJ n\nT3 > U\n.a 3 e\nft B\nE co\n>T CJ\nvna\nCJ cd\n1 O\nE \u00ab\nO IHH\nS3\nes O\nrt S3\nV. cj\nSI'S-\nx> 2 >,:\nQJ rt rt\nrt fi- a\no 6 3\n11*3\nx: ra >\n\u00a3\u00a3\u00a3.\n.13 ucE\ncf tt *r5\n0 \u00ab v{\n_e xl w\no 53 ft\ny o w\nft O 3\nO 3 i\nge|\n\u00a3 3 O\n*j o ra\n5'is\no u\n&\u00a75\nS\na a .a\nESS\nS? 8\n.a qj\u00a3\nB M5 \u00b0\nU ^ g\nM \u2022\u00a3 oi, o\n6 *-B\nft\no u \u00a7\nrt H *\nro cfl w \u2122s .a \u2022\u2014 e\n3 ft 13 m *3 cn 3\no w a o o o \u2122\nS JS S .s -s .2 \u00bb\nci ~X tn o O o g\n\u00a3 < cu O\n3 ^jO\n.\u00a7 E1 x.\ncn ! I\u2014I\n' \u00a3 60\nr. 9>u3\no O QJ QJ 333\nrr-rtZ ^\nUUWO\n I 90 MENTAL HEALTH SERVICES REPORT, 1961\/62\nTable 14.\u2014Resident Population of Provincial Mental Hospital, Essondale, by Mental Diagnosis, Number of Previous Admissions, and Sex,\nDecember 31, 1961.\nTable 15.\u2014Resident Population of Provincial Mental Hospital, Essondale, 25 Years of Age and under, by Mental Diagnosis, Length of Stay,\nand Sex, December 31, 1961.\nTable 16.\u2014Resident Population of Provincial Mental Hospital, Essondale, 26 to 49 Years of Age, by Mental Diagnosis, Length of Stay, and\nSex, December 31, 1961.\nTable 17.\u2014Resident Population of Provincial Mental Hospital, Essondale, 50 Years of Age and over, by Mental Diagnosis, Length of Stay,\nand Sex, December 31, 1961.\nDetailed information for the above tables may be obtained on request.\nTable 18.\u2014Live Discharges from Provincial Mental Hospital, Essondale,\nby Condition on Discharge, Disposition to, and Sex, April 1, 1961, to\nMarch 31, 1962.\nCondition\nDisposition to\u2014\nTotal\nGrand\nTotal\nHome\nClinic\nAgency\nGeneral\nHospital\nWelfare\nInstitution\nOther\nMental\nHospital\nOther\nM.\nF.\nM.\nF.\nM.\nF.\nM.\nF.\nM.\nF.\nM.\nF.\nM. F.\nRecovered.. \t\nMuch improved\nImproved-\nUnimproved\u2014\nTotals\t\n7\n16\n836\n71\n6\n9\n777\n42\n1\n1\n1\n1\n~~6\n~~i\n\u2014\n~1\n1\n27\n45\n17\n17\n2\n4\n651\n213\n222\n3\n10 | 7\n21 | 9\n935 j 818\n138 j 62\n17\n30\n1,753\n200\n930\n834\n2\n1\n7\ni\n\u2014\n1\n73\n34\n92\n25\n1,104 | 896\n2,000\n1 Includes 6 escapees.\n2 Includes 2 escapees.\n3 Includes 4 escapees.\n CREASE CLINIC AND PROVINCIAL MENTAL HOSPITAL\nI 91\nTable 19.\u2014Live Discharges from Provincial Mental Hospital, Essondale,\nby Mental Diagnosis, Condition on Discharge, and Sex, April 1, 1961,\nto March 31, 1962.\nCondition on Discharge\nTotal\nMental Diagnosis\nRecovered\nMuch\nImproved\nImproved\nUnimproved\nGrand\nTotal\nM.\nF.\nM.\nF.\nM.\nF.\nM.\nF.\nM.\nF.\n1\n1\n1\n1\n1\n1\n2\n13\n1\n1\n2\n2\n1\n1\n6\n1\n1\n1\n360\n15\n10\n6\n5\n70\n15\n10\n11\n2\n2\n30\n1\n2\n2\n66\n14\n254\n2\n3\n10\n2\n11\n6\n25\n1\n402\n36\n33\n3\n1\n14\n21\n13\n18\n17\n11\n3\n64\n1\n1\n4\n11\n2\n34\n32\n52\n5\n4\n18\n1\n2\n2\n10\n2\n1\n44\n1\n1\n1\n14\n1\n2\n1\n3\n3\n29\n4\n19\n2\n1\n3\n6\n1\n2\n17\n1\n2\n2\n2\n\t\n2\n1\n11\n9\n1\n5\n6\n1\n1\n1\n417\n15\n12\n7\n1\n19\n71\n18\n10\n12\n2\n2\n34\n1\n2\n5\n102\n18\n277\n4\n5\n13\n2\n17\n8\n26\n2\n2\n425\n37\n35\n3\n2\n1\n16\n23\n14\n20\n19\n12\n4\n64\n1\n1\n4\n11\n2\n45\n42\n53\n10\n4\n24\n2\n2\n3\n13\n3\n1\n842\nManic-depressive reaction\t\nInvolutional melancholia \t\n52\n47\n10\n3\n1\nPsychosis with cerebral arteriosclerosis.\t\nAlcoholic psychosis.\t\nPsychosis of other demonstrable etiology-\n35\n94\n32\n30\nAnxiety reaction without mention of so-\n31\nHysterical reaction without mention of\n14\n6\nPsychoneurosis with somatic symptoms\n(somatization reaction) affecting di-\n98\n2\nPsychoneurosis with somatic symptoms\n(somatization reaction) affecting other\n5\n2\n1\n1\n1\nPsychoneurotic disorders, other mixed\nand unspecified types -\t\nChronic brain syndrome with neurotic\n4\n13\nSyphilis and its sequelae\t\n7\n147\n60\n330\n14\nPrimary childhood behaviour disorders\t\n9\n37\nOther and unspecified character, behaviour, and intelligence disorders.\u2014\t\nChronic brain syndrome with beha-\n4\n19\n11\n39\nObservation without need for further\nmedical (psychiatric) care _\nOther, unknown, and unspecified condi-\n5\n3\nTotals\t\n10\n7\n21\n9 1 935\n818\n138\n62\n1,104\n896\n2,000\n I 92\nMENTAL HEALTH SERVICES REPORT, 1961\/62\nX\nvi\nca\nQ\nZ\n<\ncu\n13\nO\na\no\ni\na\nO\n<\ncn\nO\nrr\no\n<\nH\n<\nH\nZ\nw\nas\nVi\ni-i\n<\na\nz\no\ncn\nr?i M\nH O\n2^\ncn\ncn >t\nO rt~\no\nz\n>\no\n\u00ab\no\nPh\ncn\nW\n5\n<\nu\nco\n>\no\nw\n<\nOH\ns\n1-\n2\n55\noO\na;\nft\nUh\nS\nft\nHi\nfe\ns\nft\nft\nft\nft\nO i-H rH rt rt OO\nrt IT, rt ,\nIiii!\n! ! I\nI CO CO (ShDOn\n. CN \\D CN\nOO ro -O :\nCvjrHrHrtCNrHrOlO\n* r- cN th\nrt^OrHrHVCt- CNrH\nro I m rt vo\nI III\ni r !\n! i\n\u2022a\n5\nC fl I\nS OJ o, (\n\u25a0\u00ab c?fl\na \u00a3 t* 1\n\u00a733 W<\nCfl\n5 ! |\n. ' S3 T3 & I\n, 55 cj qj o\n: a ifSa H\n; S So ui!\n\u2022Is S.S 3\n: ft > vi t cl\n?3s\u00a7p'fl\n3.\u00bb,\n\"52\nO c3 '\nt; fl \u00a3 -a \u00ab\n3\n1 ^'2\n; 5 \u00ab\nw Xi\ns\u00a7\n, S a o \u2022,\ncn cj cn \"\nrt O\nft-B\nh B\nC to \u00a3\n\u00bb& a\n3 \u00bb 5\n\u2022O \u2122 *M\n, tH L M\nt ra cd t^\n, \"B -n a\n> a a 3\no o\n00\ng\nfl\ns\ncn\na\no\nc\n\u25a0g\nX\n0\n>\nCO\nZ3\nX\n S e qj >. 3 x\nr rt aj v. cn --\u2022 v,\nS P. CO 0, 0. < ft\nQJ QJ\n>^ OJ .-J\nco co o\n'cn \"co '-\u00a3\nOOO\nfl fl fl\nU CJ u\n CREASE CLINIC AND PROVINCIAL MENTAL HOSPITAL\nI 93\nrH rf \\0 00 IN tH\nrt cn cn in\n'-HOsrtOv SO d so m rt Os rt os *TJ CO\nrH r-frH ri\nCi CN CN rt\ncn i *n\n!H ON00rtW-\u00bb CNCO00\nri t- 00 so CN CN\nI <\nMM\ni\nI 1\ni i<^\ncn th Tt m\nth ci 1 mi\nI rH j IN rt\nCN T-< j OO\n|HH\u00ab rH\nI i\nrt ri rt \\0 I CN l-1 CN\nrN ro i m i-i\nHMHtn l cN so\nCN I CN CO *H rt\nrH | H CO\nII\nc a\nO QJ\na o\nPi\nft M\nIII\nKB QJ\n?QJ &\u00bb\ni i u -a\n\u2022 a tt S3\nIm\n, rt cn oj)\n1 S _.a\n: o3 fi\nI .\u00a3 B QJ\ni ra\n\u2022SS\n\u25a0ti CJ\ng ca ra m to q\n' -TH \"H P PH\na o \u00a7\n-'\u25a0 \u00bb S QJ \u00ab QJ\nra a bs a\nO QJ .33 ih QJ !\na -ti ft\n\u25a09.5H\n2 \u00ab >\u25a0\nBay\nil g rag\n; & a s d\n3 Q- O \"ft rr\nI QJ ? -S rt\ni5e\u00bbS\nI S3 >,\n\u25a0B. u\nfe* B\n\u25a0B ra S\nS3 r. X3\n rt \u00ab\n? rt \u00ab fcs\n? g o 2\n; -\u00b0 \"O V\ni< \u00bb w rt\n> tH 3 fl\n3 tS &3 A\nCO\n3 U< QJ\n1-8 g\nQJ ,', QJSQjV;u2!'Da2QJS2.\u00a7\nE -| -S g rag \u00a3gg..H .2 Si S6\n\u2022 IJ & 5? fc .s g I\nOZft ft ft U<\u00ab 0\nu +3 \u00a3 ra '\u2022\n.fi<H\nX\n<\nft)\nft\nCO\nca\na\nVr\nz\no\n<\nX\noT\nH\no\nz\nVi\nH-l\no\nU3\\\no\n1\nw\nS2\ncn\n<\nO\n\u201e\nZ\ncn\nO\ncn\n<\nO\nQ\nZ\no\nH\n<\n<\na\nz\n\u2022-I\nftl\n<\nS\nit\nz\nI* CN\n\u00ab VO\n2\n- Os\nVi rt\n\u2022ft\nI-l -\n\u00ab CN\n< Tt\nr,!-^0\na co\nW On\no S\n3~\nCO fS.\nm \nH ~\n\"5! a.\no\nu\nrO\nZ \u00abH\nw I-l\nZM\n> \u00a7\n8 <\ns\n-3h\n3\nz\nHH\n>\nC3\n+H\na)\n>\nO\no\nz\n\u00bb!\nX)\nft*\nft\nnt\no\n\no\nt c~ ri so rt o rt\ncocN'-'r-'-HO*HoocN'\n! CN TH m CN rt rH rt\nVOrOCNi^iro-^-rtr-cN'-H^H'-H'n'-HrOTicT*\nr-HHtf | VO\nrttO'-HcN i OIN h CS\n! I\nCO CN CN fl CN I tH I It\n! I l\ncoh i rf I j | rn\n111 I\nI ! i I ! I\ni f\niii l l\ni i i\ni i i i i i\n\u00a7 \u00a7 2\n\u25a0O rt fl\nh P 2\nCO\nrt\nT3 > ti ,\ny s S\n.3 cn H\n3 Oh\no fe 5\n5 & 5\nfl \u00ab o\nft 7 -3\n9 o\n-fl to > \u25a0\nft ^\n\u00ab g\n..H C\/I\nfi JO\ncfl Ai\n; . u >>\nCO ^ (0\n&H <0h\na\nll\nIi\ng co\no to -2\n3 I\u00ab\ng M Ih\nw O \u00b0\no BO\nw O H\n- i c a 9\n~3 cn o a o\ns s s a c\n2j2 S B.g\nW U G H >\nfill.\n\u00ab a\u00a7 * s\nS S B \u2022O\no ^ o a\nJOBS\nft o o w\nS2 \u00a3 ra a \u2022\na tj qj .-\n3 ra S ra-\ns-S a \u00a7\nos\nW ^\nu\nz\no\nz\nX\nVi\nca\nE\ns\n\u25a0s\n>\no\nCD\ntf\nCM\nZ\nHH\nO\n\u25a0s\nZ\nO\nCD\no\nz\n,13\nz\n^\n5\n05\n3\nD\nft\ntf\nD\no\nu\nc\nO\n_o\n1}\nO\nCO\nX\ne\nCO\nHI\nft\nft\ni\nft\n<\nVi\nQ\n<\nftl\nQ\ni\nT3\n55\nKJ\n.\ncn\nca\n**\nCN\n-t-\u00bb\n\ninroCNt-'-HrtrtO\\CN'\nrg rH Hin i j \u00a9 co CN ro in , \u25a0** CN r- \u25a0>-<\nrt rt CN I*-1 | \\ rt j j ON j i-H CO CO j \\ TH\n\\ SO rt rt rH Tf , ri rt ri\nri ri \\rf rt rt\nCN I '. OO rt j rt rt\nIHHCO ! 1-4 i CN\ni !\niH i i i CN\ni i CN IH\niiiii\nMM\nN \\~\\ I i 11 I i II\nII Ii ll i\nr\\W I fi\n>3 \u00ab 5 ^H ^H\nf *o fi & B\n>. fi Z \u00b0 B\nIn S c u B\nto ^ B G tn\nc .a 2 2 \"\nas ill\nftcnSmQ\nu< u >\n&a\no .2\nso\n\u00a3\u2022=\nra o\n\u25a03.\ni B \u2022\" 8, S\ncn S3 w M qj\ng ^ S-S^\n\u2022S u a _ \u00ab\n(O r- ^\" \"O fl\n1) +3 o fi *3\nT1^'^ rt *m\nS3 o ra y o\n3 0) 3 n U\n\u00a3 E2 \u00bb S %\nca to rt 03 to\nto to A h \u00ab\n>. w H o m\nfl w 9 *C H\nO DO (] V\no o 8 < o fi p \u00a3 o S S < \u00ab\nu 5\n5 ^H\nCO O\nft W\no I\nS\nrt cn\nh >.\nft\"\nMO.1\n5= m^\n\u2022g-O QJ\ncn \u00aba\ncn r\nqj \u00ab\nIlls- \u25a0\n8 I S 8 \u2022\u00a7 3\n\u00a3 .2 *H CJ -B\nQ\nZ\n<\n>h\"\n<\nH\nC\/3\nft\nO\nti\nft\nO\nz\nft)\nhJ\nw\"\nH\n<\nft)\nQ\nft\no\nftl\nCO\nP\n<\nu\n>H CN\nca vo\no\\\nw1-\n1-1 \u2022\u00bb\n< rt\na <^\nCO ft\nm <\nCD\n&\n< 2\no\nft\nH H\nti\nS _T\nsi\no\nK2\nCD\n3\n'S3\ntO\no\nW \u00ab\nD\n2^\n^5\nH kJT\nea\na\u00ab\ns\n\u00a7\u00ab\nCt>\n>\n1\no\nPL,\n\nz\no\nrd\n1\u20141\n\ns\n9\n103\nTotals \t\n\t\n2\n10\n9\n201 HI\n10\n8| IB\n41 7\n8\n9\n1\n5'\n2\n1\n62\n57\n1119\nReadmissions\nCertification \t\nTemporary\t\nl1\n\t\n3\n9\ni 3\n2\n12\n3\n5\n5\n10\n3 5\n6| 9\n2\n10\n2\n7\n2\n3\n4\n1\n3\n2\nV\nH\n2\n25\n48\n16\n27\n41\n75\nTotals\t\n1.\n\t\n12\n3\n14\n8\n15\n91 14\n12\n9\n5\n5\n3\n2\n1\n1\n2\n73\n43'\n116\nTable 4.\u2014First Admissions and Readmissions to The Woodlands School by\nMental Diagnosis, Age-group, and Sex, April 1, 1961, to March 31, 1962\nAge-group (Years)\nMental Diagnosis\nUnder\n1\n1-3\n4-6\n7-9\n10-14\n15-19\n20-29\n30-39\n40 and\nOver\nGrand\nTotal\nM.\nF.\nM.\nF.\nM.\nF.\nM.\nF.\nM.\nF.\nM.\nF.\nM.\nF.\nM.\nF.\nM.\nF.\nM.\nF.\nFirst Admissions^\nMental deficiency\u2014\nIdiocy and imbecility-\nMoron\t\nBorder-line intelligence \t\nMongolism\t\n._..\n2\n7\n2\n1'\n6\n1\n\u25a0 2\n10\n5\n5\n1\n1\n1\n5'\n4\n1\n3\n1\n2\n2\n3\n5\n4\n3\n__\n2\n2\n3\n2\n6\n\t\n2\nS\n2\n1\n1'\n~4\n2\n1\n27\n21\n7\n7\n25\n17'\n5\n10\n52\n38\n12\n17\nTotals -\n__| 2\n10\n9| 20\n111\n10\n8| 12| 4\n7\n8\n\t\n9\n1| 5\n2\n1\n62[ 57\n1119\nReadmissions^\nMental deficiency\u2014\u25a0\nIdiocy and imbecility-\nMoron \t\nBorder-line intelli-\n1\n\u2014\n111\n1\n3\n10\n4\n6\n1\n9\n5\n6\n3\n4\n7\n2\n1\n6\n3\n1\n2\n1\n4\n1\n3\n~3\nI\n1\n1\n2\nV\nli\n1\n2\n2\nl\n1\n2\n38\n25\n4\n6\n24\n13\n2\n4\n62\n38\n6\nMongolism\t\n\t\n\t\n\t\n \u25a0\n\t\n1\n10\nTotals\t\n11\n\t\n12\n3\n14\n8\n15] 9\n14\n12\n9\n5\n5\n3,\n2\n1\n1\n2\n73\n43'\n116\ni Of the first admissions, 35 had epilepsy: 22 idiots and imbeciles, 10 morons, and 3 border-line intelligence.\n2 Of the readmissions, 50 had epilepsy: 31 idiots and imbeciles, 16 morons, 2 border-line intelligence, and\n1 mongol.\n THE WOODLANDS SCHOOL\nI 115\nTable 5.\u2014First Admissions to The Woodlands School by Mental Diagnosis,\nYears of Schooling, and Sex, April 1, 1961, to March 31, 1962\nTable 6.\u2014First Admissions to The Woodlands School by Citizenship, Age-\ngroup, and Sex, April 1, 1961, to March 31, 1962\nTable 7.\u2014First Admissions to The Woodlands School by Religion and Sex,\nApril 1, 1961, to March 31, 1962\nTable 8.\u2014First Admissions to The Woodlands School by Previous Occupation and Sex, April 1, 1961, to March 31, 1962\nDetailed information for the above tables may be obtained on request.\nTable 9.\u2014Resident Population of The Woodlands School by Mental\nDiagnosis, Age-group, and Sex, December 31, 1961\nAge-group (Years)\nMental Diagnosis\nUnder\n1\n1-3\n4-6\n7-9\n10-14\n15-19\n20-29\n30-39\n40 and\nOver\nGrand\nTotal\nM.\nF.\nM.\nF.\nM.\nF.\nM.\nF.\nM.\nF.\nM.\nF.\nM.\nF.\nM.\nF.\nM.\nF.\nM.\nF.\nMental deficiency\u2014i\nIdiocy and imbecility\t\n13\n1\n13\n1\n40\n10\n1\n9\n 1\n40\n6\n1\n2\nV\n511\n17\n1\n33\n1\n39\n4\n2\nIS\n1\n91\n30\n14\n22\n3\n83\n20\n5\n26\n4\n78\n47\n,13\n29\n3\n65\n27\n5\n10\n3\n73\n39\n14\n18\n4\n58\n27\n3\n7\n3\n34\n12\n5\n10\n27\n10\n1\n9\n42'\n19\n?\n37\n11\n4\n422\n176\nSO\n362\n106\n21\n784\n1\n282\nBorder-line intelligence _\t\n71\n1\ni 1\n71 3\n10|... .\n129 76\n21. 12\n205\nOther and unspecified\ntypes.- \t\n33\nTotals\t\n1\n\t\n15\n15\n60\n50\n103\n64\n160\n138\n170\n1:10\n148,\n98\n61\n47\n801 55\n798\n577\n1,375\ni Of the above, 151 males and 153 females had epilepsy.\nTable 10.\u2014Resident Population of The Woodlands School by Mental\nDiagnosis, Length of Stay, and Sex, December 31, 1961\nDetailed information for the above table may be obtained on request.\n I 116\nMENTAL HEALTH SERVICES REPORT, 1961\/62\nTable 11.\u2014Live Discharges from The Woodlands School by Mental Diagnosis, Condition on Discharge, and Sex, April 1, 1961, to March 31,\n1962.\nCondition on Discharge\nMental Diagnosis\nRecovered\nMuch\nImproved\nImproved\nUnimproved\nTotal\nGrand\nTotal\nM.\nF.\nM.\nF.\nM.\nF.\nM.\nF.\nM.\nF.\nMental deficiency\u2014\n1\n1\n28\n35\n11\n10\n58\n56\n9\n41\n28\n37\n16\n10\n59\n59\n10\n41\n87\n2\n5\n2\n1\n96\n26\nMongolism\n51\nTotals\n2\n7\n3\n84\n164\n91\n169\n260\nNote.\u2014Of the above cases, 56 had epilepsy: 26 idiots and imbeciles, 24 morons, 5 border-line intelligence,\nand 1 mongol.\nTable 12.\u2014Live Discharges from and Deaths Occurring in The Woodlands\nSchool by Mental Diagnosis, Age-group, and Sex, April 1, 1961, to\nMarch 31, 1962.\nAge-group (Years)\nMental Diagnosis\nUnder\n1\n1-3\n4-6\n7-9\n10-14\n15-19\n20-29\n30-39\n40 and\nOver\nGrand\nTotal\nM.\nF.\nM.\nF.\nM.\nF.\nM.\nF.\nM.\nF.\nM.\nF.\nM.\nF.\nM.\nF.\nM.\nF.\nM.\nF.\nLive Discharges^\nMental deficiency\u2014\nIdiocy and imbecility ..\n\t\n\u2014\n7\n1\n~~1\n5\n1\n~~1\n10\n6\n~~4\n8\n2\n1\n3\n5\n6\n5\n2\n2\n2\n2\n10\n2\n2\n3\n4\n1\n3\n5\n6\n2\n3\n10\n1\n10\n2\n7\n5\n1\n7\n24\n2\n13\n2\n1\n2\n11\n8\n3\n6\n1\n1\n15\n8\n3\n28\n37\n16\n10\n59\n59\n10\n41\n87\n96\nBorder-line intelli-\n26\n51\nTotals\t\n 1\t\n9\n7\n20| 14\n11\n11\n16\n11| 13] 26\n15\n46\n5\n28\n2\n26\n91|169\n260\nDeaths^\nMental deficiency\u2014\nIdiocy and imbecility\n1\n2\n3\n1\n1\n1\n1\n2\n1\n1\n2\n2\n\t\n\t\n1\n\t\n1\n1\n1\n8\n1\n2\n9\n1\n1\n17\n2\nMongolism\n3\nTotals\t\n\t\n1\n2\n3\n1\n1\n2\n2\n1\n1\n2\n2\n\t\n\t\n1\n\t\n2\n1\n11\n11\n22\ni Of the live discharges, 56 had epilepsy: 26 idiots and imbeciles, 24 morons, 5 border-line intelligence, and\n1 mongol.\n2 Of the cases who died, 10 imbeciles and idiots had epilepsy.\n THE WOODLANDS SCHOOL\nI 117\nTable 13.\u2014Live Discharges from and Deaths Occurring in The Woodlands\nSchool by Mental Diagnosis, Length of Stay, and Sex, April 1, 1961,\nto March 31, 1962.\nDetailed information for the above table may be obtained on request.\nTable 14.\u2014Deaths Occurring in The Woodlands School by Cause of Death,\nAge-group, and Sex, April 1, 1961, to March 31, 1962\nAge-group (Years)\nCause of Death\nUnder\n1\n1-3\n4-6\n7-9\n10-14\n15-19\n20-29\n30-39\n40 and\nOver\nGrand\nTotal\nM.\nF.\nM.\nF.\nM.\nF.\nM.\nF.\nM.\nF.\nM.\nF.\nM.\nF.\nM.\nF.\nM.\nF.\nM.\nF.\nMeasles.- - -\t\nDiseases of the central nervous\n1\n1\n1\n1\n~~2\n1\n1\n~~i\ni\n1\n1\n1\n1\n2\n1\n1\n\t\n1\ns\n1\n1\n1\n1\n1\n4\n3\n2\n1\n2\n2\n1\n5\n1\n2\nArteriosclerotic heart disease\t\n1\n1\n6\nDiseases of the digestive system\t\nInfections of the kidney \t\nCongenital malformations\u2014\t\n3\n1\n7\nTotals \t\n1\n2\n3\n1\n1\n2\n2\n1\n1\n2\n2\n\t\n1\n2\n1\n11\n11\n22\nTable 15.\u2014Deaths Occurring in The Woodlands School by Cause of Death,\nLength of Stay, and Sex, April 1, 1961, to March 31, 1962\nDetailed information for the above table may be obtained on request.\n 1 118\nMENTAL HEALTH SERVICES REPORT, 1961\/62\nTHE TRANQUILLE SCHOOL\nTable 1.\u2014Movement of Population, The Tranquille School,\nApril 1, 1961, to March 31, 1962\nMale\nFemale\nTotal\n147\n26\n173\nAdmissions\u2014\n14\n111\n6\n125\n6\n14\n117\n131\n161\n143\n304\n8\n4\n12\n+ 6\n153\n4-113\n139\n+ 119\n292\nIn residence, March 31, 1962\u2014 ,\t\nTable 2.\u2014Transfers to The Tranquille School by Mental Diagnosis,\nAge-group, and Sex, April 1, 1961, to March 31, 1962\nAge-group (Years)\nMental Diagnosis\n15-19\n20-29\n30-39\n40 and\nOver\nGrand\nTotal\nM.\nF.\nM.\nF.\nM.\nF.\nM.\nF.\nM. F.\n1\nMental deficiency\u2014\n3\n1\n5\n5\n9\n2\n4\n1\n1\n7\n19\n13\n1\n10\n10\n5\n6\n1\n....\n15\n8\n1\n3\n1\n3\n8\n1\n2\n37\n42\n6\n31\n1\n40\n50\n7\n33\nChronic brain syndrome, N.O.S\t\n1\nTotals\n4\n19\n8\n39\n1\n31\n1\n28\n14\n117\n131\nNote.\u2014Of the above cases, 12 had epilepsy: 1 imbecile, 9 morons, 1 border-line intelligence, and 1 mongol.\nTable 3.\u2014Resident Population of The Tranquille School by Mental\nDiagnosis, Age-group, and Sex, December 31, 1961\nAge-group (Years)\nMental Diagnosis\n10-14\n15-19\n20-29\n30-39\n40 and\nOver\nGrand\nTotal\nM.\nF.\nM.\nF.\nM.\nF.\nM.\nF.\nM.\nF.\nM.\nF.\nMental deficiency\u20141\n1\n....\n4\n3\n5\n5\n5\n9\n23\n23\n3\n14\n9\n20\n14\n26\n6\n3\n3\n10\n13\n5\n9\n15\n15\n1\n2\n17\n14\n1\n2\n1\n68\n47\n7\n25\n41\n52\n6\n34\n1\n109\n99\n13\n59\n1\nTotals... \t\n1\n12\n19\n63\n43\n38\n37\n33\n35\n147\n134\n281\ni Of the above, 10 males and 10 females had epilepsy.\nTable 4.\u2014Resident Population of The Tranquille School by Mental\nDiagnosis, Length of Stay, and Sex, December 31, 1961\nDetailed information for the above table may be obtained on request.\n PROVINCIAL MENTAL HOME I 119\nPART IV.\u2014PROVINCIAL MENTAL HOME, COLQUITZ\nREPORT OF MEDICAL SUPERINTENDENT\nL. G. C. d'Easum, Medical Superintendent\nThe patient population on April 1, 1961, was 288, and on March 31, 1962,\nwas 283. During the year thirteen patients were transferred to this institution from\nthe Provincial Mental Hospital, Essondale, and five patients were transferred from\nthis institution to Essondale.\nOne patient was discharged in full on transfer back to Oakalla Gaol. Two\npatients were discharged on probation and two returned from probation.\nThere were seven patient deaths during the year. Practically all of these were\nin the old-age group.\nTen patients were seen by the Appeal Board.\nAs in previous years, a number of patients were allowed to go home on leave\nfor various periods of time, and throughout the year none of these privileges was\nabused.\nThe Vancouver Island Chest Clinic has been most co-operative, and each year\nhas made regular visits to the hospital with a portable X-ray unit to X-ray both\npatients and staff. Throughout the year the general health of the patients was good,\nand there were no epidemics of any kind to report. Dr. S. S. Avren and Dr. W.\nDempsey continued to care for the physical and dental needs of the patients\nrespectively.\nINDUSTRIAL AND OCCUPATIONAL THERAPY DEPARTMENT\nThese two departments remained under the very capable supervision of Mr.\nH. Helander. Both the indoor and outdoor Occupational Therapy Departments\nwere utilized to the fullest, with the patients being occupied with the various crafts,\nceramics, art metalwork, all phases of woodwork, leather-craft, and upholstery.\nMuch of the maintenance of the institution is looked after by this department with\nthe aid of patient help.\nThe paint crew, which consists of one assistant instructor of trades and maintenance and five or six patients, does all the decorating for the institution and had\na busy year.\nA fixture with three shelves for the Lower East and Top East Wards and a\nstorage cupboard for the ice-cream room were built, installed, and painted. Part\nof the concrete floor in the scullery was repaired. The tile floor in the kitchen was in\nbad shape, requiring maintenance. Double stainless-steel sinks and drain-counter\nto the dish-washing machine and a stainless-steel vegetable-washing sink with drain-\nboard were installed in the kitchen. This has made a big improvement there.\nThirty-three feet of counter and room dividers were made, installed, and\nfinished for the Canadian Mental Health Association in its headquarters. All\nmaterials for this were supplied by the association.\nThree oak plant-stands were made and sent to the Department of Social Welfare.\nThe old boiler-house, which had the roof torn off when the boiler was removed,\nwas remodelled, a new roof put on, floor repaired, and now serves as a storage-\nhouse for the laundry.\nThe cement sidewalk in the recreation court had settled badly in places and\nwas either lifted or new concrete poured to make it right again. Considerable work\nwas done to the farm buildings, and troughs and feeders were built as required.\n I 120 MENTAL HEALTH SERVICES REPORT, 1961\/62\nApproximately 260 articles of toys were made, repaired, refinished, and sent\nto the Cosmopolitan Club for distribution to needy children at Christmas.\nThe fire-fighting equipment was checked regularly and hazards removed. The\nSaanich Fire Department, on its annual inspection in October, was well satisfied.\nTAILOR AND SHOE SHOP\nDuring the year five patients were kept occupied in the tailor and shoe shop,\nand many articles were made and supplied to the stores. The sole-sewing machine\nwas repaired and is being run by one of the patients, who does excellent repair work.\nLAUNDRY\nThe laundry has continued to work very satisfactorily and to capacity. The\namount of work done does not vary much throughout the years. Again this department was called upon to launder the linen used in the legislative dining-room during\nthe sitting of the Provincial Legislature. Machinery in the laundry continued to give\ngood service, with two or three minor repairs.\nRECREATION\nDuring the year three sightseeing bus tours were arranged for the patients and\nproved very enjoyable. A total of sixteen band and variety concerts was presented\nto the patients during the year. These entertainments were put on by various groups\nof interested Victoria citizens, and all were much appreciated and well attended.\nIn addition to the concerts, the regular programmes of television, radio, picture\nshows, etc., were continued.\nWeather permitting, the recreation court was in daily use during the summer\nmonths, and in the winter months the more active patients were allowed outside to\nexercise on the cement sidewalk.\nThe Public Library Commission continued to supply books for the patients,\nbooks being changed every four months.\nThe Canadian Legion and the Red Cross continued to supply comforts for the\nex-servicemen monthly. These comforts consist mostly of confections and smoking\nmaterial.\nChristmas gifts for the patients were contributed by the Canadian Mental Health\nAssociation, Salvation Army, Colwood Women's Institute, Vic-Van Isle Kinettes,\nZone Council of the Canadian Legion, Sons of Norway, and the Lake Cowichan\nLegion Ladies' Auxiliary.\nThe spiritual needs of the patients were cared for by the Salvation Army and\nProtestant churches on alternate Sundays.\n PROVINCIAL MENTAL HOME\nSTATISTICAL TABLES\nI 121\nTable 1.\u2014Movement of Population, Provincial Mental Home, Colquitz,1\nApril 1, 1961, to March 31, 1962\nNumber\n 288\n 1\n 1\nIn residence, April 1, 1961.\nOn probation, carried forward from 1960\/6L\nOn escape, carried forward from 1960\/61\u2014\nTotal as at April 1, 196L\n290\nAdmissions\u2014Transfers from Provincial Mental Hospital, Essondale 9\nTotal under care 299\nSeparations\u2014\nDischarged in full.\nDied\t\n 2\n 7\nTransferred to Provincial Mental Hospital, Essondale 5\nOn probation and still out 1\nOn escape but not discharged 1\nTotal separations\nNet increase or decrease\t\nIn residence, March 31, 1962.\n16\n-5\n283\nl This institution cares for male patients only.\nTable 2.\u2014Transfers to Provincial Mental Home, Colquitz, by Health\nUnit and School District of Residence, April 1,1961, to March 31,1962\nDetailed information for the above table may be obtained on request.\nTable 3.\u2014Transfers to Provincial Mental Home, Colquitz, by Method of\nAdmission and Age-group, April 1, 1961, to March 31, 1962\nAge-group (Years)\nMethod of Admission\n20-\n24\n25-\n29\n30-\n34\n35-\n39\n40-\n44\n1\n45- I 50-\n49 I 54\n1\n55-\n59\n60-\n64\n65-\n69\n70\nand\nOver\nTotal\n1\n1\n1\n2\n1\n1 1 2\n1\n8\nTotals\n1\n2\n2\n1\n'I2\n9\n I 122\nMENTAL HEALTH SERVICES REPORT, 1961\/62\nTable 4.\u2014Transfers to Provincial Mental Home, Colquitz, by Mental\nDiagnosis and Age-group, April 1, 1961, to March 31, 1962\nAge-group (Years)\nMental Diagnosis\n20-\n24\n25-\n29\n30-\n34\n1\n35- I 40- 1 45-\n39 I 44 I 49\n1 1\n50-\n54\n55-\n59\n1\n60- ! 65-\n64 | 69\n1\n70\nand\nOver\nTotal\nSchizophrenic disorders. \t\n1\n1\n1\n1 1\n1\n1\n\u2014\n2\n7\n1\nDrug addiction (other than alcohol)-\n1\nTotals- \t\n1\n2\n2 I 1\n1\n2\n9\n1\nTable 5.\u2014Transfers to Provincial Mental Home, Colquitz, by Mental\nDiagnosis and Marital Status, April 1, 1961, to March 31, 1962\nTable 6.\u2014Transfers to Provincial Mental Home, Colquitz, by Mental\nDiagnosis and Years of Schooling, April 1, 1961, to March 31, 1962\nTable 7.\u2014Transfers to Provincial Mental Home, Colquitz, by Citizenship\nand Age-group, April 1, 1961, to March 31, 1962\nTable 8.\u2014Transfers to Provincial Mental Home, Colquitz, by Religion,\nApril 1, 1961, to March 31, 1962\nTable 9.\u2014Transfers to Provincial Mental Home, Colquitz, by Previous\nOccupation, April 1, 1961, to March 31, 1962\nDetailed information for the above tables may be obtained on request.\n provincial mental home\nI 123\ncn\nO\nZ\nO\n<\n<\nft\nz\nw\n\u2022ft\nm\nN\nH\n5\nO\no\n\u00a7 -\nUJ cn\nQ\n<\no\nz\n>\no\nPh\nO\nz\no\nH\n<\n-J\nD\n0.\nO\nPt\nft\nz\nw\nQ\ncn\nvi\nvi\n\u25baJ\n03\n<\nP\no\no\ni\nvi\nO\n<\no\nz\n<\ng\nrtindHrtrtrtTfMntrta^in\n>n\n3\nH\nE\nts\n\u2022o .\ngo\na**-\"-\" i i I M i I r~\no\n0\\\nJ\ns r i i ii i i r r i i\nS\ny?\nTf\net\nSi I i 1 I 1 \\n 1 1 1 !M,H i\no\nto\no\\\nro\no i i i : : ! i :\nvi\n\u25a0*r\n\"A\nm\nN 1 1 J 1 iiiii ! 1\nm\nm\n^\nf\nrt\ns\n2\n8 ! I 1 I II I\" |- im I 1\n00\nSh\n\u25a0*\na\n3\nO\nrt\n\u25a0^\ni\ncs ! I I 1 1 1 1 1 ! 1 i i\n6\n2\nDO\n4\no\\\n<7\\\nm\nn\n**\n1\n'X\n\u00bb i : 1 i M 1 |h j i i ih\u00ab\n1 1 1 1 1 1 1 1 llll \\t\nm\nOs\n*f\nTr 1 I | 1 1 I \u00ab 1 1 Tr f> 1 1 in\nJi\nt 1 1 1 1 1 1 1 II II\nth\ncs\nTt\nS\nn\n~ 1 ! i ! ! I i 1 i I Ith 1 1\nts\n0\\\n\"71\nrH 1 1 I I 1 j | I 1 J | | | j\n*h\nm\n\u25a0 i i i I i i i .\nw\n\u00a3\n*\n\u00a7\n\u20225\n4>\n1\n3\nj\n>\nV\nt-\n41\n\u25a0c\nt-\nc\n'-\nR\nP\nJ\ni\ntn\nO\n'B\nts\n\u25a03\n\u00a71\nit\nP C\n\u2022S3 L\no c\nJ3 J\no cn\n3 |\nrt O\na o\n1 aI\nIF\nSB1*\nOS XI ri\n\"3 9 m\no rt \u2014\nB\na\n\u00a7\n\"ra\ny\n\u20223\nc\n>\nfl\nB\nV\n0)\np\n03\n|\nc\ne\nt\nX\nX\ne\n\u2022a\n1-\n>\no\nC\nl\nt\nI\n\u25a05\ncn\n6\nZ\nri\no\nH\n1\na\n'3\ni-i\n\u00a3?\n3 o.\nC\n>rtatotJOJS ft\nj 3s W u o< <\nS2p\na.\nSSSs J\n& & 2 o 8\n\u25a0apsi\n\u00a7 H Cd\nrt 'S S M U\n\u25a0\" S i, 3 H\no \u00ab S\"-n o\na t. u s \u2022\u00ab\nllffi\nrt 3Z B &S3\no, O < X \u00a3\n-a\n| u .2 o\nI-sis\nIS 85\nfill\n.\u00a3 m9 n m\nlilt\n\u25a0&\u00ab J,\n-03\nS ti\no .\nllll\ng eg g\n MENTAL HEALTH CENTRE\nI 161\nX\nvi\nca\nQ\nZ\n<\npr\nX\no\nui\nO\ni\nvi\nO\n<\ncn\nO\nz\no\n<\n(J\n<\nH\nz\nw\nso\nas\ni*\n< H\u201e\n\u00ab On\nz~\nH gj\nri tr\nftl\nHI\n\u25baJ\n<\nz\nftl\no\nH\noj\nZ\no\nw\nPii\nw\ni-i\nca\n<\nrt\nm\nJEIOX PUBJO\nrt ^H CS\n\u2022* irt VC \u25a0* ! rl rt (S CO TH j Trt \u00ab\nt>\n3\nftl\n1-1 !\nve,_, ^ ,_,,_, r4,_, It- ico itj-\n\u00a9\nB\nH\nrr\n. .ill\nrt\n\u25a09 h\nIS\noO\nftl\n1 1 1 1.1 II 1 11 1 1\nIII\nU 11\" 1\n1 1\nrt\n2\nsO\noi\n11111111111 i 1\n|\ns\n1 1 1 1 1 I-l 1 I-J 1 1 1\n1\nJ\ni i ii! ii r 1111\n(S\nSO\nb.\ns\nI.I 1 I.I II111111\nm\n&\n\u25a0?\nui\nII 1 1 1 1 1 1 1 I 1\nin\ntn\ns\ni 1 1 i i i j 1 1 ! 1 i 1\n\\\ns\nftl\n1 IIIIII Mil\nri\n1 ! : | j j | :H j ! i\nTH\n\u00bbn\ni II 1 I 1 1 1 i i i\nca\ng\n1\nft.\n1 Iiii Mil\ns\nr ij 111 r i ii i\nri\nI 1 3 \u00ab I 1 j j Tr j |\nrt\n&\n\u00a7\ns\n1 1 I 1 |\u00ab 1 I 1 1 I \\*-\n: : i i : i : 1 i i 1\nm\n<\n&\n2\nftl\nM 1 M 1 M M II i\n|\n5S\nS |^ | | t | M \"j -I \"I rr\nf*\nCO\n^H\ns\nftl\ni II II\ns\n! ! 1 ! irt 1 j ! irt j irt\n,-(\n-<*\u25a0\nCO\niiii lil 1\nrl\nftl\nM II i 1 M II\ns\n\" T\" 1 1 1 1 1 1 1\ni\nin\n3\nPh\n\u25a0\u2022ti 1 |.'. 1 1 H 1\n1\nA\nM\n>j\niiii\n1 i !\nCM\nas\n\u00bbn\nftl\nMill\n\" \\\n? \\\nI \"\ni rt\nrH\n\u00a3\niiii\ni\nI\nV\na\nCf\nI\na\n.2\n?i\n\u2022a\n\nO tr-\nsi\n\u2022a 2\na. *\u25a0\nWtl\n1\n\u25a0\nI\ne\n4.\n>\n*\ntt\nG\n$\n1\nOther and unspeci\nic-depressive react\niety reaction witho\nerical reaction wit\nsssive-compulsive r\nrotic-depressive re;\nhoneurotic disorde\na 2\no a\nS TI\nag\no Q\nrt *o\nrt\nIs\n\nri<\nSr\n<\nft\n6\nz\nCJ\n1\n\u25a0a\no\n0).\nH\n>\nZ\nO\ncfl.\no\nOJ.\nCO\n^3\n\u00a7\nVr\no\nq\n\u00ab4-(\n<\na-\nft\no\ncn\nui\na\n^\nftl\nh-l\nm\n<\nJ\nT3'\n1\nO\nP.\n I 162\nMENTAL HEALTH SERVICES REPORT, 1961\/62\nQ\nZ\n<\nrC\nrt\nO\ni\nVi\no\n<\ni\nH\n<\nUi\n<\no.\nft)\non\nz\no\nC\/3\nO\nz\no\n<\n2 VO\nBJ\nffl g\na\"5S\nri\nO\nH\nJ\n3\nQ\n<\n^ a\nH rt\nZ ffl\n8*\nM X\n* w\nH c\/3\nhJ\n<\nw\nDC\nH\nz\n\u00ab\nS\no\nrt\ntil\ncn\nZ\n\u25a0g\nH\n-<\nrt\n<\nffl\nW\n\u00abfl\nffl\n>-l\nffl\n5\na \u00ab\nOH\nZB\nm\nas\n3\n9s\nso\nft.\nft,\nft.\nft.\ns\nft.\nr ic\nt^ OQ rt m rt\nrt rt r-l ON f- :\u00bbOm cn rt |rt l^rt rJ( 8,1\niiii\ncs i\ns-o'i'S\nlillli\n4 ?\u00a3 8 a a\n3c\u00ab PQ U A. <\n3\nii\no rt\nSi\n\"s a\na -a\n2 a\n,||\nIf 9 a\n\u25a0o \"os\nsis\n>-i)wO\n\u25a0?ifi\n\u2022\u00a7\u00a7oo\nS y o\na\n\u2022a\nSis\n\u25a0a\nB a\nm rt\nt 2\n33 .a\n\u00ab!\n50 U\nI\nCfl\na, o. o o -\nH sa \u00ab.2\n^ a B o b\na 3 h B 2\nu rt rt 03 rt rt\n111IIS\nh rt\u00ab *2 .1? .a 2? Ji o^j -\n.2 a_\nSIS\n.Baa's\nI i SI a\na w rt ^ rt\n\u00a7 aa o SS\ni 7 B a s,\n> .2 I e -g\n\u00a71\na^3\nO\nZ\nI\nS i2 2 S\nfsil\noil\nlife\n:a \u00b0\nill\na .9 S\no Jj ft\nvi ri S3\nqj a w\nn 2 \u00a3\n\u00a9 \u25a0\u00a3 \u25a0\u00a7\nSO ea\n\u201e93\nrtftlA.\n\u00bb 3\n\u00b0 \u2022\u00a7 r.\n_f 1\n\u25a0\u25a0a-0 S\ngS'a\nSfl a\nSS2.2\nSag\no o a\n3 &'S\nrt rt *j\n MENTAL HEALTH CENTRE\nI 163\nTable 8.\u2014Movement of Population, Day-hospital Unit, Mental Health\nCentre, Adult Clinic, April 1, 1961, to March 31, 1962\nMale\nFemale\nTotal\nIn day-hospital, April 1,1961..\nAdmissions \t\nReadmissions _\t\n6\n22\n10\nTotals\t\nLess discharges \t\nIn day-hospital, March 31,1962.\n38\n33\n11\n69\n31\n111\n104\n17\n91\n41\n149\n137\n12\nTotal patient-days of those discharged\nTotal discharges\nAverage stay in day-hospital\n3,551\n137\n25.9\nTable 9.\u2014Movement of Population, Children's Clinics, Burnaby\nand Victoria, April 1, 1961, to March 31, 1962\nBurnaby\nVictoria\nNew\nRepeat\n*rt\nO\nH\nNew\nRepeat\no\nH\nes\nO\nH\nM.\nF.\nM.\nF.\nM.\n1 1\nF. | M. 1 F.\n1 1\n\u00a7\nIh\nO\nIntake Section\n3\n22\n30\n2\n13\n2\n1\n10\n13\n1\n6\n6\n6\n1\n11\n2\n1\n4\n40\n49\n4\n31\n2\n31\n27\n25\n5\n3\n11\n2\n87\n4\nCases opened\u2014\n28\n8\n6\n1\n17\n1\n1\n1\n127\n36\n33\n7\n4\n85\n37\n38\n6\nSchools \t\nSocial agencies \t\nOther \t\nTotal cases carried in intake during year \t\n72\n31\n24\n3\n130\n91\n43| 20| 13| 167| 297\nCases closed from intake section\u2014\nIntake service only. \u25a0 \t\n3\n3\n16\n12\n35\n3\n1\n9\n7\n11\n1\n2\n5\n14\n1\n2\n8\n4\n27\n26\n60\n6\n4\n2\n11\n10\n15\n142\n18\n4\n27\nReferred outside resource \t\nTransferred to treatment for\u2014\n11\n74\n1\n38\n1\n19\n41\n202\n69\n31\n22\n3\n125\n911 43\n20\n13\n167| 292\n3\n 1 2\n5\n_._|__\n 1 1\n5\nTreatment Section\n79\n47\n38\n31\n18\n27\n24\n19\n18\n13\n2\n11\n147\n86\n94\n44\n85\n116\n10\n39\n45\n6\n20\n18\n9\n13\n5\n69\n157\n216\n243\n88\n22\n25\n4\n139\n13\n4\n8\n17\n I 164\nMENTAL HEALTH SERVICES REPORT, 1961\/62\nTable 10.\u2014Summary of Diagnostic Service Given to Agencies by Burnaby,\nVictoria, and Travelling Clinics, April 1, 1961, to March 31, 1962\nPlace of Examination\nNew\nRepeat\nTotal\nM.\nF.\nM.\nF.\n5(2\n28\n3\n10\n6\n13\n7\n31\n36\n216'\n23\n12\n1\n4\n4\n8\n14\n17\n3\n105\n14\n2\n3\n9\n5\n15\n4\n7\n15\n58\n8\n1\n2\n7\n4\n4\n4\n35\n97\n412\nBurnaby travelling clinics\u2014\n8\n29\n13\n39\n23\n56\n21\n54\n414\n402\n191\n132\n65\n790\n MENTAL HEALTH CENTRE\nI 165\nSO\nOs\nX\nu\nrt\n<\nO\nH\nOs\nU,\nffl\n<\nffl\"\nu\n>\nrt\nffl\non\nu\nz\no\no\nz\nffl\n\u00ab\nH\nft.\no\ns\n<\nw\na\n5\nc\/3\nffl\nh-l\nffl\n<\ns\n83[ET USUUEig\n\u00ae ;\nimsqjv\n3 |\nS^a\nP,\u00a7\njSArg n31dureo\n61 1\n>\nXeuavmoo\nVS 1\n. 1\nouireuEN\n-* i\n\u00bbAIH na*oj\n6 8\nXauns\n* a\noo tn\nX3UEH\n<*> i\n1\nUOISSTJ^\n\u25a0* cj\npjojsjoqqy\n*\"\" 1\n!\n^peittnnqD\ntn c*\nSIIEJ UB30O\nS 1\nuosjsn\n<2\\ oo\njtaijaquir^\noo in\n! a\nrt\n3\nU0JS3J3\n3[OOJquEi3\n\u25a0* r-\nWiJL\nas\nU013IJU3,!\n\\p 00\nCS CS\ns\nEUMOI33\n\u00bb-\u2022 cn\nUIJV UOUIIEg\nOs cs\nUOUJ3A\nrt ol\nSdOO[UIE^\nCl Os\nrt ri\nuqor -js JJoj\ns 1\n5(8313 UOSAVEQ\n8*\nJEUIIJOJ\n33EJI3X\n3J3dn>j sduijj\na~\npussnf)\n1-1\n33JB-X SUJEIH!\/V\\\n38.I03Q 33UTJJ\ns\u00b0\u00b0\nJSAnOOUE^\ncr> \u00bb\noo cs\nr\no\n53\nrt\na\n1\nrt\nX\nu\n\u00ab3\ngs\nM U\n\u25a0O rt\nS3\n= \u00a7\nfe !*.\nii\n5 M\n\u2014 *-\n13 u\nh\nC\n I 166\nMENTAL HEALTH SERVICES REPORT, 1961\/62\nTable 12.\u2014Summary of Services Given by the Children's Clinics,\nApril 1, 1961, to March 31, 1962\nStationary Clinics\nMainland\nTravelling\nClinics\nVancouver\nIsland\nTravelling\nClinics\nTotals\nBurnaby\nVictoria\n223\n183\n97\n86\n99\n27\n209\n199\n42\n157\n74\n134\n33\n597\n597\n597\n269\n54\n54\n54\n10\n1,083\n1,033\n790\n243\nTotal number of children given full examination..\nOther agency diagnostic given full examination ..\nOther agency consultative cases -\t\nClinic direct-service cases referred (private)\u2014\nNew \t\n353\n233\n60\nTable 13.\u2014Sources of All Cases Referred to Children's Clinics and\nService Given, April 1, 1961, to March 31, 1962\nNumber\nof Cases\nType of Service Given\nAgency or Source\nAgency\nDiagnostic\nStudy\nClinic\nDirect\nService\n1. Social Agencies\u2014\u25a0\n126\n47\n28\n3\n1\n2\n10\n1\n23\n18\n2\n40\n3\n44\n7\n32\n9\n22\n13\n14\n9\n9\n21\n41\n62\n50\n1\n4\n31\n13\n10\n2\n2\n3\n1\n4\n77\n2\n59\n13\n87\n127\n10\n123\n46\n27\n3\n1\n1\n7\n1\n22\n18\n1\n34\n44\n7\n32\n9\n22\n13\n14\n9\n9\n21\n41\n62\n49\n1\n4\n23\n13\n8\n3\n4\n43\n59\n13\n2\n1\n3\n1\n1\n1\n3\n2. Institutions\u2014\n1\n1\n3. Medical and health agencies\u2014\n6\n3\nSelkirk Health Unit \t\n1\n8\nChildren's Hospital\t\n2\n2\n2\n1\n4. Schools\u2014\nPublic \t\n34\nOther\n2\n6. Adult Court \t\n85\n127\n9. Other \u2014\t\n9\nTotals . \t\n1,083\n790\n293\n MENTAL HEALTH CENTRE\nI 167\nTable 14.\u2014Diagnoses of All Cases Assessed by the Children's Clinic,\nApril 1, 1961, to March 31, 1962\nMale\nFemale\nPsychotic disorders\u2014\u25a0\nSchizophrenic reaction-\nSimple type-\nParanoid type .\nResidual type..\nSchizo-affective type-\nChildhood type.\nManic depressive reaction, depressed.\nPsychotic reaction without clearly defined structural change..\nPsychoneurotic disorders\u2014\u25a0\nAnxiety reaction \u201e - \t\nDissociative reaction _\t\nObsessive-compulsive reaction..\nDepressive reaction....\t\nNeurocirculatory asthenia \u2014\t\nPsychophysiological respiratory reaction..\nPsychophysiological skin reaction_.\nPsychophysiological musculoskeletal reaction.\nHypochondriacal reaction \u2014 ..\t\nMixed psychoneurosis \t\nPsychoneurotic reaction, other-\nDisorders of character, behaviour, and intelligence-\nSchizoid personality \t\nParanoid personality. \t\nInadequate personality _\nAnti-social reaction \t\nDyssocial reaction \t\nSexual deviation \t\nSociopathic personality disturbance..\nEmotionally unstable personality\t\nPassive-aggressive personality\t\nEnuresis. _\t\nOther symptomatic habits..\nOther unspecified _ \t\nAlcoholism, chronic...\t\nAdjustment reaction of infancy\t\nAdjustment reaction of childhood\t\nAdjustment reaction of adolescence\t\nMental deficiency\u2014\u25a0\nMild _\t\nModerate-\nSevere\t\nUnspecified ..\nSpecial learning defects..\nSpeech disturbance-\nAcute situational maladjustment _ \t\nOther and unspecified behaviour disorder _\t\nChronic brain syndrome due to prenatal influence \t\nChronic brain syndrome associated with drug or poison \t\nChronic brain syndrome associated with circulatory disturbance..\nChronic brain syndrome, other disease-\nChronic brain syndrome associated with intracranial infection .\nChronic brain syndrome associated with birth trauma-\nChronic brain syndrome associated with other unspecified disease-\nChronic brain syndrome associated with convulsive disorder .\t\nNot yet diagnosed _ \t\nObservation only _ \t\nIncomplete \t\nTotals\t\n29\n1\n2\n3\n4\n2\n2\n6\n2\n7\n4\n7\n2\n2\n29\n38\n2\n5\n19\nil\n1'46\n50\n21\n36\n32\n17\n2\n18\n7\n4\nlil\n3\n1\n2\n120\n1\n81\n738\n19\nIS\n3\n2\n5\n1\n52\n17\n1\u00ae\n16\n23\n8\n3\n1\n1\n3\n1\n1\n5\n69\n2\n39\n345\n1\n1\n1\n1\n9\n2\n4\n37\n2\n2\n6\n2\n1\n2\n1\n4\n2\n3\n12\n3\n9\n2\n2\n48\n56\n5\n7\n24\n2\n198\n67\n39\n52\n55\n25\n2\n21\n8\n5\n14\n4\n1\n1\n1\n2\n1\n1\n7\n189\n3\n120\n1,083\nPrinted by A. Sutton, Printer to the Queen's Most Excellent Majesty\nin right of the Province of British Columbia.\n1963\n735^1062^2980\n ","@language":"en"}],"Genre":[{"@value":"Legislative proceedings","@language":"en"}],"Identifier":[{"@value":"J110.L5 S7","@language":"en"},{"@value":"1963_V01_13_I1_I167","@language":"en"}],"IsShownAt":[{"@value":"10.14288\/1.0363349","@language":"en"}],"Language":[{"@value":"English","@language":"en"}],"Provider":[{"@value":"Vancouver : University of British Columbia Library","@language":"en"}],"Publisher":[{"@value":"Victoria, BC : Government Printer","@language":"en"}],"Rights":[{"@value":"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","@language":"en"}],"SortDate":[{"@value":"1963-12-31 AD","@language":"en"},{"@value":"1963-12-31 AD","@language":"en"}],"Source":[{"@value":"Original Format: Legislative Assembly of British Columbia. Library. Sessional Papers of the Province of British Columbia","@language":"en"}],"Title":[{"@value":"Mental Health Services Branch PROVINCE OF BRITISH COLUMBIA ANNUAL REPORT FOR TWELVE MONTHS ENDED MARCH 31 1962","@language":"en"}],"Type":[{"@value":"Text","@language":"en"}],"Translation":[{"@value":"","@language":"en"}],"@id":"doi:10.14288\/1.0363349"}