"51a487ac-9fff-4e1e-83fb-66f817da91cc"@en . "CONTENTdm"@en . "MENTAL HEALTH SERVICES REPORT, 1955-56"@en . "http://resolve.library.ubc.ca/cgi-bin/catsearch?bid=1198198"@en . "Sessional Papers of the Province of British Columbia"@en . "British Columbia. Legislative Assembly"@en . "2017-07-26"@en . "[1957]"@en . "https://open.library.ubc.ca/collections/bcsessional/items/1.0349124/source.json"@en . "application/pdf"@en . " DEPARTMENT OF PROVINCIAL SECRETARY\nMental Health Services\nPROVINCE OF BRITISH COLUMBIA\nANNUAL REPORT\nFOR TWELVE MONTHS ENDED\nMARCH 3 1st\n1956\nVICTORIA, B.C.\nPrinted by Don McDiarmid, Printer to the Queen's Most Excellent Majesty\n1956 To His Honour Frank Mackenzie Ross, C.M.G., M.C.,\nLieutenant-Governor of the Province of British Columbia.\nMay it please Your Honour:\nThe undersigned respectfully submits herewith the Annual Report of the Director\nof Provincial Mental Health Services for the fiscal year ended March 31st, 1956.\nProvincial Secretary's Office,\nDecember 7th,1956.\nW. D. BLACK,\nProvincial Secretary. The Honourable Wesley D. Black,\nProvincial Secretary, Victoria, B.C.\nSir,\u00E2\u0080\u0094Pursuant to the provisions of the following Statutes\u00E2\u0080\u0094\" Mental Hospitals\nAct,\" \" Clinics of Psychological Medicine Act,\" \" Schools for Mental Defectives Act,\"\nand \" Provincial Child Guidance Clinics Act \"\u00E2\u0080\u0094I have the honour to submit the Annual\nReport of the Provincial Mental Health Services for the twelve months ended March 31st,\n1956, being the Eighty-fourth Annual Report.\nI have the honour to be,\nSir,\nYour obedient servant,\nR. A. PENNINGTON,\nDeputy Provincial Secretary.\nDeputy Provincial Secretary's Office,\nDecember 5th, 1956. TABLE OF CONTENTS\nPage\nOfficers and Staff, List of 11\nPART I.\u00E2\u0080\u0094HEADQUARTERS\nReport\u00E2\u0080\u0094Director of Mental Health Services 15\nTables\u00E2\u0080\u0094\nComparative Summary of Increases and Decreases in Resident Population by\nMajor Divisions of Provincial Mental Health Services 34\nComparative Summary of Total Patients under Care for Major Divisions of\nProvincial Mental Health Services 34\nMovement of Population in Individual Institutions of Mental Health Services 35\nReport\u00E2\u0080\u0094Business Manager 36\nFinancial Tables\u00E2\u0080\u0094\nTable A.\u00E2\u0080\u0094Average Number in Residence, Maintenance, and per Capita Cost\nat Individual Institutions for Past Ten Years 40\nTable B.\u00E2\u0080\u0094Summary of Gross and Net per Capita Cost of Patients in All\nMental Health Services Institutions 42\nTable C.\u00E2\u0080\u0094Expense Statement, The Woodlands School, New Westminster 43\nTable D.\u00E2\u0080\u0094Expense Statement, Provincial Mental Hospital, Essondale 43\nTable E.\u00E2\u0080\u0094Expense Statement, Provincial Mental Home, Colquitz 44\nTable F.\u00E2\u0080\u0094Expense Statement, Home for the Aged, Port Coquitlam 44\nTable G.\u00E2\u0080\u0094Expense Statement, Home for the Aged, Vernon 45\nTable H.\u00E2\u0080\u0094Expense Statement, Home for the Aged, Terrace 45\nTable I.\u00E2\u0080\u0094Expense Statement, Crease Clinic of Psychological Medicine, Essondale 46\nExpenditures under Federal Health Grants 47\nReport\u00E2\u0080\u0094Personnel Officer 48\nPART II.\u00E2\u0080\u0094CREASE CLINIC OF PSYCHOLOGICAL MEDICINE\nAND PROVINCIAL MENTAL HOSPITAL\nReport of Crease Clinic\u00E2\u0080\u0094Dr. A. E. Davidson 53\nReport of Mental Hospital\u00E2\u0080\u0094Dr. T. G. Caunt 55\nReport of Treatment Services\u00E2\u0080\u0094Dr. F. E. McNair 61\nReport of Laboratory\u00E2\u0080\u0094Dr. G. A. Nicolson 71\nReport of Department of Neurology\u00E2\u0080\u0094Dr. W. P. Fister 76\nReport of Department of Radiology\u00E2\u0080\u0094Dr. J. M. Jackson 76\nReport of Department of Physical Medicine\u00E2\u0080\u0094Dr. F. E. McNair 78\nReport of Dental Department\u00E2\u0080\u0094Dr. H. O. Johnsen 79\nReport of Optical Department\u00E2\u0080\u0094H. H. Woodbridge 80\nReport of Dietary Department\u00E2\u0080\u0094Mrs. M. E. Marr 80\nReport of Department of Nursing, Women's Division\u00E2\u0080\u0094Miss E. M. Pullan 81\nReport of Department of Nursing, Men's Division\u00E2\u0080\u0094R. H. Strong 82\nReport of School of Psychiatric Nursing\u00E2\u0080\u0094Miss O. J. Smith 83\nReport of Psychology Department\u00E2\u0080\u0094J. W. Borthwick 85\nReport of Social Service Department\u00E2\u0080\u0094Miss A. K. Carroll 86\nReport of Occupational Therapy Department, Women's Division\u00E2\u0080\u0094Mrs. K. Feltham 94\nReport of Occupational Therapy Department, Men's Division\u00E2\u0080\u0094R. Herring 95\nReport of Chaplain\u00E2\u0080\u0094J. F. O'Neil 97\nReport of Recreational Therapy Department\u00E2\u0080\u0094R. L. Ramsay 99\nReport of Audio-Visual Department\u00E2\u0080\u0094G. H. Walker 101\nReport of Library\u00E2\u0080\u0094Miss H. M. Walsh 104 Q 6 MENTAL HEALTH SERVICES REPORT, 1955-56\nPage\nReport of Rehabilitation Service, Women's Division\u00E2\u0080\u0094Dr. F. E. McNair 105\nReport of Rehabilitation Service, Men's Division\u00E2\u0080\u0094J. D. Addison 106\nReport of School-teacher\u00E2\u0080\u0094Mrs. E. R. Loland 107\nStatistical Tables\u00E2\u0080\u0094\nCrease Clinic of Psychological Medicine\u00E2\u0080\u0094\nTable 1.\u00E2\u0080\u0094Movement of Population 109\nTable 2.\u00E2\u0080\u0094Summary of Operations since Inception 109\nTable 3.\u00E2\u0080\u0094First Admissions by Health Unit and School District of Residence and Sex 110\nTable 4.\u00E2\u0080\u0094First Admissions and Readmissions by Method of Admission,\nAge-group, and Sex 111\nTable 5.\u00E2\u0080\u0094First Admissions by Mental Diagnosis, Age-group, and Sex 112\nTable 6.\u00E2\u0080\u0094Readmissions by Mental Diagnosis, Age-group, and Sex 114\nTable 7.\u00E2\u0080\u0094First Admissions by Marital Status, Mental Diagnosis, and Sex 116\nTable 8.\u00E2\u0080\u0094Readmissions by Marital Status, Mental Diagnosis, and Sex 117\nTable 9.\u00E2\u0080\u0094First Admissions by Years of Schooling, Mental Diagnosis, and\nSex 117\nTable 10.\u00E2\u0080\u0094Readmissions by Years of Schooling, Mental Diagnosis, and\nSex 117\nTable 11.\u00E2\u0080\u0094First Admissions by Citizenship, Age-group, and Sex 117\nTable 12.\u00E2\u0080\u0094First Admissions by Religion and Sex 117\nTable 13.\u00E2\u0080\u0094First Admissions by Previous Occupation and Sex 117\nTable 14.\u00E2\u0080\u0094Live Discharges by Condition on Discharge, Disposition to,\nand Sex 118\nTable 15.\u00E2\u0080\u0094Live Discharges by Mental Diagnosis, Disposition to, and Sex 118\nTable 16.\u00E2\u0080\u0094Live Discharges by Mental Diagnosis, Age-group, and Sex 119\nTable 17.\u00E2\u0080\u0094Live Discharges by Length of Stay, Mental Diagnosis, and Sex 121\nTable 18.\u00E2\u0080\u0094Deaths by Mental Diagnosis, Age-group, and Sex 122\nTable 19.\u00E2\u0080\u0094Deaths by Cause of Death, Age-group, and Sex 122\nProvincial Mental Hospital\u00E2\u0080\u0094\nTable 1.\u00E2\u0080\u0094Movement of Population 123\nTable 2.\u00E2\u0080\u0094Summary of Operations since Inception 124\nTable 3.\u00E2\u0080\u0094First Admissions by Health Unit and School District of Residence and Sex 126\nTable 4.\u00E2\u0080\u0094First Admissions and Readmissions by Method of Admission,\nAge-group, and Sex 127\nTable 5.\u00E2\u0080\u0094First Admissions by Mental Diagnosis, Age-group, and Sex 128\nTable 6.\u00E2\u0080\u0094Readmissions by Mental Diagnosis, Age-group, and Sex 130\nTable 7.\u00E2\u0080\u0094First Admissions by Marital Status, Mental Diagnosis, and Sex 132\nTable 8.\u00E2\u0080\u0094Readmissions by Marital Status, Mental Diagnosis, and Sex 133\nTable 9.\u00E2\u0080\u0094-First Admissions by Years of Schooling, Mental Diagnosis, and\nSex 134\nTable 10.\u00E2\u0080\u0094Readmissions by Years of Schooling, Mental Diagnosis, and\nSex 134\nTable 11.\u00E2\u0080\u0094First Admissions by Citizenship, Age-group, and Sex 134\nTable 12.\u00E2\u0080\u0094First Admissions by Religion and Sex 134\nTable 13.\u00E2\u0080\u0094First Admissions by Previous Occupation and Sex 134\nTable 14.\u00E2\u0080\u0094Resident Population by Diagnosis, Sex, and Age-group 135\nTable 15.\u00E2\u0080\u0094Resident Population by Number of Previous Admissions and\nDiagnosis 136\nTable 16.\u00E2\u0080\u0094Resident Population under 25 Years of Age by Diagnosis and\nLength of Stay 138 TABLE OF CONTENTS Q 7\nPage\nStatistical Tables\u00E2\u0080\u0094Continued\nProvincial Mental Hospital-\u00E2\u0080\u0094Continued\nTable 17.\u00E2\u0080\u0094Resident Population 25 to 50 Years of Age by Diagnosis and\nLength of Stay 139\nTable 18.\u00E2\u0080\u0094Resident Population 51 Years of Age and Over by Diagnosis\nand Length of Stay 141\nTable 19.\u00E2\u0080\u0094Resident Population, Age Not Stated, by Diagnosis and\nLength of Stay 143\nTable 20.\u00E2\u0080\u0094Live Discharges by Condition on Discharge, Disposition to,\nand Sex 143\nTable 21.\u00E2\u0080\u0094Live Discharges by Mental Diagnosis, Condition on Discharge, and Sex 144\nTable 22.\u00E2\u0080\u0094Live Discharges by Mental Diagnosis, Age-group, and Sex 145\nTable 23.\u00E2\u0080\u0094Live Discharges by Length of Stay, Mental Diagnosis, and Sex 147\nTable 24.\u00E2\u0080\u0094Deaths by Mental Diagnosis, Age-group, and Sex 148\nTable 25.\u00E2\u0080\u0094Deaths by Mental Diagnosis, Length of Stay, and Sex 149\nTable 26.\u00E2\u0080\u0094Deaths by Cause of Death, Age-group, and Sex 150\nTable 27.\u00E2\u0080\u0094Deaths by Length of Stay, Cause of Death, and Sex 151\nPART III.\u00E2\u0080\u0094THE WOODLANDS SCHOOL, NEW WESTMINSTER\nReport of Medical Superintendent\u00E2\u0080\u0094Dr. C. E. Benwell 153\nReport of Education Department\u00E2\u0080\u0094Mrs. H. M. Davy 156\nReport of Laboratory\u00E2\u0080\u0094Dr. G. A. Nicolson 158\nReport of Radiology Department\u00E2\u0080\u0094Dr. J. M. Jackson 160\nReport of Physiotherapy Department\u00E2\u0080\u0094O. H. Lowenberg 160\nReport of Dental Department\u00E2\u0080\u0094Dr. H. T. Davidson 160\nReport of Department of Dietetics\u00E2\u0080\u0094Miss J. Ing 161\nReport of Department of Nursing, Women's Division\u00E2\u0080\u0094Miss V. M. Sanders 162\nReport of Department of Nursing, Men's Division\u00E2\u0080\u0094J. N. Elliot 162\nReport of Department of Psychology\u00E2\u0080\u0094Dr. T. T. Coulter 162\nReport of Social Service Department\u00E2\u0080\u0094Miss A. K. Carroll 163\nReport of Occupational Therapy Department, Girls' Division\u00E2\u0080\u0094Miss F. M. Robertson 167\nReport of Occupational Therapy Department, Boys' Division\u00E2\u0080\u0094H. Mercer 168\nReport of Recreational Therapy Department\u00E2\u0080\u0094J. A. Lynes 168\nStatistical Tables\u00E2\u0080\u0094\nTable 1.\u00E2\u0080\u0094Movement of Population 170\nTable 2.\u00E2\u0080\u0094Summary of Operation since Inception.^ 170\nTable 3.\u00E2\u0080\u0094First Admissions by Health Unit and School District of Residence\nand Sex .1 1 170\nTable 4.\u00E2\u0080\u0094First Admissions by Mental Diagnosis, Age-group, and Sex 171\nTable 5.\u00E2\u0080\u0094First Admissions by Years of Schooling, Mental Diagnosis, and Sex _ 171\nTable 6.\u00E2\u0080\u0094First Admissions by Citizenship, Age-group, and Sex \u00E2\u0080\u0094 171\nTable 7.\u00E2\u0080\u0094First Admissions by Religion and Sex 171\nTable 8.\u00E2\u0080\u0094First Admissions by Previous Occupations and Sex 171\nTable 9.\u00E2\u0080\u0094Live Discharges by Mental Diagnosis, Condition on Discharge, and\nSex 171\nTable 10.\u00E2\u0080\u0094Live Discharges and Deaths by Mental Diagnosis, Age-group, and\nSex _: 172\nTable 11.\u00E2\u0080\u0094Live Discharges and Deaths by Mental Diagnosis, Length of Stay,\nand Sex 173\nTable 12.\u00E2\u0080\u0094Deaths by Cause of Death, Age-group, and Sex 174\nTable 13.\u00E2\u0080\u0094Deaths by Cause of Death, Length of Stay, and Sex 175 Q 8 MENTAL HEALTH SERVICES REPORT, 1955-56\nPART IV.\u00E2\u0080\u0094PROVINCIAL MENTAL HOME, COLQUITZ\nPage\nReport of Medical Superintendent\u00E2\u0080\u0094Dr. L. G. C. d'Easum 176\nReport of Dental Department\u00E2\u0080\u0094Dr. W. G. Dempsey 177\nReport of Department of Nursing Service\u00E2\u0080\u0094P. T. McLeod 177\nReport of Occupational Therapy Department\u00E2\u0080\u0094H. Helander 178\nStatistical Tables\u00E2\u0080\u0094\nTable 1.\u00E2\u0080\u0094Movement of Population 179\nTable 2.\u00E2\u0080\u0094Transfers by Health Unit and School District of Residence 179\nTable 3.\u00E2\u0080\u0094Transfers by Mental Diagnosis and Age-group 180\nTable 4.\u00E2\u0080\u0094Transfers by Mental Diagnosis and Marital Status 180\nTable 5.\u00E2\u0080\u0094Transfers by Years of Schooling and Mental Diagnosis 180\nTable 6.\u00E2\u0080\u0094Transfers by Citizenship and Age-group 180\nTable 7.\u00E2\u0080\u0094Transfers by Religion 180\nTable 8.\u00E2\u0080\u0094Transfers by Previous Occupation 180\nTable 9.\u00E2\u0080\u0094Live Discharges by Mental Diagnosis and Condition on Discharge 181\nTable 10.\u00E2\u0080\u0094Live Discharges and Deaths by Mental Diagnosis and Age-group 181\nTable 11.\u00E2\u0080\u0094Live Discharges and Deaths by Mental Diagnosis and Length of\nStay 181\nTable 12.\u00E2\u0080\u0094Deaths by Cause of Death and Age-group 182\nTable 13.\u00E2\u0080\u0094Deaths by Cause of Death and Length of Stay 182\nPART V.\u00E2\u0080\u0094GERIATRIC DIVISION\nReport of Medical Superintendent\u00E2\u0080\u0094Dr. B. F. Bryson 183\nStatistical Tables\u00E2\u0080\u0094\nHome for the Aged, Port Coquitlam\u00E2\u0080\u0094\nTable 1.\u00E2\u0080\u0094Movement of Population 193\nTable 2.\u00E2\u0080\u0094First Admissions by Health Unit and School District of Residence and Sex 193\nTable 3.\u00E2\u0080\u0094First Admissions by Mental Diagnosis, Age-group, and Sex 194\nTable 4.\u00E2\u0080\u0094First Admissions by Mental Diagnosis, Marital Status, and Sex 194\nTable 5.\u00E2\u0080\u0094First Admissions by Years of Schooling, Mental Diagnosis, and\nSex 194\nTable 6.\u00E2\u0080\u0094First Admissions by Citizenship, Age-group, and Sex 194\nTable 7.\u00E2\u0080\u0094First Admissions by Religion and Sex 194\nTable 8.\u00E2\u0080\u0094First Admissions by Previous Occupation and Sex 194\nTable 9.\u00E2\u0080\u0094Live Discharges by Mental Diagnosis, Condition on Discharge,\nand Sex 195\nTable 10.\u00E2\u0080\u0094Live Discharges and Deaths by Mental Diagnosis, Age-group,\nand Sex 195\nTable 11.\u00E2\u0080\u0094Live Discharges and Deaths by Mental Diagnosis, Length of\nStay, and Sex 196\nTable 12.\u00E2\u0080\u0094Deaths by Cause of Death, Age-group, and Sex 197\nTable 13.\u00E2\u0080\u0094Deaths by Cause of Death, Length of Stay, and Sex 198\nHome for the Aged, Vernon\u00E2\u0080\u0094\nTable 1.\u00E2\u0080\u0094Movement of Population 199\nTable 2.\u00E2\u0080\u0094First Admissions by Health Unit and School District of Residence and Sex 199\nTable 3.\u00E2\u0080\u0094First Admissions by Method of Admission, Age-group, and Sex 199\nTable 4.\u00E2\u0080\u0094First Admissions by Mental Diagnosis, Age-group, and Sex 200\nTable 5.\u00E2\u0080\u0094First Admissions by Mental Diagnosis, Marital Status, and Sex 200 TABLE OF CONTENTS\nQ 9\nPage\nStatistical Tables\u00E2\u0080\u0094Continued\nHome for the Aged, Vernon\u00E2\u0080\u0094Continued\nTable 6.\u00E2\u0080\u0094First Admissions by Years of Schooling, Mental Diagnosis, and\nSex 200\nTable 7.\u00E2\u0080\u0094First Admissions by Citizenship, Age-group, and Sex 200\nTable 8.\u00E2\u0080\u0094First Admissions by Religion and Sex 200\nTable 9.\u00E2\u0080\u0094First Admissions by Previous Occupation and Sex 200\nTable 10.\u00E2\u0080\u0094Live Discharges by Mental Diagnosis, Condition on Discharge,\nand Sex\t\nTable 11.\u00E2\u0080\u0094Live Discharges and Deaths by Mental Diagnosis, Age-group,\nand Sex\t\nTable 12.\u00E2\u0080\u0094Live Discharges and Deaths by Mental Diagnosis, Length of\nStay, and Sex\t\nTable 13.\u00E2\u0080\u0094Live Discharges by Condition on Discharge, Disposition to,\nand Sex\t\nTable 14.\u00E2\u0080\u0094Deaths by Cause of Death, Age-group, and Sex \t\nTable 15.\u00E2\u0080\u0094Deaths by Cause of Death, Length of Stay, and Sex...\nHome for the Aged, Terrace\u00E2\u0080\u0094\nTable 1.\u00E2\u0080\u0094Movement of Population..\n201\n201\n202\n202\n202\n203\n204\n204\nTable 2.\u00E2\u0080\u0094First Admissions by Health Unit and School District of Residence\t\nTable 3.\u00E2\u0080\u0094First Admissions by Mental Diagnosis and Age-group 205\nTable 4.\u00E2\u0080\u0094First Admissions by Mental Diagnosis and Marital Status 205\n205\n205\n205\n205\n206\n206\n206\n207\nTable 13.\u00E2\u0080\u0094Deaths by Cause of Death and Length of Stay___ _ 207\nTable 5.\u00E2\u0080\u0094First Admissions by Years of Schooling and Mental Diagnosis...\nTable 6.\u00E2\u0080\u0094First Admissions by Citizenship and Age-group\t\nTable 7.\u00E2\u0080\u0094First Admissions by Religion\t\nTable 8.\u00E2\u0080\u0094First Admissions by Previous Occupation\t\nTable 9.\u00E2\u0080\u0094Live Discharges and Deaths by Mental Diagnosis and Age-\ngroup.\nTable 10.\u00E2\u0080\u0094Live Discharges and Deaths by Mental Diagnosis and Length\nof stay\t\nTable 11.\u00E2\u0080\u0094Live Discharges by Mental Diagnosis and Condition on Discharge\t\nTable 12.\u00E2\u0080\u0094Deaths by Cause of Death and Age-group\t\nPART VI.\u00E2\u0080\u0094CHILD GUIDANCE CLINICS\nReport of Director\u00E2\u0080\u0094Dr. U. P. Byrne\t\nReport of Social Service Department\u00E2\u0080\u0094D. B. Ricketts\t\nReport of Psychology Department\u00E2\u0080\u0094Miss M. Munro\t\n208\n217\n221\nPART VII.\u00E2\u0080\u0094COLONY FARM\nReport of Business Manager\u00E2\u0080\u0094F. A. Matheson\t\n225 OFFICERS AND STAFF\nPROVINCIAL MENTAL HEALTH SERVICES\nDepartment of the Provincial Secretary\nHon. W. D. Black, Provincial Secretary.\nR. A. Pennington, O.B.E., F.C.I.S., Deputy Provincial Secretary.\nHEADQUARTERS STAFF\nA. M. Gee, M.D., CM., F.A.P.A., Director of Mental Health Services.\nA. E. Davidson, B.A., M.D., F.A.P.A., Deputy Director of Mental Health Services.\nF. A. Matheson, Business Manager.\nC. B. Watson, M.A., Administrative Assistant.\nJ. Dowling, Administrative Assistant (Personnel).\nMiss A. K. Carroll, B.A., M.S.W., Provincial Supervisor, Psychiatric Social Work.\nMiss E. M. Pullan, R.N., B.A.Sc, Director of Nursing.\nPROVINCIAL MENTAL HOSPITAL AND CREASE CLINIC OF\nPSYCHOLOGICAL MEDICINE, ESSONDALE\nT. G. Caunt, M.D., F.A.P.A., Medical Superintendent.\nF. E. McNair, B.A., M.D., CM., Clinical Director.\nJ. M. Jackson, M.D., Director of Radiology.\nG. A. Nicolson, B.A., M.D., Director of Laboratories.\nW. P. Fister, M.D., M.R.CP.(Edin.), F.R.C.P.(C), Director of Neurology.\nW. E. Powles, B.A., M.D., CM., Assistant Clinical Director.\nN. L. Richardson, M.D., CM., Assistant Clinical Director.\nJ. Walsh, M.B., B.Ch., D.P.M., Assistant Clinical Director.\nR. Halliday, M.B., B.Ch., D.P.M., Assistant Clinical Director.\nI. S. Kenning, B.Sc., M.D., CM., Assistant Clinical Director.\nE. E. Leyland, M.B., B.S., Assistant Clinical Director.\nF. M. Richards, B.Sc, M.D.\nH. O. Johnsen, D.D.S.\nG. D. Campbell, D.D.S.\nC E. Derkson, M.D., CM.\nF. G. Tucker, M.B., B.S.\nM. O. Calverley, B.Sc., M.D.\nF. H. G. Mills, M.D.\nR. R. McLeod, B.A., M.D.\nI. Tischler, M.D.\nW. Lazorko, M.D.\nR. Just, M.B., Ch.B.\nA. W. Lawler, M.D.\nE. J. Emanuels, M.D.\nN. M. Thornton, B.A., M.D.\nR. K. Karlsson, M.D.\nR. Parkinson, B.A., M.D.\nR. W. Harrington, B.A., M.D.\nR. C. Arkowsmith, B.A., M.D.\nR. L. Skwarok, B.Sc., M.D.\nN. L. Mason-Browne, M.A., M.B., Ch.B.\nJ. S. Petriw, M.D.\nP. F. Dubois, M.D.\nJ. W. Borthwick, B.A., Psychologist.\nR. L. Ramsay, B.Sc, Director of Recreation.\nK. Woolcock, Pharmacist.\nG. H. Walker, Audio-Visual Department.\nR. Strong, Chief Male Psychiatric Nurse.\nMiss O. J. Smith, B.A., R.N., Instructor of\nNursing.\nMiss C L. Neighbor, B.Sc.(H.Ec), Chief Dietician.\nMrs. K. Feltham, B.A., O.T.Reg., Supervisor,\nOccupational Therapy (Women's Division).\nR. Herring, Supervisor, Occupational Therapy\n(Men's Division).\nJ. D. Addison, Rehabilitation Officer (Men's Division ).\nMiss H. Walsh, B.A., B.L.Sc, Librarian.\nMiss A. D. Dingle, Senior Stenographer.\nConsultant Staff:\nF. A. Turnbull, B.A., M.D., Neurosurgery.\nJames W. Wilson, M.D., CM., F.R.CS.(Can.), M.S.(Minn.), General Surgery.\nGeorge T. Wilson, B.A., M.D., CM., General Surgery.\nR. E. Outerbridge, M.D., F.R.CS.(C), F.A.C.S., Orthopa-dicSurgery.\nBusiness:\nJ. G. Anderson, Assistant Business Manager. W. Gueho, Cashier.\nG. A. Grieve, Cost Accountant. R. Boulter, Steward.\nMiss K. Schwarz, Business Stenographer.\nChaplains:\nRev. John F. O'Neil, Protestant. Rev. Father J. P. Kane, Roman Catholic.\nColony Farm:\nW. B. Richardson, B.Sc(AgricuIture), Superintendent.\n11 Q 12 MENTAL HEALTH SERVICES REPORT, 1955-56\nTHE WOODLANDS SCHOOL, NEW WESTMINSTER\nC. E. Benwell, M.B., Medical Superintendent.\nA. P. Hughes, B.Sc, M.D., Deputy Medical Superintendent.\nA. Gallinger, M.D., CM. Miss M. C. Hardy, Supervisor, Psychiatric Social\nM. C. Ellis, B.Sc, M.D., CM. Work.\nB. Tischler, M.D. H. Mercer, Industrial Arts Instructor.\nH. T. Davidson, D.D.S. J. Lynes, Recreational Instructor.\nMiss V. M. Sanders, R.N., Superintendent of Miss F. Robertson, Occupational Therapist.\nNurses. J. Elliot, Chief Male Psychiatric Nurse.\nMiss J. Ing, B.Sc(H.Ec), Dietician. R. Nash, Instructor, Male Psychiatric Nurses.\nMrs. H. M. Davy, School Principal. Mrs. J. Cliffe, Clerk-Stenographer.\nBusiness:\nW. O. Booth, Deputy Business Manager.\nChaplains:\nRev. P. C. McCrae, Protestant. Rev. Father D. J. McIntosh, Roman Catholic.\nPROVINCIAL MENTAL HOME, COLQUITZ\nL. G. C. d'Easum, M.B., Medical Superintendent.\nH. C Yardley, Deputy Business Manager. P. T. McLeod, Chief Male Psychiatric Nurse.\nGERIATRIC DIVISION\nB. F. Bryson, B.A., M.D., CM., F.A.P.A., Medical Superintendent.\nL. W. Fox, Supervisor, Vernon. W. E. Skillicorn, Supervisor, Terrace.\nCHILD GUIDANCE CLINICS\nU. P. Byrne, M.D., D.P.H., D.I.H., F.A.P.H.A., F.A.P.A., Director.\nG. M. Kirkpatrick, B.A., M.D., Psychiatrist. Miss E. Mackenzie, L.CS.T.(Eng.), Speech\nW. L. Valens, M.D., CM., Psychiatrist. Therapist.\nMiss M. Munro, B.A., M.A., Supervisor, Psy- D. B. Ricketts, B.A., A.M., Supervisor, Social\nchology. Work.\nMrs. M. Harvey, B.A.Sc, R.N., Supervisor, Public Health Nursing.\nMiss J. Maza, Senior Stenographer. REPORT OF MENTAL HEALTH SERVICES\nFor the Twelve Months Ended March 31st, 1956\nPART I.\u00E2\u0080\u0094HEADQUARTERS\nREPORT OF DIRECTOR OF MENTAL HEALTH SERVICES\nR. A. Pennington, Esq., O.B.E., F.C.I.S.,\nDeputy Provincial Secretary,\nParliament Buildings, Victoria, B.C.\nSir,\u00E2\u0080\u0094In compliance with the \" Mental Hospitals Act,\" the Eighty-fourth Annual\nReport of the British Columbia Mental Health Services is submitted herewith.\nINTRODUCTION\nThe magnitude of the problem of maintaining mental health throughout our community cannot be stressed too frequently. Mental health is everybody's business and\nshould have everyone's interest. Every individual has some natural concern about his\nphysical well-being. Physical illnesses are reasonably well understood. It should be\nequally understood that emotional and mental illnesses are just as common as physical\nillnesses. Fortunately most emotional illnesses are resolved with a minimum of discomfort and treatment. More severe illnesses will require varying periods of hospitalization\nin special facilities which have been provided to meet special needs. These special\nfacilities, in general, parallel those which have for many years been provided for the\ncare of physical ailments.\nThus we have established schools for the residential treatment and education of\nthose children who have been born with mental defects, the mentally retarded children.\nSimilarly at the other end of the life-span, special provision has been made for the care\nand treatment of those persons suffering from degenerative disorders of the brain and\nnervous system, the aged population who have mental illness associated with their\nadvanced years. The third group constitutes those persons who are in need of more\nactive treatment for emotional and mental illnesses of numerous types. Here again a\nvariety of treatment facilities is required to meet their special needs. Day hospital and\nout-patient care should be provided for those persons having minor symptoms, or those\nconvalescing from more serious disorders. Short-stay \" in residence\" facilities and\nlonger-term \" in residence \" hospitals have been provided. The preventive and educational aspects of our programme have not been overlooked. The Child Guidance\nClinics give service to normal children showing behaviour difficulties in the home or\nschool settings. A rehabilitation service is required to re-establish the recovered patient\nin the community. There is every indication that prevention and rehabilitation will play\nan increasingly important part in our services.\nThe success of any service of this nature is directly dependent upon the educational\nactivities that accompany it. Particularly important are education within the institutions\nand education within the community. Education within the institutions includes a\ngraduate educational programme in connection with all professional disciplines and\nmore particularly with the medical staff. It means a complete educational programme\nfor nurses, both graduate and undergraduate. Mental-health education within the community has in recent years received great impetus through the formation of a Provincial\nbranch of the Canadian Mental Health Association.\n15 Q 16\nMENTAL HEALTH SERVICES REPORT, 1955-56\nClosely associated with an educational programme and equally essential is an\norganized research programme.\nThe cost of the operation of these departments, with the exception of the voluntary\nagency mentioned above, is absorbed in the general over-all cost of patient-care.\nThis, then, in brief form is the special business of your Mental Health Services.\nDuring the year, 2,855 patients were admitted to the various institutions for \" in residence \" treatment. In spite of this heavy treatment load we were able to conclude the\nyear's activity with a slight increase of twenty-six patients in residence. This is the\nsmallest increment recorded for many years and is due in large part to the active treatment programme which has been carried out.\nAt the close of the year, 6,357 patients were in residence in all institutions.\nTables I and II provide comparative data.\nTable I.\u00E2\u0080\u0094Showing Patients in Residence in the Various Institutions of the Provincial\nMental Health Services, April 1st, 1955, and March 31st, 1956, together with\nIncrease or Decrease.\nInstitution\nIn Residence, Apr\n1, 1955\nIn Residence, Mar.\n31, 1956\nIncrease (+)\nMen\nWomen\nTotal\nMen\nWomen\nTotal\nDecrease (\u00E2\u0080\u0094)\n121\n1,852\n288\n706\n139\n99\n285\n146\n1,672\n502\n396\n125\n267\n3,524\n288\n1,208\n535\n224\n285\n110\n1,846\n281\n719\n144\n102\n289\n147\n1,687\n508\n396\n128\n257\n3,533\n281\n1,227\n540\n230\n289\n\u00E2\u0080\u0094 10\nMental Hospital, Essondale _\t\n+9\n\u00E2\u0080\u00947\nThe Woodlands School \t\n+19\n+5\nHome for the Aged, Vernon.__ \t\nHome for the Aged, Terrace _ _\n+6\n+4\nTotals\n3,490\n2,841\n6,331\n3,491\n2,866\n6,357\n+26\nTable II.\u00E2\u0080\u0094Showing in Summary the Admissions and Population Increase of the Provincial Mental Health Services for the Ten-year Period April 1st, 1946, to March\n31st, 1956.\nYear\nTotal\nAdmissions\nAdmissions\n65 Years\nand Over\nAdmissions\nunder\n15 Years\nVoluntary\nAdmissions\nPopulation\nIncrease\nIndex of\nIncrease1\n1946-47 \t\n1947-48\n880\n1,111\n1,260\n1,415\n1,811\n2,175\n2,518\n2,437\n2,492\n2,855\n207\n225\n270\n230\n262\n306\n357\n347\n348\n392\n52\n69\n63\n72\n148\n97\n179\n169\n71\n58\n40\n91\n165\n297\n504\n637\n768\n834\n884\n1,153\n140\n316\n354\n306\n235\n285\n290\n215\n88\n26\n15.91\n28.44\n1948^19- \t\n1949-50 \t\n1950-51 \t\n28.09\n21.62\n12.98\n1951-52 _\n1952-53 ., \t\n1953-54 \t\n13.05\n11.54\n8.82\n1954-55 \t\n1955-56 \t\n3.53\n0.91\nTotals \t\n18,954\n2,944\n978\n5,373\n2,255\n1 Percentage ratio of increase in population to admissions.\nThe total expenses for the year's operation were $10,293,638.\nThe following is the cost of a patient-day of care in the various branches of our\nservice:\u00E2\u0080\u0094\nCrease Clinic $9.91\nProvincial Mental Hospital 4.18\nThe Woodlands School 4.55\nHomes for the Aged 3.93\nAverage all Mental Health Services 4.44 HEADQUARTERS Q 17\nTo provide the necessary treatment for the 6,300 patients under care and the other\nservices mentioned above required a total of 2,465 personnel, including students. Great\ndifficulty has been experienced in maintaining a stabilized staff throughout the year.\nThe percentage turnover for the entire staff was 30.15 per cent. We have not been\nable to recruit replacements in the departments of social service, psychology, and occupational therapy. It has not been possible to recruit specialists in psychiatry to meet our\nexpanding demands. These deficiencies greatly impede the treatment programme and\nincrease patient hospital-days.\nI would draw your attention also to the fact that there is an increasing dilution of\ntrained nursing staff. In the Essondale area 55.2 per cent of the male nursing staff is\ntrained but only 36.6 per cent of the female nursing staff is trained. In The Woodlands\nSchool 43.8 per cent of the male staff is trained and 41.6 per cent of the female staff.\nThese percentages will deteriorate further with the opening of the new unit at the School\nnext year.\nSTATISTICAL COMMENTS\nThe Division of Vital Statistics, Health Branch, Department of Health and Welfare,\nhas been responsible for the preparation of our statistical tables.\nTable I indicates that we were able to conclude the year's treatment activities with\na small increase of twenty-six patients. Particularly remarkable is the fact that in the\nMental Hospitals division there was only an increase of two patients. Great credit goes\nto the staff in this area, who, through an activated treatment programme, have been able\nto show such remarkable results.\nAn increase of nineteen patients was recorded for The Woodlands School. This does\nnot indicate the increasing pressure for admission to this division. No new accommodation was opened during the year, and accordingly few additional pupils could be accommodated. At the end of the year 309 applications for admission had been deferred.\nIn the Homes for Aged division, an additional fifteen patients were in residence at\nthe end of the year. Here again the demand for admission exceeds the accommodation,\nand at the year-end 114 applications for admission were deferred.\nReference to Table II reveals that once again there has been a significant increase\nin the total admissions to the Provincial Mental Health Services. Specifically we have\nadmitted to care 2,855 persons, an increase of 363 over the previous year. Most of the\nincrease has been to the Crease Clinic, where 266 more persons sought early active\ntreatment than in 1954-55.\nAdmissions in the over-65-years group were higher than recorded in previous years.\nAdmissions under 15 years of age were restricted due to lack of accommodation in The\nWoodlands School. The rapid increase in voluntary admissions indicates an improved\ntreatment service, a more enlightened public, and less reluctance on the part of the patient\nto seek early treatment.\nSTATISTICAL STUDIES ON SCHIZOPHRENIA\nWe have during the year carried on a series of statistical studies on schizophrenic patients treated\nin the Provincial Mental Hospital and Crease Clinic. The valuable assistance of the Division of Vital\nStatistics of the Health Branch in these studies is acknowledged.\nThe material to follow is a summary of these studies, but before presenting the findings we have\nprovided a statement on the general nature of schizophrenia together with an outline of the newer\ntreatment methods that have made possible the reduction of the period of hospital residence for the\nillness.\nThe Nature of Schizophrenia.\u00E2\u0080\u0094Schizophrenia is the name applied to a group of mental disorders\nwhich have in common a kind of personality damage in which the sick person sees circumstances about\nhim in a distorted fashion and reacts by isolating himself from his fellows or by acts of retaliation.\nThough it does not shorten life, it is the most disabling of all diseases. Unchecked, it obliterates the\nrichness and variety of feeling and activities of which the personality is capable. As a consequence, it\nlowers its victim's ability to use his intellect and blunts his motivation. Socially, he becomes a misfit. Q 18 MENTAL HEALTH SERVICES REPORT, 1955-56\nIn his occupation he loses efficiency and may become unemployable. If his behaviour cannot be\ntolerated in his own community, he may spend long periods of time confined to a mental hospital.\nTrends in Treatment.\u00E2\u0080\u0094Up until this century, society's reaction to this disorder has been predominantly one of fear and rejection. In the name of humanity, large institutions were able to give care\nand supervision to the sufferers, but the contribution these asylums could make to their residents was\nblighted by a general feeling of hopelessness.\nIn this century the asylums have been converted into mental hospitals, where a new view-point has\ntaken hold. Some aspects of schizophrenia are now understood, and a treatment programme has been\nformulated in accordance with greater knowledge, which has improved the outlook for recovery from\nthis disease. In this respect, schizophrenia is not remarkably different from a number of other medical\ndisorders, such as Bright's disease or diabetes, which are not yet fully understood, yet for which\nmethods of treatment and management have been devised, which are effective and which make it\npossible for the afflicted individual to look forward to restoration of his health.\nSchizophrenic patients are poor competitors, they do not socialize well, and they react poorly to\nfrustrations, hence occupational and recreational therapy are provided to promote a sense of accomplishment and relaxation within a social group. Schizophrenia may have certain constitutional features,\non which light is being thrown by further research, but it is also a product of a tangled emotional life.\nThe patient is now accorded opportunities to discuss his problem with his physician, his nurse and his\nsocial caseworker, in ward meetings, group psychotherapy sessions, and individual psychotherapy\nappointments.\nPhysical Treatments.\u00E2\u0080\u0094The introduction of physical methods of treatment has provided a major\nbreak-through which has made possible the application of the social and personal methods of treatment\nreferred to above. Insulin coma therapy is still the most reliable and effective method of submerging\nthe major symptoms of schizophrenic illness in a short period of time. The electrical therapies have\ncontributed to reduce the number of hours a patient needs to spend secluded from the rest of the ward\nbecause his behaviour is agitated or violent. Severe cases of the disorder, which have not responded to\nany other measures, have been brought back into the social environment of the hospital for further\ntherapeutic activity by the use of the lobotomy operation. More recently, new drugs called \" tranquillizers,\" which quieten the patient and relax him without putting him to sleep, have offered a further\navenue for providing comfort and relief from severe tensions, anxiety, and agitation, which so frequently mark schizophrenia in its acute phase. Good facilities and, more important, good staff make\na treatment programme successful and rehabilitate more patients to the community.\nReturning the Patient to the Community.\u00E2\u0080\u0094For the recently sick, it is imperative that community\nties be maintained during the period of their hospital care. For those long sick, much effort must be\nexpended in restoring opportunities for normal community life. In this way, the patient, once free of\nhis illness, is able to adapt to life outside the hospital.\nIncidence of Schizophrenia. \u00E2\u0080\u0094 The incidence of schizophrenia in British Columbia cannot be\naccurately measured by the experience of the Provincial Mental Health Services alone since there are\nother public and private psychiatric facilities available to people suffering from this illness. It is\nknown, however, that 97 per cent of the average daily in-patient population of the Province is cared\nfor in Provincial Mental Health Services institutions.* It is therefore apparent that the experience of\nthe Provincial Mental Health Services should vary slightly from the over-all Provincial experience for\nmost diagnostic groups of mental disorders.\nThe combined first admissions to the Crease Clinic and Provincial Mental Hospital totalled 1,994\nin 1955-56; 1,471 of these were in the age-group 15 to 59 years. Of the total first admissions to these\ninstitutions, 512 patients were diagnosed schizophrenia, and 494 of the schizophrenic patients fell into\nthe age-group 15 to 59 years. Thus one of three first admissions to the Crease Clinic and Provincial\nMental Hospital in the age-group 15 to 59 years suffers from schizophrenia.\nIt was estimated that in 1955 there were in British Columbia 732,300 persons in the age-group 15\nto 59 years. Thus the ratio of first admissions (1,994) to the Crease Clinic and Provincial Mental\nHospital to the total population in the 15-59 age-group was 1 to 500. The ratio for first-admission\nschizophrenic patients (494) to the total population in the 15-59 age-group was found to be 1 to 1,480.\nIt may add emphasis to this ratio to state that in 1955-56 one adult out of 1,480 in the Province\nbecame known to the Provincial Mental Health Services as a person suffering from schizophrenia.\nOn December 31st, 1955, a census of the patients in residence in the Provincial Mental Hospital\nwas taken. It was found that the total population of the hospital was 3,745, of whom 2,383 or 64 per\ncent were schizophrenic patients.\nIt was noted that 2,308 or 97 per cent of the schizophrenic patients were over 25 years of age.\nThe Provincial population over 25 years of age in 1955 was estimated to total 769,900. Thus there\nwas one hospitalized schizophrenic patient to every 330 people over the age of 25 living in British\nColumbia.\n\u00E2\u0080\u00A2 \" Mental Health Statistics,\" Dominion Bureau of Statistics, Ottawa, 1954, p. 149. HEADQUARTERS\nQ 19\nThe figures of December 31st, 1955, represent only a portion of the schizophrenic patients receiving treatment during 1955-56. When all schizophrenic patients under care of the Mental Health\nServices in 1955-56 are considered, it is found that the ratio of schizophrenic patients aged 25 or more\nto the general population in the same age-group drops to approximately 1 to 250.\nTrends in the Duration of Hospital Residence of Schizophrenic Patients.\u00E2\u0080\u0094From the data presented\nabove it is evident that schizophrenia is the mental disorder that is contributing most to the problems\nassociated with providing sufficient accommodation for the care and treatment of mentally ill patients\nin Provincial hospitals.\nIn order that the modern treatment philosophy and techniques already discussed might be evaluated, a study of the duration of hospital residence of schizophrenic patients was undertaken.\nThe years 1933 and 1934 were taken as representative of the late \" custody \" era in mental hospitals before the physical and social therapies were introduced. This period was designated the \" pre-\ntreatment period\" in the study. The years 1948 and 1949 were selected to represent the \"treatment\nperiod.\"\nRandom samples of first admissions who were diagnosed schizophrenia were taken for each\nperiod. The patients in the samples were followed for five years, and their histories of death, escape,\ndischarges, and readmission were recorded.\nTable A shows the age-sex distribution of the patients included in the two samples. There was a\nshift in the sex ratio of first admissions between the two periods that made the comparison between the\nfemale patients biased. The age distribution of admissions, on the other hand, showed relatively little\nchange.\nThe change in sex ratio is difficult to assess quantitatively. It is thought, however, that in the\n\" treatment period \" the public was more inclined to arrange for the care and treatment of female\nschizophrenic patients in mental hospitals. This change, of course, would result in patients coming to\ntreatment earlier in the course of the illness, when the prognosis is more favourable. However, it\nwould be extremely unlikely that any reduction in the length of time female patients were required to\nremain in hospital could be attributed solely to this factor.\nTable A.\u00E2\u0080\u0094First-admission Schizophrenic Patients Admitted to Mental Hospitals according to Age and\nSex, Provincial Mental Health Services, British Columbia, 1933-34 and 1948-49\nAge\n1933-34\n1948-49\nMale\nFemale\nTotal\nMale\nFemale\nTotal\n0 to 24 years\t\n25 to 49 years\t\n50 years and over \u00E2\u0080\u0094\n15\n53\n19\n3\n32\n6\n18\n85\n25\n23\n46\n15\n11\n55\n12\n34\n101\n27\nTotals \t\n87\n41\n128\n84\n78\n162\nIn addition to the change in the sex ratio of patients between the two periods, there was also a\nchange in the death rate. Of the 128 patients in the 1933-34 group, 17 or 13 per cent died within five\nyears. Tuberculosis was the cause of death in nine of these patients.\nIn the 1948-49 period only eleven patients (7 per cent of the group) died, and none of these\ndeaths was from tuberculosis.\nAlthough there was a reduction over time in the ratio of deaths, it is not statistically significant.\nOn the other hand, it is however very significant that deaths from tuberculosis dropped from nine in\nthe first period to none in the second period. This decline in the mortality rate for tuberculosis\nparallels the reduced mortality from tuberculosis experienced in the general population since 1947.\nThere was a statistically significant increase in the percentage of patients discharged within five\nyears of admission in the second or treatment-period group. Chart 1, which shows the cumulative\npercentage distribution of patients discharged in less than the periods of time shown on the horizontal\naxis, displays the reduction in the length of stay.\nAfter six months 10.3 per cent of the patients in the early period had been discharged, as\ncompared to 20.1 per cent in the later period.\nAt the end of four years 74.0 per cent of the 1948-49 first admissions had been discharged alive,\nwhereas only 51.9 per cent of the 1933-34 first admissions had been discharged.\nWhile it is not possible to say that the reduction in the length of time in hospital was entirely due\nto improved treatment, it is known that the only major changes in patient-care between the two periods\nwas the introduction of physical treatments and an increasing emphasis upon social therapies. It can\ntherefore be assumed that the change in treatment was the major factor in producing the reduction in\nthe period of hospital residence. Q 20\nMENTAL HEALTH SERVICES REPORT, 1955-56\nChart 1.\u00E2\u0080\u0094Length of Stay of First-admission Schizophrenic Patients in Mental Hospitals\nof Provincial Mental Health Services, British Columbia, 1933-34 Compared to\n1948^9.\n6 MONTHS 1 YEAR 2 YEARS 3 YEARS\nLENGTH OF STAY LESS THAN\n4 YEARS\n5 YEARS HEADQUARTERS\nQ 21\nChart 2.\u00E2\u0080\u0094Length of Stay of First-admission Schizophrenic Patients in Mental Hospitals\nof Provincial Mental Health Services by Sex, British Columbia, 1933\u00E2\u0080\u009434 Compared\nto 1948^49.\n6 MONTHS 1 YEAR\n2 YEARS 3 YEARS\nLENGTH OF STAY LESS THAN\n4 YEARS\n5 YEARS Q 22\nMENTAL HEALTH SERVICES REPORT, 1955-56\nChart 2 depicts the changing pattern in the length of stay of schizophrenic patients according to\nsex. The greatest reduction in length of stay was for women. This change was commented upon\nabove, but it is considered that increase of 34.3 per cent in the discharges within five years of\nadmission is principally attributable to changes in the treatment programme.\nIn 1951 the Crease Clinic of Psychological Medicine was opened to provide short-term care for\ncases of acute mental illness. This altered the type of schizophrenic patient that was thereafter\nadmitted to the Provincial Mental Hospital.\nIn 1955-56 the Mental Health Services received a total of 512 first-admission schizophrenic\npatients. The Crease Clinic received 410 of the total and discharged them in four months or less.\nMany of the patients who require more extended treatment than that provided in the Crease Clinic are\nsubsequently admitted to the Mental Hospital. Thus the Crease Clinic acts as a screening centre for\nthe more difficult cases. A follow-up study of the first-admission patients to the Mental Hospital in\n1952 reveals this situation.\nIn 1952 there were 165 first-admission schizophrenic patients received in the Provincial Mental\nHospital. Six died within the 4I/2-year study period. It was found that 54 or 33 per cent of the 165\npatients had previously received treatment in the Crease Clinic, and that only 19 or 35 per cent of\nthese 54 were discharged during the 4'/i-year study period. Of the remaining 105 first admissions who\nlived, 58 patients or 55 per cent were discharged within the 4Vi-year period.\nThe difference in the percentage of patients discharged within the 4J/i-year study period who had\nand who had not had previous treatment in the Crease Clinic is statistically significant. It is strong\nevidence in favour of the statement that the Crease Clinic serves as a screening centre for some of the\nschizophrenic patients who do not respond quickly to treatment. Over all, only 48 per cent of the 165\nfirst-admission schizophrenic patients were discharged within the 4Vi-year study period. Thus it is\napparent that patients with this diagnosis tend to accumulate in the Mental Hospital.\nOur studies show that approximately one-third of patients admitted to the Provincial Mental\nHospital are diagnosed schizophrenia. It is also known that two-thirds of the patients resident in the\nHospital on December 31st, 1955, were suffering from schizophrenia. It is therefore evident that\nfuture requirements for an increase in bed capacity will be largely influenced by the schizophrenic\npatients in the hospital population.\nSome indication of future needs is derived from Table B, which shows that the schizophrenic\npopulation in the Mental Hospital has been increasing since 1952-53 at an over-all rate of 60.5 patients\nper year. The decreases in schizophrenic population of the Mental Hospital for 1950-51 and 1951-52\nreflect the movement of long-time hospital residents to newly opened accommodation in the Homes for\nthe Aged where special care for the senile psychotic was available.\nTable B.\u00E2\u0080\u0094Annual Net Increase or Decrease of Schizophrenic Patients in the\nProvincial Mental Hospital, Essondale, 1951-56 Fiscal Years\nYear\nAdmissions\nSeparations\nNet Increase (+)\nor Decrease (\u00E2\u0080\u0094)\n1950-51 _ _ ... ... . _ _ - -\n1951-52 .. _ \t\n1952-53..\u00E2\u0080\u009E__ - - - \t\n1953-54 _ .. \t\n413\n304\n461\n364\n354\n402\n477\n401\n377\n323\n297\n342\n\u00E2\u0080\u009464\n-97\n+84\n+41\n1954-55 -\n+57\n+60\n1955-56 . . - -\nBUILDING PROGRAMME\nThe construction of the North Lawn Building at the Mental Hospital was completed\nduring the year. This building was let to contract on May 5th, 1953, and was turned\nover from the Kennett Construction Company on February 7th, 1955. The building will\nprovide accommodation for 230 patients, and will be utilized for the treatment of mental\npatients throughout the entire service who are suffering from all forms of tuberculosis.\nIn addition, the lower floor will provide a group of small wards for the early isolation of\nacute infectious conditions.\nThe official opening of this unit was held on the afternoon of May 4th, 1955. The\nDeputy Provincial Secretary, Mr. R. A. Pennington, acted as chairman. Government\nrepresentatives included the Provincial Secretary, the Honourable Wesley D. Black, and\nthe Minister of Public Works, the Honourable W. N. Chant. In addition, the platform\nparty included the Rev. J. F. O'Neil and Father J. P. Kane, hospital chaplains; Mr. A. F. HEADQUARTERS\nQ 23\nOfficial opening of North Lawn Building, May 4th, 1955.\nM.;;;\nV V-\nMliliftss\nfglslMl\n..&.-. --C ;;i:;rt>-v:-\u00C2\u00BB# \"^\u00E2\u0096\u00A0\u00E2\u0096\u00A011\nPublic reception at opening of North Lawn Building. Q 24 MENTAL HEALTH SERVICES REPORT, 1955-56\nKennett, president of the Kennett Construction Company; and Mr. Clive Campbell,\nDeputy Minister of Public Works. Following the official ceremony, the building was\nopened for inspection and tea was served in the spacious dining-rooms. Some 600 people\navailed themselves of the opportunity to see the new unit.\nThe building was occupied by the first group of patients on May 10th, 1955.\nTenders were called during the year for a new public service building, to be centrally\nlocated in the grounds and to serve as a bus depot. This building houses the post office,\nthe Credit Union office, a central office for the volunteers, and a tuck-shop and coffee-bar\nto be operated by the Canadian National Institute for the Blind. In addition, public\nwashrooms are provided. Construction was commenced on April 6th, and the building\nwas opened in September, 1955. The building presents a very handsome appearance and\nadds much to the convenience of the patients and staff, as well as those visitors who are\narriving and departing by bus.\nTenders were called for the construction of a new Child Guidance Clinic and Mental\nHealth Centre in Burnaby on June 19th, 1954. Construction was started on August 18th,\n1954. The Child Guidance Clinic has for years been operating in very overcrowded\nquarters, and the work, as a result, has been greatly handicapped. The Mental Health\nCentre will provide an entirely new type of service and will function as an out-patient\ndepartment and as a day-hospital. The construction was completed in November, 1955.\nThe Child Guidance Clinic moved into its new quarters in December, 1955. The opening\nof the Mental Health Centre has been delayed, as this is a new service and has to be\norganized and additional staff obtained before it can function. The project covering the\npurchase of furniture and equipment under Federal health grants has been approved, and\nthe Purchasing Department is now in the process of receiving tenders.\nTenders were called for the construction of a new large unit at The Woodlands\nSchool in October, 1954, and the contract was let to Dawson & Hall Limited. Excavation\nwas started on December 20th, 1954. Construction is progressing according to schedule,\nand the building will be ready for occupancy by January 1st, 1957.\nPlans are in the final stages for a gymnasium-auditorium building to be constructed\nat The Woodlands School. This building should be ready for tender early in the new\nfiscal year.\nTenders were called for a new 300-bed unit in connection with the Home for the\nAged, Port Coquitlam, on February 16th, 1956. The contract was let to the Beaver\nconstruction Company, and excavation was started on March 15th, 1956. This unit will\nprovide for an admission service and a large infirmary area for both men and women.\nPlans have been completed for the construction of a new Nurses' Home and Training\nCentre to be located at Essondale. This building will provide accommodation to house\nan additional 100 student-nurses, and will also provide adequate space to house the\nSchool of Psychiatric Nursing. The School has been handicapped over the years by\ncarrying out its activities in attics and basements. Tenders for this building were called\nin March, 1956, and it is anticipated that the contract will be let early in the coming\nfiscal year.\nThe general maintenance of a plant of this magnitude requires a great deal of work\nand expenditure. During the past year the Public Works Department has accomplished\na great deal. I would refer you elsewhere in this Report for details of work completed.\nThe department is still handicapped by understaffing, and, as a result, the general maintenance is falling behind in many areas.\nGENERAL COMMENTS\nThe twenty-fourth graduation ceremony of the School of Psychiatric Nursing was\nheld on April 21st, 1955. The exercises were held in the New Westminster Junior High\nSchool auditorium, and a capacity audience of 1,200 people was on hand. Mr. R. A. HEADQUARTERS\nQ 25\nNew tuck-shop at Essondale, opened September, 1955.\nNew Essondale post office, opened September, 1955. Q 26 MENTAL HEALTH SERVICES REPORT, 1955-56\nPennington, Deputy Provincial Secretary, acted as chairman. The Honourable Wesley D.\nBlack, Provincial Secretary, brought greetings to the class from the Government. The\nguest speaker was Dr. L. E. Ranta, Assistant Director of the Vancouver General Hospital.\nAs usual the arrangements were carried out efficiently by a well-organized staff. Refreshments were served at the conclusion of the exercises.\nMental Health Week was held during the first week of May, as has been the practice\nduring the past few years. This week is observed throughout Canada and the United\nStates as an opportunity to focus the public attention on matters pertaining to mental\nhealth. The responsibility for planning the week's activities was undertaken by the educational committee of the Canadian Mental Health Association, British Columbia Division. This year's educational effort during Mental Health Week was thought to be one\nof the most successful efforts yet undertaken. Large public meetings were held in Vancouver, Victoria, Nanaimo, and Kelowna. The attendance at all of these meetings was\nvery good. Members of our service participated in all meetings. Dr. Valens was very\nactive in the Nanaimo group and Dr. McNair in the Kelowna activities. In addition,\nmany radio announcements and broadcasts were made. A great deal of attention was\nfocused on the volunteer programme in a special radio broadcast in which Mrs. R. B. Kerr\nand Mrs. Rex Eaton were interviewed. I was privileged to appear on a televised interview\nprogramme over CBUT. The Mental Health Services put on a display which was located\nin the Hudson's Bay Store. The official opening of the North Lawn Building was\nscheduled as a feature of Mental Health Week.\nThe annual sports day is an event of great importance in the life of our patient\npopulation. This year's event at Essondale was held on August 19th. The weather\nturned out to be very fine, and some 1,500 patients spent the full day on the grounds\nenjoying the activities. A group of volunteers gave assistance to the Recreational Department, and the grounds took on a carnival aspect due to the addition of many new concessions, with games of skill and chance being operated by volunteer workers. This\ngreatly increased the scope of the activities and allowed for a much greater patient\nparticipation. The Vancouver Firemen's Band, as usual, provided music throughout the\nday. A large lunch-counter was set up under the trees, where hot-dogs, ice-cream,\ncookies, and soft drinks were served. The Honourable Lyle Wicks, Minister of Labour,\nvisited the grounds and later toured the North Lawn Building.\nIncreasing efforts are being made at The Woodlands School to integrate the programme of the School with community activities. To this end I am very pleased to report\nthat a Boy Scout group and a Cub group have been organized. This has been made\npossible through the initiative and work of two staff members, Mr. McKenzie and\nMr. Webb. A good deal of credit goes to these employees in starting these two activities.\nThe inaugural ceremonies were carried out on June 9th, 1956, under the direction of\nDr. A. L. Cornish, District Scout Commissioner, and Mrs. D. Johnstone, Assistant Divisional Cubmaster. The colours were dedicated and presented by the Rev. G. Stegens.\nThe groups have been provided with suitable meeting quarters and uniforms. The usual\nscouting and cub activities have been carried out through the year, and the boys are very\nenthusiastic. The first outdoor activity was held on August 30th, when fifteen boys were\ntransported to the Scout Camp at Haney for their first experience in camping. Five tents\nwere pitched, and the Scouts were instructed in the various activities required for the\ntenderfoot tests.\nOther community activities for the pupils of The Woodlands School have been started\nby the New Westminster Association for Handicapped Children. This group is an affiliated chapter of the Association for Retarded Children of British Columbia. The local\nassociation has recently organized a sheltered workshop in a clubroom in the Wosk Building in the city. This clubroom is supervised by the association and is available to the\npupils of the School who have the privilege of going to the city. Six boys are presently HEADQUARTERS\nQ 27\nemployed in the shop and work each Tuesday and Friday afternoon. The products of\ntheir labour are sold, and the proceeds are given in part to the boys. The remainder is\nused in furthering the work of the shop.\nI am pleased to report that the Committee on Approval of Hospitals of the Royal\nCollege of Physicians and Surgeons of Canada has approved the Crease Clinic for\nadvanced graduate training in general surgery. This approval is designated for the\ntraining of one trainee for one year. The approval has been obtained as a result of\nrepresentations made by the University of British Columbia, Department of Surgery.\nOne resident Grade 2 position will be held for this purpose. The appointee will be\nselected by the University. This will improve our surgical service, inasmuch as we will\nalways be able to have a senior resident in surgery available. It further enhances the\nstature of the Crease Clinic with the Royal College of Physicians and Surgeons. We still\nhave only one year's provisional approval for the training of psychiatrists, but it is hoped\nthat a satisfactory curriculum may be worked out with the University which will be\nacceptable to the Royal College for a three- or four-year training programme.\nDr. McNair and I had the privilege of appearing before the Legislative Standing\nCommittee on Social Welfare and Education during the session of the Legislative\nAssembly. An effort was made to interpret to the members the general nature and\nfunction of the different divisions of the Mental Health Services and, more particularly,\nthe changed attitudes in treatment within the mental hospital areas.\nCanadian Mental Health Association volunteers meet to discuss the programme\nof the day with the staff co-ordinator.\nI am pleased to report that the Canadian Mental Health Association headquarters\nis taking a more active part in surveying mental hospital needs in Canada and in setting\nforth matters of policy for the guidance of Provincial developments. I attended the\nannual meeting of the Scientific Planning Council held in Toronto on February 24th and\n25th. A great deal of work was done during the year by a committee who conducted a\nsurvey of needs and who presented a draft report to the Council. The association will\n_ Q 28\nMENTAL HEALTH SERVICES REPORT, 1955-56\nbe making recommendations whereby mental hospital planning in the future will be\naround the provision of small regional hospitals to be located in the areas which they\nwill serve and preferably to be closely associated with already existing medical and\nuniversity facilities. It will be recommended that the mental hospital of the future should\nbe ideally a unit with a capacity of 300 patients and not to exceed 600 patients. This\nTyhurst Report will be available in a few months.\nThe British Columbia Division of the Canadian Mental Health Association has been\nvery active during the year. The programme as carried out by the association has benefited the Mental Health Services indirectly through its general educational activities and\ndirectly through the activities of the volunteer group and the apparel-shop. The annual\nmeeting, held on January 24th, 1956, was well attended. The president for 1956 is\nMrs. Gordon Selman. Senior staff members of our services are in close touch with the\nassociation. In addition, the British Columbia Psychiatric Nurses' Association has given\nvaluable assistance. The work of the association is carried out by standing committees.\nA general view of the apparel-shop for women operated by volunteers of the\nCanadian Mental Health Association.\nThe volunteer programme as developed by the association continues to be of great\nbenefit to our patients in the Crease Clinic, the Mental Hospital, and the Port Coquitlam\nHome for the Aged. The volunteer group now has seventy-five men and women actively\nengaged in these activities. During the year the volunteers undertook to open and operate\nan apparel-shop for women. An area was set aside in the East Lawn Building and a\ntypical ladies' apparel-shop was designed and equipped. Women of the association collected a better class of clothing of all types, as well as accessories. The shop was formally\nopened on November 3rd. The opening was preceded by a very fine fashion show, which\nwas held in Pennington Hall. The show was professionally staged by professional models\nwho donated their services. The event was organized by the Canadian Mental Health\nAssociation and under the direction of Mrs. Winnifred Mather, fashion editor of the\nVancouver Daily Province. This was one of the outstanding events of the year from the HEADQUARTERS\nQ 29\npatients' point of view, and a capacity audience attended. The shop operated two days\na week during the early stages of development, but this was soon found insufficient to\nmeet the demands. Twenty-three volunteers have been assigned to its operation. During\nthe first month of operation, 128 women were completely outfitted. The response from\nthe public in donating a better class of clothing articles has greatly exceeded expectations.\nThe shop was planned to serve those patients who are being readied for discharge and\npatients who have ground freedom privileges. However, supplies have been such that\nmany other patients have been outfitted. In addition to clothing, the shop carries a wide\nselection of hats, shoes, costume jewellery, and cosmetics.\nIt is planned to open a similar shop for the men in the near future. It is further\nplanned by the association to initiate a gift programme for patients for next Christmas.\nA great deal of the work of collecting Christmas gifts and clothing is being carried out\nby the newly formed branches of the association. During the year, branches have been\nformed in Victoria, Nanaimo, Kelowna, and Trail.\nThe work of the association has been financially assisted by a grant from the British\nColumbia Government, and it is strongly urged that this financial support be continued.\nI am pleased to report that the Association for Retarded Children of British Columbia has had a very successful year. The work of this association is expanding, and, at the\ntime of writing, twenty-one chapters throughout the Province have been affiliated with\nthe parent body. Twenty community schools for retarded children are in operation.\nThe annual meeting of the association was held on May 13th, 1955. Dr. C. G.\nMcNeill, of North Vancouver, was elected as president. Government advisers were\nnamed as follows: Department of Education, Mr. F. P. Levirs; Mental Health Services,\nDr. A. M. Gee; Department of Health, Dr. G. R. F. Elliot; Department of Welfare,\nMiss A. K. Carroll and Mr. J. A. Sadler.\nThe organization formally advised the Department of Education that the Association\nfor Retarded Children of British Columbia had been incorporated and financial aid on\na planned scale was requested for private schools operating for retarded children under\nthe approval of the association. Arrangements were later made for a meeting of representatives of the association with the advisory panel and officials of the Department of\nEducation. A suitable formula was worked out whereby the Department accepted financial responsibilities for the community education of the retarded child. This arrangement\nhas greatly enhanced the work of the various chapters.\nIt is hoped that the work of this organization will do much to alleviate the pressure\nfor admission to The Woodlands School. Continued Government assistance is recommended.\nThe mental-health training programme under the direction of the Vancouver School\nBoard will be concluding its first year of training in June, 1956. The project is under the\ndirection of Mr. Russell McKenzie, whose salary is provided by a Mental Health Grant;\notherwise the programme is financed by the Vancouver School Board. Seven teacher-\ncounsellors from the Vancouver School District and one from the Municipality of Richmond are enrolled.\nThe training experience is designed to acquaint the teacher-counsellors with the\nmental-health implications of child development, of community and family living, and of\nthe educational process. The aims of the programme are to provide an experience which\nwill give insight into the developmental needs of the child and provide the counsellor\nwith knowledge of techniques which will assist in the promotion of positive mental health\nthroughout the school system.\nWorking within the community of schools, the Counselling Co-ordinator will act as\na liaison between the schools and the various social and mental-health agencies. He will\nhave complete knowledge of the community assets, and will be able to interpret the work\nof the various agencies to the school. It is felt that this programme is very worth while, Q 30 MENTAL HEALTH SERVICES REPORT, 1955-56\nand that the Vancouver School Board is to be commended for initiating this important\ntraining aspect of mental health.\nThe Alcoholism Foundation of British Columbia concluded its first year of operation\nin Vancouver. The annual meeting was held on April 28th, 1955. This year of operation\nhas seen the foundation develop into an active therapeutic agency which is expanding\nrapidly. The Mental Health Services are represented on the board of trustees by Dr.\nW. E. Powles.\nThe Narcotic Addiction Foundation of British Columbia came into being during the\nyear. The organization follows the pattern recommended by the Community Chest.\nA small pilot treatment centre is planned for the reception and treatment of a selected\ngroup of addicts. Dr. A. E. Davidson represents the Mental Health Services on the\nboard of directors.\nThe National Advisory Committee on Mental Health of the Department of National\nHealth and Welfare meets annually and does much to shape policy matters relative to the\nmental-health programme of Canada. A Sub-committee on Training has been dealing\nduring the past three years with the development of a psychiatric nurses' training programme which would be acceptable to all Provinces. Recent meetings have been attended\nby representatives from the Canadian Registered Nurses' Association and the Psychiatric\nNurses' Association. A core committee is exploring a suitable curriculum of training and\nstudying the administrative arrangements which would be necessary to establish a combined training programme whereby students might graduate with both psychiatric and\ngeneral nursing qualifications. Those students desiring to qualify only in psychiatric\nnursing would still be allowed to do so in the present two-year period. Those wishing\ndual qualifications would be required to enrol in a four-year course. This should raise\nthe standard of our own training programme, and should provide for a better integration\nof psychiatric nursing into general nursing. It is hoped that it will stimulate the recruitment of a good quality of students. It was the hope of the central committee that a pilot\ntraining project might be initiated in British Columbia. The core committee referred to\nabove is chaired by the Director of the School of Nursing at the University of British\nColumbia. To date the following decisions have been reached:\u00E2\u0080\u0094\n(1) That the University of British Columbia should be asked to assume the\nresponsibility for the training programme. If this is accepted by the\nUniversity, it would mean that both the combined course and the psychiatric nurses' training course would be the responsibility of the University,\nand that graduation would be by university diploma or certificate.\n(2) That the Royal Columbian Hospital should be asked to participate in the\ntraining programme.\n(3) That a task committee be appointed to formulate the psychiatric nursing\nportion of both courses. This committee has been working on the curriculum aspects for some time. When this work is completed, the whole\nmatter will again be referred to the Sub-committee on Training and for\nfinal approval of the National Advisory Committee. In this manner it\nis hoped that a training programme will be developed which will be a\nstandard pattern acceptable to all training-schools in Canada.\nMENTAL HEALTH GRANT\nThe Government of Canada for the eighth year made a Mental Health Grant available to this Province. The grant is administered by the Department of National Health\nand Welfare. We continue to enjoy cordial relations with the officials of the Federal\nDepartment, and particular mention should be made of their understanding of the needs\nof our newer services, such as the Mental Health Centre. HEADQUARTERS\nQ 31\nIn 1955-56 the total grant available to British Columbia was $606,628. Projects\ntotalling $606,025 or 99.9 per cent of the grant were prepared by us and approved in\nOttawa. Claims totalling $499,927 or 82.4 per cent of the grant were made up to the\nend of the fiscal year.\nThe major areas of expenditure this year are as noted hereunder.\nPROFESSIONAL TRAINING\nBursaries for postgraduate training of key members of the psychiatric treatment team were\nprovided for staff members, as follows:\u00E2\u0080\u0094\nDr. Ian S. Kenning completed one year of postgraduate study in psychiatry at McGill University\nin August, 1955.\nDr. G. A. Nicolson completed one year of postgraduate study in pathology at the University of\nToronto in July, 1955.\nMr. J. W. Borthwick concluded his studies in clinical psychology at the University of Washington\nin September, 1955.\nMrs. G. Ripley completed the course in supervision in psychiatric nursing at the University of\nBritish Columbia on May 1st, 1955.\nMr. D. Ricketts completed his postgraduate course in social work in the New York School of\nSocial Work in May, 1955.\nDr. T. G. Caunt, Mr. F. A. Matheson, and Mr. C. B. Watson attended the Seventh Mental\nHospital Institute of the American Psychiatric Association, held in Washington, D.C., in October.\nMrs. Margaret Harvey attended a postgraduate course in mental health for public health nurses\nat the University of Minnesota in March and April, 1955.\nDr. M. O. Calverley attended the course in practical psychiatry at the University of Washington\nin July.\nMiss Dorothy Janishewski and Mr. George Kenwood, of the nursing staff and School of Psychiatric Nursing respectively, attended the Laboratory on Group Development at Lake Quinault, Wash., in\nAugust.\nMiss C. L. Neighbor, Chief Dietician, attended the American Hospital Association Institute on\nHospital Dietary Department Administration at Seattle in November.\nDr. F. G. Tucker commenced a year of postgraduate study in psychiatry at McGill University,\nMontreal, in September.\nMr. R. A. Baker commenced a year of postgraduate study in biochemistry at the University of\nBritish Columbia in September.\nMrs. M. L. McKay commenced a one-year course in supervision in psychiatric nursing at the\nSchool of Nursing, University of British Columbia, in September.\nThree bursaries were awarded to social workers to enable them to enrol in the M.S.W. course at\nthe University of British Columbia.\nEQUIPMENT AND SUPPLIES\nProvincial Mental Hospital, Essondale.\u00E2\u0080\u0094The following equipment has been provided:\u00E2\u0080\u0094\nThe complete equipment required to establish an occupational therapy department in the\nNorth Lawn Building.\nTwo Gomco suction pumps for infirmary wards.\nOne 18-inch sterilizer for the newly established coma insulin ward.\nFour charting-desks (capacity, thirty charts each) for installation in nurses' stations.\nA double-unit addition to the mortuary refrigerator.\nMachinery, equipment, and tools to the value of $18,000 to replace those lost in the fire in\nthe occupational and industrial therapy shops on May 5th.\nCrease Clinic of Psychological Medicine.\u00E2\u0080\u0094The following equipment has been supplied:\u00E2\u0080\u0094\nOne hydraulic stretcher for the operating-room.\nOne metal locator for the operating-room, costing $850.\nInstruments for urological surgery to the value of $600.\nNew Child Guidance Clinic in Burnaby.\u00E2\u0080\u0094The following equipment was provided:\u00E2\u0080\u0094\nAudio-visual equipment for the auditorium and projection-room, including 100 theatre chairs,\n16-mm. projector, microphones, amplifiers, record-players, speakers, screens, etc.;\nmicrophones, amplifiers, tape recorders, record-players, and loud-speakers for the playrooms, observation-rooms, psychologists' offices, and speech-therapy suite.\nPlayground apparatus, such as swings, jungle gym, slides, etc., for the outdoor play-yard.\nEquipment for the group therapy centre, including radio, phonograph, piano, chairs, tables,\nchesterfield suite.\nComplete surgical and diagnostic equipment for three examining-rooms.\nFurniture for four play therapy rooms.\nThe total value of the equipment supplied to the Child Guidance Clinic approximates $9,000. Q 32 MENTAL HEALTH SERVICES REPORT, 1955-56\nHome for the Aged, Port Coquitlam.\u00E2\u0080\u0094The following equipment was supplied:\u00E2\u0080\u0094\nOne iceless oxygen machine (oxygen tent).\nOne chair-type weighing-scale.\nThe Woodlands School, New Westminster.\u00E2\u0080\u0094The following equipment was provided:\u00E2\u0080\u0094\nEquipment to establish a weaving section in the occupational therapy departments.\nA Gomco portable suction pump for the sick and infirm wards.\nTwo oxygen tents complete with regulators.\nFour junior adjustable walkers.\nOne dental X-ray machine.\nOne dental sterilizer.\nMiscellaneous dental instruments.\nMental Health Centre, Burnaby.\u00E2\u0080\u0094The following equipment was authorized, but only a small part\nof it had been purchased by the end of the fiscal year:\u00E2\u0080\u0094\nComplete office equipment, such as desks, chairs, typewriters, filing-cabinets.\nComplete medical and surgical equipment for the 12-bed treatment unit.\nComplete equipment, including an eight-channel electroencephalograph machine, to permit\nthe establishment of a department of electroencephalography.\nComplete instruments and equipment for a small clinical laboratory.\nA wide range of equipment and supplies to set up departments of occupational therapy and\nphysiotherapy, and to furnish the areas to be used for group therapy and recreational\ntherapy.\nThe total value of equipment approved for the Mental Health Centre approximates $70,000.\nCOMMUNITY MENTAL-HEALTH PROGRAMMES\nThe grant providing assistance to the British Columbia Division of the Canadian Mental Health\nAssociation was continued.\nThe programme of the Mental Hygiene Division of the Metropolitan Health Committee of\nGreater Vancouver continued to receive assistance by the provision of salaries for one psychiatrist, two\nsocial workers, two psychologists, and clerical assistants.\nA new project commenced this year provided the salary for the training co-ordinator and chief\ninstructor in a course in mental hygiene for the senior school counsellors of the Vancouver schools.\nThis programme includes eight teachers this year.\nPSYCHIATRIC SERVICES IN GENERAL HOSPITALS\nThe psychiatric services of the Vancouver General Hospital continued to receive assistance. This\nyear the salaries of a full-time psychiatric social worker and medical stenographer were provided, as\nwell as the salary for a half-time occupational therapist. Also one-half the cost of replacing the\nelectronarcosis instrument accidentally destroyed by fire was provided.\nThe psychiatric service of the Royal Jubilee Hospital, Victoria, was granted the salary of a\npart-time occupational therapist. Assistance was also given in the purchase of occupational-therapy\nequipment.\nSTAFF INCREASES\nThe stipends for our consultants in general surgery, neurosurgery, and orthopaedic surgery are\nprovided by a Mental Health Grant project. These surgical consultants continue to provide a very\nsatisfactory service to our patients.\nThe Rehabilitation Department continues to be assisted by a project which provides the salary and\ntravel allowance for the Rehabilitation Officer.\nSeveral projects provide assistance to our institutions for the payment of salaries to key professional personnel, such as psychiatrists, clinical psychologists, psychiatric social workers, psychiatric\nnurses and aides, laboratory technicians, dieticians, physiotherapists, and occupational therapists. An\nadequate supply of trained personnel makes possible the success that has attended our active treatment\nprogramme.\nRESEARCH PROJECTS\nSeveral major research projects receive support from the Mental Health Grant. Our agent in the\nresearch programme is the Department of Neurological Research at the University of British Columbia. The following projects received assistance this year: Human Lobotomy Studies, Capillary\nNail Bed Studies, Experimental Lobotomy Studies, Studies in Electroencephalograph Patterns and\nPsychopathology.\nThe Survey of Factors Contributing to Drug Addiction in British Columbia was also financed by\na Mental Health Grant. HEADQUARTERS\nQ 33\nCOUNCIL OF PSYCHIATRIC NURSES\nThe 1955 annual meeting of the council was held at Essondale on April 27th. The\nusual routine business was transacted. Mr. R. A. Pennington reported that the 1955\nsession of the Legislative Assembly passed a Bill amending the \" Psychiatric Nurses Act\"\nwhereby the representation of the British Columbia Psychiatric Nurses' Association on\nthe council was increased from four to five members. The chairman requested the British\nColumbia Psychiatric Nurses' Association to name a new council member.\nThe registrar reported that on December 31st, 1955, there were 941 psychiatric\nnurses licensed to practise in the Province. This is an increase of five over the previous\nyear. It would appear that the School of Psychiatric Nursing is barely able to keep pace\nwith the attrition in psychiatric nursing.\nSTAFF CHANGES\nI am sorry to report the resignation of Dr. G. H. Stephenson. Dr. Stephenson joined\nthe service on October 1st, 1947. He was certified in psychiatry, and his resignation has\nbeen a severe loss to our treatment services, where he acted as Assistant Clinical Director.\nThe following staff members terminated service by superannuation: Mr. D. Kelly,\nsculleryman, Essondale; Mr. A. Mowat, laundry-helper, Essondale; Mr. L. H. P. Burow,\nchief nurse, Colquitz; Mr. S. H. G. Meadows, psychiatric aide, Essondale; Mr. E. H.\nDevlin, charge nurse, The Woodlands School; Mr. B. F. Hatfield, kitchen-helper, The\nWoodlands School; Mr. A. Fraser, supervisor of stores, Essondale; Mr. J. Churchill,\ncharge nurse, Essondale; Mr. G. McNiven, chief nurse, Essondale; Mr. W. H. Anderson,\nlaundryman, Essondale; and Mr. A. Talbot, psychiatric male nurse.\nIt is with regret that I advise you of the following deaths which occurred among\nstaff members: Mr. L. E. Bailey, psychiatric aide, Essondale, and Miss C. E. Peterson,\nstudent psychiatric nurse, Essondale.\nACKNOWLEDGMENTS\nI would like to express my sincere gratitude to the many community associations\nand social agencies which have worked closely with us in extending the work of our\nservices into the community. Our debt of gratitude is so widespread that it becomes\nimpossible to name groups or individuals.\nThere are very few departments of Government with which we do not find ourselves\nassociated during the course of the year. I am appreciative of the splendid degree of\nco-operation from the officials of these departments. In our responsibility to the Department of the Provincial Secretary we have been fortunate to keep close contact with the\nMinister and Deputy Minister by frequent visits to their offices. They, on their part, have\nvisited all branches of our services on many occasions.\nOur relationships within our own service have been most congenial. I would express\nmy sincere thanks to all members of our staff whose services have made it possible for\nus to develop a high-class treatment programme.\nI have the honour to be,\nSir,\nYour obedient servant,\nA. M. Gee, M.D., CM.,\nDirector of Mental Health Services. Q 34\nMENTAL HEALTH SERVICES REPORT, 1955-56\nCOMPARATIVE SUMMARY OF INCREASES AND DECREASES IN RESIDENT\nPOPULATION BY MAJOR DIVISIONS OF PROVINCIAL MENTAL\nHEALTH SERVICES, 1952-53 TO 1955-56.\nInstitution\n1952-53\n1953-54\n1954-55\n1955-56\nProvincial Mental Hospitals-\nThe Woodlands School\t\nHomes for the Aged\t\nCrease Clinic \t\n-64\n+277\n+49\n+28\n+62\n+ 104\n+50\n-1\n+44\n+ 19\n0\n+25\nTotals.\n+290\n+215\n+ 88\n+2\n+19\n+ 15\n-10\n+26\nCOMPARATIVE SUMMARY OF TOTAL PATIENTS UNDER CARE FOR MAJOR\nDIVISIONS OF PROVINCIAL MENTAL HEALTH SERVICES BY FISCAL\nYEARS, 1952-53 TO 1955-56.\nInstitution\n1952-53\n1953-54\n1954-55\n1955-56\n5,227\n1,130\n1,202\n1,436\n5,040\n1,278\n1,255\n1,499\n5,051\n1,263\n1,292\n1,606\n5,247\nThe Woodlands School...-\t\n1,278\n1,330\n1,894\nTotals _ \u00E2\u0096\u00A0\n8,995\n9,072\n9,212\n9,749 HEADQUARTERS\nQ 35\nCO\nw\nU\nX\nH\n<\nS\nH\nZ\nw\nCO h\non nJ\nQ\nH-1\no\nin\nin\nov\nH\n00\no\nmm\nH\nP\nOh\no\nPh\no\nH\nZ\na\n>\no\nPh\n<\n*n\no\nH\nTt\nSO\nt-\nH\n\u00C2\u00BBn\nAll Mental\nealth Servic\nInstitutions\nCombined\nCO th\nm\nso\"\no\ cs vo\nco m\ncs\nCN\nm\nCO\nOv\"\ncn ^ cs\ncs\"\n\u00C2\u00A9_m\nrn\ncn\nm*\n+\nCO\nvo\"\n00\nm cs\nm\n\u00C2\u00A9 cs o in\nt- \u00C2\u00A9\nt-\nm\nVO\nPh\nm\nm vo\nOv\nr-\nco r- m\nO VO\nvo\n00\nas\nO ^h m\nin \u00C2\u00BBh\nvo\nNO rH\nr-\n+\ncs\nr>\ntr-\nOv co m\ncs m\nt-\nTt OV Tf rn\nm\nl-H\nrs\n+\nW\n\u00C2\u00A3\n-*\na\ ri cs\nm ca\n\"1\n\u00E2\u0096\u00A0jo\n\u00C2\u00A9 cs\nTt CS\nvo\nTt\ncn\n*^\n1-1\n1-1\n-\"'\n1-1\nTt :\nTt\nov r-\nVO 1\u00C2\u00A9\nm cs\n\u00E2\u0096\u00A0\nOv\nr-\nm\nH\no\n\u00C2\u00A9\ncs\nCS\n**!\ncs\ncs\nCSI\n+\no\nmm\n*H\n\u00C2\u00ABH\nmm\na\nmm ! !\nrH\nOO ^ j 1\nm\nm\nO\nH\nPh\nCS\nCS\nCS Ov\nm\n\u00C2\u00A9 i !\n+\nCN~\nCS\nm | |\nm\n^\nVO\nT-1 1 i\n***\n^\nin\nrn\nt- OO\n00\ns\nCS\nOV\nm\nm\nm\n1-1\nNO\n1-1\n^\n+\nTf\n\nin\nCS !\ncs\nOv\nOv\na\nPh\ncs 1\nCS\ncs\nCS\ncs\nTT\n~\n\"\n+\ncs\nOs\nTt mm\n\u00E2\u0096\u00A0n\nm co ! i\nrH rH\ncs\nS\na\\nOs\n'3-\n*t mm\nm\nTT |\nin\nm\n+\n\u00C2\u00A9\nm\nCS t- ! 1\nCO\nH\n, vo\nvo\nOv\ni-h rn !\nTt\nin\n+\nTt\ng\n1\u00E2\u0080\u00941\n1-1\n1-1 i 1\n1-1\n*H\nTt\no'd\nPh\nOs i ',\nas\nOV\nOv\nON\nCO [\nOv\nOn\nOn\ncn !\ncn\nrn\nPi CT\nO\nas\nov\nTt CS\nU\n\u00C2\u00A7\nm !\nm\nvo\nVO\nO\nn\nm !\nm\nvo\n+\nT>\noo oo :\nVO\nvo\n^h\nt- in\nCN\nno\nm \u00C2\u00A9 Ov !\nrH\nas\nH\nr^\ncs\ncs\n+\nCS\nCo\nei-s\non\nmm i\nmm\nl-H\n^H\ncs m\nm\nm i-i\nn\\nrH\nvn\nPh\nm\nm\nmm ] ,\n1-1\ncs\nm\nOv\n1-1\nCN\n+\nrn\no\nin\nvo m\nrH\nm 1 tn\nTt- \u00E2\u0096\u00A0*\n00\nvo m m\nTt vo\n\u00C2\u00A9\ns\nm\nr-\nr-\nc-\n+\nr-\ncs *r cs\noo\nc^ as \u00C2\u00A9\nvo \u00C2\u00AB\nov Tt in vo\nl-H CS\nr^\n\u00C2\u00A9 VO\ni-h Tt cn\n+\nH\n00 mm\nOv\nVO HCl\ni\u00E2\u0080\u0094I l-H\ncs\ncs\nCO i-h cs\ncs cs\nTt\n00\ncn\nm\nl-H\nl-H\nm\nrH\nI-H\nm\n^H\nVO\n^h \u00C2\u00ABn cs\noo \u00C2\u00ABn\nt- 00 !\nin\nTT On VO\nOv VO\nVO\ncs m \" Ov \u00C2\u00A9\n\u00C2\u00A3S\ncn co\nvo vo cs \u00C2\u00ABn\nOv vo\nm\nov\n00\n<-h VO CS\nin cn\nmm cn cn\n+\nH\nin rm\nvo\nvo T-i m\nCS Ov\nOO mm cA\nrH CS\nTt\n\u00C2\u00BBn\ncn\nm\ni-l\nmm\n^L\nmm\nl-H\n\u00E2\u0080\u0094\ncn\nco in\nm\nm\nTt Ov VO\nOv VO\nVO\nCA m Tt\no\nPh\n\u00C2\u00AB\nr>\nCS mm\nm\ncs\"\nm h\nin\nVO\n+\nvo\nw\nON\nVO Tf CO\nOC CS\n\u00C2\u00A9\n(TV\nr- o\ vo\nCA i-h\nCS\n\u00C2\u00A9 00\nOv\n2\n00\nOs\nm rH\nvo\nVO\nVO^\nTt\nVO l-H\nr-\noo\nTT hM\nI--\nTt\nr- \u00C2\u00ABn\nH\nVO f\nVO\nm r- ov\ncs\nON\nm\ncs\nVO\nin i-h\nvo\n1\ncs\nw O\n\t\n \ [\ni-1\nl-H\n\"\nno\nl-H\nl-H\nrH\nVO Tt\nrt'S\n+\nPh\n*-H\nr- cs\no\n\u00C2\u00A9\no\\n0v\n\u00C2\u00A9\nMr?\nl-H\nmm\n\u00E2\u0096\u00A0\u00E2\u0080\u0094\nl-H\n,_\nmm\nm cs\nm\ni-H rH\nrH\nCS\ncs\ncs\n\u00E2\u0080\u00A2\"t\nt- ! !\ns\n\"\nvo\nO\n>n\nm\nVO\n1\n^\n: <-\n1 rt\ns ! **\no i \u00C2\u00A3\nH i m\nc\no\n\u00E2\u0096\u00A03\n\u00E2\u0096\u00A0El 1\nCO\nm\nm J?\n\u00E2\u0080\u00A2o ! \u00E2\u0080\u00A2\u00C2\u00A3\n\u00C2\u00BB\n+J\n2S\nH-t U\n* o\n43\n|| |\ng \u00E2\u0080\u0094 -o \u00E2\u0080\u00A2\n\u00C2\u00AB 3 \"3 1 *\n21\nrt\n- O 1\nPi\n5 c*\nS ! S\n\u00C2\u00A3 i *\n\u00E2\u0096\u00A0o ! M\nV ! an\n\"2 ! rt\nC ! \"I\nrt \u00E2\u0080\u00A2- }\u00C2\u00A3\nO\nto\ni el\na>\nl-H\nu\n1\n*a\n0\nc\no\nr\u00C2\u00AB r/J\nu o\n\u00C2\u00A3 \"fi\nin 'c i\nO *o\n\u00C2\u00AB 1\nC -h !\no cs :\n ra c\n3 j= o\n85 w rt\nrt o &\na c w\nc 2\n-2 S $\nrt S a\nSi B\nrt\nOJ\n2\nw ir\n3 4 1 still\nrt w\n\u00C2\u00AB C\nS 8T\nI*2 o 1\n81, |\n*e \"0 > ^\nSt: a\n\u00E2\u0080\u00A2S &JJ\n\u00E2\u0096\u00A03B< \u00C2\u00A3\n3 g|\na - 9\n\u00C2\u00A3 i) a\nS||\n^\u00E2\u0096\u00A0D 09\n\u00C2\u00A3h rt m\n^ -H. W\n\ni-i\nw\n&\nH\nO\nPh\npT\nw\nH\nz\nHH\ns\nH\nw\n9 OT\nS3 -^h\nU cn\ncfl\ncn\nQ\nZ\n<\nQ\nO\nO\nCJ\nK\nH\nft\no\nH\nZ\nw\nS\nw\nH\n<\nH\ncfl\nZ\nft\nOi\nX\nU\nUJ\n-J\nm\n<\ncs\nto\nTt m r-\n\u00E2\u0096\u00A0tMh-Or*00\nTf\n\u00E2\u0096\u00A0Sj\n\u00C2\u00BBh c> in q\ntn\n\0'*Dm\"odtNO\e4rna\\" 0O On v\u00C2\u00A9 CS m CS\n^3\nca- Ch d *h\nVO\n.*-\no .\nOirrNDcn'tOcnr^'Hin\nso os cn os in \u00C2\u00A9 \u00C2\u00AB-j in \u00C2\u00AB-* q\nM\nsi\nf)\nTtodoO'-H'NdO'XTtinod\nr\u00E2\u0080\u0094mOmm\u00C2\u00A9OtN'-HO\nr*i\nVD\nU!\n\u00C2\u00ABooTrm\u00C2\u00ABOintNC7\fO\nr<\nHMOscfivi^m>n'-H\ncs\nv, u\nMOCHNOhW so mm m\nen\n3 D,\n\u00C2\u00BB HPJ N\u00E2\u0080\u00941\nq\nSO\ncs\n<\nV*\nO\nn\no\ncs\ncfl\n00\nd\no\nq\ncs\nrs\nr\u00C2\u00BB\nCO\n3\nU\nStf\"\nin\n\u00E2\u0096\u00A0*\no\no^\n1\ncfl\n3\n00\nrn\ncn\nwa\ntN\ncn\nTJ\n<\nO\nrn\nTf\n00\nr-\no\ncn\nd\nm\ng\nGO\nin\ncs\nu\no^\nm\nOC\ncs_\n>\n3\n\"h cam\nf-\"\n^\nOh\noo\n&\n^\nCS\nw\n%\n09 .\no S\nm\nin\n\u00C2\u00A3\nq\nO\no\nCJ\\n^ Ih\n\u00E2\u0096\u00A0^t\n^\nrfl 3\nU 4J\no ca\nU3 D.\n^\u00E2\u0096\u00A0*\n\u00E2\u0096\u00A0*\neu,w\n3 rt\n\u00E2\u0096\u00A0oo\nCA\ntt\nCJ\nm\nm\n85\nt-\nn\n\u00E2\u0096\u00A0go\ncs\nOO\nCD\nTJ\noC\no\"\nHJ\nrt\ntt\nCS\ncn\nV3-\nV*\na\nD\nhONDnNOQtnhM !\no\ntj\na\n3 2\nit-Oe\n3 cfl 3 O\n3 <\nCMNnotOHiniri :\nCS\ncndoommsoom'-rtin !\n\6\n\u00E2\u0096\u00A0M \n4)\n\u00E2\u0080\u00A2a\nc\n1\nc\nc\ncc\n'3\nrt\nCL\n6\ntt\nt-\n*rt\n0\ni-\nQ.\nHJ\nc\nCJ\nS\na.\n3\nft\n*\nC\nt\nc\nrx\nt-\nC\na\n6\n\u00E2\u0080\u00A2C\n,!\nO\ne\nc\nCJ\nu\n(0\nB\n'u\nrt\na\nc\nc\n=\n9\nb\ni> on \"2\nc 9 \u00C2\u00BB\n09\nc\nrt\nOS tt\nO <-\n\"75\ne\n\u00E2\u0096\u00A0c\nc\ntu\n>\na\nj=\ntH\ntt\n.tt\nt\n2\nu\n3\ni\no \u00C2\u00B0 c\n.2 73 \u00C2\u00BB M\nrt e c\n.? CJ\nS 1-\n-\u00E2\u0096\u00A0a\nrt c \nhJ\nW\nH\no\nft\nnf\nQ\nZ\nO\ncn\nm\n<\nE\ntn\nO\nz\n>\no\nPi\nPh\nW\nS3\nH\nft\nO\nH\nZ\na\ns\nH\n\u00C2\u00ABC\nH\n00\nu\n\u00C2\u00ABJ\nz\nft\nft\nX\nP3\nft\nI-)\nft\n<\nm0\nON\n2\nm m\ntn\no\nr- oo Tf o\nin\nTt\n>\n\ooor-Oin\0'-;H\nCN\ninTti-i<\nWTHt-cn i-h\n\u00C2\u00ABn\nVi\ncs,\ns-\n0 ._\nh h \u00C2\u00AB lfl o\w -0\rnrn\nCO\ninsososoc-c^^mfainas\no\nu;\n>n'NDmoovoO*\u00C2\u00A3)'-HO\r^\nl>\n3 \u00C2\u00A3\nt>C~r~-mm\OsDCArtV>\nt\"\n\u00E2\u0096\u00A0tf (U\nt~~OsOs-mrt>t>m-*tOOCA\nr^\n3 a.\nth \"NH/ Tf mm CA mm -mf\nm\nuO\nw m\"^*\nin\n<\n\u00C2\u00AB\u00E2\u0096\u00A0\nIh\nr- tj- m o\nm\no\nc \u00C2\u00AB\0\n^\u00E2\u0096\u00A0Nt^H\nTT\n\"*\nCA\noSs;\nHMHpi\nm'\nm'\nd\nu\nen oo oo *n\nf-\nfN\nH*0 .\nVO rH tN r^\ni\nin\nTt\n1\nSB\n\u00E2\u0096\u00A0ntT CN cn rn\ni\nTf\noo\"\nON r-- rl\nO\nOs\n3\nV*mm mm\ni\nrH\nTt\nTD\n<\n3\nin m 00 r^\no\nm\n- e3\n3\nCA mm cA cA\nI-. VO tN OO\nK\n6a -\"^\nm o> \"n \u00C2\u00ABn\nTt\n00\n3T> -\no* in d as\nTt\no\"\nr-inrjiH\nV5- mm\n00\ntN\nTt\nffi\nw\ne\nCfl\n\u00E2\u0096\u00A08-S\n0 Ji\nI\nTf\n5\no\nUH W\n^tt\n|\nOS\nO\nS\ncfl d\no n\nQ\\n\u00C2\u00B0v\nas\n\u00E2\u0080\u00A29 a\nJC tt\ni\nin\nTt\nTt\nifi\n\u00C2\u00ABn\nTt\n\u00E2\u0096\u00A0aft\nC7\ntH\nu\n\u00E2\u0096\u00A0*\ni Tt :\n00\nrcj Ih\ntt J-\nSO\nrt\nd\n! \"*f !\nin\ncjt3\n3\nin\n! Tj- !\no\\n\u00E2\u0080\u00A2go\n\nU\nrt\nin\n!\n\nH\ni\nt l\nD\nr-mtNfn'-HoocNrnoo\nr-\nt3\n5 cfl\n3 ih u S\nu wi 3 u\nS,\u00C2\u00ABft 3\n3 <\noocNtNON\u00C2\u00ABni>cnt^t--\nm\nr^i>T]:-HTj:r~r^c>od\nOtNOOCNTtr-TtOO\nOs\n4j tt-\ntN\nttjr^\n3\nn OMn \d a o \D i-in\n\u00C2\u00ABN >\u00E2\u0080\u0094\" rn \o as so ^o\" CS CS\nVO\nCACAmmSOSOV*ln'*tOO\nm\n--> \n in mm CA mm\nw cs-r !\nOn\nTt\ntie-\nCfl\ntt\nCfl\nS\nU\n&\nW\neo\n3\ntt\nti\nCJ\nIh\nV\na\nO\n>\ni\nC\nB\nT3\nD,\nd\nd\nrt\nCfl\ntt\nrt\nH\nU\n\"rt\n6\n73\na\nrt rj\ng\na\n3\nto\n71\na\no\na\n.2'3 g\n*J C BB\nH tt _\nCfl\ntt\n\u00C2\u00B0c\na\n73\nt/3\nCL\nc\n4\n&\nc\nR\nK\n1\nu\nc\n0\n' cu\nu\nrt\nE\n\u00C2\u00AB\na\n5\n3\ncfl\nTJ\nIh\nA\n*\nTJ\nC\nrt\n\u00E2\u0096\u00A0a \u00C2\u00AB\n3.1\nc\ntn\nrt\nu\nXI\nS\n6\nC\n2\nc\n3\nU 00^3\nX a c\n\u00E2\u0080\u00A2\u00E2\u0080\u00A2o g-o\nrt TJ 3 x\n\u00C2\u00ABsss\nI cl a H\ntj S oo\nrt e e\n3:\nrt c u --j\nCfl 3TJ 2\nIh CJ- \"H 33\nrt o y 3\nc\n5\nz\nC\n\u00E2\u0096\u00BA.\nH\nC,\nc\n\u00C2\u00A3\nca Q 44\nMENTAL HEALTH SERVICES REPORT, 1955-56\n1/1\nX\nH\nZ\no\nft\n>\nft\nft\nH\ntf\no\nft\nN\nH\n5\nC\nft\no\nU\nl>\n3 7-\ntn\n\u00E2\u0096\u00A0^ X\n< tf\ntf Q\nw W\nS3\nH\nft\nO\nH\nZ\nft\n\u00C2\u00BB\nH\n mcscs\n\u00C2\u00A9\ntfl- f- cn rH\nin\nft\ncy>\n>\nca>n\nm O ^\ncn\ncs\n0\nTf Tf cn\ncs\nTt\n3\nVO Tt vc\"\nCN r- Ov\nd\ncs\nr*^\n>\n3\ni^ -,\u00E2\u0080\u0094i\noo in m\nTt\nTt\n-5\"\u00C2\u00B0^\"\nrH~|C\nvo\nvo\"\nffl-\nCS\ntfl-\nffi\nCfl\n\u00E2\u0080\u00A2\u00C2\u00A3 e\nm\n*n\na\no 1\ncn\ncn\no\nOv\nO\nOv\nO\ntn\nm\n\nCJ\nTJ\n3\na\nrt\n3\n'rt\nrt\ntt\n3\ntt\nrt\nt-\n\u00C2\u00AB\na\n5\n3 1\na\ntf\nt*\n.9*3\ntt\n3\na\no\n-j e\nbf)\nCO\nI\n3\na\n&\nw u _\n75\nc\n3\n<\nTJ\n3\n13\nrt\nOl\n\u00E2\u0080\u00A2d\nTJ\nCI\nM 5 M\nTJ O TJ\n73\n3\na\na\n3 u 3\nw\nrt\n*\n.3\nrt TJ 3 j_\nrH 3 O cc\nu\nft\nli\nc\nCJ\n0\nO\n7c\nTJ\n3\nrt\ntt >\nd E-\nIh\ntt\n1\ni\nrt c c\nu\nC\nt\n-TJ\nrt n. ai \u00E2\u0080\u0094\n'\u00E2\u0096\u00A05\nU\n1\n2\nu\na\nCJ\n3\n3\n1\n\u00E2\u0096\u00BAj\na\nU\n3\nC\nu\nC\n3\n2\na\nt/1\nH\nH\n2\nO\n>\n-J\nH\no\nto\n<\nJ\nH\no\nU\nH\ntf\nO\nCh vo\nft \"H\na \u00C2\u00AB\nhT* h\nncscs\u00C2\u00BBn ' rl in ot\n00\nrH Tf OV r- t> l-H Tf\nc-\n\u00C2\u00ABfl- 00 cn\nTt\nc\ntfl-\n0 _.\nov tj-ts t^ 0 0 r^ m M7v\n\u00C2\u00A9\n-M fS\nqoor-rnqqqvOHr\no.2\nooTt\u00C2\u00A9vccN\u00C2\u00A9\"ncs'cnov\ncs*\narHfr,rf|OOVDCOtN3\ncninc^ovONTtcnONi-H\u00C2\u00A9\nOv\nu-a\ncn\n3 a\novvotN\u00C2\u00A9oooo cn\o\nr^\nw- cs 00 \u00C2\u00A9 cn cs\nOv\nTt CS\nt^\nSO\ntfl-\n<\nu\ntfl\n3\n?1 -TH\nU\nS*o .\nI\nVD \u00E2\u0080\u0094 -\nCfl\n3\na\n<\n>.\nO\no2o\\n3\nCJ\n3\n2TJ -\nS,ci^\n\u00E2\u0080\u00A2\"H\nn\ncfl\n\u00E2\u0080\u00A22s\n0 2\n1 Os\no\\ng\n1\nO\nM\n$\ni\n7, H\n1 \u00C2\u00A9\n\u00C2\u00A9\ncfl 3\ntt \u00C2\u00AB\nU tt\n\"3 D,\nj VO\"\n\D\nas\n40 tt\n0\nr- :\nrH\n00\ncn !\nVO\nas\nrt\nov i\nin\nTt\nt>t2\n3\n00 \\nt-\nvo\n\u00E2\u0096\u00A0so\nTf i\ncn\n00\nIh\nTJ\nCO !\n00\"\ntt\n^\ntfl- 1\nt\u00C2\u00AB\n\u00C2\u00AB\ntt\na\nTJ\ni>\ntNTtfSC^\u00C2\u00A9\u00C2\u00A9r->nvo I\ncn\nm rfl\nr-oor-cnoo\u00C2\u00A9vom i\nOv\n2 ftSo\n!,8f2 u\n3 <\nod'TtdvotNdincst^\nt^\n*-> \u00C2\u00BB:\n0\rHcncnO\u00C2\u00A9voooTt\nf-\nZ\"\n1\noomr--o\OvTtcno\i>\n^^ VO tN \u00C2\u00A9\" 00\" OO CN*\nCN 00 \u00C2\u00A9 en\nTt CN\nTt\nCS\nVO\ntfl-\nCA\nU\nCfl\n3\na\na\nX\nW\n00\na\n\u00C2\u00AB\nIh\ntt\ntt\nQ\na\ns\nO\n>\n0\nTJ\n3\nrt\nS\n3\nt-\n'rt\ntt\nCJ\n5\n&\n\u00C2\u00AB\ntt\nrt\na,\nD,\n0\ntH\nCJ\ntt\nrt\n3\nO\na\na\n71\nI\n3\na\nIh\na\n3\na\n61\nTJ\nCJ\n0\nCl\n00\ncn\nSi\nrt\nCJ\nrt\nCO\nTJ\nrt\n3\nD\n3\ntfl\n\u00E2\u0096\u00A0a\nTJ\n3\nr> rt tj\n*3 r- 3\nO n\nCfl tt\ntt r\nu a\nO u\n^73\n\u00E2\u0096\u00A0d\nc\nrt\n00 ;>\n3 rt rt\n^ c cr\nTj TJ f\ni ^ -\ntH H\n00 O\ncfl\" H\n00\nC\n.r u\n-TJ\nS\nc\nT\n5\nE\nz\na\n5\n&\nrJ\n3\nr-\nH\nrt\n0\n3\nu\nu\n0\nTJ\nTJ\n3 HEADQUARTERS\nQ 45\nNO\nft\n03\nQ\nft\nQ\nZ\nW\nCO\nH\nZ\nO\nft\n>\nft\nft\nH\ntf\no\nft\nz\"\no\nz\ntf\nft\n>\nft\no\n<\nft\nw\nH\ntf\nO\nft\nft\n31\no\n\u00C2\u00BB\nSB\nH\nft\nO\nH\nZ\nft\ns\nft\n>'\u00C2\u00A3 .\noot--\u00C2\u00BBi>ovH vor.m\nvej\ntJ\nPJ \u00C2\u00AB\nTttncSTtr^in * cn cs\"\nr-^\n\u00C2\u00AB\nr\u00E2\u0080\u0094 cn Ov m ov vo -rj-m\nCJ\n><\ntfl- t\u00E2\u0080\u0094 cn rH\nvq_\ntfl-\ntH\no ..\nf-or-rHcnTtcSt-m\nTt\nH r!\nVOTtOOr-OOVDVOCNrH\nrH\no.9\nvoovoodcjvovtNdd\n00\nO0\u00C2\u00A9TtV\u00C2\u00A3)COTtTtCNcn\ncn\nu-s\nrHCS\u00C2\u00A9TtTtO\rHOvO\nTt\n3 a>\nr-ootNrHfNTt ovm\nrH 00 00 CN rH cn\nr-\np a\n\u00C2\u00AB- rH\ncn\nrjo\ntfl-\n<\nIh*\no Ov cn O\ncn\nm\nCfl\nr^ Tt r-\u00C2\u00AB \u00C2\u00BBn\nr-^ cs oo \u00C2\u00BBn\nON\nCS\nvd\n3\ntt\nvDvor-oo\nVO\nIh\"\"'\noo r~ cn cn\nt>\n\"\"J,\nCi) \u00E2\u0080\u0094 -\ncn in cs\ntfl-rH\nin\nr-\ncs\nTJ\n<\n>!\n\u00E2\u0080\u0094 \u00C2\u00ABin\ncn r- Tt \u00C2\u00A9\nTt\ni>\no\nOO CS Ov \u00C2\u00A9\n\n3\nSTJ .\n\"h, njcn\ncs\" in cn\"rH\nm\nin\ntfl- rH\nCN\ntfl-\n15\nCfl\nSi\nn\ncs\n\u00C2\u00A3\nin\nm\no\n\u00E2\u0096\u00BA1\n|M\n\u00C2\u00A9\n\u00C2\u00A3\nC-;\nt>\ncfl 3\ntt 5\ntt n\n\u00E2\u0080\u0094 a\nr>\nt>\nsg\n-3 ii\nOh\"\ntfl-\ncn\ntfl-\nft tH\n3 rt\nCO ft\n\u00E2\u0080\u0094 \u00C2\u00A9\n\u00E2\u0080\u00A2so\njd\n\u00E2\u0080\u00A2n\ncn\n00\nta Ih\nOv\n\u00C2\u00A9\nON\nOB\nrt\nvd\n\u00C2\u00A9\nvd\n3\nvo\nr-\n>o\nVO-\nmm\nr-^\nTJ\nrt\ncn\n6\u00C2\u00BB\ncn\ntfl-\nco\nu\nBB\n\u00E2\u0080\u00A2q\nD\ncsooON\u00C2\u00A9cnTttNTt i\ncs\n3 Ih U a\n3 xi\nz u\n1\nin cn Tt en in os mm r-^ ]\ncn 00 tN o\" \u00E2\u0080\u0094' Tt Ov '\n,_y\nCLvrtDn tt\nmm 00 00 tN rH\n3 <\ntfl- rH\nm\ntfl-\nu\n3\nft)\na\nr<\nw\nDO\nc\ntt\na\no\ntH\n3\nCJ\nrt\na\n3\nO\n>\nu\nTJ\nc\ni\ng\n3\nrt\n.rt\nCJ\nX\n73\nB\nu\n73\n1.\n7i\na\nCJ\nP\nc\ntt\na\nu\n\u00C2\u00A3\n3\nU\nto\n3\nCO\ns\nft\n0\na\na\ntt\n\"Eh\nci\n73\nCfl\ntt\n3\ntt\ntt\nP\nD\n3\nCfl\nTJ\n3\nrt\na\nu\ntt\ni-\nTJ\n3\nrt\nTJ\n3\n\u00C2\u00AB\ncfl tt\n Ih\nb rt\n\"73\nTJ\ntH\nrt\nTJ\n3\nrt\nm >\n-3\nIh\ntt\nTJ\n3\nli\nIs\nrt -\n\u00E2\u0080\u00A2a\n3\n3 \"\"\nO 'x\n00 c\n\u00C2\u00BB\u00E2\u0080\u00A2 H\noo\ntr\na\nt\n1\nc\n1\n2\n*\u00E2\u0080\u00A2\n3\n3\nz\nX\nft\ns\nz\nTJ\n3\n3\nrJ\nc\n3\nCJ\ni\n0\ni\nie\n3\nta\nOv\nQ\nW\nQ\nZ\nm\ncn\nK\nH\nZ\nO\nft\n>\nft\nft\ntf\no\nft\no\n\u00C2\u00AB!\ntf\ntf\nft\nH\np\nw\no\n<\nw\nX\nH\ntf\nO\nft\nft\no\nW\nw\nx\nH\nft\nO\nH\nZ\nft\nS\nw\nH\n<\nE-\nCfl\nft\n2\nft\nft\nX\nm\nca\nC3\nOv v\n\u00C2\u00A9 oo vo oo Ov cs m\nCS\n-^'?; .\nt^inqOrHvoooTtt-\n\u00C2\u00A9\nk>\nW !\u00C2\u00AB\nm* in Tt Tt cs\" Tt Tt in Tt\nCS\ne\nu \u00C2\u00B0\nu\n1*\nmcnvoin\u00C2\u00A9cSrHcncn\ncs\na\n>\n\u00C2\u00BB t(T|H rH\ncs\nft\ntfl-\nHH\n0 _.\ncncsOvrnt^vocnTtrH\n00\n*-? C?\nM>r;CarHOO^vO\nVO\no.2\nc\u00C2\u00BBcs\"ovr^\u00C2\u00A9dr^r--'cn\n(*-\ncNrHOcNinovt\u00E2\u0080\u0094r-rH\n00\nu-s\n\u00C2\u00A9cNcnovcn\u00C2\u00A9cSrHr-\n\u00C2\u00A9\n3 t-\nrt aj\n3 D.\nVO\u00C2\u00A9cnrHC3\t\u00E2\u0080\u0094Tt\u00C2\u00A900\nrH rH cn \u00C2\u00A9 CS rH co\n>n\ntfl- rH rH\ncn\noO\ntfl-\n<\n\u00C2\u00A9 Ov \u00C2\u00A9\n-H QV Tt\n\u00C2\u00A9\n_\nCfl\n00\nOn'\nCO\nTt\"\n3\ntt\n\u00C2\u00A9 cn vo\nm\nVO\nOO rH Tt\nNO\no\ni\nCfl\n3\n3|S\n>n rH cs\"\nCS\n\u00C2\u00A9\ntfl-\n\"\nTT\ntfl-\nTJ\n<\no\n\u00E2\u0080\u00A2\nOn m\nCN\nVO\n- rtin\nO^Ov\ncn i-h\ncn\noo\n3\nov cn\nTt tN\nOv'\nt>\nm\ntt\nt-l ,1-H\nVO vo\nm\nvo\n3T3 -\n3\ncn \u00C2\u00A9\noC\ncn\n\u00C2\u00AB\u00E2\u0096\u00A0\ncn\ntfl-\nK\ntfl .\n\u00E2\u0096\u00A0a?\no S\nOs\nOs\nB\n\u00C2\u00A9\n\u00C2\u00A9\no\n>H M\n^S\nTt\nOv\nTt\nOv\nIh\no rt\nOv\nON\ntt tt\n3: a\nOn\"\nOv\nIS\nJO O\nPhm\ncn\ncn\ntfl-\nas\n\u00C2\u00AB&\n\u00E2\u0096\u00A020\n52\n00\n\u00C2\u00ABn :\ncn\nCD j-\nH\n*o\nrH |\nCO\nrt\ncn\nd\ncn\nU33\n3\nO1\nCS\no\ncs\n>o\nin\ncs\nt-\nIh\nTJ\nTt\"\ntfl-\nTt\ntfl-\nCO\nCJ\nu\nincsr-csr-vocnov\n-H\nTJ\n3 3\nH 1_ tt c\n3 tt^; -j\n3 oi 3 o\nqi>TvOHoqm\nr^\nInNHTtTt'dhV\ncs\n\u00E2\u0096\u00A0w *\";\nOrHN\u00C2\u00A3JTtrHO\r-r~\n00\nttx:^\nz\u00C2\u00A7\nin cn Tt Tt^ cc o cs^ o\\nrH dincSrHt-^TtcjC\ncs\"\na rtft \n0\nu\ns\nA\nQJ\n>\no\nu\na\n|\na\nu\na\ns\nQJ\n>\no\na\n|\nT3\nOJ\n>\nO\n\u00C2\u00A7\na\no\nQJ \u00E2\u0080\u0094I\nMC\n\u00C2\u00A3 3\nJE\n\u00C2\u00AB S\n.So\nQU\n\"rt\n\u00E2\u0080\u00A2S'l\nla\n\u00E2\u0096\u00A0a\ns\nAffective Disorders\ni\ni\n\u00E2\u0080\u0094\n\u00E2\u0080\u0094\n1\n1\n\u00E2\u0080\u0094\n1\n1\n<\">thprs\nTotals \u00E2\u0096\u00A0\n2\n__\n\u00E2\u0080\u0094\n2\n\u00E2\u0080\u0094\n1\n1\n..\nSchizophrenia\n8\n6\n7\n29\n2\n4\n10\n1\n2\n4\n\u00E2\u0080\u0094\n1\n1\n2\n2\n6\n16\n2\n2\n7\n1\n2\n2\n6\n4\n1\n12\n1\n3\n~~2\n2\n4\n10\n1\n1\n3\n1\n1\n6\n6\n3\n18\n1\n3\n7\n2\n3\ni\ni\nChildhood\nOther - \t\n\t\nTotals .\n73\n___\n2\n42\n29\n23\n49\ni\n1\n1\n1\n1\n~ l\n1\n1\n\t\n1\n1\n1\n1\n1\nTotals \t\n4\n1\n2\n1\n1\n3\n79\nl\n4\n44\n30\n25\n53\ni\nAffective Disorders\nManic\n\t\n\t\n\t\n\t\n\t\n__\nTotals _ .\n_\n\t\n\t\n | \t\n\t\n|\nSchizophrenia\nSimple -\t\n6\n9\n40\n2\n2\n4\n1\n4\n1\n2\n1\n6\n~6\n24\n1\n2\n2\n1\n10\n~~2\n3\n3\n21\n1\n2\n2\n3\n6\n19\n1\n2\nCatatonic. \t\nChildhood\t\nOther\t\n\t\nTotals -\t\n63\n5\n4\n41\n13\n32\n31 1\n1\n\t\n1\n1\n1\n1\n1\n1\n1\n1\n1\n1\n1\nMental deficiency (mild) without psychosis\t\n\t\nTotals \t\n6\n1\n_...\n2\n3\n1\n5 1\n69\n6\n4\n43\n16\n33\n36 Q 66\nMENTAL HEALTH SERVICES REPORT, 1955-56\nTable 2.\u00E2\u0080\u0094Cases Treated by Coma Insulin, by Sex, Diagnosis, Result, and Disposal,\nCrease Clinic of Psychological Medicine\n(a) FEMALES\no\n\m v,\nS3 C\nM\nResult\nDisposal\nDiagnosis\n\u00E2\u0096\u00A0o\ng\n>\nO\no\nu\n(4\n>\nO\nQ,\n|\nA\nCJ\n3\ns\nQJ\n>\no\n5,\n|\n\u00E2\u0096\u00A0a\nQJ\n>\no\nu\nO,\nE\nS\n\u00C2\u00A33\no\nQJ -\nat c\n1\u00C2\u00B0\nQu\na\nbo\na\n'3\nEc\nQJ'^J\nP5U\n13\no .t;\n\u00E2\u0096\u00A0a M\n\no\nCJ\nQJ\n\u00E2\u0080\u00A2a\nQJ\n>\no\na\ne\nCJ\n3\ns\n\u00E2\u0080\u00A2a\nQJ\nO\nQ\nE\n\u00E2\u0080\u00A2a\nQJ\n>\no\nU\no,\nE\nE\n0\n0\nQJ-K\nif\n^E\n55\ne'S.\nbe O\ns a\n\u00E2\u0096\u00A0S3\nT3\ns\nAffective Disorders\n14\n19\n3\n5\nl\nl\n3\n1\n10\n16\n1\n4\n1\n2\n~ 1\n10\n7\n2\n1\n4\n12\n1\n4\nTotals\n41\n2\n4\n31\n4\n20\n21\nSchizophrenia\nSimple _\t\n10\n11\n15\n97\n3\n18\n13\n1\n5\n1\n1\n2\n1\n1\n1\n9\n7\n9\n72\n3\n12\n11\n2\n2\n3\n4\n22\n5\n1\n1\n3\n3\n4\n5\n29\n1\n7\n3\n1\n6\n7\n10\n68\n2\n11\n10\n4\n\t\nCatatonic \t\n1\nSchizo-affective- \t\nChildhood -\n1\nOther __\t\nTotals \t\n173\n1\n6\n125\n41\n53\n118\n2\n1\n1\n1\n7\n2\n1\n10\n1\n1\n9\n1\n1\n1\n1\n1\n1\n4\n2\n1\n9\n5\n1\n2\n1\n1\n4\n1\n1\n1\n2\n2\n2\n1\n5\n1\n8\n1\n1\n9\nPsychoneurotic reaction, other \t\nInadequate personality ,\t\n\t\nMental deficiency with psychotic reaction\t\n\t\nTotals\n35\n1\n1\n25\n8\n10\n25\n249\n4\n11\n181\n53\n83\n164\n2 Q 68\nMENTAL HEALTH SERVICES REPORT, 1955-56\nTable 3.\u00E2\u0080\u0094Cases Treated by Electro-convulsive Therapy, by Sex, Diagnosis, Result,\nand Disposal, Provincial Mental Hospital\u00E2\u0080\u0094Continued\n(6) MALES\no\nl-l u,\nu ~\nII\nResult\nDisposal\nDiagnosis\nt\nQJ\nQJ\n>\no\nCJ\nQJ\nrt\n\u00E2\u0080\u00A2o\nQJ\n>\no\na\nE\n\u00E2\u0080\u00A28\n1\nT3\nQJ\n>\no\nIH\na\n1\n\u00E2\u0080\u00A2a\nQJ\n>\no\nw\na\na\n'B\n0\na -~\n11\nIs\nQu\n3 S.\n\"- Cfl\nbDO\nfw\n3 \u00E2\u0080\u0094\n13\nE B\nrtS\nQJ\n5\nAffective Disorders\n10\n9\n3\nl\ni\n9\n5\n\u00E2\u0080\u0094\n3\n3\n7\n6\nInvolutional psychotic \t\n\t\nTotals\n19\n3\n2\n14\n\u00E2\u0080\u0094\n6\n13\nSchizophrenia\n21\n2\n24\n67\n6\n12\n7\nT\n2\n1\n1\n1\n1\n7\n1\n14\n1\n18\n39\n3\n7\n5\n6\n\" 4\n19\n2\n5\n1\n3\n2\n7\n21\n1\n1\n2\n18\n~17\n45\n5\n11\n5\ni\nr.hilHhonri\nOther. \t\nTotals\n139\n4\n11\n87\n37\n37\n101\ni\n2\n2\n3\n1\n1\n1\n4\n2\n7\n3\n1\n1\n1\n\t\n1\n....\n1\n2\n1\n3\n1\n3\n1\n5\n2\n1\n1\n1\n_\n1\n~~2\n1\n1\n1\n2\n1\n1\n3\n1\n1\n1\n2\n1\n1\n1\n~i\nl\n6\n3\n1\n1\nTotals\n29\n1\n1\n20\n7\n11\n18\n\t\n187\n8\n14\n121\n44\n54\n132\ni CREASE CLINIC AND PROVINCIAL MENTAL HOSPITAL\nQ 69\nTable 4.\u00E2\u0080\u0094Cases Treated by Electro-convulsive Therapy, by Sex, Diagnosis, Result,\nand Disposal, Crease Clinic of Psychological Medicine\n(a) FEMALES\nm\n8\n\u00C2\u00AB\nPm\n\no\nCJ\nQJ\nrt\n\u00E2\u0080\u00A2a\n5\n1-4\nft\n\u00E2\u0080\u00A2s\n1\n\u00E2\u0080\u00A2a\nQJ\n>\no\nH\na\n|\n>\no\nu\ns\nI\no\nQJ.-i\nIE\nc\nbo\nC\na\nm.cj\nQJUh\nrtu\ncd\no S\n\u00C2\u00B0 a\nT3 tfl\n4)rH O\nS.SW\nQJ CJ_\n\"a .9 2\n3 > n\n22 B\nQJ\ns\nAffective Disorders\n8\n16\n29\n17\n4\n10\n14\n6\n1\n__\n3\n6\n13\n11\n~~I\n8\n16\n24\n14\n3\n2\n2\n1\nTotals\t\n70\n34\n2\n33\n1\n62\n3\n4\n1\nSchizophrenia\n9\n4\n13\n69\n11\n4\n42\n1\n1\n7\n9\n3\n10\n1\n__\n4\n2\n6\n9\n2\n4\n43\n5\n3\n24\n~~1\n11\n1\n1\n2\n6\n2\n13\n51\n8\n2\n33\n1\n1\n2\n2\n2\n16\n3\n2\n9\nChildhood .. \t\nOther . . _\nTotals\n153\n31\n14\n90\n18\n116\n3\n32\n19\n1\n4\n2\n53\n2\n1\n1\n1\n4\n2\n1\n2\n\" i\n6\n3\n1\n~6\n1\n14\n1\n2\n2\n39\n1\n1\n1\n1\n1\n1\n2\n\"I\n_2\n1\n1\n17\n1\n4\n2\n49\n1\n1\n1\n1\n2\n2\n2\n4\n1\n1\n2\nChronic brain syndrome with psychotic re-\nAcute brain syndrome associated with alco-\nPre-senile brain disease with psychotic re-\nPsychophysiological gastrointestinal reaction-\n\t\nTotals - \t\n91\n12\n8\n64\n7\n81\n7\n3\n314\n77\n24\n187\n26\n259\n15\n39\nI Q 70\nMENTAL HEALTH SERVICES REPORT, 1955-56\nTable 4.\u00E2\u0080\u0094Cases Treated by Electro-convulsive Therapy, by Sex, Diagnosis, Result,\nand Disposal, Crease Clinic of Psychological Medicine\u00E2\u0080\u0094Continued\n(6) MALES\nDiagnosis\nResult\nDisposal\nli\n&9\n56\nBe\nQJ--\nPhU\nIh ^-*h\nHCL.Z\nAffective Disorders\nManic.\nDepressed \u00E2\u0080\u0094\nPsychotic depressive\t\nInvolutional psychotic.\nTotals \t\nSimple\t\nHebephrenic-,\nCatatonic\t\nParanoid\t\nSchizophrenia\nAcute undifferentiated ._.\u00E2\u0080\u009E\nChronic undifferentiated-\nSchizo-affect-ve \t\nChildhood\t\nResidual\t\nOther _\nTotals\t\nParanoid state \u00E2\u0080\u0094\t\nAnxiety reaction\t\nObsessive compulsive reaction-\nNeurotic depressive reaction.\u00E2\u0080\u0094\nSchizoid personality\nPassive aggress.ve personality\t\nChronic brain syndrome with psychotic reaction , \t\nChronic brain syndrome with neurotic reaction \t\nAcute brain syndrome with psychotic reaction \t\nParanoid personality, _ -\nPhobic reaction \u00E2\u0080\u0094\nGross stress reaction \u00E2\u0080\u009E \t\nTotals -\nGrand totals.\n10\n16\n10\n3\n39\n10\n4\n10\n32\n6\n15\n11\n3\n7\n2\n10\n4\n2\n4\n2\n1\n2\n2\n1\n18 1\nI 15\n1\n7\n1\n1\n1\n4\n5\n3\n10\n18\n1\n4\n1\n12\n1\n4\n6\n\t\n\t\n6 | 24 |\n50\n1\n2\n1\n6\n2\n2\n1\n7\n\t\n4\n1\n2\n1\n1\n1\n1\n1\n1\n1\n\t\n1\n27 |\n167 | 29\n34\n92 |\n3\nT2~\n14\n10\n3\n1\n9\n23\n5\n7\n128\n35 | 1 | 3 |\n2\n3\n1\n1\n8\n1\n8\n1\n2\n\t\n1\n1\n\t\n1\n\t\n1\n\t\n1\n1\n\t\n2\n\t\n\t\n\t\n61 | 2 | 25 | \t\n28\nJ CREASE CLINIC AND PROVINCIAL MENTAL HOSPITAL\nQ 71\nTable 5.\u00E2\u0080\u0094Cases Treated by Electronarcosis, by Diagnosis, Result, and Disposal,\nCrease Clinic and Provincial Mental Hospital\n\u00E2\u0096\u00A0Q\nResult\nDisposal\ncd\n>\no\n\u00E2\u0080\u00A2a\n3\nDiagnosis\n\u00E2\u0096\u00A0\u00E2\u0080\u0094> Ih\nOH\nhi (fl\nQJ H-\nXI 3\nE-2\n\u00E2\u0080\u00A2o\nQJ\nIh\nQ>\nO\nCJ\nQJ\na\nE\nX.\ncj\n3\n2\n\u00E2\u0080\u00A2a\nQJ\n>\no\nIh\na\nE\n>\no\ntH\na\nE\n3\ns\n\u00E2\u0080\u00A2a\nQJ\nbB\nhi\n0\nbo\nS \u00E2\u0080\u0094\n'a \u00C2\u00AB\nIf\nrtW\n\u00E2\u0080\u00A2a\n5\n7\n5\n2\n7\n57\n4\n7\n37\n9\n40\n17\nMiscellaneous\n11\n1\n1\n8\n1\n9\n2\n\t\n75\n10\n8\n47\n10\n56\n19\nTable 6.\u00E2\u0080\u0094Cases Treated by Lobotomy, by Diagnosis, Result, and Disposal\n*T3\n\u00C2\u00A9\nu\n4H 1-\nOH\nQj2\n.0 3\ns|\ns\u00C2\u00AB\nResult\nDisposal\nDiagnosis\n\u00E2\u0096\u00A0a\nQJ\nIH\nQJ\n>\no\nCJ\nQJ\n\u00E2\u0080\u00A2a\no\n>\no\nft\n\u00C2\u00A3\n\u00E2\u0096\u00A0s\n3\n\u00E2\u0080\u00A2a\nOJ\n>\no\nhi\na\nE\nQJ\no\nhH\na\nE\na\nP\nQJ\nbe\nrt\nHH\nCJ\ns\n\"rt\n.S a\nQ0H O\n.S3 S\n1.93\nQJ h,,Z\nrto.2\nCJ\ns\n5\n5\nI\n1 i\n1\n2\n3\n2\n3\n5\n2\nTotals ... . ...\n10\n2\n3\n5\n3\n7\n__\nDEPARTMENT OF LABORATORIES\nG. A. Nicolson, Director\nThe total number of tests carried out in the laboratories of the Mental Hospital and\nCrease Clinic during the fiscal year April 1st, 1955, to March 31st, 1956, was 53,189.\nThis is an increase of 1,703 over the previous year.\nAnalysis of the following detailed figures reveals several points of general interest.\nThe incidence of syphilis continues to show a decrease, now approximating 1 per\ncent. Five years ago it was 4 per cent, and ten years ago 8 per cent.\nA marked increase in blood groupings, cross-matchings, and Coombs tests has\noccurred, the total number being 744, as compared with 439 for the previous year. This\nparallels the increase in the number of major operations carried out by the Department\nof Surgery, most of which require transfusion therapy.\nThere is also a marked increase in biochemical tests for electrolyte disturbances, as\nshown by the number of sodium, potassium, and chloride determinations. This, too, can\nbe attributed to the necessity for performing these tests on patients undergoing major\nsurgical operations.\nThere has been a very marked increase in the number of alkaline phosphatase tests\ncarried out, 947 as compared to 68 for the previous year. This is a complicated, time-\nconsuming procedure used to control the treatment of patients with such new therapeutic\nagents as largactil.\nThe more thorough investigation of patients with infectious diseases, attributable\nto the opening of the North Lawn Building, has resulted in a tremendous increase in the\nnumber of bacteriological investigations necessary to the diagnosis of tuberculosis. The\nincreased use of antibiotics has doubled the number of sensitivity tests performed on\nbacteriological cultures. Q 72 MENTAL HEALTH SERVICES REPORT, 1955-56\nIncreases and replacements in Hospital staff have necessitated the carrying-out of\nmany more vaccinations and inoculations than in any previous year.\nEnumerated below is the report of laboratory tests carried out from April 1st, 1955,\nto March 31st, 1956:\u00E2\u0080\u0094\nBlood tests\u00E2\u0080\u0094\nKahn, negative 3,337\nKahn, positive 43\nKahn, quantitative 40\nRed-blood cells and haemoglobin 1,474\nHaemoglobin 3,728\nHematocrit 5\nWhite-blood cells and differential 4,459\nEosinophil count 27\nThorn test 2\nSedimentation rate 1,325\nGrouping 210\nCross-matching 49 7\nDirect Coombs test 1\nIndirect Coombs test 36\nSternal marrow 5\nLupus erythematosus cells 2\nBleeding time 104\nCoagulation time 119\nProthrombin activity 140\nPlatelet count 18\nReticulocyte count 44\nFragility 2\nCulture 22\nWidal 14\nAgglutination for B. abortus 3\nPaul Bunnell test 4\nGlucose 576\nGlucose tolerance 19\nAmylase 19\nNon-protein nitrogen 270\nUrea nitrogen 16\nUrea clearance 2\nUric acid 7\nCreatinine 3\nCarbon dioxide combining power 46\nCholesterol 125\nBarbiturate \u00E2\u0080\u0094 12\nBromide 3 0\nChloride 77\nSodium 8 3\nPotassium 79\nCopper 4\nCalcium 30\nPhosphorus 13\nAlkaline phosphatase 947\nAcid phosphatase 38\nIcterus index 81 CREASE CLINIC AND PROVINCIAL MENTAL HOSPITAL\nQ 73\nBlood tests\u00E2\u0080\u0094Continued\nVan den Bergh\t\nTotal protein\t\nAlbumin-globulin ratio\nFibrinogen \t\nHanger flocculation\t\nThymol turbidity\nBromsulphalein excretion\nAlcohol \t\nSpinal fluid\u00E2\u0080\u0094\nKahn, negative\t\nKahn, positive\t\nKahn, quantitative\nColloidal gold\t\nCell count\t\nTotal protein\t\nGlucose \t\nChloride \t\nM. tuberculosis\t\nUrine\u00E2\u0080\u0094\nRoutine general ____\nAcetone \t\nQuantitative sugar\nBenzidene \t\nBromide \t\nChloride\t\nCopper\nQuantitative albumin\nBence-Jones protein.\nBile \t\nUrobilinogen \t\nUroporphyrin\t\nPhenylpyruvic acid\nDiastase \t\nPhenolsylphonphthalein excretion\nMosenthal \t\nConcentration-dilution test\nB arbiturates \t\nSalicylates \t\nPhosphorus \t\nCalcium \t\nTotal nitrogen\t\n17-ketosteroids \t\nM. tuberculosis (24-hour specimen)\nCystoscopic specimens\t\nFriedman test\t\nSmears\u00E2\u0080\u0094\nMiscellaneous\nGonococcus __\nM. tuberculosis\t\nVincent's organisms\t\nTrichomonas vaginalis\n236\n56\n61\n1\n813\n36\n31\n4\n387\n11\n8\n341\n708\n700\n4\n5\n1\n9,713\n2,240\n365\n478\n2,831\n4\n58\n163\n1\n476\n32\n3\n4\n1\n1\n3\n3\n1\n1\n2\n1\n56\n17\n7\n10\n72\n1,231\n55\n37\n4\n42 Q 74 MENTAL HEALTH SERVICES REPORT, 1955-56\nSmears\u00E2\u0080\u0094Continued\nDiphtheria 1\nFungus 2\nSputum for M. tuberculosis 530\nCultures\u00E2\u0080\u0094\nMiscellaneous 537\nAntibiotic sensitivity (sets) 392\nDiphtheria 6\nGonococcus 4\nMonilia 4\nTyphoid L 914\nDysentery 917\nSalmonella 2\nM. tuberculosis 367\nFungus 5\nWater 8\nMilk 39\nGastric contents\u00E2\u0080\u0094\nAnalysis 9\nOccult blood 2\nAlcohol 1\nM. tuberculosis 181\nFasces\u00E2\u0080\u0094\nParasites 65\nOccult blood 112\nM. tuberculosis 1\nUrobilinogen 3\nInjections\u00E2\u0080\u0094\nTyphoid vaccine 744\nDiphtheria toxoid 48\nPollen antigen 18\nSkin tests\u00E2\u0080\u0094\nTuberculin 3,922\nSchick tests 240\nStaphylococcus toxoid sensitivity 2\nSmallpox vaccinations 184\nBasal metabolism tests 187\nElectrocardiograph 380\nFluid for cancer cells 3\nBiopsies and surgicals 119\nAutopsies 127\nAnimal autopsies 40\nTissue sections 3,599\nFrozen sections 3\nTissue for barbiturate 1\nPleural-fluid routine 3\nWater for chlorine content 2\nWater for pH 9\nTotal 53,189 CREASE CLINIC AND PROVINCIAL MENTAL HOSPITAL\nQ 75\nPatients enjoying the sunshine and fresh air of early summer.\n33\u00C2\u00BBg|gg\u00C2\u00BB&gjgg\u00C2\u00A7rara\n.: \u00E2\u0096\u00A0\nTypical open-ward scene. Q 76 MENTAL HEALTH SERVICES REPORT, 1955-56\nDEPARTMENT OF NEUROLOGY\nW. P. Fister, Director\nDuring the past year the scope of neurological service was broadened to include the\nclinical supervision of acute new admissions whose primary pathology and symptomatology were of a neurological nature.\nIn addition, a separate ward for chronic neurological patients was opened in the\nWest Lawn Building, and a similar extension of services is in the stage of active planning\nfor the East Lawn Building.\nThe laboratory work was carried on as before, and showed increases as follows:\u00E2\u0080\u0094\nLast Year\nThis Year\nIncrease\n1,331\n328\n1,435\n356\n104\n28\nForty-nine patients were seen in collaboration with the Neurosurgical Service.\nTwenty-three of these required neurosurgical operations and investigations.\nElectrocorticography was employed repeatedly as an adjunctive measure in the\nsurgical removal of epileptogenic lesions. In this connection, one outstanding case is\nespecially worthy of mention, in which a total hemispherectomy was successfully carried\nout on a 22-year-old female patient.\nA survey study was carried out on fifty-four inmates of the Girls' Industrial School.\nA research project undertaken in conjunction with Dr. Kennard was completed.\nIn addition, electroencephalographic studies were carried out on patients suffering\nfrom phenylpyruvic oligophrenia, who at present are subject to investigation and treatment\nat The Woodlands School.\nLectures on neurological and neurophysiological topics were given to the medical\nand nursing staffs.\nClinical demonstrations were given to the first- and third-year students of medicine\nand applied psychology of the University of British Columbia.\nDEPARTMENT OF RADIOLOGY\nJ. M. Jackson, Director\nThe following is a tabulation of the work performed in this department in the twelvemonth period ended March 31st, 1956:\u00E2\u0080\u0094\nCrease Clinic of Psychological Medicine\nNumber of films taken 5,949\nNumber of patients X-rayed 2,361\nFilms Patients\nChests 1,876 1,833\nExtremities 342 106\nSpines 373 108\nSkulls 57 22\nPneumoencephalograms 2,300 166\nBarium enemas 174 15\nBarium meals 531 36\nPyelograms 111 17\nGall-bladders 29 5 CREASE CLINIC AND PROVINCIAL MENTAL HOSPITAL Q 77\nCrease Clinic of Psychological Medicine\u00E2\u0080\u0094Continued\nBarium swallows\n 7\n2\nAbdomens ...\n 28\n19\nRibs\n 13\n6\nPelvis \t\nJaws\n 5\n_ 5\n4\n2\nNoses _ _ -\n 10\n4\nSinuses\n_ 16\n4\nMastoids \t\nFacial bones . ,, \t\n 6\n 7\n2\n2\nHeart fluoroscopies ~_. - - \t\n 6\n3\nVentriculargrams _\n 24\n2\nAngiogram \t\nMyelogram _ \t\n 12\n 10\n1\n1\nBronchogram\n 7\n1\n5,949\n2,361\nProvincial Mental Hospital\nNumber of films taken\n.___ 18,862\nNumber of patients X-rayed\t\nChests \t\n__ 10,834\nFilms\n 9,250\nPatients\n9,047\nExtremities\n2,498\n812\nSpines \t\n 555\n151\nSkulls .... .\n 163\n66\nPneumoencephalograms\n 2,602\n183\nBarium enemas\n 770\n71\nBarium meals \t\n 1,589\n97\nPyelograms \t\n 306\n47\nGall-bladders \t\n 149\n26\nBarium swallows - - \t\n 57\n9\nAbdomens - \t\n 233\n128\nRibs \t\n 90\n38\nPelvis - _ ... __ _ \t\n 35\n24\nJaws \t\n 119\n 84\n 77\n30\nSinuses \t\nNoses -.\t\n20\n30\nMastoids _____ \t\n37\n9\nFacial bones\n15\n4\nPlanograms _ \t\n 148\n25\nHeart fluoroscopies\n__ __ 28\n7\nBronchograms \t\nCholangiogram\t\nThyroid _ ___\n 30\n 3\n __ 2\n4\n1\n1\nAngiogram ..\n12\n1\nVentriculargram __ __ _ \t\n 5\n1\nSternoclavicular joints __ \t\n 5\n2\n18,862\n10,834 Q 78\nMENTAL HEALTH SERVICES REPORT, 1955-56\nScene in Radiology Department of the North Lawn Building.\nDEPARTMENT OF PHYSICAL MEDICINE\nF. E. McNair, Clinical Director\nThe men's division of this department has continued to make a noteworthy contribution to the treatment services. Unfortunately it has not been possible to secure a\nfemale physiotherapist, and we have been without that treatment aid for five months of\nthe year. A psychiatric aide has assisted by carrying on hydrotherapy, and we have had\nthe co-operation of the male staff in carrying out specific remedial exercises in surgical\ncases amongst the women patients. We have particularly missed the progressive relaxation treatment which has assumed a considerable importance amongst the women patients\nas a substitute for pharmacological agents to produce relaxation.\nFollowing is a report of the treatments given in the Physiotherapy Department of\nthe Provincial Mental Hospital and Crease Clinic of Psychological Medicine from April\n1st, 1955, to March 31st, 1956:\u00E2\u0080\u0094\nNumber of\nTreatments\nProvincial Mental Hospital\nGalvano and faradic stimulation 1\nHydrotherapy 527\nInfra-red 127\nMassage and manipulation 551\nRemedial exercises 1,108\nShort-wave diathermy 253\nUltra-violet lights 590\nWax baths 48\nTotal number of treatments.\n3,205 _.-_.__\nProvincial Mental Hospital\u00E2\u0080\u0094Continued\nTotal number of natients treated 157\nQ 79\nChiropody\u00E2\u0080\u0094\nTotal number of patients treated\n-__ 1,063\nTotal number of treatments ___\n- 1,623\nCrease Clinic of Psychological Medicine\nMale\nFemale\nTotal\n102\n31\n39\n538\n28\n1,296\n263\n188\n57\n30\n477\n1,071\n20\n168\n64\n30\n371\n1,209\n1,467\n66\n572\n667\n359\n97\n359\n1,682\n30\n470\n161\n91\n102\n31\n39\n909\n28\n2,505\n1,730\n66\n760\n667\n416\n127\n836\n2,753\n50\n638\n225\n121\nShort-wave diathermy _.. .\t\nWax baths - \t\n4,402\n350\n7,601\n499\n12,003\n849\nDENTAL DEPARTMEN\nH. O.Johnsen, Directoj\nT\nDuring the year several improvements in the dental services have been effected.\nNew items of equipment have been added, and the clinic much improved in appearance,\nwith clean and bright walls and ceilings and comfortable furniture replacing the old\nwooden benches in the waiting-room.\nA large propane storage-tank has been installed, eliminating the frequent refilling of\nthe old bottles.\nThe need for a dental clinic at the North Lawn Building, where tubercular patients\ncould be treated, was gone into with Dr. Lawler and a suitable location decided upon.\nA detailed list of equipment necessary to establish such a clinic was then prepared and\nsubmitted to the Business Manager.\nDuring the year it has become increasingly evident that one technician is not sufficient to handle the amount of work required. The large number of broken dentures in an\ninstitution of this type keeps one technician so busy with repairs that not enough time is\nleft for other work. Consideration should therefore be given to the employment of a\nsecond technician.\nSummary of Work\nExaminations \t\nExtractions\t\nFillings\t\nProphylaxis\nTreatments .\nX-rays\nDentures made ___\nDentures repaired\nDentures refined ..\nBridge repairs\t\n2,581\n1,358\n1,269\n508\n221\n707\n244\n265\n57\n11 Q 80\nMENTAL HEALTH SERVICES REPORT, 1955-56\nSummary of Work\u00E2\u0080\u0094Continued\nBridges made\nGold inlays.\nPlastic crowns\t\nGeneral anaesthesia.\nOPTICAL DEPARTMENT\nH. H. Woodbridge, Optometrist\nThe following is the report of the optical work done at the Provincial Mental Hospital and the Crease Clinic for the fiscal year April 1st, 1955, to March 31st, 1956:-\u00E2\u0080\u0094\nRefractions 475\nMajor repairs 295\nMinor repairs and adjustments 100\nDIETARY DEPARTMENT\nMrs. M. E. Marr, Dietetics Administrator\nDuring the year 1955-56 the Essondale Dietary Department made considerable\nprogress toward its reorganization.\nThe installation of a central butcher-shop afforded the biggest potential factor in\nincreasing the efficiency of dietary operations. Central butchering, within this period, has\nbeen the instrument whereby there has been a greater utilization of all cuts of meat, with\nthe result that a greater menu variety has been possible. This accomplishment, thus far,\n\u00E2\u0080\u009E,,J\n\u00C2\u00AB*_>iSii. .\nScene in central butcher-shop. CREASE CLINIC AND PROVINCIAL MENTAL HOSPITAL Q 81\nhas been indeed gratifying, but it is in reality only the beginning of what is expected in\nefficiency.\nA special-diet kitchen in the East Lawn Building, under the direction of Mrs. I.\nCowley, dietician, was opened in June, 1955. This diet kitchen renders service for 120\nspecial diets. Mrs. A. Austen, cook in charge of this special-diet kitchen, enjoys the\ndistinction of being the first female cook to be employed by this department.\nWith the opening of the North Lawn Building, dietary service for tubercular patients\nreceived special consideration. The menu offered at North Lawn stresses particularly the\nbody building and repairing foods, which are necessary in the treatment of tuberculosis.\nAs North Lawn is an infectious unit, special care is exercised in the technique of the\ndish-washing operations.\nDuring the summer months of 1955 the Essondale dietary staff, under direction\nof the dieticians, Mrs. McLeod and Mrs. Ruxton, conducted an experimental feeding\nprogramme for the Drs. McGeer and Dr. Boulding of the Neurological Research Department of the University of British Columbia. This experiment was done for the purpose\nof making it possible for the Department of Neurological Research to examine the abnormal protein metabolism and its effects in schizophrenic patients.\nThere could have been no progress made within the Dietary Department during\n1955-56 had there not been co-operation from other departments. For this co-operation,\nthe Dietary Department is deeply appreciative.\nDEPARTMENT OF NURSING, WOMEN'S DIVISION\nE. M. Pullan, Director of Nursing\nProgress has been made in improving the nursing care of patients in all areas of this\nDepartment. The greatest strides of progress are found:\u00E2\u0080\u0094\n(1) In the care of the active and inactive tuberculosis patients. With the\nopening of the North Lawn Building in May, 1955, these patients were\nmoved from crowded quarters to the new unit, where modern hospital\nfacilities were available to aid the nursing staff to provide more adequate\nnursing care. Through the improved facilities and increased nursing\npersonnel, the patients have responded very favourably toward improved\nphysical and mental health.\n(2) In the nursing care of the long-term psychiatric patients. The atmosphere\nof the East Lawn Building has changed remarkably through the application of more modern psychiatric nursing procedures. The use of different\nmethods has been the result of a co-operative effort on the part of the\npersonnel of all the disciplines, who have been guided and encouraged\nby the Assistant Clinical Director of the East Lawn Building, Dr. E. Ley-\nland. The atmosphere in this unit is now more quiet and peaceful. The\npatients have responded to the improved conditions with enthusiasm.\nEducational programmes have continued for all members of nursing staff. These\nprogrammes are:\u00E2\u0080\u0094\n(1) Student psychiatric nurse programme.\n(2) Psychiatric aide orientation programme.\n(3) Orientation programme for graduate psychiatric nurses and registered\nnurses.\n(4) In-service programme for graduate nursing personnel.\nThe problem of staffing the wards improved slightly over last year inasmuch as we\nhad a few more staff who were adequately trained. However, the heavy demands which Q 82 MENTAL HEALTH SERVICES REPORT, 1955-56\nare being made in order to provide up-to-date treatment emphasize the lack of trained\npersonnel.\nThere were some changes in our senior staff. Miss E. Johnstone, R.N., and Miss\nB. Mitchell, R.N., returned to the School of Psychiatric Nursing following their trips to\nBritain and Europe for educational purposes. Mrs. E. Furnadjieff, R.N., Supervisor of\nthe North Lawn Building, resigned. Mrs. G. Ripley, R.N., returned to the School of\nPsychiatric Nursing following the completion of the course in clinical supervision in\npsychiatric nursing at the School of Nursing at the University of British Columbia.\nMrs. M. L. McKay, R.N., was granted leave of absence to attend the course in clinical\nsupervision in psychiatric nursing at the University of British Columbia.\nDEPARTMENT OF NURSING, MEN'S DIVISION\nR. H. Strong, Chief Male Psychiatric Nurse\nThis year saw the opening of the North Lawn Building for tubercular patients in\nMay. This has been of great advantage to the nursing services and filled a long-felt need\nin that it allows for better segregation of this type of patient, and the staff feel more\nconfident now that they know which patients are so afflicted.\nAt this time Ward A-l was closed, and after extensive renovation was reopened in\nMarch, 1956, to accommodate fifty bed patients and twenty ambulatory neurological\ncases. The initial group to move were forty-seven bed patients from Ward C-4.\nThe disastrous fire and complete loss of the main Industrial Therapy Building caused\na little difficulty when temporary occupational-therapy areas were set up because the\nmajority of the patients working in these areas were required to have grounds privileges,\nand this now frequently results in insufficient patient labour for essential shops.\nOn November 1st, 1955, Ward C-2 became an open ward, bringing the total number\nto five male open wards. The staff on these wards have much credit due them for their\nhard work and the way in which they have adjusted their philosophy to the management\nand care of the patients in the new and different type of nursing situations.\nRegular staff conferences with the Clinical Director, social service workers, and\nmedical and supervisory staff have been very valuable in co-ordinating treatment and\ninterdepartmental policies, and have given the staff a better appreciation of problems and\nobjectives of other departments.\nThe in-service training programme of the School of Psychiatric Nursing this year has\nbeen much appreciated by all the staff concerned, and has partially filled a long-felt need\nin the male services. It is hoped that this programme will be continued so that more of\nthe staff may participate. In addition, two more members of the male nursing staff took\ntraining in operating-room techniques, oxygen therapy, and genito-urinary work at the\nRoyal Columbian Hospital. One male charge nurse took a one-week course on tubercular\nnursing at the Willow Chest Clinic and Pearson Tuberculosis Hospital, Vancouver, in\norder that he might be better qualified as a charge nurse of a tubercular ward. Two\nother male staff members attended a group discussion of group development at the University of British Columbia, while an instructor attended a similar session in a much more\nextensive form at the University of Washington.\nWith the increased number of open wards, the grounds supervisors' responsibilities\nhave increased, and the necessity of thinking of the grounds in terms of a large open ward\nwith a properly set-up staff becomes apparent.\nThe increased activities of the Recreational Department have contributed greatly to\nthe patients' happiness. This year the recreational programme has included more activities for deteriorated patients than ever before. Television sets have been installed in CREASE CLINIC AND PROVINCIAL MENTAL HOSPITAL\nQ 83\nseven additional wards this year. The sets have done much to settle disturbed and\nrestless patients.\nStaffing the male services with adequately trained personnel continues to be a problem. The demands on the nursing staff have increased considerably in the past year in\nall treatment areas. The staff have met these demands admirably, and much credit is\ndue them.\nAlthough three new wards were opened during the year, only one more nurse was\non the establishment than last year. The number of psychiatric aides increased by thirty,\nthus showing that the number of psychiatric nurses in other areas had to be lessened in\norder to open and staff the new areas.\nIn April there will be nineteen male graduates to receive their diplomas, and as they\njoin our staff (as their terms become complete), it will help a little to increase the ratio\nof the nurses to aides.\nStabilization of staff has been one of our biggest problems this year, and with an\nincrease in the number of aides the need for an increase in supervisory staff has become\nmore evident.\nSCHOOL OF PSYCHIATRIC NURSING\nMiss O. J. Smith, Senior Instructor\nProgress of the School of Psychiatric Nursing is marked by the increase in the\nnumber of women and, to a lesser degree, of men applicants. The increase in number\npermits better selection. The majority of women applicants have had a Grade XII\neducation but have either failed to meet University Entrance requirements or have taken\na commercial course.\nPresenting psychiatry to recent high-school graduates who have had only brief\ncontact with patients during an orientation period continues to be a difficulty. Because\nof this, a different approach to psychiatric nursing was evolved for the first-term students.\nThe course was planned to follow the life of the patient from birth through his illness to\nhis rehabilitation in the community. All subjects were integrated to make the picture\ncomplete. Films and group discussion were used extensively. Valuable assistance was\ngiven by the Recreational and Occupational Therapy Departments in classes designed to\ndemonstrate to the students how to promote activity on the wards. The students learned\nnot only to approach the patients with greater ease, but how to be more at ease with one\nanother.\nWith the addition of two members to the teaching staff, the assignment of students\nto the various wards is again controlled by the School and a more balanced experience\nfor all students assured.\nOn-the-ward instruction has also been possible. Instructors have endeavoured to\nfollow the progress of the students and have discussed their performance and the management of patients with them. Such instruction has proved to be invaluable.\nThe clinical instructors have also been responsible for forming and being active on\ncommittees composed of representatives from all nursing groups to investigate nursing\nprocedures and charting. The response and effort of the members on the committees\nhave been most gratifying and have resulted in a closer relationship between nurses on\nthe ward and in the classroom.\nDuring the year the affiliate programme has been extended to include five instead of\nfour groups of students, each group numbering approximately thirty-two students.\nAs the number of students increases, the instructor is required to spend more time\nin organization of the course and requires assistance to follow the progress of the students\non the wards. Q 84\nMENTAL HEALTH SERVICES REPORT, 1955-56\n^*^\u00C2\u00AB\nI\n\u00E2\u0096\u00A0\u00E2\u0080\u00A2ft frfegj\nla\nAnatomy lecture, School of Psychiatric Nursing.\nStudents practise taking the blood-pressure in the Nursing Arts Course. CREASE CLINIC AND PROVINCIAL MENTAL HOSPITAL\nQ 85\nCrowded offices have increased the difficulties under which the instructors work.\nTutoring of the students has been done in odd corners, and the time required to prepare lectures and mark examination papers has been doubled because of continuous\ninterruptions.\nEnthusiasm and co-operation, however, have been the chief characteristics of the\ninstructors and their stenographic assistants. They have adapted readily to abrupt changes\nnecessitated by the increased enrolment of students, increased staff in limited space, and\nto changes made in the teaching programme to meet the demands of newer methods of\ntreatment. They have been graciously assisted in the conduct of the programme by members of every department and take this opportunity to say, most sincerely, thank you.\nPSYCHOLOGY DEPARTMENT\nJ. W. Borthwick, Senior Psychologist\nThe Psychology Department has had a most unsatisfactory year. For different\nreasons, but primarily because of inadequate salaries, there have been several resignations\nduring the last twelve months. Last year, with eight psychologists, it was pointed out in\nthe Annual Report that there was an unfavourable ratio of staff to patients. This year\nthe average number of staff has been less than four. For almost five months there were\nonly two members, and for a short time the staff was reduced to one. Now, at the end\nof the fiscal year, there are four psychologists. This reduced staff must cope with a larger\nthan ever patient population and admission list.\nThe shortage of staff has affected the Psychology Department in a number of ways.\nThe number of patients examined during the year has been sharply reduced. As another\ntime-saver, the number of tests and time spent in the work-up of the material has been\ncut, resulting in more superficial and less useful evaluations. In the past, psychologists\nin this Department have relied heavily on Departmental activities, such as ward rounds,\nresearch projects, group therapy, and so on, as a means of interacting with other professional groups in the Hospital. These activities have been reduced or eliminated in order\nto keep its functioning centred on a routine of testing with demands greater than it is able\nto meet. Recognition by its members of these inadequacies has tended to lower both\nmorale and professional self-esteem.\nThe following is a summary of the activities for the year:\u00E2\u0080\u0094\nTotal number of patients examined 330\nWard rounds 189\nGroup therapy hours 38\nLectures to psychiatric nursing students 50\nLectures to medical students 6\nEvaluation of nursing students and applicants 5\nBender-Gestalt 158\nBenjamin Proverbs 2\nDifferential Aptitude\nDominion Silent Reading\nDraw-a-Person\t\n 1\n 1\n 132\n 9\n 1\nLee-Thorpe Occupational Interest Inventory 6\nLowenfeld Mosaic 8\nMcQuarrie Test of Mechanical Ability 1\nMinnesota Multiphasic Personality Inventory 2\nGoldstein Scheerer Colour Form Sorting.\nGoodenough Intelligence Test Q 86 MENTAL HEALTH SERVICES REPORT, 1955-56\nOtis Tests of Mental Ability 1\nPorteus Maze 3\nProgressive Matrices 7\nRorschach 242\nRosenzweig Picture Frustration 1\nShipley-Hartford Retreat Scale 41\nSymonds Picture Story 1\nSzondi 11\nStanford-Binet 4\nThematic Apperception Test 17\nWechsler Adult Intelligence Scale 3\nWechsler-Bellevue Forms I and II 302\nWechsler Intelligence Scale for Children 5\nWechsler Memory Scale 5\nWide Range Achievement Test 3\nWord Association 3\n880\nSOCIAL SERVICE DEPARTMENT\nMiss A. K. Carroll, Provincial Supervisor\nDuring the year 1955-56 the Department has put forth every effort to make its\nstructure, functions, and services meet as adequately as the limited number of staff permits, and the great changes which the extension of treatment facilities and the use of\nnewer treatment methods, especially the new drug therapies, have brought about. These\nchanges have been observed in the Provincial Mental Hospital during the past five years,\nbecoming, however, more markedly noticeable to all departments during the last two\nyears.\nIn the light of these changes focused on making the Hospital an environment for\ngreater patient freedom, the social workers have, over the past fiscal year, attempted to\nequip themselves with some knowledge of group processes, dynamics, and structure; to\nobtain some ability in group leadership and some understanding of group motivation,\ninteraction, and response.\nSocial-work Staff, Provincial Mental Hospital\nDuring the fiscal year 1955-56 the establishment for social caseworkers remained\nat eight, with the addition of two casework supervisors\u00E2\u0080\u0094one responsible for the supervision of the social workers stationed in East and West Lawn units, the other responsible\nfor supervision of social workers stationed in Centre Lawn unit. In October, 1955, an\nAssistant Chief of Social Work (Supervisor\u00E2\u0080\u0094Grade 1) was appointed to assume responsibility for the over-all organization and administration of the social-work programme in\nthe Provincial Mental Hospital. Much benefit has accrued from the able work of this\nsupervisor in the integration and co-ordination of the social-work contribution with the\ncontributions of all other disciplines working in the Hospital setting. Further gains have\nresulted through the supervisor's co-operation with all disciplines in the general planning\nof an adequate therapeutic programme. The results of the supervisor's work in planning\nwith community agencies for services to patients while in hospital, their families, as well\nas to patients on discharge, have proven beneficial to patients, hospital, and community.\nMore adequate use of the limited social-work staff through more effective distribution,\nfocusing, and acceleration of services has been accomplished. CREASE CLINIC AND PROVINCIAL MENTAL HOSPITAL\nQ 87\nIn October, 1955, social services were set up in Centre Lawn, the admission building\nfor the Mental Hospital. During the year this staff, comprising a casework supervisor\nand four caseworkers, have been working with a selected group of patients and their\nfamilies during admissions, treatment, pre-convalescence, and rehabilitation. Centre\nLawn admits over 1,200 patients during the year, and social services have been extended\nto 35 per cent of this number.\nOver the past two years the Hospital social workers have demonstrated the values\nof social work in the treatment and rehabilitation of mental patients. Because of limited\nstaff, only a percentage of the total group of patients able to use and benefit from social\nservices could be selected. However, the gains made by the patients selected have been\nsuch that all disciplines are requesting an extension of the service to cover all patients\nwho can use it. The movement toward making the Hospital an environment for greater\npatient freedom has stimulated large numbers of patients to the point of acquiring more\nadequate social behaviour and emotional stability, and thus has increased readiness of\npatients for social services focused on rehabilitation.\nCase-load Details, Social Service Department, Provincial Mental Hospital\nCentre Lawn.\u00E2\u0080\u0094-The case load per worker in this unit in any one month of the fiscal\nyear ranged from fifty to sixty individual clients requiring sustained services. The three\ncaseworkers in Centre Lawn engaged in sustained services were active with from 150 to\n180 individual clients in any one month. The single caseworker in Centre Lawn engaged\nin brief services to patients carried a higher case load of from seventy to eighty individual\nclients in any one month. On an average of from fifty to fifty-five new cases were opened\nper month, and from thirty to thirty-seven cases were closed to service per month.\nA staff of one casework supervisor and three caseworkers are covering 28 per cent\nof the 1,435 patients hospitalized in this building in social services to both in-patients and\npatients on probation. The combined case load of the three social workers comprises\n194 individual clients (patients, relatives, or interested collateral) in any one month.\nOn an average of from thirty to thirty-five new cases were opened per month and twenty-\ntwo cases closed per month in this social service unit.\nOne social worker is engaged in social services to patients in West Lawn and for\nemergency services in the Veterans' Building and the Colony Farm. The maximum\nmonthly case load carried by this worker averages forty to forty-five patients or seventy\nindividual clients (patients, relatives, or interested collateral). Seven new cases are\nopened per month and eight closed. The interviews and conferences on the case load\nnumber 161 per month. This worker averages nine contacts per patient per month.\nOn an average monthly case load of forty-three, this involves 387 contacts with patients,\nrelatives, and co-operating agencies.\nRehabilitation and Discharge Services, Provincial Mental Hospital\nA time study undertaken by members of the Social Service Department indicates\nthat approximately thirteen to sixteen social-work hours are given each patient for whom\nhelp in planning and effecting discharge is requested. This is, of course, representative\nof a cross-section of patients in all units of the Provincial Mental Hospital and Crease\nClinic. In the long-term treatment units, and specifically the East and West Lawn\nBuildings, where patients have been divorced from community for a number of years\nwith consequent loss of social and family contacts, as well as a decline in capacity for\nemployment, the time required for effective discharge is considerably greater. Patients\nmay be too old to obtain gainful employment, and many have no accommodation resources and may not be sufficiently integrated or sufficiently intelligent to manage without\nsome supervision. For these and other reasons, most patients referred for social-work\nhelp in arranging discharge have seriously complicated social situations, which, unless Q 88 MENTAL HEALTH SERVICES REPORT, 1955-56\ndealt with, present a deterrent to discharge. Such problems are time-consuming and\nmay require that social service be active for a period of from six months to a year prior\nto discharge, with corresponding need for service following return to the community.\nOf the 1,016 patients discharged from the Provincial Mental Hospital during the\nfiscal year, only 228 (22.3 per cent) could be carried by the social workers for adequate\ndischarge planning and follow-up supervision. Of these 228 patients, 58 per cent were\nsupervised on probation by the social workers in the Hospital, 23 per cent by Social\nWelfare Branch, 13 per cent by City Social Service, Vancouver, and 6 per cent by the\nAlcoholism Foundation.\nSocial Service Department, Crease Clinic of Psychological Medicine\nThe year 1955-56 has been one of great challenge to the Social Service Department,\nCrease Clinic of Psychological Medicine. The increase in the numbers of patients\nadmitted, the acceleration of diagnosis and treatment, and termination of hospitalization\ncalled for changes in Departmental structure to meet the changes in the clinical services.\nThe Continuing Casework Services Section, or sustained casework, has gradually become\nmore of a Brief Services Section due to the heavy admission rate and the subsequent\naccelerated discharge rate. As a result, social services to patients while in the Clinic\nincreased to the point where extensive curtailment of social services on discharge was\nnecessary, since in few instances did the Continuing Service workers have the opportunity\nto form the kind of relationships which tend to make a discharge follow-up service possible. The Social Service Department has adapted itself to meet these changing trends in\nthe Clinic\u00E2\u0080\u0094trends which have precluded the giving, except in rare instances, of a long-\nterm intensive casework service. While at times there was periodic discouragement\nregarding this, the social workers have found reassurance in the knowledge that the situation appears to be a temporary one. The opening of the Mental Health Centre with the\nprojected services of an out-patient department and day-hospital is keenly anticipated\nfor the values inherent in it in stabilization of function in all areas in the treatment of the\nmentally ill.\nCase-load Details, Social Service Department, Crease Clinic\nof Psychological Medicine\nTable 5 shows a total intake of 742 cases into the Admissions and Brief Services\nSection during the fiscal year, compared to an intake of 907 in the previous fiscal year,\na decrease of 18.19 per cent in coverage of patients by social service. Table 6, however,\nindicates some increase in direct services to those patients covered (742) during the\nperiod of hospitalization. It shows, also, a decrease in contacts with other community\nagencies which had known the patient prior to admission to the Clinic, as well as\nindicating a fall-off in the efforts of the social workers to integrate into the patient's\nclinical picture the understanding and knowledge these community agencies have of the\npatient's social and emotional functioning. Further decline is indicated in contact with\nthese agencies\u00E2\u0080\u0094a very regrettable fact\u00E2\u0080\u0094because in these agencies are valuable resources\nfor on-going help to the patient after his discharge from the Clinic.\nSocial Group Work Services, Provincial Mental Hospital and\nCrease Clinic of Psychological Medicine\nAs a small but salient aspect of the social service contributions, social group work\nservice has continued to play its part in development of collaborative treatment programmes throughout the current year. In addition to continued activity in three areas\nalready developed (direct leadership in adolescent treatment, enabling service to female\nopen-ward programme, and participation in nursing education), a short-term project in\nward organization and government (similar to the female open-ward programme) was CREASE CLINIC AND PROVINCIAL MENTAL HOSPITAL Q 89\ninitiated on a corresponding male open ward in March of 1956. This project, creating\nthe precedent of female leadership within the long-term male unit, was in its infancy to\nthe date of this report, but was foreseen as a brief-service parallel to efforts undertaken\non the female open ward during the previous fiscal year.\nAdolescent Treatment Group.\u00E2\u0080\u0094This two-part but integrated group approach to\ntreatment of psychotic, neurotic, and behaviour problem cases in the younger age-group\nhas continued under dual leadership of social group worker and group psychotherapist.\nDuring the summer of 1955, evaluation of the first sixteen months of operation\ngave the leaders additional insight into group needs and processes, resulting in refinement\nof methods and techniques.\nDuring the fiscal year the group has operated from April to early June and from\nNovember to March, holding a total of seventy meetings during the two periods and\nserving a total of twenty-seven patients, of whom ten (four incomplete) have made\n\"much relative progress,\" while eleven (eight incomplete) have shown fair response and\nsix (five incomplete) have remained unchanged or worse.\nF-2 Project.\u00E2\u0080\u0094Continuation of enabling service in development of open-ward programme. Since March, 1955, this programme has continued to grow in strength, proportions, and intensity of patient response, until both individual patient and general ward\nimprovement show gratifying results.\nDuring May and June the worker assisted the charge nurse to consolidate programming for the summer staff vacation period and (with her staff) to complete a detailed\nanalysis of the project's strengths and limitations during its first six months of operation.\nThis evaluation, in addition to providing a factual basis for further planning, assisted the\nstaff to consolidate and integrate their learning experience with resultant increase in\nsecurity, enthusiasm, and competency throughout the staff group. The evaluation also\nenabled the charge nurse to move directly into patient-electoral planning at the beginning\nof the fall season, with the first truly representative patient ward council emerging as\na result.\nA-2 Project.\u00E2\u0080\u0094Initiation of group work services on the corresponding male open\nward commenced in March, 1956, at the request of medical administration, as a culmination of combined interests of the Assistant Clinical Director, the charge nurse, and the\nsocial group and case workers.\nArising directly out of pressure exerted by male patients, after contact with female\nopen-ward programme, this project was designed to meet a growing demand for help in\nmobilizing ward government and programme self-direction. Because of its short-term\nnature (demanded by limited availability of the social group worker), the focus, as\noriginally established, was threefold:\u00E2\u0080\u0094\n(1) To help the patients organize representative self-government as a nuclear\nstructure around which programme could develop.\n(2) To assist and support the nursing staff in meeting the growing leadership\nfunctions which patient activity demanded.\n(3) To assist in developing channels for interpretation of ward requirements\nfor effective interdepartmental and interlevel development of the therapeutic community approach.\nA significant forward step, accomplished at the outset, was immediate establishment\nof a medical-nursing-social service team approach, guaranteed by regular weekly project\nmeetings of Assistant Clinical Director, ward doctor, nursing department, charge nurse,\nsocial service administrative supervisor, and casework-group work staff directly involved.\nThis cleared the realistic potential and limitations of service which might be offered, and\ngreatly facilitated the ward council, staff group, and ward improvement activities which\nrapidly developed.\n. r\nQ 90 MENTAL HEALTH SERVICES REPORT, 1955-56\nEducation.\u00E2\u0080\u0094During the year the social group worker has participated in a total of\ntwenty-two teaching assignments. These have covered:\u00E2\u0080\u0094\n(1) Orientation of student-nurses to objects and methods of progress in operation and ways in which their contribution may be made.\n(2) Participation in in-service training programme panels on development of\ntherapeutic community.\n(3) Panel presentation re F-2 project for medical conference.\n(4) Participation in University of British Columbia School of Nursing programme.\n(5) Participation in University of British Columbia School of Social Work\ntraining programme.\n(6) Consultative service to teaching staff of School of Psychiatric Nursing re\ndevelopment of discussion groups as a teaching medium.\nSummary of General Activities of the Social Service Departments, Provincial\nMental Hospital and Crease Clinic of Psychological Medicine\n1. Staff Development.\u00E2\u0080\u0094The programme of staff development at the Provincial\nMental Hospital and Crease Clinic of Psychological Medicine over the last year has been\nplanned carefully in relation to changes in Departmental structure, current problems of\noperation, and continuing focus on improving the knowledge and skills of social-work staff.\nAt the Mental Hospital, meetings continued during the summer months of 1955 in\norder to keep up on problems resulting from change-over in personnel and staff absences\nbecause of holidays.\nIn the fall, at the Mental Hospital, a reorganization of meetings took place with the\nappointment of a Supervisor of Social Services and the structuring of a separate admission\nunit in Centre Lawn. At both the Mental Hospital and Crease Clinic, staff meetings\nemphasized professional development, as well as a means through which administrative\npolicies and plans could be discussed. A number of committees were struck over the\nyear to study Departmental problems and to advise the Administrator on the basis of\nexperience in direct services'.\n2. Communication with Other Disciplines.\u00E2\u0080\u0094In keeping with the Departmental\nemphasis on improving standards of work to patients and relatives, further attempts have\nbeen made to communicate regularly with doctors about individual cases. In Centre and\nEast Lawn, doctors and social workers have met regularly each week for the interchange\nof information and discussion of current social problems related to treatment in individual\ncases. In East Lawn a further conference of social workers, the group psychotherapist,\nand charge nurse of an open ward has convened weekly to discuss the activity of patients\nin group psychotherapy as this influences the work of social workers with the individual\npatients. In West Lawn a social caseworker has conducted a rehabilitation group for\npatients nearing discharge, together with the charge nurse and in consultation with the\nward doctor. These efforts have tended to expedite work in individual case situations and\nimprove significantly the standard of our services.\n3. Education Activity with Allied Professions.\u00E2\u0080\u0094During the fiscal year the Social\nService Departments have participated with other professional disciplines in the educational programmes of fourth-year medical students, public health nurses, postgraduate\nand affiliated nurses, and psychiatric nurses. Conferences with the Director of Education,\nSchool of Psychiatric Nursing, and with the Director of Education, School of Nursing,\nUniversity of British Columbia, have resulted in a more purposeful integration. Some\nforty hours were spent in nursing education and twelve in medical education.\n4. Social-work Education.\u00E2\u0080\u0094Two students from the School of Social Work had\ntheir field-work placement\u00E2\u0080\u0094one in the Provincial Mental Hospital and the second in\nthe Crease Clinic. Supervision was undertaken by the social-work staff, who are members CREASE CLINIC AND PROVINCIAL MENTAL HOSPITAL\nQ 91\nof the Supervisors' Council of the School of Social Work. As members of such they have\nbeen actively engaged in formulating agency responsibility in relating the field-work\nexperience in the agency to School's reformulation of social-work education to generic\nconcepts and principles.\nFour groups of in-service trained social workers from the Social Welfare Branch\nwere oriented to social services in the psychiatric setting and to their contribution and\nparticipation in work with the family and the discharged patient. The social workers in\nthe Hospital and Clinic consider this latter a very important responsibility and one which\nmust be increasingly extended.\n5. The Goal.\u00E2\u0080\u0094This continues to be centred on the extension of social services to\nmore patients whose needs for them are becoming increasingly apparent through the\ngrowth of milieu therapy in the hospital itself. Everything possible has been done to\nmeet these patients' needs through focusing on skills and adequate Departmental\nstructure. Further coverage of patients' needs involves increases in staff.\nThe goal is also concerned with a continuous renewal of belief in the reality that\npatients can change, can be healed, can learn to live in a way that has more value and\nmeaning to them. The goal is based on the conviction that the spirit of all staff, the\nspirit within the hospital, has as major a place in the healing art as have techniques.\nThe social service workers gratefully acknowledge the support of administration\nand all departments within the Hospital and Clinic. Particularly they recognize the very\nreal help received from community health, welfare, and recreational agencies.\nSummary\nTable 1.\u00E2\u0080\u0094Summary of Services in the Admission and Brief Services Section,\nSocial Service, Centre Lawn\n1955-56 1954-55\nCases brought forward from previous\nfiscal year 36 28\nNew cases 955 999\nCases reopened during fiscal year 162 110\nTotal intake 1,117 1,109\nTotal cases 1,153 1,137\nCases closed or referred 1,112 1,101\nCases carried over to next fiscal year 41 36\nTable 2.\u00E2\u0080\u0094Casework Activity on Cases Referred to Admission and\nBrief Services Section, Centre Lawn\n1955-56 1954-55\nCasework interviews with patients 522 443\nCasework interviews with relatives.... 221 150\nTotal Casework interviews with or\nregarding patients 743 593\nTeam conferences (ward rounds) 56 88\nConsultations with other disciplines 646 296\nConsultations with other agencies 165 98\n867\n482 Q 92 MENTAL HEALTH SERVICES REPORT, 1955-56\nTable 3.\u00E2\u0080\u0094Summary of Services in Continuing Casework Section, Social Service, Centre\nLawn, East Lawn and West Lawn, Provincial Mental Hospital\nCases brought forward 186\nNew Cases 287\nCases reopened from previous fiscal year. 117\nTotal intake into case load 404\nCases given service in Continuing Services 590\nCases closed or referred 413\nCases carried over to next fiscal year 177\nTable 4.\u00E2\u0080\u0094Casework Activity on Cases in Continuing Casework Sections,\nCentre Lawn, East Lawn, and West Lawn\n1955-56 1954-55\nCasework interviews with patients 3,548 2,239\nCasework interviews with relatives 877 650\nTotal casework interviews with and\nregarding patients 4,425 2,889\nTeam conference 37 85\nConsultation with other disciplines 2,529 1,962\nConsultation with welfare agencies and\nemployment resources 715 593\nTotal conferences and consultations\nconcerning patients 3,281 2,640\nTable 5.\u00E2\u0080\u0094Summary of Services by the Admission and Brief Services Section, Social\nService Department, Crease Clinic of Psychological Medicine\n1955-56 1954-55\nCases brought forward from previous fiscal year 16 19\nNew cases 684 731\nNew cases\t\nCases reopened during fiscal year\t\nCases reopened from previous fiscal year-\nTotal intake 758 907\n42 149\n16 8\nCases given service 758 926\nCases transferred out 348\nCases closed 386 910\n 734\nCases carried over to next fiscal year 24 16 CREASE CLINIC AND PROVINCIAL MENTAL HOSPITAL Q 93\nTable 6.\u00E2\u0080\u0094Casework Activity on Cases in Admission and Brief Services Section, Social\nService Department, Crease Clinic of Psychological Medicine\n1955-56 1954-55\nCasework interviews with patients 1,008 635\nCasework interviews with relatives 513 458\n1,521 1,093\nConsultations with other disciplines 1,639 1,616\nTeam conferences (ward rounds and\nclinics) 228 113\nConsultations with other welfare and\nemployment agencies 570 888\nTotal number of conferences and consultations concerning patients 2,437 2,617\nTable 7.\u00E2\u0080\u0094Summary of Service by the Continuing Casework Services Section, Social\nService Department, Crease Clinic of Psychological Medicine\n1955-56 1954-55\nCases brought forward from previous\nfiscal year 64 161\nNew cases 327 249\nTotal intake 391 410\nCases referred 119\nCases closed 223\nTotal closed cases 342 346\nCases carried over to next fiscal year 49 64\nTable 8.\u00E2\u0080\u0094Summary of Casework Activity, Continuing Casework Services Section, Social\nService Department, Crease Clinic of Psychological Medicine\n1955-56 1954-55\nCasework interviews with patients 2,655 2,759\nCasework interviews with family 684 1,084\n \t\nTotal casework interviews with and\nregarding patients 3,339 3,843\nTeam conferences (ward rounds) 228 113\nConsultations with other disciplines 3,798 3,244\nConsultations with other welfare agencies 247 724\nConsultations with employment agencies 1 50\nTotal number of conferences and consultations concerning patients 4,274 4,254 Q 94 MENTAL HEALTH SERVICES REPORT, 1955-56\nOCCUPATIONAL THERAPY DEPARTMENT, WOMEN'S DIVISION\nMrs. K. Feltham, Supervisor\nThere are certain fundamental requirements necessary for an occupational-therapy\nprogramme, namely: Expert medical direction of this phase of treatment, adequately\nequipped workshops, and people to administer this programme who have technical\nknowledge and have ability to impart instruction. When either or both of the first two\nrequirements is missing, a poor occupational-therapy programme results, and no true\nprogramme is possible without adequate staff. At this Hospital the occupational-therapy\nprogramme is directed by the medical staff and the workshops are adequately equipped.\nOur total occupational-therapy establishment to administer treatment to over 2,100\nfemale patients is thirteen, which provides less than a 40-per-cent coverage. Added to\nthe problem of an inadequate establishment is the fact that at no time during the year\ndid we have a full staff. For part of the time there were seven therapists only in this\nDepartment, so that in many areas in the Hospital even the superficial treatment programme we are able to give with a full staff had to be abandoned. The new workshop\nin the North Lawn Building was not opened during the year because of the lack of staff.\nAgain I wish to recommend that our establishment be increased and that a concerted\neffort be made to obtain trained staff. Until such time as this is done, I foresee only\na continuation of the present inadequate programme, which is discouraging to staff and\nprovides little treatment to patients.\nAverage number of patients registered for treatment during the year was 821.\nNumber of patients admitted for treatment was 2,039. Number of patients discontinued,\ntransferred, or discharged during the year was 1,729. Number of treatments given was\n141,372, or 20,698 less than the previous year. Total number of hours workshops were\navailable to patients was 10,021.\nFour University of Toronto second-year students and one College of Puget Sound\nthird-year student received clinical training in the Department for a period of two\nmonths each. Lectures were given throughout the year to the student psychiatric nurses\nand affiliated students from the general hospitals.\nSpecial Christmas activities included the annual sale, which contributed $2,493.30\nto the Patients' Comfort Fund, making the hospital Christmas cards, making toys for\nThe Woodlands School, and assisting in judging the ward decorations.\nOccupational-therapy exhibits were held at the Coquitlam Women's Institute Flower\nShow on August 18th, 1955, and at open house in the North Lawn Building on May\n4th, 1955.\nThe school-teacher's position became vacant in June, 1955, and the Clinical Director\ntook over supervision of this department when a successor was appointed in October,\n1955.\nVolunteer workers have been assisting in the Crease Clinic and East Lawn\nDepartments.\nThe industrial-therapy departments provide treatment for longer-term patients and\nsupervise the making of articles used in the Hospital. There are nine industrial therapists\nand seamstresses employed in the four departments. The uniform department made\n6,688 articles and repaired 5,006, the sewing-room made 61,343 articles, and the\nmending department repaired 65,287 articles. Nurses' uniforms are still being sorted\nafter laundering in one of the industrial-therapy departments. CREASE CLINIC AND PROVINCIAL MENTAL HOSPITAL Q 95\nOCCUPATIONAL THERAPY DEPARTMENT, MEN'S DIVISION\nR. Herring, Supervisor\nIndustrial Shops\nThe Industrial Therapy Department received a severe set-back when its building\nwas destroyed by fire in May of 1955. By the first of July all shops, with the exception\nof the metal-shop, were operating and handling emergent hospital requirements.\nThe patient population in all departments is below normal because the temporary\nworking spaces are confined and are spread out to distant areas of the Hospital and The\nWoodlands School. Patients requiring supervision to and from the shops are unable to\nattend due to transportation and staff requirements for a movement of this magnitude.\nThe patient employment group is dependent on ground-privilege patients. This\ngroup is small, and many suitable for trade employment are on the active discharge list,\nand for this reason are not available for lengthy employment in the shops. The key shop\ntrade positions are not filled as they would be under one area operation having a large\ngroup of patients participating in the treatment programme.\nA staff of ten supervise the industrial-therapy shops in the following locations:\u00E2\u0080\u0094\nCabinet-shop: Garage at Essondale; staff, 1.\nUpholstery-shop: Garage at Essondale; staff, 1.\nMachine-shop: Garage at Essondale; staff, 1.\nMattress-shop: Basement, North Lawn Building; staff, 1.\nTailor-shop: Hillside; staff, 3.\nShoe-shop: The Woodlands School; staff, 1.\nPrint-shop: West Lawn, B-l; staff, 1.\nMetal-shop: West Lawn, B-l; staff, 1.\nThe Cabinet Section repaired 1,661 pieces of furnishings and manufactured 719\ncabinet pieces.\nThe Upholstery Section repaired 311 pieces of furnishings and manufactured 356\npieces of furnishings.\nThe Mattress and Canvas Section repaired 1,720 items of heavy goods and manufactured 5,450 mattress and canvas items.\nThe Tailor Section repaired 7,339 pieces of clothing and manufactured 955 suits\nand denim wear.\nThe Shoe Section repaired 3,591 pair of shoes.\nThe Printing Section moved to the West Lawn Building on March 25th from the\nCrease Clinic Occupational Therapy Section, where it was employed as part of the treatment programme. Space and some new equipment have made it possible to again take\nits place in the industrial-therapy programme. From March 25th to May 31st, 1956,\n238,000 forms have been printed.\nThe Hospital magazine, The Leader, was moved from the Crease Clinic Occupational Therapy Department to the West Lawn Building, where a separate editorial room\nhas been set up headed by patients from the East Lawn and West Lawn Buildings,\nsupervised by a staff executive board. The printing of the magazine is done in the\nprint-shop.\nThe monthly average number of patients given employment therapy was fifty-three.\nOccupational-therapy Shops\nCrease Clinic Shop.\u00E2\u0080\u0094The number of patients participating in crafts during the year\nwas as follows: Woodwork, 621; weaving, 301; pottery, 198; metalwork, 110; art, 24;\nbasketry, 51; leather, 46. Typing, etc., 91.\nThe average monthly attendance was 98; average monthly discharge, 28; average\nmonthly new patients started, 39; average daily attendance, 35. Q 96\nMENTAL HEALTH SERVICES REPORT, 1955-56\n\u00E2\u0096\u00A0\nW;.\nJa*\nP^N,\n;; .\nfr?\nt:-\nffiffiipi&$\n'>\u00C2\u00A3\u00C2\u00AB#$:\nFire in industrial-therapy shops, May 5th, 1955.\nScene of total destruction following the fire. CREASE CLINIC AND PROVINCIAL MENTAL HOSPITAL Q 97\nRug-weaving and leather and copper tooling are popular crafts on the wards.\nDuring the year, contributions were made to the Hospital in the form of medicine-\ntrays, television cabinets, file-boxes, signs, ping-pong bats, etc., using a total value in\nmaterials of approximately $215.\nCentre Lawn Shop.\u00E2\u0080\u0094Number of treatment-hours was 30,550. Recreational games\nwere supplied to the wards during the year, including indoor horseshoe pitches, checker\nboards, and cribbage boards.\nArchery was a popular craft during the year; bows and arrows were made in the\nshop. The product was tested by the patients on the archery range one day a week.\nAnother outdoor activity enjoyed by the patients in the Centre Lawn Building was the\ngarden and landscape project on the hillside back of the building. This former brush\narea has been transformed into a Hospital beauty spot.\nWest Lawn Shop.\u00E2\u0080\u0094Opened on March 28th with six patients. The daily intake at\npresent is twenty-five, serving the closed wards of the West Lawn Building, the largest\nnumber coming from Ward A-3. The sedative results from this therapeutic centre are\nvery encouraging.\nCraft mediums used are woodwork, lathe and bench, metal-craft, weaving, and\nbasketry.\nVeterans' Building Shop.\u00E2\u0080\u0094Twenty-two thousand treatment-hours were given, seven\npatients discharged, and the daily shop average was twenty patients.\nA noteworthy achievement by the patients in the Department was the manufacture\nof 1,256 match coin-boxes for the White Cross services.\nA large number of small useful articles are produced by the Veterans' Occupational\nTherapy Department through the hobby-craft medium of treatment; this form of group\ntherapy seems best suited for the type of patient attending the shop.\nThe Child Guidance Clinic received a number of toys for the play-therapy room\u00E2\u0080\u0094\ndoll trunks, building-blocks, easels, doll beds, paint-racks, etc.\nThe Recreation Department received Chinese checker boards, disks for shuffle\nboards, horseshoe-pitch boxes, and equipment servicing.\nThe cabinet-shop received chair parts.\nThe Woodlands School received looms and easels of various sizes. Used paper was\nmade into 300 Yule logs and sold at the Christmas sale.\nThe looms produced 180 yards of 30-inch drape material, 112 sets of place-mats,\nand 96 yards of tote-bag material.\nThe industrial-therapy staff express their sincere thanks for the co-operation and\nassistance given by all allied departments during their period of readjustment.\nCHAPLAIN'S REPORT\nJ. F. O'Neil, Chaplain\nIn accordance with the general policy of last year, the main efforts of the Resident\nChaplain have been directed to the providing, as widely as one man can adequately do,\nopportunities for the patients to attend and participate in divine worship. The attached\nstatistics will give some indication as to the extent that this has been accomplished.\nSuch a policy is, by nature, geared to the major needs of the majority of patients in the\nProvincial Mental Hospital and the Home for the Aged, but is not one that meets the\nmajor needs of the patients in the Crease Clinic.\nTo be fully effective, and at the same time efficient, the Chaplain's field of effort\nshould cover three major areas, two minor areas, and one definitely secondary area.\nThe major areas of work are (1) divine worship, (2) interviewing, with a special effort Q 98 MENTAL HEALTH SERVICES REPORT, 1955-56\nat reassurance, of all new patients, and (3) visiting and ministering to all dangerously,\nseriously, or terminally ill patients. The minor areas are (1) counselling and (2) staff\nrelationships in the fields of education, co-operation, and support. The secondary area\nis that of public relations.\nIn so far as these areas of work are concerned, only in that of divine worship has\nthere been an attempt to give adequate coverage as far as the facilities of the Hospital\nwill permit. The provision of a suitable permanent chapel for the Hospital and the\nCrease Clinic would greatly increase the effectiveness and the value of this work. The\nother areas of work can only be touched on an emergency basis until an increase in staff,\nboth professional and stenographic, is made in the Department.\nDuring the year we have stopped having a Protestant communion service in Pennington Hall auditorium on one Monday morning each month, which did not fit smoothly\ninto the patients' treatment schedules, and now have it twice a month on Sunday evenings.\nThis has meant an increase in services provided, so that there are now two services in\nPennington Hall every Sunday, at both of which the hall is nearly always about three-\nquarters full. Of these services, twice a month the morning service is a Roman Catholic\nmass, conducted by the Rev. Father Joseph P. Kane, of Port Coquitlam.\nAlso during the year the services on the wards were increased by a weekly service\nin the North Lawn auditorium for the patients in that building. This is in addition to the\nthree services a week in the Home for the Aged and the two services a month at Colony\nFarm, which have been conducted in previous years. Also, through the use of personally\nowned equipment, special music has been provided on Good Friday and on Easter\nafternoons in Pennington Hall, and also three times every week on the wards following\nthe services. This has proved to be very helpful to the patients.\nThe musical therapist, Mrs. Suddaby, has averaged about fifteen hours a week\nplaying the organ for church services and in training and leading the patients' choir, and\nthrough her willing co-operation has shown this part of the work to be an indispensable\nadjunct. At present the Women's Occupational Therapy Department is making robes\nfor the patients' choir, which will greatly improve their appearance at services and aid\ntheir morale. Due to the fact that the patients forming the choir are constantly getting\nwell and being discharged, the choir never really reaches maturity, but is always having\nto be built up.\nThe three one-hour periods each week that the Audio-Visual Department provides\nme on the Hospital wired music system continue to be greatly appreciated by those who\nare able to hear them, but there is an urgent need for the system to be extended to reach\nthe whole of the Hospital.\nThe co-operation and example that the nursing staff in both the men's and the\nwomen's divisions have shown has been a constant help throughout the year. Without\nit the present policy would just simply not be workable.\nThe urgent needs of the Department to become efficient and as effective as it should\nbe are, first, the provision of a suitable permanent chapel and, second, the increase of\nstaff both of clergymen and stenographers.\nThe following statistics are for the Crease Clinic, the Provincial Mental Hospital,\nand the Home for the Aged, all at Essondale, combined, and do not include the twenty-\nfour services when mass was celebrated for the Roman Catholics by the Rev. Father\nJoseph P. Kane:\u00E2\u0080\u0094\nNumber of public services 249\nNumber of broadcasts over wired music system 131\nTotal 380\nTotal attendance at services (excluding broadcasts) 29,541\nNumber of services held in Pennington Hall 72\nTotal attendance in Pennington Hall 24,620 CREASE CLINIC AND PROVINCIAL MENTAL HOSPITAL Q 99\nNumber of services on the wards\u00E2\u0080\u0094\nColony Farm 18\nHome for the Aged : 125\nNorth Lawn 34\n 177\nTotal attendance on the wards 4,921\nNumber of communion services 19\nTotal number that communicated 1,576\nSpecial mid-week services in Pennington Hall 6\nTotal attendance at special mid-week services 1,842\nAverage attendance\u00E2\u0080\u0094\nPennington Hall, Sunday mornings 421\nPennington Hall, Sunday evenings 341\nPennington Hall, special mid-week 307\nOn the wards-\nColony Farm 23]\nHome for the Aged 27 J- 28\nNorth Lawn 34J\nAverage number of communicants 83\nAverage total weekly attendance 620\nAverage weekly number of services and broadcasts 8\nRECREATIONAL THERAPY DEPARTMENT\nR. L. Ramsay, Director\nIt has been our attempt to provide recreational opportunities to as many patients\nas possible. This has materialized in that we have been able to enlarge our services from\nan average of eighteen different types of programming to thirty-three during the year,\nand it is felt that a great deal more could be done.\nHowever, it is necessary to asknowledge the fact that our development is largely\ndependent on our resources. In order to accommodate the needs of the patients to the\nfullest possible measure, we must be realistic about recreational resources in terms of\nstaff, equipment, and training, and be willing to take possibilities into consideration which\nwould help us to do a better job and lead to greater progress.\nDuring the week of March 5th to 9th the Recreational Therapy Department conducted a course of recreational skills and leadership to the new nursing class. It was\ngenerally felt that this type of thing should be continued, as it did add to recreational\nresources.\nThe Recreational Therapy Department would like to express its sincere thanks to\nthe staff members who played an important part in making this year's programme possible.\nPatients' Recreation\nProgrammes\nAdolescent groups\t\nAiring-court \t\nBadminton \t\nBowling\nConcerts (outside talent) \t\nConcerts (Christmas, by patients).\niber of\nrammes\nAttendance\nTotal\n9\n46\n89\n3,768\n114\n1,116\n622\n11,399\n10\n5,119\n17\n1,845 Q 100\nMENTAL HEALTH SERVICES REPORT, 1955-56\nPatients' Recreation\u00E2\u0080\u0094Continued\nProgrammes\nNumber of\nProgrammes\nConditioning classes (prescribed for West 2\nand Alcoholic) 231\nDances and parties, Crease Clinic 61\nDances, Provincial Mental Hospital 52\nDance instruction 32\nGymnasium classes (mixed) 31\nParties, Provincial Mental Hospital 9\nPicnics 15\nSocials, Colony Farm Cottage 10\nSocials, Home for the Aged 19\nSocials, veterans 9\nCard parties, Crease Clinic 30\nChess 30\nSports day 1\nSwimming, Crease Clinic men 45\nSwimming, Crease Clinic women 40\nSwimming, Provincial Mental Hospital men 50\nSwimming, Provincial Mental Hospital women 47\nSwimming, ground-privilege men 18\nSwimming, ground-privilege women 18\nSwim therapy, Ward C-4 19\nSwim therapy, Ward H-4 21\nWard programmes, men 748\nWard programmes, women 843\nSoftball games, men 18\nSoftball games, women 14\nGolf (daily during summer)\t\nTennis (daily during summer).\nTotals\t\nMusic therapy\t\nMusic appreciation\nIndividual therapy _.\nChurch choir\t\nGlee club\t\nVariety programmes\nTotals.\n3,272\n35\n44\n90\n33\n32\n32\n266\nAttendance\nTotal\n1,779\n5,038\n17,818\n1,965\n1,591\n756\n702\n265\n304\n318\n6,608\n336\n1,500\n674\n405\n1,212\n700\n172\n90\n100\n225\n21,278\n36,652\n3,325\n1,780\n2,250\n175\n126,311\n4,700\n3,060\n720\n654\n654\n2,720\n12,508\nBowling\t\nBadminton _\nSwimming ...\nDances \t\nGlee club\t\nStaff Recreation\n89\n806\n31\n439\n96\n3,279\n1\n850\n12\n247\nTotals 229 5,621\nGrand totals 3,767 144,440 CREASE CLINIC AND PROVINCIAL MENTAL HOSPITAL\nThe following staff activities were conducted in Pennington Hall: \u00E2\u0080\u0094\nApril 27th, 1955: Civil Defence meeting.\nMay 14th, 1955: Nurses' softball dance.\nJune 8th, 1955: Nurses' softball dance.\nSeptember 2nd, 1955: Students' dance.\nOctober 28th, 1955: Students' dance.\nNovember 3rd, 1955: Fashion show, C.M.H.A. volunteers.\nNovember 8th, 1955: Blood clinic, B.C.G.EA.\nFebruary 17th, 1956: Student-body dance.\nQ 101\nPatients enjoying a special dance at Christmas time.\nAUDIO-VISUAL DEPARTMENT\nG. H. Walker, Supervisor\nThe 35-mm. movies were terminated on June 15th at The Woodlands School, since\nthe building was about to be demolished in preparation for the new recreation centre.\nArrangements were made to show 16-mm. films in the gymnasium until the new building\nis completed. The Woodlands School now receives from this Department 16-mm. films\nthree days a week for afternoon and evening shows.\nIn the spring of the year, recommendations and estimates were submitted for the\nconversion of present 35-mm. projection facilities at Pennington Hall to wide-screen\nprojection. Perhaps the slight drop in attendance to these movies has been occasioned\nby the inability to secure first-class movies for non-wide-screen presentation.\nThe number of 16-mm. recreational films shown is about the same as last year;\nhere again slightly less attendance is noted. This is due to the shows being given to older\nand infirm patients who cannot get to Pennington Hall. On January 25th, at the request Q 102\nMENTAL HEALTH SERVICES REPORT, 1955-56\nof Colquitz Mental Home, recreational movies for their Wednesday night shows were\ndiscontinued. The week-end films are to continue.\nShortly after the opening of the North Lawn Building on May 4th, 16-mm. recreational movies were inaugurated one evening each week in the spacious facilities provided.\nA wall-mounting screen and loud-speakers were permanently installed to improve the\nover-all performance.\nDuring the year twenty-nine new films were added to the 16-mm. educational film\nlibrary, making a total of 225 purchased films. The value of this library and its accessories now exceeds the value of any other asset of the Department. The number of\nregistered borrowers increased, as did the loans of films and the number of people viewing\nthem. I believe that the usefulness of the library would be improved if it were possible\nto maintain current catalogues for general distribution, and plans are under way to\ncompile a new catalogue.\nPatients assembling for movie in Pennington Hall auditorium.\nPrevious to this year, the Audio-Visual Department staff operated all of the 16-mm.\nprojectors from the Department. With ever-increasing demands for this service, it\nbecame necessary to lend the machines. The major borrowers are the School of Psychiatric Nursing, Fire Department, Civil Defence, and Assistant Clinical Director.\nThe educational record library has been increased to almost 100 disks by the addition of new psychiatric material. A number of purchased disks with a speed of 78\nr.p.m. have been converted with our own equipment to the long-playing type for the\nconvenience of storage and operation.\nGreat interest has been shown throughout the year in our music record library, so\nthat the number of loans of 78-r.p.m. records and record-players has more than doubled\nover last year. The work involved in this section of the Department reduced the available\ntime for the playing of recorded music through the four-channel wired music system,\neven though some assistance was given by the Mental Health Association volunteers,\nwhich was gratefully received. May I repeat again that it is most unfortunate that some CREASE CLINIC AND PROVINCIAL MENTAL HOSPITAL\nQ 103\nof the buildings containing large populations of patients are not yet connected to the\nwired music system, and cannot receive the subtle therapy of soft background music and\nother advantages of a controlled sound system.\nIn the photographic branch of the Department the amount of work done is about\nthe same as last year, with the exception of a great increase in the number of colour\ntransparencies made for the Clinical Director and the laboratory. The transparencies for\nthe Clinical Director show general activity throughout the Clinic and the Mental Hospital,\nand have been extremely useful for illustrating lectures to the public. Should the demand\nfor these transparencies increase, additional slide projector equipment will be required.\nDuring the construction of the Child Guidance Clinic, assistance was given to the\nDirector of the Clinic in connection with audio-visual plans and recommendations. In\nJuly, to complete these plans and co-ordinate them with the building variations, a final\nlist of the audio-visual equipment required was submitted.\nSummary of Activities\nRecreational Motion Pictures\nNumber\nof Shows\n35-mm. films at Pennington Hall 140\n35-mm. films at The Woodlands School 32\n16-mm. films at Provincial Mental Hospital and\nHome for the Aged, Port Coquitlam 418\nTotal\nAttendance\n48,760\n5,341\n33,227\n16-mm films shipped to\u00E2\u0080\u0094\nThe Woodlands School\n140\nMental Home, Colquitz 84\nHome for the Aged, Vernon 46\nAllco Infirmary, Haney 46\nGirls' Industrial School 46\nProvincial Home, Kamloops 46\nEducational Film Library\nNumber of registered borrowers, 155.\nFilms loaned, 689; total attendance, 20,647.\nFilms projected at Provincial Mental Hospital and Crease Clinic, 172; total attendance, 2,805.\nPhotography\n4x5 monochrome negatives exposed 356\n3V4 x 4 colour transparencies produced 132\n2x2 colour transparencies produced 162\n5x7 monochrome prints produced 114\n8 x 10 monochrome prints produced 491\nMiscellaneous prints produced 87\nPhotostat monochrome prints produced 25\n16-mm. motion-picture film exposed 492 ft.\nMusic Record Library\nPopular 78 r.p.m. records loaned.\nRecord-players (two) loaned\n 5,200\n 164 times\nRadio programmes through four-channel sound system 5,110 hr.\nRecorded music through sound system 695 hr. Q 104\nMENTAL HEALTH SERVICES REPORT, 1955-56\nEducational Record Library\nTape recordings 495 mjn_\nDisk recordings 772 mm\nRecords loaned 34\nLIBRARY\nMiss H. M. Walsh, Librarian\nConsiderable effort was expended to make the patients' library more attractive. The\noriginal library of very old books had been shelved in two rows on top of the stacks\nMany of them were completely beyond use and were discarded. Others were sent to\nwards in the North Lawn Building, and those still in good condition were reshelved.\nAttractive signs designating the type of book in each section were placed on the shelves.\nMost of the books are now in plastic covers, which enhance their appearance and triple\ntheir life. The whole collection was checked over and repairs made where necessary.\nThe reading-room of the patients' library.\nTwo patients assist part time in the library, and volunteers of the Canadian Mental\nHealth Association distribute books to the Homes for the Aged and the wards of the\nCentre Lawn Building. Otherwise, books are exchanged by inter-hospital mail for those\nunable to come to the Library. Magazines are also distributed throughout the institution;\nthe George Derby Health and Occupational Centre has been very generous in supplying\nthem.\nThe Hospital news bulletin, The Leader, continued to be stencilled by the library\nstaff until March, when it was reorganized to permit patients to take an active part in the CREASE CLINIC AND PROVINCIAL MENTAL HOSPITAL Q 105\nproduction, art work, and news-gathering. The stencilling, printing, assembling, and\ndistribution were then centralized in the West Lawn Occupational Therapy, although the\nlibrarian remained editor-in-chief.\nDuring the year there have been several comments by visiting doctors on the good\ncollection of basic books in medicine and psychiatry comprising the medical library.\nWith new additions each year, which are essential if it is to be kept up to date, present\naccommodations were taxed, and extra shelving was placed in the vault to house back\ncopies of journals, old editions of books, and supplies. The library, while concentrating\non current books, also has a few editions of historical interest.\nPatients' Library\nBook collection 4,996\nNew books added 334\nDonations 94\nTotal 5,424\nLess\u00E2\u0080\u0094\nDiscards 407\nLosses 84\nTo North Lawn 502\n 993\nTotal 4,431\nCurrent magazine subscriptions 15\nNumber of books circulated 14,611\nBook collection 2,131\nNew books added 79\nNew books to nurses' library 73\n\u00E2\u0080\u0094 152\nTotal 2,283\nNumber of pamphlets 648\nJournals, medical and psychiatric 87\nJournals currently bound 22\nNumber of books received on inter-library loan 74\nNumber of books circulated 692\nREHABILITATION SERVICE, WOMEN'S DIVISION\nF. E. McNair, Clinical Director\nThe Vista continues to serve a valuable purpose in the rehabilitation of women\npatients. A greater percentage of Mental Hospital patients have made use of this service\nduring the past year, which is a reflection of the efforts that are being made within the\nMental Hospital to extend the concept of active treatment until it reaches nearly all\npatients, however long they have remained in residence. At the same time, patients'\ncontacts with their families have been resumed in a number of cases, and the family has Q 106 MENTAL HEALTH SERVICES REPORT, 1955-56\nbeen willing to provide assistance at the point of rehabilitation, so that the services of\nVista have not necessarily been required.\nThe Clinical Director has visited weekly to maintain supervision of the patients and\nto see a small group of out-patients who return to Vista for follow-up care after having\nbeen discharged from there. The social workers also continue to see their clients during\nthe day or in the evening. The supervisor has been working under difficulties for several\nmonths as the housekeeper appointed to assist her resigned and it was not possible to get\na suitable replacement for many weeks.\nThe development of a men's rehabilitation home, run on similar lines to Vista, is\nanticipated as a further step in making more resources available to the dislocated patient\nto re-establish himself as a responsible citizen in the community.\nIntake\nRemaining in residence, March 31st, 1955 5\nNumber admitted to The Vista from the Crease Clinic 31\nNumber admitted to The Vista from the Provincial Mental\nHospital 25\n\u00E2\u0080\u0094 61\nSeparations\nNumber returned to the Crease Clinic 2\nNumber returned to the Provincial Mental Hospital 5\n\u00E2\u0080\u0094 7\nRehabilitated to the community 13\nRehabilitated to own home 10\nRehabilitated to job and lodging 27\nTotal rehabilitated 50\nRemaining in residence, March 31st, 1956 4\nREHABILITATION SERVICE, MEN'S DIVISION\nJ. D. Addison, Rehabilitation Officer\nThe total number of placements for this fiscal year shows a substantial increase over\nthe previous year. This is mainly attributable to the very high degree of employment\nwhich was maintained even during the usual slack or seasonal periods.\nThere are a good many more patients who could be assisted, in time, to adjust\nsocially and economically in the community if assistance in the form of staff, funds, etc.,\ncould be given. This Department is still, after six years, a one-man effort, and one person\ncan only do so much. There is a vital need for expansion to do an adequate job.\nThis Department now has a close working relationship with the Federal employment\noffices in the area, and they are to be highly praised for their excellent co-operation.\nA new system of referral has been worked out between the Provincial Mental Health\nHealth Services and the National Employment Service, which is working out splendidly.\nAn Employment Register form is now supplied to the employment office concerned, giving\nadequate medical, social, and employment information prior to the patient's release.\nThis is particularly useful in out-of-town placements, where direct contact cannot be\nmaintained as readily as with Vancouver and New Westminister employment officials. CREASE CLINIC AND PROVINCIAL MENTAL HOSPITAL\nQ 107\nDirect liaison with industry in general, personnel managers, and other business\nconcerns is being well maintained on the basis of sound placements. Once an employer\nhas had a happy experience of employing an efficient and useful ex-patient, he is willing\nto accept another when a suitable opening occurs.\nThere have been some steps taken toward obtaining an in-town rehabilitation centre\nfor this Department, but as yet it is not a reality.\nAll in all, the year has been a successful one, in spite of many lacks.\nThis record closes in expressing thanks to all other departments for the close\nco-operation, assistance, and teamwork evident throughout the year.\nSummary of Activity\nDiagnostic Category\nin\nm\nOs\nu\np.\n<\nm\nS\nm\nin\noi\n0)\nc\nD\n>->\nm\nm\nOi\nm\nm\nOl\ns\n<\nm\nin\no\\nD,\nin\nm\no\\no\nO\nm\n>\no\nz\nin\nm\nOi\n6\nu\n0\nm\nOi\na\ncs\n\u00C2\u00BB-\u00C2\u00BB\nVD\nO.\nU\n\D\nm\nON\no\nH\n10\n3\n2\n1\n1\n1\n1\n9\n2\n1\n2\n3\n1\n1\n1\n1\n1\n1\n8\n2\n1\n1\n1\n1\n5\n1\n1\n14\n5\n1\n~ 1\n1\n1\n11\n10\n1\n2\n1\n1\n1\n1\n12\n4\n1\n2\n1\n9\n1\n3\n1\n1\n3\n1\n2\n1\n1\n12\n1\n2\n1\n2\n1\n1\n8\n1\n2\n1\n3\n1\n11\n1\n1\n1\n1\n1\n2\n6\n1\n9\n2\n4\n1\n1\n1\n1\n2\n1\n1\n1\n11\n2\n2\n1\n__\n2\n1\n1\n1\n~1\n1\n174\n5\n37\nPsychoneurosis \t\n6\n7\n6\nEpilepsy .,. ...\n15\n1\n1\n7\nCerebral atrophy with behaviour pattern\t\nAdjustment reaction to adolescence \t\n3\n1\n3\n4\nReactive depression \t\n26\n1\nPar an oi d person ality\t\n5\n4\n4\nNeurotic depression \t\n2\n7\nSociopathic personality\t\n1\nTotals . \t\n19\n2\n23\n21\n1\n23\n28\n1\n20\n1\n23\n1\n22\n16\n25\n24\n1\n24\n768\n7\nCases fully rehabilitated.\t\nCases assisted by referral and casework\u00E2\u0084\u00A2.\n11\n6\n14\n9\n15\n5\n14\n9\n15\n12\n15\n4\n11\n11\n13\n9\n9\n7\n13\n12\n12\n11\n15\n9\n157\n104\nTotal active rehabilitation cases...\nMonthly average of interviews (staff,\npatients, employers, etc.)\t\n17\n23\n20\n23\n27\n19\n22\n22\n16\n25\n23\n24\n261\n195\nREPORT OF SCHOOL-TEACHER\nMrs. E. R. Loland, Teacher\nIn October, 1955, a definite programme of education was organized at the Provincial\nMental Hospital. The purpose of this new venture was fivefold:\u00E2\u0080\u0094\n(1) To enable school-age children to continue their regular curriculum, which\nwould otherwise be interrupted by hospitalization.\n(2) To increase the general knowledge and improve the fundamental skills,\nsuch as reading and writing, of certain mental defectives.\n(3) To give adults the opportunity to complete or further their education.\n(4) To help New Canadian patients learn English.\n(5) To help adults prepare themselves for employment by offering supervision\nin business courses such as typing, shorthand, record-keeping, and business\nEnglish. Q 108\nMENTAL HEALTH SERVICES REPORT, 1955-56\nDuring the year fifty-three patients received instruction in the school. Ten patients\nstudied academic high-school subjects. Twenty-seven patients received elementary-grade\ninstruction; seventeen of these patients were of sufficient mental retardation to hinder\nnormal progress; eight were children in approximately the correct grades for their age.\nThree patients taking elementary education were adults. Eleven patients took advantage\nof the business courses. Three patients attended classes in English language instruction.\nIn February a trip to the Department of Transport and an aeroplane hangar at Sea\nIsland was arranged. A small group of students was taken on this tour, which proved\nto be interesting and profitable.\nSchool books were purchased from the Department of Education for Grades I to\nVIII. Books were ordered for the high-school students as they were needed.\nA schoolroom was built in the basement of the East Lawn Building. The room,\nwhich is furnished with the necessary equipment, was used regularly.\nThe growing pains of organizing a new department were alleviated by the co-operation received from all departments.\nMedical records office in Crease Clinic. CREASE CLINIC AND PROVINCIAL MENTAL HOSPITAL\nSTATISTICAL TABLES\nQ 109\nCREASE CLINIC\nTable 1.\u00E2\u0080\u0094Movement of Population, Crease Clinic, April 1st, 1955,\nto March 31st, 1956\nMale\nFemale\nTotal\n121\n146\n267\nAdmissions\u00E2\u0080\u0094\n495\n35\n95\n759\n40\n203\n1,254\nReadmissions from a different institution of Mental Health Services.\n75\n298\n625\n1,002\n1,627\n746\n1,148\n1,894\nSeparations\u00E2\u0080\u0094\u00E2\u0096\u00A0\n635\n1\n997\n4\n1,632\n5\nDied \u00E2\u0080\u009E _\n636\n1,001\n1,637\n-11\n110\n+ 1\n147\n\u00E2\u0080\u0094 10\nIn residence, March 31st, 1956 \t\n257\nTable 2.\u00E2\u0080\u0094Showing in Summary Form the Operation of the Crease Clinic\nsince Its Inception\nDischarges\nT3\n\u00E2\u0080\u00A2o\n0\nS3\n\u00E2\u0096\u00A0o\n1 -\n0)\ni\nSB,\n0 rt\nx: \no\no\nai\nu\no\n|\n>\no\na\nI\na\nD\ntfl\nM\nis a.\nCfl\nca\n0)\np\n\u00E2\u0096\u00A0\u00C2\u00B0 \u00C2\u00B0 rt\nZ rt O\n4>\nCfl\nrt\nu\nu\n\u00C2\u00A3\no\nrt\nt)\nIh\nCJ\nU\nPercentage\nPatients Re\nand Improv\nAdmissions\nPercentage\nDischarges\nAdmissions\n(Deaths Ex\nJanuary, February, and\nMarch, 1951. \u00E2\u0096\u00A0\n264\n26\n38\n23\n7\n\t\n170\n_\t\n264\n24.24\n35.61\n1951-52\t\n963\n158\n496\n155\n97\n12\n215\n45\n1,133\n67.91\n94.19\n1.06\n1952-53 .\t\n1,221\n96\n727\n201\n148\n21\n243\n28\n1,436\n1,499\n67.39\n94.35\n1.46\n1953-54 \t\n1,256\n85\n814\n213\n131\n14\n242\nl\n71.58\n98.96\n0.93\n1954-55 \t\n1,364\n147\n901\n284\n(*)\n7\n267\n25\n1,606\n76.09\n97.65\n0.44\n1955-56 \t\n1,627\n265\n1144\n223\nO)\n5\n257\n10\n1,894\n86.60\n100.31\n0.26\n1 \"Without Psychosis\" included in three columns of \"Discharges\" shown. Q 110\nMENTAL HEALTH SERVICES REPORT, 1955-56\nTable 3.\u00E2\u0080\u0094First Admissions to Crease Clinic by Health Unit and School\nDistrict of Residence and Sex, April 1st, 1955, to March 31st, 1956\nHealth Unit\nMale\nFemale\nTotal\nHealth Unit\nMale\nFemale\nTotal\nEast Kootenay, Cranbrook\u00E2\u0080\u0094\nMetropolitan Health Committee,\nSchool District No. 1 \t\n2\n2\nVancouver\u00E2\u0080\u0094Continued\n, 2.\t\n1\n3\n4\n 44. \t\n14\n28\n42\n\u00E2\u0080\u009E 3\t\n6\n3\n9\n\u00E2\u0080\u009E 45 _.\n3\n12\n15\n, 4 \t\n2\n2\nSimon Fraser, New Westminster\u00E2\u0080\u0094\n\u00E2\u0080\u009E 5\t\n5\n5\nSchool District No. 40\t\n30\n26\n56\n\u00E2\u0080\u009E 18 \t\n 43\t\n11\n13\n24\nSelkirk, Nelson\u00E2\u0080\u0094\nNorth Fraser Valley, Mission\u00E2\u0080\u0094\nSchool District No. 6 .\n1\n2\n3\nSchool District No. 42\t\n9\n11\n20\n\u00E2\u0080\u009E 7 \t\n3\n4\n7\n 75 \t\n5\n7\n12\n\u00E2\u0080\u009E 8\t\n\u00E2\u0080\u009E 76.\t\n4\n4\n\u00E2\u0080\u009E 10\t\n1\n1\nUpper Island, Courtenay\u00E2\u0080\u0094\nWest Kootenay, Trail\u00E2\u0080\u0094\nSchool District No. 47 \t\n5\n6\n11\nSchool District No. 9\t\n4\n5\n9\n 71 \t\n2\n6\n8\n\u00E2\u0080\u009E 11\t\n10\n13\n23\n\u00E2\u0080\u009E 72\t\n2\n5\n7\n\u00E2\u0080\u009E 12\t\n1\n1\n2\nSkeena, Prince Rupert\u00E2\u0080\u0094\n\u00E2\u0080\u009E 13\n3\n3\nSchool District No. 50\t\n1\n1\nSouth Okanagan, Kelowna\u00E2\u0080\u0094\n, 51 \t\n1\n1\n2\n2\n4\n\u00E2\u0080\u009E 52 \t\n5\n6\n11\n\u00E2\u0080\u009E 15\t\n7\n9\n16\n 53 \t\n5\n5\n10\n, 16\t\n2\n2\n\u00E2\u0080\u009E 54\t\n1\n2\n3\n\u00E2\u0080\u009E 17\t\n1\n2\n3\nPeace River, Dawson Creek\u00E2\u0080\u0094\n\u00E2\u0080\u009E 23\t\n11\n13\n24\nSchool District No. 59\t\n2\n1\n3\n\u00E2\u0080\u009E 77\t\n3\n1\n4\n\u00E2\u0080\u009E 60. \t\n1\n1\nNorth Okanagan, Vernon\u00E2\u0080\u0094\n\u00E2\u0080\u009E 81. \t\n1\n1\nSchool District No. 19\t\n2\n6\n8\nVictoria-Esquimalt Union Board\n\u00E2\u0080\u009E 20 \t\n2\n2\n4\nof Health-\n\u00E2\u0080\u009E 21\t\n2\n2\nSchool District No. 61 (part1).\t\n23\n26\n49\n\u00E2\u0080\u009E 22.. \t\n6\n17\n23\nSaanich and South Vancouver\n\u00E2\u0080\u009E 78\t\n2\n1\n3\nVancouver Island\u00E2\u0080\u0094\nSouth Central, Kamloops\u00E2\u0080\u0094\n\u00E2\u0080\u009E 61 (part3)...\n5\n10\n15\nSchool District No. 24\t\n7\n11\n18\n , 62\t\n2\n4\n6\n\u00E2\u0080\u009E 25\t\n 63\t\n3\n1\n4\n\u00E2\u0080\u009E 26\t\n1\n1\n2\n\u00E2\u0080\u009E 64 \t\n2\n3\n5\n 29 \t\n3\n4\n7\nCentral Vancouver Island,\n\u00E2\u0080\u009E 30\t\n3\n3\nNanaimo\u00E2\u0080\u0094\n\u00E2\u0080\u009E .,31\n1\n1\nSchool District No. 65\t\n2\n5\n7\nCariboo, Prince George\u00E2\u0080\u0094\n\u00E2\u0080\u009E 66\t\n6\n7\n13\nSchool District No. 27__ _\n4\n4\n\u00E2\u0080\u009E 67 \t\n1\n6\n7\n\u00E2\u0080\u009E 28.\t\n2\n5\n1\n7\n1\n\u00E2\u0080\u009E 68 _..\n, 69 \t\n7\n1\n14\n3\n21\n\u00E2\u0080\u009E 55 .\n4\n\u00E2\u0080\u009E 56 .\n2\n3\n5\n\u00E2\u0080\u009E 70 \t\n4\n9\n13\n 57\t\n10\n5\n15\n , 79 \t\n1\n1\n\u00E2\u0080\u009E 58.- . .\n2\n2\nSchool districts not covered by\nUpper Fraser Valley, Chilliwack\u00E2\u0080\u0094\nhealth units\u00E2\u0080\u0094\nSchool District No. 32\t\n3\n1\n4\nSchool District No. 46\t\n1\n5\n6\n\u00E2\u0080\u009E 31\n12\n7\n22\n6\n34\n13\n\u00E2\u0080\u009E 48\t\n\u00E2\u0080\u009E 49 \t\n1\n2\n2\n2\n3\n\u00E2\u0080\u009E 34\t\n4\nBoundary, Cloverdale\u00E2\u0080\u0094\n\u00E2\u0080\u009E 61 (part3)...\n1\n3\n4\nSchool District No. 35 \t\n8\n11\n19\n,. 73 \t\n2\n1\n3\n36\n14\n34\n48\n\u00E2\u0080\u009E 74 .\n1\n1\n2\n, 37\t\n3\n4\n7\n 80 \t\n4\n3\n7\nMetropolitan Health Committee,\nVancouver\u00E2\u0080\u0094\nSchool District No. 38\u00E2\u0080\u0094 ,.\n1\n2\n3\n5\n5\n4\n20\n24\nUnknown\t\n1\n\t\n1\n39\n192\n274\n466\n\u00E2\u0080\u009E \u00E2\u0080\u009E 41\t\n23\n50\n73\nTotals -\t\n530\n799\n1,329\n1 Includes Victoria and Esquimalt only.\n3 Excludes Victoria, Esquimalt, and Oak Bay.\n3 Includes Oak Bay only. CREASE CLINIC AND PROVINCIAL MENTAL HOSPITAL QUI\n13_\nC rt\ncs t-\nON\nTt Tt\noc\nt>\nSo\n0^\nCS\nvo m\nON\nCS\nr- \o\nen\ncs\nVO\nO Os\nOs\nCS rH\nrn\n\u00C2\u00A3J\n*tf\nb\nTt V)\nON\nrH OS\no\nCS\n\u00C2\u00A7\n\u00C2\u00A3\n-\u00E2\u0080\u0094\ns\nCS oo\no~\nCA cn\nIT)\nm\nr* m\nm\nm Tt\nON\nrs\nCA CA\nm\nSO\t\n^\n\"O\nOO mm\nON\ncn cn\nin\n\u00E2\u0096\u00A0\u00C2\u00ABt\no\nA\nO\ni\nw\ne r<\nfc\n1-1\ns\n00 Tt\nrs\ncn 1\nj\ncn\n2\nas in\nTt\nf- vo\ncn\nr-\nON\nVO\nA\nrH mm\ncn\n1-1\nTt\nin\nSO f\nm\n\"/-. rH\nVC~\nOS\no\nvo\ns\n-\u00E2\u0080\u0094t\ncs\nCN\n<\n00\nas'so\n\n~\nOn cn\nrs\nt-H\nin\nS\n1-1 *H\nCN\nOO\nrt\nTt\nTt Tt\noo cn\nOv\nO SO\nOs\nT\nrr\nPh\ncn cn\nso\ncN\n00\nMeth\nit, 195\nCfl\nH\nrt\nu\nb\nS\nt- vo\nCS CN\ncn\no\n cn\nTt O\noc\nTT\ncs\nVO\nCN\nTt\n2\nPh\nl\u00C2\u00BB Tt\nin Tf\nM CO\na\nrn rn\ncn vo\nON\ncn\n0\no\nIh\nDQ\nTt\nS\nm cN\n\u00C2\u00BBn\nvo\nrH OS\no\n\u00E2\u0096\u00A0rt r-\n-H\n^\nOs\nft\nr~~ m\nm\nrs\n\u00C2\u00ABn\nco O\n00\n7\nr-\nrs\nOs OO\nm r-\nOv\ncn\ns\nTt cn\noc\n1\u00E2\u0080\u00941\nON\nvo o\nso\nTt m\nr-\n\"en\nTt\nm\nA\nPh\nso m\n\"vo\nr- oo\nrs\no vo oo\n^F\no~\nCN\ns\nen Tt\nc-\nON\nTt mm\nin\n00 Ov\nc~\ncs\nco H\nZ \"\nTt\ntN\nPh\nTt cn\nt>\nON\nA\ntN\nin so\nTt Tt\n00\nOn\no rt\n55 d\nE2 2\nS\nCA CS\nm\n>n\nOs r-\nsC\ncs\nrT\nO\nPh\n1-1\nCi\nCS\nQ <\n1\ncn\n\u00C2\u00A9 Os\nON\nTt mm\nVi\nTt\ns\nmm CA\ncn\ntn\nTt\nmm CA\nm\nW X\ntt\nPh\nj\n7\no\ns\nmm vo\nt-\nr>\nCO\nz\no\nCO\nCO\ns\nQ\n<\nC\nH\no\na\nCO\ne\nA\nca\n\u00E2\u0080\u00A22\ns\np-1\n1\n\u00E2\u0080\u00A2o\n<\n5!\ng\nfa\n'i\n1\nts\nS\n'.\no\ntj\n\u00E2\u0096\u00A0o\n\u00E2\u0096\u00A0<*\n\u00E2\u0080\u00A2a\nv.\nS3\ncu\nW\no\n\u00E2\u0096\u00A05\nft,\nft!\nC\nc\npa\n2\n0\n<\nH\nE\nCfl\nV.\nCO\nB\nca\n>\n0\nd\n.2\nca\no\nO\nH\n>\nd\no\n1\nO\nH\no\nH\nc\nS\nc\n\u00C2\u00A3\nJ3\n_:\nc\na>\nc\nOJ\n>U\n>U\ni Q 112\nMENTAL HEALTH SERVICES REPORT, 1955-56\n2S\nX\n(U\n00\nQ\nz\n<\nPh\"\nP\n0\nPh\no\nw\no\n<\n^\nCO\nt/i\nO\nz\nn\nVO\n<]\ncn\nON\nq\nj\nH\n<\nCO\nH\n^H\nz\nro\npi\n!*\n cn tF rN cs On\n: rn cn cn cn HH\nmm ; rH Tt rH\n! VI CN I Tf\ncn cn ^\" cn\nI CO IrtrH I CN\n1 vo cs ; rn ; cs cs cn\nrn ; cs cs Tf ', cn\ncn cn cs Tf (\n! rH CN CS rH\nm rH rH rH CS rH CN\n! rn rn i cs m cn CN\nCN rH VO VO VO i VO\n; vo oo cn cs cs r^\ncn j CS ON ! mm CA\nOV CN Tf CS VO rH IT!\nI mm m CA\n~CA SO mm'\nmm m mm\nVO -t Tf Tf OV\noo : cN C- v\u00C2\u00A9 I Tf\n** Tf CN fN Tt , tN I mm\n! S g .a \u00E2\u0080\u00A2\n! S 0\nrt tj js\ne fc>-9\no o ia\nu rt 3\nft \u00C2\u00AB O\n-S 8 S \u00C2\u00BB1.\n1 2-2\nS\u00C2\u00AB\ncfl S\n\u00E2\u0096\u00A0\u00E2\u0096\u00A0 y w u .\n\"O \"O T3\n~ >H l**>\nIH >.\n U rH\n|E-\nrt en cj 3 x:\no oo \u00C2\u00BB C C\nSao\n- c \u00C2\u00AB> ~ -e .e\nO cd 53 u O u\n! HH < P<\n\u00E2\u0080\u00A23 *3 T3 '\nHH C\n3 3 o\ncn cn .1\n8 \"J 5\nPhPh CO I\nIJ\njj\no a\n*- a\nC 3 (U\n3*0 ta\n>is|\n' a a S\nn oj *a o .\"S\nft a s\u00C2\u00A3 a\n$ si b'% a\n\u00E2\u0096\u00A0a \u00C2\u00ABa \u00C2\u00A9 _j .2\nM w U '- a) O g\nrn u to o g -w q\nO O O rt \"-\nJ3 43 43 g\nu u u *-\n>> X fc. >-,\ncfl ifl cfl -Eh\n< rt m\n\"3 'cn 5s\nft O \u00E2\u0080\u0094\nO C C\n\u00E2\u0096\u00A0oa:\n) B 3 .\n- M s? \u00C2\u00A3 \u00C2\u00A3 &\n< EphOZph\n9 ,>?j CREASE CLINIC AND PROVINCIAL MENTAL HOSPITAL\nQ 113\nON\novcNcNvor-\u00C2\u00ABncncs i-h th cn\nCS CS TH a\\ncn cn th\n\u00C2\u00ABcnvN.v\">cnTtoo o Ov\ncs m\n\u00E2\u0080\u0094\nrH\nvn\nincscsr- :cn irn ohn\nMHHTt\nHHM\nTHOVrHrHrH IVDcnON\nt-\nt-\nTfO ;Ovr~-cNcnrH rHO\no th i tn\nCN CS 1\niTfTfTtCNTtCN t- O\nTf\nrH lO\nOC\ni j ! ; ! j 1 1 iij p || i ! i ^ *\nCN\n1 i 1 1 II i 1 i 1\nMM\nj | |\nII II II 1\n| ^\nrH\ni I i ; i ; : : : ;\n|\nIII!\n1 CN 1 ! ! 1 th m Tf\nCi\nMM!!! i 1\n1\nMM\n! i I\n! !il!\n< ,_,\nrH\nrm 1 j ]\n1 1 1\nCN\nTH\n1 1 1 1 1 1 II ! i\ni ! 1\ni 1 I\nCN\ni( OO\n! mm t\u00E2\u0080\u0094i\n! 1 ! rn ! ! | | II\n1 1 1 TH | | ! f\n\o\nMi MM 1\nj\nMM\ni I i\nMl ill\nill:\ni i 1\n1 tH ! rH | 1 rH cn Ov\n^~\n1 1 1 1 1 1 1 1 i !\n! ! ! !\n1 I !\nMil\n1-1\nON\n! I 1 I' 1 1 1 1 [mm\nj\ni i '\ni rH ; ! j | CN h; m\nCl\nIII!\n1 ' ' rn ; ! i !\nrH | 1\nCN\nCN\nmm jfNrH\n'\"\"'li,!! i 1\n|\nj |rt 1\nii ii ii r\n\u00E2\u0080\u00A2* Ov\nm\n! rH I i 1 i | [ ! 1\nCS\nI 1 I I N 1 ii\nj |\nCN\nH QO\n: i-h :\nTH vl 1 \u00C2\u00ABn | 1 1 1 rH !\nt f 1 1 1 1 c\nj\nH VO\n! rn 1 j ! 1 I I ! ;\nrH 1 < |\nTf\n1 1 ! 1 1 1 1 M\nI\n1 1 1\n1 1 I\ni *H | j\nTf\nON\n1 r\"1 *H 1 1 1 ' 1 II\n1-1 i i i\nI : I\n1 1 i\nr i r rr\nO\n! i \"\"M\nK\n! CS | | j | | ! ! rH\n1 1 i\nI I i 1 1 ! 1 c\n1 Tf\nin\nid | i\nCN\n** i 111^* 11 *\u00E2\u0096\u00A0* i\n|\nTt 1 ! 1\n! ! !\n1 i 1\n!\u00E2\u0080\u0094 1 1 ! 1\u00C2\u00B0\nN O\ncn\nm-1 , 1 !\n! IrlHH | r\n- r-\nt-\n1 i I\ni I\n\u00E2\u0096\u00A0< 00\ni rH ! !\ncn\nCN ! TH rH | | I j rH ! th\nTf 1 | |\n! rH |\n1 I 1 1 (S 1 1 C\n^ vo\no\nrH\nII'i i\nrH\nlii*-1\n5?\nCN CS | cn CN j ! J 1 th\ntN 1 1 1\nrH 1 j rH | \ X\n' VO\ni i\u00E2\u0080\u0094i\n! ! 1 m ! 1 ! ] II\n1 1 TH\nOC\n'ill\nH OV\ni ,_,\nrH i |\n1 rH\n! i !\nIrt\nliil i\n1 t-\n.\n1 ! 1 cn 1 1 ! th en ! mm\n1 ! !\nVO\nIII ill i\ni 1\n1 I\n1 ! ! 1! -\nt>\n1 : rH\nCS 1 i CN th 1 CN 1 rH rH\n'\u00E2\u0080\u00A2 1 !\nI m : I cn *h ; -h\n- rH\nm\nON\n! ! II\nill!\ni ! i\n1 ! !\n1 in\n1 1 1 Tf | CN i 1 Tf i\n1 1 ! CN\n! ^h j ; TJ-\n- vo\n1 i I\n1 1\n! ! ! 1 1 '\nrs\nm | Irlrl IH 1 j CS\n! ! ii!\ni 1 i cn\nM\n! ! ! \u00C2\u00ABH ; v\ni ! ! ! 1 *\"\nOv\ncn\nCS\nI II II II I M\nill1-1\n1 1 I\ncn\nm\nm\n*\u00C2\u00B0H 1 I :\n1 I \**\n1 1 1\n1 ! ! !*\" j ! \"*\nt>\n,-N\nQJ\nO\no\nv;\nrt\naj\nrt\nOJ\nU\nh\nis\n.2\nrt\ncj\nC\nrt\n1\naj\n\u00E2\u0080\u00A2a\nc\n43\n0\n\u00E2\u0080\u00A2\u00C2\u00AB\nft\nc\na\nc\nCfl\nrt\na\no\nB\no\nI\n>1\nco\nCJ\n\"\u00E2\u0096\u00A0-* (/\na e\n3 OJ\nXI \u00E2\u0096\u00A0\n\u00E2\u0080\u00A23! tH\nft* \u00C2\u00B0\n* X\n.2 o\nSm\nIH C\n3 'O\nOJ CJ\na oj\nOtfci\n43 rt\nS c\n3 C\n\u00E2\u0096\u00A0n +-\"\nC <-\n\u00C2\u00A7 g\nII\nQJ 3\nfix\n5i\nr, OJ\n\u00E2\u0080\u00A2o E\nS o\ncn T\n'\u00E2\u0096\u00A03 g\nO Cfl\n\u00C2\u00B0l\nIh \u00E2\u0084\u00A2\n5-3\nn O\no\ncn\n>,\n\"rt\nCH\nrt\nP.\n\u00E2\u0096\u00A03\nIh\ng .2\n0 s\n1 -s\nJ &\n2 &\n3 ,.\nCT -9\nCO .-\ncn ^\n\u00E2\u0080\u00A2*H rt\n\u00E2\u0096\u00A03 o\n\u00C2\u00A7 H\nM\n43\n-\u00C2\u00A3?\n\u00E2\u0096\u00A0U\n4 I\nc, \u00E2\u0080\u0094\n1s\n\u00C2\u00AB 8\n3 I 1\n1 si*\nu 0 \u00C2\u00A3\n\u00C2\u00A3 \u00C2\u00A32 |\n5 H c\na ft q\n\u00C2\u00AB rt -r.\n43 Q \u00C2\u00A3\nDO \u00E2\u0080\u0094\n\ni\ny.\n8\n3\nS\n2\ne\nP.\n>\n1\nk-\ng\no\n\u00C2\u00A3\n>\n0\n1\n>\n\"ci\nC\n0\nCfl\nV-\n|\n0\nOJ\nI\na\na\nX\na\ns\nc\nc\n1-\nJ\n0\nB\nC\n<\n>\n\u00E2\u0096\u00A03\nB\nC\ncr\na\nc\n0\n'6\nc\nV\n<\nc\nc\n0\n>\n0\n3\nX\na\nOJ\nV\n1\nc\nc\n3\n\u00E2\u0096\u00A00\n3\nrt\nc\ng 0\n\u00E2\u0096\u00A03 _\nc .5\no |_\nOJ C\nft c\nS'\"S\n3 \u00C2\u00A3\nI\n>\nu\nc\nS\n\u00E2\u0080\u00A2a\nc\nOJ\nP\na\n\u00E2\u0080\u00A2a\ncU\n>\na\nrt\nP.\nu\nt\nc\nc\n3\n\u00E2\u0080\u00A2a\nc\nCC\nu\naj\n4=\nC\nu\nw 0\n-3 C\no j:\nX\nOJ\ns\nz\nOJ\nC\nCfl\nC\nD\nc\n0\no\n\u00C2\u00AB\ng\nX\nm.\n(1\n0!\nu\n4\n\u00E2\u0080\u00A2a\ni~\nc\nw\nX\n\-\n3\n.2\n>\nrt\n4=\naj\n\u00E2\u0080\u00A2a\nc\nc\n43\n1\n>\nI-\nCO\n\u00C2\u00A3\nPh\n1\nC\nOJ\n'a\nQJ\n\u00E2\u0080\u00A2a\n~ct\na\naj\nc\nc\nH-\nc\n3\naj\nol\n\u00C2\u00A3\n\"a\nJ\nCD\n3\n^~\n1\nT\nOJ\ns\nt\nQJ\nc\nw\nC\n3\n\u00E2\u0096\u00A0a\n3\nCJ\nc\n|H\n3\nO\n\">\nrt\n43\nQJ\n40\nCJ\nU\nrt\nIh\nrZ\n4=\nO\n\u00E2\u0080\u00A2a\nOJ\n%\\nCfl\nI3\nrt\nIh\n3\nCJ\n3\nX\n\nrt\nJT\na,\n4=\n4=\n'1\nQJ\nE\nc\n\u00E2\u0080\u00A2a\n3\n>\nGS\n3\n'5\n1-\ns.\nC\n'I\nr\nc\na\nE\nc\n\u00E2\u0080\u00A2c\nc\n>\nCfl\n3\n1-\n42\ni\nr\nCL\nCw\nC\nE\n3\n\u00E2\u0080\u00A2a\nto\nX\nC\ng\nc\nQJ\n.2S\nCh C\n2 S\n0 I\nis\nB E\nO rt\nSg\n15\n*J c\nrt 3\n0\n1\n>\ni\nc\nX\n1\n\"r\nC\n[-\nU\na\n5\nc\n[\nC\nCO\nPh\nPhU\nft\nCfl\n5\n<\n0\n0\nX\n41\nC\nc\nOO Q 114\nMENTAL HEALTH SERVICES REPORT, 1955-56\nX\nw\nCfl\nD\nz\n<\n\u00E2\u0080\u009E\nOh\n3\nO\na.\na\nH\n0\n<\n\u00E2\u0080\u009E\nCO\nCO\nO VO\nZ \u00C2\u00ABn\nO\nON\n<\nT\u00E2\u0080\u0094\nQ\nH\nCO\nu\n<\nf\"i\nH\n7,\nX\nPJ\nu\ns\nPh\n<\n>H\ns\nP5\no\no\nH\nz\nu\nON\nT\u00E2\u0080\u0094C\nw\n\u00E2\u0080\u009E\nCO\nl-H\n<\nCO\nw\n*\u00E2\u0080\u0094<\nOS\nU\n2\nn\nPh\nh\n<\nCO\nZ\nO\nIO\nCO\n2\nQ\n<\nPJ\ntf\nw\ncq\n<\n\u00E2\u0080\u00A2o \u00E2\u0080\u0094\n\u00C2\u00A7|\nOH\n\u00C2\u00AB E\nso\nTfTfr-VOTfTf \u00E2\u0080\u0094 ON\nOV TH TJ- O Tf 1\ni cn cn vo ! cn c\n, m IT! t- rH rn rn\nI cn VO mm rH (TJ TH\nCS [ ! ! CN\nmm in mm m -J\nTH m rH i |\nj cn th i : cn\nCS CS CN tN\nI TH {S TH 1 Tf\nCA mm mm , rn\ni th cs j cn\nCN ! cs in\nrH I rH m\n! tN -h cn CN\nTH , Ov i CN\ni cn cn rn i vo\nI mm \"tf ; ; rn\n1 ! !'\nI I I\nII II\n-h * \"8 B\n.2- \u00C2\u00A3c\u00C2\u00A3 2\ngga'3S\u00C2\u00AB\no *\u00E2\u0096\u00A0 S. c\na S'S-:\nu S S-S\n5 J3 B\n3 \u00C2\u00A3 3. O\na c oj cj\nCfl tH ,_\n\u00E2\u0096\u00A0 g OJ (j\n1 3 > z\nJ \u00E2\u0080\u0094 \"H mm\nh ^ tfl C\n1 rt s rt\ni u o j-\n\u00E2\u0096\u00A0 rt \"3 5 i u2\no \u00E2\u0080\u00A2-\nOJ u\nOS\nft 8 w\n\u00E2\u0096\u00A0d \"B\n2-sp\no g 5\n\u00E2\u0096\u00A03 I \"\n>, j> o\nJ? \"h e\nt \u00C2\u00B0 \u00C2\u00A7\ns a to cd\nBUB\nrt Ih C CJ\nI a M O E\n: \u00E2\u0096\u00A0- 2 u o \u00E2\u0096\u00A0\ni \u00C2\u00A3 3 ,-\n: rt ch ej ^H\ni U CJ J> \u00C2\u00A3\nccs cj J3 3\n' D. \u00E2\u0080\u0094 t; rt\ni B B\n- OJ H .\ni S3\nJ-H. O ..\nis* \u00C2\u00BB\nos\"\nS?S3\ncj E\n] H\"- J)\n; -2 rt to\n3 o\n*o\"f.\n11\nft.\ns s?\nsS\nS O g 3 rt\nu 3\n0 2\nC H3 X3 rt I- CJ QJ\n. ij >\u00C2\u00BB >,\n. \u00E2\u0080\u0094 S. V.\n;PhP- Ph\ncS O\naj lfl OJ\nco P- 60\nQJ .S3 *5\na o \u00C2\u00B0\u00C2\u00B0\nQJ u 3\n\u00E2\u0096\u00A0a 3 .9\n(j OJ u\n\u00E2\u0080\u00A25 C QJ\nS o Eta\nB cj\nii 3 >.4D OJ g?\ncN >> U\ntH tfl 43\nPh Ph U\nrt >>.ti\no u ft\nrt cd \"o\ntH hh Ph\n,\u00C2\u00A7\u00C2\u00AB& I\nI ells\n\"h U ^\nQJ\n\"5o g *o 'j\n5-g ? &\n\u00E2\u0096\u00A03 e 3\nr= C Cfl R\n\u00C2\u00A3<< rt CREASE CLINIC AND PROVINCIAL MENTAL HOSPITAL\nQ 115\ncn\nON\nCN\n'\"'ill\nI M\nQO\ncn\no\ncs\nin\n\"-1\nOn\nwn\ni 1 i 1 II II\nm\nj j\ncn\n^\n:\n^o\n|| MM\nj i\nrH\nm\nM MM M\nrs\nII Mil\nTf\nM MM M\n*\"\"'\n\u00E2\u0096\u00A0\"\u00E2\u0096\u00A0\ncs\nj :\ntN\nM MM\ni i\nCS\nrH\n1! MM\nCS\ni ! MM I I\nOO\n1 i 1 M !\n! j\nTf\ntN\nj ! M *** i II\nCN\nOv\nrH\nM i ! i i\ni |\n|\nCN\ni i Mil\ni i\nCS\n|| MM\nCN\nr-\nts\n|| MM\ni rH\nCS\n\u00C2\u00A3\nII III!\n1 |\ncn\ncs\nCN\n\"* i i j ~ !\nrs\nTf\n1 1 III!\n; 1\nTH\nt^\nI ! i : ! :\n1 j\n*\"'\ni MM M\nm\n00\nII MM M\nTf\nCS\nM i j M\ncs j\nm\n: U\n1\nOS\nCJ\n\u00C2\u00B0\nCfl\nrt\n\u00E2\u0080\u00A2a\n3\nc\nC\n3\nCJ\n.\nCJ\nb\nft\n3\nO\nrt\nCJ\nLH\nCfl\n>,\n8 re\n\u00E2\u0096\u00A0H r\nrt\nrt\n\u00E2\u0096\u00A0d c\ncr\n\nIH\nOJ\n3\n|\n\u00E2\u0096\u00A0 1\nS *o\nSi\nat\n0\n43\nO\n2 3\na\nX\nOJ\na.\n\u00E2\u0084\u00A2 E E 3 s\nS p p-nrg\n-t-> ~\n3\nt\nX\nn *\no 0\n\u00E2\u0096\u00A03 C\ns\u00E2\u0080\u0094Oth\nn syndi\nn syndi\nther an\nes of\nssgfe\n\u00C2\u00A3 3 c\nC\nc\ncc\nS 2\nbt\n3\n-3 Tj TJ m* tm | OJ\nft O 4*\nH 0\n\u00E2\u0080\u00A2a b w \u00C2\u00B0 .2 ._> Ln \"\u00C2\u00B0\n\u00E2\u0080\u00A25 rt =\n^rtw^SSftiH\n* S ir\n43 .5 43 b \"h \"3 43\n.8 6\nC\nOh\n0\n<_\nL\n01\n0\nOC Q 116\nMENTAL HEALTH SERVICES REPORT, 1955-56\nTable 7.\u00E2\u0080\u0094First Admissions to Crease Clinic by Marital Status, Mental\nDiagnosis, and Sex, April 1st, 1955, to March 31st, 1956\nMental Diagnosis\nMarital Status\nSingle\nM.\nF.\nMarried\nM.\nF.\nWidowed\nM.\nF.\nDivorced\nSeparated\nM. F.\nM.\nTotal\nM.\nGrand\nTotal\nWith Psychosis\nSchizophrenic disorders-\nManic-depressive reaction\t\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\nsomatic symptoms.\nHysterical reaction without mention of\nsomatic symptoms \t\nPhobic reactions\t\nObsessive-compulsive reaction..\nNeurotic-depressive reaction.\nPsychoneurosis with somatic symptoms\n(somatization reaction) affecting digestive system\nPsychoneurosis with somatic symptoms\n(somatization reaction) affecting\nother systems\nPsychoneurotic disorders, other, mixed,\nand unspecified types.\nChronic brain syndrome with neurotic\nreaction \t\nSyphilis and its sequelas\t\nTotal with psychosis..\nWithout Psychosis\nPathological personality\t\nImmature personality\t\nAlcoholism \t\nOther drug addiction-\nPrimary childhood behaviour disorders\nMental deficiency.\nOther and unspecified character behaviour and intelligence disorders\t\nChronic brain syndrome with behavioural reaction \t\nChronic brain syndrome, N.O.S\u00E2\u0080\u0094\nEpilepsy-\nObservation without need for further\nmedical (psychiatric) care\t\nOther, unknown, and unspecified conditions\t\nTotal without psychosis..\nGrand totals\t\n138\n4\n16\n11\n43\n9\n7\n5\n3\n3\n6\n2\n14\n39\n11\n1\n1\n39\n150\n26\n11\n10\n1\n3\n3\n10\n31\n16\n2\n5\n104\n196 [ 122 | 190 | 474\n61 | 32\n257 | 154\n13\n5\n39 I 43\n229 517\n8 | 58 | 8 | 15\n1\n1\n1\n2\n....\nj 4| 2 |\n62\n10\n18\n26\n191\n16\n7\n5\n3\n4\n16\n9\n19\n63\n14\n2\n2\n59\n250\n42\n21\n14\n2\n4\n4\n13\n47\n116\n25\n2\n5\n139\n441\n58\n28\n19\n5\n8\n20\n22\n66\n179\n39\n4\n7\n198\n15\n2\n21 | 37 | 423 | 706 | 1,129\n3\n46\n30\n2\n11\n13\n2\n11\n13\n1\n1\n5\n4\n4\n3\n2\n4\n10\n4\n1\n4\n1\n12\n11\n4\n1\n2\n6\n11 1 107 | 93\n76\n24\n24\n1\n9\n7\n14\n5\n5\n23\n200\n48 I 530 799 1,329 CREASE CLINIC AND PROVINCIAL MENTAL HOSPITAL\nQ 117\nTable 8.\u00E2\u0080\u0094Readmissions to Crease Clinic by Marital Status, Mental\nDiagnosis, and Sex, April 1st, 1955, to March 31st, 1956\nMarital Status\nMental Diagnosis\nSingle\nMarried\nWidowed\nDivorced\nSeparated\nGrand\nTotal\nM.\nF.\nM.\nF.\nM.\nF.\nM.\nF.\nM.\nF.\nM.\nF.\nWith Psychosis\n22\n2\n2\n2\n1\n2\n20\n3\n1\n1\n1\n1\n1\n13\n7\n1\n1\n1\n1\n13\n1\n1\n1\n1\n36\n18\n4\n2\n1\n15\n25\n3\n26\n2\n1\n2\n1\n6\n1\n5\n3\n6\n1\n1\n1\n1\n1\n1\n2\n1\n1\n1\n1\n1\n3\n36\n12\n1\n1\n1\n3\n16\n1\n1\n3\n1\n1\n3\n63\n24\n10\n1\n2\n1\n18\n28\n4\n~36\n2\n1\n5\n99\n36\nInvolutional melancholia.^ \t\nParanoia and paranoid states.\u00E2\u0080\u0094\t\nPsychosis with cerebral arteriosclerosis-\nPsychosis of other demonstrable etiol-\n11\n2\n3\n1\nOther and unspecified psychoses\t\nAnxiety reaction without mention of\nsomatic symptoms\t\nHysterical reaction without mention of\nsomatic symptoms\u00E2\u0080\u0094 \t\n21\n44\n5\n1\n39\nPsychoneurosis with somatic symptoms\n(somatization reaction) affecting di-\n1\nPsychoneurosis with somatic symptoms\n(somatization reaction) affecting\n2\nPsychoneurotic disorders, other, mixed,\n1\n. | ......\n2\n2\nChronic brain syndrome with neurotic\n8\n31\n28\n41\n135\n1 | 23 | 3 | 2\n4 | 7 | 80 | 195\n275\nWithout Psychosis\n1\n1\n1\n2\n2\n1\n1\n1\n4\n1\n2\n1\n1\n1\n\t\n1\n1\n1\n\t\n5\n1\n1\n1\n2\n2\n2\n1\n5\n1\n1\n1\n10\n1\n1\nPrimary childhood behaviour disorders\nOther and unspecified character beha-\n1\n1\nChronic brain syndrome with beha-\n1\n2\n2\nOther diseases of central nervous system not associated with psychosis\nObservation without need for further\nmedical (psychiatric) care\t\nOther, unknown, and unspecified conditions\t\n2\n1\n1\n7\n3\n5\n3\n... | 1 | 1\n2 1 1 | 15 | 8\n23\n38\n31\n46\n138\n1 I 24 I 4\n2\n6\nR 1 95 1 903\n298\nTable 9.\u00E2\u0080\u0094First Admissions to Crease Clinic by Years of Schooling, Mental\nDiagnosis, and Sex, April 1st, 1955, to March 31st, 1956\nTable 10.\u00E2\u0080\u0094Readmissions to Crease Clinic by Years of Schooling, Mental\nDiagnosis, and Sex, April 1st, 1955, to March 31st, 1956\nTable 11.\u00E2\u0080\u0094First Admissions to Crease Clinic by Citizenship, Age-group, and\nSex, April 1st, 1955, to March 31st, 1956\nTable 12.\u00E2\u0080\u0094First Admissions to Crease Clinic by Religion and Sex, April 1st,\n1955, to March 31st, 1956\nTable 13.\u00E2\u0080\u0094First Admissions to Crease Clinic by Previous Occupation and Sex,\nApril 1st, 1955, to March 31st, 1956\nDetailed information for the above tables may be obtained on request. Q 118\nMENTAL HEALTH SERVICES REPORT, 1955-56\nTable 14.\u00E2\u0080\u0094Live Discharges from Crease Clinic by Condition on Discharge,\nDisposition to, and Sex, April 1st, 1955, to March 31st, 1956\nCondition\nHome\nClinic\nAgency\nGeneral\nHospital\nWelfare\nInstitution\nOther\nMental\nHospital\nOther\nTotal\nGrand\nM.\nF.\nM.\nF.\nM.\nF.\nM.\nF.\nM.\nF.\nM.\nF.\nM.\nF.\n83\n96\n310\n72\n179\n63\n612\n75\n-\n1\n1\n2\n1\n1\n1\n....\n1\n1\n25\n38\n1\n29\n33\n2\n3\n2\n86\n97\n338\n114\n179\n64\n645\n109\n265\n161\nImproved\t\n983\n223\nTotals\t\n561\n929\n\u00E2\u0080\u0094\n2\n5\n__\n\u00E2\u0080\u0094\n1\n64\n63\n5\n2\n635\n997\n1,632\nTable 15.\u00E2\u0080\u0094Live Discharges from Crease Clinic by Mental Diagnosis, Condition\non Discharge, and Sex, April 1st, 1955, to March 31st, 1956\nMental Diagnosis\nCondition on Discharge\nRecovered\nMuch\nImproved\nM.\nImproved\nM.\nUnimproved\nM.\nTotal\nM.\nGrand\nTotal\nWith Psychosis\nSchizophrenic disorders\t\nManic-depressive reaction \t\nInvolutional melancholia \t\nParanoia and paranoid states\t\nSenile psychosis _\nPresenile psychosis.\nPsychosis with cerebral arteriosclerosis .\nAlcoholic psychosis-\nPsychosis of other demonstrable etiology-\nOther and unspecified psychoses\t\nPsychosis with mental deficiency ...\nAnxiety reaction without mention of somatic symptoms - \t\nHysterical reaction without mention of somatic\nsymptoms \t\nPhobic reaction _ \t\nObsessive-compulsive reaction _.\nNeurotic-depressive reaction.\nPsychoneurosis with somatic symptoms (somatization reaction) \t\nPsychoneurotic disorders, other, mixed, and unspecified types.\nChronic brain syndrome with neurotic reaction .\nSyphilis and its sequelae\t\nTotal with psychosis .\nWithout Psychosis\nPathological personality-\nImmature personality\t\nAlcoholism. \t\nOther drug addiction.\nPrimary childhood behaviour disorders .\nMental deficiency .\nOther and unspecified character, behaviour, and\nintelligence disorders\nChronic brain syndrome with behaviour reaction..\nChronic brain syndrome, N.O.S \t\nEpilepsy.\nOther diseases of the central nervous system not\nassociated with psychosis\nObservation without need for further medical care .\nOther, unknown, and unspecified conditions\t\nTotal without psychosis -\t\nGrand totals..\n12\n59\n28\n11\n1\n5\n4\n20\n20\n1\n21\n11\n11\n122\n8\n4\n7\n2\n3\n5\n2\n5\n1\n63\n7\n2\n3\n30\n185\n36\n19\n7\n2\n1\n1\n2\n7\n23\n104\n23\n3\n6\n133\n44\n13\n237\n29\n8\n10\n3\n3\n18\n7\n15\n1\n84\n11\n4\n4\n51\n317\n69\n31\n8\n3\n2\n4\n7\n15\n47\n142\n33\n3\n7\n174\n84 | 174 | 88 | 59 | 274 | 572\n55\n\"\n1\n1\n\u00E2\u0080\u0094\n2\n\u00E2\u0080\u0094\n1\n\u00E2\u0080\u0094\n--\n2 | 5 | 9 |\n32\n6\n7\n1\n3\n1\n1\n3\n2\n6\n1\n1\n64\n86 | 179 97 | 64 338\nI\n29\n18\n6\n5\n2\n1\n1\n1\n3\n3\n6\n5\n1\n2\n1\n4\n4\n554\n98\n39\n18\n6\n2\n7\n25\n22\n62\n1\n226\n44\n7\n11\n226\n11\n9\n22\n2\n85 | 501 | 890 | 1,391\n57\n36\n15\n20\n14\n12\n1\n1\n6\n7\n2\n3\n2\n10\n6\n1\n9\n2\n14\n10\n3\n1\n5\n._...\n4\n93\n35\n26\n2\n13\n5\n12\n7\n11\n24\n4\n5\n4\n73\n645\n59\nTl4\n24 I 134 I 107\n241\n109 | 635 | 997 I 1,632 CREASE CLINIC AND PROVINCIAL MENTAL HOSPITAL\nQ 119\nQH\na\nCfl\nQ\nZ\n<\no\no\nCA\nO\n\u00E2\u0096\u00A0\nO\n<\nxr>\nO\nZ\no\n<\nVO\nQ\n\u00E2\u0096\u00BAj\n^H\n<\nhH\nH\nz\ncn\nw\n\u00E2\u0080\u0094H\nS\ntn\n>H\nU\na\n05\n<\nZ\n\u00C2\u00A7\nn\n0\nH\nin\n111\n>n\nHI\"\nOn\nw\n^H\nOh\n\u00C2\u00AB\\no\nH\ncn\ns\n, 1\n( )\nOh\nK\nBh\nPh\ncn\n<\nW\nO\n0.\n<\u00E2\u0080\u00A2\n2=\nU\n>\n\u00C2\u00BB\n<\n\u00C2\u00A30\nPh\nrH rH Tf\n* M I I\n\u00E2\u0096\u00A0 cs cs i *n : cn vo m <\ncsrHcsmrsr-oo ics\n[ oo cn\n, t-~ cn\n- OO rn\ncn . en so\nCSCN*H00rH \\n \ mm rf h;\n! Cn rH CN\ncninin-rmft\n\ CA CN CS\nTf ; mm so Os CA CA . Ov\ncncscnrHt-rHVcO vo cscs\no Tf i oo oo 0\ cn i\ncn CN ! CN Ov\nVO CN CS rH (^ i-h\nr- Tf CN CN rn\nCN CS\nrH HO'\n, rn rn Ol rH i in\nOs cn \o m ^ : cn\n! i ! i\nCN ! mm o cn\n\u00E2\u0096\u00A0\u00C2\u00AB cn vo >n i tN i vo\nTf CS CS rH Tf i rH ,\n\u00C2\u00A3, 3 ~ C-2\nJEtCC\nrt o x:\ns \u00C2\u00ABH-\nh3 0 6 .'\ng \u00C2\u00AB o 43 -c\nCd \u00E2\u0080\u0094 co O O\n*- C (D >, O\n\u00E2\u0080\u00A2SMS o\"\no h o u J\n\u00E2\u0096\u00A0a \u00C2\u00A7 \u00E2\u0096\u00A0\u00C2\u00A7 -51\n2 | S a'3\nScd .- *j cd\nS3 ft CD 3 '\nu O O * O\nrj t. c. O\nO M M & &\n*. fi C ^ fl\nO \"2 tH \"D \"O\n\u00E2\u0080\u00A25 3 3 o O\nS \u00C2\u00BB \u00C2\u00BB o 8\n.s e! OS cn cn\n\u00C2\u00A3 't\nis >. \u00C2\u00AB\ncfl O ._\n'\u00E2\u0096\u00A03 n'\u00C2\u00B0\noJP,\nS3 c3 ~\n\u00E2\u0096\u00A0H u o-\nO |h o\nK cox:\n\u00E2\u0080\u00A2TH -3 -1 CO \"O 5S on\n_, \"O \"O \"O G cDajft\n.= co 1\n. -W >> G >v ,\nB S 11\nS^J E?T3 '\n= S \u00C2\u00B0 \u00C2\u00A3\no o\ni*5\nM S? s?\nIsO^Bh\na. P\nli\nG cfl\nj O M \u00C2\u00B0\nO Q G\nc \u00C2\u00B0 o\nu C S3\n'D.2 c\nli c G\nShO\n\u00C2\u00AB 5-3\n\u00C2\u00A35*\na? I\n) .co \u00E2\u0096\u00A0- cd\n\u00C2\u00B0 3 \" 5\n-5 * \"cd cd\nco1 \u00C2\u00A3? \"C o \u00E2\u0096\u00A0\nCh .h ii S\n^\nG\nO\no\ncd\nC\nO\nN\ncd\nn\no\n^\nrl\no\nft\nH\n>,\nc\nc\no\no S\n*J li\nN\u00C2\u00AB\nOJ\n\u00E2\u0096\u00A0S V\n.\u00E2\u0080\u0094 co\nf n.\nCD *3 n ft o 60\nLh (1 H (11 . . \nT\nCD\nW\nON\ns\n>\nH\ncn\nM\n*\u00E2\u0080\u0094\nm\nCJ\nZ\nn\nw\ncn\no\n<\nH\nOh\nu\nin\nCO\nCTs\na\no\n^\nOS\nH\nu-\ncn\n^H\ncn\nW\nri\nO\nPS\nOh\nOh\n<\nX\n<\nu\n26\nOH\n3?\nTf OV cn rH\nrH ; Ov rH\nvo m cs ov rn m\nTf VO CN , rH r>\nrH OV rH CN \u00C2\u00A9\n\u00C2\u00A9VOrHOOmrHf-T\nrH Tt CN CN rH VO CN\nrn irirt h\n! i\n! i i\ni i 1 i\n\u00C2\u00AB VO Ov Tf CA in mm\ni CS rn ! rH\nrH ! rH CN\nCN I 1 Cn rH rH | | Tf rH rH\nI \u00C2\u00AB I I rH | rtrt 111!\nI I i ! I\n\u00E2\u0080\u00A2 cn ! rH | 1 Tj-rH\ni I '\nI CN : I tN\nl\u00C2\u00ABH |*\u00C2\u00BB I tN\n: *h I i h*\n>\n<\nc\"\nCJ\ncd\nCD\nlH\nu\nft\n>1\nO\ns\nCD\nc\ncc\na\nC\ncd\nB c\n\u00C2\u00A3\ns o\"g\n0\nta\nE\n\"4 5 s\n\u00E2\u0080\u00A2Soft\ns\nu B J>\n09\nO\ni s\nC CcJ\n5\u00C2\u00ABg \u00C2\u00A7 .2\n_r5 i |\nCO \u00C2\u00AB\n\u00E2\u0080\u00A2SB\nW\nen\nI\nO^S H\nw 'O cr *S\n. O M co **\no op\nIh G\n3 3\nCD CJ\nG cd\nOct!\nJ= cd\n5 2 \"8\n3 t; c\nfi mO cd\nG o co\n111\nOnOcn\nill I\nill it\n' Cir-a R\ns -h \"3 .ii S1\n3 S o o 5\n, oiijftO\n3 \u00C2\u00AB\nIffe\nlife\nCO O Cd m\nIh Cfl r- O\nsi Is\nft \u00C2\u00A35 rt\ns \u00E2\u0080\u0094 s >,\ncd co ft OJ\n30 - \u00C2\u00AB\n31 o .3 \"3\n\u00E2\u0080\u00A2a 3 s 3\na a 8 S'\n\u00C2\u00ABa 3 \u00E2\u0080\u00A2a\n3 co cj a\n! a a oj\n3 ft O \u00C2\u00A3\ni 8 '\u00E2\u0096\u00A0\u00C2\u00A7 I I\n;3ES|\n> swph a\nE 3\no\n\u00E2\u0096\u00A0a cd\ncr o\nIII\nill\n^ CO CD h\n_'(B \u00C2\u00BBnrNCSr-iVOTtt--T-iVO rH OVCNCN\ninOVCnrH CNCSVO CSTf rHCS rH (V\n\u00C2\u00BBn cs cn\nMnH/H\u00C2\u00ABcN CNVOONTfcn \u00C2\u00ABn\na\nH\no\nz a\nw u\nlg.\nOS\nw -1\ncn\n< H\nH 03\nOS rH\nO -J\ns\u00C2\u00AB\nw\no\n<\na\no\ncn\nco\nw\n>\nw\nm\n<\nc\no\n\u00C2\u00A3\ncj\nPh\n\u00C2\u00A3\nCD\nto\nI I |H I\nrHTf ! Tf rH I rH Tf\ncncniifNrH h inn i |\nI !\nrHCNCN i \0 CN ;fNtN CN ICNrH\nhthn ; [\nOV Tf ! rH CN\nTfcnrHCnrH ICNrH | Tt rH rH rH th rH in\nrHTtCSI \ mm ICNCNrNrH\nm |\nO VO CN 1 rn rH\ncn cn j mm \u00C2\u00BB\n, rH rn rH rH cn tN\ntt SSy\no S31\no o:\nw cd 43 i\n\u00C2\u00A3 CD CJ .\ns h 1'\nCfl U Cd !\n' \u00C2\u00AB :\nUJ w >,\nrH CD CJ\n\u00E2\u0096\u00A0D M G\nrt O S\nB.o\no *3\ni rt\n\u00C2\u00AB I\nft-ogS\nI VJ i\njft6\nex: lv's ss^ t1; y\n3 JS\no a\na z\n* 5\nc - _\nO CJ B\n23 cd O\nCJ OJ T3\no\no\nN\n.2 =\no e\nG \u00C2\u00AB\ncd S3\nH CO\nG \u00C2\u00B0\ns-,\n0) >^\nu\nS\u00C2\u00A3\nPh t/\nPhPh\nSI a\nx: x: ^\no u JJ\na >>cS\nT3 cfl i* cfl\n\u00E2\u0080\u00A2 \u00C2\u00A3\n\nO\nCJ\nOJ\n\u00E2\u0080\u00A23\ng\nCJ\n0\n>^ cj\nO 4J\n2>-\nc+hjC OJ\nSfo3c\nS *-\" \u00C2\u00ABH CD\nr^ tfl O C\n\u00C2\u00A7\u00C2\u00A3\u00E2\u0080\u00A2\u00C2\u00A7 =\nu m H rt\n0,QZH\n1872. _ \t\n1873_\t\n1874\t\n1875\t\n1876 \t\n1877... \t\n1878\t\n18\n15\n12\n29\n22\n14\n16\n18\n17\n13\n7\n8\n10\n20\n27\n36\n26\n41\n52\n49\n52\n44\n80\n62\n64\n74\n81\n101\n113\n115\n121\n139\n115\n123\n150\n221\n230\n232\n280\n332\n375\n380\n402\n332\n353\n371\n375\n574\n489\n478\n438\n447\n461\n475\n494\n542\n543\n602\n632\n562\n635\n610\n653\n679\n1\n10\n4\n3\n11\n4\n7\n4\n5\n5\n3\n4\n2\n5\n10\n15\n12\n14\n17\n19\n17\n14\n13\n29\n23\n20\n27\n31\n38\n40\n30\n38\n46\n43\n361\n48\n681\n73 2\n84\n67 s\n741\n90*\n58\n83\n73 2\n88\n75\n116\n88\n96\n91\n842\n63\n575\n76*\n751\n922\n1181\n70\u00C2\u00BB\n58\"\n44*\n61\u00C2\u00BB\n711\n631\n2\n3\n3\n4\n3\n1\n3\n1\n1\n4\n6\n5\n6\n5\n6\n4\n10\n18\n19\n11\n25\n8\n13\n32\n27\n20\n31\n37\n26\n33\n43\n43\n56\n77\n82\n114\n128\n146\n126\n91\n96\n78\n95\n221\n173\n178\n167\n121\n242\n240\n171\n252\n294\n311\n235\n299\n323\n309\n349\n304\n1\n5\n3\n10\n5\n3\n8\n8\n5\n5\n2\n3\n2\n5\n6\n5\n3\n4\n12\n20\n13\n14\n19\n20\n9\n14\n19\n21\n29\n25\n25\n26\n26\n27\n28\n39\n57\n40\n41\n60\n76\n67\n74\n89\n80\n106\n132\n132\n122\n114\n133\n163\n138\n142\n161\n147\n181\n223\n191\n181\n195\n200\n321\n291\n16\n14\n19\n32\n35\n38\n36\n41\n48\n48\n49\n49\n51\n61\n66\n77\n82\n100\n117\n123\n135\n133\n162\n164\n171\n203\n221\n234\n258\n284\n311\n349\n321\n348\n388\n461\n507\n536\n595\n690\n752\n919\n1,027\n1,090\n1,205\n1,301\n1,347\n1,458\n1,566\n1,649\n1,697\n1,784\n1,884\n1,995\n2,125\n2,269\n2,347\n2,411\n2,550\n2,676\n2,824\n2,960\n3,080\n3,180\n5\n13\n3\n3\n5\n7\n1\n2\n10\n5\n11\n5\n18\n17\n6\n12\n29\n2\n7\n32\n18\n13\n24\n26\n27\n38\n27\n43\n73\n46\n29\n48\n105\n62\n167\n108\n63\n2\n2\n2\n28\n18\n31\n26\n48\n54\n49\n54\n54\n58\n61\n55\n57\n59\n71\n88\n102\n103\n123\n152\n166\n175\n179\n213\n224\n228\n246\n285\n327\n356\n377\n413\n466\n480\n505\n552\n666\n765\n816\n896\n1,034\n1,065\n1,264\n1,364\n1,437\n1,527\n1,650\n1,753\n2,025\n2,043\n2,137\n2,180\n2,234\n2,327\n2,434\n2,565\n2,743\n2,914\n3,063\n3,148\n3,214\n3,390\n3,530\n3,721\n3,838\n5.55\n66.66\n33.33\n10.34\n50.00\n28.57\n43.75\n22.22\n29.41\n38.46\n42.85\n50.00\n20.00\n25.00\n37.03\n41.66\n46.15\n34.15\n32.69\n38.77\n32.69\n31.81\n16.25\n46.77\n35.93\n27.03\n33.33\n30.69\n33.63\n34.78\n24.79\n27.34\n40.00\n33.33\n23.03\n21.30\n28.30\n31.00\n30.00\n19.57\n18.90\n22.63\n14.43\n25.00\n20.68\n23.72\n20.00\n20.20\n14.17\n20.08\n20.77\n18.56\n13.66\n12.00\n15.38\n13.28\n16.76\n19.10\n10.60\n10.32\n6.92\n10.00\n10.87\n9.27\n5.55\n80.00\n33.33\n26.89\n63.63\n78.57\n62.50\n27.77\n29.41\n61.54\n57.14\n62.50\n60.00\n25.00\n59.25\n55.55\n69.23\n46.34\n44.23\n46.94\n51.92\n72.72\n40.00\n64.51\n75.00\n37.83\n49.38\n62.37\n57.52\n52.17\n50.41\n53.96\n62.61\n61.78\n52.06\n41.20\n53.90\n64.60\n59.28\n54.42\n53.80\n62.10\n45.77\n52.41\n47.87\n44.74\n45.33\n58.71\n72.60\n57.32\n59.36\n64.20\n66.16\n62.53\n50.00\n60.33\n71.07\n71.26\n64.24\n63.52\n58.42\n60.65\n64.32\n54.05\n5.55\n16.12\n11.53\n20.83\n9.35\n6.12\n16.16\n1879 ..\n1880 \t\n14.81\n8.62\n1881\t\n8.19\n1882.\t\n3.63\n1883 \t\n5.26\n1884.\n3.33\n1885 \t\n6.94\n1886\n6.81\n1887.\t\n4.80\n1888 \t\n1889\n2.87\n3.25\n1890\n7.64\n1891\n11.69\n1892 ...\n1893\t\n6.95\n7.60\n1894 \t\n1895.. \t\n8.92\n8.92\n1896..\t\n1897 \t\n1898 \t\n3.94\n5.69\n6.66\n1899\t\n6.42\n1900 -\n8.14\n1901 .\n6.63\n1902 \t\n6.06\n1903\t\n1904 \t\n5.57\n5.42\n1905\n5 34\n1906 \t\n5.04\n1907\t\n1908 \t\n5.08\n7 44\n1909 \t\n6 40\n1910 \t\n4.57\n1911 \t\n5.83\n1912 \t\n7.02\n1913 \t\n1914\n5.30\n5 43\n1915. \t\n6.19\n1916 \t\n115 I\n5 24\n1917 \t\n96\n46\n111\n108\n83\n48\n87\n100\n111\n130\n144\n78\n64\n139\n126\n148\n136\n\t\n6.42\n1918 \t\n7.47\nJan. 1,1919, to\nMarch 31,1920\n1920-1921\n6.51\n5.97\n1921-1922...\t\n1922-1923 \t\n5.33\n6.10\n1923-1924 \t\n7.25\n1924-1925\t\n1925-1926 -.\n1926-1927\t\n5.93\n5.83\n6.27\n1927-1928 \t\n1928-1929\t\n5.36\n6.21\n1929-1930\t\n1930-1931\t\n1931-1932\t\n1932-1933\t\n1933-1934 . -\n7.28\n6.06\n5.63\n5.75\n5.66\n1934-1935\t\n1935-1936\t\n120\n100\n71\n5.94\n7.58\n1 Three not insane.\n\u00E2\u0096\u00A0 Five not insane.\n2 One not insane.\n3 Two not insane.\n4 Four not insane.\n5 Six not insane.\nJ CREASE CLINIC AND PROVINCIAL MENTAL HOSPITAL Q 125\nTable 2.\u00E2\u0080\u0094Showing in Summary Form the Operations of the Mental\nHospitals since Inception\u00E2\u0080\u0094Continued\nYear\nCfl\na\no\n1\n\u00E2\u0080\u00A23\n<\nDischarges\nJj\nci\nV\na\nB\nCJ\n1 8\nA >H\n8 Sfl\n* \u00C2\u00B0 M\n|0\u00C2\u00AB\nZ rt o\nOJ\nCfl\nCS\nOJ\nO\nS\nOJ\nci\nOJ\nIh\nO\n0J\nQ\n0J\nX)\nE\n3\nZ-3\nCD cn\nu 0J~\nchos<:\nPercentage of\nDischarges to\nAdmissions (Deaths\nExcluded)\nPercentage of\nDeaths to Whole\nNumber under\nTreatment\nV\nCD\n>\no\no\n\n>\nO\n~ cj\nO QJ\nZoS\n1936-1937\t\n793\n783\n300\n268\n3,301\n121\n4,067\n9.96\n63.60\n6.59\n1937-1938\t\n834\n74\n330\n207\n3,487\n186\n4,255\n8.87\n67.30\n4.86\n1938-1939\t\n827\n723\n345\n208\n3,612\n125\n4,471\n8.71\n78.72\n4.65\n1939-1940\t\n869\n111'\n455\n230\n3,710\n98\n4,713\n11.39\n88.50\n4.88\n1940-1941\t\n864\n107\u00C2\u00B0\n410\n254\n3,836\n126\n4,781\n12.38\n79.97\n5.31\n1941-1942\t\n834\n7is\n400\n255\n3,902\n66\n4,843\n8.51\n56.46\n6.54\n1942-1943\t\n803\n91\u00C2\u00B0\n443\n260\n3,925\n23\n4,919\n11.32\n66.50\n5.31\n1943-1944\t\n840\n87\n423\n309\n3,960\n35\n\t\n4,965\n10.36\n61.66\n6.02\n1944-1945 \t\n822\n9611\n377\n300\n4,019\n59\n\t\n4,960\n10.46\n58.39\n6.04\n1945-1946\t\n834\n1178\n352\n240\n4,110\n91\n5,014\n14.02\n57.43\n5.84\n1946-1947\t\n880\n971c\n496\n238\n4,151\n41\n\t\n5,174\n11.02\n68.18\n4.59\n1947-1948\t\n1,111\n12411\n560\n240\n4,269\n118\n5,447\n11.34\n63.64\n4.40\n1948-1949..\t\n1,260\n1371-\n748\n209\n4,355\n86\n5,758\n10.87\n76.59\n3.63\n1949-1950\t\n1,415\n195\n787\n202\n4,602\n247\n5,999\n13.78\n69.40\n3.37\nDischarges\nE\nOJ\n\u00E2\u0080\u00A23\nOJ\nJO\nE\n3\nO CJ\n0 Ht\nsi u\n\u00E2\u0080\u00A20\nOJ\nc-S-3\n\u00E2\u0080\u00A23\n0J\n\u00E2\u0080\u00A23\n0\nO ,H\nI4HHB 0J\nYear\nCfl\nC\n.2\n'cfl\nCfl\n1\n\u00E2\u0080\u00A2a\n<\n\u00E2\u0080\u00A23\n0J\nu\n0J\n>\n0\nCD\nA\n\u00E2\u0080\u00A23\nCJ\n>\n0\n0.\n1\n\u00E2\u0080\u00A20\nOJ\n>\n0\na\na,\nE\nE\n5\nCfl\nt_*'cn\n\u00C2\u00A7.\u00C2\u00A7\nflu\n\u00E2\u0096\u00A0~ >.\nC> cfl\nS>0<\nCfl\nrt\nw\nQ\nCfl\nn/tj >h\n05 O rt\nZ nW\n0\nCfl\nrt\nOJ\nIh\nCJ\nB\n4>\nrt\nV\nIh\nCJ\nS\nQ\nPercentage 0\nPatients Rec\nand Improve\nAdmissions\nPercentage 0\nDischarges t\nAdmissions\n(Deaths Excl\nPercentage 0\nDeaths to W\nNumber und\nTreatment\n1950-51 \t\n1,499\n169\n421\n414\n284\n223\n4,538\n64\n6,314\n6,020\n6,035\n5,040\n39.35\n67.04\n3.53\n1951-52\t\n1,217\n1,332\n1,041\n138\n53\n23\n301\n240\n395\n438\n350\n374\n252\n258\n188\n188\n183\n161\n4,578\n4,791\n3,718\n40\n213\n62\n36.07\n21.99\n35.45\n92.77\n67.64\n94.64\n3.12\n3.03\n3.38\n1952 53 \t\n1953-5413 \t\n1954-55\"\n1,139\n26\n589\n313\n\t\n145\n3,812\n44\n\t\n5,051 |\n54.08 | 81.47\n2.88\n1955-56\" \t\n1,253\n33\n705\n308\n144\n3,814\n2\n5,245 I\n58.90 1 83.48\n2.75\n3 Two not insane. e Five not insane. ' Twelve not insane. 8 Ten not insane. 9 Eight not insane.\n10 Seven not insane. \u00C2\u00AB Three not insane; 196 without psychosis. 12 Two not insane; seventy-eight without\npsychosis. 13 Includes Essondale and Colquitz only. \" Includes Essondale a\nid Colquitz only; \"Without\nPsychosis \" included in three columns of \" Discharges \" shown.\n' Q 126\nMENTAL HEALTH SERVICES REPORT, 1955-56\nTable 3.\u00E2\u0080\u0094First Admissions to Provincial Mental Hospital, Essondale, by\nHealth Unit and School District of Residence and Sex, April 1st, 1955,\nto March 31st, 1956.\nHealth Unit\nMale\nFemale\nTotal\nHealth Unit\nMale\nFemale\nTotal\nEast Kootenay, Cranbrook\u00E2\u0080\u0094\nSchool District No. 1.\t\n\u00E2\u0080\u009E 2 \t\n\u00E2\u0080\u009E 3. \t\n\u00E2\u0080\u009E 4\t\n\u00E2\u0080\u009E 5\t\n\u00E2\u0080\u009E 18\t\nSelkirk, Nelson\u00E2\u0080\u0094\nSchool District No. 6...\t\n\u00E2\u0080\u009E 7..\t\ng\n1\n2\n1\n1\n2\n1\n4\n2\n3\n4\n1\n3\n2\n2\n1\n8\n2\n1\n4\n6\n7\n2\n3\n2\n3\n1\n1\n6\n1\n1\n7\n6\n9\n14\n2\n3\n200\n31\n2\n1\n3\n3\n1\n1\n1\n3\n1\n1\n1\n1\n1\n4\n1\n1\n1\n3\n1\n2\n1\n6\n3\n1\n8\n3\n9\n3\n4\n12\n5\n3\n161\n23\n3\n3\n1\n1\n3\n2\n1\n7\n3\n1\n4\n7\n~2\n4\n3\n3\n2\n12\n2\n2\n5\n1\n9\n1\n9\n~~2\n4\n8\n6\n1\n2\n14\n1\n4\n16\n9\n13\n26\n7\n6\n361\n54\nMetropolitan Health Committee,\nVancouver\u00E2\u0080\u0094Continued\nSchool District No. 44 \t\n 45\t\nSimon Fraser, New Westminster\u00E2\u0080\u0094\nSchool District No. 40 \t\n\u00E2\u0080\u009E 43\t\nNorth Fraser Valley, Mission\u00E2\u0080\u0094\nSchool District No. 42- \t\n\u00E2\u0080\u009E 75..\t\n\u00E2\u0080\u009E 76\t\n11\n6\n31\n12\n5\n1\n1\n2\n1\n6\n\t\n5\n1\n2\n17\n11\n1\n2\n7\n1\n1\n5\n2\n6\n2\n2\n3\n4\n3\n3\n3\n5\n13\n13\n6\n10\n10\n6\n1\n6\n1\n3\n4\n2\n2\n15\n4\n5\n2\n1\n5\n2\n2\n1\n1\n5\n4\n2\n1\n2\n24\n12\n41\n22\n11\n1\n2\n\u00E2\u0080\u009E 10 \t\nWest Kootenay, Trail\u00E2\u0080\u0094\nUpper Island, Courtenay\u00E2\u0080\u0094\nSchool District No. 47-\t\n , 71.\t\n 72\t\nSkeena, Prince Rupert\u00E2\u0080\u0094\nSchool District No. 50\t\n\u00E2\u0080\u009E 51.\t\n8\n2\n\u00E2\u0080\u009E 11.\t\n\u00E2\u0080\u009E 12 \t\n9\n\u00E2\u0080\u009E 13\t\nSouth Okanagan, Kelowna\u00E2\u0080\u0094\nSchool District No. 14 \t\n\u00E2\u0080\u009E 52 \t\n 53 \t\n\u00E2\u0080\u009E 54\t\n9\n\u00E2\u0080\u009E 15\t\n16\n3\n, 17....\t\n\u00C2\u00BB \u00E2\u0080\u009E 23\nPeace River, Dawson Creek\u00E2\u0080\u0094\nSchool District No. 59\t\n2\n\u00E2\u0080\u009E 77 \t\nNorth Okanagan, Vernon\u00E2\u0080\u0094\nSchool District No. 19\t\n\u00E2\u0080\u009E 60\t\n 81. --.\nVictoria-Esquimalt Union Board\nof Health\u00E2\u0080\u0094\nSchool District No. 61 (part1)\u00E2\u0080\u0094.\nSaanich and South Vancouver\nIsland\u00E2\u0080\u0094\nSchool District No. 61 (part2)....\n\u00E2\u0080\u009E 62.\t\n2\n\u00E2\u0080\u009E 21\t\n32\n\u00E2\u0080\u009E 22 \t\n\u00E2\u0080\u009E 78. \t\nSouth Central, Kamloops\u00E2\u0080\u0094\n15\n6\n\u00E2\u0080\u009E 25\n\u00E2\u0080\u009E 63 .\t\n4\n26\n\u00E2\u0080\u009E 64. ...\n1\n, 29.\t\n\u00E2\u0080\u009E 30\t\nCentral Vancouver Island,\nNanaimo\u00E2\u0080\u0094\nSchool District No. 65...\n\u00E2\u0080\u009E 31\n12\nCariboo, Prince George\u00E2\u0080\u0094\nSchool District No. 27\t\n28\n\u00E2\u0080\u009E 66\t\n1\n\u00E2\u0080\u009E 67 \t\n\u00E2\u0080\u009E 68...\t\n3\n7\n\u00E2\u0080\u009E 55\t\n\u00E2\u0080\u009E 69\t\n\u00E2\u0080\u009E 70...\t\n3\n\u00E2\u0080\u009E 56\n7\n\u00E2\u0080\u009E 57\n\u00E2\u0080\u009E 79.......\t\n\u00E2\u0080\u009E 58\t\nSchool districts not covered by\nhealth units\u00E2\u0080\u0094\nSchool District No. 46- \t\n\u00E2\u0080\u009E 48..\t\n\u00E2\u0080\u009E 49 \t\nUpper Fraser Valley, Chilliwack\u00E2\u0080\u0094\nSchool District No. 32 \t\n7\n\u00E2\u0080\u009E 33\t\n6\n\u00E2\u0080\u009E \u00E2\u0080\u009E \u00E2\u0080\u009E 34\n3\nBoundary, Cloverdale\u00E2\u0080\u0094\n 61 (part3).-\n\u00E2\u0080\u009E 73\t\n6\n3\n\u00E2\u0080\u009E \u00E2\u0080\u009E \u00E2\u0080\u009E 36\n\u00E2\u0080\u009E 74\t\n\u00C2\u00BB 37\n\u00E2\u0080\u009E 80 \t\n4\nMetropolitan Health Committee,\n3\n5\nSchool District No. 38\t\nEx-province \u00E2\u0080\u0094\nTotals \t\n15\n\u00E2\u0080\u009E .. >. 41. .\n525\n391\n916\n1 Includes Victoria and Esquimalt only.\n2 Excludes Victoria, Esquimalt, and Oak Bay.\n3 Includes Oak Bay only. CREASE CLINIC AND PROVINCIAL MENTAL HOSPITAL\nQ 127\nM^Hin\nCS vo\nz\"\nOH\nr-\"\no\nrt\nPh\nVO mm\nm\nOv CS TT t\nm i-h \u00C2\u00BB\n-. VO\nh \u00C2\u00ABn\nCO\ns\nOV rH [-. 00\nn O\n3 Ov\n2\nQ\n.\u00E2\u0096\u00A0a\nmh'\ni ! i ! 1\n!\n<\ns\n1 i^ 1\n1 ^\nCc\nO\nC *H\nPh\n: \u00C2\u00B0\u00C2\u00B0\n30\n00\nQ\nO\nX\nCS rH O rH\n^o\nSi'\n00\nOv\nH It !\nH\nW\n2\nvo\nPh\ncn\n\u00E2\u0096\u00A0n | |r-. | ,\n-* Tt\n\u00C2\u00ABn ! oo |\nvo\nH\n\u00E2\u0096\u00A0n \ *\nH Tt\n03\nC^ ! OV !\nVO\nPh\n! i-h !\nN | rH | r\nh cn\nF oT\ntNHHH\nn CS ! CS i '\nw\nVO\n2\n\u00E2\u0096\u00A0n\nm\nI-l\nvo ; m rn\n^ rH\nZ Ov\nPh\nN\nm\nin\nrH mm cn\n cn cs in i C\n5 O\ncn\nii\ng VO\ni\u00E2\u0080\u0094i H\nO Ph\nVO rH rn mm\n\u00E2\u0096\u00A0m TT | cn rH 0\n0 Ov\nCS\nm\nCS\nPh\nn\ncn\nS\ncn ca r~ cs\nrH m\n* rH mm OV ! r\n- vo\no *\n3\nPh\nj -rm (\ns !\n! 1 !\nCS\nH W\nr- \o t- I (\n5 (S 1 cn I V\ni m\ncn173\nCS\n>j\n\u00C2\u00B0 ! 1\ncn\nZ O\no z\nOv\n\u00C2\u00ABn\nPh\nCS ! VO rH C\nA th i mm j c\ni i\n< rH\nr oo\nco \u00E2\u0080\u00A2<\nCO \u00E2\u0080\u009E\ns\n| rH so j t\nf\" \"\n9 o\n< ps\nTt\nPh\n<\u00C2\u00B1\ns\nj |t | '\nt j j\n1\ni Tt\nQ O\n3<\n\u00E2\u0080\u00A2<\nCO\nz\nO\nCO\nCO\nQ\nHcf\nE\no\n*cfl\ncn\n5-5\nc\nc\n0\nH\nco\n6\ni\n\u00C2\u00A7\n<\n\u00E2\u0080\u00A2a\n\u00C2\u00A3\nA\no\n\u00E2\u0096\u00A0a\no\n\u00E2\u0096\u00A05\njfl\n: ^\nOh\nCA\na\n0\n*\u00C2\u00AB\nCA\n1\n\u00E2\u0096\u00A0*\ns\nw\nI-l\npa\n<\nt\u00E2\u0080\u0094i\n>\ntm\nCt\nE\nc\nc\nB\nt\nf >\nIh\nrt\n! &\nj _C\nc\n>\u00C2\u00BB\no\nH\n\n\u00C2\u00A3\nU\n\u00C2\u00A3>\n>\n^\nCJ\n0\nD Q 128\nMENTAL HEALTH SERVICES REPORT 1955-56\noh\nX\nw\noo\ne\nz\n<\npT\nP\no\nPh\no\nI\nW\no\no\nz\no\n<\nVOOsCDC^rtHH^H-Hj- in oi ! hh co Tt 00 h m\nP5 <^\nw \u00E2\u0080\u00A2-\nJ H\n< co\nZ ^>\nO\nco\nCO\nw\nPh\ngm\nPC C?N\nS H*\nS\"\ni-l Ph\nz\n>\no\nPh\nPh\nO\nH\nCO\nz\nO\nQ\n<\nH\nco\nA\ntt.\nW\ni-l\n05\n<\nag\nSO\nPh\nPh\nPh\nPh\nPh\nPh\nPh\nPh\n2\nrH i j Tt\ni cs i cn oo cn\n; cn ! rn cn rH\nrH rH j \0\n| CO rH rH CS rH CS\ncn rH j CJ, ; th j CS\n* Cn rH I rH CS\n! cs ! es\nvo ! r- co\nCS ! rH cn mm ! VO CS\nCS rH th Tf rH\nTt CS rH OO CS ! rH CS\nVO Tt cn CS CS , rn VO\nCS cn rH TJ\na\n&\n\u00C2\u00BB,\ncj cC~\nOJ 'H -C?\nD, E\n> \u00C2\u00A3 6 2\nj o, qj ^\nh B oj cfl\no.2\n11\nss.\u00C2\u00A7\n0 \u00E2\u0084\u00A2 HJ\n252\nccj cj co\n0h< J\n\u00E2\u0080\u00A2e tj a\nCJ OJ o\n55 o cj i3\n0J Cti p\nOJ rv QJ\n> Cfl M ih\n+3 b aj *rl\nS s \"\n\u00E2\u0096\u00A0a e 1 a \u00E2\u0080\u00A2\n- E OJ cd\na B\n\u00E2\u0080\u009E <* -\n.H oj oj \u00E2\u0080\u00A2a\n\u00C2\u00ABoiS\ng-s a*\noj i;.\nGO.\n3 rt g M u\n. i; C 1) ^\n-\" rt U Ih CO\n3 0, W Ph Ph\n11\nI 8:\nOJ XI\n1 S B o\ni ^ jq \u00C2\u00A3 c\n|\u00C2\u00B0 \u00C2\u00BB S>1\nP- O tfj '.\u00C2\u00A3 IH\n.2 .9 *3 3 \u00C2\u00B0\no o % S\ni ii\n\u00C2\u00AB s\nQJ O\ngs\nOJ _\n.22 tj\nTJ O\n\"S\n'S JO\ncd ic\n\u00E2\u0080\u00A2H 5\nca w\np,^\nVh O\n\u00C2\u00B0 cfl\nQJ 0J\n.s i\nI 8\na a\n>, OJ\n\"\u00E2\u0096\u00A05\nEfP\n\u00C2\u00A7\"S s\nrt E ca\n^ rt rt\n\u00C2\u00A7 B\n1 '*3 A.:\na 9\n\u00C2\u00A72\nO, B.\nS3\nrt rt\n13 TJ\nC C\nO O\nu o\ntu U\n173 CO\n\"3 CD j\nB IH\nSM\u00C2\u00B0\u00C2\u00A3\ncn O O w\nd is is a\nC2 ei aj -H\nEfll \u00C2\u00BB\ngTj TJ CE\nHH B E TJ\no o g\ncj cj a\n43 3 OJ\n\" a >\nCA CA rj\nIS\n55\na-2\n2 oj 8\noj\ncd\nIs\nCU CJ\no _ \u00E2\u0084\u00A2\ncoco s-\n>. >i >.\nW Cfl Cfl\nOh Oh Oh\nCJ \u00E2\u0080\u00A2h > .3\n,a3\n, JH -^ \u00E2\u0080\u009E\nr CD T3 ^c\nO \"5 .2 Ih p. h> OJ\n.a B cd ua\n\u00E2\u0080\u00A2a \u00C2\u00B0 b g\n\" O E\nO \u00C2\u00A7 H cfl\nO CJ H\n\u00E2\u0080\u00A2i a 9\nSSR5aS:\nS 8:\n! \u00E2\u0080\u0094 TJ\ni.Ss\nCA\nJ3\ncd\n\u00E2\u0080\u00A2-\u00E2\u0080\u00A2\u00C2\u00A7 5\n8 HH\nS [teg '\nsi >v o\n\u00C2\u00AB CJ o\n\u00C2\u00A3 S ft!\n,\nO\n>\n,nu\nc\njsC\n^\nTE&fi\na\n\no\nPh\nO\nH\nco\nZ\no\npj\nI-l\n09\n<\nt3h-\novt-oocnTtcSvocs\noc ov \u00E2\u0080\u0094 m in o \n1\ni\nCD\n<\n1\nu\nc\nc\n1\n0\n1\n1\nTJ\n1\nrt\nCl\nft\nc\nt\nCl\nOJ\nt-\nc\nCL\n1-\nf\nC\n'\u00C2\u00A3\no\n4\n1\n1\nC\nC\nIE\n&\nc\nCL\na\n0\n\">3\nc\n\u00E2\u0080\u00A25\n>\nEC\n\u00E2\u0096\u00A03\nca\n_>\nt\nOJ\nct=\n0\nf\nCO\nTJ\nCJ\ncc\nX\no\nC\n(/\u00E2\u0096\u00A0\nC\n3\n-a\nc\na\n\u00C2\u00A3\n0\n1\no\nts\nCO\ns\nIh\nCO\n>\nca\nU\nQ\nu\nT\n0\na\nE\nu\n.\u00E2\u0080\u0094\nt\nx\\n-\nCl\no\nC\nEl\ns\n8\ni-\nc\n4}\nP\nCl\n\"c\nU\nc\nc\n1\n|\n5\n0\n1\n0\n0\n\u00E2\u0096\u00A0a\no\nc\nE\ncd\n0\nTJ\ns\nrt\n'c\nE\na\n0\nC\n>\nc\nft\n\"ca\no\nIh\n\"u\na\n\"Cn\nCD\nIh\nrt\n*rt\nIh\n\u00E2\u0080\u00A2S.K\nS3 c\nss\n^ C\n.22.\u00C2\u00B0\no c\nu C\nO\no\ntU \u00C2\u00AB\ns i\n^ -\nll\n^ E\n^ E\n0) c\n5 *r-\nO 0J\n<*H C\n. o ^\n\"ca 7\no a\n-CP.\no\nSo\n\u00E2\u0096\u00A0B CA\no \u00C2\u00AB\nXI ^\nC u\nrt .a\nft o\nCU \u00E2\u0099\u00A6*\nS cu\nft 3\n\u00C2\u00AB-6\nS M\no 0\n\u00E2\u0080\u00A2M ^\nI-i\nag\nCfl cj\noj S\nOh CO\n'J-\nc\n',-\n-\ni-\nc\nft\ncy\nC\nCL\nCA\n0\ncu\nw\n\u00E2\u0096\u00A0t.\nCU\nsz\nc\nc\ns\ni\n0\nc\n>\nc\n1 c\n1 .i\nSec\n\u00E2\u0096\u00A082\n>, cc\nM t:\nft e\nCL\nE\n&*\nCA (/\ni\u00C2\u00BB\na c\nTJ JE\na g\ncd 5\nS30\"\nE\n1\ni\n\u00C2\u00A3\n0.\n>\ni\nX\n\-\nc\n0.\n-c\nc\nc\nJZ\nc\n>\nu\n0.\nCA O\nog\nOS\nO E\n%Cj OJ\na 1\nall\nIII\nO .TT, CL\nO u a\nV rt fc\ncj 1> P\n\u00C2\u00AB h i\n.2 \u00C2\u00A3 \u00C2\u00A3\n0J !3\n.She\nEg\n. CA\nll\n\u00C2\u00B0.o\n2 1\ni- cu\nO 3\n\u00C2\u00A3 cr\nw CA\n\u00C2\u00B0 w\no \u00E2\u0080\u0094\nIh \"Q\n3 a\nll\ncy\nc7\nC\n\u00E2\u0080\u00A2\u00C2\u00A3\n>\nc/\nc\n1\n0\nc\nto\nrt\n2\n5\nrt\nCL\nc\nCL\nCO\nCA \u00E2\u0096\u00A0\u00E2\u0080\u0094\nPh <\nLA\nft\n5\n<\ntt CREASE CLINIC AND PROVINCIAL MENTAL HOSPITAL\nQ 131\ncnr-cscnrH cscn so en ca m hhooH rH\nm \u00E2\u0080\u009E\nw w\nhJ rH\n< CO\n9 a\nI o\n0) a\nCO ,2\nif 8\nSs\"\n. H\n\u00E2\u0096\u00BAJ co\n< rH\n3 X\no w\nZ CA\n> Q\no 3\nPh <\nPh\nO\nH\nco\nZ\no\nD\n<\nH\nco\nPh\npj\n\u00C2\u00AB\n<\nH\n\u00E2\u0080\u00A2tfrH\nP rt\nrt n\ncc\nCN\ncn\ncs\n-\nCO VO CS 00 Ov -H\nrH rH OV CS CS\n^ Cs cn\nHH cn\n-\n\u00C2\u00AB\ntN\nCS\nrH f-\nvc\nVC\nr^ Tt oo Tt co\nCS VO rH\nTt\nTt in\n00\n-\nCS\n cr, rH rH rH\nCS rH cs( rH rH\nCTv\nto\ncnrHCOrHin cntSTtcs >-hcs\ni-h en\nCS\nOV\nCO\nCD\n\"rt\nT~~ OS l\u00C2\u00BBnCSTtVOrHOVlH--VO CSrHrHO 1 ! VO\nin I Th VO CS mm\nes\nT)-\nen\nTtcnocncn hmh^o j\nrH en rH rH\nC\u00C2\u00ABl\nin\nCS\nm\n3\nrt\nCO\nrt\nrt\n2\nCD\n\"cfl\nCO\no\nz\n\"ca\na\nCD\nPh\n|| il || MP i |\n-\ni i i 1 1 111! 1 i\n-\nCD\nrt\n\u00C2\u00A7\nH | 1 !H j jtN | ! j |\nTt\n1 1 1 1 1 i 1 1 j II\nTt\n\u00E2\u0080\u00A2d\n\u00C2\u00A3\nrt\nIh\nd\nft\nu\nCO\nCD\nrt\ns\nCO\nLL\nrHrH j rH Tt |rH ! rH CO rH j\nM \" M\nTT\nCS\nTf | vo I ; 1 In j ||\ng\nm\ncn\n'ct\nInrH j ! CS CS m Tt |rH j j\n!l | | cs\ncN\nr-l\nrH < CA ! 1 1 ! rH : ! !\n1 es |\nTt\n(M\nvo\nTt\nT3\n(D\nCJ\nIh\nO\n>\ns\n42\n*rt\nE\nCD\nPh\nm ! ! 1 CS ! ! ! I ! 1 !\nIll 1 1 II 1 1 1\nMill\nt-\nMill | r 1 ||\n-\n00\n(D\n\"rt\n2\n(N ; jh j ; ihh i ; ;\nii ir\nVD\nH |\u00C2\u00AB 1 I Mil | j\ncn\neg\no\n-a\nI?\n'rs\nB\n\n\nCL\nE\nCU\n,\"?\nCJ\n1\nS\n.2\nc\nHE\nc\n\u00C2\u00AB\nF\nCd\nE\nc\n\u00E2\u0096\u00A0{\na\nc\n|\na\n\u00E2\u0096\u00A0\n'E\na\ncd\nc\n0\n\u00E2\u0096\u00A00\nCt\nC\n\\nu\nCO\nP-\nc\n\7\nC\n1\na\nt\nCU\nCO\nC\nI\nc\n*\"r\na\nV\na\nu\np-\nc/\n*5\nc\nc\na,\n~\n0\nC\n'\u00C2\u00A3\na\ne\nr-\nX\n\u00C2\u00A3\na\no\nHE\nl\nCJ\n>\nft\np-\n!\ns\nc\nc\nc\ni\n<\n>\na\nc\n_c\n4.\nX\ncc\n\"c?\nC\nC\nE\n4.\n\u00E2\u0080\u00A2c\nCj\n\u00C2\u00A3\n0\n\"5\nJ\nCJ\n>\np.\nc\nI\nI\n1\nX\nE\nir\nE\ns\nTJ\n5\nffl\n0\nE\nC\nco f_-\n6I\no \u00C2\u00A3>\n8,,\nSc\u00C2\u00A7\n\u00E2\u0084\u00A2 1\n\u00E2\u0096\u00A0a 8\nPu\no\u00C2\u00B0\n\u00E2\u0096\u00A0 E\n\u00C2\u00B0I\nB E\nO oj\nse\n(U +J\nIf\n?l\nCi \u00C2\u00AB\n|i\nin rt o*\n&1 e\nCD CU J\nS 1?\nc >.\np\nt\n\u00C2\u00A3\nX\nc\nX\n1\nc\nt\nct;\nCL\ns-\n\nE\n|\n>\n|\nx\nC\nc\nc\n!\nl-\n\u00C2\u00AB\n>\ns\nr\na\nT\n\u00C2\u00AB\nc\n_:\nCU\n2\n\u00E2\u0096\u00A0n\ncu\na\nCD\nft\nC\nT3\nS\nrt\nCD\nM\na\n1\no\nCO\nIh\n0>\n\u00E2\u0080\u00A2a\nO\nCfl\nO\no\ntH\na> 8\n5 cj\nJ!\n1\nPh\ni\ni\nd\n.2\nCJ\nrt\n.\u00C2\u00AB\nW co\nas\n\"3 \"O\ns i\nX rt\nCJ CA\no a\nUco\nO\nX\na\n>>\nCO\nft\nX\n1\nrt\n0\nH\nCO\nCJ\n&\n\u00C2\u00BBH\n3\n5 1\nc\n1-\nc\n*ii\nc\n\"c\nX\n*\np.\n1\n1\n0\ne\niS\nc\ncc\n\u00C2\u00A3\nh-\nX\nc\n<\ni\ni\nj\nCA\nCD\nTJ\nOh\nO\nCA\n\u00E2\u0080\u00A2o\nIh\nB\nO\n>\nrt\nX\n, >\nCfl cc\nP C\n'rt a\nIh 1-\nHEX\nCJ C\n\u00E2\u0080\u00A21]\nIh C\nX X\np\n1\nPC\no\nrt\n\"a\n5\nCA\nn\nO\nP\nB\nCD\nCA\n>>\nCfl\nI\n0\n>\nIh\nCD\nP\n\"ci\nfi\nCU\nO a\no c\nnf\nCJ C-\nIs\n>i|\n\u00C2\u00AB u S\nQJ\n09\nc\no\ni\n0\nu\ns\ny\nCD\na\nCA\nQ\n3\n-a\n\u00C2\u00A7\nJ\n\u00E2\u0080\u00A21\n3\nCL\nX\n5\na\nCA\no\nX\nCJ\n>i\non\na\n\"3\no\nX\n1\nG\nH\n0\ns\nc\n\u00E2\u0096\u00A0c\nc\ncc\nc CREASE CLINIC AND PROVINCIAL MENTAL HOSPITAL\nQ 133\no\nz\ne\n<\nQ\nhJ\n<\nH\nZ\nw\nss\na.\nI/)\n5\nH\n<\nH\nco\n\u00E2\u0096\u00BAJ\n<\nH\nPi\nVO\n<\nCO\ns\nON\n,\u00E2\u0080\u00941\n><\nH\nCO\ni-H\nw\nrn\nh-i\n<\nB\nO\nu\nz\nPi\nn\n<\nCO\nCO\ns\nw\nO\n\u00E2\u0080\u009E\nH\nhJ\n<\ncn\nH\nco\nPh\nCO\nON\nc\u00E2\u0080\u00941\no\na.\nK\nH\nCO\n,\u00E2\u0080\u0094i\nI-l\n<\u00E2\u0096\u00A0\ni-4\nH\nz\nPi\nPh\n\u00C2\u00AB2\nX\nH\nw\n<:\nCA\no\nQ\nz\nZ\n>\n<\n(5\n0,\nPh\nO\nH\nCO\nZ\n0\n(O\n(O\n2\nQ\n<\nn\nPd\nM\n-I\npa\n<\np g\nCS l-H rH ! CS\n1 I ! I\n\u00E2\u0096\u00A0I CS rH rH\nin rH ! rH (S m CS rH\nt? S3'-So:\nTJ cd-B\nIh OJ CJ\nO Ih a\ncn qj ^Cd\nTJ.\u00C2\u00A3 OJ .\nCJ % E\ng 1'\nO cj !\nI a'\nX in ;\no tH i\nC02h\n\nI rt CU CA\nI Ph CO Ph\nP &\u00E2\u0080\u00A2\n'\u00E2\u0096\u00A0\u00C2\u00A3u\n.S^ca\ncfl Ih -r\"\nO 0> 9\nn X u\n\u00E2\u0096\u00A0g \u00C2\u00A3 ft\nCA n_, \u00C2\u00A7\nft o -*\nCJ cfl \"O\n\u00E2\u0080\u00A23 '\" S\no o rt\nX X >h\no o \u00C2\u00AB\n\u00E2\u0096\u00A0 u >>x\n?fli\nIh rt K\n>.-y e\nS o o\n\u00E2\u0080\u00A2Q\nCp\nCJ\nCD\nft\n\u00E2\u0096\u00A0a\np\na\n\u00E2\u0080\u00A2o\nB\nCU\nX\nd\n0\na\ncd TJ\np\na J\nCD\noj\na o\ntj a\nift ZS\nBo\ncd jB\n6 8\n\u00C2\u00A3\no\nPi\n,>- cn\no 22\nPh\no\nPh\nH\nZ\nW A.\na\nPi\nw\n\u00C2\u00AB\n<\n\"Orl\nS p\nOH\nCS OV rH r\n\u00E2\u0096\u00A0fcncnrHrHOooinTtcn Tt m vo r\ncSrHc~-eSTtcso\ cn C*l Tt\nHcnrHrHCSrH VO VO in (-\"* CSCO VO\n-*MOHH CS\nPC*\nrH VO\nrHnOv^Tj-MriMMvO ON Tt r- *h tN\nTt tN VOvO\u00C2\u00BBn rH rH rH\n! rH rH OV CS rH rt CS\n! t-\nS\nrH m rH rH\nirH-rtot-t^r^cnesr- m h ov\nCO mrHt^VOTf mm rH CS\nrHrH rHrH\nr^TtTtcnes cse*> o\\nCS cn t- mm\ng\no\n&\nj\nrHOiOOrHCnTtOvr^\ncn rH tNTfn\nCS cn rH cs\nm m r-\nrH CS OV\no\nrH\ns\n1 |\n' t- CS \"n Tt rH O 00\nTt rH CS Tt\nin\n! rH\n^\nm oo m\nCS Tt\nrn cS\nTf\ntH\n>\nO\n-a\nd\n\u00C2\u00AB\nto\nhh'\n1 *\"*\n!\n1\nrH HH\nNil\ni\n\u00C2\u00A3\n~\n1\nes\n1\ni\nIh\n3\nO\nUrn\nft\n'\"'\ns\n*H ^\nes\no\nai\n\" 1\nrn rH\ncs\nes\ni\nCS\n2\nes\ncn es\ni-h cn\ni\no\nfc\n1 ^\ni\n1-1\n1-1\nrH CS\nHrH\n1-1\n!\ni\n1-1\nes\ns\nCS\nvo es\nTt cs\ncs cs\n1-1\nrt\nQJ\nB\nO\nUh\nes\nrHCnrHrHCTvQOCSOO Tf\nVO TH\ni\n1\nmm mm 00 rt\n**\ns\nHrH\nSO\nCOTtr-OTtrHlo tN HVO\n^\nVO rH\n1-1\nes\naj\nB\nO\nz\nfc\nrH es\nes\nm\n00 rH Tt\nes es\nin 00 rH vo\nrH\n*\"*\ncn i-m Ov Tt mm\n1-1\ns\nCS rH rH\nvOCSOVVOCOOvt--rHOv cn\nes rn ^t cs\nCO\n*\"*\n^\ncs ov co m\nm M\n\"i\n(\n!\nI\n]\n1\n5\n1\no\na\n3\n\u00E2\u0080\u00A2a\nu\nO\nsi\n1\n\u00E2\u0080\u00A2a\nu\n.2\n\"5\no\nco\nco\nrt\n09\nU\ntH\n0\n.3-2\nrt cj\nIh CJ\nrQ *\n\u00C2\u00AB\u00C2\u00A3\n3\nC\nC\n0\nX\nc\nc\ns\n\u00C2\u00A3\ns\nrt\nH\nh\nOJ\nCJ\nr\nrt\n\u00E2\u0096\u00A0s\ns\n>\nC\n0\no\nIh\nU\ns\n.2\n*y\no\nca\nco\nrt\ntH\n0\no\no\np\nCO\na>\ns\no o\na i\nco nH\n23 \u00C2\u00AB\n1 \u00C2\u00A3\no R\n.-\n1\nz\n0\nC\nc\nt\nCJ\n.s\n0\nC\nR\nk\nt\nrt\n|\ntH\na\nx\n0\nr\nB\nt\nX\nC\nB\ns\nrt\nr>\noj\na\nC\nrt\nrS\ni\n\u00C2\u00A3\no\ne\nE\nE\nu\nt-\n0)\nc\n'\u00E2\u0096\u00A0a\n>\n3\n>\nC\nc\nu\na\nCJ\nE\nrt\n\u00C2\u00A3\nB\nX\nc\no\ns\na\ns\nj:\nc\nD\nOJ\nz\nc\nCO\n3\no\n\u00E2\u0096\u00A0a\nc\nCJ\nc\ntH\nc\ne\nrt\nc\n\u00C2\u00A7\nh<:\nc\nu\nd =\n22 s\nS3 x:\nIh =\n9 \"5\nf X\nteg\n3 t\nC P\nO -H\nco\nU\no\nu\nc\na\nX\nB\nx\na\nu\nH\nCJ\ne,\nc\nrt\nX\nIh\nZ\nX\nu\nB\n0\nc\n'u\nC\n\u00E2\u0096\u00A0J-\nI\nIh\ns\ntH\no\n'\u00E2\u0080\u00A2B\n>>\n1\no\nCO ^\n0) C\n&?\nrH ^\nrt rt\n0 u\no *\n\"\u00E2\u0096\u00A0in W\n\u00C2\u00AB!\nll\nIh\nH\nc\nt\nrt\n\n\u00C2\u00AB\nc\no\n\u00C2\u00AB\ns\n'?\ns\n<\n>\nb\nc\nrt\nC4-H\nc\n\u00C2\u00ABH\no\ne\n.2\nL\nrt\ns\nIh\ni\nI\n<\nX\no\no\nX\nX\nCJ\n(M\nO\nd\n_c\nt\nCJ\nIh\ns\n\u00C2\u00A7\nCO\nE\nX\n<\n\u00C2\u00A3\ns\nCJ\no\nX\nrt\no\nd\no\nt>\nrt\n0)\nl-H\n.5\n\u00E2\u0096\u00A0c\n<\nCJ\nC\ntH\n\u00C2\u00A3:\n\u00E2\u0096\u00A0\u00C2\u00AB\ne\no\nCO\nC\ni\nD\nIh\nCJ\n-c\n0\n1\nu\n1\no\nis\n9\n3\nS\nrt\nSJ\nco\nOJ\n\"CJ\na\nu\n1\n\u00E2\u0080\u00A2a ^\nIs\nu\ns\na\nl-H\na\nX\nc\ns\nc\nV\n>\nOJ\nCJ\nc\nCJ\no\nw\no\nc\n>\nOJ\n>\nCO\n1\n0\nc\no\n.3\nrt\ns\nhO\no\nd\nu\n\u00C2\u00A7\n'5\n1\nhB\n'I\nco\n11\n4) 10\nt:\nrt *i\nd *\na*\n2\nl-H\n>\nCJ\no\nrt\na>\nIh\n_o\no\nsi\nCJ\n>,\na\n73\nd\n.2\n3\n>\nd\nI\ntH\nV\n\u00E2\u0080\u00A2o\nIh\nO\ny\n\u00E2\u0096\u00A0a\na\nTh d\nO 0\nu\n>>\nco\nmm CREASE CLINIC AND PROVINCIAL MENTAL HOSPITAL\nQ 137\nTt r- es ^c\no m\ncncnvoTt\u00C2\u00ABnOcnmTtco rH \u00C2\u00A9cSrHcnoocncs\nrH CS rH Tt rH VO On CS rH\nm rn cn m cs\ntn\nTt\nt>\ncsr^rHtn tnTtcnesovcnescncSTt\nvocn csvDTtcs Tt corn\nrH rH VO rH\n(N rH rH rH O m CS\no\nCS\nCO\nCSOrHrH OO C3\ miN vO r- H M N t rH 00 n\nTtes co m r- es rn r-cs\nrH rH t-\nCS 00\nm\ncs\ne>\nrH in\nTt es\nTt co m o\nco Tt es r*\nrH Tt\nC- rH\nSO vo\nOv\nCS\n^\n1\no\ncs\ncs\nrH es 1\nCSrn j\nin in r^ Ov\nr- m \u00C2\u00BB-h \u00C2\u00ABn\nrn cn\n1-1\nO Tt\ncn\n*\u00E2\u0096\u00A0'\n1\nTt\nCO\n00\ncn cs\n1 ^^11\nCS r-<\n**\nI\nw\nVO\nTt rH\nTt\nrH CS\n*H\nvo\n*H\nrH rH cn\nes tt\nm\nrH cn\nCS\nes\ncn mm\nrH CS\n1-1\ncs\nCS Tt 1\ncn rH rH cn Tf vo\nrH Tf\n\"1\n1 1-t 1 j\nCS\nin\nrH rH\nt-\ncn ov rn es\nrH\ni\ni\nVO\ncn\nTt\no\nvo cn\nonh\OHH\nrH cn rH\nrH 00\nCS i-h\nCS rH |\nVO rH\nov m cn rn\nTt\nTt\nth r- cn\nrH rH\nTt\no\n\u00C2\u00ABh i h cso\vo>ncnov\nrH VO\n1\ncn vh\nTf\nj es cs \u00C2\u00ABH\ni\nr-\no\nes\nm CS rH\nco \u00C2\u00A9 oo \u00C2\u00BBn Tt m i-h\nm rH rH OV\nm cn\ncn\nCS\n:\nes\ncs\ncn es\ncn cs cs Tt Tt w cn\nrn cn\nr- r-\n*\"\u00E2\u0080\u00A2\nrH Tf\nrH\nOv\nOv\nes cs\nrH O OV O Tt rn in\nVO m rH\nes\nrH rH Tf rH Tt\nCS rH\nin\nO\nvo\nI\nd\n.2\no\na\nu c\nis\n\ntfl\nCJ\na\nOJ\nQ\ntH\nCJ\nX\n5\n3\no\n\u00E2\u0080\u00A2t\nO\nrt\nCJ\nIh\nCJ\n>\na\nIh\nC\nCJ\nXI\n_u\no\nrC\nCJ\nto\nPh\n1\nd\n.2\ntj\nrt\na>\ntH\na E\ngs\no\nCO\n'5\n4.\n\u00E2\u0096\u00A0X\na\nis\nCJ\no\nc\n-2\nc\nu\n'o\nd\nrt\ntH\nrt\nPh\n\u00E2\u0080\u00A2a\nB\nc\na.\ns\n\u00E2\u0096\u00A05\nd\n3\nu\n3\nu\n<\n3\nc\nt\nrt\nOJ\nIh\nCJ\nc,\nCJ\n6\nR\nX\nCJ\na\n1\n\u00E2\u0080\u00A2a\no\no\nsi\nX\nX\nu\nOJ\nD\n>\n7,\n3\nX\naj\nmm\nX\nCJ\nCC\nT\nCJ\nc\nco\n3\n3\n\u00E2\u0080\u00A2a\nd\nrt\nQJ\nX\n0\nU\nc\no\nt\nrt\nCJ\n\n\u00E2\u0080\u00A2o\n3\nrt\no\ns\no\nd\no\n3\nrt\no\n\"Eo\n^\n73\n\"to\nhB \"\n\u00E2\u0096\u00A03\u00C2\u00B0\n>,\nco\nPh\n1\ntH\nOJ\n*\u00C2\u00B0 _\n\u00C2\u00A3 c\no C\n\u00E2\u0096\u00A03 t\n,, rt\n.y cj\n3 is\n3 41\n11\nCJ\n>.\nCO\nPh\nC\n0\nt\nri\nCJ\nIh\n3\nC\n'\n3\nO\n\n_7j\n\"u\nC\nc/i\ns\nd\nrt\nCJ\nOh\no\nPh\nC\no\nt\nrt\nOJ\nIh\nOJ\n>\n'D\n3\nD\na\nO\nCJ\nCJ\nC\nco\nX3\n0\n3\n.2\n1\nOJ\nIh\nCJ\n>\nu\naj\na\nCJ\na\nUc\na\nX\n0\no\n5\n\u00C2\u00A7\ntH\nO\nOJ\n1\nS\nrt\nU\no\n3\nco\n'to\nO\nS\n.2\n-3\nOJ\n0\nV\nO\nH\nI Q 138\nMENTAL HEALTH SERVICES REPORT, 1955-56\ncn\nO\nZ\nG\n<\n>h\nB5\nW\nO\n<\n. Ph\no\nc\u00C2\u00AB\n05\n<\nw\nm\nCN\nB \u00C2\u00ABo\nZ ch\n\"Or\nrH r>\nI rH rH m VO OVCSTt rH rH CS cnOCOr-rH OOVr-\nco cn m c^\nr-\nr-\n*H\nTt\nof-\nfe\nrH HH [VOtt TtrHcS 1 I rH M VO \u00E2\u0096\u00A0* IH cntnTtTtCSrHrHVO! rH\n^\nO\nH\nS\n] jrHl--CS lOHN rHrHrH rHTtTfrH c^.rJ-t-.rJ-rHCSl-,'-,CS\nO\nCO Ih\nrt >\nPh\nm 3\nrH ^\n2\n! ! i Mi 1 l\"i 1 I 1 i\" i 1 i T !\ncn\ncs\n&\n2\n1 | ; ! cs\nMi ill II i i 1 1 1 1\" ! 1\" i i !\ncn\nCO\nPh\n!H |rn\nes\n^\n2\n| j ; j ; j j ;-< j ; ; * i- j j hwhh ! j j j j j\nr-\nBh\nI \m |;| ;-- i i 1 1 j 1 1 11 1 j i\ncn\nrt\nTt\n2\ni ! i i i i j { j ||j | 1 | j j i i iH i\n-\n;;, ; | ; ihhh:! [hh .\nTt\nPh'\na\n\u00C2\u00A3\n2\n,, ,_, :;:i: rn 1 im Jm Ih | < lin\nCO\n: ; : '\u00E2\u0096\u00A0 '\u00E2\u0096\u00A0 ' ! ' ' ' [\\nPh\nrt\nOJ\nCS\n2\njuj\nrH\na\nBh\n1 111\n1-1\n>-\n2\n^\nl 1 1 :\n1 1 III II 1 1 ! : i 1\n***\nco\nrH-5\n7 3\n: \u00E2\u0096\u00A0 : h\nrl:: :ii hh ! : hh hh i cj tN ! : co ! :\ntn\nBh\n1 \u00E2\u0096\u00A0 !\n^\n^\n2\n00\nV\n,,\n\"co\nO\nd\n00\nra\n.B -a\n.S3 >, 0 0 -a\n0\nc\nOO\nrt\nS\n* 2\nTJ.2 c\nSol\n2 \u00C2\u00AB *j\n\u00E2\u0080\u00A2n co u\n0 a \u00C2\u00A3\nV, t/i r-\nWu .-\nrt B _\nEo.\u00C2\u00AB\nc\n4,\n'C\na\nc\nf\n1\nO\n11 ^5\n\u00C2\u00A3?a rs 0 c\na 3 -3 xt cs\n73 - 0 rt\nco\nOJ\nIh\na\nU\nT3\ntf\n3\n.\u00C2\u00A3\nt\ne\nCJ\nt~\nCJ\nIh\nU\nJ3\n5\nc\nK\nt-\n1\nM\n0 x?\nco .z-\n>\u00E2\u0096\u00A0\u00C2\u00A3\n5'Ji\nrt -\n3 ^\noa.\nOJ\nu\nc\n0\n-C\n1-\n3\nX\n'rt\nh\n3\nO\nX\ns\n0 0 0 0 a\nEccc'E\nu 0 0 0 a\na a xi '^ <2\n_ CJ (J CJ ^\n\u00E2\u0096\u00A00\na\n0\nc\nCJ\na\n\u00E2\u0080\u00A2a\n0\ns\n'0\nHi\n1\nco\nIh\nCJ\n\u00E2\u0080\u00A2O\ntH\nO\n\u00E2\u0096\u00A0He \u00C2\u00A3\n?l =\nB 2 *\"\"\n'S \u00C2\u00A3 Sj\n2\u00C2\u00A7C\n0\n\u00C2\u00A3\n1\n'\u00E2\u0096\u00A06\n>\nc\nc\n:\nB\nC\n1 c\n>\n\u00E2\u0096\u00A0z\n>\nC\nc\n3\nCJ\n\nCJ\nE\n\"c\n\u00C2\u00A31\nc\nc\ns\na \u00C2\u00AB\n.2 S\ntj cj\nrt 'e\nSou\nCJ N K\nu\nE\nid\nC\nCJ\nX\nI\ns\nn\nO\n'c\n3\nci\nft.\nCJ\ntt:\n3\n3\nCJ\n3\n<\n5|\nCJ *-\n'd 0\n\u00C2\u00AB 0\nrg\nB .\u00C2\u00A3\n2 \"\nrt oj\nS t\nof\n\u00E2\u0080\u00A2a\n0\n0 \u00C2\u00A7\n3 2\ncj 3\n3 .M\n0 p\nh P3 CJ ft- ^h H >>\nH\nfc! <\nZ H\nbj co\n5* *\n, o\no\nz\nX\nH\na\nz\n> w\n\u00C2\u00A7^\n^1\nz <\no\nH\n<\n-J\nP\nBh\nO\nPh\nH\nZ\nB-l\nQ\nEo\nBJ\n\o\nBJ\n-J\nS3\n< CREASE CLINIC AND PROVINCIAL MENTAL HOSPITAL\nQ 139\ncn\nO\nz\no\n<\nA\nw\no\n<\nPh\no\ncn\nPh\n<\nPJ\n^\no\nco\no\nin\nin\nin\nOV\n(N\n^H\n^\n\u00E2\u0080\u009E\nPJ\nH\na\nC/J\n1\u00E2\u0080\u00941\na\ncn\nz\no\nA\nW\ncn\nPJ\nw\n2\n\u00E2\u0080\u009E\npj\nhJ\nu\n<\npj\nH\nP\nPh\ncn\nPh\n0\no\nX\ncn\n<\nhJ\n<\n>h\nH\n<\nZ\nH\nH\nCO\n\u00C2\u00A3\nPJ\no\nhJ\n<\nX\no\nZ\nH\nO\nz\n>\nPJ\nu\nOh\n>-l\nPh\np\nz\nz\n<\no\nH\n<\nU\np\nPh\n0\nPh\nH\nZ\nPJ\nQ\nt/1\nW\nPi\nPJ\nhJ\nta\n<\n\"E-B\nE 3\nSo\nrH r-\nnr\nTt\nTt\nV\nm\noc\n I :\n1\n1 l en\n2\n_.\nmm j |\nr- ccj\n22\nPh\n| ] CS CS j rH j VO 1 mm\n1 j mm t- f- mm rH\nes cs j\n2\ni |H I ! | |\u00C2\u00AB | |\n\u00C2\u00AB\n1 | cn cn vo cS\n-\n! t> es i rn vo i : cn\ncs\nrH\n^rt\n2\n; ! *n | | j rH CS : | r-\n-\ni : o vo Tt es r-\ni-4 1\nCO\npi\n| j j j 1 rH 1 cs : ;\n-\n| 1 rn cs r- I cs\nrt\nCJ\nTt\n2\n| | CS j ! ] j rH : |\ni\n! i -\" i\nJ ; ! 1 rH ! rH vo : 1\n\n*s\n.*-J \"O\nS 8\ntj\nC\na\nCJ\n3\nt\nrt\nCJ\nCJ\n>\nc7\nco\nCJ\nIh\nD\nCJ\n-o\nt\nC\nCJ\n>\nCO\np-\nS\nTJ.S\nOJ CJ\nH O\ns!\nCO CJ\n\u00E2\u0080\u00A2\u00C2\u00A7\u00E2\u0080\u00A28 8\n\u00C2\u00BB \" c\n*t5 a '*\"\na '^ 1\n'rt \u00C2\u00A3 g\nJ3 .CJ Q\ns \u00C2\u00A7\u00C2\u00A3\n3 \u00C2\u00A3\nCJ .3\n5.\nc\n>\ntva\nz\nu\nC\nc\nt\nCJ\n\u00C2\u00A3\nrt\nC\nrt\nCJ\nrt\n_3\nu\nCJ\nc\n1\n*\nc\nJ\nrt\nCJ\nCJ\ngj\n-C\nC\n\"\u00E2\u0096\u00A05\n>\nc\n0\n3\no\n'C\nu\nOJ\n\u00E2\u0096\u00A0o\ni-\nc\nC\n\u00E2\u0096\u00A03\nCJ\n>\n3\n>\n3\nC\nu\nCJ\nu\n3\nrt\nXJ\nt-\n\u00C2\u00A3\no\nC\nj:\nrt\nCJ\n2\n%\nc\nCJ\n&\nCJ\nz\nu\nCJ\nD\ncy\n3\n3\nIh\nO\n-a\nc\n1\n3\n13\n1 \u00C2\u00B0\nis\nQJ -C\ni- B\nS s\ns^\nr3 C\nrt \u00C2\u00A3\nd \u00C2\u00AB\nO Ph\nco\nCJ\na.\nCJ\nt,\n3\nra\nJD\nIh\nz\nX\n'\u00C2\u00AB\nH\nCJ\nCJ\n3\nrt\n3\nC\n\u00E2\u0080\u00A2c\ncj\nCj\n3\n_C\nT\nc\na> C\n&\"\u00C2\u00A3\nrH CJ\nrt ?\nr- 1)\n\u00C2\u00A7 \"\u00E2\u0096\u00A0\n\u00E2\u0096\u00A0jtj c\u00C2\u00BB\nrt h\n3 \u00C2\u00A3\n\u00E2\u0080\u00A2t-l \u00C2\u00AB\nS \u00C2\u00A3\n\u00E2\u0080\u00A2go\nrt\n3\nO\nt\nrt\naj\nIh\n3\nC\ns\nZ\n3\n-a\n<\nu\n3\nci\nX\ns\nc/\nX\n>\n0\n3\nC\nCJ\n3\na\nX\n0\nTJ\nd\nrt\n1\nco\nU\n'3\nd\nCJ\nTJ ^\nS2\nB\nQJ\n2\nCJ\nrt\nCJ\n~\nC\ns\naj\nIh\nCJ\n>\nCU\n\u00E2\u0096\u00A03\nCJ\n\u00C2\u00A3\nu\nCJ\n3\nC\n3\n>\nCJ\n>\nCJ\nE\nV\n%\nCJ\n3\nC\n2\n|\n'ha\n1\nhB\n'I\nco\n_9J\n'o\n3\n.w\n'3\nC3\n0 -TH\n22\nE\nQJ\n2\nCJ\nCJ\n>\nCJ\n3\nC\n>\n3\n7\nCJ\nT\nC\nX\nt.\nc\n4=\ny\n>\nPh\n1\n3\n.\u00C2\u00A3\n3\na\na\nCJ\nu\nCJ\nit\n<\nCJ\n3\nrt\n2\nCJ\n>\nif\nco\nCJ\nO\nOJ\nQ Q 140\nMENTAL HEALTH SERVICES REPORT, 1955-56\nT3-H\nS.2\nSo\ncooomoovoomcnvo \u00C2\u00BBhhcncoh\nTt\nO OO rH Tt Tt mm\nVO\nCS CS VO rH\n00\n22\nOH\nrt\nLo\nPh*\nov Tt ov co cn f-\nCS\nO\nZ\nrt\nO\nH\ncs\nOv\n2\nmesovr-TtcnesesTt Tt i ihh\ncn\no\nrH Tt rH in rH Tt 1 |\nTt\n<\nrH rH cn\nOv\nQ\n2 u\nrt >\nBh\nt-t-Ttvo!!!Oi ili::;\nto Tt i 1 i 1-4 1 iiiiii\ncn\ni*\n\u00C2\u00A32\na\nr T3\n2\nTtcSrHvoiiiin: IIIIII\nin c\nrlrllOh 1 | ! 1 llllli\n0\nrH CO\nes\nw\nTtCnrHOOIIlOVl 1111:1\nCO\ncs\nTt g\nft\nrHrHCSTtli! ! Illill\ncn\n<\nBh\n2\ncoooooo:::cn! IIIIII\nmm rHTtill I i | 1 M !\n0\no\nPh'\nooocx3Tt:cs:csrH :::::ir-\ncn\nCO\ncs Hm : ics llllli\nr-\nA\n<\nTf\nO\n2\nTtcsom:::co: llllli\ncsrHcsoo::: : iiiiii\n^\nCS\nm .5\nco\nIh\nrt\nCJ\npj\ni> eo cs vo : : : m : : i h : i i\nh 1 i 1 1 i j : : 1\n0\n0 1\nTt\n2\noorHinTtiijTtj ::::;|\n00\ncn\nm |\nco\nre\nCJ\ncn\npj\nCOcncnrHlrHlTt: 1 1 j j l j\ncs ; : : : : : i : i\nCO\nin\n2\nrHTHTtTtirHiTfi 1 ! ! *-' I I\nrn cs ! : : : : : : :\nVD\n\u00E2\u0096\u00BAJ On\nQ \u00E2\u0080\u009E\nIh\nBh\nrHcscno:r-:rH: :::irHi\nH cs : : 1 fill i\ncn\nvo\nZ H\nO cn\ncn 1\u00E2\u0080\u00941\nrt\nCS\n2\novimojcsjTtj h 1 1 | | 1\nTt\nIr.\ncncncncnrHOvrHO : i :-h i\nOv\nr, A\nrt\nCJ\nBh\nh cs rn i ; ! ! : I\nl>\nHJ BJ\n< M\na s\n2\nm\n**\nh cn i IIIIII\n00\nOh PJ\ncn \n0 I-l\nH 9\n< z\nhJ <\np\nOh\nO\nPh\nH\nc\nZ\nco\nc\nBJ\nQ\n0\nd\nI\nrt\nCJ\nDO\nIh\ncn\nrt\nd\nPJ\ns\n3\n\u00C2\u00A3\nP?\n1\nX\nC\nT,\nI\n\"co\n3\n1\ni\nd\n0\nJ.\nc\nc\nCJ\nCU\ntH\nCJ\nCJ\nC3\n0\nD\nIh\nCJ\nV -\n13 d\n0 c\nQJ\n>\nd\n0\n_c\ncy\n3\n3\n3\nC\n^H\nPJ\nI-l\nca\nrt\nu\nIh\nCJ\n\"B \u00C2\u00AB\ngj CD\nSI\na B\nO\n3\nCJ\n<-.\nX\n3\nCJ\n\u00C2\u00A3\nOJ\n_c\na\n0\nS\nx\nc\n3\nci\nIh\nn\nCJ\nfd\n*\n3\nCJ\n> CJ\n\u00C2\u00A7 i\ns >\n(? B\n43 '\u00C2\u00A7\nCO CO\n3 3\n3 C\n\u00C2\u00A7 5\nt- r.\n1?\n\u00E2\u0080\u00A23 t\n.a 3\nw Ih\nSis\n3 0.\n3-1\nu c\n> t\n\"-d C.\n.2 S\nCJ \u00C2\u00A3\nO CJ\n3 -5\nSo\n\u00E2\u0080\u0094 4=\n\u00C2\u00A3\n0\nCJ\nCJ\n>\n\"f\ntn\nCJ\nta\n\u00C2\u00A3\nC\nl-H\na\n.-\na.\nI-H\n3\nCJ\nIh'\nCJ\nXj\nV\ne\ns\u00C2\u00AB\nX\nu\nPh< wOh* O c^H\nPQ\nA\nPJ\n>\nO\nc\nz\n<\nPJ\n0\n<\nPJ\no\ncn\nPi\n<\npj\nin\n>h\nin\nON\nT\u00E2\u0080\u0094{\n1\u00E2\u0080\u0094I\nu-i\n^\nH\nw\ncn\n*1\nro\na\nz\no\ncn\nPi\nPJ\npj\ncn\n2\npj\nw\n\u00E2\u0080\u009E\nCJ\nHi\npj\n<\nh\nQ\nOh\nBh\ncn\no\no\n<\nZ CO\nPJ\n2 O\nhJ\n<\na\nH\nC3\nz\nw\n> hJ\nO l\"H\no\nA\nPh\nz\"\nO\nH\n h in es cn rn\n!w 1 i 1-\nrH (S j 1\nco\npj\nH\ni : ] rn rn cs : m\nM i i\n1 cs es ; ;\nH | ||\nrt\nCJ\ncs\n2\n1 N\nrn cn | Tt es m ; co\nj *\"\"'\nTt rH j j\nIh\npj\n1 **\n! ! 1 rH | CO | rH Tt\n: : : : : w-\nCS rH ! |\n1 1\nHH\n2\n-\n| cn : Tt es co rn t- cn\n: | CO\nr i i r\ncn Tt | :\nCO\n. ^\n: : I : : m rn cn\n1 , .\nVD rH | rt\nhh\u00C2\u00A3\nT e\n2\nrH | rH rH rH j cn\ni i i\nEMM\nmm | |\nM\n: : : : i cn : vo rn\n\u00C2\u00A3\nBh\nI d\nm2\n2\n'\nCS 1 Tt rH rH rH rH rH\ni i N\nMM!\nm | . :\ni ; : : : vo : co\nhB\nBh\n^S\n2\nS\nrH 1 l>\nrH | | rH\ncS\nd\no\nrt\n1\n3\n1\n\u00E2\u0080\u00A2a\n\\nCJ\n<\n|\nCJ\nr'n\n\u00C2\u00AB\n\u00C2\u00B0\u00C2\u00AB\nO\nB\n61\nCQ\ns\nTJ\nIh\no\nXX\n%\n\u00E2\u0080\u00A2a\nCJ\nre\ntf\na\nxt\nOJ\n'3\ns\n3\nC\nCJ\n1 41\nf\n1 r\nK\n: \u00C2\u00B0\n! *a\nCJ\n', <3\ni \"<-\neu\nl C\n4\n4\nCJ\nB\nc\n\u00C2\u00A3\nu\n:\nz\n\u00C2\u00A3\n\u00C2\u00AB\nC\nc\ny\n-3\nIh\no\n*rt\nd\no\n\u00C2\u00A3\nre\nPh\n.2\n3\nT3\nd\nrt\nC\n\u00C2\u00A3\nP\n7i\n3\n4\n3\nC\nt\nrt\no\ntfi\nco\nre\nCJ\nB\no\ntH\n\u00E2\u0080\u00A2o\nd\n>>\ntf, c\nll\nrt o\nc\nc\nec\nt\n><\nc\nI\ncj re\nre u\n\u00E2\u0080\u00A28 H\n3 o\n.22 *a v\n\u00E2\u0096\u00A0o cs\n\u00E2\u0096\u00A0^ >*\u00C2\u00A3\no d >\nre rt\n3\u00C2\u00A3\u00C2\u00AB\ng oZ\nGJ\nc\n*r\n(\nr\ni-\nt>\nr\n|\n5\nX\n|\nF\nCC\n3\nrt\n\u00E2\u0096\u00A0e\ny\nX\nI\nC\n0\nB\ng\n> tL\n>\n3\n>\nc\noj c\nii\n3 w\n\"Jo *C\nil\n0 E\n\u00C2\u00B0 \u00C2\u00A3\n\u00C2\u00AB c\n2i=\nM\ncj \u00C2\u00A3\n\u00E2\u0096\u00A0Hi\ntfi ._,\nT3*a\nsi\n73 3\nC w\noPh\nca\nIh\nOJ\nft.\n4\nC\n(C\n\u00C2\u00A3\ni-\n'ffl\nIh\nK\nft\n73\nd\no\nn\n3\n'S3 E\n* \u00C2\u00A3\n1\nrt\ns\n'3\nd\nCJ\n\"3\nq3\nU rn\na\nr\n(-\nCw\nT,\n4}\nCJ\n>\nT\na\ntc\n'C\na\nc\nV\nC\nc\n>\n>\n1\nE\n0\nE\nC\nC\n>\nc\n7\nq\nt\nc\nJ,\nd\no\no\nca\nS o\nCJ 3\n> K\n\nCJ\nc\nCJ\n\u00C2\u00A3\nIh\n41\n>\n\"co\nco\nCJ\nIh\na\nCJ\nT3\nCJ\nO\n\u00C2\u00A3\nCJ\n>*\n5\ncj\n<\nc\nr\n'C\ngCJ\nIh\n\u00E2\u0096\u00A0 :\nu\nC\n\u00C2\u00A3\nh\nCj\nH\ncr\nrt\nIh\nH\nCJ\n2\n2\nCO\nc/-\n2\n>\ntf\nft.\nO r5\nCJ\n*5\ne\nC\nft- Q 142\nMENTAL HEALTH SERVICES REPORT, 1955-56\ncn\nO\nZ\nCS\n<\nJH\nta\nA\nw\n>\no\np.\nz\n<\nPJ\no\n<\nBh \"5s\no s\ncn C\nP, \"a\n< e\nw CJ\nin\nBJ iV\n< rt\n\u00C2\u00AB Irs\ncn cn\nW.rf\n\u00E2\u0096\u00BAJ w\n< P5\nK 2\nBh PJ\ncn U\nO PJ\nffiQ\n-J\nH\nz\n< CO\no\nz\nH\nH!\ni-I\nP\nPh\nO\nPh\nH\nz\nBJ\nQ\ncn\nPJ\nCm\n>-i\n\u00C2\u00AB\n<\nhH*E\nIt\u00E2\u0080\u0094 OcnOVrHcnOVrH CS \u00E2\u0080\u0094\n- O CS rH\ncs\nrt\nOvCSOOOO COCS h rn\ncs\nO\no\nHo\nrl\nBJ\novcnrnTtesorHinrH co mcNn\nVD\n3\nCS rn Tt cn \u00C2\u00BBn rH ; ! !\nCS\noo\n2\ninCSTtVOrHCS :0000rH ^frHrHt- [ |\nVO\nOV\noo\ntt H\npj\ncnt\u00E2\u0080\u0094t\u00E2\u0080\u0094*n I h | Ov Tt '\nB >\nrn cn oo i i cn ; : : :\ni\" a\nhh cs\ncn\n2\nCSVOTtCO ! rH [COTt | : ! \u00E2\u0096\u00A0 i ; \u00E2\u0096\u00A0\nTf mOi irH I 111\ncs\nCO\nov\ncn\nBJ\nvo cs ih vo 1 i i cn ; ! Ill\nTf tn\nTt i j i 1 1 : : :\n*7 rt\nr.|\n2\nCSCSTtcnjJIi;: mm < \u00E2\u0096\u00A0\nm 1 i : i i : 1 j\ncS\nco\nov J-j\n^2\npj\nvocnTtes in iTtrn : cs : 1 1 :\nTt i I : i j : : :\nVO\n2\nOvrHcnvn! | IcScn : | :\nTt : ; 1 i : i :\ni i\ncs\ncs\nBJ\nre\nCJ\nTt\n' !\ncs\n2\nNih in j 1 in ih ; ; : : I |\nVO\ncn\nco\ntH\nCJ\ni i*\nm\nft'\nh 1 [OO in |(SM ! till!)\nI i : : : 1 t J lit\n\o\ncn\n2\nrHrHCnOVj|jCS:j ] | {\nTt\nTt\ni .\nct\nCJ\n><\npj\nTt\n2\ncs:fcs:i:csTt: ::rn\nCS\n' 1\nm\n.\npj\n*n\nin\nCJ\n2\niniicniiiirH! !!:cs:;\n1 \r* 1 1 1 1 i III 1 |\ncn\nVO\npj\niiiOiiicscs: ::ieSrH!\n\u00C2\u00ABn\n\u00E2\u0080\u009EB\n< 1 ! rH | J J , | ,\ncn\n7 E\n^1\n2\nnh in | i inn i irHicnj:\ncn\nOl\n, J=\npj\n51\n\"2\n2\n; : jorHr-i i es cn cn |i-\nTt\nJl\nft\ncs\n^l\n; s\n2\ni i ;h ; j : |iN ; lii*\"\nOV\ncs\nIh\nCJ\nT3\nO\n73\nrt\nco\nCO\n>\n3\nd\n3\nrt\ng\nCJ\no\n\u00E2\u0096\u00A0a\n4>\nrt\ncc\n0\ntf\ns\ntn re\n- QJ\nco\n1\nj\n\u00C2\u00AB\nCJ\nIh\nS CL\n&E\no\nE\nCL\nl-\ni\n\nI\n1\nCJ\nc\n>\ni\nc\nx\n\u00E2\u0096\u00A0e\nf\nTJ\n4\ns\n\"t\nOJ\nc\n1\nc\nrt\n\u00C2\u00A3\nt\nrt\nCL\nC\n3\nO to\n3 aj\nrt \"9 -\nrH 13 C\n\u00C2\u00AB 2 c\ncj .a ;\na19 si\nCfl tH Z>\n>> 3 cj\nfl 4> *g\no, d K\n\u00C2\u00A3 \u00C2\u00A3 <\n.2 o\nBis c\n\",3 C\ngs:\n8s 8\n 0 \u00C2\u00A3\n\u00E2\u0096\u00A03 U >\n.2 \u00C2\u00A3 \u00C2\u00AB\no co cr\nX Cfl \"-.\no a> t-\n\u00C2\u00A3 to c\n.S3 \u00C2\u00A3 a.\nQOC\nre\nTj\no\nd\nco\nI\n.2 \"\u00C2\u00AB\n\u00E2\u0080\u00A2o c\nu u L\nu u ~\nJ6r5\nOO\nc\u00C2\u00AB\nft.\nPh Oh CREASE CLINIC AND PROVINCIAL MENTAL HOSPITAL\nQ 143\nTable 19.\u00E2\u0080\u0094Resident Population, Provincial Mental Hospital, Essondale, Age\nNot Stated, by Diagnosis and Length of Stay, as of December 31st, 1955\n2 Years\n4 Years\n5-9 Years\n15 Years\nand Over\nTotal\nGrand\nTotal\nM.\nF.\nM. F.\nM.\nF.\nM.\nF.\nM.\nF.\nChronic brain syndrome\u00E2\u0080\u0094Associated\n1\n1\n1\n1\n1\n1\n1\n-\n2\n1\n1\n2\n4\n1\n1\n2\n2\n1\n1\n3\n5\n1\n1\n1\n1\nPersonality disorders\u00E2\u0080\u0094Sociopathic\t\nMental deficiency (familial and idio-\n2\n2\nSchizophrenic disorders\u00E2\u0080\u0094\u00E2\u0096\u00A0\nSimple\t\nHebephrenic _\n1\n1\n3\n6\n1\n1\nTotals \t\n2\n1\n2\n....\n2\n....\n10\n1\n16\n2\n18\nTable 20.\u00E2\u0080\u0094Live Discharges from Provincial Mental Hospital, Essondale, by\nCondition on Discharge, Disposition to, and Sex, April 1st, 1955, to March\n31st, 1956.\nHome\nGeneral\nHospital\nWelfare\nInstitution\nOther\nMental\nHospital\nOther\nTotal\nGrand\nM.\nF.\nM. | F.\n1\nM.\nF.\nM.\nF.\nM.\nF.\nM.\nF.\nTotal\n15\n10\n281\n44\n10\n8\n246\n23\n2\n1\n2\n~1\n\u00E2\u0080\u0094\n10\n115\n2\n96\n5\n109\n15\n2\n2\n31\n2\n20\n10\n402\n176\n12\n10\n281\n121\n32\n20\n683\n297\nTotals\t\n350 1 287\n3\n2\n1\n\u00E2\u0080\u0094\n125\n98\n129\n37\n608\n424\n1,032\n1 Includes one case condition not stated. Q 144\nMENTAL HEALTH SERVICES REPORT, 1955-56\nTable 21.\u00E2\u0080\u0094Live Discharges from Provincial Mental Hospital, Essondale, by\nMental Diagnosis, Condition on Discharge, and Sex, April 1st, 1955, to\nMarch 31st, 1956.\nMental Diagnosis\nCondition on Discharge\nRecovered\nM.\nWith Psychosis\nSchizophrenic disorders\t\nManic-depressive reaction\t\nInvolutional melancholia \t\nParanoia and paranoid states\t\nSenile psychosis \t\nPresenile psychosis.\nPsychosis with cerebral arteriosclerosis-\nAlcoholic psychosis.\nPsychosis of other demonstrable etiology..\nOther and unspecified psychoses\t\nPsychosis with mental deficiency..\nAnxiety reaction without mention of somatic symptoms- \t\nHysterical reaction without mention of somatic\nsymptoms\nObsessive-compulsive reaction..\nNeurotic-depressive reaction .\nPsychoneurotic disorders, other, mixed, and unspecified types \t\nSyphilis and its sequela:. \t\nTotal with psychosis..\nWithout Psychosis\nPathological personality\t\nImmature personality \t\nAlcoholism \t\nOther drug addiction .\nMental deficiency-\nOther and unspecified character, behaviour,\nintelligence disorders-\nand\nChronic brain syndrome with behaviour reaction-\nChronic brain syndrome, N.O.S.\t\nEpilepsy-\nOther diseases of the central nervous system not\nassociated with psychosis\t\nTotal without psychosis..\nGrand totals\t\n\t\n6\n2\n1\n1\n1\n1\n\t\n\t\nMuch\nImproved\nM.\n20 | 11\n10\n20\n12\n10\n10\nImproved\nM. F.\n121\n14\n1\n4\n3\n185\n19\n2\n174\n1\n217\n402\nUnimproved1\nTotal\nM.\n122\n28\n2\n3\n4\n3\n14\n4\n2\n1\n197\n21\n2\n49\n2\n84\n281\n33\n5\n44\n29\n1\n3\n1\nF.\nM.\n13\n163\n2\n22\n1\n1\n9\n69\n47\n1\n16\n36\n15\n8\n1\n1\n1\n3\n7\n7\n2\n\t\n7\n8\n146\n32\n3\n4\n74\n1\n19\n15\n5\n4\n1\n11\n1\n3\n4\n1\n1\nGrand\nTotal\n122 | 106 | 334 | 324\n11\n3\n19\n12\n54\n176\n15\n121\n30\n5\n196\n1\n15\n1\n1\n11\n14\n274\n608\n27\n3\n51\n2\n6\n100\n309\n54\n4\n13\n121\n1\n55\n29\n13\n5\n2\n18\n8\n5\n11\n1\n9\n658\n57\n8\n247\n3\n21\n3\n1\n12\n19\n374\n424 | 1,032\n1 Includes one male condition not stated. CREASE CLINIC AND PROVINCIAL MENTAL HOSPITAL\nQ 145\nx\nUJ\nCO\nQ\nZ\n<\nCh\nP\no\nA\ncp\nBh\nO\n<\ncn\nO\nZ\nC5\n\u00C2\u00ABC\n3\nH\nZ\nPJ\n\u00E2\u0096\u00A0OrH\n3 \u00C2\u00AB\n\u00C2\u00A3c\u00C2\u00B0\nvc\ncr\nTT\na-\nc\noc\nr-\nV*, OTfTtcnHrHI/\nCS Tf rH rH CS V\n)* InHrHVO CSCSeSrHCOOOlnrH rH\n1 CS rH rH\nrt\nO\nH\nBh'\nOVOOVmln ,\nSO\npj\n: i . Tt 1 1 I j | T-HrHiir-rHTti 1 I 1 I 1 i | j I j j j :\nMl ! ! i i 1 1 1* ^ 1 MM M M M M !\n2\ntn 1 I m I 1 | j 1 H fN 1 CO CO | r-H 1 ! I 1 1 1! 1 rH rH rH | :\nII ! 1 ! M ! \"\u00E2\u0080\u00A2 M M II 1 M 1 II\nOv\nvo\n1\nm\nvO\nft\njllTtjirHi: cs cn cs cs m j en l 1 1 ' 1 | | 1 i 1 j h CO\n2\ncnirHCSiijj! TtrHiCScnlt>rH H ! H CN | | | | j | 1 tS 1\nTt\nVO\n<\u00C2\u00B1\nVO\nOv\nm\n1\nm\n*n\nBh\nIlilnrHilirH CSiHrHllJCSrH Mil I 1 I | (f) I 1 | j\n2\n1 1 1 CS 1 1 I 1 tn \ mm mm : \ mm ; III! j j 1 t 1 | j tH 1\nIII Mill 1 II 1 MM 1 i M ! II 1\nft\n1 t |T> j 1 I IH Cn CS j j rH j I | j | j rH j j j j rH j | j rH\n2\n| iHt 1 1 1 |H i rH j rH rH j ; rH |H i I H M 1 1 H j M j\nTt\n>n\nd>\n\u00E2\u0080\u00A2n\npj\ncsjrHt-iicsij \u00C2\u00ABn j; m M cS mm h i i i | , m j\n2\nPI || TJ- jl 1 1 j j | 1 rH | j rH CS ! 1 ! I 1 1 I 1 rH CS 1 | 1\nOv\nTt\nm\nTt\nft'\ncn|jTtrH|rH|cn TtCSlllllrH III! 1 1 j 1 1 rH rH |\n2\nCSIjr-i-HjrHj| HH j 1 j j jrt HIM M M 1 CS 1 \u00C2\u00AB-H |\nTt\n2\nTt\npj\nt\u00C2\u00BBescncniim:cn t 1 ih i i irf j i | i i i h j i i\n2\nVO | Tt CS I j I j 1 *J j |H j j jc\n\u00E2\u0080\u00A2a\n\m\nO\nCO\n*\u00C2\u00A3\n\u00E2\u0080\u00A2- &\nSI\n|K\n'si\no\nCO\nCJ\nC\n>\nc\n1\n\u00E2\u0080\u00A2g\nCJ\nX\nCJ\nD\n>\nt\nC\nc\n0\n0\nU\nj\n'c\nc\nrt\nU\nCl\nCm\nc\nc\nt\n0\n0\nu\nI\n*s\n5\nu\nX\nc\nc\nX\nu\nV\nOh\ns\nu\n<\n;\nt\ni\n\u00C2\u00A3\nI\nN\n1\ne\nz\ny\nC\nfit\n0\nI\nCU\n>\nt\nCJ\n6\nt>\ne.\ntn\nCJ\nc\n>\n\u00E2\u0080\u00A2a\nc\nc\n\u00C2\u00A3\nX\nX\nu\nt\nc\na\nIh\nX\nc\nc\nts\nX\nt,\nIT,\nX\ncu\ntf\n'\u00C2\u00A3\nI\nC\nC\ns\nx\\nm\ncs\n\-\n\u00C2\u00A3\nc\ni-\ncj *\neg f\nCO \"u\na c\nCD CI\nB.H\nci\n>\nc\nV\nCJ\n1-\np\n\"c\nu\nc\ne\n*cj\nE\n\u00E2\u0080\u00A25\ni\nc\n-\nc\n>\nc\nO\"\na.\na\ncr\n'c\nc\nrt\ni-\nCCJ\n0\nXI\ns\nrt\n'c\nCl\nr-\ncc:\nP-\n9\n*s\no\np\n1/\nc\ni\n'H\ncu\ncr\ne\n'5\nc\nfi\n1\nc\n1\ncy\n4\n1-\n0-\nV\nC\nl\u00C2\u00BB\n4\n1\nV\nC\na\nt-\ncc\n\"cc\nL\nX\n1\na\ne,\n>\np.\n$\n1\nc\nc\nc\n<\nA\n\u00E2\u0080\u00A23\nCJ\n>\n1\ni\n|8\n>-. Ih\n00 O\nO 4-\no o\n** S\ns M\n2&\na ft\n\u00C2\u00A71\nd oj\nu\n\u00E2\u0080\u00A2\u00C2\u00B0 E\n\u00C2\u00ABS\n\u00C2\u00B0 5?l\n<+h d t;\n*3c\nco co\nO cu\n\u00E2\u0080\u00A2CPh*\nu\n>.\n\u00C2\u00A3\n| !\nta i\nCJ\nco\na\nCJ\n.w I\n.y a\nis cu\nrt.2\n% >\nS-s |\no \u00C2\u00AB 9\no -a v-\n\u00E2\u0096\u00A0m w x\nc u t\n.3 rt C\nOO C\n0) QJ CU\n3d.\nT3 T3 T3\nIh fm r.\no o c\n>\u00C2\u00BB >, >\nU tH V.\ncs rt rc\n\u00E2\u0080\u00A2o-o -r\na d c\no o c\nCJ CJ Cv\nw &o ty\n1 E\nco C\nCJ \u00E2\u0096\u00A0-\nS t\nn|\nOJ Q,\ns |\nII\n11\n\u00E2\u0080\u00A2Of\n\u00C2\u00ABi\ns&\n0\n>\nc\nC\n1.\ns\nu\n1\nc\nc\nu\n>\ntf\ne\n,vS\n1\nc\nJ=\nc\n. >\np.\n>\np\nI\ncc\na\n\u00E2\u0080\u00A2u\nJ\n|\n1\nV\nC\n>\nP-\n\u00E2\u0080\u00A2c\na\n1\n!\na\nc\n(/\nc\nc\ntf\np.\n\u00C2\u00BB s\n\u00C2\u00B0 a\n\u00C2\u00A3e\n0? CJ\n.h'5\no d\ng.|\no \u00C2\u00A7\noj S.\u00C2\u00A3\n6 3 S\n3j| S\n's\u00C2\u00A7i\nBSE\n2 5 c\nCJ OJ c\nfl H L\n.H\u00C2\u00A3J\nX V, o\nc\n.9\nl-\nco\n>\n\"cc\ni\nc\nH\n3\n2\n\u00E2\u0080\u00A2o\nOJ\na\nCJ\n1\nco\n\u00C2\u00A7\n\u00E2\u0080\u00A2o\n9\n\u00E2\u0080\u00A2a\n1\n1\nI\n5\nTt\nM\ni\nCJ\nIH\n3\nh\nI!\np!\n-\n-f2\ncn\nffl\nu\nft O\ncn h\nO \u00E2\u0080\u009E\nDh \"n\n\u00E2\u0096\u00BAJ a\\n< T\u00E2\u0080\u0094I\nW cn\nS^\n1\nPh\n2\no\nA\nft\ncn\nBJ\nq\nA\n<\nX\nCJ\nCO\nBJ\n>\nCN\nCN\nBJ\n-J\nA\n< Q 146\nMENTAL HEALTH SERVICES REPORT, 1955-56\nX\nBJ\ntfl\nQ\nZ\n<\nPh\"\no\nA\na\ni\nBJ\nO\n<\nco\nO\nz\no\n<\nhJ\nb \u00E2\u0080\u00A2\u00C2\u00AB\nZ Cjj\nBJ S\ns -s\nS h9\nBJ\nhJ\n2\nz\no\nco\nw\nhJ\n<\nPh\n8\ntH\nz\nbj m\nS2\n\u00E2\u0096\u00BAJ\n3\no\nz\n>\no\nPh\n\u00C2\u00A7\nO\n\u00C2\u00AB\nPh\nCO\nBJ\n0\n\u00C2\u00AB\ns\nCJ\nco\nBJ\n>\nCN\nCN\nBJ\nH\"\nS3\n3\nT3 \u00E2\u0080\u0094\nOH\nr-\nCN\nGO\nVO\nr-\ncn\n-\nr~~\nVC\ner\nOC\ncs\nm\ncn\nOs\nr\"\nCA\nCO\nen\n\u00E2\u0096\u00A0*\nr-\nC\ncs\nrH f.\nOv\ncn\nTt\nm\no~\no\ncs\nCO\nT*\"\ncs\nTf\n*rt\nO\nH\nPh\ni r\"<\nTt\nOl\ncn\nCSrHrHOOrHCS j CSrH t-TtCS rH rH Tf rHrH | H IT) n\n%\nt- rH\nTf\ncn\nm\nmes : r-vo cs vo cn encs n^r h envovo ihhh*\nOV mm rH\nTt\ncs\nCO\no\nVD\ntH\nrt\nOJ\nc\nft\n3\nO\nOH\no\n<\n\u00E2\u0080\u00A2a\n\u00E2\u0096\u00A07- rt\npj\nj 1\ncs\nMiilMI i i III III IIIIII\nCS\nS\nM M i M ! || Ml III M M^ 1\n*\"*\n*-'\npj\n00\n,rH,;j;;j j . jji j jH ,rH,n\nvo\npj\nVC\nci\nM M M M M Mi Mi i i M i 1\n1\nes\ns\no\nTt\nij j j h j i i m h ih iii 1 MN ! 1\n-\ntn\nTt\nv\u00C2\u00A3>\n2\nVO\npj\nj\nr-\nMiiiMi ' ' \u00E2\u0096\u00A0*\"! iii i1-1111;\nvo\ncn\nCS\nJS\n1 *\"*\no\n'iii1::1 ; j t- h i ] : : j j j cn h j\ncs\nCS\ncs\nOv\nm\nl\nm\nm\npj\nTt\n1 I II j I H j || cn rH | !!\u00E2\u0080\u00A2 1 1 I 1 1 1\nm\nOv\ns\ncs\nir\nn 1 1 1 1 1 1 1 || OVrHj III IIIIII\nrs\n00\ncn\nTt\nm\nS\npj\nI j\nes\nes\n'vo\"\nCS\ncs\nCl\nm\nS\ncn :\nlllrnllrHl || CSlI III IIIICSI\nMl II i M H i ! Ill MM i\nOv\nTt\nvn\nTt\npj\ncs\n| 1 1 1 1 1 1 | [ j CS rn ; I | | | 1 i ; 1 I\n2\nTt\nm\n\u00C2\u00A7\nrs\nrH CS M M CS I I mm Tfrn; ;|rH irHjrHjj\nTt\nTt\nVO\nTt\nI\nTt\npj\ni i\nTf\nI-H | [ rH | | t 1 II cn , rH |H 1 H | I I 1 I\nOO\nOv\ns\nct\nH 1 | 1 J | I 1 1! VOrHi IrH. llllli\ncn\nOv\ncn\nc-\nOV\n?\n, u\n0 C\ns\nCJ\nIfl\n>.\nta\nW\nd\no\n>\nu\n4)\nd\ns\n\"1\nO\nut Psychosis\nJhaviour, and intelligence\u00E2\u0080\u0094\nlity\u00E2\u0080\u0094\nlitv -\n>\n>\n1\ns\n' \u00C2\u00A3\nR\n>\n1?\nM\ni\nc\n5\n1\nu\nd\n\u00E2\u0080\u00A2o\ns\nrt\n3\no\n\">\na\nsi .,\n2 ^\n-O 0,\nv- !\nts |\n2 \u00E2\u0080\u00A2c:\n3 i ;\no\nrt\nCJ\nIh\n*rt\nIh\nd\nO\n\">\nrt\nsi\ncu r-\nrdC\n\u00E2\u0080\u00A2S,2\na\nd\no\n\u00E2\u0080\u00A23\nd\no\no\nS o\nS -5\n\u00E2\u0080\u00A2\u00C2\u00A7 -5 a -5 3 ~ S E\n\u00C2\u00AB! 1=\nc\ni C\n1 C\nS 9 \u00C2\u00A3 %\n.\u00E2\u0080\u00A2- 5.$\nri2H CO\nQ\nPS\nPh\ng\nO\nPS\nBh\nCO\nBJ\no\nA\n<\nX\no\nco\nBJ\n>\nCO\nCN\nBJ\n-J\npa\n<\nQ\TtTtcnrHrH\u00C2\u00ABnOvcnincscooo\u00C2\u00BBnrHrHO\\nOm rHCS \"nCSH rH rH\nor\nTt\nOH\nVOCScnTtTt'rHOVTt>nTtrHrHrHcnTt'-HrH\nr*\nTt Cn h HH rH\nrt\nO\nH\nrH\nc>\n**\u00E2\u0080\u00A2\n\u00E2\u0096\u00A0rt\ns\ncnesrHOvr- ;\Dinoori\u00C2\u00ABhh(v|r- loo\nVO CS Tt 1 Cn rH\ncn\nCn OV rH rn rn\nt\u00E2\u0080\u0094\no\nrH !\nCj\nrH\nts\nvo\nCO '\u00E2\u0080\u0094\nPh\nOVCSMrHMMMjjMM\nCl\ni i i r i i i i\n-\ncn\ns\n. i , ,,_, , , . .\nin\n\u00C2\u00A9 c\nCS 1 1 1 1 j 1 1 1 1\nH pj\niu cfl\nh\nBh\na*- I I I 1 M I I | | | | | i 1\ncn\nIIIIIIII!\ncn\nO so\nJO\"\ns\nOVCnCS H | H rH j j j CS\nOv\nI 1 : 1 cn i : 1 I l\nci\ncs\ncs\nIh\n\u00E2\u0096\u00A03 B\nPh'\nW jh |h || ; M |j | M ! j\nCO\ni ii r ii i i\n-\nOV\nsis\ns\nO\no\n\"\u00E2\u0080\u00A23 e\nPh\nCSHHjrH H j H j j j | j | j |\nr-\ni i i jH i i i i i\nrH\noo\n\u00E2\u0080\u00A2 go\nS\n00 H H H H ! j 1 H I 1 H w'rH\nVO\nH 1 1 CS M H mm\n\u00C2\u00BBn\n>f\n\u00C2\u00AB\nIh\n_ QJ cn\nBh\nr^ es i i es i i es i : i \u00E2\u0080\u0094 : :\ncs : : : i : : : i 1\nTT\nn j j H j , jrn\nr-\no\n\u00E2\u0080\u00A2S\n00\nd\nOJ\nIIS\n0hI\"\n2\nes : : : l l t I 1\n>n\ncn\ncn cs \u00C2\u00BB-h ; \u00E2\u0096\u00A0 cn cn\nCN\nTt\nhJ\nco\nBh\n\u00C2\u00ABn Tt 1 | I f | h | \u00E2\u0080\u00A2 I | H ( | J | 1\nrH\ncs\n\"1\nS\nhw j M ! II ii i M M ii\nCl\nCS rH rH | CS 1 IVO\n1]\ncs\nco\nBh\nr-vo lescn i i |w irncs Ih^h i\nvn\nVO\n4 o\nS\ns\n\u00E2\u0080\u00A2-Hen icscn icscsh i ihh ics : :\ncn i i ii ii:\nCO\nTT\nvO |Tf Tt cn CS |Ov\nVO\nCfl\nPh\nt-tnrHcs\u00C2\u00ABn icni>esrH i^nnn ih\n(N\nAS\nml\nS\nr- c- icsin ivococn i i ->\na)\no\na\naj\nrt\n\"o\nft)\ntd\nco\nrt\n0J\nc c\nO\nd\nB\nft\nd\nd\nt^\n\u00E2\u0080\u00A2d v-j\nd t\nrt rt\nta\nO\nd\ncm\n\u00C2\u00AB\n\u00E2\u0096\u00A02\n0\nCj\n>\nCJ\nT3\nC\nrt\n\u00E2\u0080\u00A2a\n8\nCJ\n- OJ\nU *m\n3 -d\n> d\n09\n>\u00C2\u00BB\nta\nta\n5\n10\nDh\n\u00E2\u0080\u00A2\u00C2\u00A3\nOS\ni-\nOJ\nX\nC\na\n'\u00E2\u0080\u00A2v\n_t\n'\u00C2\u00A3\nej\nU\nX\nC\no\nv\nO\nX\ns\nrt o\nO\n\"3\na\nOJ\nn\nc\nt\ncc!\nCJ\nl-\n\nIf\nCJ\nk-\nD\na\nV\nu\nrt\n*l\nX\nt\nr\n0\n*CJ\nE\na\nC\no\n1\ntf\nOJ\na\n0\n!S\no\nc\nrt\nm*\nci\nO\n\u00E2\u0096\u00A0d\nd\nC3\nR\nO\nC\nrt\n0\n0\nu\n>\nI\nCJ\ncr\na\nC\n>\nO\nV\n1\na\nb,\naj\nCJ\nJ\nu\nt\nrt\n\"n\ni-\n-c\nCJ\nt-\n1\nu\n1\n0\nc\n,\u00C2\u00A3\nC\no\n>\nD\nC\n\u00E2\u0096\u00A0e\nu\n3 \"c7\nrt C\n\u00C2\u00B1J,C\n\u00C2\u00AB y\ns \u00C2\u00A3\nOJ u\nIs\n\u00C2\u00B0 1\no 3\nto \u00E2\u0096\u00A0a\n!\u00C2\u00A7\nCJ CJ\n>\nu\nc\nSv\n1\nOJ\n*c\nr\n\u00C2\u00A3\n#0\nc\nci\nc\no\nu\nrt\nCJ\ntH\n>\n>\n<\nc\n_c\nc\nCi\nc.\nB\n'u.\nOc\n>\nd\nc\nt\nrt\naj\ni-\nCJ\n_>\na\n3\n0\nE\no\nCJ\nCJ\n>\n'5\nCfl\n0.\nCfl\n43\nO\nC\n0\n(.\nrt\no\n1-.\nCJ\n>\nt\no\na.\nO\nl-H\nCJ\nB\nta !\no I\n'h el\nSi K\n'I\nB 8\nO tfl\n-1\n3 C\nB tf,\no 2\n\u00E2\u0080\u00A2B 'S\nCJ J3\nCO\nC\nu\n>>\nGO\nft\n1\nrt\nO\nH\n3\n0\n>\nc\nCJ\nD\n\"el\n'5\nc\nc\n>\nR\nc\nc\na\nO\nCJ\nu\n3\na\nE\n|\n1\nc\no\nXI\no\nCJ\n\"e3\nd\nrt\n\u00C2\u00A3\nIh\nCJ\ns>\nv\u00E2\u0080\u0094 CJ\nd -\no .*\n\u00E2\u0099\u00A63 o\ncj (C\n1\u00C2\u00AB\noo *:\n0 rt\nM.-C\n4) J3 w\nBjdC\nrt &Z\n*d a) a\nlee\nu S(\ncj >, >\nrv co cc\n1 GC\nd g '5\n-o.S\u00C2\u00A3\nn.y.c:\nr S 5\naj o C\n>\nC\n>\n(H\nCJ\nd\n*rt\nIh\nd\nft)\nCJ\nft)\ns\n\u00C2\u00AB4H\nO\nu\nft)\n\u00E2\u0080\u00A2o\nM\nO _co\n\u00E2\u0080\u00A2-H \"co\nT3 O\nSi u\nCfl\no\nM\no\n>>\n01\nft\n3\no\n\u00E2\u0096\u00A05\n1\n\"rt\nO\nH\ncc\n*CT\nC\n\u00E2\u0096\u00A0d\nc\n0\ncj-\nc\nX\nCJ\nCC\nci\n>\nc\nrt\naj\nu\n>\ncfl\nCL\n<\n>\ncfl\n=3\nC\n>\nBO\na,\n>\ntfl\nOh\n0\nft\n<\n0\n0)\n5\n\u00C2\u00A3 j=\nOU\n0\nC\nPC\n6\no Q 148\nMENTAL HEALTH SERVICES REPORT, 1955-56\nX\nw\nCO\nQ\nZ\n<\n^\nPh\nP\no\nA\nO\nPJ\nCO\n<\n,.\n1/1\nIO\nO\nz\no\n<\nQ\n-J\n<\nH\nZ\nBJ\nS\n>H\nCJO\nPJ\ncn\n.V\nOS\nBJ\n\u00E2\u0080\u00A2-H\n-J\n2\nH\nz\n.\u00E2\u0080\u0094i\no\nm\n(/)\nCO\nX\nW\nO\nPi\n<\nh\n3\nPh\nro\no\nH\n0\n#,\nX\n-J\nON\n<\nr\u00E2\u0080\u0094I\nH\nn\nz\nH\nPJ\n10\n\u00E2\u0096\u00BAJ\nCJ\nz\no\nA\nPh\nO\nz\n3\nPC\n5\no\nu\nO\nCO\na\nH\n<:\npj\nQ\nTf-\nCN\nBJ\ni-l\nP5\n3\nhJ\nA\nA\n<\ncneSrHcSTtmcnvocSTtcSvO\ncn es cn\nOH\ncnrH :ovTtr- iTt icn ICS\nm\nBh\nrH rH !\nm\nin\no\nOHrHcn loocncscSHcSTt\nc-\nH\na\nCS i-H | rH\nvO\nt^\n\u00E2\u0080\u00A2d u\ngo\nes:i\u00C2\u00ABnivoiiiHi!\nTt\nTt\nPh\nM 1 Ml i i\n' ^\n1-1\ns\nTtrH |OV |Tt | |CS \ mm j\nes\n1 1 jH 1 rt\ncs\nes\nvo\nBh\nMill\nMill !\nmm\non\nvo\nJll\nI ! MM\n*-j\nj | |\nes\n\o\nBh\n\" i r r r 1111\nSO\nMiM i\nVO\nVO\nS\niii i\nvO\nvo\nOv\n>n\n1\nBh\nMill i\nVI 1 1 1 1 \u00C2\u00AB\u00E2\u0080\u0094< ! 1 rH\nl>\nh I j h j ;\nCl\nOv\n\u00C2\u00BBn\ns\nIMI! ill!\nVO\nVO\ns\nBh\nIll II! II\nMM i\nn : : i i 1 |\u00C2\u00AB ] : !\ncn\nMil! i\n1\nen\n^v\nm\ns\nM M I I Mi!\nMIM i\nIh\nrt\nOv\nTt\nm\nBh\ni 1 i Ith 1 1 I i H\nCl\ni m i\n^\"\ncn\nft\n3\nS\ni ! ! !!!!!!\nM :\ni i : 1 i :\nO\n7\nBh\nII II 1 1 1 i 1 1 II\nci\n\u00C2\u00BBn\nm\not)\n<\nTt\nS\ncn\n1\n\u00C2\u00ABn\nBh\n1 1 1 1 1 1 1 ! ! ! !\nMill i\nS\n\" 1 1 1 1 1 I 1 1 1 | 1\n*\"*\n| iH ii\nmm\nCS\n,_,\n1 1 1 1 | H 1 t j 1\n: I ' i i :\n;\ncn\nA\nBh\nM 1 M MM\ni ! ii ! !\ni i i i i i j i i i\n[III! 1\nm\nS\nII ! ! M 1 1 I !\nMi!: i\nOv\n*n\nBh\nj\n! ! ! ! II II M\n: : i : : 1 1 : : i\ncs\nS\n11 ! 1 II M I\n2\nBh\nII M 1\n\u00E2\u0096\u00A0\n1 I I I j i 1 | I\ncs\n\u00C2\u00A7\nj\nes\nOV\no\nPh\n! I !\ns\n| | ;\n! !\n>,\nft\n.d\nt&\n\u00E2\u0080\u00A2d\ncj\na\nCJ\no\nR\nrt\no\n+j\nE\nd\n60\n'co\nCJ\n\u00E2\u0080\u00A22\n\u00C2\u00A3.\na\nCJ\nd\n0\nrt\n\u00C2\u00AB\nd\n5?\nd\no\n>\noD\nci\n3\na\nC\no\u00C2\u00B0\nHH M\nO HH\nCJ\no\nco\nfH\nCJ\nft\nd\ny o5J\ncj\nft)\n\u00E2\u0080\u00A2a\nd\n\u00E2\u0080\u00A252\ns\ntt\nto\nrt\nterios\nstrabl\nmenti\nchosi\n(7\ng\nrt\nIh\nd\nCO\no\nu\ncerebral ai\nhosis.\t\nther demon\non without\npecified psy\nL,ssive react\ns sequela?\u00E2\u0080\u0094\nwith psych\ncj\nO CO\ndisorders\nive reacti\nparanoid\n\u00E2\u0096\u00A0f\n\"if\n5\ni\nIh\nCJ\ntj\nCS\nCS\nB\no\nIh\n-a\ni\nCO\nCJ\n\u00C2\u00ABH\no\n3 rt\no 6\nH 0\nc\nN\ne.\nu\n1\n2\nc\nc\nct\n\u00E2\u0096\u00A0\u00E2\u0080\u0094\nrt\nmm\nc\ns\nCJ\nr\na\na\nH\nCh\n0\nG\nX\nt\n>\nc\nX\nc\n<\n0\nC\nJ7.\nU\n>\n>\nt\n?\nc\n<\nc\n> rt\ni\n5\ncj\nc\nCJ\nz\ni\nc,\na,\na\nc\nc\n%\n\u00C2\u00A3\n<\n1\n2\ne,\nc\nc\n1-\nc\n>\nc\n\u00E2\u0080\u00A23 c\no CREASE CLINIC AND PROVINCIAL MENTAL HOSPITAL\nQ 149\nX\nBJ\nCO\na\nz\n<\nM\n<\nH\nGO\nBh\no\nX\nH\nO\nz\nBJ\nCO\nO\nZ\no\n<\nH\nZ\nw\ns\nV2\n>H\nov\nM\ni\u00E2\u0080\u0094i\nr,\n\u00C2\u00AB.\nw\nH\nJ\nlfl\n<\n\u00E2\u0080\u00A2\u00E2\u0080\u0094i\nQ\ncn\nZ\no\nCO\nCO\nS\no\nPi\nm\n<\n.-:\n<\nu\nH\nH\nPh\nCO\nn\nin\nw\nCiV\n\u00E2\u0080\u00A2\u00E2\u0080\u0094i\n3\nH\nz\nH\nCO\n1\u00E2\u0080\u00941\nBJ\nH-l\ns\nA\nCh\n<\u00E2\u0080\u00A2\n<\nCJ\nZ\n>\no\nA\nHh\nZ\n0\nz\nA\nA\nD\nCJ\nCJ\nO\nro\nX\nH\n<\nBJ\n1\n1\nIT)\nCN\nBJ\nhJ\ncq\n<\nH\nX!h\nncsrHcSTttncnvoTtcscsvoo rHrHcnvoes\nc\nvo\nvo\ncn cs cn\nOH\nr-\nBh\n>n ill\nm\nO\nh\no\u00C2\u00BB-iT-icn loocncSt-HcsciTtr- ,_,_,,_, vo i-h\nr-\nc\nOS\n\n\"> is\n^\u00E2\u0080\u00A2a\nBh\nO M CS 1 rn M II I\n1 cn 1 I rH 1 rH\n-\nTT\n2\nrHrH 'rH 'rH | | 'rH I r\n1 VO 1 I rH | 1\n00\no g\nm cd\n\u00C2\u00AB\u00C2\u00ABi\nBh\nH | | |H(S |H(S j jrHOO\n00\nh d 5j\n>3>H\nO3O\n2\nCn 1 1 1 1 rH ,'H I ! | rH VC\n,_,\nm ^ CO\nBh\n| j j cs rn cn 1 h 1 j j\nIt- i i i i i\nr-\n\u00C2\u00ABh 0 rt\nSBjfi\n0 =\n2\nh | rn in 1 cn i : : rn 1\n1 h 1\" i i !\n-\ncs\nIh\n\u00C2\u00AB\u00C2\u00ABB\nBh\nHMrHMjMMr\n\u00E2\u0096\u00A0< cn Iiii!\ncn\nrt\n\nco\nPh\n1 M rH rH Tt 1 M M\n\u00C2\u00AB i i i i i\n-\nrH\nr-\n21\n2\n2\nCn 1 ! cn | rH rH 1 I 1 CS\n0 j j ; es | j\nCS\nes\n~c5\noj c\nTJ 5\nPh'\nj j I cn rH Tt 1 1 j j 1\n00 l|l-Hi! \u00E2\u0096\u00A0\n-\nov\n52\n2\n1 1 j cs ; r\u00C2\u00BB i-h rn ; 1 j\ni-h 1 1 i cn I\nen\nTt\nr*\n*\nTl\nrt\n0\na\n0\nG\nr\nFi\nw\nCO\nJ9\nCi\nrt\nCJ\n1-\n>>\nC\nv.\nrt\n0\n0\n-a\nCJ\n6\nO\nCj\n1\n*rt\ntH\nd\n0\nCA,\nd\n0\n>\n[h\nOJ\nOh\nrt\nft)\nS\nrt\nCfl\n\u00C2\u00AB c\noj\nrt\nH\nC\nO\nO\nft)\n2\nHt\nC\n0\nCj\nS\nX) 'c7\nrt 0\n\u00C2\u00B1j J-1\nr >\nc\n0\n\u00E2\u0080\u00A21 t*\nO\n0\n\u00E2\u0096\u00A05\nCfl\n1-\ni\n\u00E2\u0080\u00A2a\ni-\n0\ni\nrt\nCJ\n-d\nc\nc\nrt\ncr\nC\nu\nu\noj u\nrt\nft\nCJ\n>\n\u00C2\u00A3\n\"i\n1:\n0\n4)\n0 >\n0? \"-\nft 0\n\u00C2\u00A3 O\nOJ\nB\n0\nIh\n*d\nd\nCJ\n\u00E2\u0080\u00A23\n\u00E2\u0080\u00A2h-H\n0\nft\n0\n0\nB\nO\n=3| g\n;/-\n0\n1\u00C2\u00A3\nw c,\n3^\noj O\nc\nCfl\n^ CJ\nCJ >,\na \u00C2\u00AB\nC/l\n*\u00E2\u0096\u00A0\"\nIII\nl^'S\nn *d \u00C2\u00A3\n0\n\u00C2\u00A3\n>\nC\n*\nu\nc\nu\n'5\nCD\n0 i\nco \"C\nS rt\nCJ D\na\n>\n5\nX\n1=\n<\nIh \u00E2\u0084\u00A2\n<*\u00C2\u00AB\nOJ TJ\n\u00E2\u0080\u00A2d d\n6 ra\n33 .S3\n0 -r,\nd-d\n3\n0 0\nh .a\nC\n\u00C2\u00A3\nc\n4:\n0\nM s\n11\n^>\nrt r- O\nB 0 \u00C2\u00AB\nrt\nIh\nft)\ny.\n0M\n:.\na\n-..\nft\n3 \u00C2\u00AB\nH O\nt\n09\nrt\ni\nrt\n0.\nc\nCJ\nCJ\na)\nU\n<\nO\n2\n>\n<3\nPh\n0\n<\nOJ\nX\n0\nD\nPC\n5 Q 150\nMENTAL HEALTH SERVICES REPORT, 1955-56\nX\nPJ\ntfl\nQ\nZ\n<\nPh\"\nD\no\nA\nO\ni\nBJ\no\n<\nX\nH\n<\nBJ\nQ\nPh\nO\nBJ\nCO\np\n<\nu\nI*\n\u00C2\u00AB vo\nBJ <^\na h\nZ to\no rj\nco cn\nM HH\n^ CJ\nifl\nIs\nPh\nCO\nO\nH\nZ\nPJ\ns-\n\u00E2\u0096\u00BAJ\n3 2\nz <\n>\no\nA\nPh\no\nz\n2\nPi\no\nu\nO\nCO\nX\nH\n<\nBJ\n0\nCS\nBJ\nm\nOH\nas\noO\nO h cn cs h \u00C2\u00BBn O '\nInTtcnTtrHCSVOOVCSCSrHCSrHW-lVO\nI MM\nSR\nrt r.\nlei\no\ncncno i-HCScsr-cscs i h rH cn cs\nCS rH ! | cn rH\n\u00E2\u0080\u00A225 e g J\n3 3 cs g S3\nCJ CJ C B w\nIh Ih C4) v. CJ\nQJ OJ -HT JJ J3\n\u00E2\u0096\u00A0a \u00E2\u0080\u00A2\u00C2\u00A7 3 c0 .s\nHhSoQ\nS3 =9\ns a'\n.s>*\n\u00E2\u0080\u00A22 B B\n*h OJ QJ\nto J5 ja\n-h cn tf) QJ\n^ B B \u00C2\u00AB\n8 \u00C2\u00AB H B\n-18 .a\n111 i I _ . .\na. > aj O ai < K E O\no> o eg\ntfl c\nCJ g H\nQJ 3 QJ\nQa.5\nft) T\nrt\nOJ c\n.a c\n-J<\ncfl co d\nU W 5\n\u00C2\u00AB QQ ft)\nrt a x>\nQQ< CREASE CLINIC AND PROVINCIAL MENTAL HOSPITAL\nQ 151\nX\nPJ\nco\nQ\nz\n<\nX\nH\n<\nBJ\nP\nBh\no\nBJ\nCO\np\n<\nu\n>h\"\n<\nH\nCO\nBh\nO\nx\nH\no\nz\nBJ\nI\u00E2\u0080\u0094I VO\n>h in\npp ON\nBJ\n\u00E2\u0096\u00BAJ\n<\nQ\nz\nO\ncn\nco\nm\ni-f\n<\nH\nPh\nCO\nO\nX\nZ H\u00E2\u0080\u0094I\nw 1\n** 2\nCJ\nz\nI\nPh\nO\nz\nM\np$\nPi\nD\nU\nCJ\nO\nco\nX\nH\n<\nBJ\nQ\nt~H\nCN\nBJ\n-J\n03\n<\n\u00E2\u0096\u00A0d\u00E2\u0080\u009E\nOrHmCSrHcnOrHt-TtcnTtr\n-csvooveScsrHcs\u00C2\u00BB-H\u00C2\u00ABnvo\nvo\nrH rH CS\ncSH\ncn 1 00 CS 1 TH \D r\nBh\nrt\no\nH\nr- rH tn 1 rH CS Tt\nHH\ni\nj CS j\nl>\n(O Ih\ntH CJ\nd >\nPP\nj ; Tt h ; | rn\n|j|lnHj|H[||Hj|||\nTt\n\u00C2\u00A30\nsi\n2\nm rH CS 1 rH j j\n1 [^^ i i j i1-1 iCS 1 IrHrHrH\n00\n-is\nBh\n- |\u00C2\u00AB | | \.m\n|H||H|||H|||\u00C2\u00AB|H)\n00\n\u00C2\u00A3 d ft)\n\u00C2\u00A3d>H\nr~-\nx>h\n2\n- ft) co\n*\u00C2\u00B0 tt\npp\ni |-\u00C2\u00AB i i I\n m j j j | ; , 1\ncn\nI- o rt\nft) tt OJ\nOtt1*\n2\nI M I I M\nI I M I !!!!\"!!!! !\nTt\n.O\nIh\n^\u00E2\u0080\u00A2d tt\nB,\n*H 1\nj HH j j H\ncn\n2\nmm j | | M .\nCO\n_. ft) Cfl\n\"d tt\nIh C rt\nft) tt CJ\n> p>-\nO 3\nPh\ni i i j rH i\n0\nJ=\nM\ns\nft)\n2\n\"ill!!!\n1 IrnfT) jrH | m | 1 IrH j 1 1\nO\nr-l\nco\nH-5\nV a\n-1\nPh\nII II II 1 1 M i i II II\nrH\n2\nCS\ni\u00C2\u00BB\nPJ\nj IH j j II\n! fS I H j j II j jj j ! II H H\nvo\n42\n2\n! ! M i I I I- I I i 1 I I !\nr\u00C2\u00BB\nv.\npp\n1 1 1 1 1 I*--1 1 I* 1 1 l~ 1 1 1 1 1 1 1 1\nr-\nCCI-g\nHO\n2\n2\n| | h | cs cn\nH 'Tt M M 'H 1 | I M |\ncs\n^ i\n\u00E2\u0080\u00A2o o\nBh'\ni-h | | i i : cn\n;rHCS!:jvH]||MMrH\nOv\n&\n2\nrH rH | | | m\nj Cn : j rH Cvt 04 j j j j j j rH\nTt\n\u00C2\u00AB\nc\nF\nOJ\nft)\nT\nrt\ncj\nJh\"\nO\nd\n.2\nDO\nrt\ns\n\"rt\nd\n1\ncr\n01\n>\nIf\n5\n0\n>\nl-H\nOJ\nE\nOJ\nIf\n>\nz\np\nrt\nCJ\nco\nT\nrt\ncj cj\n?J 8\nE\nE\nft)\nco\n>.\nco\nIh\nO\nOJ\nd\nE\n2 E\n\u00C2\u00A7J\nCl\nE\nrt\nIh\na\na)\no\nd\ns s\ntt \u00C2\u00AB\nc u\nft) .2\ngenerate\nheart-di\nout ment\n>\n>\nc\nIh\n&\nco _\nCJ *\nU n\n1\nd\nc\na\noj\nl-H\nCJ\nCfl\n>\nCfl\n>\nIh\nrt\nQJ OJ\nIh X\no o\nOB _c/\n'Jo \"(O\n45 \u00C2\u00BB\no 5\n2 \u00C2\u00AB\nc n\nz\na.\n\u00C2\u00A3\ncfl\na,\n5\n0\nta\nd\n_o\n'co cr\ncj ts\nases of c\n: heart-d\nerotic de\nion with\nion with\nases of t\nf circula\n23 0\n\u00E2\u0080\u00A2g tfl\n1) tg\nrt <*h\na\nobstruct\nf the pai\nf the uri\nco\nrt\nO\n0\nCJ\nV-\n4)\nX)\n3\nH\n3\nu\np-\ncj\n,2\nd\nH\ne\nCQ\nE\n^C\n0\n2\nO\nOJ\nC\nu,\nOJ\nX\n0\n.SC\n'5\no\n4.\nCJ\n>\nl-H\nc,\nd\na\nK\n>\nrt\nr=\nD\nCJ\nCJ\nC\na\n\u00E2\u0096\u00A0f\nX\nl-H\nft)\n\u00E2\u0096\u00A0s\n0\nOJ\n4:\nCJ\n.2\na.\n<\nC\nft\nt\nOJ\n5\n>\nX\nc\na.\nOJ\na\n>\nX\n(H\na\nX\n0\nCJ\noj\nc/\n\u00C2\u00A3\nE\nO\nE\n3\n8,\nE\ns\nft)\nc\n\u00E2\u0096\u00A0d\nIh\noj\nX\n0\n09\nCJ\nta\na\n rt\ntHttHl\nu o\nE Lfl\na\nts\nV\nIh\nU\na\no\nct\na\nu\nQ\nIh\n\nSI'S\nsis\nOJ \u00C2\u00A3 0J\nHUH\nohcsj a,\nHH-O 3\nSow\na> atj-ti\n^> *- ?1\nVh fl 4J\nPi L>w\nYear\nu\n>\no\nto\nPh.\nX)\nu\n>\no\nIh\n&\nB\nu\n>\no\na\nB\nB\nD\n\u00C2\u00ABJS rt\ni-?\u00C2\u00BB-*o\n\u00C2\u00A3s\u00C2\u00A7\n1954-55\t\n57\n4\n11\n22\n1,208\n19\n1,263\n7.02\n26.32\n1.74\n1955-56...\t\n52\n4\n18\n20\n1,227\n19\n1,278\n7.69\n42.31\n1.56\nTable 3. \u00E2\u0080\u0094 First Admissions to The Woodlands School by Health Unit and\nSchool District of Residence and Sex, April 1st, 1955, to March 3 1st, 1956\nHealth Unit\nMale\nFemale\nTotal\nHealth Unit\nMale\nFemale\nTotal\nEast Kootenay, Cranbrook\u00E2\u0080\u0094\nSchool District No. 4. .\t\n1\n1\n1\n1\n1\n1\n9\n3\n2\n1\n1\n2\n1\n1\n8\nI\n1\n1\n1\n1\n2\n1\n1\n1\n1\n17\n3\n3\n1\n1\nNorth Fraser Valley, Mission\u00E2\u0080\u0094\nSchool District No. 42\t\n\u00E2\u0080\u009E 75\t\nUpper Island, Courtenay\u00E2\u0080\u0094\nSchool District No. 71\t\n2\n1\n1\n1\n1\n2\n2\n3\n1\n1\n1\n2\nWest Kootenay, Trail\u00E2\u0080\u0094\nSchool District No. 12\n1\n1\nSchool District No. 20\nSkeena, Prince Rupert\u00E2\u0080\u0094\nSchool District No. 53 \t\nPeace River, Dawson Creek\u00E2\u0080\u0094\u00E2\u0096\u00A0\nSchool District No. 59\t\n\u00E2\u0080\u009E 22\t\nCariboo, Prince George\u00E2\u0080\u0094\nSchool District No. 27\t\n1\n1\n\u00E2\u0080\u009E 57\t\nVictoria-Esquimalt Union Board\nof Health-\nSchool District No. 61 (part1 ).-\nCentral Vancouver Island, Nanaimo\u00E2\u0080\u0094\nSchool District No. 68. \t\n\u00E2\u0080\u009E 70\t\nUpper Fraser Valley, Chilliwack\u00E2\u0080\u0094\nSchool District No. 33\t\nBoundary, Cloverdale\u00E2\u0080\u0094\nSchool District No. 35\n2\n\u00E2\u0080\u009E 36 \t\nMetropolitan Health Committee,\nVancouver\u00E2\u0080\u0094\nSchool District No. 39\t\n2\n3\nSchool districts not covered by\nhealth units\u00E2\u0080\u0094\nSchool District No. 80\t\n\u00E2\u0080\u009E 41\n1\n\u00E2\u0080\u009E 44.\t\n2\nSimon Fraser, New Westminster\u00E2\u0080\u0094\nTotals\t\n37\n14\n51\n\u00E2\u0080\u009E 43\t\nIncludes Victoria and Esquimalt only.\n- THE WOODLANDS SCHOOL\nQ 171\nTable 4.\u00E2\u0080\u0094First Admissions to The Woodlands School by Mental Diagnosis,\nAge-group, and Sex, April 1st, 1955, to March 31st, 1956\nAge-group (Years)\nMental Diagnosis\nUnder\n1\n1-3\n4-6\n7-9\n10-141\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\u00E2\u0080\u0094\n2\n1\n1\n1\n2\n1\n2\n1\n4\n1\n1\n2\n1\n2\n2\n2\n4\n1\n1\n2\n2\n1\n1\n1\n2\n1\n1\n1\n1\n1\n1\n---\n3\n12\n11\n6\n2\n2\n1\n1\n7\n2\n2\n2\n4\nImbecility\t\n2\n1\n19\n13\nBorder-line intelligence\t\nMongolism \t\nMental deficiency with epilepsy\nOther and unspecified types\t\n6\n\t\n-\n4\n4\n1\nTotals\t\n3\n4\n8\n8\n7\n5\n\t\n5\nH 1\n1\n1\n2\n_| 1\n1\n5\n37\n14\n51\n1 Excludes one readmission.\nThe fifty-one cases shown as first admissions to Woodlands were one urgency and fifty by certification under the\n\" Mental Defectives Act.'' The marital status of all fifty-one was single.\nTable 5.\u00E2\u0080\u0094First Admissions to The Woodlands School by Years of Schooling,\nMental Diagnosis, and Sex, April 1st, 1955, to March 31st, 1956\nTable 6.\u00E2\u0080\u0094First Admissions to The Woodlands School by Citizenship, Age-\ngroup, and Sex, April 1st, 1955, to March 3 1st, 1956\nTable 7.\u00E2\u0080\u0094First Admissions to The Woodlands School by Religion and Sex,\nApril 1st, 1955, to March 31st, 1956\nTable 8.\u00E2\u0080\u0094First Admissions to The Woodlands School by Previous Occupation\nand Sex, April 1st, 1955, to March 31st, 1956\nDetailed information for the above tables may be obtained upon request.\nTable 9.\u00E2\u0080\u0094Live Discharges from The Woodlands School by Mental Diagnosis,\nCondition on Discharge, and Sex, April 1st, 1955, to March 31st, 1956\nCondition on Discharge\nTotal\nMental Diagnosis\nImproved\nUnimproved\nGrand\nTotal\nM.\nF.\nM.\nF.\nM.\nF.\nMental deficiency\u00E2\u0080\u0094\n2\n1\n1\n1\n3\n3\n1\n2\n4\n1\n1\n1\n1\n1\n3\n3\n3\n2\n4\n2\n1\n1\n1\n1\n5\n4\nTotals \t\n2\n2\n10\n8\n12\n10\n22 Q 172\nMENTAL HEALTH SERVICES REPORT, 1955-56\nA\n0\no\nA\nO\nw\no\n<\n1/1\nC/l\no\nz\nO\n\u00E2\u0080\u00A2\nIf\nC/l\n,.\na\nH\nz\nCO\n<\u00E2\u0096\u00A0\n-j\nCl\na\no\no\nE\nU\nK\n<\nw\n2\nH\no\nH\nz\nin\na\nOn\nz\n^H\n2\nr.\nK\nH\np\ni/;\nu\nu\n-J\no\n\u00C2\u00AB\n00\nft.\n<\nH\n^\n<\nX\nBJ\nw\nQ\n\nw\nH-l\nA\n<\n\u00E2\u0096\u00A0a \u00E2\u0080\u0094\nsi\nSo\nOH\n\u00C2\u00ABo\tf|ir\n>-\nH\nr\nr- O r-t CN\nO\nCN\n,2\no\nH\nPh\njlrttSHHH\nO\nmm l i-h\nf-\ns\ni-i Tj- m Tt\ni i\nCN\nVj-hHrt\n2\nC/J\nrt\nb\na\n3\nO\nIh\n60\ni>\nBJ)\n<\npel\n1 r-l | | 1 1\n! ! I 1 1\n*\n[**\u00C2\u00AB I |\n\u00C2\u00AB\ns\n1 1^ j 1 1\n~\nr 1\n-\nOs\nm\nA\nBh\n1 CN mm I : j\nC)\niiii\niiii\n!\ns\n|H j | | |\n~\nMM\nOv\nCN\nO\nCN\nPh'\n1 \~~ iw\neo\nMM\nS\n! cn mm CA 1 1\nvO\n1 rn mm |\n;\nTf\nOV\nPh\nr.i 111\n-\nS\n1 I\"\" 1 I\nfN\ni-i | i |\nm\nTf\no\nPh'\niiii 1\nH\n1\"* II\nm\nS\nI 1 1\" I 1\n~\nIth i i\n~\nOv\n1\nl>\nPh'\n1 1 1 1 1 1\n1\ni\n\u00C2\u00A3\nllllli\ni i i i i i\n!\n4\nA\n1 MM\nH\ni ! 1\n-\nS\n*\"\"\" 1 !\nCN\n1\nPh'\ni i i i M\n|\ncn : ih\n1 I\n**\nS\nmm 1 ! ! ! I\n1 1 1 1 1\n1 1 1 1 1\n-\nCN rH 1 rH\n\u00E2\u0080\u00A2=t\nc\np\nft\n|| 1 | | |\n2\nj j j { | |\nC/>\no\nc\n00\nrt\ns\na\nu\ns\nbo\nh\ntn\n<3\n\u00C2\u00A3\nu\nO\n\u00E2\u0080\u00A2a c\n32\nd\nu\n2\n>\nCJ\n|\ni\n2\na\no\nC\ni\nt\n\"a\n.1\ne\nh\nu\nt.\nv-\nc\npq\n>\n|\nc\n6\nc\nc\ns\ns\n'a,\nW\ncr\nC\nf-\nQ\n1\n>v\nCJ\n3\nu\n'u\ncn >\nU o\n\u00E2\u0096\u00A0o c\na\nu\ns\n>\n|\n1\nc\n2\n\u00E2\u0080\u00A2a\nQJ\neg\nu\nd\nCO\nC\n3\n\u00E2\u0080\u00A2a\nd\n3\ni-\nJ\n5\nc\nH THE WOODLANDS SCHOOL\nQ 173\nBh\nO\nE\nH\nO\nz\nUJ\nhJ\ncn\nO\nZ\no\n<\nH\nZ\nPJ\nhJ mO\nO ON\nO ^H\nE \u00E2\u0080\u009E\ny h\nt/3 CO\nD ^\nZ\n<\n-J\nQ\nO\no\nPJ\nE\nH\n->- CJN\nA \"-1\nE w\nBJ\nP\no\nz\n<\n<\n2 cc\no\nA\nPh\nCO\nPJ\nO\nPS\n<\nE\nU\nco\nPJ\n>\nCO\n<\nSo\nOH\n-\nOS\nin\nm\n-\n-\nCN\nr> o\n-\nCN\no\nCN\n'cS\nO\nH\nal\n1 in CA mm mm mm\nO\nco cn ! -H\nC-\n2\nH^fnt I 1\nCN\nHt r- -h -h\nm\nrt\n\u00C2\u00ABtH\no\n\u00E2\u0080\u00A2d\nCO\nd\no\nhJ\nrt >\no d\nmm W\nPh'\ni*\"\"\"1 i i |\nri\n2\nITT rH^H j j\nVC\nHHHHHH I\ncn\nvn-S\"\ny*g rt\n\u00C2\u00AB C tu\nO 5o\nhO\"\nPh'\nm r r\ntN\ni i i\n-\n2\niiiiii\n! cn : !\ncn\nh. a cd\n&\n| ,~l r1 i i i\n! lit\nr)\n1 tS j |\nCN\n2\nIIIIII\n|\u00C2\u00AB j |\n\u00C2\u00AB\nJO\nPh\n1 j 1 i rH !\n*\n\"Ml\n^\n2\n| | CN CN | |\n^t\nCS- 1 j\ncn\n|H\n. CJ cn\n\"0 \u00C2\u00A3\nIh C \u00E2\u0084\u00A2\ncj feu\n> 3>H\nPh'\n| CN ! | | |\nCA\nHH | j HH\nCN\n2\n|! | |\nCN\nmm | |\nCN\n^J3\n38\n\u00C2\u00B0\u00C2\u00B02\nBh\nMM!\nI\nIiii\n2\nMINI\nco\n\u00E2\u0096\u00A0d\nJM\n4 o\n2\nPh'\ni iiii\n\"\n\"ill\n^\n2\n:!:!!:\n|\nIIII\nhS\nCH) H\nA%\n2\nPh\nM M M\n!iii\n2\niiiiii\n\"J3\nPh'\n2\n| \ \m\n*\nIfl\n'Tf\nO\nC\na\nrt\nP\nrt\nu\n2\ntfi\nv\>\nbe\nk\na\n\u00C2\u00BB\u00C2\u00AB:\nVJ\n5\nM\na\naj\n'3\nCH >\n2 \u00E2\u0096\u00A0-\na\nu\n2\n>\n|\n1\n2\nCJ\nu\nc\n1\nc\nc\nOJ\ni\n)\n1\nC\ng\nc\ns2\ntn\nQ\n1\no\n\u00C2\u00A7\n\"u\nw >\n.\u00C2\u00A3\n'rt J\nd\na\n2\n>\na\n|\ns\ni\nc\n2\nX\nu\ncc\n'5\nu\na\ncy>\nC\n\u00E2\u0096\u00A0a\nd\nrt\nsi\n0\nC\nE- Q 174\nMENTAL HEALTH SERVICES REPORT, 1955-56\nX\nPJ\ntfl\na\nz\n<\nA\nD\nO\nA\nO\ni\nw\no\n<\nX\nH\n\nA\nCO\n-J\nn\nE\no\nE\nU\n00\nu\nA\n<\nCO\nQ\nZ\nO\n<\n-J\nQ\nO\no\nl/\"l\nON\n\u00C2\u00A3\nc-\nCO\ncu\nT\u00E2\u0080\u00941\nE\n, 1\nH\nA\nr\nCU\n<\n0\nz\n3\nOS\nD\nU\nu\no\nCO\nE\nh-\n<\nBJ\nQ\nCN\nW\n-J\nCQ\n<\n\u00E2\u0080\u00A2a\u00E2\u0080\u0094\nOH\nX\no\nCN\n*rt\nO\nH\nPh\nI t rH 1 I j | rH j 1 m\nt~~\n2\ncn\nrt\nu\na\n3\nO\nH\nT\n1>\noo\n<;\n\u00E2\u0096\u00A0\u00C2\u00A7H.\nPh\n1 | | ij i | i I Ith\ny\n2\nPh'\n1 | 1 | j 1 j 1 J i\n-\nOv\nrn\ncn\ni I i | ; | i | i | |\n2\nII II 1 M 1 1 II\nOv\nCN\no\nCN\nPh\n2\niiii iii\nt\nOv\n7\nPh\n2\n1 | M i 1 11 1 P\n-\nTt\ns\nPh\n! i~ i i i i i i i i\n~\n2\n1 i | IP | j | ||\n-\nPh\n| | i i 1 I i i ; i |\n2\nVO\n4\nPh\nj j j [ j J { | |\n-\n2\n1 1 i M III\n(N\ncn\n1\nPh\n1 1 | 1 | I | ft | 1 to\nM II II 1 I i\n-*\n2\n| | mm mm j j j j mm j rH\n^~\nd\nPh\n2\nj | 1 j j 1 j j j j j\nrt\na>\nQ\no\nu\n3\nC3\nu\nE\nBe\nc\na\nV\n\"5\n1\n>\nCJ\nz\nCJ\n\u00E2\u0080\u00A2\u00E2\u0080\u00A23\ncn\n01\n-\ni\n>\nr\ne\nt\n\u00C2\u00AB\n-\n01\ns\n?\nl_\nc\nE\n3\nX\n1\nc\nc\n\u00C2\u00A7\nc\nLL\nV\n4\nX\nL\na\ng\nX\nC-\n|\n-X\nPE\n!\ni\n0.\n1\nc\na,\n1\n>\np.\n,0\nI\nc\n0\nrt\nE\nO\nrt\ns\n1\n'2\ncD\nCij\nc\no\n0\nc/\n0\nc\nf- THE WOODLANDS SCHOOL\nQ 175\nx\nBJ\nIf\nQ\nZ\n<\n<\nt-\nCfl\nBh\no\nE\nH\nO\nz\nBJ\n-J\n33\"\nH\n<\nBJ\nQ\np-\nO\n*mO\nco\nON\n^\u00C2\u00A3\n\u00C2\u00AB\n-J\nO\no\nE\nu\nIfl\nco\nQ\nZ\n<\n-J\n0\no\no\no\nz\n5\nO\nu\nO\nCO\nI\nH\n<\nBJ\nQ\nBJ\n-J\nA\n<\ni_ O\nOH\n00\n0\nCN\n\"rt\nO\nH\nBh\ni M 1 II 1\n*\" 1\nm\nr-\n2\ncn\nrt\n0\nxi\noo\nd\nu\n-J\nS3S\nco >\noj0\n0 c\n-H rt\nPh'\ncn\n2\n1 i II 1 1\" 1\n-'-\nfe = S\nO 30\nhO \u00E2\u0080\u0094\nPh'\n1 M I M\nj j\n-\n2\nHH | | JHHHH\ncn\n CJ cfl\n\u00C2\u00ABj S \u00C2\u00ABj\nOSvn\nhO\nPh\"\n| CN\nCN\n2\n|- | | I |\n-\n... OJ cfl\n\u00E2\u0096\u00A0\u00C2\u00B0 S\nu \u00C2\u00A7 0)\nPh\nii l l\n1 1 1\"\n~\n2\nl l l\" 1 l\nH\niw\ncn\n_^ CD tfl\nIh r- rt\nPh'\n-\n|-\nCN\n2\n1 |H 1 1 1\n1-\nCN\n,_, x:\n3|\nPh'\ni i\n2\nis\nPh'\n\~\n-\n2\nta\nsi\nm **\nJ.\u00C2\u00A7\n2\nPh\nill;!:\n2\n7J.c\n|I\nft\n1\n2\n1\" 1 i\n-\nrt\nU\na\n0\n01\ncfl\n3\ncS\n0\nCt\n1\n&\nc.\nC\nQJ\nCO\nlfl\n>\nB\nc\nft.\n>\nu\nB\n01\n0\nIB\n01\n\u00E2\u0096\u00A0a\nc\n2\ncr\n>\nu\nR\nU\n8\nC\nif\nP\nB-\n\u00C2\u00A3\n1\nO\n1\nc\nE\n1\n.G\nu\n\nc\nI\n'c\nu.\n0.\nIf\na\nCL\n0\nr\nq\nX\n_c\ne\n\u00C2\u00A3\n0\n-c\na:\nI\n1\n*c\na\nc\nc\n1\n>\nCL\n1.0\nS\nC\nB\n0\nrt\n\u00C2\u00A3\n0\n~ci\n\u00C2\u00A3\n'5\nCD\nbu\nC\n0\n0\nif\nr\nC\nh Q 176 MENTAL HEALTH SERVICES REPORT, 1955-56\nPART IV.\u00E2\u0080\u0094PROVINCIAL MENTAL HOME, COLQUITZ\nMEDICAL SUPERINTENDENT'S REPORT\nL. G. C. d'Easum, Medical Superintendent\nIt is with sincere regret that the death of Dr. George Hall is reported. He died in\nSeptember, 1955, after an illness of short duration. Dr. Hall had been the visiting\nphysician here since 1919. He always took a keen interest in all the activities of the\ninstitutions, was highly respected by all, and his loss is deeply felt.\nThe vacancy created by the death of Dr. Hall has been filled by the appointment of\nDr. S. S. Avren as visiting physician. Dr. William Dempsey continues to care for the\ndental needs of the patients.\nOur patient population on April 1st, 1955, was 288, and at the end of the year it was\n281. During the year fourteen patients were transferred to this institution from the Provincial Mental Hospital, Essondale, and eleven patients were transferred from this institution to Essondale. Eight of these eleven patients were transferred to the North Lawn\nBuilding to be treated for pulmonary tuberculosis. The other three were cases requiring\nsurgery. Two patients were discharged.\nThere were eight patient deaths during the year. All the patients were elderly and\nthe commonest cause of death was circulatory failure.\nThroughout the year the physical health of the patients has been on the whole satisfactory. We had an epidemic of influenza in March, 1956, when a great number of the\npatients were affected, and also several members of the staff. We have a number of\nelderly patients whose health in naturally retrogressing with the passing of years. Forty\nof our patients are now in receipt of Old Age Security pension.\nThe Victoria Chest Clinic has been most co-operative throughout the year, and the\nmobile unit of the Division of Tuberculosis Control visited the institution three times.\nA few new cases of pulmonary tuberculosis were reported and, as mentioned above, have\nbeen sent to Essondale for treatment.\nDuring the year it was necessary to hospitalize six patients in St. Joseph's Hospital\nfor emergency surgery. In some instances the stay in hospital was lengthy, and this\nnecessitated detailing staff to special duty for a total of 202 eight-hour shifts.\nThe occupational-therapy facilities, as always, were used to the limit. The conversion work mentioned in last year's report has now been completed, and we have facilities\nfor occupational therapy in the basement floor of the building. We now await the\narrival of an instructor. A great deal of industrial therapy was done throughout the year\nby patients under the supervision of the Maintenance Department.\nAlong with the usual activities of the patients granted grounds privileges and those\nassisting in the various departments, a full programme of recreation, which included\nbingo, cards, and table games, and concerts sponsored by interested groups and service\nclubs, was well received by those able to attend. Formerly we had two moving-picture\nshows a week, but the Wednesday night show has been discontinued because of the\npatients' preference to watch boxing on television. The recreation court continues to\nprove a great asset and, weather permitting, patients are outdoors both afternoon and\nevening.\nThe annual tour of Greater Victoria on May 24th, when as many as thirty-three\npatients are taken, proves to be a very popular event.\nThe spiritual needs of the patients were cared for by the Salvation Army, Church of\nEngland, and the Roman Catholic Church.\nJ PROVINCIAL MENTAL HOME\nQ 177\nThe percentage of psychiatric aides to the total nursing staff remains practically the\nsame as last year; that is, 33 per cent.\nIn conclusion, I would like to express my appreciation for assistance and support\nduring the year, and to the members of the staff who have visited this institution in a\nconsulting capacity. I would also like to take this opportunity to compliment the staff\nof this institution on their efficiency and co-operation during the year.\nDENTAL DEPARTMENT\nW. G. Dempsey, Dentist\nThe following dental work was performed this year:\u00E2\u0080\u0094\nExaminations and consultations \t\nExtractions\t\nRestorations \t\nProphylaxis \t\nDenture adjustment\t\nDenture repairs\t\nDenture relines\t\nDentures \t\n 119\n 146\n 35\n 9\n 14\n 5\n 1\n 6\nImpressions taken 6\nBites for dentures taken 6\nTry-in of dentures 6\nInsertion of dentures 6\nIntra-muscular penicillin 12,000,000 units\nMembers of the staff, as they have become more experienced in dental service, have\nserved very well during the year.\nDEPARTMENT OF NURSING SERVICE\nP. T. McLeod, Chief Psychiatric Nurse\nDuring the year five members of the nursing staff (permanent appointments) left\nthe service for the following reasons: Superannuation,!; health reasons, 2; resigned to\naccept other employment, 2.\nWith the position of instructor being abolished in November, 1955, the established\npositions in the Nursing Service were reduced to fifty-eight, with one casual employee\nengaged for approximately five months in the summer for holiday relief purposes.\nBesides regular ward duties, staff members escorted groups of patients to the Vancouver Island Chest Clinic, Victoria, and others for eye examinations and emergency\ndental treatment to the respective doctors' offices in Victoria.\nDuties in the recreation field formerly attended to by the instructor are being taken\ncare of by members of the Nursing Service.\nInstruction in the operation of the motion-picture projector has been given to several\nmembers of the staff.\nThe three-station selective radio installed in March, 1956, with speakers on the\nwards and in the recreation court and outside buildings of the various departments, is\na vast improvement over the one replaced. Q 178 MENTAL HEALTH SERVICES REPORT, 1955-56\nThe Red Cross Society and returned soldiers' organizations, together with the\nwomen's auxiliaries, supplied comforts monthly to the ex-service patients.\nThe library, the books of which were changed three times during the year, provided\nadequate reading material for the use of those interested.\nMembers of the Nursing Service are to be commended for the manner in which they\nperformed their duties. The co-operation between the other departments and that of the\nNursing Service was excellent and greatly appreciated.\nOCCUPATIONAL THERAPY DEPARTMENT\nH. Helander,Instructor\nIn the handicrafts section of the shop, cabinetwork, leathercraft, art metalwork,\nwood-carving, and copper-foil work were done and taught to patients. The art of\nceramics was introduced during the past year and should prove popular with patients.\nA kiln has been ordered, and a potter's wheel is in the process of being made in the shop.\nAn exhibit of articles made in the Occupational Therapy Department was set up at\nthe exhibition held in the curling-rink in May. It attracted considerable attention, and\nmany favourable comments were expressed.\nDuring the year, maintenance of all buildings was done by our Department, with\nthe exception of major plumbing and electrical work. One hundred and fifty feet of\nconcrete steam-pipe duct was put in, this entailing formwork and pouring of concrete,\ncomplete with lids.\nThe new stores were completed with shelving, cupboards, and office. In the old\nstores, several brick partitions and a concrete stairway were removed, old whitewash was\nchipped off, and all of it given two coats of paint. A toilet, wash-basin, and sink, plus new\nlighting, were installed by the Public Works Department. This part of the building\nshould now prove satisfactory as a tailor-shop and a new occupational-therapy shop\ninside the main building.\nThe circle around the fountain was cut down in diameter by 12 feet and new concrete curbing put in; part of the main roadway was widened and new curbing installed.\nThe roadway from the sides of the main building to the front gate was black-topped by\ncontract.\nThe totem-pole at the front of the building was dug up, repainted in our shop, a\nconcrete base poured, and the pole erected again.\nConsiderable painting was done by the paint crew during the year. The centre\ndormitory was redecorated, as well as smaller areas, such as halls, washrooms, and\ndining-rooms. The exteriors of the smaller buildings at the back of the main building\nwere all painted.\nIn November we made small alterations to the sewage-disposal unit, and when it\nwent into operation on December 6th, we took over the operating, which includes making\ntests, keeping it clean, and checking the machinery.\nQuite a number of toys were made during the year, and these were taken to the\nSalvation Army before Christmas to be given to needy families.\nBuilding and repair of furniture and repairs to beds have been attended to as needed.\nChecks were made regularly to prevent fire-hazards, fire-fighting equipment kept in\ngood shape, and any suggestions made by the Saanich Fire Chief corrected. Thread on\nall 2Vi-inch hose and hydrants was changed to conform to the standard required. PROVINCIAL MENTAL HOME\nSTATISTICAL TABLES\nTable 1.\u00E2\u0080\u0094Movement of Population, Provincial Mental\nHome, Colquitz, April 1st, 1955, to March 31st, 1956\nNumber1\nIn residence, April 1st, 1955 . 288\nOn probation, carried forward from 1954\u00E2\u0080\u009455 4\nOn escape, carried forward from 1954-55 1\nTotal as at April 1st, 1955 293\nAdmissions\u00E2\u0080\u0094Transfers 14\nTotal under care 307\nSeparations\u00E2\u0080\u0094\nDischarged in full 14\nDied 8\nOn probation and still out 3\nEscaped but not discharged 1\nTotal separations 26\nNet increase or decrease \u00E2\u0080\u00947\nIn residence, March 31st, 1956 281\nThis institution cares for male patients only.\nQ 179\nTable 2.\u00E2\u0080\u0094Transfers to the Provincial Mental Home, Colquitz, by Health Unit\nand School District of Residence, April 1st, 1955, to March 31st, 1956\nHealth Unit\nWest Kootenay, Trail\u00E2\u0080\u0094\nSchool District No. 12. \t\nNumber\n... 1\nHealth Unit\nSaanich and South Vancouver Island\u00E2\u0080\u0094\nSchool District No. 61 (part1) \t\nNumber\n. 2\nCariboo, Prince George\u00E2\u0080\u0094\nSchool District No. 27\t\n1\n1\n1\n2\n1\n. 1\nCentral Vancouver Island, Nanaimo\u00E2\u0080\u0094\nSchool District No. 65\t\n 2\n\u00E2\u0080\u009E 57\t\n\u00E2\u0080\u009E 68...\t\n 1\nMetropolitan Health Committee, Vancouver\u00E2\u0080\u0094\nSchool District No. 39 \t\n 41 , \u00E2\u0080\u009E \t\nSchool districts not covered by health units\u00E2\u0080\u0094\nSchool District No. 61 (part5). \t\nTotal\t\n1\n 14\nSchool District No. 40 \t\n\u00E2\u0080\u009E 43 \t\n1 Excludes Victoria, Esquimalt, and Oak Bay.\n2 Includes Oak Bay only. Q 180\nMENTAL HEALTH SERVICES REPORT, 1955-56\nTable 3.\u00E2\u0080\u0094Transfers to the Provincial Mental Home, Colquitz, by Mental\nDiagnosis and Age-group, April 1st, 1955, to March 31st, 1956\nMental Diagnosis\nAge-group (Years)\nTotal\n0-24\n25-29\n1\n30-34 1 35-39\n1\n1 1\n40-44 1 45-49 I 50-54\n1 1\n55-59\n60-64\n65-69\n70 and\nOver\nSchizophrenic disorders\u00E2\u0080\u0094\u00E2\u0096\u00A0\n2\n1\n1\n1\n1\n1\n1\n1\n\u00E2\u0080\u0094\n1\n2\n1\n-\n1\n....\n3\n1\n2\nOther and unspecified\t\nPathological personality\u00E2\u0080\u0094\nParanoid personality\t\nEpilepsy \t\nTotals...\t\n2\n5\n1\n1\n\u00E2\u0080\u0094\n1\n3 I --\n....\n1\n....\n14\nTable 4.\u00E2\u0080\u0094Transfers to the Provincial Mental Home, Colquitz, by Mental\nDiagnosis and Marital Status, April 1st, 1955, to March 31st, 1956\nMental Diagnosis\nMarital Status\nSingle\nMarried\nSeparated\nTotal\nSchizophrenic disorders...\nPathological personality-\nEpilepsy...\nSyphilis and its sequelae-\nTotals\t\n10\n14\nTable 5.\u00E2\u0080\u0094Transfers to the Provincial Mental Home, Colquitz, by Years of\nSchooling and Mental Diagnosis, April 1st, 1955, to March 31st, 1956\nTable 6.\u00E2\u0080\u0094Transfers to the Provincial Mental Home, Colquitz, by Citizenship\nand Age-group, April 1st, 1955, to March 31st, 1956\nTable 7.\u00E2\u0080\u0094Transfers to the Provincial Mental Home, Colquitz, by Religion,\nApril 1st, 1955, to March 31st, 1956\nTable 8.\u00E2\u0080\u0094Transfers to the Provincial Mental Home, Colquitz, by Previous\nOccupation, April 1st, 1955, to March 31st, 1956\nDetailed information for the above tables may be obtained on request. PROVINCIAL MENTAL HOME\nQ 181\nTable 9.\u00E2\u0080\u0094Live Discharges from the Provincial Mental Home, Colquitz, by\nMental Diagnosis and Condition on Discharge, April 1st, 1955, to March\n31st, 1956.\nCondition on Discharge\nMental Diagnosis\nRecovered\nMuch\nImproved\nImproved\nUnimproved\nTotal\nSchizophrenic disorders\t\n1\n1\n1\n10\n1\n11\n1\nPsychosis with psychopathic personality\t\n2\nTotals ... . \t\n1\n1\n1 1 11\n14\nTable 10.\u00E2\u0080\u0094Live Discharges from and Deaths Occurring in the Provincial\nMental Home, Colquitz, by Mental Diagnosis and Age-group, April 1st,\n1955, to March 31st, 1956.\nAge-group (Years)\n0-24\n25-34\n35-44\n45-54\n55-64\n65-69\n70 and\nOver\nLive Discharges\nSchizophrenic disorders\u00E2\u0080\u0094\nSimple type\t\n1\n1\n1\n2\n4\n1\n-\n1\n2\n1\n1\n2\ng\nPsychosis\u00E2\u0080\u0094Secondary or due to accidents or violence \t\n1\n2\nTotals \t\n1\n1\n7 | 1\n-\n1\n3\n14\nDeaths\n5\n3\nS\nTotals\t\n....\n. 1 ....\n5\n3\ng\nTable 11.\u00E2\u0080\u0094Live Discharges from and Deaths Occurring in the Provincial\nMental Home, Colquitz, by Mental Diagnosis and Length of Stay, April\n1st, 1955, to March 31st, 1956.\nLength of Stay\nMental Diagnosis\nOver 1\nbut under\n2 Years\nOver 2\nbut under\n3 Years\nOver 3\nbut under\n5 Years\nOver5\nbut under\n10 Years\n10 Years\nand Over\nTotal\nLive Discharges\n2\n1\n1\n2\n7\n1\n11\n1\nOther and unspecified psychoses.. .\n2\nTotals\n3\n1\n_..\n2\n8\n14\nDeaths\n1 1\n1\n6\ng\nTotals \t\n1\n1\n6\ng Q 182\nMENTAL HEALTH SERVICES REPORT, 1955-56\nTable 12.\u00E2\u0080\u0094Deaths Occurring in the Provincial Mental Home, Colquitz, by\nCause of Death and Age-group, April 1st, 1955, to March 31st, 1956\nCause of Death\nAge-group (Years)\nTotal\n0-34\n35^14\n45-54\n55-64\n65-69\n70 and\nOver\n....\n-\n....\n1\n3\n1\n1\n1\n1\n1\nVascular lesions affecting the central nervous\n1\nArteriosclerotic and degenerative heart-disease\nPneumonia \t\n4\n1\n1\nTotals \t\n.... | ....\n....\n5\n3\ng\nTable 13.\u00E2\u0080\u0094Deaths Occurring in the Provincial Mental Home, Colquitz, by\nCause of Death and Length of Stay, April 1st, 1955, to March 31st, 1956\nLength of Stay\nCause of Death\nOver 2\nbut under\n3 Years\nOver 3\nbut under\n5 Years\nOver 5\nbut under\n10 Years\n10 Years\nand Over\nTotal\n1\n....\n1\n1\n1\n3\n1\n1\nVascular lesions affecting the central nervous system.... \t\n1\n4\n1\n1\nTotals \t\n1\n1\n6\ng GERIATRIC DIVISION\nQ 183\nPART V.\u00E2\u0080\u0094GERIATRIC DIVISION\nREPORT OF MEDICAL SUPERINTENDENT\nB. F. Bryson, Medical Superintendent\nThere continues to be a constant demand for the admission of elderly mentally ill\npersons to this Division, and a demand with which the available facilities cannot cope.\nIn fact, there has been a slight increase in the number of applications received, there being\n340 during the past year, compared to 333 for the previous year. This represents an\naverage of twenty-eight applications a month. In the Terrace and Vernon areas the\nrequests for direct admission to these units has doubled during the year, with seventy-four\napplications received for Vernon, compared to thirty-six the previous year, and twelve for\nTerrace, against last year's six applications. In practically all cases it was possible to\naccept the applications for Vernon and Terrace immediately, except for those for women\nto the Vernon unit, where there is usually a waiting-list of three or four.\nThe greatest demands come from the Lower Mainland and Vancouver Island for\naccommodation at the Port Coquitlam unit. Of the 254 applications received from this\narea, it was possible to accept only 161, leaving a total of ninety-three to swell the\nexisting waiting-list. However, this represents a decrease compared to last year, when\n291 applications were received, of which 170 were admitted.\nThe ratio of requests for the admission of men compared to that for women remains\nfairly constant. Applications for men numbered 166; for women, 174.\nThere continues to be great difficulty in determining and comparing the degree of\nurgency of the many applications received, as all cases have definite need for the type of\ncare offered by the three Home for the Aged units. As the available accommodation is\ninsufficient to accommodate all who apply, there is, of necessity, a waiting-list of some\nproportion. However, as in previous years, many requests for admission have been very\nurgent and, after careful evaluation, have been accepted for admission on an emergency\nbasis immediately or very shortly after receipt of the application, even though others have\nbeen waiting longer. The policy has continued to be one of utilizing available beds to the\nbest advantage by accepting those cases which are felt to be most urgently in need of the\ntype of care offered by the Geriatric Division, keeping in mind the welfare of the patient,\nthe family concerned, and the community harbouring the problem. During the past year,\n143 applications were accepted on an emergency basis, representing 42 per cent of the\ntotal number of applications received.\nExperience shows the need for accommodation at the community level for a large\npercentage of elderly men and women suffering from senile mental changes who do not\nrequire the specialized care provided in the Homes for the Aged, but who need closer\nsupervision and direction than can be obtained in nursing homes or boarding homes.\nIn addition, the financial burden imposed on families who are able to obtain adequate\ncare in nursing homes for their aged becomes a secondary incentive to request admission\nto the Geriatric Division. A great deal of time is spent by the Medical Superintendent\nin interviewing families or answering inquiries by mail or telephone concerning prospective applicants.\nThe total number of patients in residence in the three units at the beginning and end\nof the fiscal year remained much the same, although there was a small increase of fifteen\nover the total in residence at the end of the previous fiscal year. As will be noted in the\nfollowing tables, there were 535 men and 524 women, a total of 1,059 patients, in\nresidence in the three units of the Geriatric Division as of March 31st, 1956, compared\nto a total of 1,044 in residence as of March 31st, 1955. Total separations of 257, Q 184 MENTAL HEALTH SERVICES REPORT, 1955-56\nincluding 242 deaths and fifteen discharges in full, represent an increase of twenty-two\nover total separations for the previous fiscal year. Discharges have remained the same\nin number, but the number of deaths has increased by twenty-two, again reflecting the\nincreased debility of the type of patient being accepted for care in this Division. A total\nof sixty-six patients were admitted directly to the Vernon unit from the community,\nincluding forty-four men and twenty-two women. To the Terrace unit, thirteen men\nwere admitted directly. As all patients coming to the Port Coquitlam unit are admitted\nfirst to the Provincial Mental Hospital, Essondale, the tables do not show the number\nadmitted from the community for care in this unit, but are reflected in the statistical\ntables of the Mental Hospital. Of the fifteen discharges from the Home for the Aged, all\ncases were returned to their families or to nursing-home situations provided by their\nfamilies. Every opportunity has been taken to encourage families in the rehabilitation of\ntheir relatives where the patient's improvement has been such as to warrant advising\ncare outside of hospital. It is felt that the services of a social worker assigned to this area\nwould be reflected in many more discharges to family or nursing-home care.\nDuring the year it was possible to arrange several group transfers of patients from\nEssondale and the Port Coquitlam unit to utilize empty beds at Vernon and especially the\nTerrace unit, where the number of direct admissions was small and insufficient to fill the\navailable beds. On June 7th, 1955, fourteen men were transferred to Terrace, including\nthirteen admitted from the Provincial Mental Hospital and one transfer from the Home\nfor the Aged, Port Coquitlam. On October 12th, 1955, eighteen patients were taken to\nthe same unit, including seventeen from the Provincial Mental Hospital and one transfer\nfrom the Home for the Aged, Port Coquitlam. On August 4th, 1955, six male patients\nfrom Port Coquitlam and four from the Provincial Mental Hospital were taken to the\nVernon unit. In each instance the transfer was carried out by train, and the patients\nwere accompanied by Dr. Bryson and a suitable number of psychiatric nurses. Each\ntransfer was carried out smoothly through the excellent co-operation of the C.N.R.\nofficials and train personnel and the various departments concerned in the Mental\nHospital. In addition, Dr. Bryson visited the Vernon unit on two occasions for the\npurpose of discussing various problems with the supervisor, and to give advice concerning\nthe care of the patients. One such visit occurred on December 15th, 1955, accompanied\nby Mr. Matheson, Business Manager, and again on March 26th, 1956, when Miss Pullan,\nDirector of Nursing, and Mr. Dowling, Personnel Administrative Assistant at Essondale,\nvisited the Vernon unit.\nPort Coquitlam\nAs in past years, the general standard of health of the patients at the Port Coquitlam\nunit has continued to be very satisfactory, considering the advanced senility and generalized arteriosclerosis of the patients under care. In most cases, improvement is shown by\nincreased patient weight, improved appetite, and improvement in behaviour, with\nincreased interest in environment. However, there continues to be a large number of very\nfeeble and debilitated patients who require complete and constant bed care on the two\ninfirmary wards. These number approximately 110 women and fifty men.\nThe tranquillizing drugs, such as Largactil and Serpasil, continue to be of great help\nin the treatment of those elderly, psychotically disturbed patients who are great problems\nin management because of restless, agitated, or destructive behaviour. In most cases such\npatients have responded by becoming more relaxed, co-operative, and content, with an\nincrease in interest in their personal care and their environment. Throughout the year\nthere has been an average of twenty men and ninety women receiving benefit from this\nform of therapy, with a consequent reduction in nursing care required and an improvement in the general ward atmosphere.\nA total of sixteen patients were referred to general Surgery during the year, and in\nall cases where an operation was performed the procedures were carried out in the Crease GERIATRIC DIVISION\nQ 185\nClinic, with post-operative care being given on the West 2 surgical ward or in the\ninfirmaries at the Mental Hospital. Six cases required emergency treatment due to\nacute intestinal obstruction. In addition, three elderly men were treated by the consultant\nurologist for operative relief of acute prostatic urinary obstruction.\nDue to the large number of feeble, unsteady, and confused elderly men and women\nunder care, there continues to be many accidental falls, especially amongst the women\npatients. Very often the number of nursing staff available is not great enough to give\ncomplete ward coverage and the close supervision that these patients require. As a\nresult, many falls result in fracture injuries, and during the past year a total of twenty-\neight women and six men were referred for orthopaedic treatment. Of these, eighteen\nwomen and three men received fractures of the neck of the femur, a common injury\namongst aged persons whose bones are brittle. In addition, four ladies received wrist\ninjuries, two ladies and one man fractures of the pelvis, and two ladies suffered fractured\nribs. The remainder were minor bone injuries. All cases were referred immediately to the\northopaedic consultant and received prompt and efficient care at the Crease Clinic. Most\nof these patients have since returned to their wards, and many are again up and around\nthe ward.\n: ' -. . \"\nVolunteers from the Canadian Mental Health Association visit with the patients\nand bring them magazines.\nGeneral medical care and supervision of the 658 patients under the jurisdiction of\nthe Port Coquitlam unit have been provided throughout the year by the Medical Superintendent and part-time assistance from one of the medical staff of the Mental Hospital.\nDuring the summer months, Mr. John Willoughby, a final-year medical student from the\nUniversity of British Columbia, also provided valuable assistance on the wards. However,\nthere is still a definite need for full-time medical assitance for the Medical Superintendent,\nmuch of whose time is required for general medical administrative duties concerning the\nDivision as a whole. A full-time medical officer is required at this unit to give adequate\ncare and attention to the many and various medical problems which occur.\nRoutine nursing and ward services have continued to function efficiently where\npossible additional services have been instituted to further enhance the care provided. Q 186\nMENTAL HEALTH SERVICES REPORT, 1955-56\nMrs. Warrender and her nursing staff are to be commended for their efficient and sincere\ninterest in the welfare of the many patients under their care, although at times the number\nof nursing personnel available has been limited and the burden of care increased. In\nDecember we were pleased to welcome Mrs. Axtell, R.N., and Mrs McHugh, R.N., to the\nsupervisory staff. It is now possible to provide twenty-four-hour supervision for the\nfemale wards during most of each week. This increased supervision by senior nursing\nstaff has been stimulating to the ward nursing staff and has improved the quality and\nefficiency of nursing care.\nThroughout the year every opportunity has been taken to introduce innovations in\nward care and treatment which would provide as homelike an atmosphere as possible.\nTo this end, such items as coloured bedspreads, curtains on corridor windows, and\ncolourful blankets for deck-chair patients have been procured. Assistance has also been\ngiven to confused and helpless patients in utilizing their comfort funds for the little\nextras which are important to the happiness and contentment of elderly persons.\nA group of ladies from the Home for the Aged enjoy an afternoon on the lawns.\nThe volunteer workers have continued to show devoted interest in the patients, and\ntheir presence two days a week has been invaluable in stimulating interest amongst the\npatients and creating a pleasant, sociable atmosphere on the wards. Many of the more\nmentally alert and physically able patients have benefited materially by clothing provided\nfrom the volunteers' apparel-shop at Essondale. Through the efforts of the volunteer\nladies, a donation of six large silk-screen reproductions of modern paintings was received.\nThese have been placed in dayrooms, where they add to the homelike atmosphere. An\naverage of twelve volunteers come to the Home for the Aged regularly to serve in their\nspecial way.\nReverend O'Neil has continued to show a devoted interest in the religious needs of\nthe patients and has conducted regular services on Wards H.A. 1, H.A. 4, and H.A. 8\nthroughout the year for those patients who are unable to attend regular services at\nPennington Hall. The Audio-Visual Department has also continued to show 16-mm.\nmovies on the wards regularly, a type of entertainment which is popular and appreciated GERIATRIC DIVISION Q 187\nby a large number of patients. In addition, a smaller group of more capable patients is\nable to attend the various attractions at Pennington Hall. The small beauty-parlour\non Ward H.A. 4 also continues to be very popular with most of the ladies, and the\nattention received there has been of great benefit in stimulating greater interest in personal\ncare and appearance.\nThe Recreational Department also has continued to provide stimulating experiences\nfor the elderly men and women throughout the year. Bingo parties and other simple\nsocial activities are organized weekly on the wards, especially during the winter months.\nDuring the summer months, picnic outings are arranged at Hillside Park, and when staff\nand transportation are available, mystery tours in the hospital bus have been arranged.\nAll these services are greatly appreciated by the patients and are therapeutically of great\nassistance.\nThroughout the year, special occasions have been celebrated where possible by\nsuitable ward parties or other entertainment. The television set, donated in April for\nWard H.A. 5, has proven of great interest, and it is recommended that all wards should\nbe provided with this source of entertainment as soon as possible.\nOccupational therapy has also proved to be a valuable service and has been encouraged, although the type of project suitable for the aged group requires to be simple and\nlight. The occupational therapist has exhibited much skill and interest in stimulating\nelderly patients to be occupied with various simple handicraft procedures.\nThe patients at the Port Coquitlam unit were again privileged to be the guests of the\nPacific National Exhibition Shrine Circus in Vancouver. On August 25th twenty-five\nmen and thirty-nine women who were capable of enjoying this type of entertainment were\ntransported by bus to the exhibition grounds by arrangements made by the Pacific\nNational Exhibition and the Gizeh Temple of the Shrine. This stimulating experience\nwas greatly appreciated by the patients.\nThe dietary service has continued to be of a high standard both in respect to the\nquality and service of the general diet supplied to the wards daily and in the special\ndietary service provided for Wards H.A. 6, H.A. 7, and H.A. 4. The kitchen staff have\nbeen hampered in their efforts to maintain a high standard of general cleanliness in the\nkitchen area by the delay in the painting programme which is urgently needed in the\nkitchen and food-storage areas. There were several episodes of diarrhoea affecting all\nwards which were traceable to food irritants. One each occasion, through the co-operation of the dietetic staff and the chief cook, the situation was quickly remedied.\nThe Public Works Department has carried out general maintenance as required,\nand several new pieces of equipment have been provided. A console-model television\nset was donated to Ward H.A. 5 by relatives of a deceased lady who had been a patient\non that ward, in appreciation for the nursing care their aged mother had received while\nin hospital.\nDuring August the ceiling in the basement dormitory of Ward H.A. 2 broke away,\nbut fortunately no patients were present in the room at the time. A new ceiling has been\ninstalled, and an improved heating and ventilating unit installed in this room. The plaster\nin other areas of the older buildings also shows signs of deterioration and is in need of\nrepair.\nDuring the heavy rains of December the basement of Ward H.A. 6 became flooded\nto a depth of 7 feet by surface water. This later caused damage through seepage to the\ncorridor floor of Ward H.A. 6, necessitating complete retiling of this area. During\nFebruary and March, Wards H.A. 4 and H.A. 5 were redecorated and a start was made\nby contractors on the swill-houses for Wards H.A. 6 and H.A. 8. These have not yet\nbeen completed.\nDuring March, 1956, the Beaver Construction Company began operations at the\nsite of the new 300-bed Home for the Aged unit, and at the end of the month, excavation\nwork was well under way. Q 188 MENTAL HEALTH SERVICES REPORT, 1955-56\nSeveral Public Works projects are still urgently required at the Port Coquitlam\nunit. These include renovation and modernization of the nursing stations and general\nrenovation and painting of Wards H.A. 1, H.A. 2, and H.A. 3. Additional fire exits\nand proper screening of diet kitchens and dining-rooms in these buildings are also urgently\nneeded.\nCommunity interest in this unit has been evident throughout the year by many\ninquiries from interested persons concerning the facilities and function of this division\nof the Mental Health Services. Special visitors included Dr. Hazel, of the National\nDepartment of Health and Welfare, Ottawa, and Mr. Bradbury, of the Provincial Department of Health and Welfare, Vancouver, who inspected the wards on November 9th.\nOn March 28th, Mr. J. Henderson, of the Department of Social Welfare, Saskatchewan,\nalso visited the unit and showed great interest in the facilities available in British\nColumbia for the care of the aged.\nVernon\nThe Vernon unit has continued to function efficiently throughout the past year\nunder the conscientious and devoted supervision of Mr. L. W. Fox, the unit supervisor.\nA high standard of patient-care has been evident, and every effort has been made\nto foster preventive and therapeutic treatment with the facilities and staff available.\nDr. Smith, the local physician in charge of the medical care, seldom misses a day\neither in personal visit or telephone contact with the Home. In addition, he is on call\nat all times in the event of acute illnesses. Dr. Smith has shown a devoted interest in\nthe welfare and health of our patients at this unit.\nThe general health of the patient group has remained very satisfactory. There have\nbeen no major medical problems.\nThree women and two men suffered fractures of the hip as a result of accidental\nfalls, and two male patients required leg amputation due to circulatory failure and\nconsequent gangrene. One patient succumbed following operation, but the other has\nrecovered well, although his activity is somewhat restricted. All surgical procedures are\nperformed by Dr. Smith, whose specialty is that of surgery. Operating-room facilities\nare provided through the co-operation of the Vernon Jubilee Hospital. The administrative and nursing staff of the Vernon Jubilee Hospital have continued to be most cooperative and helpful in their associations with the Vernon unit.\nStaphylococcus infection has been a minor problem from time to time, affecting\nboth patients and staff, but the number of cases has been minimal.\nIt should be mentioned that the general level of mental and physical activity in the\npatient group at this unit is gradually becoming lower because of gradual ageing of the\npatients originally transferred to this unit, and because of the greater deterioration of\npatients who are applying for direct admission.\nTranquillizing drugs continue to be used where indicated, and in the few disturbed\npatients who have been so treated, the results have been most satisfactory.\nThe nursing staff have continued to perform their duties most conscientiously and\ncapably throughout the year. Due to the increase in average age of the patients, more\nand more are becoming less able to care for themselves, with the result that the nurses\nare required to devote more of their time to such duties as individual feeding, dressing,\nbathing, etc. This, of necessity, has reduced the time the nursing staff previously gave\nto housekeeping on the ward. In the interest of cleanliness, sanitation, and general\nappearance of the wards, it is recommended that consideration be given to the provision\nof an additional building-service worker. The present employee in the classification is\nkept occupied cleaning and waxing floors, with no time available for other areas, such\nas walls and windows, and other general housekeeping needs.\nSeveral changes in the nursing staff occurred during the year, including the vacating\nof the positions of Chief Male Nurse and Male Psychiatric Nurse Supervisor in December. GERIATRIC DIVISION\nQ 189\nAfter a thorough discussion and review of the duties performed by the incumbents of\nthese positions, the Personnel Officer has recommended to the Civil Service Commission\nthat these two positions be deleted and that the duties of the Superintendent of Nurses\nbe widened to include the supervision of both male and female nurses. It was proposed\nto introduce this reorganization in March, 1956, with Mrs. Simpson, the incumbent of\nthe position, being reclassified to a higher grade simultaneously with assuming the additional responsibilities. Unexpected illness, followed by impending resignation, combined\nto prevent Mrs. Simpson from taking over these new duties, so that at the end of the\nfiscal year this new position had not been filled. It is felt that by combining both male\nand female nursing services under one Superintendent of Nurses a unification and\nimprovement of nursing services and patient-care will be achieved.\nOn August 15th all patients were given a chest X-ray by personnel of the Division\nof Tuberculosis Control, Department of Health and Welfare, through mobile facilities.\nA few large plates and sputum tests were subsequently carried out, but no active cases\nof infection were discovered.\nThe Dietary Department has continued also to provide a high standard of dietary\nservice. Several staff changes have occurred in this area, but the continuity of service\nhas not suffered. The staff are to be commended for their co-operation and interest in\ntheir efforts to provide variety and appetizing appearance to the meals for the patients.\nAs in previous years, special menus were prepared on Christmas Day and other holidays.\nThese changes from the regular diet are appreciated by the patients and add significance\nto the celebration. This Department has also continued to give special attention to\nsalt-free, diabetic, and other special dietary needs.\nThe clinical office has continued to carry out its many and various functions\nefficiently under the general supervision of Miss Lystang, with additional clerical help\nemployed on a casual basis as required. In June, Miss Dingle, senior stenographer at\nthe Crease Clinic, visited this unit and gave valuable instruction and advice in regard to\nclinical charts and filing, and other clinical office procedures, in order to improve the\nefficiency of this clinical office and to ensure uniformity with similar procedures being\ncarried on in other areas of the Mental Health Services. The preparation of payroll,\npurchasing requisitions, and the processing of invoices have been added to the duties\nof this office since last May.\nThe Stores Department, under Mr. Groves, has continued to provide an ample\nand steady supply of many items required by this unit. Surplus items of stock which\nwere not required were forwarded at the request of the Business Manager for use at\nEssondale.\nThe laundry has continued to function efficiently and processes monthly an average\nof 35,000 pounds, dry weight. The laundry at this unit has become a member of the\nCanadian Research Institute of Launderers and Cleaners, to whom test bundles are\nsubmitted periodically for analysis. All reports received to date show the washing\nformulae to fall into the excellent rating for detergency, whiteness retention, minimum\ntensile strength loss, and chemical damage value. Bacteria counts have also been conducted to rule out the possibility of infections being transferred through hospital linen.\nThe necessary light, heat, and power and water-supply have been most satisfactory\nthroughout the year, with only minor interruptions in service, none of which have caused\nany inconvenience to the patient-care. On one occasion a sudden breakdown of the\nhigh-pressure boiler necessitated a sixty-hour interruption of the heat-supply. During\ninvestigation and repair of this boiler, it was found that the two smaller boilers were\nunable to maintain sufficient pressure to ensure adequate heating, which indicates that\nconsideration should be given to the installation of a second high-pressure boiler. This\nmatter is under consideration by the proper authorities.\nIn the early hours of the morning of October 2nd, 1955, a sudden break developed\nin the main water-supply line that threatened to become serious. Although this occurred Q 190 MENTAL HEALTH SERVICES REPORT, 1955-56\non a Sunday morning, the City of Vernon Water Department responded immediately,\nand the situation was soon remedied. The continued co-operation of the administrators\nof the City of Vernon and their utility departments has been most gratifying.\nThe city has also been most co-operative in providing assistance with snow-removal,\nand has also provided the use of fire-hoses for cleansing roadways when required.\nThe maintenance carpenter, Mr. Hornell, has a never-ending job in attending to\nthe routine repairs of damaged and deteriorated areas in the buildings and carrying out\nroutine maintenance requirements. Some of his more special accomplishments have\nbeen the construction of the new boiler-house stockroom, the provision of a canopy over\nthe entrance to Nurses' Home No. 1, and the redecoration of Nurses' Homes Nos. 2\nand 3.\nMr. Legg, the unit gardener, has continued to show devoted interest and industrious-\nness in keeping the appearance of the grounds at a high standard. Through the facilities\nof the greenhouse, he has been able to supply the wards with colourful blooms of many\nkinds throughout the year.\nThe spiritual needs of the patients have been provided through the conscientious\nattentiveness of Father Miles and Reverend Reeves, and services and visits to patients\nhave been carried out regularly.\nMotion-picture entertainment has been provided each week, and approximately\nsixty patients enjoy this form of diversion.\nMany patients have also appreciated the attention given by various groups of the\ncommunity and, during the Christmas period, they were especially favoured by choral\ngroups from the local Girl Guides and Canadian Girls in Training. The Boy Scout\ngroup supplied the home with evergreen wreaths and cedar boughs for Christmas\ndecoration.\nMany of the ladies have, in addition, benefited from the interest of the ladies of\nthe Royal Purple Lodge and other groups who provided transportation for short drives\nwhen the weather permitted.\nThe annual fire-prevention inspection was conducted in May by Fire Chief Little\nand his deputy, and all recommendations offered have been acted upon to provide the\nmaximum fire prevention for this unit. Fire Chief Little also provided a demonstration\nfor the staff in the use of fire-extinguishers and has shown keen interest in fire-prevention\nprocedures in the Vernon unit.\nThroughout the year there have been many distinguished guests to this unit,\nincluding the Honourable W. D. Black, Provincial Secretary; the Honourable W. N.\nChant, Minister of Public Works; Mr. R. A. Pennington, Deputy Provincial Secretary;\nMr. C. Campbell, Deputy Minister of Public Works; and Dr. A. M. Gee and Mr. F. A.\nMatheson, Director and Business Manager respectively of the Provincial Mental Health\nServices. In addition, visits were received from Mr. L. H. Shantz, M.L.A. for the\nVernon district; Dr. H. M. Morrison, Chairman of the Civil Service Commission; Mr.\nW. D. McFarland, Administrative Assistant to the Provincial Secretary; and Messrs.\nE. Clarkson, E. Mills, J. E. Moore, and H. C. Davies, all of the Department of Public\nWorks. Many others have also visited and shown keen interest in the functions of\nthis unit.\nTerrace\nThe Terrace unit, under the conscientious and capable supervision of Mr. W. E.\nSkillicorn, has continued to function efficiently.\nThe general health of the patients continues to be satisfactory, and there have been\nno major medical problems. Only one major surgical operation was carried out. This\nwas for a D.V.A. patient, who was transferred to the Shaughnessy Military Hospital in\nVancouver for amputation of the leg above the knee because of gangrene. GERIATRIC DIVISION Q 191\nDuring the year two cases of tuberculosis were discovered, both of which were\ndischarged in full and admitted to the North Lawn Building at Essondale for further care\nand treatment.\nTwo patients were transferred to the Home for the Aged, Port Coquitlam, for\nspecialized care to the lesions of the face, which proved to be carcinomatous.\nDr. J. B. Dukelow continues to supervise the medical care of the patients, and\ndespite the demands on his time of an ever-increasing private practice, he has given\nregular and efficient attention to the needs of the patients.\nDuring the month of May a minor outbreak of influenza became prevalent amongst\nthe patients and staff. During a period of several weeks, an average of fifty to sixty\npatients were confined to bed. With a few of the nursing staff away sick at the time, the\nburden of care was increased greatly and the coverage of the wards was at a minimum.\nThere have been a few cases of staphylococcus infection amongst the patients, but\nthis problem has been minimal.\nThe yearly chest X-ray survey for patients and staff was carried out during the\nmonth of September.\nAs will be noted in the statistical tables, there is an increase in the mortality rate\nat this unit, which reflects the increasing age and debility of the patients.\nThe passing of several of the more mentally alert patients, who had been able to\nassist with duties on the wards, dining-rooms, and kitchen, has caused an increase in\nthe duties which must be performed by their already overburdened nursing staff. Mr.\nGroome, Chief Psychiatric Nurse, and his staff are to be commended for their efficiency\nand persistent efforts in maintaining the high standard of care under trying conditions.\nThe nursing staff has continued to suffer from lack of sufficient trained and experienced\npersonnel. Twenty-three psychiatric aides left the service. Many of them had been\ntrained and experienced, and their loss was deeply felt. Interviews with all persons who\nhave resigned disclose that in the majority of cases the psychiatric aides state that they\nare unable to live on the prevailing wages in view of the high cost of living in this area.\nConsequently, when the opportunity for work in the community at much higher wages\nis available, it is understandable that they are easily persuaded to leave the service.\nAs in previous years, the recreational programme for the patients has been dependent on the radio and weekly ward picture shows, walking parties, cards, and reading.\nDue to the shortage of staff, it has been impossible to organize a more active recreational\nprogramme for this unit.\nChurch services have been conducted regularly by Reverend O'Connell and Father\nTurgeon, who hold services of their respective denomination on alternate Sundays.\nThe Dietary Department, under the direction of Mr. H. F. Piffer, chief cook, has\nprovided a varied and wholesome diet throughout the year, with added attention to\nspecial diets when indicated and ordered by the doctor. This Department also has suffered throughout the year by staff shortages due to resignations and illnesses, and there\ncontinues to be great difficulty in recruiting satisfactory replacements. All duties in the\nkitchen area are performed by the staff, and there are only one or two patients who are\nphysically capable to assist with simple duties such as dish-washing.\nThe Stores Department, under Mr. Morgan's stewardship, continues to operate\nefficiently, and all stocks have been maintained at adequate levels, with merchandise\ngenerally of good quality.\nThe laundry, under the direction of Mr. Norton, also has functioned without difficulty throughout the year and has continued to provide regular and ample supplies of\nclean linen. The addition of a new tumbler-drier has been of great assistance in improving the flow of work through this department.\nThe past year has seen the completion of several long-awaited projects. The new\nsewage-disposal system was completed and put into use in April and has given trouble-\nfree service throughout the year. Q 192 MENTAL HEALTH SERVICES REPORT, 1955-56\nThe new water system was also completed in September and has continued to\nfunction adequately.\nIn addition, the exterior of all institutional buildings except the hospital proper was\npainted by contract and now presents a very pleasing apparance.\nA staff painter has been provided for the unit, and the interior redecoration of the\nbuildings is well under way.\nMr. F. T. McLachlan and his staff are to be commended for their ingenuity in\nmaintaining the heating plant in working order in spite of very trying conditions. GERIATRIC DIVISION\nSTATISTICAL TABLES\nQ 193\nHOME FOR THE AGED, PORT COQUITLAM\nTable 1.\u00E2\u0080\u0094Movement of Population, Home for the Aged, Port Coquitlam,\nApril 1st, 1955, to March 31st, 1956\nMale\nFemale\nTotal\nIn residence, April 1st, 1955 \u00E2\u0080\u0094\nAdmissions\u00E2\u0080\u0094\n139\n69\n396\n94\n535\nReadmissions from a different institution of the Mental Health\n163\n208\n490\n698\nSeparations\u00E2\u0080\u0094\n12\n52\n9\nS5\n21\nDied... \t\n137\n64\n94\n158\nNet increase or decrease -\t\n+ 5\n144\n.....\n396\n+5\n540\nTable 2.\u00E2\u0080\u0094First Admissions to Home for the Aged, Port Coquitlam, by Health\nUnit and School District of Residence and Sex, April 1st, 1955, to March\n31st, 1956.\nHealth Unit\nMale\nFemale\nTotal\nHealth Unit\nMale\nFemale\nTotal\nSelkirk, Nelson\u00E2\u0080\u0094\nSchool District No. 7\n1\n2\n1\n1\n1\n2\n1\n5\n1\n1\n17\n8\n3\n1\n5\n2\n1\n1\n3\n1\n2\n2\n1\n1\n46\n6\n4\n2\n4\n2\n1\n1\n1\n2\n1\n1\n1\n3\n3\n3\n7\n2\n2\n63\n14\n7\n3\n9\n4\nNorth Fraser Valley, Mission\u00E2\u0080\u0094\nSchool District No. 42 \t\n1\n1\n3\n2\n1\n1\n1\n2\n3\n2\n3\n1\n2\n2\n6\n2\n1\n1\n3\nSouth Okanagan, Kelowna\u00E2\u0080\u0094\nSchool District No. 14 \t\n\u00E2\u0080\u009E 16\t\n 76\t\nUpper Island, Courtenay\u00E2\u0080\u0094\nSchool District No. 47 \t\n1\n2\n\u00E2\u0080\u009E 23\t\n\u00E2\u0080\u009E 72 .\nSkeena, Prince Rupert\u00E2\u0080\u0094\nSchool District No. 51 \t\n, 52 \t\nVictoria-Esquimalt Union Board\nof Health\u00E2\u0080\u0094\nSchool District No. 61 (part1)\nSaanich and South Vancouver\nIsland\u00E2\u0080\u0094\nSchool District No. 61 (part2).\n\u00E2\u0080\u009E 62\t\n\u00E2\u0080\u009E 63\t\nCentral Vancouver Island,\nNanaimo\u00E2\u0080\u0094\nSchool District No. 65\t\n\u00E2\u0080\u009E 68\t\n\u00E2\u0080\u009E 69 \t\nSchool district not covered by\nhealth unit\u00E2\u0080\u0094\nSchool District No. 61 (part3)\n1\nNorth Okanagan, Vernon\u00E2\u0080\u0094\nSchool District No. 20 \t\nSouth Central, Kamloops\u00E2\u0080\u0094\nSchool District No. 24\t\n1\n2\n\u00E2\u0080\u009E 31\t\nUpper Fraser Valley, Chilliwack\u00E2\u0080\u0094\nSchool District No. 33 \t\n\u00E2\u0080\u009E 34.. \t\nBoundary, Cloverdale\u00E2\u0080\u0094\nSchool District No. 35...\t\n9\n2\n3\n\u00E2\u0080\u009E 36\t\n\u00E2\u0080\u009E 37 \t\nMetropolitan Health Committee,\nVancouver\u00E2\u0080\u0094\nSchool District No. 38\t\n 39 \t\n\u00E2\u0080\u009E 41\t\n\u00E2\u0080\u009E 44. \t\n\u00E2\u0080\u009E 45\t\n1\n2\n1\n2\n3\n2\nTotals \t\n\u00E2\u0080\u009E 43 \t\n69\n94\n163\n1 Includes Victoria and Esquimalt only.\n- Excludes Victoria, Esquimalt, and Oak Bay.\n3 Includes Oak Bay only. Q 194\nMENTAL HEALTH SERVICES REPORT, 1955-56\nTable 3.\u00E2\u0080\u0094First Admissions to Home for the Aged, Port Coquitlam, by Mental\nDiagnosis, Age-group, and Sex, April 1st, 1955, to March 31st, 1956\nAge-group (Year.\n)\nMental Diagnosis\n60-69\n70-79\n80-89\n90-99\nNot Stated\nGrand\nTotal\nM.\nF.\nM.\nF.\nM.\nF.\nM.\nF.\nM.\nF.\nM.\nF.\n1\n2\n1\n1\n1\n1\n23\n14\n1\n1\n2\n3\n1\n38\n1\n14\n1\n1\n2\n12\n5\n4\n19\n2\n1\n1\n1\n3\n1\n3\n1\n\t\n1\n1\n1\n36\n......\n22\n1\n1\n6\n1\n4\n1\n63\n2\n17\n1\n1\n1\n4\n5\n1\n1\n99\n2\n39\n1\n1\n1\n1\nChronic brain syndrome with beha-\n7\nOther diseases of central nervous system not associated with psychosis\t\n5\nTotals\t\n5\n43\n61\n21\n23\n5\n4\n1\n69\n94\n163\nTable 4.\u00E2\u0080\u0094First Admissions to Home for the Aged, Port Coquitlam, by Mental\nDiagnosis, Marital Status, and Sex, April 1st, 1955, to March 31st, 1956\nMarital Status\nMental Diagnosis\nSingle\nMarried\nWidowed\nDivorced\nSeparated\nGrand\nTotal\nM.\nF.\nM.\nF.\nM.\nF.\nM.\nF.\nM.\nF.\nM.\nF.\nSchizophrenic disorders\t\n1\n6\n1\n2\n1\n6\n1\n22\n16\n1\n2\n1\n17\n1\n6\n1\n2\n1\n6\n6\n2\n1\n1\n1\n35\n1\n10\n1\n2\n2\n2\n1\n3\n1\n1\n1\n36\n22\n1\n1\n6\n1\n4\n1\n63\n2\n17\n1\n1\n1\n4\n5\n1\n1\n99\n2\nPsychosis with cerebral arteriosclerosis\n39\n1\nNeurotic-depressive reaction..\t\n1\n1\n1\nChronic brain syndrome, N.O.S\t\nOther, unknown, and unspecified conditions \t\n7\n5\n10\n8\n41 1 28\n16 1 51\n2\n2\n5\n69\n94\n163\nTable 5.\u00E2\u0080\u0094First Admissions to Home for the Aged, Port Coquitlam, by Years\nof Schooling, Mental Diagnosis, and Sex, April 1st, 1955, to March 31st,\n1956.\nTable 6.\u00E2\u0080\u0094First Admissions to Home for the Aged, Port Coquitlam, by\nCitizenship, Age-group, and Sex, April 1st, 1955, to March 31st, 1956\nTable 7.\u00E2\u0080\u0094First Admissions to Home for the Aged, Port Coquitlam, by\nReligion and Sex, April 1st, 1955, to March 31st' 1956\nTable 8.\u00E2\u0080\u0094First Admissions to Home for the Aged, Port Coquitlam, by Previous\nOccupation and Sex, April 1st, 1955, to March 31st, 1956\nDetailed information for the above tables may be obtained on request. GERIATRIC DIVISION\nQ 195\nTable 9.\u00E2\u0080\u0094Live Discharges from Home for the Aged, Port Coquitlam, by\nMental Diagnosis, Condition on Discharge, and Sex, April 1st, 1955, to\nMarch 31st, 1956.\nCondition on Discharge\nMental Diagnosis\nMuch Improved\nImproved\nUnimproved\nGrand\nTotal\n1\nM. F.\n1.\nM.\nF.\nM.\nF.\nM.\nF.\n1\n1\n1\n2\n5\n1\n5\n1\n1\n1\n1\n6\n3\n1\n1\n1\n6\n1\n2\n12\n1\n1\n1\n5\n1\nAlcoholism \t\n1\n1\n.... 1 3\n3 ! 6 1 9 1 ....\n12 1 9\n21\nTable 10.\u00E2\u0080\u0094Live Discharges from and Deaths Occurring in Home for the\nAged, Port Coquitlam, by Mental Diagnosis, Age-group, and Sex, April\n1st, 1955, to March 31st, 1956.\nAge-group (Years)\nTotal\nMental Diagnosis\n60-69\n70-79\n80\n-89\n90-99\nGrand\nTotal\nM. [ F.\nM.\nF.\nM.\nF.\nM.\nF.\nM.\nF.\nLive Discharges\n1\n4\n1\n1\n1\n3\n1\n1\n2\n2\n1\n3\n6\n3\n1\n1\n1\n6\n1\n2\n12\nPresent Psychosis. \t\n1\n5\n1\n-\u00E2\u0080\u0094 1 \t\n-- 1 \u00E2\u0080\u0094\n1\n1\nTotals \t\n...... | 1\n7 1 5\n5\n3 1 1 -----\n12\n9\n21\nDeaths\nSchizophrenic disorders\u00E2\u0080\u0094\n1\n1\n1\n5\n26\n9\n29\n1\n1\n6\n10\n8\n21\n5\n6\n6\n1\n11\n41\n1\n1\n23\n56\n1\n2\n1\nSchizo-affective psychosis \t\n1\n34\n97\nPsychosis with psychopathic personality \t\n1\n2\n 1 \t\n1\nTotals \t\n3\n31\n40\n16\n79 1 5\n13\n52\ng5\n137 Q 196\nMENTAL HEALTH SERVICES REPORT, 1955-56\nCO\nO\nZ\no\n<\nA\n<\nH\nZ\nw\n<\ni-l\nH\n5\no\nU\nH\nPh1\nO\nPh\nto\n<3\\nw\no\n<\nA\n<\ni\nH\ns\nH\no\nH\nI*\nto\n0\nto\nPd\nON\nW\n1\u00E2\u0080\u00941\ns\nH\nO\ntf)\nI\n,\u00E2\u0080\u0094i\n-1\ng\nA\no\nZ\n2h\n<\nA\nX\nA\nw\nLJ\nr/i\n( )\nI )\n0\no\n<\nt/1\n\u00E2\u0080\u009E\nX\n(w\nH\n<\n<1\nH\nw\nCfl\nQ\nBh\nQ\no\nZ\na\n<\nH\n0\n\u00C2\u00A7\nZ\no\nH\n\u00C2\u00AB i-l\nHH\ncn\nUJ\nO\nA\n<\nX\nU\n(/)\nQ\n\u00E2\u0080\u00A2A\n>\nn\nH-l\neq\n<\n\u00E2\u0096\u00A0a \u00E2\u0080\u0094\nq a\n2 c\n,\n_\n_\n\u00E2\u0080\u0094\nr-\n^\n^\nm\nOH\n*n\nPh\ncs *n\n00\n\u00C2\u00AB\no\nH\ns\n\o\n(T) ,_. rn 1\u00E2\u0080\u0094\ncs\nS3 | | |\nCS\nE u\n(i\ni mm CA j j 1\ncn\n2\u00C2\u00A7\ns\n\"2-Sa\nPh\n*\"\u00E2\u0080\u00A2 i\n_<\n1 i-l cn 1 IrH\nw\ng3>H\nO 30\nJO \u00E2\u0080\u0094\ns\n\u00E2\u0096\u00A0\"\" j i ] ! j\n1-1\nj in ; 1 ;\ncs\nv.\n\"\u00E2\u0080\u00A2Si\nS3 E\u00C2\u00BB\nhO\nPh\n11\n\"\n11 tno\ 1 1 i\nVI\ns\n\u00E2\u0080\u00A2MUM\n1/1\nn\n7 o\nS\n- |- | | |\n j 1 j\n-\n7! 43\nPh'\n: mm en i i i\nTf\n& c\n\u00C2\u00A3s\ns\n: en cn 1 1 j\nso\nCO\nO\nQ\nbo\n-s;\n^\n-C\na\n&5\nr\nc\nOJ\ns\nQ\n\u00E2\u0096\u00A0\u00E2\u0080\u0094\nO\nw\n0)\n3\nCJ\nCfl\n0\nC\nta\nO\nc\nz\nCU c\nZ\n\u00C2\u00ABt\na\nB\n2 81\n*S\n0\nJB \ns with c\n3-depres\nbrain sy\nold age.\n5\nc\nC\n111\n1\n0\nc\nc\nt\nchos\nchot\nonic\nility\nB\na\na\n>\nft\n1\n<\na\n0\nE\nt\n1\n0.\n> >\nB.\n\u00E2\u0080\u00A2e GERIATRIC DIVISION\nQ 197\nTable 12.\u00E2\u0080\u0094Deaths Occurring at Home for the Aged, Port Coquitlam, by Cause\nof Death, Age-group, and Sex, April 1st, 1955, to March 31st, 1956\nAge-group (Years)\nTotal\nCause of Death\n1\n60-69 | 70-79\nI\n80-g9\n90\n-99\nGrand\nTotal\nt\nM. I F.\n1\nM.\nF.\nM.\nF.\nM.\nF.\nM.\nF.\n_\n1\n1\n1\n3\n21\n1\n1\n1\n1\n1\n2\n1\n1\n6\n19\n4\n1\n1\n1\n1\n1\n1\n1\n2\n-2\n13\n1\n1\n1\n2\n16\n5\n1\n1\n2\n2\n1\n2\nT6\n3\n5\n36\n2\n1\n1\n1\n1\n3\n2\n2\n1\n2\ng\n45\n12\n1\n2\n1\n3\n1\n1\n1\n1\n4\n2\n1\n2\nVascular lesions of the central nervous system\t\nArteriosclerotic and degenerative heart-disease\t\n13\n81\n14\n2\n3\n1\n4\n1\n1\n1\nPeritonitis \t\n1\nDiseases of the pancreas. \t\n1\n3\n4\nOther and unspecified diseases __.\n2\nTotals\t\n3 1 31\n40\n16\n29\n5\n13\n52\n85\n137 Q 198\nMENTAL HEALTH SERVICES REPORT, 1955-56\nS rt\nSo\ncs\n-\nr\nc\n\u00E2\u0080\u0094\n^r\ntN\nen\n^t\n-\n-\n-\n-\nc\u00C2\u00AB-\nTt\nCS\nOH\nm\nPh\n^ T-i\n00\nCS\no\nH\ns\n! [UTiOMHH\n!]| cn\n1\u00E2\u0080\u00941 j t\u00E2\u0080\u00941 j | cn\nCS\ncs\n\ntr\nE\na\n1\n0\na\nE\na\n>\ncr\n,\u00E2\u0080\u00941\nPJ\nhJ\nM\n<\n3\nO\nsi\n>. a,\nto -C\nb -\n1\nI\nu\nc 2 0 0\n\u00E2\u0080\u0094 a 1- '\u00E2\u0080\u0094\nncgc\nH v .2 33\n\"S M O C\n\u00C2\u00BB O d H cr\n0 pj 3 C\n^.13 B O m\nO TJ\nCTJ T_\n& p\na \u00C2\u00AB\nco _\nJ3 P\n>>\nCO\n0)\nCO\nH\ni\n5\ne\n.2\nu\nCJ\n3\nO\na\ncu\n, CO\nCD\n\u00E2\u0080\u00A2o\nTJ\nCO\n< \u00E2\u0080\u009E\njl\n0 SS5 g\nC a\n0\n3\nr\nC\n(1\nCJ\nu\n& tr\np\n\u00C2\u00AB\n1\n5\n\"5\nc\nt\n\u00E2\u0096\u00A0s\nc\n1 c\nu\nH\n(3\n1\n1\n3\n5\n4\ncr\nr\n-\n>\n\u00C2\u00A3\n1\n7\nE\ni\nc\n<\nC\nc\n1\na\n1\nc\nc\na\n-\nCL\n. C\n-\nx\\nz\nc\na\n5\n'i3\nC\nB\n=\ntp\nc\nCl\np\n1\n-\na.\nQ\ntr\n4\nX\nt.\n\nSi\nta\ncO\nZm\n6\u00C2\u00A7\nca\nlm\nCO\nu\n.0 0\n\">\"\nv- u\ncd-O\no\u00C2\u00A7\ncs >\no q\nHH S\nO\nH\no\nH\n\u00E2\u0096\u00A0a\nc\n\u00C2\u00AB\nIh\n0\nM.\nF. M.\nF.\nM.\nF.\nM.\nF.\nM.\nF.\nM.\nF.\nM.\nF.\nM.\nF.\nM.\nF.\nM.\nF.\nLive Discharges\n\t\nl\nn\n1\n1\n1\n1\n3\n2\n4\n3\n4\n1\n3\n3\n1\n3\n3\n1\n3\n4\n\t\n1\n3\n1\n1\n42\n19\n1\nPsychosis with cerebral arterioscle-\n3\nPsychosis of other demonstrable\n11\n2\n1\n1\nChronic brain syndrome, N.O.S\t\n61\nTotals \t\nXI| 2| 12| 1\n6\n2\n41 3\n4| 1| 3| 3\n4| 3\n4| 4\n| .\n48| 19| 67\nDeaths\nSenile psychosis\t\nChronic brain syndrome, N.O.S\t\n\t\n\t\ni\n\t\n1\n\u00E2\u0080\u0094\n1\n\u00E2\u0080\u0094\n\u00E2\u0080\u0094\n\t\n\t\n1\n\t\n\t\n\t\n2\n2\n2\n2\nTotals. \t\ni\n\t\n1\n\t\n1\n......\n\t\n\t\n1\n\t\n\t\n\t\n\t\n4\n\t\n4\nTable 13.\u00E2\u0080\u0094Live Discharges from Home for the Aged, Vernon, by Condition on\nDischarge, Disposition to, and Sex, April 1st, 1955, to March 31st, 1956\nCondition\nHome\nOther Mental\nHospital\nOther\nTotal\nGrand\nTotal\nM. I F.\n1\nM.\nF.\nM.\nF.\nM.\nF.\na I-\n... | _..\n1\n....\n1\n1 | ....\n.... i ...\n3\n1\n....\n3\n1\nTotals\n2 | ....\n1\n1\n\u00E2\u0080\u0094\n1\n\u00E2\u0080\u0094\n4\n....\n4\nTable 14.\u00E2\u0080\u0094Deaths Occurring at Home for the Aged, Vernon, by Cause of\nDeath, Age-group, and Sex, April 1st, 1955, to March 31st, 1956\nAge-group (Years)\nCause of Death\n60-69\n70-79\n80-89\n90-99\nGrand\nTotal\nM.\nF.\nM.\nF.\nM.\nF.\nM.\nF.\nM.\nF.\nVascular lesions of the central nervous system\t\nOther diseases of the central nervous system\nArteriosclerotic and degenerative heart-disease\u00E2\u0080\u0094\n1\n2\n1\n15\n1\n1\n8\n1\n19\n3\n1\n6\n1\n1\n5\n1\n1\n1\n41\n4\n1\n1\n16\n1\n1\n2\n1\n57\n5\n1\nAccidents \t\n1\nTotals\t\n3\n1\n16\n10\n23\n7\n6\n1\n48\n19\n67 geriatric division\nQ 203\n<\nH\nifl\nft\nO\nX\nH\n0\nz\nft\nJ\nX\nH\n-\nH\nt/1\n\u00C2\u00AB\n,.\nm\nz\no\nz\npi\nft\n>\nW\no\npi\n<\nd\nft\no\nH\n<\nin\nto\n(7\\nft\nX\nH\nft\nci\nOO\no\nft\nJ\nft\nPi\no\n<\nE\nX\nH\n<\nw\nCO\nO\nz\nD\nZ\n\nft\nSi\n\u00C2\u00A3\n1 1 ! I f 1\nj\nfc co\nft\ni lrtTH I !\n*-*\ns;\u00C2\u00A7\u00C2\u00A3\nO Jo\nxi \u00E2\u0080\u0094\ns\"\n1 1* 1 II\nTf\ntH\n\"\u00E2\u0096\u00A0a |\n03^\nft\nI l en : i !\nII III\ncn\ns\n| rn m l 1 |\nTt\nhO\nIh\n-, U CO\nft\n1 1\" I II\ncn\nS3 \u00C2\u00A72\njci>\nCO\ns\nI I\"1 1 1 1\nm\nIh\nl*-H|\no\n_ U Cfl\n^ C $\nft\n\u00E2\u0080\u0094\u00E2\u0096\u00A0 i I i j I\n*\"H\n5\nCD\ns\ni 1* li 1\ntj-\nX)\nco\nft\ni r i ii\ncn\nfa\n\"1\ns\ni i* i i i\n\u00E2\u0096\u00A0*\n[A\nft\ni i\" i i i\n>\ntn\ncO\nu\nta\n\u00E2\u0096\u00A0\n0\nO c\nT\nUH\n0\n> &\nPI cr\nIh.\n3\nrt\n\u00E2\u0080\u00A23 co v a,\n2 3.5*\nu\naffecting cent\nf central nerve\nand degenerat\nth mention of\nfi \u00C2\u00B0 .2 S\nV\nesio\nases\nerot\nion\nc\nu. \u00C2\u00AB O C C\ngj\nM\nascula\nther di\nrterios\nyperte\nc\n'3\n>\nC\n<\nI\ns\n< Q 204 MENTAL HEALTH SERVICES REPORT, 1955-56\nHOME FOR THE AGED, TERRACE\nTable 1.\u00E2\u0080\u0094Movement of Population, Home for the Aged, Terrace,\nApril 1st, 1955, to March 31st, 1956\nNumber1\nIn residence, April 1st, 1955 285\nAdmissions\u00E2\u0080\u0094\nFirst admissions 13\nReadmissions from a different institution of the Mental\nHealth Services 33\nTotal admissions 46\n 3 31\nTotal under care\nSeparations\u00E2\u0080\u0094\nDischarged in full\t\nDied \t\n4\n38\nTotal separations\t\nNet increase or decrease\t\nIn residence, March 31st, 1956\n42\n+4\n289\n1 This institution cares for male patients only.\nTable 2. \u00E2\u0080\u0094 First Admissions to Home for the Aged, Terrace, by Health Unit\nand School District of Residence, April 1st, 1955, to March 3 1st, 1956\nHealth Unit\nEast Kootenay, Cranbrook\u00E2\u0080\u0094\u00E2\u0096\u00A0\nSchool District No. 3\t\n\u00E2\u0080\u009E 5\t\nWest Kootenay, Trail\u00E2\u0080\u0094\nSchool District No. 11\t\nSouth Okanagan, Kelowna\u00E2\u0080\u0094\u00E2\u0096\u00A0\nSchool District No. 15\t\nSouth Central, Kamloops\u00E2\u0080\u0094\nSchool District No. 24\t\nCariboo, Prince George\u00E2\u0080\u0094\nSchool District No. 27\t\n\u00E2\u0080\u009E 56.....\n\u00E2\u0080\u009E 82.....\nBoundary, Cloverdale\u00E2\u0080\u0094\nSchool District No. 36.\t\nMetropolitan Health Committee, Vancouver-\nSchool District No. 39. \t\nmber\nHealth Unit\nNum\nSimon Fraser, New Westminster\u00E2\u0080\u0094\n1\nSchool District No. 43 ~ _\n 1\n1\nSkeena, Prince Rupert\u00E2\u0080\u0094\nSchool District No. 50. \t\n 2\n1\n\u00E2\u0080\u009E 51 _\n 1\n 52 .. \t\n5\n1\n\u00E2\u0080\u009E 53\t\nPeace River, Dawson Creek\u00E2\u0080\u0094\n4\n1\nSchool District No. 60 \t\n 1\nSaanich and South Vancouver Island\u00E2\u0080\u0094\nSchool District No. 62\t\n 1\n2\nCentral Vancouver Island\u00E2\u0080\u0094\n2\nSchool District No. 6g \t\n 2\n1\n 69 \t\n 1\n.. . 1\n1\nUnknown\t\n 1\n15\nTotal\n46 GERIATRIC DIVISION\nQ 205\nTable 3.\u00E2\u0080\u0094First Admissions to Home for the Aged, Terrace, by Mental\nDiagnosis and Age-group, April 1st, 1955, to March 31st, 1956\nMental Diagnosis\nAge-group (Years)\nTotal\n60-69\n70-79\n80-89\n90-99\n10\n3\n2\n1\n5\n1\n2\n8\n2\n1\n4\n3\n1\n1\n1\n15\n1\n2\n16\n8\n2\nOther diseases of central nervous system not associated with\n1\n2\nTotals - .\n16\n20 1 8\n2\n46\nTable 4.\u00E2\u0080\u0094First Admissions to Home for the Aged, Terrace, by Mental\nDiagnosis and Marital Status, April 1st, 1955, to March 31st, 1956\nMental Diagnosis\nMarital Status\nNot\nStated\nTotal\nSingle\nMarried\nWidowed\nSeparated\n13\n1\n1\n9\n4\n2\n1\n....\n3\n1\n3\n....\ni\n1\n1\n15\n1\n2\n16\nPsychosis with cerebral arteriosclerosis \t\n2 2\n.... 1 ....\n1 | _\n8\n2\n2\nTotals \t\n30\n7\n6\nl\n2\n46\nTable 5. \u00E2\u0080\u0094 First Admissions to Home for the Aged, Terrace, by Years of\nSchooling and Mental Diagnosis, April 1st, 1955, to March 31st, 1956\nTable 6.\u00E2\u0080\u0094First Admissions to Home for the Aged, Terrace, by Citizenship\nand Age-group, April 1st, 1955, to March 31st, 1956\nTable 7.\u00E2\u0080\u0094-First Admissions to Home for the Aged, Terrace, by Religion,\nApril 1st, 1955, to March 31st, 1956\nTable 8. \u00E2\u0080\u0094 First Admissions to Home for the Aged, Terrace, by Previous\nOccupation, April 1st, 1955, to March 31st, 1956\nDetailed information for the above tables may be obtained on request. Q 206\nMENTAL HEALTH SERVICES REPORT, 1955-56\nTable 9.\u00E2\u0080\u0094Live Discharges from and Deaths Occurring in Home for the Aged,\nTerrace, by Mental Diagnosis and Age-group, April 1st, 1955, to March\n31st, 1956.\nMental Diagnosis\nAge-group (Years)\nTotal\n60-69\n70-79\n80-g9\n90-99\nLive Discharges\n1\n1\n1\n1\n1\n1\nf 2\n2\n2\n4\nDeaths\nSchizophrenic disorders\u00E2\u0080\u0094\n1\n2\n1\n1\n6\n1\n11\n2\n1\n1\n7\n3\n1\n1\n9\n1\n1\nSenile psychosis \t\n18\n6\n1\n1\nTotals\n5\n21\n11\n1\n38\nTable 10.\u00E2\u0080\u0094Live Discharges from and Deaths Occurring in Home for the Aged,\nTerrace, by Mental Diagnosis and Length of Stay, April 1st, 1955, to\nMarch 31st, 1956.\nMentai Diagnosis\nLength of Stay\nBm\ng\n4S\n00^\nu\n\u00E2\u0096\u00A0a te\n\u00E2\u0080\u00A2a b\ns\u00C2\u00A7\u00E2\u0084\u00A2\nfc\u00C2\u00BB8\nm a h\n, \u00E2\u0080\u0094 c0\n>3o\ns**\ne*x\n0,010\nO-OtN\nOmOm\nO^S\n^2\nLive Discharges\nSchizophrenic disorders\t\nParanoia and paranoid states\t\nSenile psychosis-\nPsychosis with cerebral arteriosclerosis-\nPathological personality\t\nSyphilis and its sequehe \t\nTotals \t\nDeaths\nSchizophrenic disorders \u00E2\u0080\u0094\nParanoia and paranoid states..\nSenile psychosis\t\nTotals\t\n3 | 2\n1 I\n18\n5 I\n11\n1\n18\n6\n1\n1\n38\nTable 11. \u00E2\u0080\u0094 Live Discharges from Home for the Aged, Terrace, by Mental\nDiagnosis and Condition on Discharge, April 1st, 1955, to March 31st, 1956\nCondition on Discharge\nTotal\nImproved\nUnimproved\n1\n1\n2\n1\n1\n2\nTotals -\t\n\u00E2\u0080\u0094\n4\n4 GERIATRIC DIVISION\nQ 207\nTable 12. \u00E2\u0080\u0094 Deaths Occurring at Home for the Aged, Terrace, by Cause of\nDeath and Age-group, April 1st, 1955, to March 31st, 1956\nAge-group (Years)\nTotal\n60-69\n70-79\n80-89\n90-99\n5\n2\n3\n7\n1\n5\n1\n2\n2\n1\n2\n1\n5\n1\n4\n4\nArteriosclerotic and degenerative heart-disease\n14\n1\n1\n11\n1\n2\nTotals\t\n5\n21\n11\n1\n38\nTable 13.\u00E2\u0080\u0094Deaths Occurring at Home for the Aged, Terrace, by Cause of\nDeath and Length of Stay, April 1st, 1955, to March 31st, 1956\nLength of Stay\nCause of Death\n5\nft o\ncfl\n,2\nco O\nca\na\nt-- o\n4S\ncfl\ni\n-i B\n75\n\u00C2\u00A3b\"^\na)\n\u00E2\u0096\u00A0a w\nNeil\n^\u00C2\u00A3\nu\na\n\u00E2\u0080\u00A2a \u00C2\u00ABi\nd B !3\nH \u00C2\u00AB\n\u00C2\u00ABHH^\nCom\n\u00E2\u0080\u00A2Sis\n\"PgS\n\u00C2\u00A3 BO\n0\u00C2\u00ABHH\nrn Ih\nE u\n,\u00C2\u00BBo\nO E\nHH CO\n\"rt\nO\nH\ni\ni\ni\n~~2\ni\n1\n1\n1\n2\n2\n1\n1\n2\n2\n10\n1\n2\n1\n\u00E2\u0080\u0094\n2\n1\n1\n1\n4\nVascular lesions affecting central nervous sys-\n4\nArteriosclerotic and degenerative heart-disease.-\n14\n1\n1\n11\nIntestinal obstruction without mention of hernia\n1\n2\nTotal q\n3\n2\ni\n2\n6\n1\n18\n\u00E2\u0080\u0094\n5\n38 Q 208 MENTAL HEALTH SERVICES REPORT, 1955-56\nPART VI.\u00E2\u0080\u0094CHILD GUIDANCE CLINICS\nDIRECTOR'S REPORT\nU. P. Byrne, Director\nTable Ia is a summary of the general activities of the Clinics, while Table 1b gives\na picture of clinic activities by departments. It is felt that this modification of the original\nTable 1 will give a clearer picture of the various activities that occur in the Clinics.\nClinics were held for the first time at Oliver in April, 1955, and at the Brannen Lake\nSchool in June, 1955. In the Vancouver area, clinics were held on schedule at the\nChildren's Hospital, the Health Centre for Children at the Vancouver General Hospital,\nthe Cerebral Palsy Association at the Western Society for Rehabilitation, and at the\nJericho Heights School. The requests for clinics continue to exceed our ability to provide\nthem. Serious consideration should be given to the establishment of another travelling\nteam for the Mainland.\nTable 2 is a breakdown by age and sex of all cases given a complete examination.\nThere has been a definite reduction in the number of cases given a complete examination. This has been the direct result of staff resignations without replacements. The\nrequests for service continue to exceed our ability to meet them. This has resulted in an\nincrease in the length of the waiting period, which now averages three months. The\nwaiting period for treatment services is now almost one year.\nTable 3 shows the continuing trend for the greater use of the Clinics by medical and\nhealth agencies, private physicians, and directly by parents. Service to the Brannen Lake\nSchool is provided by the Vancouver Island Clinic. In some cases more than one type\nof service was given in the same case so that the totals do not coincide.\nTable 4 is a classification of the presenting problems of all new cases given full\nexamination by the Clinics, while Table 5 gives the psychiatric diagnoses of the same\ngroup.\nTable 6 illustrates that the majority of cases seen at the Clinics are in the pre-\nadolescent age-groups and of at least average intelligence. These children should and do\nrespond to adequate treatment. This table emphasizes the need for an observation and\ntreatment centre for emotionally disturbed pre-adolescents.\nThe detailed activities of the Social Service Department are covered in the report,\ntogether with attached tables, by Mr. Ricketts, Supervisor of Social Work; those of the\nPsychology Department by Miss Munro, senior psychologist. Both emphasize the\ndisrupting effect of staff turnover and lack of adequately trained replacements.\nDrs. Pauline Hughes and F. G. Tucker completed their training period at the Clinic.\nThey were replaced by Dr. M. O. Calverley, who, like his predecessors, has given\nexcellent service. Dr. Florence E. Broughton, who joined the Clinic staff in February,\n1955, resigned for family reasons in September, 1955. Up to the present it has not been\npossible to obtain a suitable replacement. A definite decrease in number of cases\nexamined and treated has resulted.\nDuring the year Mrs. M. Harvey, our senior public health nurse, and Mr. D. B.\nRicketts, Supervisor of Social Work, returned from postgraduate courses at the University\nof Minnesota and Columbia University respectively. Both received commendations from\ntheir universities for the excellence of their work.\nNumerous changes in the clerical staff were due in part to greater opportunities in\nthe business field and to the move of the Clinic to Burnaby on December 27th, 1955.\nThe move to new quarters in Burnaby represents the most outstanding development\nin child guidance services in British Columbia since the founding of the Clinic in 1932.\nThe new building is designed around a centre quadrangle. Office space is provided for CHILD GUIDANCE CLINICS\nQ 209\nEntrance to Child Guidance Clinic, Burnaby, B.C.\nReception desk, Child Guidance Clinic Q 210\nMENTAL HEALTH SERVICES REPORT, 1955-56\npsychiatrists, psychologists, psychiatric social workers, and public health nurses, who are\ngrouped as teams. Provision is made for six teams, each with its own clients' waiting-\nroom in addition to the common waiting-room. The building contains four playrooms,\ntwo of which will have observation and recording facilities; four physical examination\nrooms; four conference rooms, each seating eighteen; a suite for speech therapy; a large\nclerical office; a library; a lecture room with a capacity of over 100; a suite for neurology, including electroencephalography; and a clinic laboratory. The latter four\nfacilities will be shared with the Mental Health Centre. There are special arrangements\nfor group therapy. In the Psychology Department, provision has been made for the\nobservation and recording of examinations. There is a student lounge and a staff\ncommon room with adjoining male and female staff lounges.\nThe new building will permit new and expanded services for patients, for staff-\ntraining, and for the training of such professional groups as physicians, nurses, social\nworkers, medical students, teachers, and others. In viewing this fine building, it is\nimportant to bear in mind the old Chilean proverb, \" The bird is more important than the\ncage.\" While the building will provide optimum working conditions for the diagnosis\nand treatment of the patients, we are still faced with the problem of getting and keeping\nwell-trained, experienced, and competent personnel.\nAnother need which becomes more pressing with the passing years is the establishment of an observation and treatment centre for pre-adolescent children with serious\nemotional disturbances. The requirements of such a centre have been outlined in\nprevious Reports.\nTable Ia.\u00E2\u0080\u0094Summary of Clinics' Activities, April 1st, 1955, to March 31st, 1956\nTravelling Clinics\nMainland\nVancouver\nIsland\nActivity\no\nc\na)\nU\nCO\nCJj\ncu\ncfl\n>\nB\nO\nCJ\nB\nCU\n>\n3\n*C\no\no\n>\n01\n>\na\no\no\nc\na\n>\n0\nHH\no\n<\nu\n3\no\nV\n\"rt\n-a\nC\nu\no\no\ni\u00C2\u00A3\nO\no\no\ne\n-\nu\nc\n0\n0)\nIh\nU\nU\nc\no\nta\njt\na\na\nHH.\n0)\nc\ncd\nX\nCfl\na.\nO\no\n1\nrt\n%\no\n%\nA\nu\n\"en\nE\nrt\n-1\na\no\n1\nc\no\ntU\nIh\nV\n>\n5\no\ns\na\na>\nBh\nA\n\u00C2\u00AB\nS\n0\na.\na\n0\nU\nc\n\u00C2\u00A3\n3\nA\n0\nc\n|\n5\na\nB\nO\nS\n>\nA\nta\nB\nB\nu\nD\n<\nhJ\nc\na>\nB\nE\nrt\nCO\nE\n\no\nu\nTravelling Clinics\nMainland\nVancouver\nIsland\nActivity\n>\n3\nO\nCJ\nE\na\n>\nT3\nO\nv>\nO\n\u00C2\u00A3>\nX\n<\nO\nrt\na\nV\nrt\nT3\nCJ\n>\nO\n0\n0\n0\nCh\nXI\nc\nrt\nIh\nU\nE\nO\nCO\nu\nCJ\nCJ\nIh\nu\nd\no\nrt\nQ\nCJ\nE\nCS\nX\na\no\n0\n1\nrt\nB\nP\nO\n\u00E2\u0080\u00A2a\nE\nrt\nhJ\nB\no\n'cfl\n1\ng\no\nz\nlH\nCJ\n>\n0\nc\nc\nCJ\nB\nCJ\nOh\nCJ\n>\nA\n\"cj\n*\nO\n0.\nV\nM\nO\nQJ\n0\nQJ\nCJ\nE\n\u00C2\u00A3\nQJ\na\n3\nA\nCO\nCJ\nE\n\"aj\ni\nQJ\n3\na\nH\na\n0\na\nc\n>\nQJ\nM\nCS\nA\ntfl\nE\n5\n%\nS\nQJ\nX\n<\no\n0\nX\nCJ\nCO\nQJ\n&\nCS\nJ\na\nQJ\nE\nE\nrt\nCO\nrt\nC\nQJ\n3\nO\nu\no\n\u00C2\u00A7\nc3\nE\nct\nz\nCfl\nO\nH\nPsychiatric interviews\t\nPhysicals.- \t\nPsychological interviews\u00E2\u0080\u0094\nSocial-work interviews\t\n764\n229\n597\n5,250\n254\n160\n122\n203\n88\n234\n415\n211\n254\n1,729\n400\n84\n125\n153\n129\n141\n21\n8\n8\n12\n8\n82\n33\n39\n48\n8\n40\n10\n4\n4\n5\n1\n4\n26\n10\n10\n12\n1\n10\n10\n4\n4\n4\n4\n40\n13\n17\n19\n18\n12\n4\n4\n8\n4\n35\n14\n17\n18\n3\n17\n25\n10\n11\n13\n2\n10\n6\n4\n4\n4\n4\n24\n11\n11\n14\n11\n41\n15\n16\n19\n16\n11\n4\n4\n5\n28\n12\n12\n15\n1\n17\n8\n8\n8\n1\n43\n11\n17\n21\n41\n16\n18\n11\n4\nn\n5\n5\n7\n43\n17\n17\n23\n7\n17\n31\n13\n13\n20\n1\n13\n15\n6\n6\n9\n4\n6\n27\n16\n16\n16\n16\n55\n55\n55\n51\n55\n14\n7\n7\n7\n7\n44\n25\n25\n24\n25\n2,291\n849\n1,324\n7,372\n407\nConferences\u00E2\u0080\u0094\nIntake \t\nPlanning.\t\nConsultative\u00E2\u0080\u0094\t\nDiagnostic\u00E2\u0080\u0094\nClinic (private)\u00E2\u0080\u0094\t\n162\n48\n160\n122\n365\n250\n4\n12\n8\n17\n18\n5\n772 Q 212\nMENTAL HEALTH SERVICES REPORT, 1955-56\nCase conference, Child Guidance Clinic.\nMedical records office, Child Guidance Clinic. CHILD GUIDANCE CLINICS\nQ 213\n\ncd\n6\n3.3\nB co\nourrBUEN\nj ^ cn cn\n0\n\ni to | CS \u00C2\u00BB\nn cn\nJ3AIJO\n|M j rH\nin\n** 1 1 I '\n; ; 1\nH Tf\nnospjvi\n| r- cn m\nTf\nrH j j mm t\nS \u00C2\u00AB3\nUOJSSIJ^\n\*n mm >n\ns\nll M\n1 \"\nXaiSUET\n! cn ; rn\nTf\n|| ||\nr\nH O\nBHA\0[35f\nj in | Tf\nOS\n*\"* i 1 '\nSdOOIUIEX\nfN rH j Tf\nl>\n1 1\n1 t~~\nXauEjJj\nrt I I CM\n| j\nto\nI! H |\nH Tf\n3(33.0 UOSMEQ\nCO O rH CO\nt>\n1-1 i i i\nH OO\nno)S3J3\nrH\ns\n0\n0\nB\nCCJ\n>\nuorjEiqiqEqay joj\nX)3t3o's UJ3JS3A\\n| CO rH es\n1\nt-\n1 i\n1 1\nH 00\njooqos niH oqousf\n1 \u00C2\u00ABn \m\n0\n1 VO rH rH\n10 00\n3JJU33 qiIE3H\n! OO rH SO\nj\n>n\n1 rH |fS C\n0 00\nlEjtdsoH s.uajpijqQ\nIrH 12\nCN\nr-l\nj VO 1 CN C\n0 0\nUOI1ET0OSSV\nXsiEj'iEiqajsa\n1 VO CS Tf\n! CS CN\n(N\nm\nTf I\nH vo\nEIIOJOIA\nt\u00E2\u0080\u0094 Cfl rH CO\nrH O l-< TJ-\nOs\nr-\nm\nCS\nm \u00C2\u00BBn 1 ci \u00C2\u00BB\nrH |H (\nH O\nO rH\nCN\nj3AnoouEA.\nin vo m vn\nfN mm TJ\" vo\nCO O rH CS t\nCH rH CS t\nH cfSJ\n\u00E2\u0096\u00A0*\u00E2\u0096\u00A0 CS\nCO\n01\n0\ncu\n\u00E2\u0096\u00A0f\n3\ni<\n*rt\ns\nc\nt\nll\nQJ t\nrt <\nE\nu\nc\n\u00E2\u0096\u00A00\n6\nO\nH\n3\n8\n0\na\nQJ\nCJJ\ni<\nS\nc\n-\n6\nll\nQJ 13\nS<\nB\nft.\na\n1\n1 0\n! OJ\nB\nD C\nH h Q 214\nMENTAL HEALTH SERVICES REPORT, 1955-56\nTable 3.\u00E2\u0080\u0094Sources of Cases Referred to Child Guidance Clinics, Showing Service\nGiven, April 1st, 1955, to March 31st, 1956\nNumber\nof\nCases\nPercentage\nof\nDistribution\nType of Service Given\nAgency or Source\nDiagnostic\nStudy\nConsultative\nConference\nClinic Direct\nService\n1. Social agencies\u00E2\u0080\u0094\n18\n1\n121\n4\n16\n18\n169\n11\n1\n83\n4\n16\n5\n153\n7\n38\n12\n16\nFamily and Children's Service\t\n2\n1\nSocial Welfare Branch\t\n\t\nSub-total \t\n347\n20.37\n- 1 \t\n\t\n2. Institutions\u00E2\u0080\u0094Canadian National Institute for\nthe blind \t\n1\n0.05\n1\n3. Medical and health agencies\u00E2\u0080\u0094\nBoundary Health Unit. -\t\n3\n24\n8\n212\n31\n1\n10\n23\n2\n6\n14\n11\n12\n67\n1\n2\n7\n9\n6\n12\n44\n2\n10\n9\n2\n24\n8\n84\n30\n1\n9\n18\n2\n3\n14\n11\n12\n58\n1\n2\n7\n8\n6\n10\n37\n2\n8\n8\n1\n128\n1\n1\n2\n3\n1\n1\n1\n2\n7\n1\nCentral Vancouver Island Health Unit \u00E2\u0080\u0094\n12\nChildren's Hospital\t\n\t\n_ \t\n3\nMetropolitan Health Committee\t\nNorth Fraser Health Unit \t\n..\n\t\n\t\n16\n1\nSelkirk Health Unit\t\n\t\n\t\nSmith Central Wealth TTnit\n., -,.,\n\t\nUpper Fraser Valley Health Unit \t\nUpper Vancouver Island Health Unit\t\nWest Kootenay Health Unit\t\n1\nWestern Society for Rehabilitation\t\n1\nSub-total.... \t\n526\n30.88\n |\n\t\n4. Schools\u00E2\u0080\u0094\nPublic \t\n45\n55\n50\n18\n1\n32\n55\n39\n18\n8\n11\n1\n30\nOther\u00E2\u0080\u0094\nBrannen Lake School \t\nGirls' Industrial School\t\n\t\nNorth Shore College...\t\n\u00E2\u0080\u0094\nSub-total \t\n169\n9.92\n\t\n\u00E2\u0080\u0094\n42\n10\n205\n393\n2.49\n0.58\n12.04\n23.09\n33\n9\n70\n128\n8\n39\n70\n2\n1\n144\n8. Parents, friends, relatives, etc\t\n261\n9. Others-\n4\n1\n2\n1\n1\n1\n1\n1\n| ........\n4\n1\nDisabled Persons' Allowances Board\t\n1\n1\nU.B.C. School of Social Work.. .\n1\nSub-total\n10\n0.58\n1 \t\n\t\nTotals \t\n1,703\n100.00\n1,022\n365\n478 CHILD GUIDANCE CLINICS\nQ 215\nTable 4.\u00E2\u0080\u0094Presenting Problems and Disorders of New Cases Given Full Examination\nby Child Guidance Clinics, April 1st, 1955, to March 31st, 1956\nChildren\nAdults\nM.\nF.\nM.\nTotal\n1. Primary behaviour disorders-\n(a) Habit disorders\u00E2\u0080\u0094\nThumb-sucking\t\nEnuresis\t\nMasturbation-\nTantrums\t\nSoiling..\nd>)\nFeeding difficulties\t\nPersonality disorders\u00E2\u0080\u0094\nSeclusive states \t\nDepressed states\t\nDay-dreaming .\nExcessive introspection-\nFeelings of inadequacy-\nSensitiveness\t\nPhantasy..\nAggressiveness-\nNegativism\t\nOther\t\n(c) Neurotic disorders\u00E2\u0080\u0094\nTics and habit spasms..\nStammering \t\nOveractivity\t\nFears \t\nNervousness..\nAnxiety\t\nNightmares....\nOther\t\n(cn\nVi 'mm OCS\n35(BT smBnnM\n;r-oc ivoom\nIfOTttNCS ! i ^ CO ! ] CS CN INmiMnQvt*-\n:csvott\u00C2\u00BB-i j \u00C2\u00AB I *h oo\n I\" '. I ' ' CNn\nOn\nco\nCU\n(J\nS\n|\n2\n-5\nO\no\n\u00E2\u0080\u00A2\u00E2\u0096\u00A0\u00E2\u0080\u0094it\n3\na\ns\ns\n00\no\n\u00E2\u0096\u00A05\njjadnH soupd\n33J03Q SDUIId\nJ3AIH Il3*OJ\nU0P11U3,!\nI3AIIO\nuospM\nouiieuejsI\n, en oo cn\nUOtSSlp1}\nXaiSuBi\nEUMOP'X\nsdooituu'H\n!CN ICHJ I ICN\nI VJCN .HH J\nX3UEH\n0(33.0 UOSMEfJ\nU01S3IO\njfoojquEJD\nIcNhh j ItN\nXEU3jjno3\nzjmbioo\nMM!\n3IEpj3A0I3\n! ! !\nopEMIIHID\n.<*> I icn\nlooups\n3^ET USUUEig\nmjsqiv\nov Hl-cor^\npjojsjoqqy\n11111 r\nMill!!\nIll LII\nuonet!i!qEq3H joj\nAjapos UJ31S3AV\n- I I IhH | I | | | | | | | | | | | It- !- >\n1 4J U\njttjpp\n\u00C2\u00AB \u00C2\u00AB * \u00E2\u0096\u00A0\n\u00E2\u0080\u00A2sism\ni Q 3\u00C2\u00BBJ<\n\u00C2\u00A7.2\n\u00E2\u0080\u00A2 D\nI-l lfl tU\nC,!U S\nc\u00E2\u0080\u0094I \u00C2\u00AB\nUOrft\n,t3fc O'g o\n3*638\no jh.ce q\nODhUoi\no 3\nC >iCJ.\nHOC.\nqj aj\nES\n\u00E2\u0080\u0094 S \u00C2\u00AB i\n\"^ \u00C2\u00B0H cn\n-5 23 o\nt2-S'*.2-32\nh. S3- 5 gjj\nvccl CJ c\nca > o cu\n3. u iS \">\n,. CO L Cl\nHJ JH \u00C2\u00AB > fH\nsjui-h o c a\n.Jl8\u00C2\u00A7i!\n, N rt C\n\u00E2\u0096\u00A0 3 t- aj _ . . ...\nIj S > *m OJ\nas Co "Legislative proceedings"@en . "J110.L5 S7"@en . "1957_V02_11_Q1_Q230"@en . "10.14288/1.0349124"@en . "English"@en . "Vancouver : University of British Columbia Library"@en . "Victoria, BC : Government Printer"@en . "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"@en . "Original Format: Legislative Assembly of British Columbia. Library. Sessional Papers of the Province of British Columbia"@en . "Mental Health Services PROVINCE OF BRITISH COLUMBIA ANNUAL REPORT FOR TWELVE MONTHS ENDED MARCH 31ST 1956"@en . "Text"@en . ""@en .