LUNATIC ASYLUMS OF THE COLONY (REPORT ON,) FOR 1882.

Appendix to the Journals of the House of Representatives, 1883 Session I, H-03

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1883. NEW ZEALAND.

LUNATIC ASYLUMS OF THE COLONY (REPORT ON,) FOR 1882.

Presented to both Souses of the General Assembly by Command of Sis Excellency.

To the Hon. the Colonial Secretary. Sir, — Lunacy Department, Wellington, 4th May, 1883. My duties as Inspector-General of the lunatic asylums of this colony commenced on November 7th, 1882, and I have now the honour, in accordance with section 143 of the Lunatics Act of 1882, to present my first annual report. On the 31st December, 1882, the number of lunatics under care and treatment was 1,269. Their distribution is shown in the following table :— Asylums. Males. Females. Total. Auckland ... ... ... ... ... 191 83 274 Ashburn Hall, licensed house ... ... 7 3 10 Christchurch ... ... ... ... 199 108 307 f Dunedin ... ... ... ... ... 84 111 195 \ I Seacliff ... ... ... ... ... 135 5 140 j Hokitika ... ... ... ... ... 59 28 87 Napier ... ... ... ... ... 14 5 19 Nelson ... ... ... ... ... 47 38 85 Wellington ... ... ... ... 91 61 152 Total ... ... ... ... 8^27 442 1,269 The increase in the number of the insane since 1881 is 93 —viz., 58 males and 34 females. These additional patients are thus placed: At Auckland, 21; Ashburn Hall, 10; Christchurch, 25; Dunedin and Seacliff, 8; Hokitika, 5 ; Nelson, 14; Wellington, 13. The number at Napier has diminished by 3. The increase is very large when compared with that of the two previous years, which showed 69 and 50 respectively, but it was considerably exceeded in 1879. It is not due to any diminution in the discharges and deaths, but simply to a large number of new admissions, which cannot be traced to any special cause. The proportion of the insane to the general population of the colony (excluding Maoris) is about 1 in 413. In England and Wales the ratio is 1 to 553, in New South Wales 1 to 352, and in Victoria 1 to 277. The asylums of this colony contain a number of patients who would not be placed in this category in England. The fact that the expense of their maintenance in these establishments is defrayed by the Government becomes a powerful incentive to the removal to them, from home or hospital, of infirm or paralysed persons, with some impairment of intellect, but who do not require asylum treatment, and would not receive it were payment for their maintenance as vigorously exacted from their friends as in the Old Country. The same cause operates in delaying, and rendering difficult, the discharge of patients who have sufficiently recovered to be committed to the care of their relatives. The total number under treatment during the year 1882 amounted to 1,594, and the daily average number to 1,217. I—H. 3.

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Admissions. On the Ist January, 1882, there were on the register 1,175 patients : 212 males and 119 females were admitted for the first time during the year, and 55 males and 33 females were readmitted. The assigned causes of the insanity in these cases call for no special remark. Intemperance is stated to account for 80 of the admissions; and was, no doubt, also a factor in some of the 122 in which no cause is assigned. Of the abovenamed 80 admissions, 67 were of the male sex. It is probable that indulgence in drink was only the exciting cause in many cases, where hereditary or other predisposition to insanity already existed; and I am firmly convinced that intemperance is frequently to be regarded rather as a result than a cause of insanity. Of its bad effects where actual insanity, or a predisposition to it, already exists, no doubt can be entertained. Eour cases are attributed to solitude, Ito nostalgia, 4to religious excitement, and Ito spiritism. Hereditary predisposition existed in numerous instances. The proportion of the number of admissions to the general population is of considerable importance, as throwing some light upon the prevalence of lunacy in the community. In this respect New Zealand compared unfavourably last year with some other countries, as shown in the following table :— Proportion of Number of Admissions to Population. New Zealand ... ... ... ... ... ... 1 to 1,235 New South Wales ... ... ... ... ... 1 to 1,581 Victoria ... ... ... ... ... ... ... 1 to 1,621 England and Wales ... ... ... ... ... 1 to 1,929 Discharges. During the year 1882, 247 patients received their discharge. Of these, 154 were registered as "recovered," 81 as "relieved," and 12 as "not improved." The percentage of recoveries on the number of admissions was not so large as usual, amounting to 36-75. In England it is stated to be 39-72, in New South Wales 42-91, and in Victoria 37-68. Deaths. The number of deaths was 79. All were from ordinary causes; none resulting from suicide, accident, violence, injuries, or from any form of infectious disease. The death-rate must be regarded as a very low one. Calculated upon the total number treated, it amounted to 4-95 per cent., as against 7"61 in England and Wales. The following table gives the percentage, calculated upon the average number resident:— England and Wales ... ... ... ... ... ... 992 Victoria ... ... ... ... ... ... ... 7'90 New South Wales ... ... ... ... ... ... 546 New Zealand ... ... ... •..,- ... ... ... 6'49 The proportion of deaths to admissions was 18"85 to 100. Accommodation. The existing accommodation for patients is very inadequate. The overcrowding at Auckland is very serious; and at Christchurch the old buildings occupied by male patients are quite unfit for their present use. The following table shows the number of beds for which there is proper room at the various public asylums, and also the number of patients on the Ist January, 1883:— Accommodation for Number of Patients. Auckland ... ... ... ... ... 157 ... 274 Hokitika ... ... ... ... ... 76 ... 87 Nelson... ... ... ... ... ... 86 ... 85 Napier... ... ... ... ... ... 23 ... 19 Dunedin ... ... ... ... ... 191 ... 195 Seaclifl; N ... ... ... ... ... 146 ... 140 Wellington ... ... ~. ... ... 144 ... 152 Christchurch ... ... ... ... ... 327 ... 307 1,150 1,259

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A deficiency is here shown of 109 beds, to which must be added 17 when the new refractory-block at Christchurch is in occupation, and the old building removed; also 6at Auckland (this number of single rooms being quite unfit for use); and the whole of the 19 beds at the Napier building, which is not suitable for a permanent asylum. The deficiency, thus increased to 151 beds, will be reduced by the occupation of the new building, in course of erection at Auckland, for 60 males ; and by the additional room for 20, shortly to be provided at Wellington. The annual increase of insanity must also be taken into consideration. With this in view, it is not likely that the opening of the new Seacliff Asylum —possibly a year hence —will do much to remedy the overcrowding. I therefore recommend the erection of a new asylum, to serve for the whole southern portion of the North Island, as soon as a suitable site can be obtained, and the administrative portion of which should be arranged to serve for an ultimate number of 600 patients. The site of the Wellington Asylum is so unsuitable for the proper employment of its inmates tbat no further enlargement of the buildings should be thought of; and it will probably hereafter be deemed advisable to devote it to other uses. The Auckland Asylum, having a sufficient estate for the purpose, should be at once enlarged, so as to accommodate 100 additional patients, and its central or administrative portion remodelled. The central portion of the Christchurch Asylum should be completed without further delay. Additional accommodation for 50 male patients is urgently needed here, but no enlargement should be undertaken until additional land is secured, the present estate being quite inadequate for any larger number of patients. At Hokitika some small, and comparatively inexpensive, additions are requisite. Cost of Maintenance. The total expenditure for 1882 was £39,366 10s. Bd., or £4,339 Bs. Bd. more than that of the previous year. The amount received in repayment for the maintenance of patients, and for the sale of asylum produce, was £4,372 14s. lOd.; which, being deducted, reduces the total cost to £84,993 15s. lOd. Compared with the same item in 1881, an excess of expenditure is here shown amounting to £5,578 6s. 3d. The total cost per patient in 1882 was £29 18s. 7J-d., as against £29 10s. in 1881. This difference not wholly accounting for the above-named excess, an explanation must be sought elsewhere. In the first place must be mentioned the cost of the 93 additional lunatics, with the necessary expenses of their certification, conveyance to asylums, and increased staff of attendants. The payment of additional medical fees, under the Act of 1882, and the salaries of newly-appointed Deputy-Inspectors and Medical Superintendents, contribute to the increase. The small amount received last year in " repayment for maintenance " is, however, of much greater importance. The sum received under this heading was £4,008 14s. lOd. only, or £1,219 lis. 3d. less than was paid in the previous year. This latter sum, added to £2,783 10s. 3d. (the cost of 93 additional lunatics, at £29 18s. 7Jd.), makes £4,003 Is. 6d., which goes far to explain the increased expenditure. The onus of collecting "maintenance-moneys " now falls upon the Superintendents of the asylums, under the 39th section of the Lunatics Act of 1882, and their new duties in this respect commenced on the Ist January, 1883. Legislation. Although the Lunatics Act of 1882 is a very great improvement on that of 1868, and in many respects a good deal in advance of Home-legislation on the subject of insanity,, yet it contains provisions which are in my opinion of doubtful value, and some defects which require amendment. ( _*> Proceedings to restrain Lunatics. Section 5, subsection (5), gives power to a Magistrate to commit a person, apprehended as a dangerous lunatic, to any asylum, pending " examination by two

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medical practitioners, and from time to time to remand him." A number of persons have been sent to asylums tinder this provision, and, when examined by medical practitioners, pronounced to be sane. It appears to me that the medical examination should never be delayed longer than is necessary, and that this power should be rarely exercised, at any rate in the larger towns, where no difficulty should exist in procuring the attendance of two medical practitioners. Statement to be filled up by Medical Practitioners. Section 5, subsection (7), and also section 34, direct that the "statement" of the patient's antecedents shall be filled up and signed by the certifying medical men. These are usually strangers to the lunatic, and unable to do more than write the word " Unknown " opposite to each particular. Valuable information would be gained if the statement were filled up by a relative or friend where practicable, or, in default of this, by the police. In England the statements regarding pauper lunatics are prepared by the Relieving Officer. Proceedings by Friend, Bfc, of Lunatic. Section 25, subsection (2), provides for examination by two medical practitioners both separately and conjointly. This arrangement would appear to remove what has always been regarded as an important safeguard against improper incarceration in an asylum. Subsection (5) states that an order for admission may be made by the Resident Magistrate and two Justices of the Peace, and directs Form lof the Schedule to be used. The form requires alteration for this joint order. Recovery of Maintenance-Moneys. Section 39 imposes the duty of "recovering maintenance-moneys" upon the Superintendents of the asylums. I cannot help feeling some doubt as to the propriety of this arrangement. Attempts to evade payment are very frequent, and the task of prosecution is foreign to the scope of a medical man's work, and may tend to strain the friendly relations which should exist between him and the relatives of his patients. The amount received for maintenance last year was very small, and should be capable of great increase if proper inquiries were made by the police into the circumstances of lunatics and their relatives, and orders for adequate payments made by the Resident Magistrates. Habitual Drunkards. Section 43 relates to the confinement in asylums of habitual drunkards. At present no proper accommodation exists for them, and their presence in asylums embarrasses the Superintendents and irritates the lunatics. Section 47, which imposes a penalty for refusal to work, &c, is not likely to be enforced, as the punishment would often fall upon relatives already impoverished by the drunkard's conduct. Order for Discharge. Section 175. The absence of the Resident Magistrate sometimes causes delay in the discharge of a patient who has quite recovered. In connection with the subject of legislation, allusion may here be made to a regulation prohibiting Medical Superintendents of asylums from examining their patients post mortem. In England they are enjoined by the Commissioners in Lunacy to make such examinations whenever practicable, and in this way many injuries have been discovered and traced which had not even been suspected during the life of the patients. lam not aware that the greatest enemies of asylums have ever imputed to Superintendents the suppression of such discoveries. On the other hand, it is not unusual to find in their published annual reports full details of every such examination. No advance in cerebral pathology can be expected under existing circumstances, for the asylum physician only can be expected to make this subject his special study, the ordinary medical practitioner having, moreover, no opportunity of comparing the appearances after death with the symptoms exhibited during life.

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Asylums.

Auchland Asylum.

The number of patients in this establishment on the Ist January, 1882, was 253 —Adz., 174 males and 79 females. During the year 86 were admitted—s6 males and 30 females—lo of the males and 8 of the females being readmissions. The total number under treatment was 339 —-230 males and 109 females. Of these, 13 males and 12 females were discharged as "recovered;" 7 males and 9 females as "relieved" or "not recovered;" 19 males and 5 females died; leaving, at the end of the year, 191 males and 83 females: total, 274. The recoveries show a percentage of 29'06 upon the admissions, and the deaths a percentage of 9* 16 upon the average number resident. The asylum was visited by me on March 21st, 22nd, 24th, and 29th, when I made the following entry in the Inspector's Book :— I have, on the 21st, 22nd, and 24th March, made a complete inspection of the asylum, with the whole of the outbuildings and the estate. There are at present 273 patients on the books —viz., 189 males and 84 females—all of whom I have seen, with the exception of two men who are absent on trial, and another, E. K., who escaped on March 17th ultimo, and has not, at present, been recaptured. Tlie orders for admission and the medical certificates have been duly examined, together with the following list of books, all of which were found to be properly and carefully kept: The Medical Journal, the Book of Admissions, the liegister of Discharges and Deaths, the Case-books. The Patients' Book was signed by me, and the various statutory inquiries duly made. There was almost entire absence of excitement amongst the patients, particularly in the female division. No complaints whatever were made to me, but a few requested to be released from detention. On the 22nd I found one patient (a man) in seclusion; he was in a state of maniacal excitement, and had stripped off all his clothing. The medical records show that this form of treatment is not unduly resorted to, and no other form of restraint is in use but the occasional wearing of locked leather gloves to prevent or remedy destructive habits. The whole establishment I found very clean, but requiring in many parts some repairs to the plastering of the walls, and a good deal of painting and colouring. The men's dining-hall should have a wooden dado about 4 feet high; and strips of wood secured to the floor would prevent any further injury to the walls by forms or tables. In two of the wards the mantelpieces require refixing. A good deal of the furniture is old and unsuitable, and might gradually be replaced, The box bedsteads with metal bottoms are not old, but are certainly obsolete in a modern asylum, and tend to encourage neglect on the part of the night attendants. The whole of the bedding appeared to be clean and in good order. I hope to see the proportion of hair mattresses to those of straw gradually increased. There were a great many beds on the male side which were made up with one sheet only, and I was informed that the stock of these was very insufficient. The soiling of the blankets which results certainly entails additional wear and tear, and therefore expense. I also found that a second suit of clothes is not provided for the male patients, and that there is an insufficient supply of under-linen. These wants ought to be at once remedied. The wards have a comfortable appearance, but are singularly bare of any objects of interest or ornament; and, though one or two newspapers were seen, I saw no books. A special grant for these objects would be money judiciously expended. The bath-rooms have floors of stone or of wood covered with zinc or lead. A wooden grating of simple and cheap construction should be provided for the patients to stand upon. A good many patients occupied the airing-courts. That for the females should be laid out and planted, the paths being covered with asphalt. A portion of the high wall might with advantage be removed, so as to enable the surrounding country to be seen. The old sheds behind this court should also be pulled down, and new ones for their purpose erected in a more suitable position. The asylum is greatly overcrowded —273 occupy the space which was intended for 157 only. The chapel contains thirty beds, very closely placed. One of the day-rooms in the male division has been taken for a dormitory, causing great inconvenience to the patients during wet weather, as they have then only a small and narrow corridor for their use. Beds and shakedowns are to be found in all sorts of unsuitable places, the offices of the Clerk and the Superintendent also being used as bedrooms. This state of things is detrimental and dangerous. There was an increase last year of 21 in the number of patients, and immediate provision, for a large additional number is necessary. The wooden buildings now in course of erection will accommodate 60 only of the male patients, leaving still an excess of 22 of this sex. A number of the females are housed in rough and unfurnished rooms, built for workshops, but capable of being made much more comfortable; while an adjoining range of six single rooms, destitute of any windows, are totally unfit for use. It is quite evident that an extension of the asylum is necessary. The estate is large enough and well situated ; and it would be much more economical to manage a larger number of patients here than to provide an additional asylum elsewhere. The additions should also comprise a dining-room for females, which is now much needed ; a visiting-room for each sex ; a recreation-hall, which might also serve as a chapel; and a residence for the Medical Superintendent. The kitchen appears to have been left in an unfinished state, and would require rearrangement. The erection of the wooden building for 60 quiet male patients has just been commenced. It will, I think, be well suited for the purpose. One or two modifications of the plan are desirable, such as a fireplace and chimney for the large dormitories, and outside Venetian shutters to the windows in

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place of internal sliding ones. The bailiff's house needs a small verandah, and it will be necessary to erect proper farm-buildings, with a good yard. I was sorry to find that there has been an outbreak of typhoid fever in the asylum. There have been two deaths from this cause, and some cases of severe type were shown to me in the male division ; The cause of the outbreak is not known, but the overcrowding under the circumstances becomes the more serious. The general health of the establishment is otherwise very good. A great deal appears to have been done in clearing the farm-land of scoria, and erecting stone fences. There are some good crops, but the long-continued drought did much harm. The acquisition of a piece of land of some five acres near the creek, and having on it a good spring of water, is very desirable. The use of gas made from gasolene for lighting the asylum has not proved a success. A very serious increase in the annual expenditure has occurred under this heading. Moreover, the light is so bad and unreliable that kerosene lamps are still provided and often used. The ceilings are very much blackened with the smoke from the burners, and many complaints were made to me as to the bad illumination. All proper care seems to have been taken to secure the success of this system if possible. I recommend that arrangements be made at once for the supply of coal or other gas in place of that made from gasolene. The laundry drying-closet is badly constructed and arranged. Some slight modifications of the air inlets and outlets would insure better results ; but the steam-pipes must first be made tight at the joints, which should have properly-faced flanges for the purpose. The horses also require some alterations. The amusements of the patients receive some amount of attention here, but they are never taken for walks beyond the asylum grounds, nor are any excursions or picnics organized. This is a matter for regret. If these amusements are practicable in London and its suburbs there can be no insuperable obstacle to their being enjoyed here in a sparsely-populated district. My inspection gave me a good impression of the zeal and ability of Dr. Young, and of those who assist him in the administration of this asylum. Mr. Thomas Macffarlane, the Deputy-Inspector, pays regular and frequent visits to the Asylum. Christchurch Asylum. The number of patients on the Ist January, 1882, was 282—-182 males and 100 females. During the year 50 males and 29 females were admitted for the first time, and 12 males and 5 females readmitted. The total number treated was 378 —viz., 244 males and 134 females. Of these, there were discharged as " recovered " 18 males and 17 females ; 9 males and 3 females were discharged as "relieved "or "not improved ;" while 18 males and 6 females died. At the end of the year there remained in the Asylum 199 males and 108 females : total, 307. The recoveries show a percentage of 36"45 upon the admissions. The deaths were 8'36 per cent., calculated upon the average number resident. The asylum was visited by me on the 9th November, 1882, and again on the 16th, 17th, and 18th January, 1883, when I made the following entry in the Inspector's Book:— I have this day concluded my inspection of the Sunnyside Asylum, which has occupied my attention since Tuesday last, the 16th January. Every part of the buildings has been seen by me, including the cottages occupied by the gardener and attendants and the other outbuildings. I have also examined the Case-books, Register of Admissions, Register of Discharges and Deaths, Medical Journal, Inspector's Book, Patients' Book; and made all the statutory inquiries. A number of patients' letters were submitted to me, one of which I directed to be forwarded as addressed; the others were properly detained. The list of patients was examined by me, as also the orders and certificates relating to the admission of patients. All were found to be correct. The whole of the books are carefully kept. Some slight omissions in the Register of Admissions were pointed out for rectification, and instructions given that inebriates should not in future be entered in this book as lunatics. The patients were all seen by me with the exception of four, who were absent on leave. The present number is 299, of whom 197 are males and 102 females. The general health of the patients is very good, though a number of cases were shown to me of goitre, and it was remarked that this affection sometimes commences after admission into the asylum. Eive males and five females were in bed yesterday, but several of these were there simply for observation or examination. A woman suffering from paralysis, and another from advanced phthisis, would more properly be inmates of a general hospital. I satisfied myself that all were properly detained, the only complaints on this score being obviously unreasonable, and on no other subject whatever was any complaint made. There was a remarkable absence of excitement, and all appeared to be fairly contented. A large proportion were usefully employed, but none were in the workshops : in fact the printing office and shoe-room were so unbearably hot as to be unfit to work in to-day. There is no record of restraint having been used, except in one case for surgical purposes ; and seclusion does not appear to? be unduly resorted to. One patient (a female) was secluded on the 15th, but none yesterday. The proportion of incurable cases is very great. In the new buildings excellent order prevailed. The rooms are substantially furnished and well ventilated, everything being scrupulously clean ; but there is a want of decorative objects in some of the male wards. The bedding is well attended to, and, though chaff beds are in use, they are carefully made and fairly comfortable, especially when placed on a canvas stretcher. Where wooden laths form

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the bottom of the bedstead some form of paillasse might be used with advantage beneath tho chaff bed. The personal clothing of the patients I found to be in good order and suitable in kind. Of the old buildings I can only speak in terms of the strongest condemnation. The confined and unbearably-hot airing-court, in which 42 patients are expected to take exercise, and beyond which 18 of this number never go for that purpose, is more calculated to produce insanity, or to materially aggravate it, than to remedy it. The single rooms surrounding this and other two disused yards are unfit for further use ; many of them have no windows at all. The kitchen also is too small, its apparatus insufficient, and its distance from the new buildings very inconvenient. No time should be lost in removing these patients to more favourable surroundings. In the new refractory-block there is accommodation for 25 of the number, but no proper airing-court exists for their use. I would recommend the immediate erection for this purpose of a corrugated-iron (or other) fence, as suggested by Dr. Hacon. This can be of smaller dimensions than the permanent court, and can ultimately be enclosed within its area. The material of its construction can always be made useful when it is no longer needed. But it still remains to provide for the 17 remaining patients in the old buildings. A block for 50 males should be put in hand at once; and in the meantime, but only as a temporary measure, a dormitory for 25 patients may be arranged in one of the lofts of the new building, which afford ample room for the purpose, but require some additional light and ventilation and the erection of some wooden partitions. Good results cannot fail to follow the adoption of this or some similar plan. The erection of the kitchen should also be commenced without delay. I was pleased to find that 30 of the male patients from the old wards were dining in the hall; the remaining 12 had their meal served in their small day-room. The food appeared to be good; and I took an opportunity of tasting the bread, milk, and butter. These were of excellent quality, with the exception of one portion of the butter, which was greatly inferior to the rest. The wrater-supply involves a good deal of hand-labour, and the use of the small boiler and engine sent for the purpose, but not yet erected, would probably cost a good deal for fuel. I inspected the tanks in the roof, which appear to be carefully looked after. The iron pipes for the hydrants are much too small for the hose supplied. Water-closets are not in use, as no proper drainage scheme has yet been carried out; and it would be impossible to avoid, under present arrangements, the pollution of the neighbouring stream. The large depositing-tank has never been finished, and earth-closets of a temporary and primitive kind are used, at much trouble and inconvenience. The question of drainage is a pressing one, and should be settled speedily. It will not be out of place to mention here that a child in one of the cottages is alleged to be suffering from typhoid fever. The buildings are in good general repair, but require, periodical inspection by some competent person to prevent damage. The estate fences are very dilapidated. An attendant acts also as carpenter when he can be spared for this purpose ; but it appears to me that there is plenty of work here for a man who has no duties in the wards, and that the engagement of an additional man as carpenter would prove economical. The laundry will require to be enlarged, and the present defective arrangements for drying clothes on wet days to be altered. A proper drying-closet might at some future time be constructed in the room now in use. The quantity of land forming the asylum estate is not sufficient. An effort should be made to acquire one or more of the adjoining farms either by purcnase or on a long lease. The land is very productive, and affords profitable occupation for the male patients. Considering its limited extent, I regret that Dr. Hacon does not deem it practicable under existing arrangements to take any of the inmates beyond its bounds for exercise. The amusements of the patients are well looked after, and in this department of the work Mr. Seager renders valuable service. The admirable manner in which the stores are kept by this officer does him great credit. Of the rest of the staff I formed a good opinion, and was convinced that Dr. Hacon manages the asylum under many difficulties with great ability and zeal. During my visit on the 17th January a man, 8., escaped. He was very soon brought back by two attendants, one of whom was stated by a slaughterman to have used bad language and unnecessary violence to him. No mark of injury could be detected; but Dr. Hacon will apply for a summons against the attendant, who is meanwhile suspended from his duties. 18th January, 1883. The Deputy-Inspector has made frequent visits, and his reports have been generally of a favourable character. Dimedin Asylum; and Temporary Buildings at Seacliff. The number of patients on the Ist January, 1882, was 327—219 males and 108 females. During the year 55 males and 24 females were admitted for the first time ; 15 males and 11 females were readmitted. The total number treated was 432 —viz., 289 males and 143 females. Of these, there have been discharged as "recovered " 36 males and 10 females, and as "relieved" or "not improved " 23 males and 9 females. Ten males and 2 females have died, leaving a total at the end of the year of 335 —219 males and 116 females. The recoveries were 50'47 per cent, upon the admissions; and the deaths 3'61 calculated upon the average number resident. The old buildings at Dunedin were visited by me on the 7th November, 1882, and the temporary asylum at Seacliff on the Bth November. On the 26th, 27th, and 30th January I again inspected these establishments, leaving the following entries in the Inspector's Book :— I inspected every portion of the Dunedin Asylum and its surroundings. All the patients were seen

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by me, with the exception of one male and one female, who are at present absent on trial. I examined and signed all the books, which I found to be carefully and properly kept. The orders of admission, medical certificates, and the list of patients were also submitted to me and approved. All the statutory inquiries were made. The number of patients on the register is now 337 —viz., 219 males, 118 females. Of these, 135 men and 5 women are at the Seacliff establishment; and as only the workers, those who are healthy, and the more manageable are accommodated there, the inmates of the Dunedin Asylum present an undue proportion of unfavourable and excitable cases. This is the more to be regretted, as the encroachment on the building by the erection of the High School has necessitated the conversion of the dining and amusement hall into wards, and rendered administration more difficult. The patients are now deprived of nearly all means of recreation, and are confined to the small airing-courts, where they are overlooked by workmen engaged on the adjacent building, and annoyed and excited in consequence. The result is a larger amount of seclusion than would otherwise be necessary. lam satisfied that this mode of treatment is only resorted to when absolutely necessary ; and I was surprised at the comparative absence of excitement under such adverse circumstances. It will be quite impossible to part with any further portion of the old buildings until the general removal to Seacliff, which, lam encouraged by the architect to hope, may be early next year. I found a fair proportion of the patients usefully employed. Some of the men were engaged in cutting up the winter supply of firewood, which is brought from Seacliff. All the stores used at that establishment are supplied from this, so that one set of books suffices. The soiled linen, also, is brought here to be washed, and the way in which this is done, with imperfect appliances, is most creditable. I carefully inspected the dormitories and single rooms, which I found scrupulously clean and free from any bad odour. The beds and bedding were in excellent order. The personal clothing of the patients was of suitable kind. Three of the men were in bed. On the 26th there was one woman in seclusion; her arms were also restrained for surgical reasons, as she constantly tore off the dressings from some severe wounds, the result of burns inflicted before admission. The sores are upon the left thigh, soles of the feet, and right calf, and resulted from the application of hot-water bottles to those parts at the Dunedin Hospital. She was admitted into that establishment suffering from collapse, the result of exposure, and the destruction of the skin is said by the Medical Officer there to have been due to low vitality. I have made a note of the circumstances in the Patients' Book, and shall inquire further into the matter. On the 27th a female patient became excited at the sight of the workmen, and had also to be secluded during my visit. The staff of female attendants in charge of these troublesome patients is not sufficient; but it would be difficult to find accommodation for any larger number here. I examined the stores, and found all of good quality, the bread being, without doubt, the best I have ever seen in any asylum. I heard no complaints but of detention without cause, those who made them being obviously unfit to be at large. I could not help noticing that the anxiety and difficulty connected with the administration of two establishments so far apart had adversely affected Dr. Neill's health. He is about to seek the proper remedy in a sea-voyage and change of scene. Of his ability and zeal as a Superintendent no doubt can be entertained. 26th and 27th January, 1883. I have this day seen and examined the Medical Officer of the Dunedin Hospital, and also questioned the housekeeper and the nurse who applied the hot-water tin and bottles to the patient. They assured me that the patient was first covered with a double blanket, outside which the hot-water appliances were placed, and that she never moved during the time of their application. I^ould not elicit anything which would throw any further light upon the matter. 29th January, 1883. Mr. Bradshaw, the Deputy-Inspector, makes frequent visits to both asylums. Hokitika Asylum. There were, on the Ist January, 1882, 55 male patients and 27 females in the asylum : total, 82. Eourteen males and 9 females were admitted during the year for the first time, and 1 male was readmitted. The total number treated was 106: of these, there were discharged as " recovered " 6 males and 2 females; 2 males and 2 females were discharged as " relieved," or "not improved;" and 3 males and 4 females died. The number remaining at the close of the year was 87 —59 males and 28 females. The percentage of recoveries on admissions was 33'33 ; the deathrate on the average number resident, 8-43. This asylum was visited by me on the 15th and 16th February, 1883, when I made the following entry in the Inspector's Book : — I have been occupied yesterday and to-day, the 15th and 16th February, in my inspection of the asylum, of which I have seen every portion. The whole of the books have been examined, together with the orders of admission, medical certificates, and the list of patients. I have also made all the inquiries prescribed by the statute, and seen every patient. There are at present on the register 58 males and 29 females. None are at present under medical treatment; a man, who was suffering from epilepsy yesterday, having since died. No one was in seclusion ; and I find from the Medical Journal that this mode of treatment is not frequently resorted to. Locked gloves have been used in one or two cases on account of persistent destructive habits. Both the days upon which I visited were very wet, and the patients necessarily confined to the house ; yet the freedom from excitement was very remarkable, notwithstanding the fact that there is

9

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here a very large proportion of unfavourable cases. One woman alone (B.) was noisy. No reasonable complaints were made to me upon any subject. A man named W. M. complained of his detention, and I gave him an ample opportunity of stating his grievances. I have made a note of his case in the Patients' 800k —to the effect that I cannot, at present, recommend his discharge on trial, as I believe him to be a dangerous man. The clothing of the patients appeared to me to be suitable, and it was clean and in good order. In some way or another all are employed with the exception of 10 males and 7 females. Dinner was served in my presence, and consisted of broth, boiled beef, potatoes, and cheese and bread for the working-men ; it was of good quality, and eaten in an orderly manner. A portion of the cooking is now done successfully in gas-ovens. The whole of the establishment I found in the best possible order : good order and scrupulous cleanliness were everywhere apparent. The beds and bedding were examined, and found to be in excellent condition. The accommodation afforded by the detached building, called " the cottage," is of a very superior order. This, and the well-planned gardens, called " airing-courts," would do credit to any English asylum. The Medical Officer visits the asylum at least three times a week, and daily if necessary. Under the Act of 1882, section 78, a daily visit is required. He appears to give undivided attention to all the patients, and makes remarks as to their condition in a book kept for that purpose. In matters of recreation I find that all opportunities of visiting places of amusement in the neighbourhood are taken advantage of; and that a weekly dance, with an occasional dramatic eutertainment, takes place. No doubt can be entertained as to the value of the services rendered to this asylum by the Superintendent and the Matron, Mr. and Mrs. Gribben. 16th Eebruary, 1883. The Deputy-Inspector, Mr. B. Clapcott, visits the Asylum with great regularity and frequency. Napier Asylum. On the Ist January, 1882, there were 14 males and 8 females in the asylum. Two men and 4 women were admitted for the first time during the year, and 3 men were readmitted. The total number under care was 31. Two males were discharged "recovered;" and 2 males and 7 females discharged "relieved" or "not improved." One male patient died. -The total remaining on the 31st December was 19 —14 males and 5 females. This building forms part of the gaol. With so small a number of inmates no classification can be carried out, and there is little scope for either employment or amusement. Lunatics should only be placed here temporarily, pending removal to a proper asylum. I visited the establishment on the 14th and 17th April, 1883, and left the following report in the Inspector's Book : — I have this day inspected the Napier Asylum in every part, and have seen every patient, with the exception of two females who are at present absent on trial. There are at present on the books 15 males and 6 females ; also one patient (M. W.) on remand. The whole of them are evidently well cared for and kindly treated. No complaints whatever were made to me. The establishment is kept in a very creditable condition, everything being scrupulously clean and orderly. I saw a good and substantial dinner served. Everything is cooked in the adjoining gaol. The day-rooms are cheerfully and suitably furnished. The sleeping-rooms are small, but well ventilated. Straw beds are in use. Bedding in excellent order. ' The airing-court, overlooking the sea, is planted and laid down in grass. It is used by both sexes alternately. Certainly the most has been made of very cramped and ill-contrived buildings, which are only fit for a receiving-house for lunatics, and not for their permanent care and treatment. The books and papers I found to be in due form, and well kept. I made all the inquiries enjoined by the statute, and received satisfactory replies. No doubt can be entertained as to the judicious and skilful management of Mr. Miller, the Superintendent ; and those who work under his guidance are also entitled to much credit. 14th April, 1883. Mr. G. A. Smith, the Deputy-Inspector, takes great interest in his duties. Nelson Asylum. The patients numbered, on the Ist January, 1882, 43 males, 28 females: total, 171. Seventeen males and 10 females were admitted during the year for the first time, and 1 male and 4 females readmitted. The total number treated was 103 —61 males and 42 females. There were discharged "recovered" 9 males and 2 females, and as "relieved" or "not improved " 3 males. Two males and 2 females died,' leaving at the close of the year 47 males and 38 females : total, 85. The percentage of recoveries on the admissions was 40'74, and the death-rate on the average number resident 4*70. 2—H. 3.

H.—3

10

The asylum was inspected by me on the Ist and 2nd December, 1882, and again on the 26th April, 1883. The following entries were made in the Inspector's Book :— Yesterday I visited the Nelson Asylum, and completed my inspection to-day. All the patients were seen by me, except one male, who is absent on trial. The general health was very good ; no. one was in bed, and only 8 were under any kind of medical treatment. The number of patients on the books is (including the male absent on trial) 85—viz., 46 males and 39 females. All appeared to be very judiciously treated and cared for. There was a total absence of excitement, and no complaint whatever was made to me, except such as were manifestly delusive. The wards, corridors, and dormitories were bright, cheerful, and scrupulously clean ; as also was all the bedding, and the personal clothing of the patients. The grounds are well kept and planted, and no high fences gave any appearance of a place of confinement. Only 15 of the patients are unemployed. All the others do useful work, the majority of the men being occupied upon the land, and some painting, glazing, and carpentering. A large party were at work upon tho five acres of land recently purchased, and were rapidly getting it into cultivation after a long period of neglect. I cannot but regard this addition to the too small estate as a very valuable one. No one was restrained and no one in seclusion at the time of my visit. The Medical Journal shows that this form of treatment is seldom resorted to. Dinner was served, in my presence, to about 40 males and 36 females in the large hall, and was partaken of in a very orderly manner. The male and female attendants dine in two relays in rooms which are small and gloomy, and which require painting and renovating. The day-room accommodation is inadequate, especially when the men are prevented by bad weather from working out of doors. Plans were submitted to me of a proposed billiard-room and reading-room. These can be constructed at comparatively small cost, principally by home-labour; and I strongly recommend that they be completed without further delay. The billiard-table will be purchased by private subscription. Amusements receive due attention here. There is a weekly dance, attended by both sexes of patients, and also by a limited number of visitors. Entertainments in the town are constantly attended, and walks taken in the neighbourhood. A good tennis-lawn has recently been formed, and the necessary implements for the game will shortly be purchased. Divine service is conducted every Sunday morning by a lay-reader, some ladies kindly giving their services to play the harmonium and assist in singing. About 52 of the patients are usually present. With the exception of Catholic priests, ministers seldom visit the asylum. Ladies from the convent come nearly every Saturday and bring cakes and other articles as presents. Some difficulty is at present experienced with the water-supply, which is from the town mains ; none is obtainable by day, except what can be stored by night in ten 400-gallon tanks. I understand that a pecuniary arrangement has been made with the Council for a better supply, but I doubt the permanent efficiency of the plan proposed, as explained to me by the Mayor. There is no provision for fire-extinction. A few lengths of hose were shown me, but those are quite worn out, and could not be used if sound, as there is no pressure at all in the daytime at the hydrants. All other statutory inquiries were made by me. The books were examined, and also the stores and supplies. These latter are obtained and issued with much care, and were all of good quality. Dr. Boor evidently takes much interest in the asylum, and, as Visiting Medical Officer, devotes a good deal of time and trouble to his patients here. Of the services of Mr. Mills as Superintendent, and of his wife as Matron, I cannot speak too highly. The condition in which I found the whole establishment and its inmates does them the greatest credit. Their salary appears to me to be low in amount, and I strongly recommend that some increase be made to it. My duty including an inspection of the whole asylum-estate, I visited that part of it which is now occupied by the Refuge for the Destitute Poor. There are at present 16 old people here, and an infant, housed in very dilapidated buildings, which are pervious to wind and weather, and are so decayed that a storm may demolish the whole. A large space of ground is occupied by these buildings, and as a garden, the produce of which appears to be devoted to the Matron. It would be highly advantageous to the asylum, and not less so to the poor inmates of these wretched premises, if they could be removed to some more suitable building. The Immigration Barracks appear to present the requisite accommodation, and perhaps a part at least might be devoted to this purpose. 2nd December, 1882. The Honorary Deputy-Inspector, Mr. J. C. Richmond, has made frequent visits of inspection. Wellington Asylum. On the Ist January, 1882, there were here 139 patients—B2 males and 57 females. During the year 21 males and 18 females were admitted for the first time; 13 males and 5 females were readmitted. The total number under treatment was 196 —116 males and 80 females. Ten males and 10 females were discharged as "recovered;" 8 males and 9 females as "relieved" or "not improved:" 7 males died. The numbers remaining on the 31st December were 91 males and 61 females : total, 152. The proportion of recoveries to admissions was 35'08, and the death-rate, calculated upon the average number resident, 649. The very objectionable back wards are at length in a fair way of being very shortly

11

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removed. Provision will be made for the worst class of male patients on elevated ground, and I anticipate very good results from their altered surroundings. The asylum was visited by me on the 17th November, 1882, on the 20th and 21st November, and again on the sth January, 1883. The following entries were made by me in the Inspector's Book :— Paid a cursory visit to the asylum, accompanied by the Hon. T. Dick. Went through all the wards and dormitories. 17th November, 1882. On Monday and Tuesday, the 20th and 21st, I made a thorough inspection of the asylum, and saw all the patients with the exception of 2 males and 2 females absent on leave. With very few exceptions all appeared to be in fairly good health, only 3 being in bed (2 males and 1 female), and altogether only 7 under medical treatment. One male patient was suffering from typhoid fever, but was making satisfactory progress toward recovery. On inquiry, I learned that he had spent a good deal of time in loitering about the water-closets ; otherwise the outbreak of the disease could not be accounted for. Dr. King at once had the sanitary arrangements well looked to and cleansed, and the infection has not spread further. The other cases of sickness call for no remark. The patients generally were free from excitement and fairly contented ; only two or three made any complaint to me, but I satisfied myself that they were properly detained, though against their will. Of the males, 25 were returned as employed out of doors, and 4l in some form of useful indoor work ; 46 females are usefully occupied. I found one man under restraint, and satisfied myself that, under existing arrangements, this proceeding was necessary for the safety of his fellow-patients and attendants. One woman had been just placed in seclusion on account of excitement, but would shortly be released. Eight males and 3 females were reiurned as wet and dirty; and 12 males and 4 females as not washing, dressing, or feeding themselves. Dinner was served, in my presence, on the female side. It consisted of broth, and mutton either boiled or roasted, witli potatoes ; and, for the payment patients, greens. It was partaken of in an orderly manner, and no complaint made either of quality or quantity. I noticed that the tablecloths were very clean. The front wards and corridors, with the dormitories and single rooms, presented a clean and cheerful appearance, and were fairly provided with books, papers, plants, pictures, and various means of amusement. The bedding was very clean. Straw beds were in general use, though I noticed some which were of hair, and others of flax. A trial has been made of woven-wire mattresses, and, this having been very satisfactory in its result, more have been ordered and will shortly be in use. The bath-rooms and closets, as also the sinks and lavatories, were in good order, and there was a general freedom from offensive smell. The clothing of the patients was also of a satisfactory character. In short, the front portion of the asylum presents all the comforts and appliances (apart from some measure of overcrowding and the want of any proper airing-court) which are needed for the successful care and treatment of the insane. In the back ward and yards I found 18 male and 7 female patients, with accommodation and surroundings of the most wretched character. So much has already been said and written of these portions of the asylum that I can only think it necessary to urge their demolition with the least possible delay. I found them even worse than anything I had imagined of them. These patients can only be expected to go from bad to worse unless removed; and no other accommodation exists for them in the asylum. On inquiry, I found that the attendants in charge of the back wards take their meals there. Dr. King will arrange to relieve them, so that they may dine in the hall if they desire to do so. Two of these patients go out to work, and one or two others are usefully employed. All are occasionally taken out for a walk within the asylum grounds. - No special rooms are set apart for the sick and feeble, but this class is associated on the male side with the payment patients, which is by no means a desirable arrangement. Divine service is performed on Sunday only, the Protestant service being usually attended by 87 patients, and the Roman Catholic by 31. No service is held in the wards, but the sick are visited by ministers when desired. A party of about thirty men goes out of the grounds for a walk every Sunday. Some of the female patients are taken out almost daily. I visited the whole of the estate, and saw the garden and six acres of land lately dug over and sown with oats by home-labour. On inquiry I found that industrious patients are rewarded with tobacco, and are sometimes taken to a circus or other place of amusement. Stimulants form no part of the dietary. Vegetables are grown at home, but are not available in sufficient quantity. The potatoes are purchased. Amusements have a proper share of attention. Bowls and croquet are played, there being no room for cricket. About 100 patients attend a fortnightly dance. The Artillery Baud, through the kindness of Mr. Gray, plays out of doors every fortnight; and good service has been rendered by volunteer conjurors and Christy minstrels. A few patients of each sex enjoy an occasional carriagedrive. The New Zealand Times and Evening Post are kindly supplied by the local press, and the Graphic, Illustrated London News, and Punch are purchased. A very small library also exists. The kitchen, scullery, and store-room are inadequate, as regards both their size and their appliances, and require to be rebuilt. It will then perhaps be possible to vary the monotony of the diet to some extent. A proper dairy also is required. I was glad to find that water is available at considerable pressure in case of fire, with proper hose and hydrants, but no system of fire-drill has yet been instituted. The two wooden shoots erected as fire-escapes would, I fear, prove of little use. There would appear to be no difficulty in providing a proper staircase for this purpose at the rear of each front wing of th<3 building. The laundry is a very poor and unsuitable building. It becomes so full of steam that the door leading into the back airing-court has to be kept open, which is both objectionable and not free from risk of danger to excited patients. A detached drying-room exists, but the heating arrangement is of

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12

the most primitive and unsatisfactory nature. A properly-constructed drying-closet is very much needed. There is no airing-court worthy of the name in existence; and I would recommend that a high fence be at once erected round the garden space adjoining each front wing of the asylum, so as to provide suitable exercise-grounds for the quieter class of patients. This fencing would be to a great extent concealed by existing trees, and would not prevent a view of the surrounding country from the higher portion of the ground. There is no other suitable spot for airing-courts where so good a shelter from cold winds can be obtained. Eor the more excitable patients no provision of this kind can be made until the back premises are rebuilt. The levelling of the ground, which is contemplated in the proposed improvements, is of too onerous a character to be undertaken by the labour of patients, who are moreover fully occupied already with the cultivation of the land and garden. All the statutory inquiries were duly made by me ; the books were inspected and found to be properly kept; the orders of admission and medical certificates were examined, and also a number of letters written by patients. The staff of attendants appeared to be sufficient, the head male and female attendants good officers, and I could entertain no doubt that Dr. King devotes his best attention to the admiaistration of the asylum under many difficulties, and deserves much praise. 22nd November, 1882. Mr. Mackay, the Deputy-Inspector, has rendered valuable service by his regular visitation and useful suggestions. Ashburn Hall {Licensed House). This establishment was opened on the 23rd October, 1882. Seven male patients and 3 females have been admitted, and no discharge or death took place up to the close of the year. I inspected the whole on the 27th January, 1883, and wrote the following report in the Inspector's Book : — I have this day visited Ashburn Hall (licensed house), which is situated in a very good estate of about 90 acres, at Waikari, a short distance from Dunedin. The establishment is licensed for 40 patients —viz., 22 males and 18 females. At the time of my visit 8 males and 3 females were under treatment, one of the males having been committed as a habitual drunkard, and not being under medical certificates. I have examined all the books and papers, and made all the inquiries enjoined by the statute. The books are properly entered up. One patient (male) is recorded as being under medical treatment. No one was under any form of restraint or secluded. The establishment is exceedingly well arranged, and offers to its inmates all the comforts of a private country house. The sitting-rooms are neatly and substantially furnished. Each patient has a separate bedroom, the bedding being all that could be desired. Baths and closets of the most approved construction are provided in convenient situations. A splendid supply of water is obtained under considerable pressure from the neighbouring hills, and is connected with proper fire-hydrants in the corridors. The drainage runs through a properly-trapped outlet to a cesspool at a distance from the building, and will be used upon the land. Considerable progress is being made in levelling and forming ornamental gardens, and a tennis-ground. Good farm-buildings are placed at a short distance from the asylum, and a suitable laundry is in course of erection. An excellent wagonette with a pair of horses is in frequent use for the patients, who are moreover well provided with means of amusement in the form of games, books, magazines, and a variety of illustrated and other papers. I conversed with every patient, and ail were apparently contented with their surroundings. One of them, who had recently been out on trial, appealed to me for his discharge, but was obviously unfit to be at large. My visit gave me a very good impression of the general management and arrangements. It is quite evident that neither trouble nor expense has been spared in making the establishment accord with the modern views of treating the insane. A public want has certainly here been supplied, and Dr. Alexander and Mr. Hume deserve success in their enterprise, which must prove a success when the institution becomes better known. 27th January, 1883. I have, &c, George Wallington G-rabham.

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Table I.—Showing the Admissions, Readmissions, Discharges, and Deaths in Asylums during the Year 1882.

Table II.—Admissions, Discharges, and Deaths with the Mean Annual Mortality and Proportion of Recoveries, &c., per Cent. on the Admissions, &c., during the Year 1882.

Table II.— continued.

Table II.— continued.

3—H. 3

M. E. T. M. 769 ) 267 E. 407 T. 1,176 419 [8 asylums, 1st January, 1882 Admitted for the first time ... Readmitted 212 55 119 33 331 88 Total under care during the year discharged and removed— Recovered ... Relieved Not improved Bied 95 49 5 6o 59 32 7 19 '54 81 12 79 1,036 f 2°9 559 "7 L595 326 Remaining in asylums 31st Becember, 1882 ... 827 442 1,269 increase over 31st Becember, 1881 ... 58 35 93 Average number resident during the year 796 421 1,217

Admissions in 1882. Asylums. In Asylums on ist January, 1882. Total Number of Patients under Care. Admitted for the First Time. Readmitted. Total. mckland 'hristchurch )unedin lokitika fapier ielson Wellington .shburn Hall (Licensed House) M. 174 182 219 55 14 43 82 F. T. 79 253 100 282 108 327 27 82 8 22 28 71 57 '39 M. 46 5° 55 14 2 17 21 F. 22 29 24 9 4 10 18 T. 68 79 79 23 6 27 39 M. IO 12 '5 1 F. 8 5 11 o T. 18 17 26 I M. 56 62 70 15 5 18 34 F. 3° 34 35 9 4 14 23 T. 86 96 i°5 24 9 32 57 M. F. 23O IOg 244 "34 289 143 70 36 19 12 61 42 116 80 T. 339 378 43 * 106 3' i°3 196 3 13 o 4 5 3 5 18 7 3 10 7 3 10 7 3 10 Totals ... 769 407 1,176 55 33 88 267 152 419 1.036 559 i.59 212 Iig 331

Asylums, P Discharged Recovered. Patients Discharged and Died. ?atien i nts Discharged and Discharged Not Recovered. ID Total Discharged and Died. In Asylums on 31st December, 1882. Died. Luckland ihristchurch ... )unedin lokitika f apier ... felson Vellington ushburn Hall (Licensed House) M. 13 18 36 6 E. 12 17 16 2 T. 25 35 53 8 M. 7 9 23 2 2 3 8 E. 9 3 9 2 7 9 T. 16 12 32 4 9 3 •7 it. 19 18 IO 3 1 2 7 E. 5 6 2 4 2 T. 24 24 12 7 1 4 7 M. 39 45 70 11 5 14 25 E. 26 26 27 8 7 4 19 T. 65 71 97 19 12 18 44 M. 191 199 219 59 14 47 91 E. 83 108 Il6 28 5 38 61 T. 274 3°7 335 87 19 85 »52 2 9 10 2 IO 2 11 20 7 3 10 Totals,.. 60 19 79 209 117 326 827 442 1,269 95 59 i54 54 39 93

Asylums. Average Number Resident during the Year. Percentage of Recoveries on Admissions during the Year. Percentage of Deaths on Average Number Resident during the Year. Percentage of Deaths on Number under Care. Percentage of Deaths on Admissions. oickland 'hristchurch )unedin lokitika f apier .... feleon .. _"-*"'• Wellington Lshburn Hall (Licensed House) M. l82 189 222 5?14 45 87 F. 80 98 I 10 26 8 40 59 T. 262 287 332 S3 22 85 I46 M. F. T. 23*21 40*00 29'06 29*03 50*00 36*45 52*85 45*71 50*47 40*00 22*22 33*33 40*00 OO'OO 22*22 52*94 2O*0O 40*74 76*92 20*00 35*08 M. F. T. io'43 6*25 9*16 9*52 6'12 8*36 4.50 i'8i *3*6i 5*26 15-38 8-43 7*14 o*oo 4'S4 4*44 5* 00 4*7° 8'04 o'oo 479 M. F. T. 8*26 4*58 7'07 7'37 4'47 6'34 3*46 1*39 277 4*28 irn 6*66 5 '26 o'oo 3' 2 2 3*27 4*76 3*88 6-03 o-oo 3*57 M. F. T. 3392 1666 27*90 29*03 17*64 25*00 14*28 5*71 11*42 2O'0O 44*44 29*16 20*00 O'OO I I'll 1 i'ii 5000 18*18 20*58 O'OO 12*28 Totals ... 796 421 1,217 35*58 3881 36-75 7*53 4-51 6*49 22*47 12*63 18*85; 5*79 3*39 4*95

H.-3.

Table III.— Ages of the Admissions.

Table IV.—Duration of Disorder.

Table V.—Ages of Patients Discharged.

Table V.— continued.

14

Ages. Auckland. Christchurch. Dunedin. Hokitika. Napier. Nelson. Wellington, Ashburn Hall (Licensed House). total. Under 5 years From 5 to 10 years ... „ 10 to 15 „ „ 15 to 20 „ ,, 20 to 30 ,, „ 30 to 40 „ „ 40 to 50 „ „ 50 to 60 „ „ 60 to 70 ,, „ 70 to 80 „ „ 80 to 90 „ Unknown M. F. T. O I I 112 14 7 21 15 9 24 10 6 16 7 1 8 4 3 7 3°3 112 M. F. T. I O I I O I 3 0 3 11 8 19 21 15 3*5 17 9 26 8 1 9 o 1 1 M. F. T. M. F. T. 0 1 I I O I II 2 O I I II 7 18 3 2 5 19 8 27 1 2 3 28 16 44 7 3 10 8 2 10 1 o 1 20 2 1 o 1 101 : 1 1 2 M. F. T. 0 I I 1 I 2 2 2 4 2 0 2 M. F. T. 1 0 2 2 5 2 7 4 7 11 617 2 1 3 011 1 o 1 M. F. T. I O I O I I 5 5 IO 12 8 20 7 5 12 639 202 o 1 1 M. F. T. I I 2 I I 2 3°3 I O I M. F. T. 1 O I 3 2 5 5611 5° 33 83 74 5' 125 80 42 122 35 8 43 10 6 16 5 ■ 6 2 1 3 224 267 152 419 112 1 o 1 112 Totals 56 30 86 62 34 96 7° 35 »°5'5 9 24 5 4 9; 18 14 32 34 23 57 7 3 «o

Auckland. Christ- Dunedin. Hokitika. Napier, church. Nelson. Wellington.! Ashburn Hall (Licensed House). Total. First Class (first attack and within 3 months on admission) Second Class (first attack above 3 months and within 12 months on admission) Third Class (not first attack, and within 12 months on admission) Fourth Class (first attack, or not, but of more than 12 months on admission Unknown M. F. T. 20 II 31 15 5 20 M. F. T. 17 II 28 3 2 5 M. F. T. 35 >4 49 4 3 7 M. F. T. 10 6 16 1 3 4 M. F. T. I 2 3 426 M. F. T. 11 9 20 7 5 12 M. F. T. 9 12 21 2 3 5, M. F. T. 2 I 3 I I 2 M. F. T. 105 66 171 37 24 61 8 7 '5 9 '3 22 28 16 44 404 325 IOI 53 38 101 13 7 20 11 213 22 6 28 3 2 5 1 o 1 '9 6 25, 3 . 4 3' 12 43 4i 12 53 ... Totals 56 30 861 62 34 96 18 14 32 267 152 419 7° 35 io5 '5 9 24 5 4 9 34 23 57 7 3 10

Auckland. Christchurch. Dunedin. Hokitika. Ages. Total. Recovered. _, Not . Recovered. Recovered. „ , Recovered. Recovered. „ Not . Recovered. Recovered. „ Not , Recovered. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. 'rom 5 to 10 „ 10 „ 15 „ 15 » 20 ., 20 „ 30 ., 3° .. 4° .. 4° » 5° „ 5° ,. 60 „ 60 „ 70 „ 70 „ 80 „ 80 „ 90 fnknown 8 2 10 246 033 1 2 3 2 0 2 I O I 2 3 5 224 1 2 3 2 3 5 6 5 11 9 9 18 12 3 404 3 ° 3 112 7 6 '3 13 6 19 IS 3 18 2 1 3 5 1" 6 3 1 4 11 5 16 3 1 4 112 I I 2 IOI 4 1 5 0 I I I 0 I I O I I O I 26 19 45 32 18 50 44 23 67 7 5 12 4 3 7 1 o 1 022 IOI 101 0 I I Oil 022 Totals 7 9 l6 18 17 35 9 3 12 37 16 53 23 9 32 628 115 70 185 13 12 25 224

Napier. Nelson. Wellington. Ashburn Hall (■Licensed House), Total. Recovered. „ Not . Recovered. „ Not . Recovered. Recovered. Recovered. „ Not , Recovered. Recovered. „ , Recovered. M. F. T. M_. F. T. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. From 5 to 10 ,. 10 ,. 15 ,, 15 .. 20 ,. 20 „ 30 ,.. 3° ,. 4° ,. 4° >. 5° „ 5° .> 60 „ 60 „ 70 „ 70 „ 80 „ 80 „ 90 Unknown 2 0 2 I 3 4 1 4 5 2 O 2 2 O 2 4 I 5 I I 2 I O I IOI I O I Oil 3 4 7 3 3 6 3 1 4 o 1 1 101 0 2 2 Oil 246 Oil °33 7 8 15 11 11 22 8 3 11 5 3 8 3°3 4 1 5 2 o 2 Totals 2 0 2 2 7 9 9 2 II 303 llO 10 20 8 9 17 34 28 62

H.—3.

Table VI.—Ages of Patients who Died.

Table VII.—Condition as to Marriage.

15

Ages. Auckland. Christchurch. Dunedin. Hokitika. Napier. Nelson. Wellington. Ashburn Hall (Licensed House). Total. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. 5 to 10 10 „ 15 15 .. 2° 20 „ 30 3° .. 4° 4° » 5° 50 „ 60 60 „ 70 70 „ 80 IOI 909 2 2 4 3 2 5 3 0 3 101 Oil O I I 2 1 3 3 1 4 639 5 ° 5 202 IOI IOI Oil O I I 10 1 2 0 2 IOI I 2 3 3 1 4 15 2 17 12 7 19 15 4 '9 8 1 9 404 011 112 3 i 4 5 i 6 Oil Oil IOI I O I 2 0 2 IOI 112 I o I IOI IOI 80 „ 90 Unknown 112 Totals 19 5 24 18 6 24 10 2 12 3 4 7 IOI 2 2 4 7 ° 7 60 19 79

Admissions. Discharges. Deaths. Auckland — Single Married Widowed M. F. T. 33 8 41 20 17 37 3 5 8 51. 14 6 o F. T. 3 17 15 21 3 3 M. 9 7 3 F. O 2 3 T. 9 9 6 Totals ... 56 30 86 20 21 41 19 S 24 Christchurch— Single Married Widowed 37 25 0 12 49 21 46 1 1 13 13 1 6 19 13 26 1 2 5 12 1 1 5 0 6 17 1 Totals ... 62 34 96 27 ZO 47 18 6 24 Dunedin — Single Married Widowed 38 9 47 28 21 49 4 5 9 38 8 46 20 IS 35 224 4 5 1 2 o o 6 5 1 Totals ... 7° 35 i°5 60 25 85 10 2 12 Hokitika— Single Married Widowed 13 2 1 8 14 10 7 o I o 4 o 7 4 1 o 3 3 I 3 4 Totals ... IS 9 24 8 4 12 3 4 7 Napier— Single Married Widowed 3 2 1 3 4 5 2 3 4 5 6 I O I Totals 5 4 9 4 7 11 I O I Nelson— Single Married Widowed 12 5 1 1.. 19 7 12 o 1 9 3 o 2 9 5 o o 1 1 I I 2 o 2 Totals ... 18 M 32 12 2 '4 2 4 Wellington— Single Married Widowed Unknown '9 5 24 11 17 28 213 202 11 9 7 10 20 17 5 2 O o 5 2 Totals ... 34 23 57 18 '9 37 7 o 7 Ashburn Hall (Licensed House) — Single Married ... Widowed 3 2 2 1 2 o 4 4 2 Totals 7 3 10 Totals— Single Married ... » *" ' ... Widowed Unknown 158 44 202 95 96 191 12 12 24 202 94 29 123 5' 6 3 "4 4 6 10 23 3° 7 7 3° 9 39 3 10 Totals ... 267 152 419 149 98 247 60 19 79

H.—3

16

Table VIII.—Showing Native Countries of Patients at 31st December, 1882.

Table IX.—Ages of Patients at 31st December, 1882.

Table X.— Length of Residence of Patients who Died during the Year 1882.

Total. Countries. Auckland. Christchurch. Dunedin. Hokitika. Napier. Nelson. "Wellington. Ashhurn Hall (Licensed House). M. F. T. 28o I58 438 145 72 217 231 142 373 43 36 79 12 6 18 628 23 3 26 224 18 3 21 9 5 14 909 16 o 16 9 6 15 4 1 5 112 England Scotland Ireland New Zealand Australia Fiance Germany Norway Sweden Denmark Italy China Maoris ... America Wales Jersey and Guernsey Other countries Unknown M. F. T. 8i 32 113 19 5 24 49 26 75 18 12 30 112 3°3 3°3 M. F. T. 74 56 13° 22 13 35 7i 33 i°4 8 1 9 404 202 7 1 8 112 202 M. F. T. 55 26 8l 70 41 III 47 37 84 4 6 10 4 3 7 101 M. F. T. 17 9 26 7 3 10 21 '4 35 1 o 1 1 1 2 M. F. T. 3 3 (> 3°3 5 a 5 112 M. F. T. 18 13 31 7 3 IO 13 10 23 4 8 12 M. F. T. 32 19 51 1° 5 15 25 22 47 7 7 14 2 1 3 M. F. T. 7 2 9 Oil 022 404 527 IOI 404 O I I 4 1 5 1 1 2 404 404 5 0 5 13 o 13 I O I 2 1 3 1 o 1 202 o 1 1 2 1 3 IOI 404 1 3 4 101 202 4 5 9 1 o 1 1 o 1 4 1 5 1 1 2 112 IOI I O I I O I 2 1 3 112 18 3 21 oil 5°5 5 1 6 202 I O I 1 o 1 426 Oil 327 442 1,269 Totals ... 191 83 274 59 28 87 199 108 307 219 "6 335 14 5 19 47 38 85 91 61 152 7 3 1

Ages. Auckland, Christchurch. Dunedin. Hokitika. Napier. Nelson. Wellington. Ashburn Hal! (Licensed House,). Total. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. i to 5 years 5 » i° » io >. 15 .. 5 » 20 „ 10 „ 3° »» |0 „ 4° .1 r° „ 5° .. |0 ,, 60 „ 10 „ 70 „ ■0 „ 80 „ 1 3 4 224 38 11 49 48 27 75 49 i6 6 5 33 14 47 12 7 19 5 ' 6 101 224 I O I I 1 2 6 1 7 24 15 39 57 38 95 68 32 100 33 14 47 7 7 14 202 112 3 2 5 3 4 7 23 12 35 52 30 82 77 53 130 43 9 52 13 4 i? 4 1 5 I O I 5 2 7 15 11 26 26 8 34 9 1 10 224 I O I 6 4 IO 404 213 I O I I 12 1 3 4 7 9 I6 9 11 20 17 10 27 8 3 11 2 1 3 1 o 1 2 I 3 2 I 3 14 9 23 35 20 55 24 13 37 11 9 20 25 7 °33 1 o 1 112 I I 2 2 I 3 9 8 17 14 11 25 "3 59 172 223 142 365 268 132 400 140 51 191 40 27 67 12 5 17 202 4610 3 0 3 IOI 112 lo ., 90 ,, Jnknowa 1 4 5 1 o 1 Totals 191 83 274 199 108 307 ■219 "6 335 59 28 87; 47 38 85 91 fii 152 827 442 1,269 '4 5 19 7 3 10,

Ages. Auckland. Christchurch. Dunedin. Hokitika. Napier. Nelson, Wellington. Ashburn Hall (Licensed House). Total. Jnder 1 month ... 1 to 3 months... 3 » 6 » 6 „ 9 » - 9 „ 12 „ 1 „ 2 years 2 „ 3 » 3 >» 5 » 5 .. 7 » ••• 7 „ 10 „ :o „ 12 „ 12 „ 15 >> *•* 3>ver 15 „ While on trial M. F. T. 2 2 4 112 2 0 2 112 M. F. T. I O I 112 M. F. T. 2 0 2 I O I M. F. T. O I I Oil 112 M. F. T. M. F. T. M. F. T. I 0 I M. F. T. M. 6 3 3 5 7 7 10 7 S 3 F. T. 3 9 3 6 2 S 2 7 1 8 2 9 2 12 2 9 P S o 3 2 I 3 4 0 4 3 0 3 3 O 3 101 O I I 2 O 2 4 0 4 2 I 3 3 2 5 3 I 4 IOI IOI Oil IOI IOI I I 2 2 0 2 IOI 202 Oil IOI IOI IOI IOI IOI I O I IOI I O I 2 2 o 0 2 1 3 1 1 ••3! o 2 Oil Oil r. r 18 6 24 Totals 19 5 24 10 2 12 3 4 7 IOI 224 7 o 7 60 19 79

17

H.—3,

Table XI. —Length of Residence of Patients Discharged Recovered.

Table XII.—Causes of Death.

Length of Residence. Auckland. Christchurch. Dunedin. Hokitika. Napier. Nelson. Wellington, Ashburn Hall (Licensed House). Total. Jnder 1 month ... 'rom 1 to q months ,, 3 11 6 „ j> 6 .. 9 » ,1 9» I2 „ „ i „ 2 years M. F. T. S 1 6 1 4 5 1 3 4 1 3 4 011 303 M. F. T. 3 2 5 7 2 9 268 224 011 022 404 M. F. T. 13 4 17 6 4 10 7 1 8 3 1 4 2 1 3 224 Oil 3 1 4 Oil M. F. T. IOI 2 I 3 IOI 2 1 3 M. F. T. IOI M. F. T. 2 2 4 4 0 4 IOI IOI M. F. T. 5 • 6 426 1 3 4 o 1 1 M. F. T. M. F. T. 27 8 35 23 15 38 16 13 29 10 8 18 3 4 7 5 4 9 4 1 5 426 022 2 1 3 011 IOI 011 » 2 „ 3 „ 3» 3 3>3> 5 J) ,, S .. 7 *. ,. 7 »10 .. „ IO„I2 „ ,» 12 ,,15 „ >ver 15 „ I O I Oil Oil 101 IOI Oil Oil IOI IOI Totals 13 12 25 18 17 35 37 16 S3 628 202 9 2 11 10 10 20 95 59 154

Total. Causes. Auckland. Christchurch. Dunedin, Hokitika. Napier. Nelson. Ashburn Wellington. , r .Ha11 , (Licensed House), M. F. T. 2 0 2 4 i 5 3 i 4 2 O 2 12 I 13 2 I 3 112 426 426 O I I IOI 1 O I 2 0 2 I O I IOI I 0 I Diseases of the Nervous System— Meningitis Brain disease Exhaustion from acute mania Exhaustion from melancholia General paralysis ... Paralysis Apoplexy Epilepsy Softening of the brain Atrophy . ... Acute mania with pneumonia Diseases of the Circulatory System— Pyaania Clot in heart Aortic Rupture of left ventricle Heart disease Diseases of the Respiratory System — Phthisis Bronchitis Congestion of the lungs Diseases of theDigestive System— Diarrhoea Peritonitis Abscess of the liver Diseases of the Urinary SystemDropsy General Injuries and Diseases Not Otherwise ClassifiedErysipelas Old age Carbuncle Caries of the spine Cancer of the throat .,. Natural decay M. F. T. 1 O I 2 0 2 3 0 3 404 I O I Oil IOI 202 M. F. T. 2 I 3 Oil 2 0 2 5 ° 5 112 IOI 1 o 1 M. F. T. I O I I O I IOI IOI IOI I O I M. F. T. O I I Oil I O I 0 2 2 I O I ,.. M. F. T. 10 I M. F. T. Oil Oil IOI M. F. T. 2 0 2 3 ° 3 m. r. t. 4 3 7 3 1 4 202 I O I 101 2 1 3 112 I O I I 2 3 IOI 1 0 I 011 O I I 112 oil I I 2 O I I O 1 I 0 I I 303 2 1 3 10 I IOI 112 I O I IOI IOI I O I I o 1 IOI I O I IOI IOI I O I Totals 18 6 24 &> 19 79 19 5 24 10 2 12, 3 4 71 I O I 224 7 o 7

H.—3.

18

Table XIII.—Causes of Insanity in the Admissions.

Total. Causes. Aucklanr Christchurch, , Dunedin, Hokitika. Napier. Nelson. Wellington. Ashburn Hall (Licensed House). M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. IOI IOI r c Advancing age Oil Accident Oil 606 Adverse circumstances ,,. Brain disease ... 6 o 6 303 IOI 202 O I I Chorea Oil , < 15 6 21 Congenital Change of life 12 5 17 112 I O I IOI 1 9 10 O 5 5 1 4 5 0 2 2 Childbirth 0 2 2 044 Climacteric ... ,,, Drink 0 4 4 65 "3 78 14 3 17 14 3 17 18 4 22 2 0 2 2 0 2 3 0 3 9 3 12 3 0 3 2 0 2 Drink and hereditary ... 2 O 2 2 5 7 Domestic troubles o 3 3 2 2 4 112 Disappointed love I I 2 Oil Dissipation ... O I I 4 1 5 Debility 4 1 5 11 8 19 Epilepsy 3 3d 2 2 4 I 0 I I 2 3 4 i S 1 3 4 Fright I o 1 01 1 0 2 2 3 1 4 General paralysis 202 1 1 2 2 3 5 Grief 0 2 2 112 IOI 022 Hysteria 011 Oil 22 11 33 Hereditary ... ... 1 2 3 10 2 12 7 4 II Oil I I 2 3 I 4 3°3 Injury to head ,,, I o 1 1 o 1 I O I 5 2 7 Impaired bodily health ... 3 2 5 2 O 2 101 Imprisonment ,,, 1 o 1 022 Lactation o 1 1 Oil I O I Locomotor ataxy 101 426 Mental anxiety ... 224 1 o 1 I O I 7 1 8 Masturbation... I 0 I o 1 1 1 o 1 I O I 3 0 3 I 0 I 101 Nostalgia I 0 1 4 5 9 Old age ... ... 3 2 5 Oil I I 2 O I 1 011 Ovarian ... ,,, 0 I I 1 o 1 Opium smoking 101 O 12 12 Puerperal state °33 o 1 1 044 O I 1 O I 1 0 I I Oil I 2 3 Poverty 1 2 3 3 1 4 IOI Religious excitement ... 2 o 2 IOI 0 I I Syphilis 101 5 ° 5 Sunstroke 1 o 1 2 0 2 2 0 2 2 1 3 Softening of the brain ,., I O I Oil I O I Oil Spinal disease O I I % 404 Solitude 303 IOI IOI Sexual intemperance I o 1 202 Senile debility 202 O I I Suppression of menses ... 0 1 I O I I Spiritism Oil 022 Typhoid fever.., 022 066 Uterine disease Oil o 4 4 Oil 82 40 122 Unknown 27 II 38 18 7 25 21 8 29 112 6 6 12 7 7 14 202 !67 152 419 Totals ... -%. ... 56 30 86 62 34 96 7° 35 105 IS 9 24 S 4 9 18 14 32 34 23 57 7 3 10

H.~3.

Table XIV—Former Occupations of Patients.

19

Total. Occupations. Auckland. Christchurch. Dunedin. Hokitika, Napier. Nelson. Wellington. Ashburn Hall 'Licensed House). M. F. T. IOI 2 0 2 Males. M. F. T. M. F. T. M. F. T. M. F. T. 1 M. F. T. M. F. T. M. F. T. M. F. T. Artists Aborigines Accountants ... Blacksmiths ... Bushmen Butchers Bakers Boatmen Brewers Bricklayers Carpenters Contractors ... Carters Cooks Clerks Chainmen ... ... Confectioners... Constables Cabinetmakers Cab-drivers ... Customhouse officers ... Druggists' assistants ... Dyers Engineers Farmers Fellmongers ... Fishmongers ... Grooms Gumdiggers ... Gardeners Hawkers Hotelkeepers ... Ironmongers ... Journalists Labourers Lithographers Musicians Medical men ... Miners Masons Moulders Painters Printers Pastrycooks ... Prisoners Ploughmen ... Ropemakers ... Rabbitters Runholders ... Shipwrights ... Shopkeepers ... Shoemakers ... Sailors Soldiers Schoolmasters Sailmakers Surveyors Shepherds Solicitors Tinsmiths Tailors Tanners Vagrants Wool-sorters ... Wood-turners Waiters I O 1 IOI I O I 1 O 1 404 2 0 2 1 O I 2 0 2 I 0 I IOI 2 0 2 I O I 2 0 2 3°3 IOI 101 202 I O I I O I 202 808 2 0 2 2 0 2 2 O 2 I O I 2 0 2 2 0 2 3°3 I O I 2 0 2 I 0 I I O I I O I I O I IOI IOI 404 3 0 3 10 1 IOI 2 0 2 1 O I IOI I O I IOI IOI I O I 1 O I I O I 3 ° 3 1 o 1 1 O I 2 0 2 28 O 28 I O I I O I 303 202 404 202 303 1 O I 2 0 2 80 o 80 I O I I O I 3 ° 3 29 o 29 I O I I O I S ° 5 I O I I o 1 I o 1 I O I IOI IOI I o 1 I O ) ~2 O 2 404 404 404 I O I I O I IOI IOI IOI IOI 2 0 2 I O I 3 ° 3 I O I I 0 I 303 I 0 I 404 202 I o 1 3°3 13 o 13 202 202 I O I I O I I O I 202 I 0 I IOI I O I I o 1 I O I IOI IOI '5 o 15 101 25 ° 2S 21 0 21 I 0 I I O I IOI 16 o 16 2 O 2 1 o 1 202 I O I 2 0 2 IOI ro o 10 8 o 8 I O I 7 ° 7 1 O I I O I I O I I O I I O I IOI IOI 1 o 1 I O I I O I I o 1 I O I I O I I O I I O I 1 O I 2 0 2 2o2 2 0 2 I O I I O I IOI I O I IOI IOI I o I IOI IOI I O I r 2 0 2 IOI 2 0 2 I O I I O 1 IOI I O I 1 o 1 2 0 2 I o 1 2 0 2 IOI IOI I o 1 3~ ° ** "f 1 O I IOI IOI 0 2 2 o 63 63 O I 1 o 32 32 022 Oil o I 1 Oil Females. Companions ... Domestic duties Dentists Housewives ..." Laundresses ... Milliners Milkwomen ",.\ Nurses "... Seamstresses ... ... Storekeepers ... Servants Teachers No occupation Unknown ... ... o 17 17 Oil 088 o 17 17 O I I O 20 20 Oil O I I o 7 7 O I I 0 2 2 O I 1 066 O I I ° is IS 0 3 3 Oil Oil O I 1 022 o 23 23 O I I 13 17 3° o S 5 o 5 5 Oil 3 3 6 044 0 2 2 O I I 033 Oil 044 099 5 5 10 4 3 7 O I I Oil 033 112 Oil -.67 152 419 Totals ... 56 30 86 62 34 96 :7° 35 I0S 15 9 2. 5 4 9 |i8 14 32 34 23 57 7 3 10

a.—s

20

Table XVI.—Average Cost of Maintenance of each Patient per Annum.

Table XV. — Showing the Expenditure for the Year 1822.

Total. Items. Auckland. Christchurch. Dunedin. Hokitika. Napier. Nelson. Wellington. Total. £ s. d. 150 o o 250 o b. 830 7 6 1,470 6 4 240 o o 35° ° ° 2,000 o o 47 6 5 o 571 6 8 422 6 8 497 10 o 9,436 4 10 io.535 18 8 2,895 17 2 3,322 6 1 203 1 4 177 12 o 604 8 o 7 19 6 5.075 o " 39,366 10 8 4,372 14 10 'Inspector-General Accountant •« Medical fees General contingencies Inspectors Visiting Medical Officers Medical Superintendents ..< Superintendents House Stewards Clerks Matrons f Attendants and servants Rations Fuel and light Bedding and clothing... Surgery and dispensary Wines, spirits, ale, and porter ... Farm Furniture Necessaries, miscellaneous and incidental £ s. d. £ s. d. £ s. d. I £ s. d. £ s. d. £ s. d. £ s. d. £ s. d. 150 o o 250 o o 830 7 6 1,470 6 4 240 o o 350 o o 2,000 o o 476 5 ° 571 6 8 422 6 8 497 10 o 9,436 4 10 10,535 18 8 2,895 17 2 3,322 6 1 203 1 4 177 12 o 604 8 o 7 19 6 5,075 o 11 39,366 10 8 4,372 14 10 ... ... ... ... ... ... ... 50 o o 50 o o 50 o o 30 o o IOO o o 30 o o 50 o o 30 o o 400 o o 600 o o 600 o o 200 o o 400 o o ... 35 o ° 150 o o 300 o o 150 o o 100 o o 2,108 7 5 2,610 8 3 727 19 9 809 3 o 54 16 2 37 " 3 79 11 4 - . 1 271 6 8 94 o o 91 13 4 1,920 11 4 2,412 17 3t 3°7 14 3 600 11 6 50 5 10 52 1 o 159 ii 8 291 5 o ... 95 o o 100 o o i,43i 5 o 1,268 15 11 597 18 9 610 10 8 37 10 3 24 17 3 13 11 o 83" 6 8 60 16 8 2,308 15 2 2.357 4 5 995 3 o 750 8 5 37 4 8 30 15 6 35i '4 ° 75 o o 848 15 11 72 5 J6 5 63 2 6 301 10 11 14 7 2 256 ... 250 o o 295 13 o 68 19 o 71 7 8 3 12 9 5 ° o 70 o o 568 10 o 865 3 5 134 19 11 178 13 11 5 4 6 25 1 6 I 7 19 6 i 31212 2 I Totals ... Repayments 834 12 2 8,260 o 8 855 16 10 779 12 8 8,407 9 10 . 1,041 1 3 7,366 8 7 1,809 IO 1 8,420 .211 1,415 9 8 478" 6 7 2,930 10 o 143 14 6 2,786 15 6 34 10 3 844 2 8 32 17 8 2,518 4 11 397 1.7 7 825 17 O I 5.435 5 10 485 >7 4 4,949 8 6 34.993 15 i0 Actual expenditure... 7,404 3 10 7,004 13 3 811 5 o 2,120 7 4 34.993 15 IO * General expenses not included in Table XVI. t Includes salaries of farm overseer and 1: .bourer (£160). J Bread sup] ilied to hospital and gaol (£485 16s. 2d.) is deducted.

Asylums. Provisions. Salaries. Bedding and Clothing. Fuel and Light. Surgerv and Wines, Spirits, Incidental,' i Total Cost per Repayment Dispensary. Ale, &c. and Patient. Maintenance . Miscellaneous.. Cost per Head, less Repayments. Cost per Head previous Year. Decrease in 1882. Increase in 188a. Auckland Christchurch Dunedin Hokitika Napier Nelson Wellington ... £ s. d. 8 19 ni j 9 ! iof 7 5 4 8 14 iof 13 8 9 i 10 3 6i 8 13 9i I £ s. d. j 10 17 gi 11 7 oi 8 19 4i 15 16 ioi 15 4 6i 11 12 7 13 17 6| £ s. d. 2 17 3i 2 16 4i 1 16 2 3 " Ii 3 4 ioi 2 2 oi 4 3 7i £ s. d. 3 15 i'i 2 10 8f o 18 6i 0 15 ii 328 1 11 9 4 1 i°i £ s. d. o 2 IO o 3 9i o 3 °i 035* °3 3* O I 2f 0 5 1* 024 o 2 7i o 3 ii o o 6i j o 4 6i j o 5 i°f I o 3 4f £ s. d. 3 3 8i 2 r4 3f 5 9° 5 15 3 1 11 4* 3 13 6i 5 13 ii £ s. d. 31 1° 6i 29 5 ioi 25 7 3i 35 6 1* 38 7 41 29 12 6i 37 4 6i 29 18 7i £ s. d. 3 5 3* 3 12 6i 4 5 3 1 14 7l 1 9 ioi 4 13 H 3 6 6i 3 ii i°i £ s. d. 28 5 2i 25 13 4 21 2 oi 33 11 6 36 17 6 24 18 11 33 18 o 26 6 9 £ s. d. 22 15 1 26 8 10 18 15 1 31 9 2| 35 14 11 29 12 8i 30 3 3i £ B- d. o 15 6 £ s. d. 5 10 il 2 6 ni 2 2 3i 127 - . 4 13 9l 3 14 8i ... Averages i ... ... ... ... ... ... ... 24 11 ii ... 1 15 7i

H.—3.

Table XVII. —Statement of Receipts on Account of Lunatic Asylums during the Year ended 31st December, 1882.

Table XVIII. —Expenditure, out of Immigration and Public Works Loan, on Asylum Buildings during the Financial Year ended 31st March, 1883, and Liabilities for the same.

Table XIX.—Contracts for Asylum Buildings, out of Immigration and Public Works Loan.

Table XX.—Total Expenditure, out of Immigration and Public Works Loan, for Repairs and Buildings at each Asylum, from 1st July, 1877, to 31st March, 1883.

21

Asylum. Maintenance. Produce or Articles Sold. Bread supplied to Gaol. Bread supplied to Hospital. Total. £ s. d. 783 19 5 911 6 5 1.372 1 7 103 18 6 32 17 8 38S 7 7 419 3 8 £ s. d. 7i 17 S 129 14 10 43 8 3 39 16 o £ s. d. £ s. d. £ s. d. 855 16 IO 1,041 1 3 1,901 5 10 143 14 6 32 17 8 397 17 7 485 17 4 Ihristchurch lunedin [okitika (apier [elson Wellington 316 11 2 169 4 IO 12 IO o 66 13 8 Totals... 4,008 14 IO 364 O 2 316 II 2 169 4 IO 4,858 II O

Asylum. Expended to 31st March, 1883. Liabilities on 31st March, 1883. Auckland Wellington Christchurch Seacliff Nelson £ s. d. 1,218 10 7 630 19 8 1,776 3 10 27,260 12 o 765 19 1 £ s. d. 7.9H 13 5 3.859 13 5 32,646 n 11 5!7 4 o Totals 31.652 5 2 44.938 2 g

Buildings, &c. Tender Accepted. Date fixed for Completion. Contract Price. Extras. Auckland Auxiliary Asylum ... Water-service, Auckland Auxiliary Asylum Overseer's Cottage, „ „ Gas-service, „ „ Seacliff, No, 1 Contract „ No. 2 Contract „ Reservoir 3 January, 1883 .. jj jj j. 4 January, 1883 10 October, 1879 31 December, 1881 26 June, 1882 27 June, .. j. 1883 » )i £ s. d. 6,643 9 10 726 12 o 39i 4 7 153 7 o 20,726 13 o 49,245 6 o i)594 IS 4 £ s. d. j. io April, 31 March, 24 October, 1882 1883 1882 1,800 o o

Asylum. 1877-78. 1878-79. 1879-80, l88o-8l. 1881-82. Luckland Vellington 3hristchurch )unedin lapier lokitika felson ... »_% ... ... £ s. d. 4.i83 1 4 90 o o 205 7 3 £ s. d. S.150 IS 7 3.797 15 11 1,239 n 6 2,690 10 2 £ s. d. H.559 7 6 1.453 17 10 7.25S 17 3 6,447 'P 10 £ s. d. 8,144 11 8 6,517 10 11 18,590 3 4 6,185 S 8 87 o o 44 17 11 34 16 o £ s. d. 6,132 13 10 1,305 18 2 7,110 17 10 12,037 H 2 60 O O 275 19 o 722 1 11 S i" 18 6 Totals 4,478 8 7 I3.IS4 12 2 27.438 IS 4 39. 6 04 S 6 26,698 19 6

22

H.—3

Table XX.— continued.

By Authority : Geobge Bidsbtjet, Government Printer, Wellington.—1883.

Asylum. 1882-83. Total Expenditure. Less Amounts Recovered since ist July, 1877. Net Expenditure. r-uckland Vellington Ihristchurch )unedin fapier lokitika felson £ s. d. 1,218 io 7 630 19 8 1,776 3 10 27,260 12 o £ s. d. 36,389 o 6 13,796 2 6 36,178 i o 54,621 9 10 147 o o 1,042 18 IO 852 13 7 £ s. d. 426 19 16 o £ s. d. 36,389 o 6 13,792 o o 36,178 I o J4,6oi 13 10 147 o o 1,042 18 10 852 13 7 765 19 1 31,652 5 2 23 18 6 Totals 143,027 6 3 143.003 7 9